Dilsad Foto Ozdemir - Academia.edu (original) (raw)

Papers by Dilsad Foto Ozdemir

Turkiye Klinikleri Child Psychiatry - Special Topics, 2016

Archivos Argentinos de Pediatria

Introduction. Previous studies have found that excessive screen time or early screen exposure is ... more Introduction. Previous studies have found that excessive screen time or early screen exposure is associated with poor attention, lack of behavioral control, delayed language and deficit in executive functions. The aim of this study was to investigate the relationship between screen time and emotion regulation skills, which is one of the important life components affecting the social relations of children aged 2 to 5 years. Population and methods. This cross-sectional descriptive study was carried out in a university hospital between January 1, 2018 and March 1, 2018. Mothers of healthy children aged 2-5 years with a daily screen time of less than 1 hour or over 4 hours were included in the study. A structured survey and the Emotion Regulation Checklist for parents were applied to the mothers who agreed to participate. Results. Of 240 children participating in the study, 98 (40.8 %) had ≥4 hours of screen time. Caring by mother, age at first screen exposure 12 months and older, not co-viewing with parents were found to be associated with ≥ 4 hours of screen time (p = 0.002, p = 0.002, p = 0.012, respectively). The ratio of participants with highlability/negativity (L/N) score was significantly higher in children with screen time of ≥ 4 hours and not co-viewing with parents (p = 0.004, p = 0.033, respectively). Conclusions. This study investigating the relationship between the emotion regulation skill and screen time revealed that excessive screen time is associated with emotional lability in this early childhood period.

Results: The term filicide refers to the murder of the offspring by the parent. Although it is a ... more Results: The term filicide refers to the murder of the offspring by the parent. Although it is a common belief that the children are murdered boy strangers, the reported figures may not be representing the truth. No families are detected in one fourth of all murdered infants within the first 24 hours. The death of abondoned children are classified as ‘due to natural causes’. Some murders might not be reported properly and therefore, actual murders by own parents might have been missed on the records. It is known that filicide is a heterogeneous phenomenon requiring a multidimensional evaluation in being affected by cultural values, belief systems of the society as well as the bio-psycho-social and developmental variables. It is reported in the literature that filicide cases have a common profile and that training clinicians on this complex phenomenon would be effective on prevention strategies.

Turkish Journal of Psychiatry, 2019

Current Psychology, 2020

According to attachment theory, infants establish an attachment bond that gives them confidence a... more According to attachment theory, infants establish an attachment bond that gives them confidence and comfort, and the figure of attachment forms a secure basis for the infant. A history of abuse and neglect in the mother can affect her style of attachment to her infant. The aim in the present study is to investigate mother-child attachment patterns in mothers with and without a history of abuse. Of the 94 mothers, 50% had a childhood history of abuse, and of these 47 mothers, 61.7% had experienced physical abuse, 53.19% had experienced emotional abuse, 29.78% had experienced negligence and 6.38% had experienced sexual abuse. There was no statistically significant difference between the groups with and without a history of abuse in this regard. When the attachment patterns of the mothers in the two groups with their own mothers were evaluated, there was a significant difference in terms of their attachment patterns with their fathers. Although no significant relationship was observed between the history of abuse and attachment pattern, mothers with a history of abuse in childhood exhibited an insecure attachment. Education level can be a protective factor in establishing an attachment pattern, while intergenerational interactions can be suggested to affect attachment patterns.

Turkish journal of psychiatry, 2019

Archives De Pediatrie, 2022

OBJECTIVE Too much screen time is a common and severe threat to child health and excessive screen... more OBJECTIVE Too much screen time is a common and severe threat to child health and excessive screen exposure exists in the early childhood population in Turkey. We aimed to investigate the associations between excessive screen time and psychosocial well-being in a sample of Turkish preschool children. METHODS Mothers and their healthy children aged 2-5 years who applied to general pediatric outpatient clinics for well-child examinations were enrolled in this descriptive cross-sectional study. Children with a daily screen time of less than 1 h (low) or more than or equal to 4 h (excessive) were included. Psychosocial well-being was assessed using the parent version of the Strengths and Difficulties Questionnaire. RESULTS In all, 220 mother-child pairs participated in this study. Emotional symptoms, conduct problems, peer relationship problems, and total difficulties scores were significantly higher in the children with excessive screen time (p<0.05), while the hyperactivity-inattention and prosocial scores were not different between the low and excessive screen time groups (p>0.05). After adjusting for potential confounders, the children with excessive screen time had significantly increased odds ratios for having conduct and peer relationship problems (OR [95% CI]: 2.62 [1.11-6.19], p = 0.028 and 2.57 [1.25-5.26], p = 0.010, respectively). CONCLUSION Turkish preschool children with excessive screen time were significantly more likely to have poor psychosocial well-being. Preschool children with behavioral problems should be evaluated for excessive screen time.

