Person: ERAY ÇAMLI, ŞAFAK
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ERAY ÇAMLI
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ŞAFAK
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Publication Index depressive episode and antidepressant exposure were associated with illness characteristics of pediatric bipolar disorder(Wiley, 2021-05-31) İnal, Neslihan; Ermiş, Çağatay; Koç, Doğukan; Aksoy, Sena; Karaçetin, Gül; Tunçtürk, Mustafa; Eray, Şafak; Karabina, Berna; Akça, Ömer Faruk; Özgül, Dilek; Kılıç, Birim Günay; Uytun, Merve Çikili; Beşenek, Mert; Kavurma, Canem; Bilaç, Öznur; Gökçen, Cem; Topal, Zehra; Yazıcı, İpek Percinel; Sapmaz, Şermin Yalın; Özyurt, Gonca; Diler, Rasim Somer; ERAY ÇAMLI, ŞAFAK; KARABİNA, BERNA; 0000-0002-4847-7751; AAG-8101-2021; FBB-9411-2022Objective Pediatric bipolar disorder (PBD) is a serious, recurrent disorder leading to severe functional impairment. As a first mood episode, index episode could affect the long-term course of the illness. This study aimed to investigate the clinical characteristics of youth with PBD from our multicenter, nationwide, naturalistic follow-up samples and to identify (i) the effects of index mood episode and (ii) the effect of previous antidepressant treatments on the age at mania onset of PBD. Method The study sample consisted of 271 youth with BD-I followed by the child and adolescent psychiatry clinics of seven different university hospitals and three research state hospitals, representing six geographic regions across Turkey. All diagnoses were made according to structured interviews, and all data were retrospectively obtained from clinical records by the clinicians. Results When patients with index depressive/mixed episodes (IDE, n=129) and patients with index (hypo)manic episodes (IME, n=142) were compared, the total number of mood episodes and rapid cycling feature were significantly higher in the IDE group than in the IME group. The Cox regression analysis adjusted for sociodemographic and illness characteristics revealed female adolescents in the IDE group treated with antidepressants were more likely to have an earlier onset of mania (hazard ratio=2.03, 95% confidence interval=1.31-3.12, p=0.001). Conclusion This is the first large-scale nationwide follow-up study in Turkey that indicated prior antidepressant treatments were associated with an earlier onset of mania in youth, particularly in adolescent females. Larger prospective studies are needed to identify neurodevelopmental processes underlying PBD and initiate prevention approaches.Publication The efficiency of the triple p program for parents of children with type-1 diabetes(Galenos Yayınevi, 2020-12-01) Arkan, Burcu; Vural, Ayse Pinar; Eray, Safak; Eren, Erdal; ARKAN, BURCU; VURAL, AYŞE PINAR; ERAY ÇAMLI, ŞAFAK; EREN, ERDAL; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Psikiyatri Hemşireliği Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Psikiyatrisi Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Sağlığı ve Hastalıkları Anabilim Dalı/Endokrinoloji Bilim Dalı.; 0000-0002-4847-7751; 0000-0002-1684-1053; 0000-0002-7285-6196; 0000-0002-3358-0019; C-8761-2017; JPK-3909-2023; AAG-8101-2021; E-6291-2017; CEM-2787-2022Aim: The aim of this study was to investigate the effect of the Triple P-Positive Parenting Training Program, which was applied to the parents of children and adolescents with a type 1 diabetes (T1D) diagnosis aged 3-12 years, on parental attitude, parental mental health, and child behaviour.Materials and Methods: This research was conducted in a quasi-experimental manner. The sample of the research consisted of 32 parents who had children with a T1D diagnosis aged 3-12 years and who agreed to participate in the study. Data were collected using the Family Background Questionnaire, General Health Questionnaire, Strengths and Difficulties Questionnaire, Parental Attitude Research Instrument, Conflict Behaviour Questionnaire and Parent Satisfaction Questionnaire. The Group Triple P Programme was implemented with all groups for 8 weeks. Data were collected immediately after the programme. Data were evaluated by using multidirectional variance analysis, t-test and chi-square test.Results: It was shown that the Group Triple P applied to the parents of those children with a T1D diagnosis positively affects the mental health of the parents, their parental attitudes and the problematic behaviour of their children and also that the parents had less conflict with their children and the children had less conflict with their parents.Conclusion: It is suggested that further studies are carried out in different centres and cities with the Group Triple P Programme to widen the use of the Group Triple P Programme and also to plan future research where the Group Triple P programme and other programmes currently used in country can be compared.Publication The relationship of peer bullying with familial expressed emotion and