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Öğe Adolescents with asthma reported more peer victimization, more anger repression, and less anger expression(Taylor & Francis Ltd, 2020) Özyurt, Gonca; Tuncel, Tuba; Eliaçık, Kayı; Şenol, Handan Duman; Öztürk, Yusuf; Özdoğru, Emine EceObjective:The aim of this study was to investigate the peer victimization and anger expression in adolescents with asthma. The relationship between asthma control and psychological features was also examined. Methods:The study was a cross-sectional study with a healthy control group. The sample of the study was composed of 61 adolescents who were previously diagnosed by a physician with asthma of various intensities. Sixty adolescents with no chronic disorders were enrolled as the control group. Peer victimization was examined using the Multidimensional Peer Victimization Scale (MPVS). The State-Trait Anger Expression Inventory (STAXI) was used to assess anger expression styles. Emotional and behavioral symptoms of the adolescents were measured using the Strengths and Difficulties Questionnaire (SDQ). Results:Adolescents with asthma reported more peer victimization in the subscales of physical, social, verbal, attacks on property, and frightening in the MPVS; and having more problems in emotional, social, and peer relations areas in the SDQ (p < .001 for all subscales) compared to the control group. The results were similar between the groups regarding the conduct problems and hyperactive behaviors. The adolescents with asthma reported more anger repression and less anger expression than the control group (p < .001 for both subscales). Conclusions:The results indicated that the adolescents with asthma were subjected to more peer victimization and experienced more difficulties in anger expression than the controls. Based on the findings of this study, we suggest that these psychological factors should be kept in mind during the management of asthma in adolescents.Öğe Anksiyete bozukluğu olan çocuklarda duygu düzenlemenin annelerinin duygu düzenlemesi, bağlanması anksiyete duyarlılığı ile ilişkisinin incelenmesi(2017) Özyurt, Gonca; Öztürk, Yusuf; Akay, AynurAmaç: Anksiyete bozukluğu çocukluk çağında sık görülmesine karşın anksiyete bozukluğunun nasıl ortaya çıktığına yönelik bilgiler halen sınırlıdır. Bu çalışmada anksiyete bozukluğu olan çocukların duygu düzenleme becerileri ve anksiyete şiddetinin, annenin bağlanması, anksiyete duyarlılığı ve duygu düzenleme becerileri ile ilişkisini değerlendirmek ve sağlıklı kontroller ile karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya 8-12 yaşları arasında 64 anksiyete bozukluğu olan olgu ve annesi ile anksiyete bozukluğu grubu ile yaş ve cinsiyet olarak benzer 78 sağlıklı çocuk ve annesi katılmıştır. Çocuklarda anksiyete bozukluğunun şiddetini ölçmek için Çocuklarda Anksiyete Tarama Ölçeği (ÇATÖ), çocukların duygularını düzenlemesini değerlendirmek için Duygu Ayarlama Ölçeği (DAÖ) kullanılmıştır. Annelerin duygularını düzenlemesini değerlendirmek için Duygu Düzenleme Güçlüğü Ölçeği (DDGÖ), annelerin yaşadığı anksiyete için Anksiyete Duyarlılığı İndeksi-3 (ADİ-3) ve annelerin bağlanma özellikleri için Yakın İlişkide Yaşantılar Ölçeği-II kullanılmıştır. Sonuçlar: ÇATÖ anne-baba formu ve çocuk formu puanları ile ADİ-3, DAÖ alt ölçekleri ve DDGÖ toplam puanı Pearson korelasyon analizi ile karşılaştırılmıştır. ÇATÖ anne-baba formu ve çocuk formu puanları ile DAÖ'nün duygusal değişkenlik puanları, ADİ-3 ölçeğinin sosyal, bilişsel, fiziksel anksiyete, annelerin kaygılı bağlanma ve duygu düzenleme ölçeği puanları arasında pozitif korelasyon ve DAÖ'nün duygu düzenleme puanları arasında negatif korelasyon saptanmıştır. Annelerin kaçıngan bağlanması ile ÇATÖ anne-baba formu ve çocuk formu puanları arasında ilişki saptanmamıştır. Tartışma: Bu çalışma anksiyete bozukluğu olan çocukların yaşadığı duygu düzenleme güçlüklerinin annelerin duygu düzenleme güçlükleri ve annelerin bağlanma özellikleri ile ilişkisini değerlendiren ilk çalışmadır. Anksiyete bozukluğu olan çocukların duygu düzenleme güçlüklerine uygulanabilinecek bilişsel ve davranışçı yöntemlere tedavide daha fazla yer verilmesi ile duygu düzenleme becerileri gelişen çocukların anksiyete belirtileri azalabilir.