Müge Tamar

Is obesity a risk factor for psychopathology among adolescents

Abstract Background : Although several studies have documented the existence of psychopathology in obese adolescents, disagreement remains regarding the extent and nature of this psychopathology. The aim of the present study was to explore the type and frequency of psychopathology in a clinical as well as a non‐clinical sample of obese adolescents, and in a normal weight control group.

Social and Emotional Outcomes of Child Sexual Abuse: A Clinical Sample in Turkey

Childhood sexual abuse is a traumatic life event that may cause psychiatric disorders such as posttraumatic stress disorder and depression. During 2003-2004, 20 sexually abused children were referred to the Child and Adolescent Psychiatry Clinic of Ege University in Izmir, Turkey. Two years later, the psychological adjustment of these children (M age = 9.4 years, SD = 3.63 years, range = 5 to 16 years) is evaluated. Semistructured interviews, a form for the sociodemographic characteristics, are used for evaluations by a child psychiatrist who is blind to the first evaluation. It is determined that sexually abused children have more psychiatric disorders within the first year than 2 years later. However, some behavior problems occur at both short-term and long-term follow-ups.

Zuclopenthixol-induced neuroleptic malignant syndrome in an adolescent girl

We present the case of a 14-year-old female who had many characteristics of neuroleptic malignant syndrome (NMS) without pyrexia following a single depot injection of 200 mg of zuclopenthixol. The patient presented with a change in mental status that had progressed over the preceding 48 hours. Subsequently, she became increasingly agitated and confused, and developed diffuse muscular rigidity, mutism, tremor, tachycardia, diaphoresis, sialorrhea, and incontinence. Results of laboratory tests showed elevated CPK levels, leukocytosis, and a low serum iron level. Bromocriptine and diazepam were used as initial treatment of a probable NMS and provided significant improvement. During the next seven days, she clinically improved but continued to exhibit emotional lability, logorrhea, elevated mood, and increased psychomotor activity. Therefore, bromocriptine and diazepam were discontinued and lorazepam and lithium were administered as treatment of a bipolar disorder. Four weeks later, she was discharged in stable condition. The presentation of this case report suggests that the primary psychiatric diagnosis is important in antipsychotic usage in the pediatric population, and that young patients receiving neuroleptic treatment should be monitored for the early signs of NMS. Using the diagnostic criteria of a neuroleptic toxicity spectrum may result in greater clinical awareness and earlier recognition of NMS.

486 PSYCHIATRIC DIAGNOSIS OF CHILDREN AND ADOLESCENTS WHO WERE REFERRED TO CHILD AND ADOLESCENT PSYCHIATRY DEPARTMENT WITH PAIN COMPLAINTS

Background and Aims: On DSM-IV (Diagnostic and Statistical Manual of Mental Disorders 4th edition) and ICD-10 there are many mental disorders including the term “pain”, likewise somatoform, anxiety, delusional disorders, somatic type etc. It is also common by depressive disorders that patients can suffer from pain. Children and adolescents often use somatization due to developmental features, headache, abdominal and chest pain are common seen symptoms by children’s depressive disorders. Methods: The study was made by Ege University Child Psychiatry – Consultation-Liasion Department on January 2005–April 2006. Children and adolescents who were referred to our department with application complaint pain were evaluated. Children with physical diseases were excluded. Children and adolescents were interviewed with using the DSMIV diagnostic criteria’s and their psychopharmacological treatment was ordered. Results: 13 cases were evaluated by this study. The mean age was 10.85 (sd = 3.58). 61.5% (n = 8) of cases were girls; 38.5% boys. 62.5% of the patients were going to primary school. Headache was the common symptom of all patients (61.5%). 38.5% of cases had depressive symptomatology; 15.4% diagnosed as depressive and 15.4% as anxiety disorders. 7.7% of cases did not met to any criteria of psychiatric disorders. 46.2% of cases treated with antidepressant and anxiolytic combined medication. Conclusions: It is noticeable by children’s and adolescents’ psychiatric evaluations that they use the somatization very frequently. Pain can be a depression or anxiety sign by this age group. Some psychological and psychopharmacological interventions can be helpful by curing these symptoms and underlying syndromes and disorders.