Investigation of Adolescents Who Have Internet Addiction Accompanied By Attention Deficit and Hyperactivity Disorder in Terms of Emotion Regulation and Social Cognition

Objective: The aim of this study is to evaluate social cognition and emotion regulation skills in individuals with Internet Addiction (IA) and Internet addiction with comorbid Attention Deficit/Hyperactivity Disorder (IA + ADHD). Method: The sample of the study consist of 30 IA, 30 IA + ADHD patients, 30 healthy controls between the ages of 12-17 who applied to the Child and Adolescent Psychiatry Department, Technology Outpatient Clinic. K-SADS-PL, WISC-R, sociodemographic data form, Internet Addiction Scale (IAS), Addiction Profile Index Internet Addiction Form (APIINT), Beck Depression Inventory, Global Assessment of Functioning Scale, and Difficulties in Emotion Regulation Scale were applied to all participants. Social cognition was evaluated using Faces Test, Reading the Mind in the Eyes Test, The Unexpected Outcomes Test, Faux Paus, Hinting Test and Comprehension Test. Results: In social cognition tests, IA and IA + ADHD groups failed significantly compared to the control group. Emotion regulation difficulties were significantly higher in IA and IA + ADHD groups compared to the control group (p0.001). Use of the internet for doing homeworks (p0.001) was found to be higher in the control group than in the IA and IA + ADHD groups Conclusion: It has been found that individuals diagnosed with internet addiction have difficulties in both social cognition and emotion regulation, which is more severe in the presence of comorbid ADHD © 2023, Turk Psikiyatri Dergisi.All Rights Reserved

Acute Dystonia Following a Switch in Treatment from Atomoxetine to Low-dose Aripiprazole.

The present report describes the cases of a 17-year-old male patient and a 13-year-old female patient who developed acute dystonia following the administration of low-dose aripiprazole (5 mg/day) after the cessation of atomoxetine treatment. Although aripiprazole-induced dystonia has been previously reported in the literature, it is rare, and most of these cases were associated with doses higher than 5 mg/day. Furthermore, both of the patients in the present study discontinued atomoxetine prior to the initiation of aripiprazole treatment; thus, this report also discussed the possible mechanisms underlying the manifestation of dystonia from the perspective of neurotransmitter activity

Personality characteristics of adolescents with substance use disorders [Alkol-madde kullanım bozuklukları olan ergenlerin kişilik özellikleri]

Objective: Personality characteristics are found to be related with substance use initiation, substance abuse, substance dependence and substance use continuance. The aim of this study is to investigate the personality characteristics of adolescents with alcohol/substance use disorder (ASUD). Methods: Sixty-nine adolescents with ASUD, aged between 16 and 18 were compared with 69 adolescents with similar sociodemographic properties and without ASUD. Minnesota Multiphasic Personality Inventory (MMPI) was used to assess personality traits. Results: Adolescents with SUD had higher scores for psychopathology (F), hypochondriasis, hysteria, depression, psycho-pathic deviation, paranoia, psychasthenia, schizophrenia, and hypomania scales and lower score for defensiveness (K) scale when compared with the control group. Discussion: Adolescents with ASUD have insufficient defense mechanisms and negative personality characteristics. Personality characteristics of these adolescents should be considered in the treatment and follow up periods. © 2016, Cukurova University, Faculty of Medicine. All rights reserved

Acute dystonia following a switch in treatment from atomoxetine to low-dose aripiprazole

The present report describes the cases of a 17-year-old male patient and a 13-year-old female patient who developed acute dystonia following the administration of low-dose aripiprazole (5 mg/day) after the cessation of atomoxetine treatment. Although aripiprazole-induced dystonia has been previously reported in the literature, it is rare, and most of these cases were associated with doses higher than 5 mg/day. Furthermore, both of the patients in the present study discontinued atomoxetine prior to the initiation of aripiprazole treatment; thus, this report also discussed the possible mechanisms underlying the manifestation of dystonia from the perspective of neurotransmitter activity. Copyright © 2016, Korean College of Neuropsychopharmacology