Öğe Anxiety Level in Pediatrics Residents in COVID-19 Outbreak Days(Galenos Publishing House, 2021) Özyurt, Gonca; Öztürk, Yusuf; Kanik, Ali; Oral, Elif; Aslankaya, Zeynep Dilara; Görmez, Vahdet; İnal, NeslihanObjectives: The aim of this study is to reveal how pediatrics residents’ anxiety levels and their approaches to children have been shaped during unexpected experience of COVID-19 outbreak and to evaluate the effects of working in pandemic clinics on anxiety. Materials and Methods: This study was planned as a cross-sectional study. Pediatrics residents working in Izmir Tepecik Training and Research Hospital Pediatrics Education Clinic were contacted and asked whether they wanted to fill the prepared electronic questionnaire. The information including informed volunteer consent form and questionnaires was sent to the acceptors via e-mail/Whatsapp. The socio-demographic data form and Spielberger State and Trait Anxiety Inventory (STAI-S and STAI-T) were sent to the participants. Results: Sixty four pediatrics residents participated. The average age of the participants in our study was 27.98±2.62 years. Of them, 79.7%(n=51) were female, while 20.3% (n=13) were male. While 7.8% (n=5) had a history of suffering from mental illness before COVID-19, there was no history of mental illness in 92.2% (n=59). 67.2% (n=43) of the pediatrics residents included in the study worked in the pandemic service and outpatient clinics. We found that pediatrics residents included in the study showed clinically significant anxiety symptoms at the rate of 89.1% (n=57) in terms of the Spielberger state anxiety scale and at the rate of 65.6% (n=42) in terms of the Spielberger trait anxiety scale. Considering whether the residents included in the study worked or did not work in the pandemic outpatient clinic/inpatient clinic, no statistically significant difference was found in terms of STAI scores (p>0.05). Conclusion: Our study is the first study to evaluate the anxiety levels associated with the COVID-19 outbreak among pediatrics residents in our country. In our study, both the state anxiety level and the trait anxiety level were found to be higher in pediatrics residents, with a higher level of state anxiety. The results of our study suggest the necessity of interventions for the concerns of all healthcare professionals, especially pediatrics residents. © 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.Öğe The association between pragmatic language impairment, social cognition and emotion regulation skills in adolescents with ADHD(Taylor and Francis, 2022) Çiray, Remzi Oğulcan; Özyurt, Gonca; Turan, Serkan; Karagöz, Ezgi; Ermiş, Çağatay; Öztürk, Yusuf; Akay, AynurAbstract Objective Attention Deficit and Hyperactivity Disorder (ADHD) is associated with significant pragmatic language impairment and theory of mind deficits, but there are only a handful of studies have investigated the relationship between them in these conditions. This study aimed that investigate two different aspects of Theory of Mind (ToM) (ToM decoding and reasoning), pragmatic language impairment, and emotion regulation in patients with ADHD. Method Seventy adolescents with ADHD were compared to matched 64 healthy controls. We administered Social Responsiveness Scale-2 (SRS-2), Difficulties in Emotion Regulation Scale (DERS), Kiddie-SADS, Conners Parent Rating Scale, Children’s Communication Checklist-2 (CCC-2), Faux Pas, Comprehension Test, and Reading Mind in the Eyes Test (RMET) to all study participants. Results The CCC-2 scores were found to be statistically significantly higher in the ADHD group than in healthy controls. ADHD group had lower performance in the Faces Test and RMET compared to healthy controls, which did not survive from false discovery rate correction. We also found that CCC-2 performance and Conners scores were significant predictors of social responsiveness. Conclusion Our results point to widespread impairment in pragmatic language use and communication from many perspectives. These results might be important to understand the difficulties in social functioning and interpersonal relationship in adolescents with ADHD.Öğe Association of theory of mind and empathy abilities in adolescents with social anxiety disorder(Springer, 2020) Öztürk, Yusuf; Özyurt, Gonca; Turan, Serkan; Mutlu, Caner; Tufan, Ali Evren; Akay, Aynur PekcanlarStudies have shown that elevated empathic abilities and impaired theory of mind (ToM) tasks may be associated with social anxiety disorder (SAD). Adolescence is a critical period for the onset of SAD which may cause impairment in various domains of functioning. We aimed to investigate the association of ToM and empathy characteristics in adolescents diagnosed as having SAD. Forty-one drug-naive adolescents (between 12 and 18 years), who were diagnosed as having SAD without comorbidities were enrolled in the patient group. Forty adolescents in the same age range without any psychiatric disorders were matched as the healthy control group. The sample was evaluated via the Kiddie and Young Adult Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version. The severity of the SAD symptoms was evaluated using the Social Anxiety Scale for Adolescents. ToM was evaluated with the Reading the Mind in the Eyes Test and emotion recognition was assessed by Faces Test. The KA-SI Empathic Tendency Scale was used to assess empathic abilities. The average age was 14.36 +/- 1.41 years in the SAD group and 14.30 +/- 1.04 years in the