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Öğe A Study on Premenstrual Syndrome and Obsessive-Compulsive Symptoms Among University Students: A Cross-Sectional Study(Türkiye Klinikleri, 2025) Kaymaz, Nazan; Ertekin, Hülya; Kasap, Tolga; Şirin, HandeObjective: The present study aimed to investigate the potential correlation between Premenstrual syndrome (PMS) and obsessive-compulsive symptoms (OCS) among university students. Material and Methods: A cross-sectional study was conducted with female students from & Ccedil;anakkale Onsekiz Mart University, excluding those with neuropsychiatric or chronic physical illnesses. The data included sociodemographics (age, height, weight, economic status, menstrual cycle characteristics) and health behaviors (smoking, alcohol consumption). Premenstrual symptoms were evaluated with the PMS Scale (PMSS) and OCS with the Maudsley Obsessional-Compulsive Inventory (MOCIT). Participants were grouped based on PMSS scores indicating PMS presence, and correlation and regression analyses explored the relationship between PMS and OCS. Results: A total of 552 females aged 18-24 (mean age: 20.22 +/- 1.56) participated, with 74.2% (n=410) reporting PMS. PMS individuals had markedly higher total MOCI-T scores than non-PMS individuals (p <= 0.001). PMSS dimensions (except for abdominal bloating and appetite changes) showed associations with MOCI-T, with rumination exhibiting the strongest positive correlations (p <= 0.001). MOCI-T scores also correlated significantly with anxiety and depressive thoughts, with anxiety having a slightly stronger impact (B=0.315, (3=0.318, p <= 0.001 vs B=0.174, (3=0.194, p <= 0.001). Conclusion: The results indicate a significant link between PMS and OCS, emphasizing the intertwining of menstrual health and mental well-being in young females. Moreover, the correlations between PMS dimensions, OCS, and psychological factors like anxiety and depressive thoughts suggest a multifaceted relationship deserving a further study.Öğe Examination of relationship factors between psychological resilience and social support in adolescent obesity(Elsevier, 2023) Uzun, Mehmet Erdem; Kara, Özlem; Şirin, Hande; Kaymaz, NazanPurpose: Childhood obesity is one of the most severe public health problems, and psychiatric conditions have been associated with obesity. In this study, we aimed to investigate psychological resilience and possible related factors in adolescents with obesity. Method: The study included 90 adolescents with obesity and 100 healthy adolescents of similar age. Data were collected using a sociodemographic information form, the Child and Youth Resilience Measure-28 (CYRM-28), and the Multidimensional Scale of Perceived Social Support. Scale scores were compared by Pearson's correlation coefficient test with SPSS-23. Multiple linear regression was performed to describe the relationships between variables. Results: The adolescents participating in the study were similar in terms of age and gender. Psychological resilience and social support in the obesity group were lower than in the control group (p < 0.05). A negative relationship was found between body mass index (BMI) and resilience levels of adolescents with obesity, and a positive relationship was found between social support and resilience levels (p = 0.027 and p < 0.001, respectively). The perceived family and significant other social support subscale scores of adolescents in the obesity group were significantly lower than in the control group (p = 0.037 and p = 0.023, respectively). The most related variable with the CYRM-28 was the level of perceived social support: standardized β = 0.409; t(151) = 5.626; p < 0.001. Conclusion: A higher BMI has a negative effect on psychological resilience, and family support tends to be lower in these cases. New studies are needed to clarify whether this result is one of the causes of obesity or one of its consequences.Öğe Pre-conception folic acid intake and attention deficit and hyperactivity disorder in children(Prusa Medical Publishing, 2023) Uzun, Mehmet Erdem; Kaymaz, Nazan; Aylanç, Hakan; Gökten, Emel Sarı; Şirin, Hande; Şehitoğlu, M.HilalObjectives: Attention Deficit Hyperactivity Disorder (ADHD) is a common disorder in children. It is thought to occur due to the interaction of many genetic and environmental factors during early development. Many studies have been conducted to investigate the etiology of ADHD. Some have investigated neurobiology, and others have investigated malnutrition and trace element deficiency. To investigate the effect of folic acid intake during the pre-conception period in terms of ADHD development. Methods: Five hundred and ninety-eight participants, 246 children with ADHD, and 352 healthy controls were enrolled. A questionnaire was completed, including socio-demographic information and the use of folic