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Sacco R, Camilleri N, Eberhardt J, Umla-Runge K, Newbury-Birch D. A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe. Eur Child Adolesc Psychiatry 2022:10.1007/s00787-022-02131-2. [PMID: 36581685 PMCID: PMC9800241 DOI: 10.1007/s00787-022-02131-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 12/14/2022] [Indexed: 12/31/2022]
Abstract
Most mental disorders appear by age 14, but in most cases, they remain undiagnosed and untreated well into adulthood. A scoping review showed an absence of systematic reviews that address prevalence rates of mental disorders among children and adolescents in Europe that are based on community studies conducted between 2015 and 2020. To estimate the updated pooled prevalence of Anxiety Disorder, Depressive Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD), Autism Spectrum Disorder, Eating Disorders, Substance Use Disorders (SUD), among children and adolescents living in Europe, a search strategy was conducted using MEDLINE, Embase and Psych Info and studies were also identified from reference lists and gray literature. Eligible studies were evaluated for reliability, validity, and bias. Trends of prevalence rates for each mental disorder were calculated. Almost one in five young people in Europe were found to suffer from a mental disorder, with a pooled prevalence rate of 15.5%. Anxiety disorders had the highest pooled prevalence rate (7.9% (95% CI 5.1-11.8%, I2: 98.0%)), followed by ADHD (2.9% (95% CI 1.2-6.9%, I2 = 94.3%)), ODD (1.9% (95% CI 1.0-3.7%, I2 = 98.4%)), depressive disorder (1.7% (95% CI 1.0-2.9%, I2 = 97.7%)), CD (1.5% (95% CI 0.6-3.8%, I2 = 98.8%)) and ASD (1.4% (95% CI 0.4-5.4%, I2 = 99.7%). No studies on SUD were identified. The mental health of children and adolescents may be improved by introducing routine screening, refining diagnostic sensitivity, raising awareness of mental disorders, minimizing stigma and socioeconomic inequality, as well as developing early intervention services. These facilitators of good mental health need to be prioritized, especially at a time of unprecedented risk factors for poor mental health.
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Affiliation(s)
- Rosemarie Sacco
- School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UK.
- School of Medicine, Cardiff University, Cardiff, Wales.
- School of Medicine and Surgery, University of Malta, Msida, Malta.
- Mental Health Services, Attard, Malta.
| | - Nigel Camilleri
- School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UK
- School of Medicine and Surgery, University of Malta, Msida, Malta
- Mental Health Services, Attard, Malta
| | - Judith Eberhardt
- School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UK
| | | | - Dorothy Newbury-Birch
- School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UK
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Mutluer T, Gorker I, Akdemir D, Ozdemir DF, Ozel OO, Vural P, Tufan AE, Karacetin G, Arman AR, Fis NP, Demirci E, Ozmen S, Hesapcioglu ST, Oztop D, Tural U, Aktepe E, Aksu H, Ardic UA, Basgul S, Bilac O, Coskun M, Celik GG, Demirkaya SK, Dursun OB, Durukan I, Fidan T, Gokcen C, Gormez V, Gundogdu OY, Herguner S, Kandemir H, Kilic BG, Kilincaslan A, Nasiroglu S, Sapmaz SY, Sahin N, Tahiroglu AY, Toros F, Unal F, Yazici IP, Yazici KU, Isik U, Ercan ES. Prevalence, comorbidities and mediators of childhood anxiety disorders in urban Turkey: a national representative epidemiological study. Soc Psychiatry Psychiatr Epidemiol 2022:10.1007/s00127-022-02396-7. [PMID: 36526939 PMCID: PMC9758023 DOI: 10.1007/s00127-022-02396-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Accepted: 12/06/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE The aim of this study is to evaluate the prevalence of anxiety disorders, its correlation with sociodemographic characteristics, its comorbidities with other psychiatric disorders and its predictors in school-aged children. METHODS This study is part of a representative, multi-centered national study that is planned by the Turkish Association of Child and Adolescent Mental Health to evaluate the prevalence of psychopathology among elementary school students in Turkey between the years 2014-2015. Children are screened via Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version. Impairment is assessed by a 3-point Likert type scale independently by the parent and the teacher. The final sample included 5842 children with the mean age of 8.7 years. RESULTS The prevalence of any anxiety disorder without considering impairment is 16.7% and considering impairment is 5.2% in children according to our study. We found significant differences for comorbid Attention Deficit Hyperactivity Disorder, Disruptive Behavior Disorder, Mood Disorders, Tic Disorders, Obsessive Compulsive Disorder, Enuresis Nocturna, Encopresis, and Intellectual Disability. Having a history of paternal physical disorder, living in the regions of Marmara, Mediterranean and Black Sea were found to be the main predictors of having childhood anxiety disorders according to the logistic regression analysis. CONCLUSION Better understanding of childhood anxiety disorders, comorbid conditions and predictors will result in earlier diagnosis and more appropriate treatment.
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Affiliation(s)
- T. Mutluer
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, Koç University School of Medicine, Istanbul, Turkey
| | - I. Gorker
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Trakya University, Edirne, Turkey
| | - D. Akdemir
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey
| | - D. Foto Ozdemir
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey
| | - O. Ozcan Ozel
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Inonu University, Malatya, Turkey
| | - P. Vural
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Uludag University, Bursa, Turkey
| | - A. E. Tufan
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Turkey
| | - G. Karacetin
- Child and Adolescent Psychiatry, University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Istanbul, Turkey
| | - A. Rodopman Arman
- Department of Child and Adolescent Psychiatry, Marmara University, Pendik Training and Research Hospital, Istanbul, Turkey
| | - N. Perdahli Fis
- Department of Child and Adolescent Psychiatry, Marmara University, Pendik Training and Research Hospital, Istanbul, Turkey
| | - E. Demirci
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erciyes University, Kayseri, Turkey
| | - S. Ozmen
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erciyes University, Kayseri, Turkey
| | - S. Tural Hesapcioglu
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Karadeniz Technical University, Trabzon, Turkey
| | - D. Oztop
- Faculty of Medicine, Child and Adolescent Psychiatry Department, Ankara University, Ankara, Turkey
| | - U. Tural
- Faculty of Medicine, Department of Psychiatry, Kocaeli University, Kocaeli, Turkey
| | - E. Aktepe
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Isparta, Turkey
| | - H. Aksu
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adnan Menderes University, Aydin, Turkey
| | - U. Akyol Ardic
- Child and Adolescent Psychiatry, Denizli State Hospital, Denizli, Turkey
| | - S. Basgul
- Department of Psychology, Hasan Kalyoncu University, Istanbul, Turkey
| | - O. Bilac
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Manisa, Turkey
| | - M. Coskun
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul University, Istanbul, Turkey
| | - G. G. Celik
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Cukurova University, Adana, Turkey
| | | | - O. B. Dursun
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ataturk University, Erzurum, Turkey
| | - I. Durukan
- Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Health Sciences, Ankara, Turkey
| | - T. Fidan
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Osmangazi University, Eskisehir, Turkey
| | - C. Gokcen
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - V. Gormez
- Department of Child and Adolescent Psychiatry, Bezmi Alem University, Istanbul, Turkey
| | - O. Yildiz Gundogdu
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli University, Kocaeli, Turkey
| | - S. Herguner
- Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Necmettin Erbakan University, Konya, Turkey
| | - H. Kandemir
- Medical School, Department of Child and Adolescent Psychiatry, Harran University, Sanliurfa, Turkey
| | - B. Gunay Kilic
- Faculty of Medicine, Child and Adolescent Psychiatry Department, Ankara University, Ankara, Turkey
