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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 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 The relationship between problematic internet use, sleep quality and impulsivity in adolescents with major depressive disorder(2019) Onat, Merve; Özyurt, Gonca; Öztürk, Yusuf; Akay, Aynur PekcanlarObjective: Problematic internet use and poor sleep quality are widespread problems in adolescents. The aim of this study is to investigate the relationship between problematic internet use, sleep quality and impulsivity in adoles- cents diagnosed with major depressive disorder and to compare the findings with those of healthy controls. Meth- ods: The study was planned as a single-disciplinary, three-centered, cross-sectional study with a control group. All participants were assessed using the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Life- time Version (K-SADS-PL). Beck Depression Inventory (BDI), Barratt Impulsiveness Scale (BIS-11), Pittsburgh Sleep Quality Index (PSQI) and Young’s Internet Addiction Test (IAT) were administered to all participants. Results: It was determined that the total scores of BIS-11 scale, PSQI and IAT were statistically and significantly higher in the depression group than controls. In addition, a positive correlation was found between IAT and BIS-11 score and between IAT and PSQI. A positive correlation was also found between BIS-11 and PSQI. Conclusion: According to the findings of our study, it is suggested that there may be multiple and complex interactions between problematic internet use, low sleep quality, impulsivity and depressive symptoms. (Anatolian Journal of Psychiatry 2019; 20(5):491-498)Öğe Relationships between family functioning, parenting and peer victimization in adolescent depression: A cross-sectional study(Kare Publishing, 2021) Öztürk, Yusuf; Onat, Merve; Özyurt, Gonca; Mutlu, Caner; Tufan, Ali Evren; Akay, Aynur PekcanlarOBJECTIVE: Major depressive disorder (MDD) in adolescence is a prevalent mental health problem with a complex etiology and a rising incidence. The aim of the study investigated functioning of family, attitudes of parents, and peer victimization in adolescents with MDD and to compare those with healthy adolescents. METHODS: The study was designed as a multi-center, cross-sectional, case-control study. 98 adolescents diagnosed with MDD and 99 healthy controls were recruited for the study. Beck depression inventory, parental attitude research instrument (PARI) tool, family assessment device (FAD), and multidimensional peer victimization scale (MPVS) were applied to all participants. Descriptive, correlational, and bivariate group comparisons were used in analyses. RESULTS: The average ages of adolescents with MDD and control adolescents were 14.7 (S.D.=1.5) and 15.0 (S.D.=1.6) years, respectively. Females formed 74.5% of youth with MDD (vs. 70.3% of controls). The groups were similar in terms of socio-demographic features (all p>0.05). Adolescents with MDD had significantly elevated scores in FAD subscales except problem solving, PARI rejection of homemaking, marital conflict, and authoritarian subscales, and all MPVS subscales. Adolescents with MDD also displayed significant positive correlations between all MPVS subscales and FAD subscales except FAD problem-solving. CONCLUSION: This cross-sectional, multi-center study suggests that family dysfunction and peer victimization may be higher in youth with MDD. Although cross-sectional design precludes evaluation of causality, it may be prudent to evaluate family functions as well as peer victimization of depressed youth.
