Person: PERDAHLI FİŞ, NEŞE
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PERDAHLI FİŞ
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NEŞE
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Publication Open Access Executive functions in adolescents with gender dysphoria(2023-01-01) YAZKAN AKGÜL, GÖZDE; PERDAHLI FİŞ, NEŞE; ERDOĞDU, AYŞE BURCU; Yazkan Akgül G., Yıldırım Budak B., PERDAHLI FİŞ N., ERDOĞDU YILDIRIM A. B.Aim: Aim of this study is evaluating EF by performing neurocognitive tests, and to identify gender-related differences in EF between adolescents with and without GD. Methods: 8 Female-to-Male transgender adolescents (FtMs), and 14 Male-to-Female transsexual adolescents (MtFs) (Gender Dysphoria Group, GDG) and 29 boys, 21 girls (Control Group, CG), were tested in a cross-sectional study, using the Wisconsin Card Sorting Test (WCST), Controlled Oral Word Association Test (COWAT), and Stroop Color and Word Test (SCWT). The psychiatric diagnoses were established by using the KD-SADS. Results: Among GDG 72.7%, had at least one psychopathology. There weren’t any significant differences in, estimated IQ scores, or WCST subtest scores between the 2 groups. COWAT total word count and SCWT-5 total duration test scores were better in the CG. Conclusion: CG had better performance on verbal fluency and response inhibition whereas no differences found on set shifting abilities. In consideration of the existence of EF-related impairment in adolescents with GD, appropriate support and interventions are expected to improve their adaptation skills and comorbid psychopathologies. These results should be interprete cautiously and additional larger scale studies are needed to obtain more comprehensive data related to gender differences in EF of adolescents with GD.Publication Open Access Travma Sonrası Stres Bozukluğu Tanılı Ergene Bilişsel Davranışçı_x000D_ Yaklaşım: Bir Olgu Sunumu(2019-11-01) PERDAHLI FİŞ, NEŞE; Hatice ÜNVER;Neşe PERDAHLI FİŞÇocuk ve ergen hastalarda travma sonrası stres bozukluğu tedavisi çok yönlü olup, hastaların yaşına ve özelliklerine uygun yöntemlerinseçilmesi ve tedavi sürecine aile üyelerinin katılımının sağlanması önemlidir. Travma odaklı bilişsel davranışçı terapinin etkinliği çocuk veergen hastalarda gösterilmiştir. Terapide psikoeğitim, maruz bırakma, tepki engelleme, davranışçı ve bilişsel müdahaleler, gevşeme egzersizlerive ev ödevleri kullanılmaktadır. Bu olgu sunumunda 15 yaşındaki erkek hastanın geçirdiği trafik kazası sonrası 1 yıllık bilişsel davranışçı terapisüreci tartışılmıştır.Publication Open Access Are neurocognitive abilities and social cognition related to social and role functioning in familial high risk group for psychosis(2022-12-01) PERDAHLI FİŞ, NEŞE; Yazkan-Akgul G., PERDAHLI FİŞ N.Aims In this study, we aimed to compare neurocognitive abilities and social cognitive features among adolescent offspring of psychotic individuals and healthy controls. Methods The study sample was composed of offspring of patients with psychotic disorders (n = 30), the high risk group (HR), and age and sex matched healthy controls (n = 32) the Control Group (CG). The psychiatric diagnoses were established by using the KD-SADS. Strengths and Difficulties Questionnaire adolescent and parent forms (SDQ-A, SDQ-P) were used. General functioning status were evaluated by The Children\"s Global Assessment Scale (CGAS) and Global Functioning Scale: Social and Role Functioning. Wisconsin Cart Sorting Test, Controlled Oral Word Association Test, California Verbal Learning Test, Stroop Colour and Word Test and Trail Making Tests A and B were used to assess neurocognitive abilities; to assess social cognition and empathy skills DANVA-2 and Bryant Empathy Scale were used, respectively. Results Among HR 53.33% had at least one psychopathology. SDQ-A, SDQ-P scores were significantly higher, and CGAS, social and role functioning scores were significantly lower in HR. Neurocognitive test scores were significantly worse except for SCWT scores in the HR. No significant differences were obtained in social cognition. A variety of the neurocognitive abilities were significantly correlated with the role functioning. In regression analyses, the most predictive scores were WCST total correct scores and role functioning score. Conclusions HR group showed more impairments in neurocognition, social, role and overall functioning, whereas there was no significant difference in terms of social cognition. Disturbances in neurocognition were correlated with impairments in role functioning.Publication Open Access Impact of psoriasis in the quality of life of children, adolescents and their families: a cross-sectional study(SOC BRASILEIRA DERMATOLOGIA, 2018-12) SALMAN, ANDAÇ; Salman, Andac; Yucelten, Ayse Deniz; Sarac, Esra; Saricam, Merve Hatun; Perdahli-Fis, NeseBACKGROUND: Psoriasis is a chronic and inflammatory disease that impairs quality of life