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Öğe The effect of digital parental awareness and somatic symptoms on problematic media use in children with attention-deficit/hyperactivity disorder(W.B. Saunders, 2025) Güzel, Yağmur; Öztürk, MasumBackground: Children diagnosed with Attention-deficit/hyperactivity disorder (ADHD) have greater difficulty in regulating their own media usage and are inclined to spend more time engaging in video games compared to neurotypical children. This study aimed to investigate the effects of ADHD severity, digital parenting awareness, and accompanying psychiatric symptoms on children's problematic media (PMU) use in children with ADHD. Methods: The study included 95 ADHD patients aged between 6 and 11 years and 90 age—and gender-matched healthy controls. The Problematic Media Use Measure-Short form (PMUM-SF), Child Behavior Checklist (6–18 years) (CBCL-6/18), Conners Parent Rating Scale-Revised Short (CPRS-RS), and Digital Parental Awareness Scale (DPAS) were administered to all parents. Results: Daily screen time was 183.56 ± 84.77 min in the ADHD group and 117.47 ± 49.08 min in the control group (p < 0.001), and PMUM-SF scores were higher in children with ADHD (p < 0.001). Comorbid internalizing and externalizing problems were positively associated with PMU. The results of the hierarchical regression analysis showed that ADHD severity, somatic complaints in children, negative media role modeling by mothers, and neglect of children's media use were associated with increased PMU in children (p < 0.001, Adjusted R2 = 0.520). Conclusion: PMU in children with ADHD can be better managed by raising parents' awareness of the adverse effects of digital media within prevention and treatment interventions. Moreover, since comorbid ADHD and somatic symptoms may affect PMU, the severity of somatic complaints should be evaluated within the scope of treatment programs. © 2024 Elsevier Inc.Öğe Factors affecting levels of cyberchondria in mothers of children with food allergies(Yuzuncu Yil University Faculty of Medicine, 2023) Kan, Ahmet; Kartal, Gülşah; Öztürk, MasumCyberchondria is a term used to assess the anxiety-inducing effects of online health-related searches. Most of the mothers were found to have obtained information from the internet , but the influence of the internet on maternal anxiety has not been sufficiently investigated. Therefore, our aim in the present study was to evaluate the relationship between cyberchondria experienced by mothers of children with food allergies and sociod emographic factors. The study was carried out with mothers whose children had been diagnosed with a food allergy and mothers of healthy children. „The Cyberchondria Severity Scale‟ was used to evaluate the anxiety of the mothers. In addition, the sociodemographic status of the participants was evaluated with a questionnaire. The cyberchondria severity scores of 60 mothers with food -allergic children and 60 mothers with healthy children were compared. The most common diagnosis was atopic eczema (51.8%). The cyberchondria severity scores of mothers with food-allergic children (59±23) were significantly higher than those for the healthy group (50±13) (p<0.001). The mean cyberchondria severity scores were significantly higher in working mothers (p=0.01), families whose monthly income was the minimum wage and above (p=0.02), and mothers who searched on the internet to choose a physician (p=0.03). Psychological problems in mothers of children with food allergies th at may be caused by cyberchondria can often be overlooked in outpatient settings. To detect these problems, it is necessary to perform screening tests and to provide support to these mothers in a timely manner.Öğe Interventions for the Treatment of Eco-anxiety(Lut TAMAM, 2025) Turğut, Fatma Subaşı; Öztürk, MasumAccumulating literature predicts that more individuals will begin to experience distress related to climate crisis , so studies on how clinicians can respond to such distress seem important. However, a review of the literature on interventions for eco-anxiety suggests that research is limited and existing studies have weak empirical foundations. Despite the limited literature, we aimed to build a picture of approaches that mental health professionals can use to make informed choices about eco-anxiety intervention. This review aims to provide an understanding of interventions to reduce eco-anxiety by summarising empirical studies and conceptual interventions in this area. Psychoanalytic approaches, grief-focused therapies, group therapies, existential therapies, cognitive behavioral therapy, acceptance and commitment therapy, and art-focused therapies are among the intervention methods that can be used in clients with eco-anxiety. In addition, holistic approaches such as ecotherapy, encouraging pro-environmental behaviors, and supporting self-care and resilience-building strategies are recommended in the eco-anxiety approach.Öğe Neutrophil-to-lymphocyte ratio and platelet distribution width: A potential new peripheral biomarker in adolescent depression(ANP Publishing, 2022) Öztürk, Masum; Özkan, Yekta; Sapmaz, Şermin Yalın; Kandemir, HasanObjective: The aim of this study is to evaluate the role of inflammation in the underlying pathophysiology of adolescent depression by evaluating neutrophile-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and hemogram parameters and also to determine whether there is a relationship between depression severity and inflammatory parameters. Method: This retrospective study was carried out on 93 major depressive disorder (MDD) patients and 65 healthy control. Clinical features such as diagnosis date, diagnosis during admission to hospital using DSM-5 diagnostic criteria, comorbid physical and psychiatric illness, drug use, previous psychiatric diagnosis, history of suicide attempt were determined. In addition, hemogram parameters of the participant included in the study in the hospital data system were used. Results: NLR and platelet distribution width (PDW) were found to be statistically significantly higher in the patient group than in the control group (p<0.05). A weakly significant positive correlation (p=0.039, r=0.165) was found between NLR and depression severity scale; a positive correlation was found between PDW and depression scale scores and depression severity scale total scores (p<0.001, r=0.317; p<0.001, r=0.320, respectively). Discussion: NLR and PDW were found to be significantly higher in patients with MDD than in healthy controls, and it supports the possible role of lowgrade inflammation in the pathophysiology of MDD. In the next years, prospective studies in which hemogram parameters are evaluated together with proinflammatory cytokines will more clearly illuminate the role of inflammation and platelet activation in the etiology of MDD in adolescents.