Co-morbidity of bipolar disorder in children and adolescents with attention deficit/hyperactivity disorder (ADHD) in an outpatient Turkish sample

This study aimed to assess the prevalence of bipolar disorder (BPD) in children and adolescents with attention deficit hyperactivity disorder (ADHD), and to compare the clinical characteristics of a group with ADHD with a group with co-morbidity of ADHD and BPD. The study includes 121 individuals, aged 6 16 years, with a diagnosis of ADHD. Comorbidity of BPD was evaluated using the Schedule for Affective Disorders and Schizophrenia for School-age Children-Present and Lifetime version (K-SADS-PL) and the Parent-Young Mania Rating Scale (P-YMRS). The Child Behavior Checklist (CBCL) was used to assess psychopathology in two groups. Ten children (8.3%) in the ADHD sample received the additional diagnosis of BPD. The ADHD + BPD group had significantly higher scores than the ADHD group on withdrawn, anxiety/depression, social problems, thought problems, attention problems, aggression, externalization, total score items of CBCL, and on the P-YMRS. It could be concluded that BPD is not a rare co-morbid condition in children with diagnosis of ADHD and subjects with this co-morbidity show more severe psychopathology than subjects with pure ADHD. Differential diagnosis of BPD disorder in subjects with ADHD seems crucial in establishing an effective treatment program, and therefore improving mental health outcomes

Electroconvulsive therapy in an adolescent with bipolar disorder, substance use, and body dysmorphic disorder comorbidity: case report

Our case report is on the use of electroconvulsive treatment (ECT) in an adolescent with Bipolar Disorder (BPD), Substance Use Disorder (SUD) and comorbid Body Dysmorphic Disorder (BDD). In our case, ECT was not considered at the first stage, but we encountered medication noncompliance and treatment resistance. Symptoms of body dysmorphic disorder completely disappeared after ECT, which is consistent with the literature. ECT is a treatment with a low side effect profile in treatment-resistant cases. In addition, it will be useful to increase the knowledge and experience of clinicians on ECT and to provide conditions for ECT in child and adolescent psychiatric clinics

Perceptions of parental acceptance-rejection in type 1 diabetic and healthy children

Aim: The present study aimed to comparatively investigate the parental acceptance-rejection perceived by type 1 diabetic and healthy children and reported by their mothers. The number of studies investigating how mothers of children with chronic diseases cope with this situation is limited. Material and Methods: The study included 52 children (aged 8-15 years) with type 1 diabetes mellitus who were followed-up in an outpatient clinic of a state hospital in Gaziantep province and their mothers (n=52). A control group was formed of 52 healthy children (aged 8-15 years) who had no chronic diseases and were residents of Gaziantep province and their mothers (n=52). The perception of parental acceptance and rejection was assessed using the Parental Acceptance-Rejection Questionnaire (PARQ; child and mother versions). Results: The results of this study revealed that diabetic children felt lower levels of warmth/affection and higher levels of undifferentiated rejection as compared with healthy children. In addition, the undifferentiated rejection perception of mothers of diabetic children was higher than that of mothers of healthy children. Moreover, a significant inverse correlation was found between the parental attitude perceived by diabetic children and the parental attitude perceived by their mothers. Discussion: Diabetic children felt lower levels of warmth/affection and higher levels of undifferentiated rejection as compared with healthy children. Establishing further supportive and preventive studies within the frame of parental attitude, in particular, would enable effective management of a chronic disorder. The outcomes of this study, which investigated acceptance-rejection attitudes of mothers of type 1 diabetic children, may contribute to establish efficient and beneficial training programs for children with chronic diseases and for their families to maintain well-being and functionality

Associations between Computer Game Addiction and Attention Deficit and Hyperactivity Disorder - An Emprical Study

The aim of this study is to compare the video game addiction levels and habit of playing computer games between children with attention deficit hyperactivity disorder (ADHD) and healthy children. The study group consisted of 100 children aged between 10 and 13 years who were diagnosed with ADHD and who applied to the psychiatry clinic in the province of Istanbul. The control group consisted of 100 healthy children between the ages of 10 and 13 years with no psychiatric diagnoses and were matched with the study group in terms of sociodemographic characteristics. The Personal Information Questionnaire and the Computer Game Addiction Scale for Children (CGASC) were applied to the participants. Children with ADHD had significantly higher levels of video game addiction than healthy children. Video game addiction levels were found to be higher in children who play action, shooter, and racing games than those who did not play them. Furthermore, online gaming has been found to have a significant effect on the level of video game addiction