and causes psychological symptoms. Despite the high prevalence of psoriasis in pediatric patients, studies investigating the impact of psoriasis in the quality of life of children, adolescents and families are sparse. OBJECTIVE: To investigate the impact of psoriasis in the quality of life of children and adolescents with psoriasis and their families and to determine depression and anxiety levels of the patients. METHODS: A total of 58 patients with psoriasis aged 7-18 years (median age: 11) and a family member of each patient were included in the study. Children's Dermatology Life Quality Index (CDLQI), Family Dermatology Life Quality Index (FDLQI), Children's Depression Inventory (CDI) and State-Trait Anxiety Inventory for Children (STAIC) were used in the study. RESULTS: The median PASI score of the patients included in the study was 1.8. The median CDLQI and FDLQI scores in the study groups were 5 and 10, respectively. The median CDI score, STAIC-state and STAIC-trait scores of the patients were 6,28 and 325, respectively. STUDY LIMITATIONS: Lack of a control group and patient assessment of disease severity. Relatively mild disease severity of the subjects. CONCLUSIONS: Psoriasis has a negative impact in the quality of life of children, adolescents and their families, even in the presence of mild disease. Considering that impairment in quality of life may be associated with psychosocial morbidity, a combined approach with medical therapy, family counseling and quality of life assessment may be beneficial in this patient group.Publication Open Access The relationship in between self-esteem levels and the mothers' expressed emotion in children with asthma(TURKISH PEDIATRICS ASSOC, 2011-06-15) KARADAĞ, BÜLENT TANER; Olcer, Sema; Fis, Nese Perdahli; Berkem, Meral; Karadag, BuelentAim: The objective of this study is to evaluate the self-esteem levels of asthmatic children and the maternal emotional expressiveness. Material and Method: Sixty-five children and adolescents with the diagnosis of asthma were compared with a control group of 76 children, without a chronic illness. Presence of psychopathology was evaluated by Kiddie-Schizofrenia Affective Disorders Schedule, behavioral problems were assessed by Child Behaviour Checklist. Additionally, Piers Harris Self-Esteem Inventory and Expressed Emotions Questionnaire were administered to children and adolescents and to their mothers, respectively. In order to compare the groups, chi square and student's t-tests, and to assess the relationship between the variables Pearson's correlation analyses were used. Results: Psychiatric diagnoses (p=0.00) and behavioral problems (p<0.01) were encountered more frequently in children with asthma. Although self-esteem levels of asthmatic children were similar to those of the control group, as maternal emotional expression increased, children tended to have lower self esteem levels (r=-0.38, p=0.002). Maternal emotional expression levels were found to be higher in the asthma group (p=0.006) and it showed positive correlation with the presence of psychopathology and behavioral problems in the children. Conclusions: Although self-esteem was not directly affected by the presence of asthma, co-occurrence of psychiatric disorders, emotional and behavioral problems, and high maternal emotional expressiveness result in decreased self-esteem in children. (Turk Arch Ped 2010; 45: 144-9)Publication Open Access Findings From A Specialized Child Psychiatry Unit For Care of Refugee Children in Istanbul(2018) ARMAN, AYŞE; Çeri, Veysi; Beşer, Can; Perdahlı Fiş, Neşe; Arman, AyşePublication Open Access Executive Functions and Social Responsiveness in Children and Adolescents With Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder(AVES, 2021-06-29) PERDAHLI FİŞ, NEŞE; Ayyildiz, Didem; Bikmazer, Alperen; Orengul, Abdurrahman Cahid; Fis, Nese PerdahliObjective: To evaluate the executive functions and social reciprocity of children and adolescents diagnosed with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) and compared them with healthy controls. Material and Method: Patients aged 6-17 years diagnosed with ASD (n=33) and ADHD (n=37) and healthy controls in the same age range (n=33) were included in the study. Behavioral Rating Inventory of Executive Functions (BRIEF) sub-scales and Social Responsiveness Scale (SRS) were used for evaluating executive function areas and social responsiveness. Results: Our results revealed that children and adolescents with ASD and ADHD were significantly impaired for all BRIEF sub-scales except emotional control and that the significant increase in sub-scale scores expressing deterioration continued after adjustment for SES, verbal IQ scores, and gender. ASD patients received significantly higher SRS scores compared to ADHD and control groups and ADHD patients also had significantly higher values compared to the controls. Conclusion: Further