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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.)

Objectives: Agressive behaviours are an important associated developmental feature of attention-deficit/hyper-activity disorder (ADHD) and affect long term prognosis of ADHD. In this study, it's aimed to investigate the impact of sociodemographic variables, and variables related with the child such as verbal skills, the ability to decode facial expressions, social reciprocity skills and anxiety levels, on aggresive behaviours in children with ADHD. Methods: The study group consisted of 116 children between 7 and 11 year-old, who referred to a child psychiatry clinic, and were diagnosed with ADHD for the first time. A sociodemographic form, Turgay DSM-IV-Based Child and Adoles-cent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-Scale)-parent form, Social Reciprocity Scale (SRS), Child Behavior Checklist (CBCL), Screen for Child Anxiety Related Emotional Disorders (SCARED)- parent form, Reading Mind in the Eyes Test were used for assessment. Diagnoses were established based on clinical interview, and supported by the Kiddie Schedule for Affective Disorders and Schizophrenia. Results: The mean age of children were 9.65±2.01. The CBCL aggressive behavior subscale score was correlated with the SCARED-parent form total score, SRS total score, and T-DSM-IV-Scale-parent form hyperactivity/impulsivity (H/I) subscale score. In multiple lineer regression analysis, the three control measures were found to be the predictive factors of aggressive behavior severity, with the mean score of T-DSM-IV-S H/I subscale recording a higher beta value than the SCARED Parent Form score, and SRS total score. Discussion: In children with ADHD, it is supposed that investigating the predictive factors, and implementing the preventive interventions before the appearance of aggressive behaviours will improve the prognosis of disorder. [ABSTRACT FROM AUTHOR]

The aim of the present study was to investigate the factors associated with unintentional injury in children newly diagnosed with attention-deficit/hyperactivity disorder (ADHD). One thousand four hundred and thirty children between the ages of 6 and 18 who were diagnosed with ADHD for the first time in child psychiatry outpatient clinics were included in the present study. The socio-demographic information of the children, their developmental histories, chronic physical health conditions, comorbid psychiatric disorders, and information obtained via the Turgay DSM-IV-based Child and Adolescent Disorders Screening and Rating Scale were examined retrospectively. It was determined that 12.8% of the children (n D 183) experienced unintentional injury. It was established that age, male gender, disruptive behavioural problems, and low education levels among mothers were predictive of unintentional injuries. The results of the present study suggest that behavioural problems accompanying ADHD and comorbid psychiatric disorders are important in terms of unintentional injuries. [ABSTRACT FROM AUTHOR]

Objective: Attention deficit hyperactivity disorder (ADHD) and anxiety disorders are commonly seen in the field of child psychiatry. Childhood ADHD and anxiety disorders are comorbid with an estimated rate of 13% to 50%. In this study, it was aimed to research anxiety symptoms and its relation with ADHD symptoms in children with ADHD. Method: Fifty children with ADHD and 49 healthy controls (aged 8-15 years) who do not have any psychiatric diagnosis were included in study. We used socio-demographic information form, Conners' Teacher Rating Scale (CTRS), Child Behavior Checklist for 4-18 years (CBCL), The Screen for Child Anxiety Related Emotional Disorders (SCARED) both parent and child report for assessing these children. The diagnosis were made with Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL). Results: The anxiety disorders comorbidity rate was 24% in ADHD group. The total scores of SCARED parent and children reports were higher in ADHD group. SCARED children report scores were higher than SCARED parent report scores in both groups. Discussion: Our results agree with the previously reported common anxiety comorbidity with ADHD and the association between attention deficit symptoms and anxiety symptoms. In our study, parents reported fewer anxiety symptoms in their children than children's self reports. Clinicians should evaluate anxiety symptoms carefully in children with ADHD that could be unnoticed by their parents. The treatment should be determined according to the comorbidities. [ABSTRACT FROM AUTHOR]

