Person: VURAL, AYŞE PINAR
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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 Theory of mind skills in adolescents with obsessive-compulsive disorder(Yerküre Tanıtım & Yayıncılık Hizmetleri, 2019-01-01) Dağdelen, Fatih; Vural, Ayşe Pınar; VURAL, AYŞE PINAR; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi Anabilim Dalı; 0000-0003-2799-7341; CEM-2787-2022Objective: The aim of study is to examine whether there is a deficit about Theory of Mind (ToM) skills of adolescents with obsessive-compulsive disorder (OCD) compared to ythe psychiatrically healthy controls and to examine the association between ToM deficit and variables such as OCD severity.Methods: The study included 30 adolescents between 12 to 16 years old who were diagnosed with OCD according to the Diagnostic and Statistical Manual of Mental Disorders Fifth edition (DSM-5) and 30 adolescents without any psychiatric diagnoses. Sociodemographic characteristics of the participants were collected with a form; in addition, neuropsychological tests were administered to examine development of intelligence and ToM skills. Turkish version of Schedule for Affective Disorders and Schizophrenia for School-Age-Children Present and lifetime version, Children's Yale-Brown Obsessive Compulsive Scale, Children's Depression Inventory, and Childhood Anxiety Screening Scale were administered. Intelligence level of patients were assessed with Wechsler Intelligence Scale for Children-Revised; while ToM skills were evaluated with Hinting Task Reading the Mind in the Eyes Task and false belief tasks such as Sally-Anne, Smarties, Chocolate Bar cand Ice-Cream Truck tests.Results: It was determined those adolescents with OCD tended to fail in false belief tests and that the increase in OCD symptom severity did not affect ToM test performance.Conclusions: Due to limited number of patients, our findings couldn't be generalized to all adolescents diagnosed OCD; therefore there is a need for more studies in this area.Publication Attachment and parenting styles in adolescents with attention-deficit/hyperactivity disorder(Galenos Yayincilik, 2019-08-01) Uzun, Mehmet Erdem; Uçar, Halit Necmi; Vural, Ayse Pınar; VURAL, AYŞE PINAR; Bursa Uludağ Üniversitesi/Tıp Fakültesi.INTRODUCTION: Children and adolescents with attention deficit hyperactivity disorder (ADHD) experience problems with adults, especially with their parents, due to self-regulation deficiencies involving impulse control, self-restraint and inhibition problems. It is also reported that problems in parental attitudes play an important role in increasing the severity of ADHD findings. Because of these two conditions, we thought that there may be a relationship between attachment patterns and parenting styles of adolescents with ADHD.METHODS: 59 adolescents with ADHD and 66 adolescents without any psychopathology were included in the study. Socio-demographic data form and Adolescent Relationship Scales Questionnaire were applied to participants and Parental Attitude Research Instrument was applied to their parents.RESULTS: There was no statistically significant difference in attachment styles between ADHD and control group. Parents of the ADHD group had significantly higher scores in the subscales of rejection of the homemaking role, marital conflict, and strict discipline than parents of the control group. Higher levels of dismissing attachment style were associated with higher strict discipline attitudes in the ADHD group.DISCUSSION and CONCLUSION: Our study suggests that evaluation of attachment characteristics and parental attitudes in ADHD that is a neurodevelopmental disorder, may be necessary as an integrated approach.Publication A reliability and validity study of the Turkish version of the parenting scale(Galenos Yayincilik, 2019-03-01) Bektas, Murat; Örtürk, Candan; ARKAN, BURCU; Özyazıcıoğlu, Nurcan; ÖZYAZICIOĞLU, NURCAN; Vural, Pınar; VURAL, AYŞE PINAR; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Psikiyatri Anabilim Dalı.; 0000-0003-3327-8204; 0000-0001-9645-7221; E-6291-2017; AAI-6835-2021Aim: This study was conducted for the purpose of determining the validity and reliability of the Parenting scale in a Turkish sample.Materials and Methods: The study was conducted as a methodological-descriptive-cross sectional study. The study sample consisted of 355 parents who had applied to Child and Adolescent Psychiatry Polyclinic of Uludag University. However; as 85 parents did not precisely fill the scales, they were excluded from the sample and the analyses were conducted on the basis of 270 parents. The study data were collected using the Demographic Data Collection Form and the Parenting scale. Validity analyses of the scale were examined via explanatory and confirmatory factor analysis. The internal consistency of the scale was evaluated via Cronbach alpha, Spearman-Brown and Guttman split-half coefficients. The relationship between item-total score and item-subscale total score was examined via Pearson correlation analysis.Results: The Cronbach alpha values of the Parenting scale were determined as; 0.935 in the lower dimension of Laxness, 0.916 in the lower dimension of Over-reactivity, 0.770 in the lower dimension of Hostility (use of verbal or physical force) and 0.829 in the total scale. The factor loads varied between; 0.52 and 0.98 in the lower dimension of Laxness, 0.75 and 0.92 in the lower dimension of Over-reactivity and 0.46 and 0.95 in the lower dimension of Hostility. It was determined that the total scale scores and correlations of items in the scale varied between 0.20-0.66. It was also determined that item-subscale total score correlations varied between; 0.61-0.96 in the lower dimension of Laxness, 0.70-0.86 in the lower dimension of Over-reactivity and 0.68-0.91 in the lower dimension of Hostility.Conclusion: The Parenting scale is a valid and reliable tool that can be used in Turkish culture.Publication Relationship between symptoms of disruptive behavior disorders and unsafe internet usage in early adolescence(Aves, 2015-09-01) Vural, Pınar; Uncu, Yeşim; Kılıç, Emine Zinnur; VURAL, AYŞE PINAR; UNCU, YEŞİM; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk ve Ergen Psikiyatrisi Anabilim Dalı; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı; AAP-9210-2020; D-9597-2016; GIK-1690-2022Introduction: Children and adolescents are at the highest risk for negative effects of internet usage. Risk taking and erroneous decision making have been described as major behavioral characteristics of patients with attention deficit hyperactivity disorder (ADHD). ADHD and its association particularly with oppositional defiant disorder/conduct disorder are correlated with risk-taking behaviors. This study was conducted to evaluate how disruptive behavior disorder symptoms are associated with internet usage, particularly unsafe internet usage, in early adolescents.Methods: A sample of 1389 secondary school students was invited to the survey. All children were given an invitation letter and Conners' Parent Rating Scale (CPRS) forms were sent to their parents. The accepted participants filled in questionnaire forms, which consisted of questions interrogating demographic information and internet usage habits.Results: Responses indicated that 27.4% (n= 249) of the participants encountered unwanted content unintentionally and nearly one-third (n= 280, 30.4%) had chatted online with people they did not know. Additionally, respondents who had more severe ADHD symptoms were more likely to report surfing online mainly for the purpose of chatting than respondents with milder ADHD symptoms. Students with comparatively higher attention deficit scores were also significantly more likely to report meeting in person with strangers they knew only from internet chatting. Analyses have demonstrated the presence of a significant difference between study participants with and without conduct disorder as for internet overusage or meeting with their internet acquaintances.Conclusion: This study suggests that there may be a significant relation between ADHD symptoms, conduct disorder and pathological and unsafe internet usage. Evaluating adolescents with ADHD and conduct disorder with this risk in mind is important in the development of both preventive and interventional strategies.Publication 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.