control group. Twenty-eight adolescents were female in the SAD and control groups. SAD and healthy controls did not differ in terms of sociodemographic data. There were higher scores in the KA-SI cognitive and affective empathic subscales (p < .001 in all scales) in the SAD group compared with the healthy controls. Adolescents with SAD have more difficulties both in Reading the Mind in the Eyes Test and Faces Test. The results of this study may indicate that although adolescents with SAD may be impaired in decoding aspects of ToM they may evaluate themselves as more empathic in self-report tests. The discrepancy between objective tests of ToM decoding and subjective reports of empathy may play an important role in the etiology and treatment of SAD in adolescents.Öğe Attachment, emotion regulation and anger expression in adolescent depression: Did comorbid anxiety disorder not have a role?(Springer, 2021) Özyurt, Gonca; Öztürk, Yusuf; Onat, Merve; Mutlu, Caner; Akay, AynurDepression is a common mental health problem in adolescence. In this study it was aimed to investigate attachment properties, emotion regulation skills and anger expression patterns in adolescents diagnosed with major depressive disorder (MDD) and to compare the results with healthy controls’ findings. Effects of having comorbid anxiety disorder (AD) to these psychological properties were also evaluated. The study was planned as three-centered, single-disciplinary, a cross-sectional study with a control group in Turkey. Depression group was consisted of 97 adolescents while control group was 101 adolescents. All participants were administered Beck Depression Inventory (BDI), Inventory of Parent and Peer Attachment (IPPA), Difficulties in Emotion Regulation Scale (DERS), and State-Trait Anger Expression Inventory (STAXI). Depression group had statistically lower scores in peer attachment and parent attachment, and higher scores in all subscales of DERS compared to the controls. Due to STAXI, it was observed that depression group obtained statistically significant higher scores in trait anger, repression of anger, expression of anger and statistically lower scores in control of anger, compared the controls. There was no difference in state anger between groups. In depression group, there were no significant differences for any promising psychiatric properties between adolescents with MDD and those with MDD + AD. The findings of this study supported that anger expression and emotional regulation difficulties were related with depression and that this relationship was also associated by attachment security. These findings are important for clinical practice to increase understanding of the association between attachment security, emotion regulation, anger expression and depression. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.Öğe Comparison of Cognitive Distortions in Adolescents with Major Depressive Disorder with Healthy Controls(Galenos Publishing House, 2021) Özdel, Kadir; Öztürk, Yusuf; Özyurt, GoncaObjectives: The aim of this study is to compare the cognitive distortions of adolescents with Major Depressive Disorder (MDD) with healthy controls. In addition, it is aimed to identify the relationship between the anxiety disorder comorbidity and cognitive distortions in adolescents with MDD. Materials and Methods: The study was designed as a cross-sectional study and was conducted between March 2017 and March 2018 at Katip Çelebi University Faculty of Medicine and Abant İzzet Baysal University Child and Adolescent Psychiatry Department. The diagnoses and comorbid conditions of the adolescents in the MDD group were evaluated using the Affective Disorders and Schizophrenia Interview Schedule for School Age Children-Present and Lifetime Version. The severity of depressive symptoms was evaluated with the Beck Depression Inventory (BDI) Cognitive Distortions Scale (CDC). Results: During the study period, 82 individuals with MDD (mean age: 17.00 ± 0.75 years: 52 girls) and 90 healthy controls (mean age: 17.03±0.71 years: 61 girls) were included in the study. In the MDD group, all CDC subscales and total score were statistically significantly higher in comparison to those in healthy controls (p<.05). When the CDC subscales were compared between the groups with and without comorbid anxiety disorder in the MDD group; there were statistically significantly higher values in mind reading (=0.002), catastrophizing (<.001), labelling (p<.001), overgeneralization (p=.001) and total scores (p=.001) in the anxiety comorbidity group. We found a statistically significant correlation between BDI scores and all subscales of CDC. It was found that “labeling” in interpersonal domain and “personalization” in the personal achievement domain were the features that predicted BDI score. Conclusion: In our study, it was found that cognitive distortions were higher in adolescents with MDD, especially in those with comorbid anxiety disorder. Our findings emphasize the need to address cognitive distortions in MDD treatment. © Telif Hakkı 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.