2
|
Güneş H, Tanıdır C, Doktur H, Yılmaz S, Yıldız D, Özbek F, Bozbey S, Özşirin G. Prenatal, perinatal, postnatal risk factors, and excess screen time in autism spectrum disorder. Pediatr Int 2023; 65:e15383. [PMID: 36210656 DOI: 10.1111/ped.15383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/16/2022] [Accepted: 10/07/2022] [Indexed: 02/11/2023]
Abstract
BACKGROUND The aim of this study was to investigate pre-, peri-, and postnatal factors, screen time in a group of patients with autism spectrum disorder (ASD) and age and sex-matched clinical controls to evaluate risk factors specific to ASD. METHODS The study included 211 ASD patients (177 boys, 34 girls; mean age 44.3 ± 13.0 months) and 241 (190 boys, 51 girls; mean age 44.6 ± 14.1 months) age and sex group matched clinical controls. Non-ASD diagnoses were expressive language disorder (n = 135, 56.0%), intellectual disability (n = 15, 6.2%), attention deficit-hyperactivity disorder (n = 6, 2.4%), oppositional disorder (n = 6, 2.4%), and other behavioral or emotional problems (no diagnosis; n = 79, 32.8%). A sociodemographic data form was used to collect data regarding pre-, peri-, and postnatal factors and total daily screen exposure. RESULTS According to our findings, maternal severe psychological stress and depression during pregnancy, and maternal postpartum depression were more frequent in the ASD group (p = 0.005, p = 0.035, and p = 0.001 respectively). There was a statistically significant difference between groups with regards to maternal any medication use during pregnancy (p = 0.004). The mean duration of daily screen exposure was higher in the ASD group (9.90 ± 5.10 h) compared to non-ASD children (4.46 ± 3.40 h; p < 0.001). A ROC curve showed that 8.5 h and above total daily screen exposure (AUC = 0.808 [95% CI: 0.769-0.848], p < 0.001; 55% sensitivity, 90.5% specificity) is likely to be associated with increased risk for ASD. CONCLUSION Our study suggests that prenatal maternal psychological stress, prenatal and postpartum depression, and excess exposure to screen might be related to an increased risk for ASD.
Collapse
Affiliation(s)
- Hatice Güneş
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| | - Canan Tanıdır
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| | - Hilal Doktur
- Department of Child and Adolescent Psychiatry, Bakirkoy Training and Research Hospital for Mental Health and Neurological Disorders, Istanbul, Turkey
| | | | - Deniz Yıldız
- Department of Child Development, Istanbul Gelisim University, Istanbul, Turkey
| | - Fatih Özbek
- Department of Child and Adolescent Psychiatry, Gaziosmanpasa Training and Research Hospital, Istanbul, Turkey
| | - Sema Bozbey
- Department of Child and Adolescent Psychiatry, Luleburgaz State Hospital, Istanbul, Turkey
| | - Gülşah Özşirin
- Mental Health Department Bahcelievler, District Health Directorate, Istanbul, Turkey
| |
Collapse
|
3
|
Dursun OB, Turan B, Öğütlü H, Binici NC, Örengül AC, Alataş E, Özdemir RM, Taşlıbeyaz E, Karaman S, Mukaddes NM, on behalf of Turkish Autism Workgroup, Alkaşi A, Bozkurt A, Güneş A, Çevikaslan A, Erol A, Kiliçoğlu AG, Karayağmurlu A, Beşenek AM, Aral A, Adanir AS, Birdir A, Mustan AT, Karaboğa AEÇ, Çiçek AU, Arman A, Ayaz AB, Büyükaslan A, Ay B, Ayik B, Karabucak B, Şahin B, Kalayci BM, Ocakoğlu BK, Özgür BG, Özcan BG, Karakpici B, Tumba C, İnce C, Tanıdır C, Mutlu C, Ceylan C, Kaya C, Achmet CCC, Aslan C, Yalvaç ÇT, Yektaş Ç, Bilginer Ç, Çildir DA, Yıldız D, Sapmaz D, Ayyıldız D, Varmış DA, Güntepe D, Yılmaz D, Kaba D, Karagöz D, Kınay D, Türe ES, Topçu E, Şentürk E, İşeri E, Özen E, Taşyürek E, Atabay E, Çöp E, Güney E, Güzel E, Aşıkhasanoglu EÖ, Demirdöğen EŞ, Çelebi F, Özbek F, Durmuş FB, Ari F, Yıldırım F, Gümüştaş F, Güven G, Yücel Gİ, Coşun GN, Ulaş G, Bulut GÇ, Ayaz G, Karaçetin G, Dinç GŞ, Kara H, Harmancı H, Toz Hİ, Aykutlu