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This 8-week longitudinal study examined predictors of response to simple behavioral intervention in primary enuresis nocturna (PEN). A total of 154 children, aged 8–18 years, diagnosed with PEN were evaluated. The results indicated that lack of constipation, milder enuresis severity, and higher bladder capacity are the primary predictors of good treatment response, and lower family dysfunction is the most robust familial predictor. Lack of constipation is the main predictor with unique variance in multiple regression. Specialists should be aware of conditions that hinder the success of simple behavioral intervention before implementing costly treatments. In treatment-refractory cases, it is important to examine each child for constipation. Family-centered approaches can be helpful if used in parallel with behavioral treatments.

Sentetik Kannabinoidler esrarın psikoaktif etkilerini taklit eden laboratuar ortamında üretilmiş birçok bileşiğin ortak adıdır. Sentetik Kannabinoid kullanımı son yıllarda gençler arasında hızla yaygınlaşan bir halk sağlığı sorunudur. Kullanım oranının gün geçtikçe artması nedeniyle etkilerinin daha iyi anlaşılabilmesi, tüketim hızının azaltılabilmesi, yarattığı olumsuz etkilerin giderilmesinin kolaylaştırılabilmesi için birçok çalışmaya ihtiyaç vardır. Sentetik kannabinoid kullanımı sonucunda ortaya çıkabilecek nöropsikiyatrik durumların bilinmesi ve esrar kullanımından ayırt edilmesi, nörorehabilitasyon sürecinin işlevselliğini artırmaya yönelik düzenlemelere yol gösterecektir.

Objective: We aimed to determine the predictive factors for psychiatric problem severity and/or clinical approval 10 years after first assessment between ages 1-4 years. Method: The children that were assessed with the CBCL and the BITSEA in their 1-4 years of age were included. The follow-up assessments were made by telephone interviews 10 years later by child psychiatry residents. The primary caregivers responded the follow-up questionnaire items, such as social/academic/behavioral functioning and self-esteem and the items regarding the psychiatric approval, diagnosis, and treatment history. Results: The CBCL-Internalizing scores in toddlerhood were found to be significantly inversely correlated with social and behavioral functioning level and self-esteem scores. The paternal and maternal BITSEA-Competence scores were found to be positively correlated with social and academic functioning. The CBCL Withdrawn/Depressed points at first evaulation were determined to be statistically significantly predictive for psychiatric diagnosis. Conclusion: The study revealed that some measures including CBCL and BITSEA completed in toddlerhood significantly indicate the children under risk of psychiatric morbidity in adolescence. Therefore, we conclude that the widespread use of this assessment measures in toddlers and the referral of the group under risk to the psychiatry units for further investigations could be useful preventive interventions.

Usta, Mirac Baris/0000-0002-1573-3165 WOS: 000434284700012 Several case reports in the literature mention sexual offenses committed by patients with Asperger syndrome. There are no clear data in the literature to distinguish circumscribed behavior from actions resulting from sexual arousal. In this case, we had to assess the criminal responsibility of an adolescent girl diagnosed with Asperger syndrome according to DSM-IV who had been charged with possession of child pornography and sharing this material on social media. This case is a reminder that circumscribed behavior in Asperger syndrome may cause forensic incidents or misunderstandings. When evaluating sexual offenses, it is critical to receive a detailed history of sexual development, the motives of actions, and social-sexual knowledge in order to distinguish circumscribed behavior from sexually deviant behaviors.

WOS: 000504845000007 Objective: Neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and monocyte/lymphocyte ratio (MLR) are practical inflammation parameters. In bipolar disorder (BD) and major depressive disorder (MDD), these parameters were reported higher than in healthy controls (HC). We aim to compare NLR, PLR, MLR in HC and patients with MDD and BB-manic episode. Method: Forty-six patients with MDD and 43 patients with BD hospitalized between 2013 and 2017 and 40 HC were included in the study. White blood cell, neutrophil, lymphocyte, platelet, and monocyte numbers were entered retrospectively from complete blood counts made at the time of admission, and NLR, PLR, and MLR were calculated from these. Results: NLR and PLR were revealed higher in MDD than HC. NLR and neutrophil values were higher in BD than HC, and there was a positive correlation between NLR and hospitalization period of patients with BD. Conclusion: Findings of our study supported the inflammation hypothesis for MDD and BD in adolescents. Larger-scale studies are necessary to confirm these findings.

Usta, Mirac Baris/0000-0002-1573-3165; Sahin, Berkan/0000-0003-4699-3418 WOS: 000481832500012 OBJECTIVE Studies show partial improvements in some core symptoms of Autism Spectrum Disorders (ASD) in time. However, the predictive factors (e.g. pretreatment IQ, comorbid psychiatric disorders, adaptive, and language skills, etc.) for a better the outcome was not studied with machine learning methods. We aimed to examine the predictors of outcome with machine learning methods, which are novel computational methods including statistical estimation, information theories and mathematical learning automatically discovering useful patterns in large amounts of data. METHOD The study the group comprised 433 children (mean age: 72.3 +/- 45.9 months) with ASD diagnosis. The ASD symptoms were assessed by the Autism Behavior Checklist, Aberrant Behavior Checklist, Clinical Global Impression scales at baseline (T0) and 12th (T1), 24th (T2), and 36th (T3) months. We tested the performance of for machine learning algorithms (Naive Bayes, Generalized Linear Model, Logistic Regression, Decision Tree) on our data, including the 254 items in the baseline forms. Patients with

Usta, Mirac Baris/0000-0002-1573-3165 WOS: 000426058400003 Object: Due to the low number of children and adult psychiatric clinics serving in our country, there is limited data in this age group in the literature. In this study, it was aimed to determine the factors affecting the duration of admission in children and adolescents receiving treatment in Samsun Ondokuz Mayys University Medical Faculty Psychiatry Clinic. Methods: Hospital records of 194 children and adolescents aged between 11 and 18 years who were hospitalized at Ondokuz Mayys University Psychiatric Service between January 2013 and December 2015 were retrospectively reviewed. ANOVA and logistic regression analyzes were performed for clinical and sociodemographic data that could effect hospitalization times and multiple admission. Results: 138 of the patients were female and 56 were male. Major depressive disorder patients (n: 79, 41.1%) and the average duration of hospitalization were 8.43 days. The group with the longest mean duration of admission was the Psychotic Disorder group (n: 17, mean: 19.92 days, p: 0.01). In logistic regression analysis for multiple risk factors, Female gender (OR: 2.02) and MDD diagnosis (OR: 1.51) were found to be risk factors for multiple admission. Discussion: In our study, it was observed that the presence of Major Depresive Disorder and female gender was a risk factor for multiple admission. Clinical and sociodemographic features of the disease can be predictive of hospitalization within the treatment plan.

Usta, Mirac Baris/0000-0002-1573-3165 WOS: 000408778900007 PubMed: 28856844 …