Background The long‐term closing of schools and home‐quarantine during the COVID‐19 pandemic cause negative effects on the physical and mental health of young people. Studies evaluating the mental health of adolescents during the pandemic are limited in the literature. Aim In our study, it was aimed to determine the results of home‐quarantine measures taken for adolescents during the pandemic and the affecting factors. Method This study was conducted as an online cross‐sectional self‐report questionnaire and included children aged between 12 and 18 years. The data were obtained from the children of volunteer families via Facebook family groups, and Google Forms questionnaires sent by the child psychiatry clinic to their smartphones. Sociodemographic form, State‐Trait anxiety scale, and UCLA loneliness survey were used as data collection tools. Results We examined the data of 745 adolescents. The average age of the study group was 16.83 ± 1.66 years, and 69.5% were females. It was determined that 88.2% of the adolescents followed the developments in the COVID‐19 process and obtained most information from the television. State anxiety was related to “Former psychiatric referral” by 4.39‐fold, “Having a COVID positive patient in the family or your surroundings” by 3.81‐fold, and “The most common medium for obtaining COVID‐related information” by 2.41‐fold. Conclusions Closure of schools and home‐quarantine during pandemic causes anxiety and loneliness in young people. The identification of risky groups helps to properly support these individuals by various social connections, including healthcare professionals, families, and schools.

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Objective One of the areas of social cognition is Theory of Mind (ToM) is defined as the capacity to interpret, infer and explain mental states underlying the behavior of others. When social cognition studies on neurodevelopmental disorders are examined, it can be seen that this skill has not been studied sufficiently in children with Specific Learning Disorder (SLD). Methods In this study, social cognition skills in children diagnosed with attention deficit hyperactivity disorder (ADHD), SLD or Autism Spectrum Disorder (ASD) evaluated before puberty and compared with controls. To evaluate the ToM skills, the first and secondorder false belief tasks, the Hinting Task, the Faux Pas Test and the Reading the Mind in the Eyes Task were used. Results We found that children with neurodevelopmental disorders as ADHD, ASD, and SLD had ToM deficits independent of intelligence and language development. There was a significant correlation between social cognition deficits and problems experienced in many areas such as social communication and interaction, attention, behavior, and learning. Conclusion Social cognition is an important area of impairment in SLD and there is a strong relationship between clinical symptoms and impaired functionality.

OBJECTIVE: Studies show partial improvements in some core symptoms of Autism Spectrum Disorders (ASD) in time. However, the predictive factors (e.g. pretreatment IQ, comorbid psychiatric disorders, adaptive, and language skills, etc.) for a better the outcome was not studied with machine learning methods. We aimed to examine the predictors of outcome with machine learning methods, which are novel computational methods including statistical estimation, information theories and mathematical learning automatically discovering useful patterns in large amounts of data. METHOD: The study the group comprised 433 children (mean age: 72.3 ± 45.9 months) with ASD diagnosis. The ASD symptoms were assessed by the Autism Behavior Checklist, Aberrant Behavior Checklist, Clinical Global Impression scales at baseline (T0) and 12th (T1), 24th (T2), and 36th (T3) months. We tested the performance of for machine learning algorithms (Naive Bayes, Generalized Linear Model, Logistic Regression, Decision Tree) on our data, including the 254 items in the baseline forms. Patients with ≤2 CGI points in ASD symptoms at in 36 months were accepted as the group who has "better outcome" as the prediction class. RESULTS: The significant proportion of the cases showed significant improvement in ASD symptoms (39.7% in T1, 60.7% in T2; 77.8% in T3). Our machine learning model in T3 showed that diagnosis group affected the prognosis. In the autism group, older father and mother age; in PDD-NOS group, MR comorbidity, less birth weight and older age at diagnosis have a worse outcome. In Asperger's Disorder age at diagnosis, age at first evaluation and developmental cornerstones has affected prognosis. CONCLUSION: In accordance with other studies we found early age diagnosis, early start rehabilitation, the severity of ASD symptoms at baseline assessment predicted outcome. Also, we found comorbid psychiatric diagnoses are affecting the outcome of ASD symptoms in clinical observation. The machine learning models reveal several others are more significant (e.g. parental age, birth weight, sociodemographic variables, etc.) in terms of prognostic information and also planning treatment of children with ASD.

