Adaptation of the Modified Mini-Mental State Examination (3MS) and Determination of Its Normative Values in Turkey.

BACKGROUND/AIMS: This study aimed to adapt the Modified Mini-Mental State Examination (3MS) and determine its normative values in Turkey. METHODS: After translation and cultural adaptation processes, a population-based study was conducted between February and June 2016 in Ankara with individuals over the age of 55 years. Subjects with a previous diagnosis of dementia along with neuropsychiatric disorders that might affect cognition were excluded. Data analyses were performed to assess the association of sociodemographic variables with 3MS scores. RESULTS: Two versions of the Turkish 3MS (for educated and minimally educated individuals) were developed. A total of 2,235 participants were included in the field study. After exclusion, the data on the final sample of 1,909 individuals were analyzed, where age, gender, and education accounted for variance in 3MS scores. Younger age and higher educational attainment were associated with better 3MS performance. CONCLUSIONS: A widely applicable dementia screening test was adapted to Turkish and its normative values were determined. The test will make it possible to evaluate the cognitive performance of both educated and minimally educated elderly individuals based on their age, gender, and educational level.

Posttraumatic Stress and Depression Among Syrian Refugees Living in Turkey: Findings From an Urban Sample.

Although most of the 3.6 million Syrian refugees in Turkey live outside refugee camps, most mental health research is on camp residents and few are on those living in cities. We aimed to assess the prevalence and predictors of posttraumatic stress disorder (PTSD) and depression in Syrian refugees living in an urban area in Turkey. A total of 420 adult Syrians living in Ankara were assessed using the Harvard Trauma Questionnaire and the Beck Depression Inventory. Probable PTSD and depression rates were 36.5% and 47.7%, respectively. Female sex, physical illness, and greater number of potentially traumatic events predicted both PTSD and depression. PTSD was additionally predicted by past psychiatric illness, and depression was predicted by lower economic status. Interestingly, lower economic status predicted depression among men, but not among women. Studies on refugees should be sensitive to factors that could have a significant effect on mental health such as sex or residence.

Determinants of childhood diarrhea among under-five year old children in Nigeria: A population-based study using the 2013 demographic and health survey data.

Berde AS, Yalçin SS, Özcebe H, Üner S, Karadag-Caman Ö. Determinants of childhood diarrhea among under-five year old children in Nigeria: A population-based study using the 2013 demographic and health survey data. Turk J Pediatr 2018; 60: 353-360. The study aims to identify socioeconomic, demographic, environmental and child baseline factors associated with Childhood Diarrhea (CD) among under-five year old children in Nigeria. We utilized cross-sectional data from the 2013 Nigerian Demographic and Health Survey (NDHS). The study covered 18,047 mother-baby pairs. The key outcome variable was CD. Chi-square tests and binary logistic regression were used to test for association between CD and related factors. The prevalence of CD was 12.6%. In the multivariate analysis, the following factors were significantly associated with increased risk of CD; younger mother`s age, household size of seven and above, unsafe disposal of child`s last fecal matter and younger child`s age. Also, children living in all geopolitical zones as compared to the South South geopolitical zone had significantly higher risk of CD. Interventions such as information, education and communication programs on hygiene and sanitation aimed at reducing CD in Nigeria should focus more on groups at risk for CD highlighted in our study.

[A Population-Based Study for the Standardization of the Turkish Version of the Modified Mini Mental State Examination (3MS) and Assessment of Certain Environmental Risk Factors for Dementia: Methodology and Sample Characteristics]. / Modifiye-Mini-Mental Test (3MS) Türkçe Formu’nun Standardizasyonu ve Demansla Iliskili Bazi Çevresel Risk Etmenlerinin Tespiti için Toplum Temelli bir Çalisma: Metodoloji ve Örneklem Özellikleri.