Hepatitis B virus among adolescents with substance use disorder: Prevalence, risks, vaccinization [Madde kullanim bozuklugu olan ergenlerde HBV: Yayginlik, riskler, aşilama]

Objective: Drug abuse and sexual intercourse have been reported to have equal level of effects on hepatitis B virus (HBV) contamination. Drug abuse prevalence increases in adolescence period in Turkey. The aim of present study was to determine the prevalence of HBV infection and risk factors among adolescent drug users, an important health problem in our country. Methods: In the study, the medical records of the patients who were hospitalized between October 2004 and November 2007 at the inpatient service of Ege University Child and Adolescent Addiction Investigation and Practice Center (EGEBAM) were evaluated. From a total of 206 patients hospitalized within this period, 188 patients whose serological results were available, were reviewed in terms of socio-demographic features (n=188), clinical properties (n=188) and risk factors (n=41). For the comparison of categorical variables chi-square test and for the risk assessment logistic regression analysis was used. Results: All of the 188 subjects recruited in the study were male and the mean age of the sample was 16.4±1.4 years. 69.1% (n=130) of the subjects were using cannabis, 56.4% (n=106) were using inhalants, 46.8% (n=88) were using ecstasy, and 42.6% (n=80) were using alcohol. Forty-five patients (23.9%) had been exposed with the virus. Among these subjects, 14.9% (n=28) of them have been exposed to the virus via immunization while 9% of the cases have been exposed to the virus via viral infection. Anti-HBc positivity was negatively correlated with education status of the mother (p=0.005) and the father (p=0.010) and economic levels of parents (p<0.001). The number of cases with Anti-HBc positivity was found to be smaller among the patients with three or less siblings compared to the ones with 4 or more siblings. Immunization via vaccination was higher among patients with higher income (p=0.033). Discussion: The prevalence of HBV infection among adolescents with substance use disorders in our country is quite lower than other countries which might be a result of lower intravenous drug users in this age group in this country. As the prevalence of HBV infection increases with age, utmost care should be provided to avoid the spread of infection in this age group

The separation individuation process in the adolescents who have substance use disorder [Madde kullanim bozuklugu olan ergenlerde ayrilma bireyleşme süreci]

Purpose: Many factors are responsible in the etiology of Substance Use Disorders [SUD]. The unhealthy process of separation individuation may cause to SUD. The separation individuation process should be evaluated in psychodynamic evaluation of adolescents who have SUD. In this study we aimed to evaluate the separation individuation process of cases with SUD. Method: Adolescents with SUD between ages of 14-18 [n:52] and controls [n:57] were included in this study. The control group was selected of healthy adolescents who were similar with study cases in some socioeconomic characteristics like age, sex and socioeconomic status. The study group was evaluated based on individual data form, addiction interview form, the separation individuation test of adolescents [SITA]. The SPSS 13.0 packet program was used for statistical evaluations. P<0.05 was accepted as statistically significant. Findings: By evaluations with SITA the adolescents with SUD had higher scores on engulfment anxiety, need denial, rejection expectancy subscales than adolescents without SUD [p=0.002, 0.000, 0.000 respectively]. Adolescents without SUD had higher scores on healthy separation and teacher enmeshment subscales [p=0.002, 0.002, respectively]. Cases which have had SUD history in their families had higher scores on separation anxiety subscale than cases without SUD history in their families [p=0.036]. Cases without any SUD history in their family had higher scores on practicing-mirroring subscale than cases with SUD history in their families [p=0.025]. Discussion and Conclusion: Separation individuation process has some differences in adolescents with SUD. Substance use causes some confusions or negative formations in this process. Adolescents with SUD have problems in different dimensions of separation individuation process in respect of risk factors. The effect of these dimensions on the disorder's prognosis is a new research topic