| | - A. Kilincaslan
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul University, Istanbul, Turkey
| | - S. Nasiroglu
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Akdeniz University, Antalya, Turkey
| | - S. Yalin Sapmaz
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Celal Bayar University, Manisa, Turkey
| | - N. Sahin
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mugla Sitki Kocman University, Mugla, Turkey
| | - A. Y. Tahiroglu
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Cukurova University, Adana, Turkey
| | - F. Toros
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin University, Mersin, Turkey
| | - F. Unal
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey
| | - I. Percinel Yazici
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Firat University, Elazig, Turkey
| | - K. U. Yazici
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Firat University, Elazig, Turkey
| | - U. Isik
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Isparta, Turkey
| | - E. S. Ercan
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ege University, Izmir, Turkey
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Dikeç G, Bilaç Ö, Kardelen C, Sapmaz ŞY, Kandemir H. Which factors affect internalized stigmatization in adolescents with mental disorders? JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2022; 35:362-371. [PMID: 35962770 DOI: 10.1111/jcap.12391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/20/2022] [Accepted: 08/01/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE The aim of this descriptive study was to determine the factors affecting internalized stigmatization of adolescents with mental disorders. METHOD The study data were collected in a university hospital between August 1, 2020 and July 30, 2021 (n = 123), using a Personal information form and the Internalized Stigmatization of Mental Illness-Adolescent Form (ISMI-AF). RESULTS Gender and the number of hospitalizations were determined to be independent variables with explanatory power in the ISMI-AF, and in the model created with these variables, it was determined that these variables explained 18% of the change in the total points of the ISMI-AF. CONCLUSIONS It could be recommended that psychosocial programs are developed with the aim of decreasing internalized stigmatization and increasing the psychological resilience of adolescents.
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Affiliation(s)
- Gül Dikeç
- Department of Nursing, Faculty of Health Sciences, Fenerbahce University, Istanbul, Turkey
| | - Öznur Bilaç
- Department of Child and Adolescent Psychiatry, Hafsa Sultan Medical School Hospital, Celal Bayar University, Manisa, Turkey
| | - Cansın Kardelen
- Department of Child and Adolescent Psychiatry, Hafsa Sultan Medical School Hospital, Celal Bayar University, Manisa, Turkey
| | - Şermin Yalın Sapmaz
- Department of Child and Adolescent Psychiatry, Hafsa Sultan Medical School Hospital, Celal Bayar University, Manisa, Turkey
| | - Hasan Kandemir
- Department of Child and Adolescent Psychiatry, Hafsa Sultan Medical School Hospital, Celal Bayar University, Manisa, Turkey
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Ercan ES, Unsel-Bolat G, Tufan AE, Karakoc Demirkaya S, Bilac O, Celik G, Kılıç BG, Akyol Ardic U, Yalin Sapmaz S, Aksu H, Yolga Tahiroglu A, Karacetin G, Tural U, Aktepe E, Rodopman Arman A, Başgül S, Coşkun M, Dursun OB, Durukan İ, Perdahli Fiş N, Gençoğlan S, Gökçen C, Sarı Gokten E, Görker I, Görmez V, Yıldız Gündoğdu Ö, Hesapçioğlu ST, Kandemir H, Mutluer T, Nasiroğlu S, Özcan Ö, Şahin N, Toros F, Perçinel Yazici İ, Yazici KU, Yulaf Y, Yüksel T, Bilgic A, Altun H, Akdemir D, Mazlum B, Çakın Memik N, Foto Özdemir D, Üneri Ö, Ünal F. Effect of Impairment on the Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder in a National Survey: Nation-Wide Prevalence and Comorbidities of ADHD. J Atten Disord 2022; 26:674-684. [PMID: 34032170 DOI: 10.1177/10870547211017985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This study aimed to determine the prevalence and comorbidities of attention-deficit hyperactivity disorder (ADHD) by evaluating a large-scale nation-wide sample of children. METHOD The inclusion criterion was being enrolled as a 2nd, 3rd, or 4th-grade student. A semi-structured diagnostic interview (K-SADS-PL), DSM-IV-Based Screening Scale for Disruptive Behavior Disorders, and assessment of impairment (by both parents and teachers) were applied to 5,842 participants. RESULTS The prevalence of ADHD was 19.5% without impairment and 12.4% with impairment. Both ADHD with and without impairment groups had similar psychiatric comorbidity rates except for oppositional defiant disorder (ODD) and conduct disorder (CD) diagnoses. Impairment in the ADHD group resulted in significantly higher ODD and CD diagnoses. CONCLUSION Even when impairment is not described, other psychiatric disorders accompany the diagnosis of ADHD and may cause impairment in the future. Impairment in the diagnosis of ADHD significantly increases the likelihood of ODD and CD.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Gul Karacetin
- Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Mental Health and Nervous Disorders, Istanbul, Turkey
| | - Umit Tural
- Nathan S. Kline Institute, New York, USA
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Lee SB, Chae HW, Kwon JW, Sung S, Lee HM, Moon SH, Lee BH. Is There an Association Between Psychiatric Disorders and Adolescent Idiopathic Scoliosis? A Large-database Study. Clin Orthop Relat Res 2021; 479:1805-1812. [PMID: 33780404 PMCID: PMC8277277 DOI: 10.1097/corr.0000000000001716] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 02/10/2021] [Indexed: 01/31/2023]
Abstract
BACKGROUND Children with adolescent idiopathic scoliosis (AIS) have reduced quality of life related to poor self-image, perhaps because of cosmetic concerns. However, there has not been a large-database epidemiologic study on the association between psychiatric disorders and scoliosis. QUESTIONS/PURPOSES Using the Korean National Health Insurance database, we asked: (1) How common are psychiatric disorders among children with AIS? (2) After controlling for gender, age, insurance type, and residential district, are psychiatric disorders more common among children with AIS than among age-matched controls? METHODS A retrospective analysis was conducted using sample datasets from the Health Insurance Review and Assessment Service from 2012 to 2016, which is a 10% randomly extracted sample of total inpatients and outpatients each year. The mean number of total patients in each dataset was 1,047,603 ± 34,534. The mean number of children with AIS was 7409 ± 158 for each year. The age criteria was 10 to 19 years for the matching. Mood disorders, anxiety disorders, and behavioral disorders were selected as disorders possibly associated with AIS. We identified children with AIS who had any of the disorders above, and we obtained the prevalence of these disorders based on diagnostic codes. As an exploratory analysis, clinically meaningful variables were selected among the available codes in the dataset, and a univariable logistic regression test was performed for each variable. A multivariable logistic regression test with advanced variables was performed to identify the adjusted odds ratios of psychiatric disorders in children with AIS. RESULTS The median (range) prevalence of psychiatric disorders in children with AIS from 2012 to 2016 was 7% (6% to 7%). Compared with children who did not have AIS, and after controlling for gender, age, insurance type, and residential district, children with AIS were more likely to have psychiatric disorders in all 5 years. The adjusted ORs of psychiatric disorders in children with AIS compared with children who did not have AIS ranged from 1.47 to 1.74 (2012: OR 1.60 [95% CI 1.46 to 1.75]; p < 0.001; 2013: OR 1.73 [95% CI 1.58 to 1.89]; p < 0.001; 2014: OR 1.74 [95% CI 1.59 to 1.91]; p < 0.001; 2015: OR 1.71 [95% CI 1.56 to 1.88]; p < 0.001; 2016: OR 1.47 [95% CI 1.33 to 1.62]; p < 0.001). CONCLUSION Considering the higher prevalence of psychiatric disorders in children with AIS compared with children who did not have AIS, children with AIS and their parents should be counseled about the increased risk of deteriorating mental health of the patients, and surgeons should provide early referral to pediatric psychiatrists. Further studies should investigate the effect of the factors related to AIS, such as curve type, Cobb angle, and treatment modality. LEVEL OF EVIDENCE Level III, prognostic study.