Öğe Differential effects of disruptive mood dysregulation disorder comorbidity in attention deficit hyperactivity disorder on social cognition and empathy(Sage Publications Inc, 2024) Özyurt, Gonca; Öztürk, Yusuf; Tufan, Ali Evren; Akay, Aynur; İnal, NeslihanObjective: This study aimed to investigate social cognition and empathy properties in children among Disruptive Mood Dysregulation Disorder (DMDD) + Attention and Hyperactivity Disorder(ADHD); ADHD and healthy controls from Turkiye. Methods: Twenty-two children with DMDD were compared to matched 30 children with ADHD and 60 healthy controls. We administered Affective Reactivity Index (ARI), KaSi Empathy Scale, Kiddie-SADS, and Reading Mind in the Eyes Test (RMET) to evaluate Theory of Mind skills to all study participants. Results: DMDD + ADHD group had lower performance in ToM skills and empathy than in two groups. The ARI scores were found to be statistically significantly higher in the DMDD group than in two groups. It was also found that ARI, empathy, and ToM scores were significantly related in children with DMDD + ADHD. Conclusion: These results might be important to understand the difficulties in social functioning and interpersonal relationship in children with DMDD and ADHD. Children with DMDD may attend specific therapeutic programs which include specific techniques in social cognition, emotion regulation, and irritability.Öğe Dikkat Eksikliği Hiperaktivite Bozukluğu Tanısı Olan Çocukların Ailelerinin Bildirdiği Uyku Alışkanlıklarının ve Uyku Sorunlarının Sağlıklı Kontrollerle Karşılaştırılması(2017) Öztürk, Yusuf; Özyurt, Gonca; Akay, Aynur PekcanlarDikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB)) tanılı çocukların uyku kalitelerinin etkilendiği gösterilmiştir. Çalışmada DEHB tanısı olan çocukların uyku sorunları ve alışkanlıkları açısından kendi içinde ve sağlıklı kontrollerle karşılaştırılması amaçlanmıştır. Çalışmaya 8-12 yaşları arasında 61 DEHB tanılı olgu ve hastanelerin diğer kliniklerine başvuran yaş ve cinsiyet olarak benzer 87 çocuk katılmıştır. Çalışmada Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu sürümü (ÇDGŞG-ŞY) Du Paul DEHB Değerlendirme Ölçeği uygulanmıştır. Çocuklarda uyku, Çocuklar İçin Uyku Alışkanlıkları Anketi ile değerlendirilmiştir. DEHB grubu sağlıklı kontrollerle karşılaştırıldığında; yatma zamanı direnci, uykuya dalmanın gecikmesi, uyku süresi, uyku kaygısı, gece uyanmaları, parasomnialar, gün içinde uykululuk ve uyku sorunları açısından iki grup arasında istatistiksel anlamlılık bulunurken, uykuda solunum bozulması arasında anlamlı bir farklılık saptanmamıştır. Çalışmamızda, literatüre benzer şekilde, DEHB grubundaki çocukların ebeveynleri tarafından değerlendirilen uyku alışkanlıklarındaki sorunlar sağlıklı kontrollere göre fazla bulunmuştur. Ancak, daha geniş örneklemli ve aktigrafi ve polisonografi gibi daha objektif ölçümlerle yapılan çalışmalar, bu konuda daha fazla bilgi sahibi olmamıza olanak sağlayabilir.Öğe Dikkat eksikliği ve hiperaktivite bozukluğunda duygu düzenleme güçlükleri ve tedavisi(2018) Öztürk, Yusuf; Özyurt, Gonca; Tufan, Ali Evren; Pekcanlar, Aynur AkayDikkat eksikliği hiperaktivite bozukluğu gençlerin ev, okul ve sosyal işlevselliğini ciddi bir şekilde etkileyen nöro-gelişimsel bir bozukluktur. Dikkat eksikliği hiperaktivite bozukluğuna duygu düzenleme güçlüklerinin eşlik etmesi; bozukluk belirtilerinde ağırlaşmaya, daha fazla riskli davranışlar sergilemeye, akran ilişkileri, toplumsal ve romantik ilişkilerde daha fazla bozulmaya sebep olmaktadır. Dikkat eksikliği hiperaktivite bozukluğunda duygu düzenleme güçlüklerinin değerlendirilmesinde birçok yöntem bulunmaktadır. Dikkat eksikliği hiperaktivite bozukluğuna duygu düzenleme güçlüklerinin eşlik ettiği durumların tedavisinde uygulanan bazı ilaç ve ilaç dışı tedavi yaklaşımları mevcuttur. Bu yazının amacı, dikkat eksikliği hiperaktivite bozukluğundaki duygu düzenleme güçlükleri ve tedavisini gözden geçirmektir.