HC, Kandemir H, Güneş H, Genç HA, Gül H, Doğru H, Adaletli H, Kılıç HT, Aktaş H, Esin İS, Erdoğan İ, Kaya İ, Çimen İD, Kirtil İY, Nalbant K, Tarakçıoğlu MC, Çakır M, Kara MZ, Kinik MF, Karadağ M, Sertçelik M, Şahin M, Keleş M, Topal M, Terzioğlu MA, Çolpan M, Demirtaş ME, Onat M, Usta MB, Coşkun M, Gülşen M, Erkan MC, Bahalı MK, Demir N, Çetin NK, Kilit N, Ayaz N, Çetin NY, Nilüfer, Aliyev O, Demir N, Şimşek NE, Ünaldi N, Soylu N, Bilgin N, Fındık OTP, Yüzügüldü O, Demir O, Kocaman O, Tuncer ÖF, Küçük Ö, Üneri Ö, Çoban ÖG, Yalçin Ö, Hekim Ö, Keskiner Ö, Uzun Ö, Algedik P, Yılmaz R, Bostan R, Sanberk S, Gün SE, Yilmaz S, Aksu S, Özkan S, Hesapçioğlu ST, Erden S, Arslan SC, Çelenay S, Kala S, Nasiroğlu S, Karakoç S, Çiçek S, Hocaoğlu S, Avcil S, Derin S, Yilmaz SS, Fırat S, Eray Ş, Kilinçel Ş, Coşkun Ş, Uysal T, Kadak T, Karaosman T, Mutluer T, Soylemez TE, Kalyoncu T, Fidan T, Kaytanli U, Gündoğdu Ü, Gündüz Y, Torun YT, Yulaf Y, Güleş Z, Babadaği Z. A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program. Autism Res 2022. [DOI: 10.1002/aur.2813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Onur Burak Dursun
- General Directorate of Health Services, Autism, Mental Special Needs and Rare Diseases Department Turkish Ministry of Health Ankara Turkey
| | - Bahadır Turan
- Department of Child and Adolescent Psychiatry Karadeniz Technical University Trabzon Turkey
| | - Hakan Öğütlü
- Department of Child and Adolescent Psychiatry Ankara City Hospital Ankara Turkey
| | - Nagihan Cevher Binici
- Department of Child and Adolescent Psychiatry Dr. Behcet Uz Child Disease and Pediatric Surgery Training and Research Hospital Izmır Turkey
| | | | - Esra Alataş
- General Directorate of Public Health Turkish Ministry of Health Ankara Turkey
| | - Rabia Madan Özdemir
- General Directorate of Health Services, Autism, Mental Special Needs and Rare Diseases Department Turkish Ministry of Health Ankara Turkey
| | - Elif Taşlıbeyaz
- Faculty of Computer and Instructional Technologies Education Erzincan University Erzincan Turkey
| | - Selçuk Karaman
- Department of Management and Information Systems Hacı Bayram Veli University Ankara Turkey
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
4
|
Güneş H, Tanıdır C, Doktur H, Karaçetin G, Kılıçoğlu AG, Yalçın Ö, Bahalı MK, Mutlu C, Üneri ÖŞ, Erdoğan A. Long-Term Effects of Lithium Use on Children and Adolescents: A Retrospective Study from Turkey. J Child Adolesc Psychopharmacol 2022; 32:162-170. [PMID: 35384703 DOI: 10.1089/cap.2021.0066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: The aim of this study was to evaluate the long-term effects of lithium treatment on white blood cell (WBC) count, serum creatinine, and thyroid-stimulating hormone (TSH) levels in children and adolescents with bipolar disorder (BD) and non-BD in a Turkish children and adolescent sample. Methods: The study is based on retrospective chart review. Children and adolescent patients with BD and non-BD prescribed lithium in a mental health and neurological disorders hospital between 2012 and 2017 were included in the study. Data were collected from the electronic medical files. Laboratory values for WBC count, serum creatinine, and TSH levels at baseline within the week before the onset of lithium, and at 1st, 3rd, 6th, and 12th month of treatment were recorded. Results: A total of 143 patients (82 females, 61 males; 100 BD, 43 non-BD) aged 9-18 were included. Non-BD diagnoses were psychotic and schizoaffective disorders, unipolar depression, attention-deficit/hyperactivity disorder, conduct disorder, severe mood dysregulation syndrome, borderline personality disorder, and autism. Mean age of the participants were 15.90 ± 1.16 years for the bipolar group and 14.88 ± 1.79 years for the nonbipolar group. Patients with BD reported more adverse effects. There was a statistically significant