The investigation of domestic violence in child psychiatric sample [Çocuk psikiyatri olgularinda aile içi şiddet öyküsünün sorgulanmasi]

Objective: When the studies are reviewed about domestic violence against partner and child, there are a few studies which include psychiatric sample, especially children. The aim of this study is to compare the two methods to domestic violence against child (DVAC) and domestic violence against partner (DVAP) in the pediatric psychiatric sample. Methods: In this study, DVAC and DVAP were investigated with two different methods. The first was self-report questionnaire. The second was to ask similar questions during face to face intervention, Participants were 510 mothers who had 4-12 years old child and who applied child and adolescent psychiatry department. Findings: Both DVAC and DVAP were determined higher rates in the first method. Additionally, correlation between two methods was very little. DVAC rates increased in the children who had DVAP history in their family. Conclusion: This study results were not similar to literature knowledge that 'DV should be examined as short and close and questions during face to face intervention'; according to our results the rate of this suggested method was effective at a level of only half-of the another method. This traditional method might be true, but it couldn't forget that this rate might bring Iower results than the reality. When there is a doubt about the presence of DV in family, different methods should be use, and each family member should be examined separately

Parental psychological symptoms and familial risk factors of children and adolescents who exhibit school refusal

PubMedID: 22215791Objectives: To assess the levels of psychological symptoms in the parents of children with school refusal and determine the familial risk factors in its development. Methods: This study was performed on 55 pairs of parents who had children exhibiting school refusal and were compared with a control group. A socio-demographic data form, the Beck Depression Inventory, the State-Trait Anxiety Inventory, and the Symptom Checklist-90 revised were applied to these parents. Results: Parents of the school refusal group had higher anxiety and depression scores than the controls. Among the risk factors for school refusal, physical punishment by the parents, a history of organic disease in the parents or children, and a history of psychiatric disorders in the parents or other relatives were found to be significant. Conclusions: Depending on genetic and environmental factors, parents with psychiatric disorders appeared to be associated with development of psychiatric disorders in their children. Moreover, psychiatric disorders in parents negatively affected the treatment of their children and adolescents who exhibited school refusal. It is therefore vital to treat psychiatric disorders of parents with the children having psychiatric disorders, and thus increase parent participation in their children's therapeutic process. © 2011 Hong Kong College of Psychiatrists

Dermatoscopic findings of pigmented purpuric dermatosis

Abstract: Background: Pigmented purpuric dermatosis is a chronic skin disorder of unknown aetiology characterised by symmetrical petechial and pigmented macules, often confined to the lower limbs. The aetiology of pigmented purpuric dermatosis is unknown. Dermatoscopy is a non-invasive diagnostic technique that allows the visualisation of morphological features invisible to the naked eye; it combines a method that renders the corneal layer of the skin translucent with an optical system that magnifies the image projected onto the retina. Objectives: The aim of this study is to investigate the dermatoscopic findings of pigmented purpuric dermatosis. Methods: This study enrolled patients diagnosed histopathologically with pigmented purpuric dermatosis who had dermatoscopic records. We reviewed the dermatoscopic images of PPD patients who attended the outpatient clinic in the Istanbul Dermatovenereology Department at the Bezmialem Vakıf University Medical Faculty. Results: Dermatoscopy showed: coppery-red pigmentation (97%, n = 31) in the background, a brown network (34%, n = 11), linear vessels (22%, n = 7), round to oval red dots, globules, and patches (69%, n = 22; 75%, n = 24; 34%, n = 11; respectively), brown globules (26%, n = 8) and dots (53%, n = 17), linear brown lines (22%, n = 7), and follicular openings (13%, n = 4). Conclusion: To our knowledge, this is the first study to report the dermatoscopy of pigmented purpuric dermatosis. In our opinion, dermatoscopy can be useful in the diagnosis of pigmented purpuric dermatosis