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Affiliation(s)
- Soo-Bin Lee
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Orthopedic Surgery, Bundang Jesaeng Hospital, Gyeonggi-do, Republic of Korea
| | - Hyun-Wook Chae
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Ji-Won Kwon
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Gyeonggi-do, Republic of Korea
| | - Sahyun Sung
- Department of Orthopedic Surgery, Ewha Woman’s University Seoul Hospital, Seoul, Republic of Korea
| | - Hwan-Mo Lee
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Seong-Hwan Moon
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Byung Ho Lee
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Örengül AC, Goker H, Zorlu A, Gormez V, Soylu N. Peer Victimization in Preadolescent Children With ADHD in Turkey. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP6624-NP6642. [PMID: 30520679 DOI: 10.1177/0886260518816321] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The present study aims to investigate peer victimization and its relationship with comorbid psychiatric diagnoses and quality of life (QoL) among children with attention deficit hyperactivity disorder (ADHD). Study sample consisted of 66 children with ADHD (mean age = 8.6 ± 1.1 years) and age- and gender-matched 66 controls (mean age = 8.5 ± 1.3 years). In self-reports, the ADHD group reported significantly higher rates of victimization and bullying than the non-ADHD group. Verbal and physical forms of victimization and bullying were the most prevalent forms in both groups; however, exclusion from peer groups, which is named as relational bullying, was the most significantly differing type between two groups. QoL parameters did not significantly differ between the children involved in bullying and those not involved, except for the lower physical QoL in victimized children in the control group. In conclusion, peer victimization was significantly more prevalent in the ADHD group than the non-ADHD group. Preventive measures are needed for peer victimization, especially for children with ADHD.
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Affiliation(s)
| | - Hulya Goker
- Bezmialem Vakif University, İstanbul, Turkey
| | - Aziz Zorlu
- Seyhulislam Hayri Efendi Primary School, Istanbul, Turkey
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ADHD and its associations with pregnancy, birth, developmental and medical-related characteristics. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01817-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tahıllıoğlu A, Bilaç Ö, Uysal T, Ercan ES. Who predict ADHD with better diagnostic accuracy?: Parents or teachers? Nord J Psychiatry 2021; 75:214-223. [PMID: 33612071 DOI: 10.1080/08039488.2020.1867634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The objectives of the study were to determine which parents or teachers predict attention-deficit/hyperactivity disorder (ADHD) better in children and adolescents, and to detect both diagnostical and symptomatological agreement levels across informant reports. METHOD A total of 417 cases aged 6-14 from a non-referred community sample were assessed by a semi-structured interview, parent- and teacher-rated ADHD Rating Scale-IV. Also, impairment criteria were taken into account to ensure the gold standard diagnosis for ADHD. The measures of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated in each categorical sample. Besides, the agreement between parent and teacher reports of ADHD was investigated. RESULTS Parents and teachers had similar diagnostic accuracy for predicting ADHD. Both parents and teachers predicted ADHD in similar accuracy in both boys and girls, separately. However, girls were found to be more predictable by both parents and teachers compared to boys. Parents with lower education levels had worse diagnostic accuracy than both parents with higher education levels and teachers. Low to moderate agreement and correlations between parent and teacher ADHD reports were detected. CONCLUSION In general, parents and teachers seem to predict ADHD in similar accuracy. Nevertheless, child gender and parental education level may alter the predictability power for ADHD. The findings can guide for clinicians that how to evaluate observation reports of parents and teachers to make accurate ADHD diagnosis in patients.
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Affiliation(s)
- Akın Tahıllıoğlu
- Department of Child and Adolescent Psychiatry, Ege University, Izmir, Turkey
| | - Öznur Bilaç
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Manisa, Turkey
| | - Taciser Uysal
- Department of Child and Adolescent Psychiatry, İstanbul Okmeydanı Education and Research Hospital, Istanbul, Turkey
| | - Eyüp Sabri Ercan
- Department of Child and Adolescent Psychiatry, Ege University, Izmir, Turkey
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Mohammadi MR, Salmanian M, Keshavarzi Z. The Global Prevalence of Conduct Disorder: A Systematic Review and Meta-Analysis. IRANIAN JOURNAL OF PSYCHIATRY 2021; 16:205-225. [PMID: 34221047 PMCID: PMC8233559 DOI: 10.18502/ijps.v16i2.5822] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Objective: There has been little effort to conduct systematic reviews or meta-analyses of the available literature to find global prevalence rates of conduct disorder and analyze the sources of heterogeneity. Method : We searched multiple databases, including Web of Science, PubMed, Scopus, and Google Scholar to identify cross-sectional studies with random or nonrandom sampling to assess the global prevalence of conduct disorder in children and adolescents aged under 18 in the general or school-based populations. Quality assessment and data extraction were independently carried out by two authors. Subgroup analysis was used to find the potential sources of heterogeneity. Results: We reached 50 studies, incorporating 186,056 children and adolescents from 35 countries. The total prevalence of conduct disorder was 8% (CI: 7-9%; I2: 99.77%), including 7% in females (CI: 4-9%; I2: 99.56%) and 11% in males (CI: 7-15%; I2: 99.74%). The results of subgroup analysis showed that total heterogeneity could be explained by measurement tools. When diagnostic interviews such as the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) and Development and Well-Being Assessment (DAWBA) were employed, the pooled prevalence rates for conduct disorder were 0.4% and 0.7%, respectively, and heterogeneity decreased. However, the use of the screening tools such as the Strengths and Difficulties Questionnaire (SDQ)-parent or teacher report and SDQ-self report increased the pooled prevalence of conduct disorder to 10% and 16% respectively. Conclusion: The prevalence of conduct disorder in the epidemiological studies should be estimated by employing the diagnostic interviews to reach accurately assessments.