psychopathology(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2020-02-01) Sigirli, Deniz; Gur, Neslisah; Eray, Safak; ERAY ÇAMLI, ŞAFAK; Makinecioglu, Ibrahim; MAKİNECİOĞLU, İBRAHİM; Vural, Ayse Pinar; VURAL, AYŞE PINAR; Bursa Uludağ Üniversitesi/Tıp Fakültesi.; 0000-0002-4847-7751; C-8761-2017; AAG-8101-2021Objective: The aim of this study was to investigate the prevalence of peer bullying among the adolescents, determine the risk factors of PB and determine the relationship between peer bullying and psychiatric symptoms and expressed emotion. Methods: The sample of the study consisted of 5th, 6th 7th and 8th grade students, and the students who were selected with simple random sampling method were divided into four groups as the victim, bully, bully/victim and no peer bullying. In the study, a Personal Information Form, O/weus Bullying Questionnaire, Strength and Difficulties Questionnaire and Shortened Expressed Emotion Scale were used as data collection tools. Results: Prevalence of peer bullying of secondary school was found to be %47 (31.4% victim, 4.6% bully, 11% bully/victim). VVhen the study groups were compared in terms of subscales, behavioral problems and emotional problems were significantly higher in both the bully and the victim groups, while prosocial behaviors were found to be significantly less in these two groups. However, teenagers, who were a victim or a bully, were found to perceive their families significantly less emotionally supportive and intrusive compared to their peers who were not a victim or a bully. The perception of the family as intrusive increased the chances of being a victim by 1.04 times and a victim/bully by 1.08 times. The lack of emotional support increased the chances of being a bully/victim by 1.03 times. Conclusion: Our study reveals that there is a relationship between emotional-behavioural problems and peer bullying. It has been found that being part of bully, victim or both forms of peer bullying is significantly related to psychopathology. The findings showed the importance of family climate in peer bullying.Publication Relationship between expressed emotion and psychosomatic symptoms in adolescents(Galenos Yayıncılık, 2015-08-01) Eray, Şafak; Vural, Pınar; Çetinkaya, Fatma; ERAY ÇAMLI, ŞAFAK; VURAL, AYŞE PINAR; Çetinkaya, Fatma; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Sağlığı ve Hastalıkları Anabilim Dalı.; 0000-0002-4847-7751; AAG-8101-2021; GIK-1690-2022; CKI-8224-2022Introduction: Concept of psychosomatic medicine refers to standing against soulbody separation by considering people with bio-psychosocial integrity. In this study, the associations between many physical symptoms most commonly seen in pediatric clinics and expressed emotions which are the reflection of the family conditions were investigated.Materials and Methods: Research sample of this study consisted of high school students going to the secondary schools in the Kocaeli-Gebze region in 2014-2015 school years. Data of the study were obtained by using Information Collection Form, Shortened Level of Expressed Emotion Scale whose validation and safety studies had been performed, Rosenberg Self-Esteem Scale and Psychosomatic Symptoms subscale.Results: In our study, it was found that girls have higher psychosomatic symptoms than boys. It was shown that psychosomatic symptoms of the youngs with chronic or mental illness are more than youngs without chronic or mental illness. Psychosomatic symptoms significantly increased with the presence of chronic physical or mental disease in the family. It was found that there are strong associations between expressed emotion and psychosomatic symptoms. It was observed that young people experience psychosomatic symptoms more intense with the lack of emotional support and families with high levels of intrusiveness and irritability.Conclusions: In our study; it was found that family conditions of the teenagers, presence of intrusiveness, irritability and the lack of emotional support are associated with occurrence of psychosomatic symptoms. These results highlight the importance of multidisciplinary approach to the evaluation of the young people admitted with psychosomatic complaints.Publication Covid-19 pandemic may have unique effects on emergency admissions for pediatric psychopathology: A single-center study(Yerküre Tanıtım & Yayıncılık Hizmetleri, 2021-01-01) Eray, Şafak; Şahin, Volkan; ERAY ÇAMLI, ŞAFAK; ŞAHİN, VOLKAN; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi Anabilim Dalı; 0000-0002-4847-7751; 0000-0003-0888-2370; AAG-8101-2021; ISP-2828-2023Objective: In December 2019, a new coronavirus was identified that caused an epidemic across China and a worldwide pandemic (COVID-19). We aimed to examine the admissions of the children to the emergency service with psychiatric symptoms by comparing retrospectively in terms of sociodemographic variables, diagnoses, psychiatric symptoms, and psychiatric treatments during and before the Covid-19 Pandemic.Methods: In our study, the