The present study displays that mothers, with no known biological reason to account for elevated BMS, have more adverse psychosocial characteristics compared with controls; emphasising the importance of psychosocial and emotional factors during lactation and offering implications for the establishment of successful lactation through providing additional psychosocial support to vulnerable mothers.

This study examines the associations between prenatal attachment and child development, socioemotional behavioral problems, and competence at early childhood. It also inquires whether maternal depression and anxiety at the prenatal period and at early childhood are associated with child outcomes. The study consisted of 83 mothers and their children. Data regarding the prenatal attachment, depression, and anxiety were collected during Weeks 28 to 40 of gestation. When the children were 21 to 31 months old, the Brief Infant and Toddler Social Emotional Assessment (BITSEA) and the Ankara Developmental Screening Inventory (ADSI) were applied to children along with Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) administered to mothers. Results showed that prenatal attachment scores significantly correlated with BITSEA‐Competency subscale scores and ADSI total scores at early childhood, r(83) = 0.246, P = .025, and r(82) = 0.316, P = .004, respectively. Prenatal attachment levels were found to be the predictors of both behavioral and emotional competence and development at early childhood, b = 0.081, t(83) = 2.273, P = .014, and b = 0.281, t(83) = 3.225, P = .002, respectively. In addition, prenatal attachment was shown to be even a stronger predictor of development than was worsening maternal depression at early childhood, b = −0.319, t(83) = 2.140, P = .035. Our results indicate that fostering prenatal attachment may be beneficial for better infant outcomes at early childhood.

Evidence-based parenting programmes are beneficial for children's behavioural and emotional problems as well as parenting practices. Along with effectiveness, attendance affects the programme outcome and identification of risks associated with dropout may aid in development of special policy to increase engagement. In this study, we aimed to compare sociodemographics, parental attitudes, child behavioural and emotional problems of programme-completing and dropout parents from Level-4 Triple-P parenting programme applied at Child and Adolescent Mental Health Services (CAMHS). We also aimed to determine the attrition rate. In addition, we inquired whether there was a change in parenting styles and child behaviour and emotional problems before and after Level-4 Triple-P for the programme-completing parents at CAMHS. Results displayed that 52% ( n = 58) of the parents who were significantly less educated, used hostile rejecting attitudes, and reported more hyperactive/inattentive behaviour in their children compared to the parents who competed the programme ( p = 0.022, p = 0.016, p = 0.027, respectively) discontinued the programme. Parents who were able to complete the programme ( n = 54) reported a reduction in over-parenting and improvements in children's conduct problems along with overall stress levels before and after Triple-P ( p = 0.009, p = 0.040, p = 0.023). Parents at risk of discontinuing parenting programmes may require special policy to be engaged since these programmes may offer significant benefits for parenting practices and, in turn, children's well-being.

No abstract

Aims. Turkey has the youngest population in Europe with about 25 million people aged below 19 years and Turkish-speaking people comprise the biggest migrant group in Europe with 2.5 million people dispersed in different countries, but conducting epidemiologic surveys on Turkish people is challenging due to the lack of a suitable diagnostic tool. The Development and Well-Being Assessment (DAWBA) is one of the most widely used diagnostic interviews in child and adolescent psychiatry. In this study, we aimed at translating the DAWBA into Turkish and then examined its validity and reliability. Methods. The validity of the Turkish version was examined in clinical (n = 50) and community (n = 104) samples. The interrater reliability was also evaluated on 20 cases. Results. The translation method used in the study achieved semantic, conceptual, content, technical, item and criterion equivalence between the Turkish and original forms. The validity of the Turkish DAWBA was good or excellent for different diagnostic categories (κ: 0.43-0.84); the interrater reliability was also excellent (κ: 0.85-1). Conclusions. The Turkish DAWBA may be useful for future prevalence studies in Turkey. European clinicians and researchers who work with Turkish-speaking families can use the online Turkish DAWBA to gather structured information from Turkish-speaking informants and review the answers in their own language.

