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Objective: In celiac disease, a gluten-free diet is required for lifelong. Difficulties experienced by children with celiac disease can also negatively affect caregivers. The aim of this study is to evaluate the anxiety and depression of mothers having a child with celiac disease, and evaluate mothers’ attitude towards their children. Method: Thirty-six children with celiac disease, their mothers, and 36 healthy controls were included in the study. The Parent Attitude Research Instrument, State–Trait Anxiety Inventory, and the Beck Depression Inventory were completed by all mothers. Results: The mothers of children with celiac disease had significantly higher scores in depression and state-trait anxiety than the mothers of the healthy children. Mothers of children with celiac disease had significantly higher scores in the attitude of overparenting, authoritarian attitude and attitude of hostility and rejection than the mothers of healthy children. Conclusion: This study revealed that having a child with celiac disease might have negative effects on mothers and their attitudes towards their children. Because of psychopathologic risks appropriate psychologic support should be provided for mothers.

Atypical antipsychotics in children and adolescents are widely used for aggression, emotional variability and psychosis treatment. Aripiprazole is also an atypical antipsychotic that increasingly used in children and adolescents with schizophrenia, autism and bipolar disorder. In this case report, a medically healthy patient with autism associated with behavioral problems is presented with the development of hypertension after the onset of aripiprazole and the return of blood pressure to normal levels after withdrawal of the drug. The purpose of this case study is to discuss and report the emergence of aripiprazole-induced hypertension as a side effect of drugs in children and adolescents.

Şermin Yalın Sapmaz,1 Bengisu Uzel Tanrıverdi,2 Masum Öztürk,1 Özge Gözaçanlar,1 Gülsüm Yörük Ülker,2 Yekta Özkan1 1Department of Child and Adolescent Psychiatry, 2Department of Psychology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey Purpose: This study assessed early-onset psychiatric disorders and factors related to these disorders in a group of refugee children after immigration due to war.Materials and methods: This study was conducted between January 2016 and June 2016. Clinical interviews were conducted with 89 children and their families, and were performed by native speakers of Arabic and Persian who had been primarily educated in these languages and were living in Turkey. A strengths and difficulties questionnaire (SDQ) that had Arabic and Persian validity and reliability was applied to both children and their families. Independent variables for cases with and without a psychiatric disorder were analyzed using the χ2 test for categorical variables, Student’s t-test for those that were normally distributed, and Mann–Whitney U-test for data that were not normally distributed. Data that showed significant differences between groups who had a psychiatric disorder and on common effects in emerging psychiatric disorders were analyzed through binary logistic regression analysis.Results: A total of 89 children and adolescents were interviewed within the scope of the study. The mean age of cases was 9.96±3.98 years, and 56.2% (n=50) were girls, while 43.8% (n=39) were boys. Among these children, 47 (52.8%) had come from Syria, 27 (30.3%) from Iraq, 14(15.7%) from Afghanistan, and 1 (1.1%) from Iran. A psychiatric disorder was found in 44(49.4%) of the children. A total of 26 children were diagnosed with anxiety disorders, 12 with depressive disorders, 8 with trauma and related disorders, 5 with elimination disorders, 4 with attention deficit/hyperactivity disorder, and 3 with intellectual disabilities. It was determined that seeing a dead or injured person during war/emigration and the father’s unemployment increased the risk of psychopathology. The OR was 7.077 (95% CI1.722–29.087) for having seen a dead or injured individual and 4.51 (95% GA 1.668–12.199) for father’s employment status.Conclusion: Within the context of war and emigration, these children try to cope with the negative circumstances they experience prior to migration, as well as the despair they see their parents experience. Keywords: young refugees, asylum seekers, mental health, risk factors

The aim of this study was to demonstrate the validity and reliability of the WFIRS-S-TR, Turkish version of the Weiss Functional Impairment Rating Scale-Self Report form.The study comprised two groups of participants of 15-18 years of age, one consisting of 35 children diagnosed with attention deficit and hyperativity disorder (ADHD) based on the DSM-IV criteria and the other, 510 healthy volunteers attending high school. Apart from the WFIRS-S-TR, the Health Questionnaire for Children and Adolescents (KIDSCREEN-10 Index) which is a general quality of life and functionality measurement instrument, was used to check the concurrent validity of the WFIRS-S-TR.The Cronbach's alpha coefficient for the total scale was 0.939. The test-retest reliability assessed by repeated measurements two weeks apart gave a high correlation between the results (r=0.804, p0.0001). Total mean score of the WFIRS-S-TR showed significant correlation with the KIDSCREEN-10 Index total mean score (r= -0.467, p0.0001). Confirmatory factor analysis was carried out for the construct validity of the WFIRS-S-TR. The RMSEA and the CFI values were found to be 0.065 and 0.68, respectively.The WFIRS-S-TR can be used as a valid and reliable tool both in clinical practice and for research purposes.