first group consisted of the 170 patients who were consulted to child and adolescent psychiatry emergency service department between 11.03.2019 and 30.09.2019 and the second group consisted of the 102 patients who have consulted in the same period previously. The statistical analysis of the study was performed by using SPSS 23. The significant level was accepted as a p-value <0.05.Results: We found that child psychiatry applications decreased by 42% compared to the previous year. There was no statistically significant difference between the groups in terms of gender and age between the two groups (p> 0.05). The diagnosis of depression and anxiety disorders were found to be the most common diagnosis in both two groups (48.8%;42%, respectively). We observed an increase in diagnoses of post-traumatic stress disorder, eating disorders, and obsessive-compulsive disorders and a decrease in neurodevelopmental disorders among the children who applied to the emergency department during the Covid-19 Pandemic.Conclusion: Our results contribute the knowledge about the features of emergency administrations of children during the pandemic. Further research is crucial to ensure that child and adolescent psychiatry services are prepared in extraordinary situations such as epidemics.Publication Psychological well-being among internally displaced adolescents and the effect of psychopathology on ptsd scores depends on gender(Springer, 2020-03-02) Eray, Şafak; Murat, Duygu; Uçar, Halit Necmi; Gönüllü, Edip; ERAY ÇAMLI, ŞAFAK; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi Anabilim Dalı; C-8761-2017The purpose of this cross-sectional study was to investigate the post-traumatic symptoms and psychological well-being among internally displaced (ID) adolescents in the early phase of the conflict in the southeast part of Turkey and clarify the effect of psychopathology on PTSD scores depends on gender. With the help of the results of our study, we aimed to enhance our understanding of adolescent mental health. Our study was completed with 102 ID adolescents (42 boys, 60 girls). Our results showed that ID adolescents flee from conflict had significantly higher levels of mental disorders and PTSD. Girls show higher rates of PTSD symptoms than boys and there was no significant interactive effect of gender and emotional, behavioral and peer problems on PTSD. However, boys with ADHD seem to be more prone to develop PTSD than girls. We aimed to highlight the challenges facing adolescents forced to flee from conflict zones who were temporarily relocated. These results may help us to enlighten our understanding of ID adolescents and may suggest more studies to provide beneficial gender-specific intervention program.Publication Evaluation of the resilience of the girls with central precocious puberty treated with gonadotropin-releasing hormone analog(Walter De Gruyter Gmbh, 2021-11) Güneş, Sevinç Odabaşı; Akın, Onur; Eray, Şafak; ERAY ÇAMLI, ŞAFAK; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi ve Ruh Sağlığı Anabilim Dalı; AAG-8101-2021Objectives: The aim of this study was to evaluate the resilience of girls with central precocious puberty (CPP) during treatment with a gonadotropin-releasing hormone agonist (GnRHa) and compare these results with their healthy peers.Methods: The Connor-Davidson Resilience Scale (CD-RISC) is a self-report scale used to quantify resilience, which is divided into seven subgroups (hardiness, coping, flexibility, purpose, optimism, regulation of emotion and cognition (REC), and self-efficacy). Fifty-one girls with CPP receiving GnRHa treatment and 51 healthy controls were involved in the study. Anthropometric measurements were evaluated and CD-RISC was performed at least six months after the initiation of GnRHa treatment.Results: There was no statistically significant difference between the anthropometric evaluations of girls with CPP and the control group. Similarly, the total score and subgroup scores of patients with CPP and the control group showed no statistically significant difference. In the correlation analysis, there was a weak negative correlation between height and flexibility (r=-0.314 p=0.025), height SDS and flexibility (r=-0.254 p=0.092), height SDS, and purpose (r=-0.285 p=0.058). Also, there was a weak negative correlation between REC and weight (r=-0.435 p=0.003), REC and weight SDS (r=-0.461 p=0.002), REC and height (r=-0.269 p=0.077), REC and height SDS (r=-0.322 p=0.033), REC and BMI (r=-0.289 p=0.058), and REC and BMI SDS (r=-0.353 p=0.019).Conclusions: The resilience of girls with CPP treated with GnRHa was found to be similar to their healthy peers. The early diagnosis of the disease and adequate treatment may decrease the discrepancy of somatic changes between girls with CPP and their peers, which may help them to overcome the stress of CPP and long-term treatment.Publication Impact of the pandemic on the mental health of children and clinical practice in Turkey: A narrative