Social Psychiatry and Psychiatric Epidemiology

The aim of this study is to evaluate the prevalence of anxiety disorders, its correlation with so... more The aim of this study is to evaluate the prevalence of anxiety disorders, its correlation with sociodemographic characteristics, its comorbidities with other psychiatric disorders and its predictors in school-aged children. Methods This study is part of a representative, multi-centered national study that is planned by the Turkish Association of Child and Adolescent Mental Health to evaluate the prevalence of psychopathology among elementary school students in Turkey between the years 2014-2015. Children are screened via Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version. Impairment is assessed by a 3-point Likert type scale independently by the parent and the teacher. The final sample included 5842 children with the mean age of 8.7 years. Results The prevalence of any anxiety disorder without considering impairment is 16.7% and considering impairment is 5.2% in children according to our study. We found significant differences for comorbid Attention Deficit Hyperactivity Disorder, Disruptive Behavior Disorder, Mood Disorders, Tic Disorders, Obsessive Compulsive Disorder, Enuresis Nocturna, Encopresis, and Intellectual Disability. Having a history of paternal physical disorder, living in the regions of Marmara, Mediterranean and Black Sea were found to be the main predictors of having childhood anxiety disorders according to the logistic regression analysis. Conclusion Better understanding of childhood anxiety disorders, comorbid conditions and predictors will result in earlier diagnosis and more appropriate treatment.

Journal of Attention Disorders

Objective: This study aimed to determine the prevalence and comorbidities of attention-deficit hy... more Objective: This study aimed to determine the prevalence and comorbidities of attention-deficit hyperactivity disorder (ADHD) by evaluating a large-scale nation-wide sample of children. Method: The inclusion criterion was being enrolled as a 2nd, 3rd, or 4th-grade student. A semi-structured diagnostic interview (K-SADS-PL), DSM-IV-Based Screening Scale for Disruptive Behavior Disorders, and assessment of impairment (by both parents and teachers) were applied to 5,842 participants. Results: The prevalence of ADHD was 19.5% without impairment and 12.4% with impairment. Both ADHD with and without impairment groups had similar psychiatric comorbidity rates except for oppositional defiant disorder (ODD) and conduct disorder (CD) diagnoses. Impairment in the ADHD group resulted in significantly higher ODD and CD diagnoses. Conclusion: Even when impairment is not described, other psychiatric disorders accompany the diagnosis of ADHD and may cause impairment in the future. Impairment in the ...

Munchausen By Proxy Sendromu (Bakim Verenin Yapay Bozuklugu ya da Vekaleten Hastalik Olusturma); ... more Munchausen By Proxy Sendromu (Bakim Verenin Yapay Bozuklugu ya da Vekaleten Hastalik Olusturma); cocuk istismarinin bir turudur. Bu istismar turunde bakim veren cocukta fiziksel ya da psikolojik semptom ve hastalik belirtileri olusturarak cocugu hastane hastane dolastirmakta ve cocuk bu surecte magdur edilmektedir. Hem saglik hem hukuk alaninda karsilasilan ve cok da nadir olmayan bu durumda vaka uygun yonetilemediginde bu sendromun cocukta kisa ve uzun vadeli olumsuz etkileri olusmakta, bu etkiler ciddi yaralanmalara kimi zaman da olume neden olabilmektedir. Bu nedenle bu sendromun saglik ve hukuk alaninda taninmasi ve anlasilmasinin saglanmasi onemlidir. Makalemizde bu sendromun tibbi degerlendirme kisminda tanimi yapilmis, klinikte karsilasilan farkli durumlarla kompleks vaka yonetimi aydinlatilmaya calisilmis olup; hukuki degerlendirmede de biri ulusal digeri uluslar arasi boyutta iki dava uzerinden hukuk alanindaki eksikliklerin alti cizilerek ve standart bir hukuki yaklasim ol...