Öğe Drug holidays may not affect processing speed while they may reduce beneficial effects on resistance to interference among children with treated with methylphenidate: a single-center, prospective study(Taylor & Francis Ltd, 2020) Göl Özcan, Güler; Öztürk, Yusuf; Sarı, Mesut; İmrek, Yasemin; Özyurt, Gonca; Tufan, Ali Evren; Akay, Aynur PekcanlarObjective This study aimed to investigate the effects of drug holidays during summer vacations among children with attention deficit/hyperactivity disorder (ADHD) who were treated with methylphenidate in terms of ADHD symptoms and executive functions. Methods The study was a prospective cohort study that includes pre-treatment, post-treatment and post-drug holiday evaluations. ADHD symptom severity was evaluated with the Clinical Global Impression Scale (CGI), the Conners' Parental Rating Scale-Short Form (CPRS) and the Conners' Teacher Rating Scale- Short Form (CTRS). The Stroop Color Word Test- TBAG Form (SCWT) was used to evaluate executive functions. Fifty-one patients participated in the study according to the inclusion and exclusion criteria. Methylphenidate (MPH) was started at 0.5 mg/kg/day and titrated weekly to a maximum of 1.2 mg/kg/day. During the follow-up period, 22 (43.0%) of the patients stopped treatment. Results Completion times for all SCWT subtests were significantly reduced after treatment (p < 0.001, p = 0.002, p < 0.001, p = 0.002, p < 0.001; respectively). Mean number of corrections in SCWT-3 and mean number of errors as well as corrections in SCWT-5 significantly reduced after treatment (p = 0.047, p = 0.005, p = 0.007; respectively). Mean number of corrections in SCWT-3 and mean number of errors in SCWT-5 increased significantly after drug holiday compared to post-treatment (p = 0.032 and p = 0.037; respectively). Conclusion Our results suggest that psychomotor speed and resistance to interference improved in children with ADHD receiving methylphenidate treatment. Drug holidays did not affect psychomotor speed while beneficial effects on resistance to interference were reduced with drug holidays.Öğe The effect of therapeutic horseback riding for children diagnosed with autism spectrum disorder on autistic symptoms and the quality of life(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2017) Özyurt, Gonca; Dinsever, Çağla; Akpınar, Selçuk; Özcan, Kürşat; Şal, Yücel; Öztürk, YusufObjective: The prevalance of autism spectrum disorder (ASD) is increasing over the years and treatment is becoming more important. The purpose of this study was to investigate the effect of therapeutic horseback riding for children diagnosed with autism spectrum disorder on the quality of life and autistic symptoms. Methods: Twenty-four children with ASD were randomized into one group to perform therapeutic horse-riding activities while the other group did not receive any education or treatment except special education and regular child psychiatric control monthly. Children have been trained in therapeutic horseback riding for 1 hour a week for 8 weeks. Pediatric Quality of Life Inventory (PedsQL) was used for the measurement of quality of life, while autistic symptoms were assessed with the Autism Behavior Checklist (ABC) before and after the training. Results: Statistically significant differences were not found in the quality of life or autism symptoms between the two groups at the beginning of the therapeutic horse-riding activities. There were statistically significant differences between the two groups in terms of physical life quality scores and ABC relationship subscale while there were not statistically significant other subscales of the PedsQL and ABC at the end of 8 weeks. When children participating in therapeutic horse-riding activity were assessed before and after activity, statistically significant differences were found in physical, emotional, and psychosocial scores of the PedsQL and the sensory, relationship building, body and object use, language skills, social and self-care skills of ABC. Discussion: It was shown that children who are diagnosed with ASD developed positively in both physical and psychosocial dimension and the severity of ASD decreased after therapeutic horse-riding activities. This results show parallelism with other studies in the current literature. It was suggested that therapeutic horse-riding activities in children diagnosed with ASD could be used as an alternative rehabilitation, even if they were not primer-treatment.Öğe Effects of the COVID-19 Pandemic on Children’s Eating Patterns and Parents’ Anxiety Levels: A Multi-Center Study(Galenos Publishing House, 2021) Öztürk, Yusuf; Özyurt, Gonca; Görmez, Vahdet; Aslankaya, Zeynep Dilara; Baykara, Hüseyin Burak; Ekinci, Özalp; Kaya, İlyasObjectives: Our study aimed to evaluate the eating patterns of children as well as parental anxiety on virus transmission along with associated factors in the first month of the Coronavirus disease-2019 (COVID-19) pandemic and to compare the results to pre-epidemic patterns. Materials and Methods: This study was planned as a multi-center (n=8), cross-sectional study. Informed consent forms and questionnaires were sent to the parents of the children between the ages of 6 and 18 years who applied to the study centers and accepted study participation via e-mail or instant messaging applications. Results: During the study period, 893 children with a mean age of 11.1 years (standard deviation=3.4) were enrolled. More than half (50.7%, n=453) were girls. The majority of families reported no change in eating patterns of their