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Affiliation(s)
- Mohammad-Reza Mohammadi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Salmanian
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Keshavarzi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Dikeç G, Bilaç Ö, Uzunoğlu G, Ozan E. Validity and reliability of the internalized stigma of Mental Illness Scale-Adolescent Form. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2020; 34:96-104. [PMID: 33258222 DOI: 10.1111/jcap.12300] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 09/15/2020] [Accepted: 11/08/2020] [Indexed: 11/28/2022]
Abstract
PURPOSE The goal of this study was to assess the validity and reliability of the Turkish version of the Internalized Stigma of Mental Illness Scale-Adolescent Form (ISMI-AF). METHODS A total of 145 adolescents (12-18 years of age) who were diagnosed with at least one mental disorder according to DSM-5-TR participated in the study. Data were collected at a mental health hospital between October 2017 and 2019 using a sociodemographic information form, the ISMI-AF, and Beliefs towards Mental Illness (BMI) Scale. Reliability (Cronbach's alpha, Split-Half, Spearman-Brown, Hotelling T2 test) and validity analyses of the ISMI-AF were performed. SPSS 26.0 and LISREL 8.80 software were used for statistical analyses. RESULTS The Cronbach's alpha coefficient for total score was .88, Split-Half score was .84, and the Spearman-Brown factor score was .85. Confirmatory factor analysis showed that the scale confirmed to the five-factor structure in adolescents, but factor loadings and reliability coefficients were low in the "stigma resistance" subscale. There was a positive and weak correlation between ISMI-AF and BMI (r = .37, p = .00). CONCLUSION The ISMI-AF is a valid and reliable measurement tool that can be used in adolescents. This scale can help psychiatric nurses who work in this field identify and address internalized stigma, which is one of the key factors affecting adherence to treatment, especially in adolescents.
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Affiliation(s)
- Gül Dikeç
- Department of Psychiatric Nursing, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey
| | - Öznur Bilaç
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University Medical School, Manisa, Turkey
| | - Gülçin Uzunoğlu
- Forensic Psychiatry Ward, Manisa Mental and Neurological Hospital, Manisa, Turkey
| | - Erol Ozan
- Department of Psychiatry, Manisa Celal Bayar University Medical School, Manisa, Turkey
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11
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Windarwati HD, Budiman AA, Nova R, Ati NAL, Kusumawati MW. The Relationship between Family Harmony with Stress, Anxiety, and Depression in Adolescents. JURNAL NERS 2020. [DOI: 10.20473/jn.v15i2.21495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Adolescents are a group vulnerable to mental health problems, including stress, anxiety, and depression. This study aimed to examine the interlink of a harmonious family with stress, anxiety, and depression in adolescents.Methods: This study employed descriptive correlational design with cross-sectional approach and examined 851 high school adolescents aged between 16-18 years who were recruited using a total sampling method from five high school in Malang City. Stress, anxiety and depression in adolescents was assessed employing the Depression Anxiety Stress Scale (DASS - 21), while, to assess family harmony, a questionnaire developed by the researcher was used. Data were analyzed through descriptive statistics and bivariate tests using Spearman Rank Correlation.Results: It was revealed that 428 adolescents (50.3%) were male, 321 adolescents (37.7%) came from parents who worked privately, and 482 adolescents (56.6%) had their parents' social status above the minimum wage standard. Eight hundred and two adolescents (94.2%) had harmonious families, while the remaining 49 adolescents (5.8%) had non-harmonious families. Our study concluded that family harmony had a significant relationship with adolescent stress levels (p-value 0.013). On the other hand, the analysis showed that family harmony was not related to adolescents' anxiety (p-value 0.071) and depression level (p-value 0.13). A harmonious family makes children mentally healthy, able to adapt to the environment while a family that is not harmonious can trigger stress because conditions are not as expected, coupled with the burden of schoolwork, stressors from teachers and peers.Conclusion:The results of the research showed that harmony in the family had a significant effect on stress in adolescents. Therefore, it is necessary to provide education and counseling to the family to prevent fights in the family so that it can reduce the emergence of stress in adolescents.
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12
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Prevalence, comorbidity and predictors of anxiety disorders among children and adolescents. Asian J Psychiatr 2020; 53:102059. [PMID: 32512529 DOI: 10.1016/j.ajp.2020.102059] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2019] [Revised: 03/28/2020] [Accepted: 03/29/2020] [Indexed: 11/22/2022]
Abstract
Childhood anxiety may lead to serious health consequences in later life. The present study provides the prevalence, comorbidity, and predictors of anxiety disorders among children and adolescents. This was a cross-sectional national project that was implemented on 28,698 children and adolescents in Iran. Participants entered the study by multistage cluster sampling with an equal number of each gender and three age groups (6-9, 10-14, and 15-18 years) within each cluster. The tools used in this research were the demographic questionnaire and K-SADS-PL. To analyze the data logistic regression and chi-square tests were used in SPSS (ver. 16). The prevalence of anxiety disorder in children and adolescents was 13.2 in boys and 15.1 in girls. Furthermore, gender, age, place of residence and history of psychiatric hospitalization of parents could predict anxiety disorders. Anxiety disorders had comorbidity with behavioral disorders, neurodevelopmental disorders, mood disorders, psychotic disorders, substance abuse disorders, and elimination disorders. According to our findings in this study, anxiety disorders affect the performance, health and life of children and adolescents, identifying the childhood anxiety, as well as finding diseases that are associated with anxiety disorders, can help in the prevention of the disorder.
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13
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Dursun OB, Esin İS, Akıncı MA, Karayağmurlu A, Turan B, Özhan Aşıkhasanoğlu E. The prevalence of childhood mental disorders in different habitations: are we underestimating their prevalence in rural areas? Nord J Psychiatry 2020; 74:201-207. [PMID: 31724474 DOI: 10.1080/08039488.2019.1689295] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background: Recently, the number of epidemiological studies of child psychiatry has increased, but most of these studies focus on children living in city centres. Unfortunately, one-third of the global population lives in rural areas, and various habitations exist in cities, including city centres and slums. Moreover, despite having a high risk for psychopathology development, individuals who have symptoms but fall outside the limits specified for diagnoses due to having fewer symptoms than those mentioned in diagnostic systems and individuals who do not fulfil the impairment criteria listed in diagnostic systems are not addressed in these studies.Aim: The purpose of this study was to understand the prevalence of DSM-IV childhood psychiatric disorders and subthreshold psychiatric problems from middle-class city centres, city centres in slums, towns and village areas of Turkey with a nationally representative sample using a state-of-the-art methodology.Methods: In total, 1080 children were randomly selected from second and third grades for the study's sample. A structured diagnostic interview was applied.Results: The overall prevalence of psychiatric disorders was 8.4% (n = 91); 7.2% (n = 78) of the children were subthreshold cases. The general prevalence of psychiatric disorders was higher among children living in villages with respect to all the other human settlement areas included in the study.Conclusions: Although global urbanisation foregrounds the mental health of children living in cities, children in rural areas may have a greater risk of developing a mental disorder. This study confirmed that an equal amount of children fell outside of the diagnosing limits.