Toplum ve Sosyal Hizmet, 2020

Çocuk ihmali bir davranışın varlığı değil yokluğuna dayanması nedeniyle sinsi bir kötü muamele bi... more Çocuk ihmali bir davranışın varlığı değil yokluğuna dayanması nedeniyle sinsi bir kötü muamele biçimidir, çocukların gelişimlerinin birçok yönünü etkileyerek kalıcı izler bırakmaktadır. Bu nedenle ihmalin geçikmeden fark edilmesi ve gerekli müdahalelerin yapılması oldukça önemlidir. Ancak çocuk ihmali ile ilgili yapılan çalışmaların sınırlı olduğu, ihmal kavramının tanımlanması ve ölçülmesinde zorluk olduğu görülmektedir. Bu araştırma ile ihmal edildiği düşünülen çocukların annelerinin bakım düzeyleri değerlendirilerek çocukların yaşadıkları ihmalin boyutları anlaşılmaya çalışılmıştır. Araştırma, tarama modelinde betimsel bir araştırmadır. Hastanede doktorların muayeneleri sırasında ihmalden şüphelendikleri, 0-6 yaş aralığında yer alan 32 çocuğun annesi araştırmaya dahil edilmiştir. Araştırmada çocukların aldığı bakımın kalitesi hakkında güvenilir karar verilmesi ve ihmalin boyutlarının anlaşılması amacıyla Bakım Değerlendirme Formu (Graded Care Profile) kullanılmıştır. Bakım Değerl...

Journal of Paediatrics and Child Health, 2020

Aim: Early childhood screen exposure leads to multiple adverse health events and parents have a m... more Aim: Early childhood screen exposure leads to multiple adverse health events and parents have a major influence on their children's screen time. Our aim was to determine the association between maternal acceptance-rejection/control behaviours and excessive screen exposure in preschool children. Methods: In this cross-sectional descriptive study, children aged 2-5 years who had daily screen time <1 h (n = 76) and >4 h (n = 62) were enrolled. A structured survey form and Parental Acceptance-Rejection/Control Questionnaire were completed by mothers. Results: Total rejection scores were found to be lower in those with screen time <1 h than cases with >4 h (82.7 AE 13.2, 89.3 AE 17.2; P = 0.015). In addition, higher hostility, neglect and reverse-affection scores were detected in excessive screen-exposed group (P = 0.033, P = 0.003, P = 0.047, respectively). Multivariate logistic regression analyses revealed that mothers' low acceptance of their children and high neglect score were associated with excessive screen exposure after adjusting possible confounding factors. The undifferentiated rejection and control behaviours of the mothers had no association with excessive screen exposure. Conclusion: Children with excessive screen time may have a problematic relationship with their mothers. The relationship between parent and child should be examined and corrective actions should be taken.

Psychiatry and Clinical Psychopharmacology, 2018

OBJECTIVES: The present study aimed to investigate actual disciplinary behaviours of Turkish moth... more OBJECTIVES: The present study aimed to investigate actual disciplinary behaviours of Turkish mothers' in the context of relational environment and to investigate ADHD as a risk factor on abusive disciplinary practices. METHODS: Totally 120 children (children with ADHD; study group and healthy controls; control group)and their mothers were interviewed with this aim. The interviews were qualitatively coded and analysed. T-test and Odds ratio were used for descriptive statistics with the aim of supporting the qualitative results. RESULTS: According to the results of the study, emotionally abusive disciplinary behaviours (81% of all mothers 58% of all children) and corporal punishment (76% of all mothers and 65% of all children) were commonly used as a disciplinary method. Nevertheless, children with ADHD was shown to be at higher risk for both abusive disciplinary practices. The present study has also shown that children with ADHD and their mothers shared less positive activities compared to the control group. In addition to this, emotionally abusive disciplinary practices were found to be at least as hurtful as corporal punishment. CONCLUSIONS: To our knowledge, the present study was the first one investigating Turkish mothers' actual abusive disciplinary acts together with the relational environment between them and their children (including their relationship, positive sharing, problematic issues) by gathering information from both mothers and children of both study and control groups and then comparing these groups in terms of all these aspects. Qualitative nature of the study gave the opportunity of determining the actual disciplinary methods and the actual relational risk factors rather than attitudes and questionnaire scores about mother-child relationship. Therefore, it can be suggested that the results of the study provide important information about the abusive disciplinary behaviours of Turkish mothers and also provide the opportunity of predicting risk factorskeeping cultural context in mindof these behaviours.

The Turkish Journal of Pediatrics, 2019

Filicide mainly refers to the murder of a child by his/her parents. Even though filicide is a rar... more Filicide mainly refers to the murder of a child by his/her parents. Even though filicide is a rare event, outcome of filicide is more severe compared to other types of murders. In this report, we aim to discuss the factors in which the case of a woman who attempted to kill her 2.5-year-old daughter along with the demographical characteristics. Twenty-nine-year-old mother attempted to kill her daughter by hanging. Even though the victim did not die as the mother, regretted her action the triggers and the plot of the case discussed within the filicide framework. Therefore, the presented case report would contribute to the understanding of the nature of the filicide, and it might bring a different perspective, because of the different development process of filicide, sharing the disorder and interwoven motivations between the child and mother. In this respect, we aim to draw attention of pediatricians, child psychiatrists and forensic pathologists about the importance of filicide.

