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Öğe A case of anorexia nervosa whose body image deteriorated after being weighed with classmates at school(2022) Kaymaz, Nazan; Uzun, Mehmet ErdemAnorexia nervosa is an eating disorder characterized by a heightened desire to have a lean body structure that leads to an extreme fear of becoming fat. The patients with this disorder have a severely impaired perception of their bodies. Negative behaviors and attitudes in peer communication may hugely impact the affected individual at every stage of this disorder. The level of peer communication quality could be shaped by the conditions prevalent in the school, particularly the approaches undertaken by the educators and the staff at school. However, it would be incorrect to state that wrong communication styles adopted by the friends of an individual or unsuitable conditions in the school environment alone would be sufficient for the development of anorexia nervosa in adolescents. A 16-year-old girl with anorexia nervosa was followed up for 1.5 years after the diagnosis of the disorder, a period during which she had begun exhibiting improvement in her condition. However, her symptoms reappeared after she underwent height and weight measurements at school during the physical education and sports class to determine her physical health. This case is presented (1) to remind that anthropometric measurements are personal data and (2) to emphasize that it would be appropriate to provide privacy in this respect at schools.Öğe Are Mental Health Problems and Mindfulness Awareness Related to Levothyroxine Replacement in Adolescent Patients With Hashimoto's Thyroiditis?(SAGE Publications Inc., 2023) Uzun, Mehmet Erdem; Kaymaz, Nazan; Kara, Özlem; Kasap, TolgaConsidering the possible adverse effects of thyroid autoantibodies on the brain, the present study aimed to investigate whether there was a difference in mental health difficulties and mindfulness awareness levels between subclinical Hashimoto’s thyroiditis patients with and without levothyroxine (LT4) use. A case-control study was conducted. The Strengths and Difficulties Questionnaire (SDQ) and the Mindful Attention Awareness Scale (MAAS) were used to screen mental health difficulties and mindfulness awareness. Scale scores were compared by performing correlation analysis between the groups with respect to LT4 use and thyroid autoantibodies. Levothyroxine alone does not affect scale results. Higher thyroid peroxidase antibody (TPOAb) titers were positively correlated with the behavioral problems subscale of the SDQ, while awareness level in patients was inversely correlated with higher thyroglobulin antibody (TgAb) levels.Öğe Central Anticholinergic Syndrome Following Excessive Mydriatic Use in an Eight-Year-Old Patient(Aydın Pediatric Society, 2021) Kaymaz, Nazan; Uzun, Mehmet Erdem; Battal, Fatih; Güzel, Yusuf; Aylanç, HakanCyclopentolate hydrochloride, belonging to a class of drugs known as anticholinergics, is an ophthalmic solution frequently used in ophthalmology clinics because of its cycloplegic and mydriatic effects in both refractions as well as fundus examinations. After application, the maximum cycloplegic effect begins approximately after 30-60 min, which can further continue up to 24 h. Due to a dose-dependent relationship, cyclopentolate hydrochloride’s side effects can be observed both in an ocular and systemic manner which may occur if solutions more than 0.5% concentration are used. Herein, we report central anticholinergic syndrome due to the administration of excessive amounts of cyclopentolate hydrochloride in a child.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 Influence of body mass index on mindfulness awareness and coping methods for stress in adolescents(Walter de Gruyter GmbH, 2018) Kaymaz, Nazan; Düzçeker, Yasemin; Uzun, Mehmet Erdem; Aylanç, Hakan; Baştürk, Meryem; Yildirim, ŞuleObjective: Psychological state may affect the body weight through the hypothalamus and vice versa. The goal of this study is to investigate whether body mass index affect mindfulness awareness (MA) levels and type of coping with stress. Methods: Healthy adolescents were included in the study. The mindfulness attention awareness scale (MAAS), indicating the ways of coping checklist inventory was performed and body mass index (BMI) (kg/m2) of adolescents were calculated. The influence of BMI on MA and ways of coping with stress was tested. According to BMI percentiles the study population was grouped as obese (including overweight), normal-weighted and underweight. Results: A total of 270 adolescents (mean age: 13.63±2.07 years; 165 female/105 male) participated in the study. No significant correlation was found between BMI and MA scores (r //-0.085; p -0.161) and coping strategies were not different between the groups. When MA scores are compared with stress coping methods, it appeares that participants with high awareness levels chose positive coping styles. Conclusion: BMI is not effective on MA levels and choice of stress coping methods. But the higher MA levels are associated with positive coping styles. © 2018 Walter de Gruyter GmbH, Berlin/Boston.