Browsing by Author "Taner, Hande Ayraler"

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Atomoxetine associated red ear: A case report
(2020) Taner, Hande Ayraler; Sari, Burcu Akin; 0000-0002-9730-7206; 0000-0003-2106-7928; A-7296-2013; W-9188-2019
Red ear syndrome is defined as mostly unilateral burning pain and redness of external ear. It has two forms idiopathic and secondary. Idiopathic red ear syndrome is mostly seen in young people and associated with migraine. Secondary red ear syndrome is more frequent in adults and releated with cervical disorder. Our patient was a 10 year old boy diagnosed with attention deficit hyperactivity disorder (ADHD) and spesific learning disorder. He had a complaint of redness in his ear, following the atomoxetine treatment for ADHD. The redness was appearing after taking atomoxetine in 1 hour. The redness in his ear was unilateral and lasted in 4 hours. Sometimes headaches were accompanied with red ear. After atomoxetine treatment was ceased the redness and the headache in his ear were dissappered. In the pathophysiology of red ear sydrome there is a disregulation of sympathic outflow. Atomoxetine has a high selectivity for noradrenergic receptors and also has an effect on periferic noradrenergic receptors. Atomoxetine could change the sympathic vasodilation/vasoconstruction balance and cause red ear. Although the red ear is not a life threating situation, it could cause discomfort and anxiety, so the clinicians should keep in mind red ear syndrome while using atomoxetine. To our best knowledge this is the first red ear case associated with atomoxetinein literature.
Can We Identify "at-risk" Children and Adolescents for Poor Transplant Outcomes in the Psychosocial Evaluation Before Solid Organ Transplantation? The Reliability and Validity Study of Pediatric Transplant Rating Instrument (P-TRI) in Turkish Pediatric Renal Transplant Patients
(2023) Taner, Hande Ayraler; Sari, Burcu Akin; Baskin, Esra; Karakaya, Jale; Gulleroglu, Kaan Savas; Kazanci, Nafia Ozlem; Haberal, Mehmet; 36447352
BackgroundThis study aims to translate the Pediatric Transplant Rating Instrument (P-TRI) to conduct a validity and reliability study on Turkish children and define a cutoff value of this scale. MethodA total of 151 pediatric kidney transplant patients were included in the study. The files of the patients were reviewed by two clinicians, and the scale was filled for inter-rater reliability. One of the clinicians filled the scale again after one month for intra-rater reliability. Glomerular filtration rate (GFR) and creatinine values were used for predictive validity. A GFR below Correlation of P-TRI with GFR (r = .252, p = .003) and creatinine (r = -.249, p = .002) was performed, and the internal consistency of the scale items as measured by Cronbach's alpha coefficient was found to be 0.825. When the test was performed again, the intra-class correlation coefficient was found as .922 for intra-rater reliability and as .798 for inter-rater reliability. For both creatinine and GFR, the best cutoff point for the total score was found to be 66.5. ConclusionsPatients who received P-TRI above 66.5 could be at risk in the post-transplant period. Identification of these patients before transplantation and following these young people more closely will aid in the prevention of serious consequences. The reliability and validity scores are satisfactory for use in transplantation clinics for psychosocial evaluation and compliance in Turkish pediatric renal transplantation patients.
A Comparison of Obsessive Compulsive Disorder, Pervasive Developmental Disorder, and Control Groups in Terms of 2D:4D Ratio and Finger Lengths
(2016) Taner, Hande Ayraler; Gozil, Rabet; Iseri, Elvan; Buru, Ece; Bahcelioglu, Meltem; 0000-0003-2106-7928; W-9188-2019
Objective: Obsessive compulsive disorder (OCD) and autism share some common features, such as repetitive behaviors. Second finger to fourth finger ratio (2d: 4d) is thought to be associated with prenatal androgen exposure and differs between the sexes and 2d:4d ratio is reported to be more "masculine like features" in autism. The aim of this study is to compare OCD and autism that display common features in terms of 2d: 4d ratio and finger lengths. Methods: This study included 15 boys diagnosed with OCD, 12 boys diagnosed with Pervasive Developmental Disorder (PDD), and 54 healthy boys with no psychiatric disorders between the ages of 6 and 18 years. The diagnoses of OCD and PDD were reached after detailed clinical evaluations according to DSM IV-TR criteria. After the evaluation, the children's and adolescents' hand length, hand width, and finger lengths were measured with a digital compass. Results: In this study, we found no statistically significant difference between the control, OCD, and PDD groups regarding the right and left 2d: 4d ratio. Whereas in the PDD group, we found that the right hand second and third fingers and the left hand second, third, and fourth fingers were shorter than the fingers of those in the control group. We also found that left hand length was shorter in the PDD group than in the OCD group and the second finger of the right hand and third finger of left hand was shorter in the PDD group than in the OCD and control groups. Conclusion: In this study, we did not observe any differences between the OCD, PDD, and control groups in terms of 2d: 4d ratio; however, we found that that some finger lengths were shorter in the PDD group than in the control group. This result may be a dysmorphological sign that could be screened in the PDD group, but we need further research with larger sample sizes to confirm its significance.