The Turkish Journal of Pediatrics, 2018

Most cases of physical abuse and neglect refer to pediatric emergency clinics, and these patients... more Most cases of physical abuse and neglect refer to pediatric emergency clinics, and these patients are diagnosed as only home accidents. Cases that cannot be diagnosed and managed correctly are again exposed to severe trauma and consequently, they may die. The aim of this study is to evaluate the physical abuse and neglect in children younger than three years of age, admitted to the pediatric emergency department with the complaints of trauma, burn, drug poisoning and/or caustic ingestion. This prospective study included 132 patients who were admitted to the pediatric emergency department. Children were classified into three groups as "no abuse", "suspected abuse" and "abused" after being evaluated with a standard form. Additionally, suspected abuse and abused cases were evaluated once again by "The Team of Child Abuse and Neglect Evaluation, Research and Treatment" in Hacettepe University, İhsan Doğramacı Children's Hospital. The frequency of the suspected abuse or abused cases in all burn, trauma and poisoning cases was found to be 7.5%. It was noticed that 65 of the patients (49.2%) were physically neglected considering the mechanism of occurrence of events. Unplanned pregnancy, absence of prenatal follow-up, high number of siblings, previous physical abuse in the family, absence of witness during the event, and hospitalization were statistically significant differences between no abuse and suspected abuse or abused cases (p<0.05). Moreover, age group and income were significant risk factors in the logistic regression model for the patients who were thought to be suspected abuse/abused in univariate analyses (age group: Odds ratio (OR) 0.279, 95% confidence interval (CI) 0.085-0.723, p=0.0049; income: OR 2.323, 95% CI 1.052-6.198, p=0.0345). In conclusion, most cases of physical abuse and neglect are referred to the pediatric emergency clinics, and these patients are misdiagnosed as home accidents. The physicians working in the emergency department should be informed and trained in recognizing the cases of abuse and neglect, making the differential diagnosis, identifying the high-risk families and appropriate physical and psychological treatment for the abused and neglected children.

Nordic Journal of Psychiatry, 2019

Aim: The aim of this study was to determine the prevalence of childhood psychopathologies in Turk... more Aim: The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey. Method: A nationwide , randomly selected, representative population of 5830 children (6-13 yearsold) enrolled as a 2nd,3rd or 4th grade student in 30 cities were evaluated for presence of a psychiatric or mental disorder by a Sociodemographic Form, Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL), and DSM-IV-Based Screening Scale for Disruptive Behavior Disorders in Children and Adolescents scales. Impairment criterion was assessed via a 3 point-Likert scale by the parent and the teacher independently. Results: Overall prevalence of any psychopathology was 37.6% without impairment criterion, and 17.1% with impairment criterion. Attention-deficit hyperactivity disorder was the most frequent diagnosis, followed by anxiety (19.5% and 16.7% without impairment, 12.4% and 5.3% with impairment, respectively). Lower education level and presence of a physical or psychiatric problem of the parents were independent predictors of any psychopathology of the offspring. Conclusion: This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group.

The Turkish Journal of Pediatrics, 2016

Çuhadaroğlu-Çetin F. Gender differences in defense mechanisms, ways of coping with stress and sen... more Çuhadaroğlu-Çetin F. Gender differences in defense mechanisms, ways of coping with stress and sense of identity in adolescent suicide attempts.

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Türk psikiyatri dergisi = Turkish journal of psychiatry, 2009

Functional changes in the brains of autistic children due to risperidone treatment and theirs rel... more Functional changes in the brains of autistic children due to risperidone treatment and theirs relationship to the symptom clusters are yet unknown. In this autistic disorder case series we aimed to comparatively evaluate the clinical findings before and after risperidone treatment, and regional cerebral blood flow (rCBF) findings with 99mTc-hexamethylpropyleneamine oxime (HMPAO) brain SPECT. Eleven autistic patients (age range: 6-7 years; 4 girls, 7 boys) received risperidone therapy (1.5-2.5 mg d(-1)) and were followed-up for 3 months. All the patients underwent neurologic examinations, psychometric examinations, and SPECT imaging, both at the start of risperidone treatment and 3 months after the treatment started. Clinical observations, and the observations of parents and teachers were recorded. These results were compared with cerebral perfusion indices obtained from SPECT data. After 3 months of treatment changes in rCBF were observed in various regions and to varying degrees. W...

Neuropsychiatrie de l'Enfance et de l'Adolescence, 2012