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Öğe Evaluation of depression, anxiety and posttraumatic stress response levels of children and adolescents treated with COVID-19(Springer, 2023) Taskesen, Bekir; Kardas, Omer; Yilmaz, KamilWe aimed to evaluate stress level reactions to depression, anxiety, and posttraumatic stress in paediatric patients' post-COVID-19 infection. A total of two hundred consecutive patients aged 8 to 18 years were prospectively enrolled in the study between March 2020 and June 2021. One hundred patients were diagnosed with a positive COVID-PCR test and had inpatient management. Another hundred patients had positive COVID-PCR results and completed their care and isolation for 14 days at home. We used the child posttraumatic stress reaction index (CPTS-RI), child depression inventory (CDI), and screen for child anxiety-related disorders (SCARED) to evaluate their post-COVID-19 infection mental health state. In the study population, the mean age was 13.4 years, and 50.5% were male. Sixty-seven patients were paediatric, and the rest were adolescents. Based on our scaling system, 10% of patients had depression. Forty-one percent of patients had at least one high subscale of SCARED. Forty-four percent of patients' CPTS-RI was above the normal limit, while 4% had a severe stress reaction level. In the female patient population, SCARED and CPTS-RI were significantly high (p = 0.01). There was no significant correlation between hospitalization duration and test scores. The CPTS-RI score was significantly higher in the outpatient group than in the other groups (p = 0.01). The inpatient group had significantly higher social phobia, while the outpatient group had significantly higher school phobia (p = 0.01 and p = 0.05, respectively). Conclusion: The present study showed that COVID-19 infection is a significant risk factor for psychopathology in children and adolescents.Öğe Investigation of adolescents diagnosed with exogenous obesity in terms of Internet, smartphone usage characteristics and psychopathologies(Klinik Psikiyatri Dergisi, 2023) Bas, Gulnur; Kardas, Omer; Kardas, Burcu; Unal, EdipObjective: In this study, it was aimed to investigate comorbid psychopathologies, internet/smartphone addiction and usage characteristics in adolescents diagnosed with exogenous obesity. Method: 48 obese patients aged 12-18 years, diagnosed with exogenous obesity, and 49 healthy adolescents without obesity were included in the study. Comorbid psychopathologies were screened with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS). Young Internet Addiction Scale (YIAS), Smartphone Addiction Scale-Short Form (SAS-SF), Addiction Profile Index-Internet Form (API-IF) were administered to the patient and control groups; Atilla Turgay DSM-IV Based Child and Adolescent Distruptive Behaviour Disorders Rating Scale (ATS) was applied to their parents. Results: As a result of our study; In the case group, the presence of mental illness and obesity in the family, the duration of internet and smart phone use, snacking in front of the screen and spending time in virtual games were found to be significantly higher (p<0.05). In terms of the scales, it was determined that the YIAS, SAS-SF, API-IF and ATS scores were significantly higher in the case group (p<0.05). As a result of K-SADS, it was seen that adolescents with exogenous obesity had more psychiatric diagnoses when compared to the control group. Discussion: Our study shows that besides the biological aspect of obesity, it also progresses with a high rate of mental problems. Considering the difficulty of obesity treatment and the excess of complications, biopsychosocial interventions and multidisciplinary approaches including mental health professionals are important for the prevention and treatment of pediatric obesity.