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1. Prevalence of Childhood Affective disorders in Turkey: An epidemiological study

Author

Berna Polat, Hanife Ozdemir, Ender Atabay, Tuğba Türk, A. Bilgic, Yunus Emre Dönmez, Mehmet Sertçelik, Halit Necmi Uçar, Merve Arici Canli, Ümit Tural, Nurcan Eren Simsek, Hasan Bayar, Tulin Fidan, Fethiye Kilicaslan, Sevgi Özmen, Yasemin Cakan, Kemal Utku Yazici, Işık Görker, Dilşad Foto Özdemir, Rümeysa Alaca, Filiz Uçar, Esen Yıldırım Demirdöğen, Vahdet Gormez, S. Yilmaz, Ümit Işık, Seda Erbilgin, Seyhan Temtek, Kevser Nalbant, Zeynep Vatansever, Pinar Vural, Mücahit Öztürk, Ibrahim Demir, Hilal Aydemir, Havvana Horozcu, Emel Sarı Gökten, Nese Dikmeer Bektas, Nilfer Şahin, Tuğba Yüksel, Cem Gokcen, Aysegul Yolga Tahiroglu, Cihan Aslan, Ozlem Hekim Bozkurt, Hilal Tugba Kilic, Zehra Topal, Onur Burak Dursun, Busra Dogan, Esra Yildirim Ozyurt, Didem Behice Öztop, Feyza Hatice Sevgen, Fatih Ozbek, Pelin Çon Bayhan, Pınar Uran, Umut Karaaslan, Ezgi Eynalli Gok, Oguz Sevince, Veli Yıldırım, Dursun Karaman, Merve Günay Ay, Özden Şükran Üneri, Serhat Nasıroğlu, Mahmoud Almbaidheen, Eyüp Sabri Ercan, Neslihan Gokce Yazgili, Hayati Sınır, Nagehan Üçok Demir, Fatma Pinar Ari, Selma Tural Hesapçıoğlu, Birim Günay Kiliç, Gulen Guler, Esra Bulanik Koc, Funda Donder, Duygu Uygun, Serkan Güneş, Hasan Kandemir, Hatice Altun, Duygu Kinay, Cansın Ceylan, Selcuk Ozkan, Esra Demirci, Öznur Bilaç, Ipek Percinel Yazici, Seyma Coskun, Adem Gunes, Recep Bostan, Fevziye Toros, Neşe Perdahlı Fiş, Özlem Yıldız Gündoğdu, Gul Karacetin, Bedia Ince Tasdelen, Ömer Kocael, Ayşe Rodopman Arman, Mehmet Karadag, Şafak Eray, Ulker Shamkhalova, Ulku Akyol Ardic, Bilge Merve Kalaycı, Hatice Polat, Zejnep Lushi Şan, Tugba Eseroglu, Şermin Yalın Sapmaz, Zafer Güleş, Çağatay Uğur, Gülser Şenses Dinç, Semih Erden, Betül Mazlum, Nilufer Okumus, Aysegul Efe, Elif Gokce Ersoy, Basak Ayik, Özlem Bayram, Sabri Hergüner, Yaşar Tanir, Özlem Kahraman, Ayşe Irmak, Necati Uzun, Emine Demirbaş Çakır, Evrim Aktepe, Salih Gençoğlan, Gülseda Ayranci, Nese Coskun, Beril Taskin, Murat Yüce, Ebru Sekmen, Kıvanç Kudret Berberoğlu, Mustafa Yasin Irmak, Murat Coskun, Zehra Babadağı, Hüseyin Aktaş, Yasemin Yulaf, Gonca Çelik, Nursu Çakin Memik, Devrim Akdemir, Sumeyra Firat, Cihat Kağan Gürkan, Betul Gul Alic, Ibrahim Durukan, Fatih Ünal, Mehmet Fatih Kınık, Gokcen Guven, Ali Evren Tufan, Taciser Uysal, Özlem Özcan, Gulay Gunay, Hatice Aksu, Serkan Suren, Nuran Demir, Burak Açıkel, Sevcan Karakoç Demirkaya, Seyda Celik Goksoy, Savaş Yılmaz, Funda Suleyman, Tuba Mutluer, Dilsad Miniksar Yildiz, Fatma Akkus Ozdemir, Börte Gürbüz Özgür, Ayse Kilincaslan, Mehmet Tekden, Melike Topal, Mehmet Cansiz, Rahime Kadir Mutlu, Veysi Çeri, Senem Başgül, Nazike Yildiz, University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey, Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey, Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey, Karadeniz Technical