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Öğe ADHD symptoms, breast-feeding and obesity in children and adolescents(Wiley, 2015) Turkoglu, Serhat; Bilgic, Ayhan; Akca, Omer FarukBackgroundAttention-deficit-hyperactivity disorder (ADHD) has been found to be related to overweight/obesity in children and adolescents, but it is a heterogeneous disorder, and the relationships between the dimensions of ADHD and overweight/obesity are not clear. The aim of this study was to explore which dimensions of the disorder are specifically associated with overweight/obesity. MethodsThe study sample consisted of 300 treatment-naive children with ADHD and 75 healthy controls aged 7-17 years. The ADHD module of the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version was used to diagnose ADHD. The severity of ADHD symptoms was assessed via Conners' Parent Rating Scale (CPRS). The weight, height, and breast-feeding duration of the study samples and controls were recorded. Body mass index (BMI) was categorized according to the national age/sex-specific reference values. ResultsThe rate of overweight/obese children was higher in the ADHD group. The association between ADHD symptoms and BMI percentile scores was evaluated using structural equation modeling. In that model, it was observed that the Cognitive Problems/Inattentive and Oppositional subscores of the CPRS had a positive predictive effect on the BMI percentile scores, but breast-feeding duration had a negative predictive effect on the BMI percentile scores. ConclusionInattention, oppositionality and breast-feeding duration were associated with overweight/obesity in children and adolescents with ADHD. Longitudinal studies are needed to more fully understand this relationship and the mechanisms underlying the association between ADHD and overweight/obesity.Öğe Anxiety sensitivity: changes with puberty(Springer, 2013) Akca, Omer Faruk; Vural, Tuba Agac; Turkoglu, Serhat; Kilic, Emine Zinnur[Abstract Not Availabe]Öğe Anxiety sensitivity: Changes with puberty and cardiovascular variables(Wiley, 2015) Akca, Omer Faruk; Vural, Tuba Agac; Turkoglu, Serhat; Kilic, Emine ZinnurBackgroundAnxiety sensitivity (AS) is a relatively stable dispositional variable that may increase the risk for anxiety-related symptoms, particularly panic attack, among individuals of all age groups. Changes in AS during adolescence in healthy individuals, however, has not been previously investigated. The aim of this study was therefore to investigate the relationship of AS with puberty level, pulse rate, and blood pressure in healthy adolescents. MethodsThe sample consisted of 133 healthy adolescents (70 boys, 63 girls) aged 10-17 years. Puberty stage (i.e. Tanner stage), pulse rate, and blood pressure of each participant were determined. The Childhood Anxiety Sensitivity Inventory was used to identify AS. The correlations between AS and the clinical variables were assessed. ResultsAS was negatively correlated with pubertal stage when age and gender were controlled. Also, AS was correlated with diastolic blood pressure when age, gender, and pubertal stage were controlled (P < 0.05). Neither systolic blood pressure nor heart rate were correlated with AS. ConclusionAS, which is reported to be a trait-like variable, may change during adolescence, due to the effect of pubertal growth and blood pressure interacting with AS during adolescence.Öğe Association of Reactive-Proactive Aggression and Anxiety Sensitivity with Internalizing and Externalizing Symptoms in Children with Attention-Deficit/Hyperactivity Disorder(Springer, 2017) Bilgic, Ayhan; Tufan, Ali Evren; Yilmaz, Savas; Ozcan, Ozlem; Ozmen, Sevgi; Oztop, Didem; Turkoglu, SerhatThis study evaluates the associations among the symptoms of anxiety, depression, and disruptive behavioral disorders (DBD) in the context of their relationships with reactive-proactive aggression and anxiety sensitivity in children with attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 342 treatment-naive children with ADHD. The severity of ADHD and DBD symptoms were assessed via parent-and teacher-rated inventories. Anxiety sensitivity, reactive-proactive aggression and severity of anxiety and depression symp-toms of children were evaluated by self-report inventories. According to structural equation modeling, depression and anxiety scores had a relation with the DBD scores through reactive-proactive aggression. Results also showed a negative relation of the total scores of anxiety sensitivity on DBD scores, while conduct disorder scores had a positive relation with anxiety scores. This study suggests that examining the relations of reactive-proactive aggression and anxiety sensitivity with internalizing and externalizing disorders could be useful for understanding the link among these disorders in ADHD.