Semiha Arslan - Academia.edu (original) (raw)

Papers by Semiha Arslan

Research paper thumbnail of Clinical characteristics according to sex and symptom severity in children with selective mutism: a four-center study

Nordic Journal of Psychiatry, Nov 17, 2022

Research paper thumbnail of Investigation of the Assessment Scales Applied to Adolescents With Psychiatric Disease by Using Smokeless Tobacco by Machine Learning Methods

Purpose Adolescence is a fragile period in which all people live. This period can be more difficu... more Purpose Adolescence is a fragile period in which all people live. This period can be more difficult for some people. In this difficult and fragile period, young people can suffer permanent psychological damage due to reasons such as social and family environment. One of these bad habits is smokeless tobacco. Unfortunately, the age of use may decrease worldwide due to reasons such as easy access and it can easily become addictive in adolescence, which is the sensitive period of human beings. Materials and Methods In our study, it was aimed to investigate the relationship between the use of smokeless tobacco and the use of machine learning methods in adolescents with psychiatric diagnoses. Various graded scale questions applied to adolescents were investigated with Embedded feature selection methods. Embedded methods; It can perform detailed feature selection calculations with three different calculations: Lasso, Gini and Permutation. Logistic Regression (LR) and Random Forest (RF) cl...

Research paper thumbnail of Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study

Nordic Journal of Psychiatry

OBJECTIVE Although trichotillomania (TTM) is a common, typically pediatric-onset disorder, data o... more OBJECTIVE Although trichotillomania (TTM) is a common, typically pediatric-onset disorder, data on the phenomenology of TTM in children, accompanying comorbid psychiatric disorders, and treatment options are extremely limited. In our study, it was aimed to investigate these variables and related factors in patients undergoing psychiatric evaluation and follow-up. METHOD The study included 79 children and adolescents between the ages of 4 and 17 who were diagnosed with TTM and followed up in four different Child and Adolescent Psychiatry outpatient clinics between 2015 and 2020. The sociodemographic characteristics of these patients, clinical features of the disease, comorbid psychiatric disorders, and treatment approaches have been studied. RESULTS Our results showed that TTM was more common in girls, hair and eyebrow plucking was the most common, and symptoms and features accompanying TTM changed with age, but not with gender. Again, 79.7% of these children had at least one psychiatric comorbid disorder (most common being anxiety disorders and Attention Deficit/Hyperactivity Disorder), comorbidity was closely related to TTM severity, 93.7% used at least one pharmacotherapeutic agent, and positive response rates to treatment were found to be low. Moreover, TTM severity was found to increase with age and disease duration. CONCLUSION Study findings support that clinical presentation, disease severity and comorbidity rates may change with age in children and adolescents with TTM, and early intervention is important to prevent clinical progression/worsening and mental health sequela.

Research paper thumbnail of Adli psikiyatri değerlendirme istemlerinde adli mercilerin branş tercihleri: Bir üniversite hastanesi deneyimi

Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2014

Area of specialty preferences of forensic authorities in forensic psychiatric evaluation requests... more Area of specialty preferences of forensic authorities in forensic psychiatric evaluation requests: a university hospital experience Objective: In this study, we aimed to find the relevant factors of forensic medicine, child and adolescent psychiatry, and psychiatry fields' preferences in the forensic psychiatric assessment requests of forensic authorities.

Research paper thumbnail of Does Involvement in Peer Bullying Invite Self-Injury?

Journal of Nervous and Mental Disease, Aug 11, 2022

Previous studies have linked peer bullying to nonsuicidal self-injury (NSSI). However, the eviden... more Previous studies have linked peer bullying to nonsuicidal self-injury (NSSI). However, the evidence is largely limited to population-based groups. This study examined whether there is a relationship between NSSI and being a victim of peer bullying among adolescents in a clinical sample and how this may be influenced by types of bullying. The sample consisted of 96 outpatients with NSSI and 107 healthy adolescents. The Inventory of Statements About Self-Injury, Peer Bullying Scale, and Rosenberg Self-Esteem Scale were applied. Whereas the scores of each bullying type of adolescents with NSSI were significantly higher, their self-esteem scores were significantly lower. Each victimization score of bullying had a negative correlation with NSSI-onset age and self-esteem scores and a positive correlation with self-injury scores. This study demonstrated that being a victim of any type of bullying is strongly associated with self-injury. It would be advisable to screen adolescents with self-injury for exposure to bullying, and vice versa.

Research paper thumbnail of A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program

Research paper thumbnail of A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program

Research paper thumbnail of Treatment of a child with nocturnal panic attacks

Journal of Mood Disorders, 2014

Research paper thumbnail of The Relationship between Psychopathology, Self-esteem, Body Perception and Serum Sex Steroids in Pubertal Gynecomastia

Clinical Psychopharmacology and Neuroscience

Objective: The current study aimed to investigate the psychopathology behind gynecomastia and pot... more Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder ( 2 = 12.96, p ＜ 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion: In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.

