Context:Since autism spectrum disorder (ASD) is a lifelong disease and because of its nature, the negative effects of the disease on the quality of life (QoL) of caregivers as well as patients are incontrovertible.Aims:It was aimed to evaluate the effect of the variables related to both parents and children on the QoL scores of the parents of the children with ASD.Settings and Design:This is a causality analysis study.Subjects and Methods:Questionnaire on sociodemographic/disease-related variables, QoL in Autism Questionnaire-Parent Version (QoLA-P), autism behavior checklist and Clinical Global Impression scale were assessed of 162 patients with ASD.Statistical Analysis Used:Unpaired t- test, Mann–Whitney U test, Kruskal–Wallis test, and one-way ANOVA test were used for comparing groups. The parameters found to be statistically significant for QoLA-P in different analyses were included as the independent variable in the logistic regression analysis. The backward (variable elimination) model was selected as the model in the analysis.Results:The causality has been established may be stated as the severity of autism, the presence of psychiatric disorder in the mother/father, attendance of the child at school, duration since the diagnosis of autism, and the child's medication use.Conclusions:Autism affects the QoL of caregivers. The intervention of treatment by considering the factors that affect the QoL positively or negatively may increase the QoL of caregivers.
Amaç: Çocu¤un geliflim dönemine paralel bir flekilde dil geliflim safhalar›n› göstermemesi ya da konuflmas›n›n yafl›tlar›na göre geride kalmas› durumunda konuflma gecikmesi düflünülmelidir. Konuflma gecikmesi bir tan›dan ziyade s›kl›kla çeflitli mental ve somatik hastal›kla-r›n bir belirtisi olabilir. Bu çal›flmada konuflma gecikmesi flikayeti ile çocuk psikiyatrisi poliklini¤ine baflvuran olgular›n sosyodemografik özellikleri, psikiyatrik tan›lar› ve konuflma gecikmesinde rolü olan faktörlerin incelenmesi amaçland›.Yöntem: 1 Kas›m 2014 -31 Ekim 2015 tarihleri aras›ndaki bir y›ll›k dönemde Çocuk ve Ergen Ruh Sa¤l›¤› ve Hastal›klar› Poliklini¤ine "konuflmama", "konuflma gecikmesi", "konuflmada gecikme", "cümle kuramama" flikayetleri ile baflvuran olgular›n dosyas› geriye dönük olarak de¤erlendirildi.
Bulgular:Toplam 127 olgunun %22.8'i k›z, %77.2'si erkek, olgular›n ortalama yafl› 3.1±1.1 idi. Ortalama TV, tablet ve telefona maruziyet sü-resi günde 5.3±3.4 saatti. Okul öncesi e¤itime, ilkokula ya da özel e¤iti-me yaln›zca %14.1 olgu gidiyordu. Yafl›t iliflkileri sa¤layabilece¤i ortamlarda %38.2 olgunun bulunmad›¤›, %3.1 olguda çift dillilik oldu¤u, %23.6 olgunun aile öyküsünde geç konuflman›n oldu¤u ve %21.6's›n›n hiç anlaml› kelimesinin olmad›¤› saptand›. En s›k saptanan klinik bulgunun geliflimsel konuflma gecikmesi (%28.18); en s›k saptanan psikiyatrik tan›n›n ise yayg›n geliflimsel bozukluk (%23.64) oldu¤u tespit edildi. Yayg›n geliflimsel bozukluk tan›s› olan olgular ile di¤er tüm olgular karfl›laflt›r›ld›¤›nda TV ve di¤er görsel medya türlerine maruziyet aç›s›ndan gruplar aralar›nda istatistiksel olarak anlaml› fark saptanmad› [t(55)= 1.58, p=0.12].Sonuç: Konuflma gecikmesi flikayetinin alt›ndan farkl› tan›lar ç›kabil-mektedir. Bu olgular›n erken dönemde multidisipliner olarak de¤er-lendirilip olas› psikopatolojilerin saptanmas› ve uygun tedavi plan›n›n oluflturulmas› için çocuk ve ergen ruh sa¤l›¤› ve hastal›klar› uzmanlar› taraf›ndan de¤erlendirilmesinin önemli olaca¤›n› vurgulamaktay›z.Anahtar sözcükler: Çocuk geliflimi bozukluklar›, yayg›n, dil yetene¤inde geliflim kusurlar›, çocuk psikiyatrisi, çocukluk ça¤›nda tan›s› konulan ak›l hastal›klar›, televizyon.
AbstractObjective: Speech delay should be considered in a child in case of not demonstrating the stages of language development in accordance with general developmental period or compared to the peers. Speech delay often may be a sign of a variety of mental and somatic diseases rather than a diagnosis. In this study, we aimed to investigate the demographic characteristics, psychiatric diagnoses and factors that play a role in speech delay in patients admitted to a child psychiatry outpatient clinic with a complaint of speech delay.Methods: Medical records of the patients who were admitted to the child and adolescent psychiatry outpatient clinic with complaints of "not talking", "speech delay", "language delay", "not forming a sentence" between November 1, 2014 and October 31, 2015 were retrospectively evaluated.Results: Of a total of 127 cases, 22.8%...
Besides being the first study to evaluate adrenomedullin levels to elucidate the etiology of childhood ADHD as well as NO, significant differences was not found between the case and the control groups in terms of NO and adrenomedullin levels.
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