children in the first month of the pandemic (63.6%, n=568). More than one-fifth (21.4%, n=191) reported an improvement in eating patterns while 15.0% reported worsening. A significant minority of parents (40.0%) reported feeling “very anxious” for potential risk of transmission to themselves or their children. Parents with higher levels of anxiety were significantly younger and had lower levels of education (p<0.001, p=0.001, respectively). Conclusion: The COVID-19 epidemic has affected both parents’ anxiety and children’s eating patterns. The association of younger parental age and lower levels of education with elevated levels of anxiety related to transmission risk may be important for protective interventions in mental health. © 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.Öğe The effects of the triple P-positive parenting programme on parenting, family functioning and symptoms of attention-deficit/hyperactivity disorder. A randomized controlled trial(Taylor & Francis Ltd, 2019) Öztürk, Yusuf; Özyurt, Gonca; Pekcanlar, Aynur AkayOBJECTIVES: This is the first study to evaluate the efficacy of parent training in attention-deficit/hyperactivity disorder (ADHD) in Turkey. The aim of this study was to evaluate the effectiveness of the positive parenting programme (Triple P) on ADHD symptoms, functionality, severity of disease, and behavioural and emotional problems of children. An additional aim was to evaluate the potential effects of Triple P on parental attitudes and family functioning of children with ADHD. METHODS: The study was a randomized controlled study. A total of 48 subjects aged between 7 and 12 years, who were diagnosed as ADHD by Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Life-time Kiddie (K-SADS-PL). Following randomization into two equal groups, mothers of the first group participated to Group Triple-P Programme while the second group was receiving no treatment. The two groups were compared right before and after the intervention on rates of ADHD symptoms, emotional, behavioural variables, family functioning and parental attitudes. RESULTS: When we compared the results before and after the implementation of Triple P in the intervention group, there was a statistically significant increase in CGAS scores, and a statistically significant decrease in CGI scores. There was a statistically significant decrease subscale scores of SDQ; and total score of the DuPaul Questionnaire; a statistically significant decrease in problem solving, communication, roles in family, affective sensitivity, behaviour controlling, and general functioning subscale scores in FAD; a statistically significant decrease of parenting attitude, hostility, and rejecting attitude, and authoritarian attitude subscale scores; and a statistically significant increase in democratic attitude subscale scores of PARI. CONCLUSION: The results of our study suggest that Triple P could be useful in the treatment of children with ADHD, but further studies about Triple P on children with ADHD are needed.Öğe Elevated neurotensin levels among obese adolescents may be related to emotion dysregulation and impulsivity: A cross-sectional, case-control study(Turkish National Pediatric Society, 2022) Özyurt, Gonca; Cingöz, Gülten; Öztürk, Yusuf; Küme, Tuncay; Dündar, Bumin Nuri; Tufan, Ali EvrenBackground. In this study, we aimed to evaluate the serum neurotensin (NT) levels and their relationships with self-reported anxiety, emotion regulation skills and impulsivity in healthy and obese adolescents. Methods. Adolescents who gained weight between 12-17 years of age and who were above the 95th percentile (p) for body mass index (BMI)>95p were compared with age-and gender-matched healthy adolescents with a BMI of 3-85 p. Anthropometric measurements were performed, and serum NT levels were analyzed with ELISA method in all participants. Barrat Impulsivity Scale-11 (BIS-11), Screen for Child Anxiety Related Disorders (SCARED) and Difficulties in Emotion Regulation Scale (DERS) were used for evaluating self-reported impulsivity, anxiety and emotion regulation. MANOVA with follow-up univariate ANOVAs (Bonferroni corrected) were used for group comparisons. P was set at 0.05 (two-tailed). Results. Sixty-five obese and 65 healthy adolescents were included in the study. In the obese group, NT levels were significantly elevated compared to the control group. Self-reported emotion-regulation difficulties, anxiety and impulsivity were significantly elevated among obese adolescents. Serum NT levels among the obese group were positively correlated with emotion dysregulation and impulsivity scores. Conclusions. In this study, we found emotional dysregulation, anxiety, impulsivity, and serum NT levels were significantly elevated among obese adolescents compared to controls. NT levels in the obese group correlated with impulsivity and emotion dysregulation. Further studies should evaluate the potential role of NT in the etiology of psychopathology among adolescents who are obese.