ObjectiveThis study aimed to assess the correlates and predictors of improvement in general functioning of children and adolescents who are treated in the child and adolescent psychiatry (CAMHS) inpatient unit.MethodsHospital records of 308 children and adolescents who were treated for at least 1 month in the CAMHS inpatient unit from 2005–2016 were included. Associations with individual, familial, and clinical variables and the difference in Children’s Global Assessment Scale (ΔCGAS) scores at admission and discharge were evaluated.ResultsPositive predictors of ΔCGAS were older age and lower CGAS scores at admission, whereas high familial risk scores at admission and diagnosis of early-onset schizophrenia negatively predicted ΔCGAS (B = 0.698, p = 0002; B = −0.620, p < 0.001; B = −0.842, p = 0.002; B =−9.184, p = 0.000, respectively). Familial risk scores were significantly and negatively correlated with ΔCGAS (p = 0.004, Spearman’s rho = −0.2).ConclusionsThis study indicates that improvement in general functioning during inpatient treatment in CAMHS is better at an older age and with lower general functioning at admission. However, high familial risks and diagnosis of early-onset schizophrenia weakens this improvement.

Aile dışı ve aile içi cinsel istismar mağduru çocuk ve ergenlerde, bireysel ve ailesel özelliklerin, olayın oluş sürecinin, sonuçlarının ve adli sürecin tanımlanması ve karşılaştırılması amaçlanmıştır. Yöntem: Bir çocuk ve ergen psikiyatrisi polikliniğinde 2010-2012 yılları arasında cinsel istismar mağduru oldukları için adli değerlendirme yapılan 182 çocuk ve ergenin dosya verileri geriye dönük olarak gözden geçirilmiştir. Olgular 139'u aile dışı ve 43'ü aile içi (ensest) cinsel istismar olmak üzere iki gruba ayrılarak karşılaştırılmıştır. Sonuçlar: İki istismar grubunda da kız çocuklarının daha fazla olduğu belirlenmiştir. Ensest grubunun hem anne, hem de babaları anlamlı düzeyde daha genç olup, bu grupta istismara uğrayan çocukların ortalama yaşları, aile dışı cinsel istismar grubuna göre anlamlı düzeyde düşüktür. Ensest grubunda istismarcının en sık öz baba olduğu belirlenmiştir. Aile dışı cinsel istismar mağdurlarının toplam zeka puanlarının ve eğitimi sürdürme oranlarının anlamlı düzeyde daha düşük olduğu görülmüştür. Ensest olgularında olayın üzerinden geçen zaman diğer gruba göre daha uzundur. Sadece ensest olgularında başvurudan veya istismar iddiasından vazgeçme saptanmıştır. Cinsel istismara uğrayan erkek çocuklarında eşlik eden fiziksel istismar kız çocuklarına göre daha fazla görülmektedir. Olguların 12 yaşından küçük olması, zeka düzeyleri ve ailede ruhsal bozukluk bulunması ensest için yordayıcı bulunmuştur. Tartışma: Cinsel istismar mağduru çocuk ve ergen olguların 1/4'üne yakınının aile içi cinsel istismar olduğu; ensestin, cinsel istismar mağduru bireyler arasında azımsanmayacak oranlarda görüldüğü; bu olguların belirlenmesinin daha uzun zaman aldığı ve daha ciddi sonuçları olduğu saptanmıştır. Türkiye'de özellikle ensest konusunda yaygın ve kapsamlı çalışmalara gereksinim vardır.

ObjectiveThis study aimed to assess the possible association of high breast milk sodium levels with postpartum depression and anxiety.MethodsA total of 150 mothers and their healthy, exclusively breastfed newborns aged 8 to 15 days were recruited. Mothers were asked to complete scales for evaluation of postnatal depression and anxiety following an interview for consent and sociodemographic data collection. Breast milk samples were obtained to measure sodium and potassium (K) levels.ResultsForty-nine mothers had higher than expected breast milk Na concentrations and a high Na/K ratio. These mothers scored significantly higher on the scales of postnatal depression and state anxiety (P = 0.018 and P = 0.048, respectively).ConclusionsThis study shows that compared to normal breast milk Na levels and Na/K ratio, high breast milk Na and high Na/K ratio, with possible serious consequences in infants, are associated with maternal depressive and anxious symptoms in the postpartum period.