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Öğe Changes in the psychosocial and clinical profiles of anorexia nervosa patients during the pandemic(Frontiers Media Sa, 2023) Ozbaran, N. Burcu; Yilancioglu, Hazal Yagmur; Tokmak, Sibel Helin; Tas, Begum Yulug; Cek, Didem; Bildik, TezanThe COVID-19 pandemic and related control measures have increased the prevalence of anorexia nervosa (AN), and recent studies demonstrated that approximately 70% of individuals diagnosed with AN experienced deterioration in symptoms. This study aimed to examine the psychosocial and clinical impacts on patients with AN during the COVID-19 pandemic. This cross-sectional study involved 35 female AN adolescents who were being treated at Ege University Child and Adolescent Psychiatry Department. To assess pre-pandemic symptom levels and daily life routines, a retrospective form utilizing the visual analog scale (VAS) was employed. Body mass index (BMI) and Clinical Global Impression (CGI) data were recorded by an interviewer for all 35 patients who gave consent to participate in the study. Fifteen patients completed all the forms [VAS, the Children's Depression Inventory (CDI), the Screen for Child Anxiety Related Disorders Scale (SCARED), the Eating Attitudes Test, the Quality-of-Life Scale (QoLS), the Autism Spectrum Screening Questionnaire, and the Turgay DSM-4 Based Screening and Evaluation Scale for Behavioral Disorders in Children and Adolescents] online in 2022. Clinical diagnosis and progress were assessed retrospectively using The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS). The duration of the follow-up period and the number of psychiatric visits were obtained retrospectively from patient files. Retrospective data on pre-pandemic symptom levels and daily life routines were collected using the VAS. The mean age of AN patients was 16.67 & PLUSMN; 1.63 years. Comorbid diseases were present in 73.33% of patients, and major depressive disorder (MDD) was the most common (46.66%). Mean scores indicated moderate levels of anxiety (SCARED score: 37.23 & PLUSMN; 12.67) and depression (CDI score: 17.23 & PLUSMN; 10.85). QoLS scores were negatively correlated with eating attitudes (r = -0.601, p = 0.039). Obsession level, exercise level, and screen time increased during the pandemic, while social activity, quality of education, and perception of learning decreased. BMI increased in all patients. Patients who completed the forms had a higher number of psychiatric visits compared to those who did not complete the forms (p = 0.033). The mean number of clinic visits was 26.27 & PLUSMN; 20.33. The results show that the COVID-19 pandemic had adverse effects on AN patients and disrupted their daily routines. These patients experienced high rates of comorbidities. The patients showed improvement in BMI scores, indicating the positive impact of treatment. These findings emphasize the need for comprehensive psychiatric care and targeted interventions for AN patients during crises such as the COVID-19 pandemic.Öğe Effects of Caregivers on the Mental State of Children Receiving Inpatient Treatment in the Oncology Service(Galenos Publishing House, 2024) Yılancıoğlu, Hazal Yağmur; Pilan, Birsen Şentürk; Erermiş, Serpil; Kantar, Mehmet; Ataseven, Eda; Yüncü, Zeki; Bildik, TezanObjectives: Economic and social burdens lead caregivers to psychopathologies that affect their childrens’ undergoing cancer treatment. In this study, we aimed to evaluate the effect of caregivers on the mental health of children and adolescents receiving inpatient treatment for cancer. Materials and Methods: In this study, 44 patients who received inpatient treatment at Ege University Tülay Aktaş Oncology Hospital between March 2019 and March 2020 and who accepted participation were included. The diagnoses of the patients were made according to the Affective Disorders and Schizophrenia Interview Schedule for School-Age Children-current and lifelong version which is a semi-structured interview and according to the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders. Symptom Checklist-90-Revised (SCL), Parental Attitude Research Instrument (PARI), and Hospital Anxiety-Depression Scale (HADS) were applied to the caregivers. Results: A total of 44 patients, [24 (54.5%) girls and 20 (45.5%) boys] between the ages of 2-18 years were included in the study. The mean age of the girls was 9.2 (±5.7), and that of the boys was 10.0 (±5.2) years. The most common diagnosis in 26 (59.1%) patients with psychiatric diagnosis was depressive disorder (n=14, 31.8%). As the education level of mothers decreased, there was a significant increase in the frequency of psychiatric diagnoses among patients (p=0.02). As the number of hospitalization days increased, the frequency of psychiatric diagnoses in children increased (p=0.01). Scale scores of those with and without psychopathology were similar (p>0.05). The average number of hospitalization days was 93. According to HADS cut-offs twenty-eight (63.6%) of the parents had elevated anxiety scores while 21 (47.7%) had elevated depression scores. PARI attitude of hostility and rejection [p=0.01, mean ± standard deviation (SD): 30.70±7.50], husband and wife incompatibility subscale scores (p=0.04, mean ± SD: 17.00±4.93), anxiety subscale of HADS scores (p=0.07, mean ± SD: 12.11±4.18), were higher in the caregivers of patients who were hospitalized for more than 93 days. Conclusion: It has been observed that children of caregivers with rigid and protective attitudes who have low education levels are at risk of psychiatric disorders. A multidisciplinary approach is important for developing psychosocial support strategies for caregivers of patients in oncology. Prolonged hospitalization time is an important factor that negatively affects the psychiatric status of both caregivers and patients. The treatment team should notice the need for psychiatric support in such cases. © 2024 Yazar.Öğe A follow-up and treatment model for pediatric eating disorders: examination of the clinical variables of a child and adolescent psychiatry eating disorder outpatient clinic(Frontiers Media Sa, 2023) Ozbaran, N. Burcu; Erbasan, Zeynep Irem; Yilancioglu, Hazal Yagmur; Cek, Didem; Tas, Beguem Yulug; Tokmak, Sibel Helin; Bildik, TezanIntroductionAnorexia nervosa and other eating disorders are common in children and adolescents and are characterized by symptoms such as food restriction, efforts to lose weight, fear of gaining weight and impaired body image. Anorexia nervosa is a life-threatening psychiatric disorder and its management in the outpatient setting can be challenging for clinicians. The aim of this study was to introduce the subunit service model developed for the multidisciplinary diagnosis and management of eating disorders in the outpatient setting and to evaluate the clinical follow-up of patients.MethodsThe medical records of 37 patients who were followed up by the eating disorders team at our clinic between 2018 and 2022 were reviewed. The study was designed as retrospective case study.ResultsA diagnosis was made according to DSM-5 and a treatment plan was developed for each case. Body mass index (BMI), Clinic Global Impression (CGI) scale scores, duration of follow-up, number of interviews and other scale scores (The Turgay Attention Deficit Hyperactivity Disorder Scale and the Autism Spectrum Screening Questionnaire Scale) of 37 patients aged 12-17 years diagnosed with an eating disorder and followed up in our clinic were statistically compared.DiscussionThe Eating Disorder Follow-up Model developed and applied in our clinic had a positive effect on patients BMI scores, a significant improvement in CGI scores was observed. Conclusion: We believe that this multidisciplinary system will serve as a model for other mental health centers by raising awareness and guiding mental health professionals in the follow-up and treatment of eating disorders.