Introduction: This study aimed to assess the validity and reliability of Turkish version of DSM-5 Level 2 Sleep Disorders Scale. Method: The scale was prepared by translation and back translation of DSM-5 Level 2 Sleep Disorders Scale. Study groups consisted of a clinical sample that contained cases that had sleep related problems and treated in a child and adolescent psychiatry unit and also a community sample. In the assessment process, child and parent forms of DSM-5 Level 2 Sleep Disorders Scale and also Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were used. As for reliability analyses, internal consistency coefficient and item-total score correlation analysis, test-retest reliability; and for validity analyses, explanatory factor analysis and for concurrent validity, correlation analyses with Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were made. Results: In reliability analyses, Cronbach’s alpha internal consistency coefficient values were found to be very highly reliable regarding child and parent forms. Item-total score correlation coefficients were high for child form while medium and high for parent form; indicating a statistical significance. As for construct validity, two factors were maintained that would count for 74.1% of the variance in child form and 66.9% of the variance in parent form. It was seen that positive and negative statements weighed on two different factors. As for concurrent validity, child and parent form of the scale showed significant correlation with Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI). Conclusion: It was found that Turkish version of DSM-5 Level 2 Sleep Disorders Scale could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © 2017 by Turkish Association of Neuropsychiatry.

Background/aim: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Materials and methods: The study sample consisted of 32 patients treated in a child psychiatry unit and diagnosed with generalized anxiety disorder and 98 healthy volunteers who were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Results: Regarding reliability analyses, the Cronbach alpha internal consistency coefficient was calculated as 0.932. The test–retest correlation coefficient was calculated as r = 0.707. As for construct validity, one factor that could explain 62.6% of the variance was obtained and this was consistent with the original construct of the scale. As for concurrent validity, the scale showed a high correlation with SCARED. Conclusion: It was concluded that Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © TÜBİTAK.

Objective: This study aimed to assess the validity and reliability of the Turkish version of the Severity Measure for Specific Phobia - Child Form according to DSM-5. Method: The study group consisted of 50 patients treated in a child psychiatry unit and diagnosed with any specific phobia and 100 healthy volunteers. For the assessment, the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED) was used along with the Severity Measure for Specific Phobia - Child Form according to DSM-5. Results: For reliability, Cronbach's alpha internal consistency coefficient was calculated to be 0.961. Test-retest correlation coefficient was calculated r=0.750. As for construct validity, one factor that could explain 74.1% of the variance was obtained, which is consistent with the original structure of the scale. As for concurrent validity, the correlation coefficient with the SCARED in children is r=0.480. Conclusion: It was concluded that the Turkish version of the DSM-5 Severity Measure for Specific Phobia - Child Form can be utilized as a valid and reliable tool both in clinical practice and for research purposes. © 2018 Dusunen Adam. All rights reserved.

Objective: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 “Severity Measure for Agoraphobia—Child Age 11–17”. Method: Study group consisted of 36 patients, who have been treated in a child psychiatry unit and diagnosed with agoraphobia, and 100 healthy volunteers who have been secondary and highschool students. For the assessment, the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED) was used along with the DSM-5 “Severity Measure for Agoraphobia—Child Age 11–17”. Results: Regarding reliability analyses, Cronbach’s alpha internal consistency coefficient was calculated as 0.929. Test-retest correlation coefficient was 0.566. For concurrent validity, the measure showed a high correlation with the SCARED. In ROC analysis, area under ROC curve was calculated as 0.934. Conclusion: It was concluded that Turkish version of the DSM-5 “Severity Measure for Agoraphobia—Child Age 11–17” could be used as a valid and reliable tool both in clinical practice and for research purposes.

Introduction: This study aimed to assess the validity and reliability of the Turkish Version of DSM-5 Level 2 Anxiety Scale’s child and parent forms. Methods: The scale was constructed by carrying out the translation and back translation of DSM-5 Level 2 Anxiety Scale. The study group consisted of a community and clinical sample. The scale was applied to 148 parents and 189 adolescents that represented the clinical and community sample. During the assessment process, Screen for Childhood Anxiety Related Emotional Disorders and Strengths and Difficulties Questionnaire-Parent Form were also used. Results: Reliability analyses indicated a high internal consistency regarding Level 2 Anxiety Scales, both for child and parent forms (0.915/0.933). In the meantime, it was shown that child form for Level 2 Anxiety Scale was significantly correlated with Screen for Childhood Anxiety Related Emotional Disorders (r=0.758, p

Toxoplasma Gondii is an obligate intracellular parasite which may infect all nucleated cells. Studies conducted in adult patients show that toxoplasmosis may be related to psychiatric diseases and there is a correlation between Toxoplasma Gondii and schizophrenia, depressive disorder, type 1 bipolar disorder, increased suicide rates, obsessive compulsive disorder, high aggressiveness and impulsivity. Besides psychosocial causes, biological entities such as chronic physical diseases, neuroendocrine disorders and infections that affect immune system are also blamed for depression. The mechanism by which infections affect the immune system and cause an increase in depression and suicidal behaviours has been tried to be explained by the changes in monoamine neurotransmitters such as serotonin, dopamine, epinephrine and norepinephrine. In this case, an adolescent girl with treatment-resistant major depression, was treated of her depression after she was diagnosed and treated for T. Gondii infection. Globally, Toxoplasma Gondii infection is usually asymptomatic with 33% prevalence but its effects on brain are uncertain. Its effects may vary from individual to individual. Immunosuppressed persons may experience many different clinical pictures, and those with good immunity may experience psychiatric symptoms or even treatment-resistant psychiatric disorders. Seropositivity of toxoplasma gondii should also be considered in treatment-related psychiatric disorders.