Research paper thumbnail of Clinical characteristics according to sex and symptom severity in children with selective mutism: a four-center study

Nordic Journal of Psychiatry, Nov 17, 2022

Research paper thumbnail of Investigation of the Assessment Scales Applied to Adolescents With Psychiatric Disease by Using Smokeless Tobacco by Machine Learning Methods

Purpose Adolescence is a fragile period in which all people live. This period can be more difficu... more Purpose Adolescence is a fragile period in which all people live. This period can be more difficult for some people. In this difficult and fragile period, young people can suffer permanent psychological damage due to reasons such as social and family environment. One of these bad habits is smokeless tobacco. Unfortunately, the age of use may decrease worldwide due to reasons such as easy access and it can easily become addictive in adolescence, which is the sensitive period of human beings. Materials and Methods In our study, it was aimed to investigate the relationship between the use of smokeless tobacco and the use of machine learning methods in adolescents with psychiatric diagnoses. Various graded scale questions applied to adolescents were investigated with Embedded feature selection methods. Embedded methods; It can perform detailed feature selection calculations with three different calculations: Lasso, Gini and Permutation. Logistic Regression (LR) and Random Forest (RF) cl...

Research paper thumbnail of Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study

Nordic Journal of Psychiatry

OBJECTIVE Although trichotillomania (TTM) is a common, typically pediatric-onset disorder, data o... more OBJECTIVE Although trichotillomania (TTM) is a common, typically pediatric-onset disorder, data on the phenomenology of TTM in children, accompanying comorbid psychiatric disorders, and treatment options are extremely limited. In our study, it was aimed to investigate these variables and related factors in patients undergoing psychiatric evaluation and follow-up. METHOD The study included 79 children and adolescents between the ages of 4 and 17 who were diagnosed with TTM and followed up in four different Child and Adolescent Psychiatry outpatient clinics between 2015 and 2020. The sociodemographic characteristics of these patients, clinical features of the disease, comorbid psychiatric disorders, and treatment approaches have been studied. RESULTS Our results showed that TTM was more common in girls, hair and eyebrow plucking was the most common, and symptoms and features accompanying TTM changed with age, but not with gender. Again, 79.7% of these children had at least one psychiatric comorbid disorder (most common being anxiety disorders and Attention Deficit/Hyperactivity Disorder), comorbidity was closely related to TTM severity, 93.7% used at least one pharmacotherapeutic agent, and positive response rates to treatment were found to be low. Moreover, TTM severity was found to increase with age and disease duration. CONCLUSION Study findings support that clinical presentation, disease severity and comorbidity rates may change with age in children and adolescents with TTM, and early intervention is important to prevent clinical progression/worsening and mental health sequela.

Research paper thumbnail of Adli psikiyatri değerlendirme istemlerinde adli mercilerin branş tercihleri: Bir üniversite hastanesi deneyimi

Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2014

Area of specialty preferences of forensic authorities in forensic psychiatric evaluation requests... more Area of specialty preferences of forensic authorities in forensic psychiatric evaluation requests: a university hospital experience Objective: In this study, we aimed to find the relevant factors of forensic medicine, child and adolescent psychiatry, and psychiatry fields' preferences in the forensic psychiatric assessment requests of forensic authorities.

Research paper thumbnail of Does Involvement in Peer Bullying Invite Self-Injury?

Journal of Nervous and Mental Disease, Aug 11, 2022

Previous studies have linked peer bullying to nonsuicidal self-injury (NSSI). However, the eviden... more Previous studies have linked peer bullying to nonsuicidal self-injury (NSSI). However, the evidence is largely limited to population-based groups. This study examined whether there is a relationship between NSSI and being a victim of peer bullying among adolescents in a clinical sample and how this may be influenced by types of bullying. The sample consisted of 96 outpatients with NSSI and 107 healthy adolescents. The Inventory of Statements About Self-Injury, Peer Bullying Scale, and Rosenberg Self-Esteem Scale were applied. Whereas the scores of each bullying type of adolescents with NSSI were significantly higher, their self-esteem scores were significantly lower. Each victimization score of bullying had a negative correlation with NSSI-onset age and self-esteem scores and a positive correlation with self-injury scores. This study demonstrated that being a victim of any type of bullying is strongly associated with self-injury. It would be advisable to screen adolescents with self-injury for exposure to bullying, and vice versa.

Research paper thumbnail of A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program

Research paper thumbnail of A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program

Research paper thumbnail of Treatment of a child with nocturnal panic attacks

Journal of Mood Disorders, 2014

Research paper thumbnail of The Relationship between Psychopathology, Self-esteem, Body Perception and Serum Sex Steroids in Pubertal Gynecomastia

Clinical Psychopharmacology and Neuroscience

Objective: The current study aimed to investigate the psychopathology behind gynecomastia and pot... more Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder ( 2 = 12.96, p ＜ 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion: In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.