Öğe Emotion dysregulation and social communication problems but not ToM properties may predict obsessive-compulsive disorder symptom severity(Taylor & Francis Ltd, 2023) Öztürk, Yusuf; Özyurt, Gonca; Turan, Serkan; Tufan, Ali Evren; Akay, Aynur PekcanlarObjective: Studies have shown that theory of mind, emotion regulation and pragmatic abilities are negatively affected in people with obsessive-compulsive disorder (OCD). We aimed to investigate theory of mind (ToM) abilities, social responsiveness, pragmatic language, and emotion regulation skills in children with OCD and to compare them to healthy controls. Methods: This study was designed as a single-center, cross-sectional, case-control study. ToM abilities were evaluated via "Reading the Mind in the Eyes Test" (RMET), "Faces Test", "Faux-Pas Test", "Comprehension Test" and "Unexpected Outcomes Test". Social responsiveness, pragmatic language and emotion regulation were evaluated by Social Responsiveness Scale (SRS), Children's Communication Checklist-Second Edition (CCC-2), Difficulties in Emotion Regulation Scale (DERS) and Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). Within the study period, we enrolled 85 adolescents (42 with OCD and 43 controls).Results: The OCD group performed significantly lower than healthy controls in the Faux Pass and Comprehension tests (p = 0.003 for both). We found a statistically significant difference between groups in terms of the goal, strategy, non-acceptance subscales of the DERS (p < 0.001, p = 0.006, p = 0.008, respectively) as well as the total DERS score (p < 0.001). CY-BOCS total scores correlated significantly and negatively with Comprehension, Faux Pas and Unexpected Outcomes tests, and positively with CCC total, SRS total and DERS total scores. In regression analysis the DERS, SRS and CCC tests emerged as significant predictors of CY-BOCS total score.Conclusion: Addressing ToM, pragmatic, and ER difficulties when planning the treatment of young people with OCD may contribute to positive outcomes.Öğe Evaluation of depression, anxiety, and sleep quality in children diagnosed with COVID-19(Lippincott Williams & Wilkins, 2022) Üstündağ, Gülnihan; Özyurt, Gonca; Aksay, Ahu Kara; Şahin, Aslıhan; Keleş, Yıldız Ekemen; Öztürk, YusufCOVID-19 has affected individuals of all age groups, both physically and mentally. We aimed to determine anxiety and depression in children diagnosed with COVID-19. Fifty children aged 8 to 18 years diagnosed with COVID-19 were included in the study. The children were evaluated the revised Child Anxiety and Depression Scale, STAI form TX-I (state anxiety inventory), and STAI form TX-II (trait anxiety inventory). Child Sleep Habits Questionnaire was applied for one of the parents according to three different periods. The periods were established as before the pandemic, during the illness-quarantine process, and after the quarantine. We observed the highest scores for depression-anxiety and the poorest sleep quality during the quarantine period. The scores for depression-anxiety were lower, and sleep quality scores were higher in the prepandemic period compared with after the quarantine period. Measures should be taken to protect mental health for children with COVID-19.Öğe Evaluation of the relation between emotion regulations of children diagnosed with anxiety disorders and attachment, anxiety sensitivity, emotion regulation of their mothers(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2017) Özyurt, Gonca; Öztürk, Yusuf; Akay, AynurObjective: The information about the etiology of anxiety disorders are still limited however anxiety disorders are prevalent disorders in childhood. In this study it is aimed to evaluate the relation of emotion regulation and anxiety level of children diagnosed with anxiety disorder with attachment and emotion regulation in the children's mother and it is also aimed to compare the results with healthy controls. Methods: The study group consisted of 64 children 8-12 years old) diagnosed with anxiety disorder and their mothers. The control group (78 children and mothers) comprised patients of other clinics at hospital and was matched for gender and age to the anxious patients. We evaluated disorder severity at the time of assessment using the Screen for Child Anxiety Related Emotional Disorders (SCARED). Emotional Regulation Checklist (ERC) was used to examine children emotional regulation. Difficulties in Emotion Regulation Scale (DERS) was used to indicate maternal emotional dysregulation status, Anxiety Sensitivity Index-3 (ASI-3) was used for anxiety sensitivity in mothers and Experiences in Close Relationship Scale-II was used to evaluate attachment properties in mothers. Results: SCARED child and parent form