increase in WBC counts and TSH levels at any time point. A statistically significant elevation in serum creatinine was found at 3rd and 12th month of treatment. During the course of lithium treatment, WBC counts exceeded 13,000 in 14 (9.8%) patients, and TSH levels exceeded 5.5 mU/L in 41 patients (28.6%). Twenty-one (14.68%) patients were started on thyroxin replacement. Basal TSH levels and duration of the lithium treatment were higher in the participants with TSH levels exceeding 5.5 mU/L. Lithium maximum dose, lithium blood level, basal TSH level, and duration of treatment were higher in the participants receiving thyroxin replacement. No patients had serum creatinine levels exceeding the normal reference values. Conclusion: Our study suggests that lithium is a generally safe and tolerable agent for children and adolescents with BD and non-BD; however, close monitoring of thyroid functions particularly in patients with a higher basal TSH level and longer duration of lithium use is important.
Collapse
Affiliation(s)
- Hatice Güneş
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| | - Canan Tanıdır
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| | - Hilal Doktur
- Department of Child and Adolescent Psychiatry, Bakirkoy Training and Research Hospital for Mental Health and Neurological Disorders, Istanbul, Turkey
| | - Gül Karaçetin
- Department of Child and Adolescent Psychiatry, Bakirkoy Training and Research Hospital for Mental Health and Neurological Disorders, Istanbul, Turkey
| | - Ali Güven Kılıçoğlu
- Department of Child and Adolescent Psychiatry, Bezm-i Alem Vakıf University, Istanbul, Turkey
| | - Özhan Yalçın
- Department of Child and Adolescent Psychiatry, Ankara University Faculty of Medicine, Ankara, Turkey
| | | | - Caner Mutlu
- Department of Child and Adolescent Psychiatry, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
| | | | - Ayten Erdoğan
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| |
Collapse
|
5
|
Onal H, Kutlu E, Aydın B, Ersen A, Topal N, Adal E, Güneş H, Doktur H, Tanıdır C, Pirhan D, Sayın N. Assessment of retinal thickness as a marker of brain masculinization in children with congenital adrenal hyperplasia: a pilot study. J Pediatr Endocrinol Metab 2019; 32:683-687. [PMID: 31199773 DOI: 10.1515/jpem-2018-0397] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Accepted: 04/01/2019] [Indexed: 01/05/2023]
Abstract
Objective To investigate the relationship between brain masculinization and retinal thickness in children with congenital adrenal hyperplasia (CAH). Methods Forty-five patients with CAH aged between 4 and 18 years and 30 age-matched healthy controls were included in this prospective study. Macular area was examined with optical coherence tomography (OCT); central subfield thickness (CST), cube volume (CV) and macular retinal thickness (MT) were measured in each subject. A gender identity questionnaire (GIQ) was used for the evaluation of gender happiness index. Results Girls with CAH had a higher CV (p = 0.002) and MT (p = 0.003) than healthy girls. No significant difference was found between boys with CAH and healthy boys regarding the retinal thickness measurements. Mean CST, CV and MT were significantly higher in boys than in girls in the control group (p = 0.013, p < 0.001, respectively), but there was no significant difference in those parameters between girls and boys with CAH. The gender happiness index was not different between healthy boys and boys with CAH, but was significantly lower in girls with CAH than healthy girls (p = 0.01). Conclusions As retina is part of the brain, our finding appears to be a morphological evidence of the excess androgen exposure on brain structures in girls with CAH. In addition, we suggest using retinal thickness measurements as a marker of prenatal excess androgen exposure in future studies.