Decreased DHEA-S levels and correlation with depressive symptoms are evidence for a dysregulated HPA-axis in female adolescent single sexual trauma victims with PTSD. Further research is now recommended with large patient groups in order to maximize generalizations.

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SUMMARYObject: Due to the low number of children and adult psychiatric clinics serving in our country, there is limited data in this age group in the literature. In this study, it was aimed to determine the factors affecting the duration of admission in children and adolescents receiving treatment in Samsun Ondokuz Mayýs University Medical Faculty Psychiatry Clinic. Methods: Hospital records of 194 children and adolescents aged between 11 and 18 years who were hospitalized at Ondokuz Mayýs University Psychiatric Service between January 2013 and December 2015 were retrospectively reviewed. ANOVA and logistic regression analyzes were performed for clinical and sociodemographic data that could effect hospitalization times and multiple admission. Results: 138 of the patients were female and 56 were male. Major depressive disorder patients (n: 79, 41.1%) and the average duration of hospitalization were 8.43 days. The group with the longest mean duration of admission was the Psychotic Disorder group (n: 17, mean: 19.92 days, p: 0.01). In logistic regression analysis for multiple risk factors, Female gender (OR: 2.02) and MDD diagnosis (OR: 1.51) were found to be risk factors for multiple admission. Discussion: In our study, it was observed that the presence of Major Depresive Disorder and female gender was a risk factor for multiple admission. Clinical and sociodemographic features of the disease can be predictive of hospitalization within the treatment plan. 264 GÝRÝÞYataklý tedavi psikiyatri kliniðinin önemli bir parçasýdýr ve geçmiþ yýllara göre çocuk hastalarýnda psikiyatri hastanelerine yatýþ sayý ve oranlarýnda ciddi bir artýþ saptanmýþtýr (1,2). Ülkemizde yataklý hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayýsýnýn az sayýda olmasý nedeniyle bu yaþ grubunda literatürde kýsýtlý veri bulunmaktadýr ve bu veriler çocuk psikiyatri servislerinin gerekli ve etkili olduðu yönündedir (3-5). Bir çok klinikte yatak sayýsýnýn kýsýtlý olmasý sebebiyle hastalarýn optimal tedaviyi alabilmesi için hastanede yatýþ süresini öngörmek ve bunu etkileyen faktörleri araþtýrmak gerekmektedir. Yatýþ süresi; yatýþ tanýsý, cinsiyet, mensubu olunan ýrk, aile, yaþanýlan þehir, ekonomik düzey gibi sosyokültürel faktörlere göre deðiþebilmektedir (6).Literatürde çocuk psikiyatri yatan hastalarýnýn tanýlarýyla ilgili farklýlýklar bulunmaktadýr. ABD'de psikiyatri servislerine yatan ergenlerin yarýsýný madde kullaným bozukluklarý oluþturmaktayken (7), Norveç'te dört ayrý çocuk ve ergen ruh saðlýðý yataklý servisinin katýldýðý bir çalýþmada en sýk yatýþ tanýsý depresif bozukluk olarak bildirilmiþtir (8). Ülkemizde çocuk ve ergen ruh saðlýðý yataklý servisinde yapýlan bir çalýþmada 149 hasta deðer-lendirilmiþ olup en sýk tanýnýn duygudurum bozukluklarý olduðu ve onu dikkat eksikliði hiperaktivite bozukluðunun izlediði belirtilmiþtir (9). Ülkemizde yapýlan diðer bir çalýþmada, eriþkin servisine yatýþý yapýlan ergenlerin sosyokültürel özellikleri, yatýþ tanýlarý ve yatýþ süreleri deðerlendirilmiþ ve yatýþ sürelerinin 4-70 gün arasýnda old...

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