Person: PERDAHLI FİŞ, NEŞE
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PERDAHLI FİŞ
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NEŞE
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Publication Metadata only Dating violence in adolescent forensic cases with history of sexual abuse(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2016) PERDAHLI FİŞ, NEŞE; Ucok Demir, Nagehan; Irmak, Mustafa Yasin; Murat, Duygu; Perdahli Fis, NeseObjective: Dating violence defined as physical, sexual or psychological/emotional violence within a dating relationship. Consequences identified from longitudinal studies include cigarette smoking, marijuana and other illicit substance use, antisocial behavior, depression, and suicide ideation and attempts. We aimed to examine the concept of dating violence within a group of adolescent forensic sexual abuse cases. Methods: The files of girls aged 1218 years who had been referred to child psychiatry forensic outpatient clinic between September 2010 and December 2012 were examined retrospectively. The group with the presence of dating violence was compared to the group without dating violence with regard to characteristics of abuse and psychiatric findings from the clinical interview. Results: The mean age of our sample was 15.20 +/- 1.67 years. Almost 75% of the cases had been abused by someone they were familiar with. Among them dating partners were the first on the list. In both groups the most common psychiatric diagnoses were post traumatic stress disorder and acute stress disorder, followed by major depression. Those girls, who were subjected to dating violence, had significantly more suicidal acts after the trauma. Sexual abuse with penetration was significantly higher in the dating violence group. Conclusion: The term 'dating violence', has long been known in western countries and has been regarded as a serious public health problem. It is a relatively new term in our country. Due to its serious consequences, such as increased suicidal attempts, the awareness about dating violence should become an issue of great importance.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 Metadata only X-Linked adrenoleukodystrophy in a 7-year-old boy presenting with psychiatric symptoms(SPRINGER, 2011) PERDAHLI FİŞ, NEŞE; Guler, Aysegul Selcen; Fis, Nese Perdahli; Berkem, MeralPublication 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 Metadata only Association of sleep duration with socio-economic status and behavioural problems among schoolchildren(WILEY, 2011) TOPUZOĞLU, AHMET; Arman, Ayse Rodopman; Ay, Pinar; Fis, Nese Perdahli; Ersu, Refika; Topuzoglu, Ahmet; Isik, Ugur; Berkem, MeralAim: In this population-based study, we aimed to determine the total sleep duration (TSD), its association with socio-economic status (SES) and behavioural symptoms among schoolchildren. Methods: A cross-sectional study was performed among schoolchildren in Istanbul. A structured questionnaire evaluating the sleep schedule variables was filled out by their parents. SES was determined according to the Turkish SES scale. Results: The mean age of 2669 children was 8.2 +/- 2.4 years, and 51% of the students were girls. The mean TSD was 10.20 +/- 1.04, and the mean bedtime was 21.57 +/- 0.56 (both in hours, minutes +/- SD). Boys tended to go bed later (p = 0.004) and slept less than girls (p = 0.02). The duration of sleep disruptions increased (p < 0.001), whereas TSD decreased with age (p < 0.001). Multiple linear regression revealed that waking time and TSD decreased significantly (p < 0.05) with higher SES among both girls and boys. Sleep fragmentation was associated with habitual snoring, parasomnias, daytime sleepiness and conduct symptoms. Conclusion: Decreased total sleep duration is more prominent in boys, older children and children among higher socio-economic status. Insufficient sleep attributed to shortened total sleep duration by age and higher socio-economic status might have a negative effect on both sleep hygiene and psychological well-being in schoolchildren.Publication Metadata only Bipolar Disorder and Diagnostic Course of Asperger Syndrome in an Adolescent: A Case Report(GALENOS YAYINCILIK, 2010) PERDAHLI FİŞ, NEŞE; Guler, Aysegul Selcen; Fis, Nese Perdahli; Yazgan, Yanki; Berkem, MeralAsperger syndrome (AS) is a developmental disorder that is on a diagnostic continuum with autism, and falls under the category of pervasive developmental disorders. Diagnosis may be delayed due to relatively normal speech development, normal intelligence and fair scholar skills, although problems in social development and obsessive, sometimes stereotyped, behavior pattern are recognized from early periods of childhood. Comorbid psychiatric disorders are frequently observed in cases of AS. Sometimes these comorbidities are the initial diagnoses subject to treatment. A detailed family and developmental history of the child is usually helpful for the recognition of the underlying developmental disorder. On the other hand, it is known that the prevalence of bipolar affective disorder in families of individuals with AS is higher than that of the general population, and it is hypothesized that these two disorders might have a common neurobiological basis. In this paper, we aim to discuss an adolescent who first presented with anxiety symptoms at the age of 13 and, with emerging hypomanic symptoms during the course of selective serotonin reuptake inhibitor treatment, which ultimately led to the underlying diagnosis of AS. (Archives of Neuropsychiatry 2010; 47: 360-3)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 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 Metadata only Perceived parental attitudes and the levels quality of life in children and adolescents at high risk for schizophrenia(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2018) PERDAHLI FİŞ, NEŞE; Gumustas, Funda; Perdahli Fis, Nese; Yulaf, Yasemin; Koyuncu Kutuk, Emel; Yazkan Akgul, Gozde; Kuscu, Tugba DidemObjective: The aims of this study were to compare the levels quality of life and perceived parental attitude in children and adolescents at high risk for schizophrenia with offspring of parents without any psychiatric disorder, and to investigate the factors affecting parental attitudes perceived by children and quality of life of children. Methods: The psychiatric assessments of parents with schizophrenia who have been followed up in the Community Mental Health Center and that of healthy parents were done by a psychiatrist. Diagnostic interview with the children, within the age range of 7-16 years, was conducted by a child psychiatrist. Children and adolescents were asked to fill out self-report scales relevant to perceived parental attitudes and quality of life. Results: The levels of emotional and social functioning and the levels of parental acceptance/interest were significantly lower in the high risk group when compared to the control group. Children in the high risk group defined their parents as 'negligent' at a higher rate than the control group. There was a significant effect of socio-demographic variables such as parental education level and paternal vocational status on the quality of life scores. When compared to children of fathers with schizophrenia, children of mothers with schizophrenia had much lower quality of life scores. The duration of parental illness and the duration of hospitalization were negatively correlated with the quality of life of children. Discussion: Our study demonstrated that offspring of parents with schizophrenia had a high risk of being neglected by their parents, and a decline in their quality of life, especially in the social and emotional aspects. Preventive interventions including development of positive relationships with their parents, are crucial for children at genetic high risk for schizophrenia.