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Copyright of Turkish Journal of Child & Adolescent Mental Health / Çocuk ve Gençlik Ruh Sagligi Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim:Oral diseases can affect various aspects of life in children with attention deficit hyperactivity disorder (ADHD). The aim of this study was to evaluate the oral health conditions, oral health behaviors, and the oral health-related quality of life (OHRQoL) of children with ADHD.Materials and Methods:A sample of 76 children with ADHD who were treatment naive was compared to 71 healthy children, with ages ranging from 6 to 13 years. Through an intraoral clinical examination, the numbers of decayed, missing, and filled teeth (DMFT, dmft index), the plaque index, the gingival index, occlusion status, overjet, overbite and parafunctional oral habits were determined. The children’s parents completed the Turkish version of early childhood oral health impact scale (T-ECOHIS) and questionnaires regarding oral health behaviors and dental care.Results:The child impact score (CIS) of the T-ECOHIS were significantly higher among those children with ADHD compared to the control group patients (16 versus 12), consistent with poorer OHRQoL. The children with ADHD also had more dental trauma in both dentitions and more frequent nail-biting habits compared to the participants in the control group.Conclusion:In our study, T ECOHIS-CIS scores showed that those children with ADHD were affected more when compared to those children without ADHD in terms of oral health problems.

Objective: In this study, it was aimed to assess presenting complaints and psychiatric diagnoses in patients aged 0-5 years who presented to our Child & Adolescent Psychiatry Outpatient Clinic. Method: We retrospectively reviewed medical records of children aged 0-5 years who presented to Kahramanmaras Sutcu Imam University School of Medicine’s Child & Adolescent Psychiatry Clinic between the dates of January 1st, 2015 and January 1st, 2017. Data regarding age, gender, presenting complaint, medication, birth order, psychiatric diagnoses and comorbid diagnoses were assessed in all patients. The diagnoses were placed according to DSM-5 and clinical diagnoses such as stimulant deficiency, problem in setting borders, and psychosocial deprivation, which are not included in DSM-5, werealso included. Results: Of 317 cases, 206 were boys and 111 were girls. Mean age was 38.32±10.46 months among boys while 35.04±10.45 months among girls. It was found that boys most commonly presented with speech retardation, hyperactivity. and irritability while girls most commonly presented with speech retardation, irritability, and crying. In our patients, most common diagnoses were stimulant deficiency, adjustment disorder, autism spectrum disorder (ASD), developmental delay (DD), attention-deficit/ hyperactivity disorder (ADHD), stuttering, psychosocial deprivation, problem in setting borders, articulation disorder, oppositional defiant/ conduct disorder, and separation anxiety. Mean age at diagnosis was 37.00±11.00 months in ASD, 44.72±10.46 months in ADHD and 35.44±10.75 months in DD. A psychotropic agent was prescribed to 20.8% of the patients. Risperidone was most commonly prescribed psychotropic agent; followed by hydroxyzine and other psychotropic drugs. The psychotropic agents were most commonly prescribed to the patients with ASD and ADHD as risperidone being most frequently preferred agent. The most common comorbid conditions included epilepsy, Down’s syndrome, cerebral palsy, and hypothyroidism. There was a psychiatric comorbidity in 6% of the cases as ASD and DD being most frequent diagnoses. Of the patients, 13.9% was first child in the family while 20.2% was the only child and 26.8% was last child in the family. Conclusions: In our study, the findings that the most common presenting complaint was speech retardation among children aged 0-5 years who presented to child psychiatry outpatient clinic and higher proportion of boys in this age group were consistent with literature. Knowledge about possible diagnoses and presenting complaints in preschool children will contribute to improved care provided in child psychiatry clinics. [ABSTRACT FROM AUTHOR]

Drug-induced autoimmune hemolytic anemia, inducing by antibodies that bind to the erythrocyte surface antigen and resulting by interaction between the immune system and red blood cell membrane, an immunological status characterized by erythrocyte destruction is rare in children. There is enough evidence that about 130 drug caused hemolytic anemia. Hematological side effects due to psychotropic drugs is rare and in the literature there is no case developing hemolytic anemia with the use of atomoxetine. Therefore, this case report is found worthy to be presented and expected to contribute to the literature and possible mechanisms. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of the present research is to compare the Turkish translations of school and home versions of the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder (SCALES) developed by Ryser and McConnell with respect to age and gender and to examine the correlation between the two scales. Method: The research was conducted with 102 teachers and parents of 891 children aged between 5.0 and 14.11 years. 656 scale forms of parents returned to us were included in the study. The teachers filled in teacher information form, child information form, SCALES-School Rating Scale and the Turkish version of Conners' Teacher Rating Scale. The parents filled in family information form, child information form and SCALES- Home Rating Scale and the Turkish version of the Conners' Home Rating Scale. Results: When SCALES-Home Rating Scale and SCALES-School Rating Scale scores of each age group were compared using t-test, it was observed that the difference in all sub-scale scores in the 5-9 age group was significant and it was also observed that in the 10-13 and 13+ age groups, the difference was significant only in the hyperactivity field. The correlation between SCALES-School Rating Scale and SCALES-Home Rating Scale was investigated. The correlation between sub-scales measuring the same abilities was found to be between 0.1 and 0.26. Conclusion: We assume that the Turkish version of the SCALES is a valid and reliable instrument for diagnosing ADHD. Since SCALES-Home Rating Scale scores were higher than SCALES-School Rating Scale scores and the correlation between the two scales was low, we assume that the objectivity of parents' ratings was limited.. Future validity studies on diagnosed children are needed. [ABSTRACT FROM AUTHOR]