Prevalence of Childhood Affective disorders in Turkey: An epidemiological study.
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Prevalence of Childhood Affective disorders in Turkey: An epidemiological study.

Karacetin, Gul;Arman, Ayse Rodopman;Fis, Nese Perdahli;Demirci, Esra;Ozmen, Sevgi;Hesapcioglu, Selma Tural;Oztop, Didem;Tufan, Ali Evren;Tural, Umit;Aktepe, Evrim;Aksu, Hatice;Ardic, Ulku Akyol;Basgul, Senem;Bilac, Oznur;Coskun, Murat;Celik, Gonca Gul;Demirkaya, Sevcan Karakoc;Dursun, Onur Burak;Durukan, Ibrahim;Fidan, Tulin;Gencoglan, Salih;Gokcen, Cem;Gokten, Emel Sari;Gorker, Isık;Gormez, Vahdet;Gundogdu, Ozlem Yildiz;Gurkan, Cihat Kagan;Herguner, Sabri;Kandemir, Hasan;Kilic, Birim Gunay;Kilincaslan, Ayse;Mutluer, Tuba;Nasiroglu, Serhat;Ozcan, Ozlem Ozel;Ozturk, Mucahit;Sapmaz, Sermin Yalin;Suren, Serkan;Sahin, Nilfer;Tahiroglu, Aysegul Yolga;Toros, Fevziye;Unal, Fatih;Vural, Pinar;Yazici, Ipek Percinel;Yazici, Kemal Utku;Yildirim, Veli;Yulaf, Yasemin;Yuce, Murat;Yuksel, Tugba;Akdemir, Devrim;Altun, Hatice;Ayik, Basak;Bilgic, Ayhan;Bozkurt, Ozlem Hekim;Cakir, Emine Demirbas;Ceri, Veysi;Demir, Nagehan Ucok;Dinc, Gulser;Irmak, Mustafa Yasin;Karaman, Dursun;Kinik, Mehmet Fatih;Mazlum, Betul;Memik, Nursu Cakin;Ozdemir, Dilsad Foto;Sinir, Hayati;Tasdelen, Bedia Ince;Taskin, Beril;Ugur, Cagatay;Uran, Pınar;Uysal, Taciser;Uneri, Ozden Sukran;Yilmaz, Savas;Yilmaz, Sultan Seval;Acikel, Burak;Aktas, Huseyin;Alaca, Rumeysa;Alic, Betul Gul;Almbaidheen, Mahmoud;Ari, Fatma Pinar;Aslan, Cihan;Atabay, Ender;Ay, Merve Gunay;Aydemir, Hilal;Ayranci, Gülseda;Babadagi, Zehra;Bayar, Hasan;Bayhan, Pelin Con;Bayram, Ozlem;Bektas, Nese Dikmeer;Berberoglu, Kivanc Kudret;Bostan, Recep;Cakan, Yasemin;Canli, Merve Arici;Cansiz, Mehmet Akif;Ceylan, Cansin;Coskun, Nese;Coskun, Seyma;Demir, Ibrahim;Demir, Nuran;Demirdogen, Esen Yildirim;Dogan, Busra;Donmez, Yunus Emre;Donder, Funda;Efe, Aysegul;Eray, Safak;Erbilgin, Seda;Erden, Semih;Ersoy, Elif Gokce;Eseroglu, Tugba;Firat, Sumeyra Kina;Gok, Ezgi Eynalli;Goksoy, Seyda Celik;Guler, Gulen;Gules, Zafer;Gunay, Gulay;Gunes, Serkan;Gunes, Adem;Guven, Gokcen;Horozcu, Havvana;Irmak, Ayse;Isik, Umit;Kahraman, Ozlem;Kalayci, Bilge Merve;Karaaslan, Umut;Karadag, Mehmet;Kilic, Hilal Tugba;Kilicaslan, Fethiye;Kinay, Duygu;Koc, Esra Bulanik;Kocael, Omer;Mutlu, Rahime Kadir;San, Zejnep;Nalbant, Kevser;Okumus, Nilufer;Ozbek, Fatih;Ozdemir, Fatma Akkus;Ozdemir, Hanife;Ozgur, Borte Gurbuz;Ozkan, Selcuk;Ozyurt, Esra Yildirim;Polat, Berna;Polat, Hatice;Sekmen, Ebru;Sertcelik, Mehmet;Sevgen, Feyza Hatice;Sevince, Oguz;Shamkhalova, Ulker;Suleyman, Funda;Simsek, Nurcan Eren;Tanir, Yasar;Tekden, Mehmet;Temtek, Seyhan;Topal, Melike;Topal, Zehra;Turk, Tugba;Ucar, Halit Necmi;Ucar, Filiz;Uygun, Duygu;Uzun, Necati;Vatansever, Zeynep;Yazgili, Neslihan Gokce;Yildiz, Dilsad Miniksar;Yildiz, Nazike;Ercan, Eyup Sabri;
Journal of affective disorders 2018 Vol. 238 pp. 513-521
387
karacetin2018prevalencejournal

Abstract

To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population.This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher.A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment.MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents.

Keywords

prevalence Epidemiology Turkey affective disorders depressive disorder

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S0165-0327(18)30414-2

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