Vasovagal syncope constitutes 61% to 80% of syncope cases in the pediatric age group. Syncope is frequently associated with psychopathologies such as depressive disorders, anxiety disorders, somatization disorders, etc. Our study aims to evaluate vasovagal syncope cases in terms of additional psychopathologies, depression, and anxiety levels with a control group. A total of 97 people were included in the study (47 cases and 50 controls). After conducting a cardiological examination, the participants were evaluated for psychopathologies using Kiddie-Sads-Present and Lifetime Version, Child Depression Inventory, and Screen for Child Anxiety Related Emotional Disorders. The case group had a higher rate of psychopathology compared with the control group. Depression, social anxiety disorder, generalized anxiety disorder, separation anxiety, and conversion disorder were significantly higher in the case group than in the control group. Syncope in children can be an underlying psychopathology or the clinical manifestation of a psychosomatic condition. Psychological assessment, which could offer beneficial contributions to the diagnosis and treatment of syncope, was considered necessary for a holistic evaluation of patients.

Celiac disease (CD) is an autoimmune disorder triggered by gluten, leading to digestive issues, malabsorption, nutritional deficiencies, mental health effects, and long-term health risks. Previous studies have indicated that increased attention directed to food in CD treated with a gluten-free diet may increase the risk of eating disorders (ED). Although Orthorexia Nervosa (ON), defined as an obsession with healthy eating, is not yet considered an ED in an official diagnostic system, it is similar to ED in some of its features. ON in adolescents with CD has not been explored in the existing literature. We aimed to compare ON symptoms, eating attitudes, anxiety, depression, and obsessive-compulsive disorder (OCD) symptoms between adolescents with and without CD in this study. The study involved 30 adolescents with CD and 30 healthy controls. Participants were assessed using the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) in a semi-structured clinical interview. The risk of ON was evaluated with the ORTO-11 questionnaire while eating attitudes were measured using the Eating Attitudes Test (EAT-40). Anxiety, depression, and OCD symptoms were compared between the adolescents with and without CD using the parent and child forms of the Revised Child Anxiety and Depression Scale (RCADS). ON symptoms and impaired eating attitudes were higher in adolescents with CD than in the healthy control group. No significant differences were found between the groups in terms of anxiety, depression, and OCD symptoms. In the correlation analysis of the RCADS-child form with other scales, there was a positive correlation between ON symptoms, impaired eating attitudes, and OCD symptoms. When the correlation analysis of the RCADS-parent form with other scales was examined, no significant correlation was found. To the best of our knowledge, our study is the first to evaluate ON in adolescents diagnosed with CD, and our results show that there is an increase in the frequency of ON and impaired eating attitudes in CD. Additionally, we found that the increase in OCD symptoms in adolescents with CD was associated with ON and impaired eating attitudes. Orthorexia describes a person’s obsessive preoccupation with healthy eating. In this study, we investigated the orthorexia tendency and eating attitudes of adolescents with celiac disease(CD). We examined the relationship between orthorexia tendencies and anxiety, depression, and obsessive-compulsive symptoms. In our study, a questionnaire was applied to 30 celiac patients and 30 healthy adolescents without CD, and a total of 60 adolescents and their parents. Questionnaire results were compared between adolescents with and without CD. We found that orthorexia tendency and disturbed eating attitudes were more common in adolescents diagnosed with celiac disease, and that obsessive-compulsive symptoms and orthorexia tendency were related. Dietary changes during the treatment of CD may cause deterioration in the adolescent’s eating attitude and an increase in orthorexic tendency during adolescence. Therefore, it is important to perform psychiatric evaluations of adolescents at intervals during the treatment process. Further research is needed to better understand orthorexia in adolescents.

Objectives: Type 1 diabetes (T1D) causes psychological distress, negatively impacting normal childhood activities. Depression, anxiety disorders, and eating problems are commonly observed in this population. Methods: The study population consisted of 40 adolescents (22 females and 18 males) who had been diagnosed with T1D and 41 healthy adolescents (21 females and 20 males). The aim of this study was to compare adolescents with T1D to healthy controls in terms of depression, anxiety, and eating problems and subsequently examine the T1D group in relation to the risk of diabetes-specific eating disorders. Eating Attitudes Test (EAT-40), Revised Children’s Anxiety and Depression Scale (RCADS), and Diabetes Eating Problem Survey – Revised (DEPS-R) scales were used to compare the case and control groups. Results: The case group exhibited significantly higher scores in EAT-40 total score, RCADS parent form major depressive disorder (MDD), social anxiety disorder (SAD), generalized anxiety disorder (GAD), panic disorder (PD), total anxiety score, total scale scores, RCADS child form MDD, PD, and total scale scores compared to the control group. Individuals at high risk of diabetes-specific eating disorder within the case group demonstrated significantly higher RCADS (child and parent form) MDD scores and RCADS parent form separation anxiety (SA) and total scale scores. Binary logistic regression analysis revealed that the RCADS parent form total scale score could predict DEPS-R. Conclusions: Routine screening of children and adolescents diagnosed with T1D for depression, anxiety, and eating disorder risk may facilitate early detection of possible psychopathologies, allowing for early intervention to address factors that may disrupt treatment adherence. Further longitudinal studies with larger samples are needed to investigate psychopathologies, particularly eating disorders, in children and adolescents with T1D.