review with recommendations(Exeley, 2021-01-01) Turan, Serkan; Eray, Şafak; TURAN, SERKAN; ERAY ÇAMLI, ŞAFAK; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi; 0000-0002-6548-0629; 0000-0002-4847-7751; HKE-9636-2023; AAG-8101-2021; AFO-6356-2022Publication Evaluation of consultations requested from the departments of child and adolescent psychiatry of uludag university hospital within the previous year(Galenos Yayıncılık, 2013-12-01) Çolpan, Merve; Eray, Şafak; Vural, Pınar; Çolpan, Merve; ERAY ÇAMLI, ŞAFAK; VURAL, AYŞE PINAR; Uludağ Üniversitesi Tıp Fakültesi/Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı; 0000-0002-4847-7751; AAG-8101-2021; C-8761-2017; ERP-1495-2022; GIK-1690-2022Introduction: Consultation-liaison psychiatry is a field of psychiatry which investigates associations among clinical medicine in general, different fields of specialties and psychic and psychosocial entities. This psychiatric discipline deals with diagnosis, treatment, follow-up of psychiatric, and psychosocial disorders associated with physical diseases. The objective of this study was to review causes of consultations requested from departments of child and adolescent mental health, and diseases (PAMHD), sociodemographic data of the cases, and treatment approaches related to these cases.Materials and Methods: Patient information related to the consultations requested from the department of child and adolescent psychiatry by the clinics of emergency medicine, and other clinics in the Uludag University, Faculty of Medicine (UUFM) between January 2012 and January 2013 were retrospectively screened.Results: PAMHD consultations were requested from 0.48% of the cases in the UUFM who referred to the outpatient clinics of pediatric emergency, and 3.25% of the inpatients aged less than18 years. A total of 275 cases (females, 51.5%; and males, 48.5%) with a mean age of 13.5 +/- 4.23 years were evaluated. Consultations were most often requested from the clinics of pediatric emergency (27%), pediatric hematology (12.5%), and pediatric nephrology (12.5%) in decreasing order of frequency. Of the cases, 7.6% had not received any psychiatric diagnosis. Psychiatric diagnoses were mostly adjustment disorder (26.2%), depressive disorder (20.7%), and anxiety disorder (15.3%). Medical treatment was administered to 36% of the evaluated cases.Conclusions: Our study reveals that psychiatric disorders, mainly adjustment disorders and depressions, are frequently seen in patients with physical diseases. Apparently, screening studies performed have revealed annual increases in the number of consultations evaluated. Outcomes of our study emphasized the merit of these consultation demands, and importance of collaboration between disciplines.Publication What runs in the family? relations between parent-child characteristics in cases with autism and typical development(Yerküre Tanıtım & Yayıncılık Hizmetleri A Ş., 2020-01-01) Mutluer, Tuba; Doenyas, Ceymi; Eray, Çamlı Şafak; ERAY ÇAMLI, ŞAFAK; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi Anabilim Dalı; 0000-0002-4847-7751; AAG-8101-2021Objective: Though twin studies have mainly been the focus of genetic studies in autism spectrum disorder (ASD), trait inheritance studies between parents and children are also valuable to guide genetic investigations. Therefore, we aimed to investigate the relationship between parent psychological and behavioral profiles and child problem behaviors in families with children with ASD and children with typical development (TD). In the ASD group, we further investigated specific associations between psychological symptoms of parents and ASD-specific behaviors of children.Methods: Childhood Behavior Checklist (CBCL) and Symptom Checklist 90 (SCL-90R) were used to measure behavior problems of children and psychological problems in parents. These scales were used with children with ASD and their mothers (n = 64) and TD children and their mothers (n = 53). Additionally, for children with ASD only, the ASD diagnosis was confirmed with semi-structured interviews using Childhood Autism Rating Scale (CARS) and behavioral domains were measured with the help of Aberrant Behavior Checklist (ABC).Results: Both the CBCL and the SCL-90R scores were higher in the ASD group compared to the TD group. In the ASD group, beyond demographic variables, mother obsessive-compulsive symptoms significantly predicted child stereotypic behaviors and inappropriate speech, which includes repetitive speech and repeating words/phrases. Mother depression symptoms significantly predicted inappropriate speech in children with ASD beyond demographic variables.Conclusion: Our findings point to obsessive-compulsive traits as potential targets of investigation in the quest to unravel the genetic profile of ASD. Parent obsessive-compulsive symptoms may have a hereditary component that can constitute a risk factor for ASD or for the severity of specific behavioral domains of ASD in their children.