OBJECTIVE: Objective assessment of the cognitive status and activities of daily living are required for the diagnosis of neurocognitive disorders. No cognitive screening test with normative values exist in Turkey. This study aims to standardize a widely applicable cognitive screening test, determine the activities of daily living in a population-based sample as well as identifying certain individual and environmental risk factors for cognitive disorders. METHOD: Since Mini-Mental-State-Examination (MMSE) is widely used in primary and secondary care and a version for the uneducated exists, an expanded and modified version of MMSE, Modified Mini Mental Test (3MS) was selected for standardization. After the adaptation and pre-testing processes, a population-based study including the individuals over the age of 55 was planned to determine the normative values using the primary health care system in Ankara, Turkey, An age-based stratification procedure was applied. Data were collected through a survey form that was developed to identify certain healthrelated, occupational and environmental risk factors associated with cognitive disorders among with the cognitive evaluation. The study was funded by the Scientific and Technological Research Council of Turkey, Grant No: 214S048. RESULTS: The population-based study was conducted between January and June 2016. The data of a total of 2158 participants were analyzed. The geographic distribution of the final sample was representative of the total population in Ankara. Of the study sample, 51,3%were female, and 60% had over 5 years of education. Approximately 25% of all participants were 'screening-positive' for neurocognitive impairment and age was inversely related with daily functioning. CONCLUSION: We were able to reach a population-based sample to determine the normative values of a widely applicable cognitive screening test and the activities of daily living as well as evaluate dementia-related risk factors in Turkey. The findings of the study indicated that 3MS-Turkish form is a cognitive secreening test, which can be widely used in Turkey.

How do municipality employees in Ankara approach persons with disabilities?

BACKGROUND: Municipalities have a crucial role in the adaptation of urban spaces, buildings, and public services for full use by persons with disabilities. OBJECTIVE: The aim of this study was to determine the attitudes toward persons with disabilities in municipal employees. METHODS: This descriptive study included 338 municipal employees of a major municipality in Ankara, Turkey. Data were collected via a questionnaire and the Attitude towards Persons with Disabilities Scale (ATPDS) (Dokmen, 2000). Descriptive statistics, the t test, ANOVA, and ordinal logistic regression were used to analyze the data. RESULTS: Among the participants, 5.1% had some type of disability, 15.0% had a family member with a disability, and 6.9% cared for a person with a disability. Pity was the most common feeling (30.6%) toward persons with disabilities. Mean ATPDS score was 115.6 ± 15.1 out of 150. The attitudes of the employees with a family member or a friend with a disability, as well as those of the employees that had cared for a person with a disability were more favorable than their counterparts (p < 0.05). CONCLUSIONS: The present findings showed that close contact and interaction with persons with disabilities were associated with more positive attitudes. Therefore, promoting positive attitudes among municipal employees and the development of a supportive organizational culture with respect to the rights of persons with disabilities may be useful. Interventions aimed at increasing awareness of and interaction with persons with disabilities may improve the attitudes of municipal employees, and consequently improve the services municipalities provide to persons with disabilities.

Adolescents living in orphanages in Ankara: psychological symptoms, level of physical activity, and associated factors.

AIM: Adolescents living in orphanages are at a disadvantage with respect to mental health. The aim of this study was to assess the distribution of psychological symptoms and their association with the level of physical activity (PA) in adolescents living in orphanages. METHOD: The study group consisted of 13-16-year-old adolescents (N=166) living in orphanages in Ankara, Turkey. Data were collected cross-sectionally in 2008 via questionnaires, including the Brief Symptom Inventory and Kiddo-KINDL Health-Related Quality of Life Questionnaire. Descriptive statistics were used to summarize data, whereas chi-square, ANOVA, Mann-Whitney U, Kruskal-Wallis, and t tests were used to compare groups. RESULTS: Median age of the participants was 16.0 years and 65.7% were male. Female gender, not going to school or work, dissatisfaction with school, contact with the family, chronic disease, chronic medication use, sleep problems, regular tobacco use, chronic disease in the family, and low quality of life score were associated with increased risk (GSI-Global Symptom Index>1 SD) for mental disorders. Physically active adolescents' use of tobacco, alcohol, other substances, and medications, as well as GSI and depression scores were lower and their quality of life scores were higher than those of their less active counterparts. CONCLUSION: Prevalence of psychological symptoms in adolescents living in orphanages were higher than in the general adolescent population. Physically active adolescents' mental health indices and abstinence behaviors with regard to tobacco, alcohol, and substances were more favorable. Encouraging adolescents to participate in sports and improving sports facilities in orphanages are interventions that can promote mental health.