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Affiliation(s)
- Onur Burak Dursun
- Department of Child and Adolescent Psychiatry, University of Health Sciences, International School of Medicine, Istanbul, Turkey
| | - İbrahim Selçuk Esin
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Mehmet Akif Akıncı
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Ali Karayağmurlu
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Istanbul University, İstanbul, Turkey
| | - Bahadır Turan
- Department of Child and Adolescent Psychiatry, Agrı State Hospital, Agrı, Turkey
| | - Esra Özhan Aşıkhasanoğlu
- Department of Child and Adolescent Psychiatry, Necip Fazıl State Hospital, Kahraman Maras, Turkey
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14
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Bartosh OP, Bartosh TP. The Effectiveness of Various Types of Psychological Correction of Anxiety in Primary School. Behav Sci (Basel) 2019; 10:E20. [PMID: 31905952 PMCID: PMC7016931 DOI: 10.3390/bs10010020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 12/23/2019] [Accepted: 12/24/2019] [Indexed: 11/16/2022] Open
Abstract
At various stages of the development and education of children, there are psychoemotional difficulties that create prerequisites for impairment of the development of the child's personality. The timely detection of difficulties in schoolchildren and therapeutic efforts are important for the formation of a psychologically healthy personality. The study of the effectiveness of various remedial techniques for childhood anxiety has therefore become theoretically and practically significant. The purpose of our study is to determine the effectiveness of various types of such therapeutic efforts: social and psychological training, a method of biological feedback, and Sandplay for the indicators of childhood anxiety among younger schoolchildren. The study was conducted in the school of Magadan, northeast of Russia (9-10-year-old students, n = 43). We used a standardized method of Multidimensional Assessment of Child Anxiety which included 10 scales. The following therapeutic efforts were used: sociopsychological training (SPT), biofeedback method (BFB), individual and group Sandplay. Students of group I (n = 12) participated only in the SPT. Students of group II (n = 11) participated in the SPT and underwent a course of training in self-regulation using the BFB method. In therapy work with the students of group III (n = 20), the SPT, BFB, individual and group Sandplay were used. In group I, after the therapy sessions, a significant decrease in anxiety was observed in 3 of 10 scales (2, 6, 7; p < 0.05). In group II, it was seen in 5 scales (1, 3, 6, 7, 8; p < 0.05). In group III, significant improvements took place in 7 scales (1, 2, 5, 6, 7, 9, 10; p < 0.01-p < 0.05). The present study has shown the different efficacy of applying the remedial techniques separately and in combination. The use of the therapy methods, in the complex, enhances the impact on the types of child anxiety.
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Affiliation(s)
- Olga P. Bartosh
- Scientific Research Center “Arktika”, Far eastern Branch of the Russian Academy of Sciences, Karl Marx Str. 24, Magadan 685000, Russia
| | - Tatiana P. Bartosh
- Scientific Research Center “Arktika”, Far eastern Branch of the Russian Academy of Sciences, Karl Marx Str. 24, Magadan 685000, Russia
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15
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Ercan ES, Polanczyk G, Akyol Ardıc U, Yuce D, Karacetın G, Tufan AE, Tural U, Aksu H, Aktepe E, Rodopman Arman A, Başgül S, Bılac O, Coşkun M, Celık GG, Karakoc Demırkaya S, Dursun BO, Durukan İ, Fidan T, Perdahlı Fiş N, Gençoğlan S, Gökçen C, Görker I, Görmez V, Gündoğdu ÖY, Gürkan CK, Hergüner S, Tural Hesapçıoğlu S, Kandemir H, Kılıç BG, Kılınçaslan A, Mutluer T, Nasiroğlu S, Özel Özcan Ö, Öztürk M, Öztop D, Yalın Sapmaz S, Süren S, Şahin N, Yolga Tahıroglu A, Toros F, Ünal F, Vural P, Perçinel Yazıcı İ, Yazıcı KU, Yıldırım V, Yulaf Y, Yüce M, Yüksel T, Akdemir D, Altun H, Ayık B, Bilgic A, Hekim Bozkurt Ö, Demirbaş Çakır E, Çeri V, Üçok Demir N, Dinç G, Irmak MY, Karaman D, Kınık MF, Mazlum B, Memik NÇ, Foto Özdemir D, Sınır H, Ince Taşdelen B, Taşkın B, Uğur Ç, Uran P, Uysal T, Üneri Ö, Yilmaz S, Seval Yılmaz S, Açıkel B, Aktaş H, Alaca R, Alıç BG, Almaidan M, Arı FP, Aslan C, Atabay E, Ay MG, Aydemir H, Ayrancı G, Babadagı Z, Bayar H, Çon Bayhan P, Bayram Ö, Dikmeer Bektaş N, Berberoğlu KK, Bostan R, Arıcı Canlı M, Cansız MA, Ceylan C, Coşkun N, Coşkun S, Çakan Y, Demir İ, Demir N, Yıldırım Demirdöğen E, Doğan B, Dönmez YE, Dönder F, Efe A, Eray Ş, Erbilgin S, Erden S, Ersoy EG, Eseroğlu T, Kına Fırat S, Eynallı Gök E, Güler G, Güles Z, Güneş S, Güneş A, Günay G, Gürbüz Özgür B, Güven G, Çelik Göksoy Ş, Horozcu H, Irmak A, Işık Ü, Kahraman Ö, Kalaycı BM, Karaaslan U, Karadağ M, Kılıc HT, Kılıçaslan F, Kınay D, Kocael Ö, Bulanık Koç E, Kadir Mutlu R, Lushi-Şan Z, Nalbant K, Okumus N, Özbek F, Akkuş Özdemir F, Özdemir H, Özkan S, Yıldırım Özyurt E, Polat B, Polat H, Sekmen E, Sertçelik M, Sevgen FH, Sevince O, Süleyman F, Shamkhalova Ü, Eren Şimşek N, Tanır Y, Tekden M, Temtek S, Topal M, Topal Z, Türk T, Uçar HN, Uçar F, Uygun D, Uzun N, Vatansever Z, Yazgılı NG, Miniksar Yıldız D, Yıldız N. The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T). Nord J Psychiatry 2019; 73:132-140. [PMID: 30964388 DOI: 10.1080/08039488.2019.1574892] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
AIM The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey. METHOD A nation-wide, randomly selected, representative population of 5830 children (6-13 years-old) enrolled as a 2nd,3rd or 4th grade student in 30 cities were evaluated for presence of a psychiatric or mental disorder by a Sociodemographic Form, Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL), and DSM-IV-Based Screening Scale for Disruptive Behavior Disorders in Children and Adolescents scales. Impairment criterion was assessed via a 3 point-Likert scale by the parent and the teacher independently. RESULTS Overall prevalence of any psychopathology was 37.6% without impairment criterion, and 17.1% with impairment criterion. Attention-deficit hyperactivity disorder was the most frequent diagnosis, followed by anxiety (19.5% and 16.7% without impairment, 12.4% and 5.3% with impairment, respectively). Lower education level and presence of a physical or psychiatric problem of the parents were independent predictors of any psychopathology of the offspring. CONCLUSION This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group.