Collapse
Affiliation(s)
- Hasan Onal
- Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Pediatric Endocrinology and Metabolism, Istanbul, Turkey
| | - Esra Kutlu
- Bezmialem Vakif Universitesi, Tip Fakultesi, Pediatric Endocrinology, Istanbul, Turkey
| | - Banu Aydın
- Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Pediatric Endocrinology and Metabolism, Istanbul, Turkey
| | - Atilla Ersen
- Okmeydanı Research and Training Hospital, Department of Pediatrics, Istanbul, Turkey
| | - Neval Topal
- Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Pediatric Endocrinology and Metabolism, Istanbul, Turkey
| | - Erdal Adal
- Medipol University Faculty of Medicine, Department of Pediatric Endocrinology and Metabolism, Istanbul, Turkey
| | - Hatice Güneş
- Bakirkoy Prof. Dr. Mazhar Osman Education and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
| | - Hilal Doktur
- Bakirkoy Prof. Dr. Mazhar Osman Education and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
| | - Canan Tanıdır
- Istanbul Gelisim Universitesi, Psychology, Istanbul, Turkey
| | - Dilara Pirhan
- Kocaeli University School of Medicine, Ophthalmology Department, Kocaeli, Turkey
| | - Nihat Sayın
- Health Sciences University, Kanuni Sultan Suleyman Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey
| |
Collapse
|
6
|
Baytunca MB, Kalyoncu T, Ozel I, Erermis S, Kayahan B, Ongur D, Aykut DS, Gül HK, Elmas TŞ, Aydın M, İlhan BÇ, Çokünlü Y, Eren İ, Ozdemir İ, Gokcen O, Kuru E, Demir E, Ünal G, Arıcıoğlu F, Nur Hazar Yavuz A, Aydın O, Balıkçı K, Taş C, Aydın PÜ, Torun D, Kayır H, Danacı AE, Ölmez SB, Ataoğlu BB, Kocagöz ZB, Yazar N, Ataoğlu A, Özçetin A, Asoğlu M, Asoğlu M, Doğan H, Öztop DB, Eker ÖO, Özsoy SD, Ekinci Ö, Okuyaz Ç, Güneş S, Direk MÇ, Ekinci N, Teke H, Kalınlı M, Yalvaç ÇT, Fidan T, Sarı BA, Özkula G, Karaokur R, Esen HTÇ, Uysal SA, Gül H, Güngör O, Sapmaz ŞY, Demirgören BS, Öztürk M, Bilaç Ö, Erkuran HÖ, Köroğlu E, Aydemir Ö, Yazici KU, Yazici IP, Ustundag B, Altun H, Şahin N, Kurutaş EB, Güngör O, Şahin N, Altun H, Belge Kurutaş E, Balkan D, Karaş H, Mutlu E, Birgül Baran S, Dayı A, Şükrü Gürbüz F, Zinnur Kılıç E, Giynas Ayhan M, Seven H, Hakan Öztürk A, Kırcı Ercan S, Demirel B, Eren İ, Selçuk M, Ibrahim Ozturk H, Atila Uygur H, Varsak N, Ozbek S, Eren I, Erdoğan A, Canan F, Ceren Pak Ş, Murat Kuloğlu M, Kuş S, Öztürk M, Özdemir İ, Kuru E, Şafak Y, Volkan Şahiner İ, Şahiner Ş, Kuru E, Ozturk M, Ozdemir İ, Volkan Sahiner İ, Safak Y, Ozdemir İ, Kuru E, Ozturk M, Volkan Sahiner İ, Safak