acid and other supplements such as a multivitamin, iron, and omega 3 during pregnancy. Data were examined to determine associations with ADHD. Mann-Whitney U tests for continuous variables, Pearson’s chi-square, and Fisher’s exact tests for categorical variables were used to compare groups. Results: The use of folic acid during pre-pregnancy among mothers who had a child with ADHD was 13% and this was 31% in the control group (p < 0.001). There was no statistically significant difference between the groups’ use of folic acid in pregnancy (p = 0.617). Other situations related to ADHD were advanced maternal age (p < 0.001 for both groups), abnormal double screening test results in pregnancy (27% vs. 5%, p < 0.001) and omega 3 use in pregnancy (p < 0.001). Conclusions: The use of folic acid before and during pregnancy is important for neurological development. However, there is little data on use before pregnancy in the literature. This study shows that folic acid taken before pregnancy may prevent ADHD in childhood. The present study recommends folic acid usage in planned pregnancy to prevent ADHD in the child.Öğe The Impact of BMI on Self-Concept in Adolescents with Pubertal Gynecomastia(Uludağ Üniversitesi, 2025) Kaymaz, Nazan; Kara, Özlem; Kasap, Tolga; Uzun, Mehmet Erdem; Şirin, HandeIntroduction Physiological changes in the body may result in anxiety and impaired self-concept during adolescence. Although temporary, pubertal gynecomastia (PG) may cause negative emotions that interrupt the development of self-concept by causing a physical appearance that does not fit the male gender. This paper aimed to identify whether the self-concept level of adolescents with PG is moderated by their anthropometrics. Materials and Methods This case-control study included adolescent males, with pubertal stage assessed using the Marshall and Tanner criteria. PG was diagnosed by palpation of a subareolar glandular disc. Anthropometric measurements were obtained by trained pediatric endocrinology clinic staff, and self-concept was evaluated using the Piers-Harris Children’s Self-Concept Scale (PHCSCS). To specify relationships correlation and regression analysis were examined. Results The study included 38 adolescents with PG and 61 age- and pubertal stage-matched controls. BMI was significantly higher in the PG group, and self-concept scores declined with increasing BMI (p=0.044; r=-0.437, p=0.006). PG subjects at Tanner Stage 3 were shorter than controls (p=0.03) and had lower happiness and behavior subscale scores (p=0.01; p=0.04). PG duration was negatively correlated with total self-concept (r=-0.400, p=0.013) and the subscales of happiness (r=-0.456), behavior (r=-0.334), and physical appearance (r=-0.354). Conclusion Adolescents with PG demonstrated lower self-concept, particularly in relation to higher BMI, shorter stature at mid-puberty, and prolonged symptom duration. These findings highlight the need for early psychosocial support in affected individuals.Öğe The Impact of Lipomastia on Self-Esteem and Social Anxiety in Adolescents with Obesity(Canadian Acad Child & Adolescent Psychiatry, 2025) Kara, Özlem; Kaymaz, Nazan; Şirin, Hande; Uzun, Mehmet ErdemBackground: Obesity can negatively impact adolescents' self-esteem, and lipomastia can further complicate the situation. Objective: The current study endeavors to examine the influence of lipomastia on the levels of social anxiety and self-esteem in individuals with obesity. Methods: Seventy adolescent male outpatients with obesity completed a form of demographics, the SAS-A (Social Anxiety Scale for Adolescents), and the Rosenberg Self-Esteem Scale (RSES-10 item). Participants were stratified according to the presence of lipomastia, and correlation analyses were conducted to investigate the association between social anxiety and self-esteem in relation to lipomastia. Results: No significant difference was found between the lipomastia and non-lipomastia groups regarding self-esteem. While the lipomastia group had slightly higher overall social anxiety scores, significant differences were noted only in fear of negative evaluation. There was no relationship between the SAS-A total score and anthropometric measurements in both groups. However, a negative relationship was observed between self-esteem and anthropometric measurements in the lipomastia group, whereas such a relationship was not observed in the control group. Conclusion: Adolescents with lipomastia showed higher social anxiety, particularly fear of negative evaluation, despite similar demographic and anthropometric characteristics to their peers. Higher BMI correlated with lower self-esteem, highlighting the complex interplay between body image, self-esteem, and social anxiety. These findings underscore the need for targeted interventions to support adolescents with obesity and lipomastia.