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Affiliation(s)
- Eyup Sabri Ercan
- a Child and Adolescent Psychiatry Department, Medical Faculty , Ege University , Izmir , Turkey
| | - Guilherme Polanczyk
- b Department of Psychiatry , University of Sao Paulo Medical School , São Paulo , BR
| | - Ulku Akyol Ardıc
- c Child and Adolescent Psychiatry Department , Denizli State Hospital , Denizli , Turkey
| | - Deniz Yuce
- d Department of Preventive Oncology and Epidemiology , Cancer Institute, Hacettepe University , Ankara , Turkey
| | - Gul Karacetın
- e Child and Adolescent Psychiatry Department, Medical Faculty , Bakirkoy Prof. Dr. Mazhar OSMAN Training and Research Hospital for Mental Health and Nervous Disorders , Istanbul , Turkey
| | - Ali Evren Tufan
- f Child and Adolescent Psychiatry Department, Medical Faculty , Acıbadem University , Istanbul , Turkey
| | - Umit Tural
- g Psychiatry Department, Medical Faculty , Kocaeli University , Izmit , Turkey
| | - Hatice Aksu
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Evrim Aktepe
- i Child and Adolescent Psychiatry Department, Medical Faculty , Suleyman Demirel University , Isparta , Turkey
| | - Ayşe Rodopman Arman
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Senem Başgül
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Oznur Bılac
- l Child and Adolescent Psychiatry Department, Medical Faculty , Manisa Hospital for Mental Health and Nervous Disorders , Manisa , Turkey
| | - Murat Coşkun
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Gonca Gul Celık
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Sevcan Karakoc Demırkaya
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Burak Onur Dursun
- o Child and Adolescent Psychiatry Department, Medical Faculty , Ataturk University , Erzurum , Turkey
| | - İbrahim Durukan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Tülin Fidan
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Neşe Perdahlı Fiş
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Salih Gençoğlan
- r Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Van , Turkey
| | - Cem Gökçen
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Işık Görker
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Vahdet Görmez
- u Child and Adolescent Psychiatry Department, Medical Faculty , Bezmi-alem University , Istanbul , Turkey
| | - Özlem Yıldız Gündoğdu
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Cihat Kaan Gürkan
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Sabri Hergüner
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Selma Tural Hesapçıoğlu
- y Child and Adolescent Psychiatry Department, Medical Faculty , Karadeniz Technical University , Trabzon , Turkey
| | - Hasan Kandemir
- z Child and Adolescent Psychiatry Department, Medical Faculty , Harran University , Sanlıurfa , Turkey
| | - Birim Günay Kılıç
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Ayse Kılınçaslan
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Tuba Mutluer
- r Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Van , Turkey
| | - Serhat Nasiroğlu
- aa Child and Adolescent Psychiatry Department, Medical Faculty , Sakarya University , Sakarya , Turkey
| | - Özlem Özel Özcan
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Mücahit Öztürk
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Didem Öztop
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Sermin Yalın Sapmaz
- ad Child and Adolescent Psychiatry Department, Medical Faculty , Celal Bayar University , Manisa , Turkey
| | - Serkan Süren
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Nilfer Şahin
- af Child and Adolescent Psychiatry Department, Medical Faculty , Muğla Sıtkı Koçman University , Muğla , Turkey
| | - Aysegul Yolga Tahıroglu
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Fevziye Toros
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Fatih Ünal
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Pınar Vural
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - İpek Perçinel Yazıcı
- aj Child and Adolescent Psychiatry Department, Medical Faculty , Fırat University , Elazığ , Turkey
| | - Kemal Utku Yazıcı
- aj Child and Adolescent Psychiatry Department, Medical Faculty , Fırat University , Elazığ , Turkey
| | - Veli Yıldırım
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Yasemin Yulaf
- ak Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Tekirdağ , Turkey
| | - Murat Yüce
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Tuğba Yüksel
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Devrim Akdemir
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Hatice Altun
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Başak Ayık
- an Child and Adolescent Psychiatry Department, Medical Faculty , Usküdar University , İstanbul , Turkey
| | - Ayhan Bilgic
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Özlem Hekim Bozkurt
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Emine Demirbaş Çakır
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Veysi Çeri
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Nagehan Üçok Demir
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Gülser Dinç
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Mustafa Yasin Irmak
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Dursun Karaman
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Mehmet Fatih Kınık
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Betül Mazlum
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Nursu Çakın Memik
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Dilşad Foto Özdemir
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Hayati Sınır
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Bedia Ince Taşdelen
- aq Child and Adolescent Psychiatry Department, Medical Faculty , Kayseri Education and Research Hospital , Kayseri , Turkey
| | - Beril Taşkın
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Çağatay Uğur
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Pınar Uran
- ar Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hospital , Ankara , Turkey
| | - Taciser Uysal
- as Child and Adolescent Psychiatry Department, Medical Faculty , Maternity and Child Health Hospital , Isparta , Turkey
| | - Özden Üneri
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Savas Yilmaz
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Sultan Seval Yılmaz
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Burak Açıkel
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Hüseyin Aktaş
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Rümeysa Alaca
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Betül Gül Alıç
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mahmut Almaidan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Fatma Pınar Arı
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Cihan Aslan
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Ender Atabay
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Merve Günay Ay
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Hilal Aydemir
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Gülseda Ayrancı
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Zehra Babadagı
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Hasan Bayar
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Pelin Çon Bayhan
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Özlem Bayram
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Neşe Dikmeer Bektaş
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Kıvanç Kudret Berberoğlu
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Recep Bostan
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Merve Arıcı Canlı
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mehmet Akif Cansız
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Cansın Ceylan
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Neşe Coşkun
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Seyma Coşkun
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Yasemin Çakan
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - İbrahim Demir
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Nuran Demir
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Esen Yıldırım Demirdöğen
- o Child and Adolescent Psychiatry Department, Medical Faculty , Ataturk University , Erzurum , Turkey
| | - Büşra Doğan
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Yunus Emre Dönmez
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Funda Dönder
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Ayşegül Efe
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Şafak Eray
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Seda Erbilgin
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Semih Erden
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Elif Gökçe Ersoy
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Tuğba Eseroğlu
- e Child and Adolescent Psychiatry Department, Medical Faculty , Bakirkoy Prof. Dr. Mazhar OSMAN Training and Research Hospital for Mental Health and Nervous Disorders , Istanbul , Turkey
| | - Sümeyra Kına Fırat
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Ezgi Eynallı Gök
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Gülen Güler
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Zafer Güles
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Serkan Güneş
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Adem Güneş
