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    An Evaluation of Difficulty in Emotion Regulation, Impulsivity, and Emotional Eating in Children and Adolescents Diagnosed with Type 1 Diabetes Mellitus
    (Aves, 2024) Miniksar, Dilsad Yildiz; Oz, Busra; Kilic, Mahmut; Kaban, Seyma Ozge; Yavuzyilmaz, Fatma; Ozturk, Osman; Ceviker, Hulusi Emre
    Objective: The aim of this study was to investigate difficulties in emotion regulation, emotional eating, and impulsivity in children diagnosed with type 1 diabetes mellitus (T1DM). Materials and Methods: The study included 53 children who were diagnosed with T1DM, and a control group of 50 subjects. The Schedule for Affective Disorders and Schizophrenia for School -age Children-Present and Lifetime Version, Difficulties in Emotion Regulation Scale- Short Form (DERS-16), Emotional Eating Scale-Child and Adolescent Form (EES -C), and the Barratt Impulsivity Scale 11-Short Form (BIS -11) were administered to the participants. Results: In the T1DM group, the disease duration was a mean of 52.7 +/- 40.62 months, and only 17% had good metabolic control. The rate of psychiatric disorder determined was significantly higher in the T1DM group (P = .001). No significant difference was determined between the 2 groups in respect of the DERS-16, EES -C, and BIS -11 total and subscale scores. However, in multivariate linear regression, the increase in BIS -11 total score was affected by increasing DERS impulse (beta = 0.475), decreasing age (beta = -0.209), and presence of T1DM (beta = 0.211). An increase in the DERS-16 total score was associated with the presence of psychiatric disorder (beta = -0.258) and an increase in BIS -11-A (the second scale assesses concentration problems) (beta = 0.317) score. In the T1DM group, the glycated hemoglobin level was lower in the group with insulin treatment with the injection method (8.2 +/- 2.1%) than in those with the pump method (9.1 +/- 1.5%) (P = .069). Conclusion: It is important that mental health professionals take an active role in all processes of the disease in order to protect the mental health of children with T1DM.
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    Personality traits and suicide probability in children and adolescents with specific learning disorder
    (Cukurova Univ, Fac Medicine, 2021) Miniksar, Dilsad Yildiz; Oz, Busra
    Purpose: The aim of this study was to examine the personality traits and suicide probability of children and adolescents with a diagnosis of specific learning disorder (SLD). Materials and Methods: Sixty children with SLD diagnosis and 60 children without SLD diagnosis were included in the study. K-SADS-PL (Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version), Wechsler Intelligence Scale for Children-Revised Short Form (WISC-R), Children Depression Inventory (CDI), Suicide Probability Scale (SPS) Personality Inventory for DSM-5-Brief Form-Children (PID-5-BF) scales were used in this study. Results: Factors such as low birth weight, SPS total score and hopelessness subscale, PID-5-BF total score and other subscale scores (excluding antagonism) were higher in the SLD group compared to the control group. There was no significant difference between the groups in terms of CDI score. Children whose mothers smoked during pregnancy had higher frequency of suicidal thoughts and PID-5-BF total scores. Conclusion: Suicide probability and personality pathologies of children with SLD were found to be higher, regardless of the level of depression. While the low birth weight was important in the etiology of SLD, exposure to smoking during pregnancy was found to be a risk factor for child's suicidal ideation and personality pathologies.
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    The role of inflammation in children with specific learning disorders
    (Wolters Kluwer Medknow Publications, 2023) Oz, Busra; Ardic, Berkan
    Background: Specific learning disorder (SLD) is a common neurodevelopmental disorder in childhood with a delay in reading, writing, and/or mathematics. The etiology of SLD is not known exactly. Aim: In our study, we aimed to evaluate the effect of inflammation in the etiology of SLD. Materials and Methods: In our study, patients aged 7-14 years who applied to the child psychiatry outpatient clinic between November 2019 and November 2020 were retrospectively screened. The hemoglobin (Hb), red cell distribution width (RDW), platelet (PLT), plateletcrit (PCT), platelet distribution width (PDW), and white blood cell (WBC) values of the children were recorded. Neutrophil/lymphocyte ratio (NLR) and PLR values were calculated. Comparisons were carried out on different variables using SPSS version 22. Results: There was no significant difference in terms of age and gender in the SLD and control groups. When blood parameters were evaluated, there was no significant difference between the groups in terms of Hb, RDW, PCT, PDW, and WBC values. The PLT count was significantly higher in the patient group than in the control group (P = 0.049). There was no significant difference between the groups in terms of TLR and NLR values. Conclusion: The results of our study showed that Hb, RDW, PCT, PDW, WBC, NLR, and TLR values were similar in SLD and healthy control groups. This does not support the hypothesis that an increased inflammatory response may be responsible for the etiology of SLD. Considering the heterogeneity in the clinical symptoms and etiopathogenesis of SLD, more extensive studies are needed in this area.