Objective: Social interactions in children with attention deficit-hyperactivity disorder (ADHD) are inappropriate and such social problems may originate from a failure to attend to the appropriate cues of affect. The present study aimed to determine the factors predictive of social reciprocity in ADHD and their relationship to sociodemographics. Materials and Methods: Participants were required to interpret emotional cues depicted in pictures of facial expressions with a test that was adopted from the Reading Mind in the Eyes Test (RMET). Diagnoses were established based on the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS-PL). Moreover, a detailed sociodemographic form, the Child Behavior Checklist (CBCL), and the Social Reciprocity Scale (SRS) were used for assessment. Results: This study included 133 children; 64 in the ADHD group and 69 in the control group. There wasn't a significant difference in mean age between the ADHD group (13.22 ± 1.28 years) and control group (12.97 ± 1.27 years). In all, 50% of the ADHD group and 49.3% of the control group were male. The mean RMET score was significantly lower in the ADHD group than in the control group (ADHD group: 20.52 ± 3.95; control group: 23.70 ± 3.55) and the mean SRS score was significantly higher in the ADHD group than in the control group (ADHD group: 65.84 ± 18.83; control group: 36.04 ± 16.32). In the ADHD group attention problems and lower level of ability to interpret emotional facial expressions were predictive of impaired social reciprocity. Conclusion: The findings show that both the ability to decode facial expressions and social reciprocity were impaired in the ADHD group. These findings highlight the difficulty children with ADHD have with social functioning and interpretation of emotions based on facial expressions. [ABSTRACT FROM AUTHOR]

The physical and sexual abuse of children keep on being major mental health problems. Abuse and its complications are the important part of child and adolescent psychiatry services. Abused children are at risk of serious behavioral and emotional disorders. In many locations nationwide, multidisciplinary teams have been created to evaluate concerns of child abuse. In this paper, it is aimed to discuss risk factors for abuse, diagnosis and therapy of mental disorders, and multidisciplinary approach in a case who seriously exposed to physical and sexual abuse. [ABSTRACT FROM AUTHOR]

Copyright of Archives of Neuropsychiatry / Nöropsikiyatri Arşivi is the property of Turkish Association of Neuropsychiatry 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.)

Copyright of Archives of Neuropsychiatry / Nöropsikiyatri Arşivi is the property of Turkish Association of Neuropsychiatry 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.)

Objective: Social interactions in children with attention deficit-hyperactivity disorder (ADHD) are inappropriate and such social problems may originate from a failure to attend to the appropriate cues of affect. The present study aimed to determine the factors predictive of social reciprocity in ADHD and their relationship to sociodemographics. Materials and Methods: Participants were required to interpret emotional cues depicted in pictures of facial expressions with a test that was adopted from the Reading Mind in the Eyes Test (RMET). Diagnoses were established based on the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS-PL). Moreover, a detailed sociodemographic form, the Child Behavior Checklist (CBCL), and the Social Reciprocity Scale (SRS) were used for assessment. Results: This study included 133 children; 64 in the ADHD group and 69 in the control group. There wasn't a significant difference in mean age between the ADHD group (13.22 ± 1.28 years) and control group (12.97 ± 1.27 years). In all, 50% of the ADHD group and 49.3% of the control group were male. The mean RMET score was significantly lower in the ADHD group than in the control group (ADHD group: 20.52 ± 3.95; control group: 23.70 ± 3.55) and the mean SRS score was significantly higher in the ADHD group than in the control group (ADHD group: 65.84 ± 18.83; control group: 36.04 ± 16.32). In the ADHD group attention problems and lower level of ability to interpret emotional facial expressions were predictive of impaired social reciprocity. Conclusion: The findings show that both the ability to decode facial expressions and social reciprocity were impaired in the ADHD group. These findings highlight the difficulty children with ADHD have with social functioning and interpretation of emotions based on facial expressions [ABSTRACT FROM AUTHOR]

Copyright of Marmara Medical Journal is the property of Marmara Medical Journal 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.)

Objective: Day surgery distinguishes from major surgery with the low risk of complications and short healing time after the intervention. Children's and their mothers' anxiety levels increase and children's quality of life diminishes after major surgeries. In this study, we aimed to evaluate the anxiety levels of the children and their mothers', and the children's quality of life before and one month after the day surgery. Method: In our study, 32 children (6 girls, 26 boys) aged 7-12 years who were hospitalized for day surgery in Children Surgery Clinic of Sakarya University Training and Research Hospital constituted the sample group. Before the day surgery, Childhood Behavior Checklist; before and one month after the day surgery, State and Trait Anxiety Inventory (STAI), State and Trait Anxiety Inventory for Children (STAI-C), and Pediatric Quality of Life Inventory (PedsQL>parent report were completed. Results: There was not any significant difference between the scores of STAI, STAI-C, PedsQL total scale and PedsQL physical health summary before the day surgery and one month after the day surgery. The psychosocial health summary score (PSS) before the day surgery was found to be higher than the PSS one month after the day surgery. STAI total score predicted PSS score. Conclusion: It was revealed that after day surgery, children's psychosocial quality of life deteriorates and it was affected by maternal anxiety level. Therefore, mothers should be informed about the consequences of surgical operation and precautions should be taken to protect the academic skills, peer relationships, and family functioning of children. [ABSTRACT FROM AUTHOR]

