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Öğe Biopsychosocial variables associated with gender of rearing in children with male pseudohermaphroditism(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2007) Uslu, Runa; Oztop, Didem; Ozcan, Ozlem; Yilmaz, Savas; Berberoglu, Merih; Adiyaman, Pelin; Ocal, GonulObjective: The effect of parental rearing on gender identity development in children with ambiguous genitalia remains controversial. The present study aimed to address this issue by investigating the factors that may be associated with sex of rearing in children with male pseudohermaphroditism. Method: The study included 56 children with male pseudohermaphroditism that were consecutively referred to a child psychiatry outpatient clinic. At the time of referral the age range of the sample was 6 months-14 years, 28 children hod been raised as boys and 28 as girls. Demographic and biological information was obtained from patient charts. An intersex history interview was administered to the children and parents, whereas The Gender Identity Interview and the Draw-A-Person Test were administered only to the children. The children were observed during free play. Comparisons of biological, psychological and social variables were made with respect to gender of rearing. Results: More children reared as boys were younger at time of referral, belonged to extended families, and had higher Proder scores. Although children's gender roles were appropriate for their gender of rearing, findings of the Gender Identity Interview and the Draw-A-Person Test suggested that some of the girls presented with a male or neutral gender self-perception. Conclusion: The relationships between age at the time of problem identification, age at the time of diagnosis, and gender of rearing indicate the importance of taking measures to ensure that the intersex condition is identified at birth and children ore referred for early diagnosis, gender assignment, and treatment.Öğe Children with fractures show higher levels of impulsive-hyperactive behavior(Lippincott Williams & Wilkins, 2007) Uslu, Murad; Uslu, Runa; Eksioglu, Fatih; Özen, Nurper ErberkChildren with fractures have been reported to have impulsive-hyperactive behavior problems although whether they exhibited such behavior more often than children with other orthopaedic conditions is unknown. We investigated whether impulsivity-hyperactivity was more prominent in children with extremity fractures than in children with orthopaedic conditions not involving a fracture. From outpatient clinical intakes, we recruited 39 consecutive children with extremity fractures and 33 children with orthopaedic conditions not involving a fracture. We used the Conners' Parent Rating Scale to detect behavioral symptoms in children with and without extremity fractures. Children who were treated for extremity fractures had higher mean scores for impulsivity-hyperactivity than those treated for nontrauma-related reasons. Additionally, more children in the fracture group reached impulsive-hyperactive behavior scores high enough to warrant additional psychiatric evaluation. In terms of injury prevention, the orthopaedic surgeon should be familiar with problem behaviors of children, particularly impulsivity and hyperactivity, to be able to make appropriate referrals for psychiatric evaluation and treatment.Öğe Erkek yalancı hermafrodit olguların yetiştirildikleri cinsiyetle ilişkili biyopsikososyal değişkenler(2007) Uslu, Runa; Öztop, Didem; Özcan, Özlem; Yılmaz, Savaş; Berberoğlu, Merih; Adıyaman, Pelin; Çakmak, MuratAmaç: Kuşkulu eşeysel yapıya sahip çocuklarda yetiştirilme tutumlarının cinsel kimlik gelişimi üzerine etkisi konusunda günümüzde farklı görüşler bulunmaktadır. Bu çalışmada erkek yalancı hermafroditizmi olan olguların ana babaları tarafından yetiştirildikleri cinsiyetle ilişkili etmenlerin araştırılması amaçlanmıştır. Yöntem: Çocuk psikiyatrisi polikliniğine cinsel kimlik gelişiminin değerlendirilmesi amacı ile gönderilen, 6 ay-14 yaşlar arasında, 28?i kız, 28?i erkek olarak yetiştirilmekte olan 56 erkek yalancı hermafroditizm olgusu çalışmaya alınmıştır. Olguların demografik ve biyolojik bilgileri dosya kayıtlarından elde edilmiştir. Ana babalara ve çocuklara Öykü Alma Görüşmesi, çocuklara Cinsel Kimlik Ölçeği, İnsan Resmi Çizme Testi, zeka ve gelişim değerlendirmeleri uygulanmıştır. Çocuklar serbest oyunda gözlemlenmişlerdir. Değişkenler, çocukların yetiştirildikleri cinsiyet bakımından karşılaştırılmışlardır. Bulgular: Erkek yetiştirilen çocukların daha küçük yaşta tanı için getirildikleri, daha çok geniş ailelerden geldikleri ve Prader skorlarının daha yüksek olduğu saptanmıştır. Çocuklar yetiştirildikleri cinsiyete uygun cinsiyet rollerini benimsemiş görünmekle birlikte, İnsan Resmi Çizme Testi ve Cinsel Kimlik Ölçeği?nde tüm erkek çocukların yetiştirildikleri cinsiyeti benimsedikleri, öte yandan bazı kızların erkek cinsiyetine uygun bulgular verdikleri görülmüştür. Sonuç: Yetiştirilme cinsiyeti ile sorunun fark edildiği ve tanının konduğu yaşlar arasındaki ilişkiler, ülkemizde sorunun doğumda fark edilmesini ve erken dönemde tanıyı, cinsiyet tayinini ve tedaviyi sağlayacak önlemlerin alınmasının önemine işaret etmektedir.Öğe Extremity fracture characteristics in children with impulsive/hyperactive behavior(Springer, 2008) Uslu, M. Murad; Uslu, RunaIntroduction To investigate which fracture characteristics were associated with impulsive/hyperactive behavior in children with extremity fractures. Materials and methods A clinical sample of 95 consecutive children with extremity fractures admitted to the Orthopaedics and Traumatology Outpatient Clinic of a university hospital were included in the study. The Conners Parent Rating Scale (CPRS) was used to assess children's symptoms. Fracture characteristics were grouped according to trauma type, fracture localization, hospitalization requirement, treatment type and history of previous fracture(s). Descriptive analyses were performed; t-tests and univariate ANOVAs were utilized to compare groups with respect to impulsivity/hyperactivity subscale scores on the CPRS. Results Mean CPRS impulsivity/hyperactivity subscale score for the whole group was 6.94 (SD = 2.69). Children with fractures which occurred during solitary activities presented with more impulsive/hyperactive behavior than those with fractures which occurred during group activities. Children with more severe fractures that required open reduction also presented with more impulsive/hyperactive behavior. Children with lower extremity fractures had showed more impulsive/hyperactive behavior than children with upper extremity fractures. Conclusion Detecting behavior problems in children admitted with fractures and referring them for treatment, is critical in preventing future serious injuries.
