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Öğe Adolescent mental health, attachment characteristics, and unexplained chest pain: a case-control study(Taylor & Francis Ltd, 2019) Bolat, Nurullah; Eliacik, Kayi; Yavuz, Mesut; Kanik, Ali; Mertek, Hilal; Guven, Baris; Dogrusoz, BuketOBJECTIVES: Psychological factors may be the underlying causes in unexplained chest pain (UCP). Chest pain symptom may influence the emotional status and peer relationships of the children and adolescents negatively. However, the number of studies focussing on the aetiology and consequences of the adolescent UCP are still limited. The aim of this study is to investigate the relationships among psychological problems, attachment characteristics, and the UCP in a group of adolescents. METHODS: Seventy-three adolescents with UCP and seventy-one healthy adolescents were included in the study. The adolescents completed the short form of Inventory of Parent and Peer Attachment (s-IPPA), and Strengths and Difficulties Questionnaire (SDQ), while their parents completed the parental form of the SDQ. RESULTS: Contrary to expectations, there was no significant interaction between total parental attachment levels and UCP in the adolescents with UCP. There were significant correlations between the attachment problems and total difficulties score of SDQ. Binary logistic regression analysis revealed that higher emotional and conduct problems and lower pro-social characteristics predict the UCP in adolescents, significantly. CONCLUSIONS: The results suggested that emotional/behavioural problems and lower pro-social behaviour scores are associated with UCP. However, further studies are needed for better understanding about the relationships between the UCP and attachment quality.Öğe Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning(Wiley, 2020) Eliacik, Kayi; Bolat, Nurullah; Kanik, Ali; Malas, Nasuh; Demircan, Tulay; Hortu, Hacer; Ozyurt, GoncaAim Chest pain is common in adolescence, but there are no established criteria for managing this problem, which is rarely associated with cardiac disease. This study addressed the gaps in the literature by evaluating psychosocial factors that could be associated with medically unexplained chest pain. Methods We consecutively selected 100 patients (68% girls) aged 13-18 who were diagnosed with unexplained chest pain when they presented to the cardiology outpatient clinics of Tepecik Research Hospital, Izmir, Turkey, between 30 September 2015 and 30 June 2018. The controls were 76 age- and sex-matched adolescents (69% girls) aged 13-18 who were undergoing routine cardiology assessments before joining sports clubs. We assessed their health-related quality of life and any depression and physical symptoms. Results Regression analysis showed some adolescents were a number of times more likely to report chest pain. These included those who reported boredom (4.1 times), felt stressed or anxious (2.2) and those who experienced sleep disturbance (2.6), co-morbid headaches (2.0), back pain (3.1) and impaired social functioning (1.2). Conclusion The results indicated a significant association between unexplained chest pain and physical symptoms, depression and impaired emotional and social functioning. These factors warrant further evaluation.Öğe Anxiety disorder and eating habits in adolescents with gastroesophageal reflux disease(Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2018) Ozbeyler, Omer; Eliacik, Kayi; Uzum, Ozlem; Kanik, Ali; Cagan Appak, Yeliz; Karakoyun, Miray; Orbatu, DilekObjective: It was aimed to evaluate the relationship between eating habits and reflux by investigating eating habits in adolescent patients with gastroesophageal reflux disease, and also to assess the interplay between gastroesophageal reflux disease and anxiety. Methods: We included patients between the ages of 12 and 18 diagnosed as gastroesophageal reflux disease in the pediatric gastroenterology outpatient clinic but who had not yet been treated. The control group consisted of age matched adolescents who applied for upper respiratory tract infection. The relationship between eating habits and reflux was assessed with Adolescent Nutrition Checklist, and relationship between gastroesophageal reflux disease and anxiety was assessed with Anxiety Disorder Screening Questionnaire. Results: Seventy adolescents with reflux disease and 67 adolescents as the control group were included in the study. There was no significant difference between the groups regarding the eating habits and anxiety scores. However, it was seen that most of the patients in both groups. had poor eating habits and higher general anxiety score. Conclusion: No relation was found between the gastroesophageal reflux disease, anxiety and eating habits in adolescents. These results suggested that reflux disease should be separated from other gastrointestinal complaints such as abdominal pain which may be psychosomatic. However, there was a quantitative increment in poor eating habits in those with gastroesophageal reflux disease. For this reason there is a need for further studies which investigate the eating habits with a larger sample size of this population.Öğe Development of Adolescent Social Media Addiction Scale: study of validity and reliability(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2020) Orbatu, Dilek; Eliacik, Kayi; Alaygut, Demet; Hortu, Hacer; Demircelik, Yavuz; Bolat, Nurullah; Elmali, FerhanObjective: The aim of this study is to build an up to date and easy to use Turkish Social Media Addiction Scale for Adolescents. Methods: The sample of the study included 2020 high school students. The scale was five-point Likert-type and consisted of 13 items. The internal consistency of the items was evaluated with Cronbach's alpha coefficient, summability Tukey summability test, adequacy of the number of units in the sample Kaiser-Meyer-Olkin test, factorability Bartlett test, factor structure main components analysis. Results: Cronbach alfa internal consistency coefficient of the scale was found to be 0.869. The scale consists of three sub-factors: choosing virtual life, impairment in functionality, and virtual pleasure. Total stated variance regarding the scale was 58.89%. Discussion: As a result of this study, a high reliability and validity social media dependency scale was developed. However, it should be kept in mind that all scales developed cannot be valid and reliable in the long term since social media use behaviors in individuals may change over time.Öğe The relationships between problematic internet use, alexithymia levels and attachment characteristics in a sample of adolescents in a high school, Turkey(Routledge Journals, Taylor & Francis Ltd, 2018) Bolat, Nurullah; Yavuz, Mesut; Eliacik, Kayi; Zorlu, AdilThe aim of this study is to investigate the relationships between attachment characteristics, alexithymia and problematic internet use (PIU) in adolescents. The study was performed on 444 high school students (66% female and 34% male). Internet Addiction Test (IAT), Toronto Alexithymia Scale (TAS-20) and Short Form of the Inventory of Parent and Peer Attachment (s-IPPA) scales were used. The adolescents who scored 50 on IAT were considered as the PIU group and <50 were considered as control group. There was a moderate positive relationship between TAS-20 and IAT scores (r=.441), and a moderate negative relationship between TAS-20 and s-IPPA scores (r=-.392), and a negative weak relationship between IAT and s-IPPA scores (r=-.208). S-IPPA scores were significantly lower in the PIU group compared to the controls (p<.001). TAS-20 scores of the PIU group were significantly higher compared to the controls (p<.05). Logistic regression analysis indicated that s-IPPA scores and TAS-20 significantly predict the PIU development (p<.05). The results indicate that alexithymia increases the risk of PIU and higher attachment quality is a protective factor for both alexithymia and PIU. These results suggest that it is important to focus on the insecure attachment patterns and alexithymic characteristics when studying adolescents with PIU.