University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Trabzon, Turkey, Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey, Kocaeli University, Department of Psychiatry, Kocaeli, Turkey, Suleyman Demirel University Faculty of Medicine, Department of Child and Adolescent PsychiatryIsparta, Turkey, Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey, Denizli State Hospital, Child and Adolescent Psychiatry, Denizli, Turkey, Hasan Kalyoncu University, Department of Psychology, Child and Adolescent Psychiatry, Istanbul, Turkey, Manisa Mental Health and Diseases Hospital Child and Adolescent Psychiatry, Manisa, Turkey, Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey, Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey, Ataturk University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erzurum, Turkey, University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey, Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey, Yuzuncu Yil University Faculty of Medicine, Department of Child and Adolescent PsychiatryVan, Turkey, Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey, University of Health Sciences, Bursa Yuksek Ihtisas Hospital, Child and Adolescent Psychiatry, Bursa, Turkey, Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey, Istanbul Medeniyet University, Department of Child and Adolescent Psychiatry, Istanbul, Turkey, Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey, Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey, Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey, Harran University Faculty of Medicine, Child and Adolescent Psychiatry Department, Sanliurfa, Turkey, Van Training and Research Hospital, Department of Child and Adolescent PsychiatryVan, Turkey, Sakarya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Sakarya, Turkey, Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey, Celal Bayar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Manisa, Turkey, Samsun Medical Park Hospital, Child and Adolescent Psychiatry, Samsun, Turkey, Mugla Sitki Kocman University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mugla, Turkey, Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey, Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey, Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey, Osmaniye State Hospital, Child and Adolescent Psychiatry, Osmaniye, Turkey, Firat University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey, Private Practice, Child and Adolescent Psychiatry, Tekirdag, Turkey, Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey, Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey, Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey, University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey, Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey, Private Doctor, Child and Adolescent Psychiatry, Istanbul, Turkey, Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey, Çukurova Üniversitesi, Tıp Fakültesi, Ondokuz Mayıs Üniversitesi, and HKÜ, İktisadi, İdari ve Sosyal Bilimler Fakültesi, Psikoloji Bölümü