Öğe Effect of adenotonsillectomy on sleep problems, attention deficit hyperactivity disorder symptoms, and quality of life of children with adenotonsillar hypertrophy and sleep-disordered breathing(Sage Publications Inc, 2019) Turkoglu, Serhat; Somuk, Battal Tahsin; Sapmaz, Emrah; Bilgic, AyhanObjective Chronic adenotonsillar hypertrophy is the most common etiologic reason for upper airway obstruction in childhood and has been found to be associated with a variety of psychiatric disorders and poor quality of life. In the present study, we investigated the impact of adenotonsillectomy on attention deficit hyperactivity disorder symptoms, sleep problems, and quality of life in children with chronic adenotonsillar hypertrophy. Methods The parents of children with chronic adenotonsillar hypertrophy filled out the Conners's Parent Rating Scale-Revised Short form (CPRS-RS), Children's Sleep Habits Questionnaire (CSHQ), and Pediatric Quality of Life Inventory, Parent version (PedsQL-P) before and six months after adenotonsillectomy. Results A total of 64 children were included in the study (mean age = 6.8 +/- 2.4 years; boy:girl ratio= 1). The mean attention deficit hyperactivity disorder index and oppositionality subdomain scores of the CPRS-RS and all of the CSHQ subdomain scores (bedtime resistance, sleep-onset delay, sleep anxiety, night waking, parasomnias, sleep-disordered breathing, and daytime sleepiness) except for sleep duration significantly decreased after adenotonsillectomy (p < 0.05). The PedsQL-P total score and both PedsQL-P physical health and psychosocial health subdomain scores were significantly higher at six months after adenotonsillectomy (p < 0.001). Conclusions Child and adolescent psychiatrists should check the symptoms of chronic adenotonsillar hypertrophy to identify children with chronic adenotonsillar hypertrophy who suffer from sleep disturbance, attention deficit hyperactivity disorder symptoms, and oppositionality. Adenotonsillectomy seems to be beneficial for coexisting attention deficit hyperactivity disorder and sleep disorder symptoms and quality of life in these children.Öğe Effectiveness of Atomoxetine in the Treatment of Children With Encopresis(Lippincott Williams & Wilkins, 2015) Turkoglu, Serhat; Bilgic, Ayhan; Uzun, Necati[Abstract Not Availabe]Öğe Psychiatric disorders and symptoms in children and adolescents with sleep bruxism(Springer Heidelberg, 2014) Turkoglu, Serhat; Akca, Omer Faruk; Turkoglu, Gozde; Akca, MuzeyyenThis study examines state-trait anxiety, anxiety sensitivity (AS), depressive symptom levels, and psychiatric disorders in children and adolescents with sleep bruxism (SB). Thirty-five patients (aged 8-17 years) with a diagnosis of SB and 35 healthy controls were included in the study. All participants were evaluated for psychiatric disorders using a structured clinical interview and completed self-report questionnaires. At least one psychiatric disorder was present in 42.9 % of the patient group and 17.1 % of the control group (p < 0.05). Trait and state anxiety, anxiety sensitivity, and the severity of depression symptoms were also higher in the SB group (p < 0.05). After the multivariate analysis, the associations between state and trait anxiety, depression, and SB became statistically insignificant, while the association with anxiety sensitivity persisted. This study suggests that SB is related to AS, regardless of the severity of anxiety or depressive symptoms.Öğe Relationship between anxiety, anxiety sensitivity and conduct disorder symptoms in children and adolescents with attention-deficit/hyperactivity disorder (ADHD)(Springer, 2013) Bilgic, Ayhan; Turkoglu, Serhat; Ozcan, Ozlem; Tufan, Ali Evren; Yilmaz, Savas; Yuksel, Tugba[Abstract Not Availabe]