Introduction: This study assessed the validity and reliability of the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form for use among the Turkish population. Methods: The study group consisted of 30 patients that had been treated in a child psychiatry unit and diagnosed with posttraumatic stress disorder and 83 healthy volunteers that were attending middle or high school during the study period. For reliability analyses, the internal consistency coefficient and the test-retest correlation coefficient were measured. For validity analyses, the exploratory factor analysis and correlation analysis with the Child Posttraumatic Stress Reaction Index for concurrent validity were measured. Results: The Cronbach’s alpha (the internal consistency coefficient) of the scale was 0.909, and the test-retest correlation coefficient was 0.663. One factor that could explain 58.5% of the variance was obtained and was congruent with the original construct of the scale. As for concurrent validity, the scale showed high correlation with the Child Posttraumatic Stress Reaction Index. Conclusion: It was concluded that the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale- Child Form can be used as a valid and reliable tool. © 2017 by Turkish Association of Neuropsychiatry.

Introduction: This study aimed to assess the validity and reliability of the Turkish version of the Diagnostic and statistical manual of Mental Disorders. (5th ed.) (DSM-5) Social Anxiety Disorder Severity Scale - Child Form. Method: The scale was prepared by carrying out the translation and back translation of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form. The study group consisted of 31 patients that had been treated in a child psychiatry unit and diagnosed with social anxiety disorder and 99 healthy volunteers that were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Social Anxiety Disorder Severity Scale - Child Form Results: Regarding reliability analyses, Cronbach’s alpha internal consistency coefficient was calculated as 0.941, while item-total score correlation coefficients were measured between 0.566 and 0.866. A test-retest correlation coefficient was calculated as r=0.711. As for construct validity, one factor that could explain 66.0 % of the variance was obtained. As for concurrent validity, the scale showed a high correlation with the SCARED. Conclusion: It was concluded that the Turkish version of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © 2017 by Turkish Association of Neuropsychiatry.

Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 "Severity of Acute Stress Symptoms-Child Age 11-17" Form. Method: The scale was prepared by carrying out the translation and back- translation of DSM-5 "Severity of Acute Stress Symptoms-Child Age 11-17" Form. Study group consisted of 30 patients that have been treated in a child psychiatry clinic and diagnosed with posttraumatic stress disorder and 40 healthy volunteers that attended middle or high school at the study period. For the assessment, Child Posttraumatic Stress Reaction Index was also used along with DSM-5 "Severity of Acute Stress Symptoms-Child Age 11-17" Form Results: Regarding reliability analyses, Cronbach alpha coefficient for internal consistency was calculated as 0.918 while item- total score correlation coefficients ranged 0.595-0.837. Test-retest correlation coefficient was calculated as r=0.651. Concerning construct validity, one factor that could explain 67.7% of the variance was obtained. With respect to concurrent validity, the scale showed a high correlation with Child Posttraumatic Stress Reaction Index. Conclusion: It was concluded that Turkish version of DSM-5 "Severity of Acute Stress Symptoms-Child Age 11-17" Form could be used as a valid and reliable tool both in clinical practice and for research purposes.

Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 Level 1 Cross-Cutting Symptom Scale’s child and parent forms. Methods: The scale was prepared by carrying out the translation and back translation of DSM-5 Level 1 Cross-Cutting Symptom Scale’s Child and Parent Forms. Study group con-sisted of community and clinical samples. The scale was applied to 244 parents and 320 adolescents that repre-sented the clinical and community sample. For the assessment, Strengths and Difficulties Questionnaire (SDQ) was used along with Level 1 Cross-Cutting Symptom Scale. For reliability analyses, internal consistency coefficient and item- total score correlation analysis, test- retest factor analysis, interrater reliability and as for validity analyses; exploratory factor analysis and correlation analysis with Strengths and Difficulties Questionnaire for concurrent validity were carried out. Results: Cronbach’s alpha values for DSM-5 Level 1 Cross-Cutting Symptom Scale’s Child Form was 0.893 while 0.90 for parent form. Correlation coefficient of DSM 5 Level 1 Cross-Cutting Symptom Scale as a result of its correlation with Strengths and Difficulties Questionnaire was 0.698 for child form and 0.706 for parent form which was statistically significant. Correlation coefficient in test-retest application was r=0.965 for child form and r=0.919 for parent form. As for construct validity, six factors were maintained that would explain 59.3% of the variance in child form. In the parent form, five factors were maintained that would explain 60.3% of the total variance. Conclusion: It was seen that Turkish version of DSM-5 Level 1 Cross-Cutting Symptom Scale could be used as a valid and reliable tool both in clinical practice and for research purposes