Y, Ekinci S, Uğur Kural H, Varlık C, Ünübol H, İclal Balak Z, Bakirhan A, Yalcin Sahiner S, Safak Y, Özbek S, Güler İ, Eren İ, Yıldırım Özbek S, Er M, Demirel B, Selçuk M, Tolu İ, Ugur C, Sertceli̇k M, Uneri O, Senses Dinc G, Sekmen E, Solmaz E, Balıkçı K, Aydın O, Taş C, Ünal Aydın P, Torun D, Kayır H, Esen Danacı A, Ayrıbaş B, Sayar K, Öztürk P, Zincir S, Yükselir C, Ersan Unal F, Gıca Ş, Gürsu Hariri A, Dikeç G, Baysan Arabacı L, Uzunoğlu G, Demet Mızrak S, Yektaş Ç, Paşabeyoğlu B, Erdoğan A, Mutlu C, Demirtaş Şahin T, Utkan T, Karson A, Selcen Gocmez S, Aricioglu F, Tağcı S, Demirkaya SK, Aksu H, Badur İ, Çıtak S, Bakar B, Avcı SH, Yüksellr C, Zincir S, Öztürk P, Ataoğlu A, Ataoğlu S, Ankaralı H, Bahar Ataoğlu B, Bahar Ölmez S, Ataoğlu A, Ataoğlu S, Ankaralı H, Bahar Ataoğlu B, Bahar Ölmez S, Ulusoy Kaymak S, Norçin Demirtaş S, Uğurlu M, İlhan Atagün M, Karakaş Uğurlu G, Süleyman Can S, Koç Z, Çayköylü A, Kaşak M, Hesapçıoğlu ST, Ceylan MF, Güneş H, Hergüner S, Tanıdır C, Adaletli H, Önal Z, Kutlu E, Önal H, Münir K, Nasıroğlu S, Semerci B, Saday Duman N, Sarı Gökten E, Nadir Rana H, Özdemiroğlu F, Öykü Memiş Ç, Doğan B, Karakuş K, Sevinçok L, Çukurova M, Bağ S, Karşıdağ Ç, Şahmelikoğlu Ö, Akay Ö, Yalçın S, Kutlu G, Aykut DS, Kocagöz K, Arslan FC, Karagüzel EÖ, Tiryaki A, Ekinci Ö, Okuyaz Ç, Güneş S, Ekinci N, Örekeci G, Direk MÇ, Köroğlu E, Sayar K, Topçuoğlu V, Ataoğlu A, Ataoğlu S, Ankaralı H, Bahar Ataoğlu B, Bahar Ölmez S, Ataoğlu S, Ankaralı H, Ataoğlu A, Ankaralı S, Bahar Ataoğlu B, Bahar Ölmez S, Fındıklı E, Onur ÖŞ, Cesur E, Ünal GT, Yalçın S, Çukurova M, Bağ S, Karşıdağ Ç, Tüzer MY, Onur ÖŞ, Yalçın S, Şahmelikoğlu Onur Ö, Yalçın D, Yıldız Aydın F, Bağ S, Aytaç HM, Aydın N, Asoğlu M, Gül A, Gül H, Ceviz Ozkal U, Kıncır Z, Gültekin G, Emul M, Yeşil B, Ünal S, Asoğlu M, Ay H, Aykut DS, Civil Arslan F, Özkorumak Karagüzel E, Selçuk E, Uysal S, Çakır A, Tiryaki A, Asoğlu M, Gormez V, Cahid Örengül A, Yeşil B, Han Almış B, Kıvrak Y, Taşdelen Y, Yağcı İ, Aydın F, Kıvrak Y, Yağcı İ, Ekinci Ö, Okuyaz Ç, Güneş S, Ekinci N, Kalınlı M, Emin Tan M, Teke H, Baran SB, Kocabaş O, Öykü Memiş Ç, Doğan B, Sevinçok L, Sağlam Aykut D, Civil Arslan F, Yıldırım M, Uysal E, Güven S, Tiryaki A, Sezer G, Sezer Z, Asoğlu M, Çetin İ, Faruk Demirel Ö. 9th International Congress on Psychopharmacology & 5th International Symposium on Child and Adolescent Psychopharmacology. PSYCHIAT CLIN PSYCH 2017. [DOI: 10.1080/24750573.2017.1308706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|