COVID19 Pandemic and the use telepsychiatry in child mental health practices
(2021) Taner, Hande Ayraler
Functional Outcome in Late Adolescence/Early Adulthood of Patients with Autism Spectrum Disorderresand Its Relationships with Parental Burnout and Depression: A Preliminary Multi-Center, Cross-Sectional Study
(2023) Kutuk, Meryem Ozlem; Soylemez, Tugba Eseroglu; Taner, Hande Ayraler; Altintas, Ebru; Kutuk, Ozgur; 37867841
The aim of this study is to determine the functioning of adults with autism spectrum disorders (ASDs) diagnosed in childhood and depression and burnout levels among their parents. A total of 261 adults with ASDs and their parents were recruited for the study. Both parents completed the Beck Depression and Maslach Burnout Inventories and reported the functioning of their adult offspring with ASDs. Only 5.4 % of our sample reported "good" or "very good" outcomes. The most common psychiatric comorbidities were intellectual disabilities and attention-deficit/ hyperactivity disorder. Maternal burnout and depression scores were significantly elevated compared to those of fathers. There is an undeniable urgent need for more research to identify the needs of adults and families suffering from ASD. Modifications for those with ASD may have to be made for support in workplaces, achieving driving licenses, using public transportation and attendance at tertiary education.
Internet gaming disorder's correspondence with attention deficit hyperactivity disorder and game/in-game purchases among university students
(2022) Taner, Hande Ayraler; Sari, Burcu Akin; Kulacoglu, Kuzey Cem; Mayalik, Alkim; Mecit, Hazal; Ozekicioglu, Kutalp; Zorbaz, Zihni Onat
This study investigated the relationship between internet game addiction, attention deficit hyperactivity disorder (ADHD), and the online gaming characteristics of 290 university students in 11 faculties. The students completed questionnaires on their socio-demographic characteristics, personal habits like smoking, drinking, and game/ingame purchasing attitudes. They completed the Computer Gaming Addiction Scale (CGAS) and Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS). The data indicated that 9.3% of the study sample was addicted to gaming. The students who played action/adventure, shooter, and strategy games had higher CGAS scores, and those who played action games had higher ASRS total scores (p < 0.05). The CGAS scores of students and the amount of money they spent on game purchases and in-game purchases were positively correlated. The logistic regression analysis showed that male gender and computer game addiction scores were determinants for game purchases. However, the factors determining in-game purchases were male gender, CGAS score, and probable ADHD hyperactivity impulsivity dominant type. Young adults with hyperactivity and impulsivity predominant ADHD may be prone to excessive in-game purchases.