studies with parent-report scales that allow easier and faster evaluation of executive functions and social reciprocity will contribute to better understanding of the personal needs of children with neurodevelopmental disorders and the finding of new treatments.Publication Open Access Gender dysphoria and attention problems: possible clue for biological underpinnings(TAYLOR & FRANCIS LTD, 2017-07-03) ERDOĞDU, AYŞE BURCU; Yildirim, Burcu; Fis, Nese Perdahli; Akgul, Gozde Yazkan; Ayaz, Ayse BurcuOBJECTIVES: Development of gender identity is a complicated process. Several biological, familial, environmental, and cognitive factors thought to play role during this process. When a person has a persistent discomfort with his/her assigned gender and exhibits cross-gender identification, gender dysphoria is to be considered. In this study, we aimed to determine the rates of psychiatric diagnoses in youth presenting with gender dysphoria and compare them with a control group in terms of family functioning, emotional, and behavioural problems. METHODS: The study sample consisted of 20 cases with gender dysphoria and 40 controls (5-17 years of age). The instruments included were Sociodemographic Form, Family Assessment Device (FAD), Child Behavior Checklist, and Schedule for Affective Disorders and Schizophrenia for School Aged Children Present-Lifetime Version. RESULTS: Ninety per cent of the cases with gender dysphoria had at least one psychiatric diagnosis. Attention-deficit/hyperactivity disorder (ADHD) (75%) was the leading comorbidity, followed by major depressive disorder (25%). Gender dysphoria group had significantly higher scores in communication, roles, affective involvement, and general family functioning subscales of FAD and in all Child Behavior Checklist subscales. High Child Behavior Checklist attention subscale score was significantly associated with the diagnosis of gender dysphoria in binary logistic regression analysis (odds ratio: 0.82; p < .001). CONCLUSIONS: Our results pointed out a possible biological background for gender dysphoria, along with psychosocial/psychodynamic explanations. The individuals with gender dysphoria will benefit from an integrative approach where all possible contributing factors are considered. Therefore, in addition to psychosocial and psychodynamic evaluation, assessment and interventions regarding ADHD will help to improve well-being and quality of life of these individuals.Publication Open Access Child and adolescent psychiatry outpatient clinic admissions of anorexia nervosa patients before and during the COVID-19 Pandemic (January 2015–January 2022)—A retrospective cohort from a tertiary referral hospital in Turkey(2023-01-01) ÜNVER, HATİCE; ERDOĞDU, AYŞE BURCU; PERDAHLI FİŞ, NEŞE; Ünver H., Ceylan B. G., ERDOĞDU YILDIRIM A. B., PERDAHLI FİŞ N.Publication Open Access Psychiatric Disorders, Family Functions, and Parent Psychiatric Symptoms in Children and Adolescents with Chronic Dermatological Diseases Treated with Phototherapy(WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2021) SEÇKİN GENÇOSMANOĞLU, DİLEK; Ayyildiz, Didem; Fis, Nese Perdahli; Gumustas, Funda; Seckin, DilekObjective: The aim of this study was to examine comorbid psychiatric disorders, family functioning, and parental psychiatric symptoms in children and adolescents with chronic dermatological diseases and compare them with those of healthy controls. Materials and Methods: The research sample consisted of patients between the age of 9 and 18 years (n = 45) with alopecia areata, vitiligo, or psoriasis and a control group (CG) of healthy children and adolescents of the same age (n = 42). The psychiatric diagnoses of cases were established using Schedule for Affective Disorders and Schizophrenia for School Aged Children Present-Lifetime Version. Family assessment device (FAD) was used to evaluate family functioning levels. Parental psychiatric symptom levels were obtained by the Symptom Checklist-90-R. Results: Children and adolescents with chronic dermatological diseases had significantly higher rates of any anxiety disorders and any axis I comorbid psychiatric disorders than healthy controls after adjusting for socioeconomic status (P < 0.05). There were no significant differences in parental psychiatric symptom levels and family functioning levels between two groups; however, families of patients with comorbid psychiatric disorders had significantly higher scores in problem-solving and communication subscales of the FAD when compared to those of patients without psychiatric disorders and CG. Conclusions: Our findings suggest that children and adolescents with chronic dermatological diseases have higher risk for anxiety disorders. When psychiatric disorders co-occur with the dermatological disease in children and adolescents, they may adversely affect the family functioning, in the domains of problem-solving and communication skills.