Öğe The role of metacognitions in cyberbullying and cybervictimization among adolescents diagnosed with major depressive disorder and anxiety disorders: A case–control study(John Wiley and Sons Ltd., 2023) Ünal, Pınar Aydın; Özkan, Yekta; Öztürk, Masum; Aydın, Orkun; Spada, Marcantonio M.Cyberbullying is becoming increasingly widespread as individuals use technology more widely and frequently. Recent studies have shown a growing vulnerability for cyberbullying and cybervictimization, particularly in the adolescent population. We argue that dysfunctional metacognitions, which have been found to be prominent in various psychiatric disorders, may also play a role in predicting cyberbullying and cybervictimization over and above a variety of established factors including daily Internet use, social media use, depression and anxiety. For this purpose, we recruited 121 adolescents diagnosed with major depressive disorder (MDD) and 122 adolescents diagnosed with anxiety disorders (AD) from the child and adolescent psychiatric department of ‘Çankırı State Hospital’ along with age and gender matched healthy controls (n = 120). Participants completed the DSM-5 Depression and Anxiety Severity Scales, the Social Media Disorder Scale (SMDS), the Metacognitions Questionnaire for Children (MCQ-C) and the Revised Cyberbullying Inventory-II (RCBI-II). Cybervictimization scores were found to be higher in the MDD and AD groups when compared with healthy controls. Cyberbullying scores in the MDD group were higher than healthy controls. Additionally, the Superstition, Punishment and Responsibility subdimension of the MCQ-C was a significant predictor of cybervictimization in the AD group while controlling for daily Internet use, social media use and anxiety. However, metacognitions were not associated with cyberbullying in the MDD and AD groups, as well as with cybervictimization in the MDD group. We concluded that dysfunctional metacognitions may be a preventive therapeutic target in reducing the impact of cyberbullying in adolescents with AD.Öğe Thiol/Disulfide Homeostasis: A Potential New Peripheral Biomarker in Adolescent Depression(AVES, 2024) Öztürk, Masum; Özkan, Yekta; Sapmaz, Şermin Yalın; Erdal, Serkan; Taneli, Fatma; Kandemir, HasanBackground: Thiol-disulfide homeostasis (TDH), one of the most important antioxidants, is involved in the non-enzymatic removal of reactive oxygen molecules in the body and is one of the many methods to measure the level of oxidative stress (OS). In the present study, TDH is investigated in adolescent depression, and its relationship to clinical variables is examined. Methods: Thirty-two (50.0%) patients diagnosed with major depressive disorder (MDD) and without psychotropic drug use and 32 (50.0%) healthy controls were included in the present study. The subjects MDD and control groups were between 13 and 18 years old. Participants completed the DSM-5 Level-2 scales for depression and irritability. A colorimetric method proposed by Erel and Neselioglu was used to analyze the TDH parameters of serum samples. Results: Biochemical analyses of samples from the MDD and control groups showed significant differences between the groups in native thiol (SH) levels (P =.002), disulfide (SS) levels (P =.021), disulfide/total thiol (SS/ToSH) (P =.009), and disulfide/native thiol (SS/SH) (P =.003) levels. Analysis of receiver operating characteristic showed that the area under the curve values with “acceptable discrimination potential” for the TDH parameters were significantly able to discriminate individuals with MDD from healthy controls. Conclusion: Thiol-disulfide homeostasis, one of the OS parameters, was found to be impaired in adolescents with depression. Our results suggest that TDH may contribute to the etiopathogenesis of adolescent MDD and that TDH may be a novel approach to assess OS in adolescent depression. © 2024, AVES. All rights reserved.Öğe YouTube as a source of information on the impact of the COVID-19 pandemic on mental health of children(Galenos Yayınevi, 2022) Öztürk, Masum; Özkan, Yekta; Sapmaz, Şermin Yalın; Kandemir, HasanObjectives: World Health Organization has announced that the coronavirus disease-2019 (COVID-19) outbreak is a pandemic that causes worry and panic in anyone who is exposed to the virus’s actual or imagined threat. Our lifestyles and life patterns have radically changed, and the impact of the COVID-19 epidemic has pervaded all areas of our daily lives. The aim of this research was to evaluate the quality of the most popular YouTubeTM videos about the effects of COVID-19 infection/pandemic status on children and adolescents. Materials and Methods: DISCERN tool and the Global Quality Scale were used to the reliability and quality of videos, respectively. The quality of the videos is classified into three groups as "poor quality", "moderate quality" and "good/ excellent quality". Results: A total of 112 videos were included in the study and these videos were evaluated by the researchers. Of the videos, 31.3% (n=35) were of good/excellent quality, 32.1% (n=36) were moderate, and 36.6% (n=41) were of poor quality. It was determined that the reliability of the good/excellent quality videos was statistically significantly higher than the moderate and poor-quality videos (p<0.001). Conclusion: Although YouTubeTM contains important health data, some of this information is false and consists of low-quality videos. Mental health professionals should direct patients to the correct internet information resources.