Subjects
Male, congenital, hereditary, and neonatal diseases and abnormalities, Adolescent, Turkey, Epidemiology, Child psychopathology, Adjustment disorders, Prevalence, Psychological intervention, Child Welfare, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, 0501 psychology and cognitive sciences, Bipolar disorder, Child, Depression (differential diagnoses), Depression, Mood Disorders, Depressive disorder, business.industry, 05 social sciences, social sciences, medicine.disease, Anxiety Disorders, Mental health, eye diseases, Affective disorders, 030227 psychiatry, Epidemiologic Studies, Psychiatry and Mental health, Clinical Psychology, population characteristics, Major depressive disorder, Female, Dysthymic Disorder, business, geographic locations, 050104 developmental & child psychology, Clinical psychology
Abstract

GOKCEN, CEM/0000-0003-3824-5890; Topal, Zehra/0000-0001-8397-5636; Tural, Umit/0000-0002-1593-2180; Unal, Fatih/0000-0001-8386-9884; Acikel, Burak/0000-0002-8964-9513; Erden, Semih/0000-0002-7723-9584; Kilic, Birim Gunay/0000-0002-4566-2564; Ucar, Halit Necmi/0000-0002-2706-7454; CELIK, GONCA/0000-0001-6101-0796; Gunes, Serkan/0000-0002-8247-2145; Isik, Umit/0000-0001-6006-3247; Coskun, Murat/0000-0002-4808-5870; Tufan, ALI EVREN/0000-0001-5207-6240; Donmez, Yunus Emre/0000-0002-7785-2805; Ceri, Veysi/0000-0001-6152-0227; Uzun, Necati/0000-0003-3381-2331; Hesapcioglu, Selma Tural/0000-0002-4816-0228; Kandemir, Hasan/0000-0002-1138-4973; Gormez, Vahdet/0000-0002-2704-9520 WOS: 000439557000070 PubMed: 29936389 Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. Methods: This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents.

Published
2018

2. Prevalence of Childhood Affective disorders in Turkey: An epidemiological study.

Author

Karacetin G, Arman AR, Fis NP, Demirci E, Ozmen S, Hesapcioglu ST, Oztop D, Tufan AE, Tural U, Aktepe E, Aksu H, Ardic UA, Basgul S, Bilac O, Coskun M, Celik GG, Demirkaya SK, Dursun OB, Durukan I, Fidan T, Gencoglan S, Gokcen C, Gokten ES, Gorker I, Gormez V, Gundogdu OY, Gurkan CK, Herguner S, Kandemir H, Kilic BG, Kilincaslan A, Mutluer T, Nasiroglu S, Ozcan OO, Ozturk M, Sapmaz SY, Suren S, Sahin N, Tahiroglu AY, Toros F, Unal F, Vural P, Yazici IP, Yazici KU, Yildirim V, Yulaf Y, Yuce M, Yuksel T, Akdemir D, Altun H, Ayik B, Bilgic A, Bozkurt OH, Cakir ED, Ceri V, Demir NU, Dinc G, Irmak MY, Karaman D, Kinik MF, Mazlum B, Memik NC, Ozdemir DF, Sinir H, Tasdelen BI, Taskin B, Ugur C, Uran P, Uysal T, Uneri OS, Yilmaz S, Yilmaz SS, Acikel B, Aktas H, Alaca R, Alic BG, Almbaidheen M, Ari FP, Aslan C, Atabay E, Ay MG, Aydemir H, Ayranci G, Babadagi Z, Bayar H, Bayhan PC, Bayram O, Bektas ND, Berberoglu KK, Bostan R, Cakan Y, Canli MA, Cansiz MA, Ceylan C, Coskun N, Coskun S, Demir I, Demir N, Demirdogen EY, Dogan B, Donmez YE, Donder F, Efe A, Eray S, Erbilgin S, Erden S, Ersoy EG, Eseroglu T, Firat SK, Gok EE, Goksoy SC, Guler G, Gules Z, Gunay G, Gunes S, Gunes A, Guven G, Horozcu H, Irmak A, Isik U, Kahraman O, Kalayci BM, Karaaslan U, Karadag M, Kilic HT, Kilicaslan F, Kinay D, Koc EB, Kocael O, Mutlu RK, San Z, Nalbant K, Okumus N, Ozbek F, Ozdemir FA, Ozdemir H, Ozgur BG, Ozkan S, Ozyurt EY, Polat B, Polat H, Sekmen E, Sertcelik M, Sevgen FH, Sevince O, Shamkhalova U, Suleyman F, Simsek NE, Tanir Y, Tekden M, Temtek S, Topal M, Topal Z, Turk T, Ucar HN, Ucar F, Uygun D, Uzun N, Vatansever Z, Yazgili NG, Yildiz DM, Yildiz N, and Ercan ES

Subjects
Adolescent, Anxiety Disorders epidemiology, Child, Depression epidemiology, Dysthymic Disorder epidemiology, Epidemiologic Studies, Female, Humans, Male, Prevalence, Turkey epidemiology, Child Welfare statistics & numerical data, Mood Disorders epidemiology
Abstract

Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population., Methods: This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher., Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment., Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents., (Copyright © 2018. Published by Elsevier B.V.)

Published
2018
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