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Gülay Günay
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Börte Gürbüz Özgür
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Gökçen Güven
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Şeyda Çelik Göksoy
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Havvana Horozcu
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Ayşe Irmak
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Ümit Işık
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Özlem Kahraman
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Bilge Merve Kalaycı
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Umut Karaaslan
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Mehmet Karadağ
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Hilal Tuğba Kılıc
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Fethiye Kılıçaslan
- z Child and Adolescent Psychiatry Department, Medical Faculty , Harran University , Sanlıurfa , Turkey
| | - Duygu Kınay
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Ömer Kocael
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Esra Bulanık Koç
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Rahime Kadir Mutlu
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Zejnep Lushi-Şan
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Kevser Nalbant
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Nilüfer Okumus
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Fatih Özbek
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Fatma Akkuş Özdemir
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Hanife Özdemir
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Selçuk Özkan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Esra Yıldırım Özyurt
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Berna Polat
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Hatice Polat
- aq Child and Adolescent Psychiatry Department, Medical Faculty , Kayseri Education and Research Hospital , Kayseri , Turkey
| | - Ebru Sekmen
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Mehmet Sertçelik
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Feyza Hatice Sevgen
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Oğuz Sevince
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Funda Süleyman
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Ülker Shamkhalova
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Nurcan Eren Şimşek
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Yaşar Tanır
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mehmet Tekden
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Seyhan Temtek
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Melike Topal
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Zehra Topal
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Tuğba Türk
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Halit Necmi Uçar
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Filiz Uçar
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Duygu Uygun
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Necati Uzun
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Zeynep Vatansever
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Neslihan Gökçe Yazgılı
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Dilşat Miniksar Yıldız
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Nazike Yıldız
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
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Canals J, Voltas N, Hernández-Martínez C, Cosi S, Arija V. Prevalence of DSM-5 anxiety disorders, comorbidity, and persistence of symptoms in Spanish early adolescents. Eur Child Adolesc Psychiatry 2019; 28:131-143. [PMID: 30056588 DOI: 10.1007/s00787-018-1207-z] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 07/24/2018] [Indexed: 01/04/2023]
Abstract
Anxiety Disorders (AD) are the most prevalent mental disorders in children and adolescents and a relevant public health problem. The study aimed to determine the prevalence of ADs, the comorbidity, the sociodemographic correlates, and the functional impairment in Spanish school children. The initial sample included 1514 subjects (720 boys; mean age = 10.2), who filled out the Screen for Children's Anxiety-Related Emotional Disorders (SCARED). In a second phase, 562 subjects at risk and not-at-risk of anxiety were assessed with the Mini-International Neuropsychiatric Interview for Children and Adolescents to obtain DSM-5 diagnoses. Two years later (third phase; mean age 13.5), the SCARED was re-administered. The weighted prevalence of any AD was 11.8%. The most prevalent subtypes were specific phobia (16.2%) and generalized anxiety disorder (GAD) (6.9%). Girls showed higher rates of social anxiety (5.5%) than boys. Apart from being female, low socioeconomic status was also a risk factor for AD. The heterotypic comorbidity of any AD was 40.7%, and the homotypic comorbidity was 35.6%. After controlling for age and other ADs, we found that subjects with GAD had the highest risk of having other depressive disorders and ADs. Only 33.3% of the subjects with any AD had sought professional help. 52.9% of the subjects diagnosed with any of the ADs still had anxiety symptoms after a 2-year follow-up. These findings highlight that in Spain, ADs in early adolescence are an important public health problem and that detection and access to treatment need to be improved.
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Affiliation(s)
- Josefa Canals
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Crta/de Valls s/n, 43007, Tarragona, Spain. .,Nutrition and Mental Health Research Group (NUTRISAM), Universitat Rovira i Virgili, Reus, Tarragona, Spain.
| | - Núria Voltas
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Crta/de Valls s/n, 43007, Tarragona, Spain.,Nutrition and Mental Health Research Group (NUTRISAM), Universitat Rovira i Virgili, Reus, Tarragona, Spain
| | - Carmen Hernández-Martínez
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Crta/de Valls s/n, 43007, Tarragona, Spain.,Nutrition and Mental Health Research Group (NUTRISAM), Universitat Rovira i Virgili, Reus, Tarragona, Spain
| | - Sandra Cosi
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Crta/de Valls s/n, 43007, Tarragona, Spain
| | - Victoria Arija
- Nutrition and Public Health Unit, Universitat Rovira i Virgili, Reus, Spain.,Nutrition and Mental Health Research Group (NUTRISAM), Universitat Rovira i Virgili, Reus, Tarragona, Spain
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17
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Canals-Sans J, Hernández-Martínez C, Sáez-Carles M, Arija-Val V. Prevalence of DSM-5 depressive disorders and comorbidity in Spanish early adolescents: Has there been an increase in the last 20 years? Psychiatry Res 2018; 268:328-334. [PMID: 30096661 DOI: 10.1016/j.psychres.2018.07.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 05/31/2018] [Accepted: 07/13/2018] [Indexed: 12/21/2022]
Abstract
The aim of the study was to investigate the current prevalence of DSM-5 Depressive Disorders (DD) among Spanish school children and compare it with data obtained 20 years ago from the same place. We assessed comorbidity, severity and sociodemographic related factors. With a double-phase design, a sample of 1514 students participated in the 1st phase and 562 students (175 at risk of depression) were assessed in the 2nd phase with the Mini-International Neuropsychiatric Interview for Kids. The estimated current prevalence of Major Depressive Disorder (MDD) was 1.6%, similar to the 1.5% found 20 years ago. A total of 3.4% were diagnosed with some form of DD (MDD or Persistent Depressive Disorder (PDD)). No significant differences between genders were found in either of the two periods studied. The rate of depressive symptoms (11.6%) was not significantly different from that of previous data (9.4%). 80% and 71.9% of the children diagnosed with MDD and PDD respectively also had an anxiety disorder. In conclusion, we have not found an increase in depression among Spanish early adolescents. However, the data on the prevalence of DD, the comorbidity, and the impairment all highlight the need to design and implement appropriate preventive interventions in schools.
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Affiliation(s)
- Josefa Canals-Sans
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Ctra. Valls S/N, 43007 Tarragona, Spain.
| | - Carmen Hernández-Martínez
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Ctra. Valls S/N, 43007 Tarragona, Spain.
| | - Mercè Sáez-Carles
- Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Universitat Rovira i Virgili, Ctra. Valls S/N, 43007 Tarragona, Spain.
| | - Victoria Arija-Val
- Unit of Preventive Medicine and Public Health, Pere Virgili Health Research Institute (IISPV), Universitat Rovira i Virgili, C/Sant Llorenç, 21, 43201 Reus, Spain.
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18
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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, Ercan ES. Prevalence of Childhood Affective disorders in Turkey: An epidemiological study. J Affect Disord 2018; 238:513-521. [PMID: 29936389 DOI: 10.1016/j.jad.2018.05.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 04/24/2018] [Accepted: 05/13/2018] [Indexed: 12/17/2022]
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.