scores were compared with anxiety sensitivity index, ERC subscales, DERS and ASI with Pearson's correlation analysis. Positive correlation was found between SCARED child, parent form scores and ERC emotional lability scores, social, physical, cognitive anxiety scores of ASI, maternal anxious attachment and DERS scores and negative correlation was found between SCARED child, parent form scores and ERC emotional regulation scores. There was no relation between SCARED child, parent form scores and maternal avoidant attachment. Conclusion: This is the first study which evaluated the relationship of emotion regulation difficulties of children, who are diagnosed with anxiety disorder, and maternal attachment properties and maternal emotion regulation. The anxiety symptoms may decrease with using cognitive behavioral methods in emotion regulation difficulties of children diagnosed with anxiety disorder.Öğe Executive functions and impulsivity in suicide attempter adolescents with major depressive disorder(Taylor & Francis Ltd, 2019) Onat, Merve; Emiroğlu, Neslihan İnal; Baykara, Hüseyin Burak; Özerdem, Ayşegül; Özyurt, Gonca; Öztürk, YusufOBJECTIVE: The aim of this study was to examine the relationship between executive functions and suicidality in terms of impulsivity and depression severity. METHODS: Depressed adolescents who have made a suicide attempt in the last year (n = 32), depressed adolescents without a suicide attempt (n = 30), and healthy controls (n = 30) participated in the study in Dokuz Eylul University Faculty of Medicine, Department of Child and Adolescent Psychiatry. Clinical diagnoses were made according to the DSM-IV by applying Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL). Data were collected by using a sociodemographic data form, the Beck Depression Inventory (BDI), Barratt Impulsiveness Scale, and the Children's Depression Rating Scale - Revised (CDRS-R). To evaluate all participants' intelligence scores, the Wechsler Intelligence Scale for Children (WISC-R) was applied for adolescents aged under 16 years, and the Wechsler Adult Intelligence Scale (WAIS) was applied to adolescents aged 16-18 years. To determine the performance-based executive functions, Wisconsin Card Sorting Test and Stroop Test were applied to all participants. RESULTS: In this study, the participants who had made a suicide attempt displayed lower performance in the Stroop Test, especially in part 1 and part 4 compared with the controls (p = .04 and p = .011). Depressive patients also exhibited lower performance in the Stroop Test in part 3 compared with the controls (p = .049). Impulsivity was found more severe in depressive patients compared with controls (p < .001). There were no statistically significant differences between depressive patients with or without suicide attempt in terms of depression severity. CONCLUSION: Executive dysfunction appears to be associated with suicidal behaviour in adolescents with the major depressive disorder. This findings need to be replicated with a larger sample size in the future.Öğe Family functioning and quality of life among children with anxiety disorder and healthy controls. a cross-sectional study(Associacao Paulista Medicina, 2018) Öztürk, Yusuf; Özyurt, Gonca; Akay, AynurBACKGROUND: Studies have shown that children with anxiety disorders (ADs) present impaired family functioning and quality of life. We aimed to evaluate family functioning and quality of life among children with AD and healthy controls. DESIGN AND SETTING: Cross-sectional study (survey) at two centers in Turkey. METHODS: The study group comprised 42 children diagnosed with AD and 55 controls. The Screen for Child Anxiety-Related Emotional Disorders (SCARED) questionnaire was filled out by their parents to measure the severity of anxiety symptoms. Family functioning among the children was assessed using the Family Assessment Device (FAD) and Parental Attitude Research Instrument (PARI). The children's quality of life was assessed through the Pediatric Quality of Life Inventory (PedsQL). RESULTS: The children's average age was 10.00 +/- 0.21 years in the AD group and 9.98 +/- 1.53 years among the controls. There were higher scores on all FAD subscales in the AD group (2.15 +/- 0.52; 2.29 +/- 0.44; 2.44 +/- 0.55; 2.10 +/- 0.61; 2.56 +/- 0.40; 2.32 +/- 0.33; and 2.29 +/- 0.47). On PARI subscales, there were significant differences favoring the AD group (p < 0.05), except for democratic attitude. All PedsQL subscales differed significantly between the groups, favoring the AD group. A statistically significant relationship was found between all PedsQL subscales and SCARED scores in the AD group. CONCLUSION: We found that both family functioning and quality of life among children with AD were negatively affected. However, further studies with larger sample sizes are required to reach stronger conclusions.