Relation of Anxiety, Depression, and Behavioral Problems With Time Allocated to Television, Computer, and Smartphone in Children Receiving Renal Replacement Therapy
(2022) Taner, Hande Ayraler; Baskin, Esra; Kaya, Zulal Torenli; Sari, Burcu Akin; Taskiran, Candan; Akdur, Aydincan; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0003-1428-0739; https://orcid.org/0000-0002-9730-7206; https://orcid.org/0000-0002-3462-7632; 35384817; AAK-7065-2021; S-3910-2019; AAJ-8097-2021
Objectives: Children and adolescents with chronic diseases have more screen exposure time compared with their healthy peers. In this study, we investigated screen exposure time of children who received renal replacement therapy, which included kidney transplant and dialysis treatment, versus a healthy control group. Materials and Methods: Our study included 55 children and adolescents between the ages of 8 and 18 years. Although 28 participants did not have any chronic disease, 27 had chronic diseases and received renal replacement therapy. Among these patients, 17 had kidney transplant and 10 were receiving dialysis. A sociodemographic information form and the Conners Short-Form Parent Rating Scale were given to parents. Pediatric and adolescent patients completed the Children's Depression Inventory and Spielberger State-Trait Anxiety Scale-2. We analyzed differences between the groups with and without renal replacement therapy and examined relations between continuous variables. Results: Duration of television screen time was significantly higher in children and adolescents receiving renal replacement therapy. Patients in the renal replacement therapy group showed a positive correlation between the Conners Short-Form Parent Rating Scale anxiety subscores and duration of smartphone use. In the kidney transplant recipient group, smartphone and computer durations were positively correlated and television duration was negatively correlated with the Conners Short-Form Parent Rating Scale behavioral problems subscores. Conclusions: Children on renal replacement therapy may be at risk in terms of excessive television exposure. Children who are on dialysis and have had a kidney transplant may be more prone to the negative effects of screen exposure than healthy peers who do not have chronic illnesses. These children and adolescents should be closely monitored to avoid the negative effects of excessive screen exposure.
The Relationship Between Mental Health Status And Social Life In Children And Adolescents With Kidney Transplantation
(2022) Taner, Hande Ayraler; Sari, Burcu Akin; Kaya, Zulal Torenli; Baskin, Esra; Gulleroglu, Kaan; Yilmaz, Aysun Caltik; Karakaya, Emre; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0003-1434-3824; https://orcid.org/0000-0003-0774-4419; https://orcid.org/0000-0002-3462-7632; F-3294-2013; AAD-1877-2021; AAJ-8097-2021
The Reliability And Validity Study Of Pediatric Transplant Rating Instrument In Turkish Renal Transplant Patients
(2022) Taner, Hande Ayraler; Sari, Burcu Akin; Baskin, Esra; Kazanci, Nafia Ozlem; Karakaya, Jale; Gulleroglu, Kaan; Soy, Ebru H. Ayvazoglu; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0003-1434-3824; https://orcid.org/0000-0002-0993-9917; https://orcid.org/0000-0002-3462-7632; F-3294-2013; AAC-5566-2019; AAJ-8097-2021
Screen media exposure in pre-school children in Turkey: the relation with temperament and the role of parental attitudes
(2021) Sari, Burcu Akin; Taner, Hande Ayraler; Kaya, Zulal Torenli; 0000-0003-1428-0739; 34738364
Background. Electronic media have become an important element in the lives of modern children. Devices like televisions, smartphones and tablets are widely used by some parents in order to manage hyperactive, stubborn and impulsive children who need high-intensity stimuli. Consequently, a child's temperament and parental attitudes affect the duration and frequency of 3-7-year-old children's screen (television-smartphone-internet) use. Based on this information, the objective of the present study was to evaluate the relation between screen media exposure, the child's temperament and parental attitudes in 3-7-year-old children. Methods. The participants of this study were 210 children of 3 to 7 years of age. Rothbart's Child Behavior List was used to assess temperament; the Parenting Attitude Research Instrument was used to determine the parental attitudes. Screen media exposure assessment questionnaire, which included questions about the age the child started using the TV, smartphone and/or internet, and the duration of their daily usage, were filled in with the children's parents. Results. It was found that the increase in activity level, approach and discomfort was negatively correlated to the age the child started watching television, while shyness was positively related to the same phenomenon. The scores of the discomfort temperament subscale had a direct relation to the duration of watching television. Background television is negatively related to attention, inhibitory control, and perceptual sensitivity. Dependency, marital conflict and strictness and authoritarianism parameters were found to be positively related to the duration of playing with a smartphone. Also, in this study we found that negative temperament characteristics adversely affected screen media exposure and poor parenting styles worsen this relationship. Conclusions. Both temperament and parenting styles affect screen media exposure. In addition, it was understood that parenting styles also affect the relation between temperament and screen exposure. Parental information programs on this subject can eliminate the lack of information related to early screen media exposure in preschool children.