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Affiliation(s)
- Gul Karacetin
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ayse Rodopman Arman
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nese Perdahli Fis
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Esra Demirci
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Sevgi Ozmen
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Selma Tural Hesapcioglu
- Karadeniz Technical University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Trabzon, Turkey.
| | - Didem Oztop
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Ali Evren Tufan
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Umit Tural
- Kocaeli University, Department of Psychiatry, Kocaeli, Turkey.
| | - Evrim Aktepe
- Suleyman Demirel University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Isparta, Turkey.
| | - Hatice Aksu
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Ulku Akyol Ardic
- Denizli State Hospital, Child and Adolescent Psychiatry, Denizli, Turkey.
| | - Senem Basgul
- Hasan Kalyoncu University, Department of Psychology, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Oznur Bilac
- Manisa Mental Health and Diseases Hospital Child and Adolescent Psychiatry, Manisa, Turkey.
| | - Murat Coskun
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gonca Gul Celik
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Sevcan Karakoc Demirkaya
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Onur Burak Dursun
- Ataturk University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erzurum, Turkey.
| | - Ibrahim Durukan
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Tulin Fidan
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Salih Gencoglan
- Yuzuncu Yil University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Van, Turkey.
| | - Cem Gokcen
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Emel Sari Gokten
- University of Health Sciences, Bursa Yuksek Ihtisas Hospital, Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Isık Gorker
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Vahdet Gormez
- Istanbul Medeniyet University, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ozlem Yildiz Gundogdu
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Cihat Kagan Gurkan
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Sabri Herguner
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Hasan Kandemir
- Harran University Faculty of Medicine, Child and Adolescent Psychiatry Department, Sanliurfa, Turkey.
| | - Birim Gunay Kilic
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ayse Kilincaslan
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Tuba Mutluer
- Van Training and Research Hospital, Department of Child and Adolescent Psychiatry, Van, Turkey.
| | - Serhat Nasiroglu
- Sakarya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Sakarya, Turkey.
| | - Ozlem Ozel Ozcan
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Mucahit Ozturk
- Hasan Kalyoncu University, Department of Psychology, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Sermin Yalin Sapmaz
- Celal Bayar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Manisa, Turkey.
| | - Serkan Suren
- Samsun Medical Park Hospital, Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Nilfer Sahin
- Mugla Sitki Kocman University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mugla, Turkey.
| | - Aysegul Yolga Tahiroglu
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Fevziye Toros
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Fatih Unal
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Pinar Vural
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | | | - Kemal Utku Yazici
- Firat University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey.
| | - Veli Yildirim
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Yasemin Yulaf
- Private Practice, Child and Adolescent Psychiatry, Tekirdag, Turkey.
| | - Murat Yuce
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Tugba Yuksel
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Devrim Akdemir
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hatice Altun
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Basak Ayik
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ayhan Bilgic
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Ozlem Hekim Bozkurt
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Emine Demirbas Cakir
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Veysi Ceri
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nagehan Ucok Demir
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gulser Dinc
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mustafa Yasin Irmak
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Dursun Karaman
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Fatih Kinik
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Betul Mazlum
- Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nursu Cakin Memik
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Dilsad Foto Ozdemir
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hayati Sinir
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Bedia Ince Tasdelen
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Beril Taskin
- Private Doctor, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Cagatay Ugur
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Pınar Uran
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Taciser Uysal
- Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey.
| | - Ozden Sukran Uneri
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Savas Yilmaz
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Sultan Seval Yilmaz
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Burak Acikel
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Huseyin Aktas
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Rumeysa Alaca
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Betul Gul Alic
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mahmoud Almbaidheen
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Fatma Pinar Ari
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Cihan Aslan
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ender Atabay
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Merve Gunay Ay
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hilal Aydemir
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Gülseda Ayranci
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Zehra Babadagi
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Hasan Bayar
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Pelin Con Bayhan
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Ozlem Bayram
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Nese Dikmeer Bektas
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Kivanc Kudret Berberoglu
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Recep Bostan
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Yasemin Cakan
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Merve Arici Canli
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Akif Cansiz
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Cansin Ceylan
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Nese Coskun
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Seyma Coskun
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Ibrahim Demir
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Nuran Demir
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Esen Yildirim Demirdogen
- Ataturk University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erzurum, Turkey.
| | - Busra Dogan
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Yunus Emre Donmez
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Funda Donder
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Aysegul Efe
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Safak Eray
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Seda Erbilgin
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Semih Erden
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Elif Gokce Ersoy
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Tugba Eseroglu
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Sumeyra Kina Firat
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ezgi Eynalli Gok
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Seyda Celik Goksoy
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gulen Guler
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Zafer Gules
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Gulay Gunay
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Serkan Gunes
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Adem Gunes
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gokcen Guven
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Havvana Horozcu
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ayse Irmak
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Umit Isik
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Ozlem Kahraman
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Bilge Merve Kalayci
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Umut Karaaslan
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Mehmet Karadag
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Hilal Tugba Kilic
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Fethiye Kilicaslan
- Harran University Faculty of Medicine, Child and Adolescent Psychiatry Department, Sanliurfa, Turkey.
| | - Duygu Kinay
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Esra Bulanik Koc
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Omer Kocael
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Rahime Kadir Mutlu
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Zejnep San
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Kevser Nalbant
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Nilufer Okumus
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Fatih Ozbek
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Fatma Akkus Ozdemir
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hanife Ozdemir
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Borte Gurbuz Ozgur
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Selcuk Ozkan
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Esra Yildirim Ozyurt
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Berna Polat
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Hatice Polat
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Ebru Sekmen
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Sertcelik
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Feyza Hatice Sevgen
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Oguz Sevince
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Ulker Shamkhalova
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Funda Suleyman
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nurcan Eren Simsek
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Yasar Tanir
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Tekden
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Seyhan Temtek
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Melike Topal
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Zehra Topal
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Tugba Turk
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Halit Necmi Ucar
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Filiz Ucar
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Duygu Uygun
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Necati Uzun
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Zeynep Vatansever
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Neslihan Gokce Yazgili
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Dilsad Miniksar Yildiz
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Nazike Yildiz
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Eyup Sabri Ercan
- Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey.
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19
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Senol V, Unalan D, Akca RP, Basturk M. Prevalence of attention-deficit/hyperactivity and other disruptive behaviour disorder symptoms among primary school-age children in Kayseri, Turkey. J Int Med Res 2017; 46:122-134. [PMID: 28730860 PMCID: PMC6011308 DOI: 10.1177/0300060517712865] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objectives This study aimed to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD), and their influencing factors on primary school-age children. Methods This cross-sectional study was conducted among 2045 students, 7-15 years old, who were randomly selected from seven schools in Kayseri, Turkey, in 2012. Participants were stratified by socioeconomic status. Data were collected using the Turgay DSM-IV-Based Child and Adolescent Behavioural Disorders Screening and Rating Scale (T-DSM-IV-S). For statistical analyses, the t-test and analysis of variance were used. Results Rates of disruptive behaviour disorders (DBDs) among children were as follows: ADHD, 6.2%; CD, 14.4%; and ODD, 6.7%. The prevalence of ADHD was higher in boys and children whose mothers were homemakers and from poorly-educated and low-income families, compared with their peers. CD was more prevalent among boys and children 13-15 years old, whose parents had low income levels and were separated. ODD was higher in boys and children whose mothers were homemakers. Conclusions Our findings suggest that the overall prevalence of DBDs in our study area is 27.4%, which is similar to the pooled worldwide prevalence. Adverse family factors are closely associated with the prevalence of DBDs.
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Affiliation(s)
- Vesile Senol
- 1 Health Services Vocational College, Erciyes University, Kayseri, Turkey
| | - Demet Unalan
- 1 Health Services Vocational College, Erciyes University, Kayseri, Turkey
| | - Raziye Peksen Akca
- 2 Develi Hüseyin Şahin Vocational School, Erciyes University, Kayseri, Turkey
| | - Mustafa Basturk
- 3 Department of Psychiatry, Erciyes University, Kayseri, Turkey
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