Objectives: In our study, it was aimed to evaluate the traumatic symptoms and related factors that are seen in the friends of a student who lost his life by an electric shock accident in the class. Method: A detailed form for sociodemografic characteristics, Child Posttraumatic Stress Reaction Index, Childhood Depression Inventory, and Adverse Life Events List were used for assessment of adolescents. Results: 219 adolescents between 15-19 years (mean 16.92±0.74) were participated in our study. Of the 219 adolescents we found that 32.7% had mild, 18.8% had moderate, 7.9% had severe, and 3% had very severe symptoms of post traumatic stress disorder, and that 10.9% had probable post traumatic stress disorder, and 9.3% had probable depression diagnoses. The fre-quency and severity of re-experiencing and hyperarousal symptoms were considerably high on Child Post-traumatic Stress Reaction Index. Adolescents had 2.49±2.74 (min-max: 0-17) adverse life events and the severity of traumatic symptoms were predicted by Adverse Life Events List and Childhood Depression Inventory total scores. Conclusion: Accidents have trau-matic effects on adolescents. In our study, it's deter-mined that traumatic symptoms which were seen after the accident were related to the adverse events experi-enced by adolescents, and the severity of depressive symptoms of the adolescents. Focusing on adverse life events and assessment of depressive symptoms in trau-matized young people can prevent the development of traumatic symptoms. [ABSTRACT FROM AUTHOR]

Copyright of Turk Psikiyatri Dergisi is the property of Turk Psikiyatri Dergisi 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.)

Objectives: Somatoform disorders in adolescents is a little studied topic. It is hypothesized that maternal attachment style and the family system was associated with the somatic symptoms in children and adolescents. In this study, it's aimed to examine the anxiety level of adolescents with the diagnosis of somatoform disorders, anxiety level and attachment style of their mothers and their family functioning. Method: 33 adolescents with the diagnosis of somatoform disorders were compared with 28 age matched adolescents without any diagnosis of mental disorders. Adult Attachment Scale, State and Trait Anxiety Inventory, Family Assessment Device, and Screen for Child Anxiety Related Emotional Disorders was used to obtain data from the participants. Results: In our study, there was no significant difference between the groups in terms of age and gender. In Adult Attachment Scale, maternal avoidant attachment scores of adolescents diagnosed as somatoform disorders was higher than the control group. While maternal reports of Family Assessment Device indicated that the index group had higher scores in roles, affective responsiveness, behavior control, and affective involvement subscales, child reports implied no difference between the groups. Anxiety levels of adolescents and maternal anxiety levels was higher in the index group. Conclusion: It's known that adolescents diagnosed with somatoform disorders have poor skills in coping with stress and inconvenient responses to life events. Being anxious and having anxious mothers, deterioration in family functioning and maternal avoidant attachment style may contribute to the formation of somatoform disorders by effecting the responses of the adolescents. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to examine the diagnosis of mental disorders and sociodemografic variables of children and adolescents who referred to child psychiatry outpatient department with the request of criminal report. Method: Children and adolescents aged 6-18 years who referred to Sakarya Training and Research Hospital Child Psychiatry Outpatient Department for criminal reports were examined retrospectively in terms of diagnosis of mental diseases, intelligence levels and sociodemographic characteristics. The study was carried out on the basis of delinquent children (n=51), cases of abuse (n=100), and cases of early marriage (n=26) that make up the vast majority of criminal cases. Results: Mental disorders were detected in 71% of cases of abuse, 56.7% of delinquent children, and 11.5% of adolescents with request of early marriage. The most common mental disorders were posttraumatic stress disorder among abuse cases, conduct disorder among cases of delinquency, and major depressive disorder among cases of early marriage. Conclusion: Our study revealed that high rates of mental disorders were diagnosed in cases of abuse and delinquent children. Our results highlighted the importance of training for different requirements of criminal cases in the field of forensic child psychiatry and taking necessary precautions for children and adolescents that were subjected to forensic events. Mental health services that provide comprehensive screening, assessment and treatment of mental disorders for these children and adolescents should be developed. [ABSTRACT FROM AUTHOR]

