Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder ( 2 = 12.96, p ＜ 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion:In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.

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Amaç: Bu çalışmada adli makamların adli psikiyatrik değerlendirme istemlerinde adli tıp, çocuk ve ergen psikiyatrisi veya psikiyatri alan uzmanı tercihleri ile ilişkili faktörlerin saptanması amaçlanmıştır. Tartışma: Adli makamların adli psikiyatrik değerlendirme istemlerinin yapılmasında uzmanlık alanı seçiminin gelişen hukuk uygulamaları ile şekillendiği disiplinler arası yaklaşımın doğru sonuçlara ulaşılmasında önemli bir adım olduğu düşünülmüştür.Sonuç: Adli psikiyatri alanında değerlendirmeler, ilgili tüm disiplinlerin işbirliği ile yapılmalıdır.Anahtar kelimeler: Adli psikiyatri, adli tıp, konsültasyon ABSTRACT Area of specialty preferences of forensic authorities in forensic psychiatric evaluation requests: a university hospital experience Objective: In this study, we aimed to find the relevant factors of forensic medicine, child and adolescent psychiatry, and psychiatry fields' preferences in the forensic psychiatric assessment requests of forensic authorities.Method: Case records which are consulted to Erzurum Atatürk University Faculty of Medicine, Forensic Medicine, Child and Adolescent Psychiatry, and Psychiatry Departments between 01.01. 2010 and 31.12.2010 were assessed retrospectively.Results: Of the 330 cases who were assessed, 54.2% (n=179) were male, 45.8% (n=151) were female, 54.8% were (n=181) child and adolescent, and 45.2% (n=149) were adult. In the light of our results, forensic authorities noticed the difference of choice between forensic medicine and child and adolescent psychiatry when consulting child and adolescent cases. Besides there was no difference for the choice between forensic medicine and psychiatry in the forensic psychiatric evaluation of adult cases.Discussion: It is thought that interdisciplinary approach which was formed by developing law practices of specialty area choice in the forensic psychiatric evaluation requests of forensic authorities is an important step for achieving accurate results. Conclusion:Evaluations in the area of forensic psychiatry should be made with cooperation of related disciplines.

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