Öğe Methylphenidate Induced Acute Dystonic Reaction(Springer India, 2018) Uzun, Mehmet Erdem; Korkmaz, Muhammet Furkan; Ekici, Arzu; Kaymaz, Nazan[Anstract Not Available]Öğe Pre-conception folic acid intake and attention deficit and hyperactivity disorder in children(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 Prolonged rooming-in in infancy is associated with generalized anxiety disorder in the adolescent period(Walter de Gruyter GmbH, 2015) Kaymaz, Nazan; Gökten, Emel Sarl; Uzun, Mehmet Erdem; Ylldlrlm, Sule; Tekin, Mustafa; Topalo?lu, Naci; Binneto?lu, Fatih KöksalObjective: This study aims to investigate whether anxiety disorders in adolescents have a link with the separation time of bed/bedroom sharing with parents. It also aims to raise awareness in society about the issue of minimizing anxiety disorders in childhood. Methods: A case-control study was conducted in Sevket Yllmaz Training and Research Hospital between June 2013 and May 2014. The participants included 51 adolescents who were diagnosed as generalized anxiety disorder (GAD) with no-comorbidity and 71 healthy adolescents as the control group, who were chosen randomly. Diagnosis of GAD was based on the criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th ed) by child and adolescent psychiatry doctors. The Turkish version of the State-Trait Anxiety Inventory (STAI) was used for the control group. A special survey about demographics and bed-sharing statements was constructed for the purpose of the study. The groups were analyzed in terms of duration of co-sleeping (bed-sharing) and rooming-in (keeping the mother and the baby in same room) with parents during infancy and the development of anxiety disorders in later period. Results: Mean duration of rooming-in was significantly longer in the case group than in the control group (p=0.009). Similarly, mean duration of co-sleeping in the case group was longer than that of the control group. However, this difference was not statistically significant (p=0.529). Conclusion: Sleeping in the same room with children for a long time may result in anxiety disorders in later period due to possible difficulties in bonding and/or less self-confidence. © 2015 by De Gruyter 2015.Öğe The effect of hyperandrogenism and obesity on mindfulness and metacognition in adolescents with polycystic ovary syndrome(Springer Wien, 2022) Kara, Ozlem; Kaymaz, Nazan; Uzun, Mehmet ErdemThe aim of this study was to determine whether serum androgen levels have an effect on mindfulness and metacognition in adolescents with polycystic ovary syndrome (PCOS). Adolescents diagnosed with PCOS were asked to answer a questionnaire that included socio-demographic information and two scales: the Mindful Attention Awareness Scale (MAAS) and the Metacognition Scale Child and Adolescent form (MCQ-C). The patients were divided into two groups, the hyperandrogenism group and the non-hyperandrogenism group, according to serum androgen levels. The scores of MAAS and MCQ-C were compared between the groups. The study sample consisted of 70 adolescents. Of these, 44 had hyperandrogenism according to a blood test. No statistically significant difference was found in MAAS scores between the hyperandrogenism and the non-hyperandrogenism groups (p = 0.79). However, the level of mindfulness was found to be lower in participants with a higher modified Ferriman-Gallwey score (mFGS) (r = 0.26, p = 0.02). Mindfulness levels were also lower for obese patients with PCOS compared to non-obese patients with PCOS (p = 0.02). Cognitive monitoring (MCQ-C-CM), one of the MCQ-C sub-scales, was significantly higher in the non-hyperandrogenism group (p = 0.03), and similarly, a positive correlation was detected between higher androgen levels and the positive meta-worry (MCQ-C-PM) sub-scale of the MCQ-C (for total testosterone; r = 0.348, p = 0.03, and for androstenedione; r = 0.35, p = 0.03). High serum androgen levels in PCOS had no effect on mindfulness, but as the modified Ferriman Gallwey score increased, mindfulness levels decreased. For the sub-scales of MCQ-C,MCQ-C-CM, and MCQ-C-PM, the scores increased as androgen levels increased. In line with the results of the present study, evaluating mindfulness in PCOS patients with increased hair growth and metacognition in PCOS patients with serum hyperandrogenism may contribute well-being in adulthood by reducing the psychological burden caused by the disease.Öğe Tokophobia, the Fear of Childbirth, and the Decision to Breastfeed(Mary Ann Liebert, Inc, 2015) Kaymaz, Nazan; Uzun, Mehmet Erdem; Yildirim, Sule[Anstract Not Available]