Introduction: In this study, we aimed to assess the behavioral problems, psychiatric disorders and neurocognitive functions focusing on frontal lobe functions in children with rolandic epilepsy (RE) and compare them with a control group., Method: 31 children with RE, aged between 8 and 13,5 years were compared with a control group matched for age, sex and socioeconomic status. Behavioral problems were assessed by the Child Behavior Checklist (CBCL) and psychiatric diagnoses were established by using the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version. The Wechsler Intelligence Scale for Children-Revised (WISC-R), Wisconsin Card Sorting Test (WCST) and the Stroop Color and Word Test (SCWT) were applied in both groups of children., Result: The RE group presented more psychiatric disorders than the control group. Verbal and total IQ scores in the RE group were lower than in the control group. Although the groups did not differ from each other in WCST scores, children with RE displayed lower performance in SCWT. The RE group had a higher externalizing score and higher total scores in CBCL., Conclusion: It was concluded that RE did not affect basic frontal lobe functions significantly, had negative effects on attention and IQ performance and increased behavioral problems and psychiatric disorders., Competing Interests: Conflict of interest: The authors reported no conflict of interest related to this article. Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir.

Objective: Social interactions in children with attention deficit-hyperactivity disorder (ADHD) are inappropriate and such social problems may originate from a failure to attend to the appropriate cues of affect. The present study aimed to determine the factors predictive of social reciprocity in ADHD and their relationship to sociodemographics., Materials and Methods: Participants were required to interpret emotional cues depicted in pictures of facial expressions with a test that was adopted from the Reading Mind in the Eyes Test (RMET). Diagnoses were established based on the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS-PL). Moreover, a detailed sociodemographic form, the Child Behavior Checklist (CBCL), and the Social Reciprocity Scale (SRS) were used for assessment., Results: This study included 133 children; 64 in the ADHD group and 69 in the control group. There wasn't a significant difference in mean age between the ADHD group (13.22 ± 1.28 years) and control group (12.97 ± 1.27 years). In all, 50% of the ADHD group and 49.3% of the control group were male. The mean RMET score was significantly lower in the ADHD group than in the control group (ADHD group: 20.52 ± 3.95; control group: 23.70 ± 3.55) and the mean SRS score was significantly higher in the ADHD group than in the control group (ADHD group: 65.84 ± 18.83; control group: 36.04 ± 16.32). In the ADHD group attention problems and lower level of ability to interpret emotional facial expressions were predictive of impaired social reciprocity., Conclusion: The findings show that both the ability to decode facial expressions and social reciprocity were impaired in the ADHD group. These findings highlight the difficulty children with ADHD have with social functioning and interpretation of emotions based on facial expressions.

Objective: In this study, we aimed to determine the prevelance and severity of mental disorders in institutionalized children between the ages of 3-5 years, investigate the factors associated with the mental disorders and compare these findings with the data of a community sample composed of children who were raised by their own families., Method: Thirty-four children raised in three institutions in Kocaeli were compared with an age- and sex-matched community sample. Children were assessed according to DSM-IV diagnostic criteria. The Socio-demographic information form, and Early Childhood Inventory-4 (ECI-4) parent scale were used for data collection., Results: Children that were reared in institutions had evidence of higher rates of mental disorders. In institution-reared children, symptom severity of attention deficit hyperactivity disorder, reactive attachment disorder, oppositional deficient disorder, and pervasive developmental disorder were higher than the community subjects. Age, time spent with father, duration of institutionalization, number of siblings, number of hospital admissions because of physical symptoms and presence of abuse before institutional care were determined to be predictive factors for psychiatric symptoms., Conclusion: These findings revealed that institutionalized children are at risk for mental disorders and protective measures are as important as instutional care for these children. Our results suggest that essential steps should be taken to protect the mental health of children in institutional care.