{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:24:23Z","timestamp":1787657063769,"version":"build-2736575974"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"abstract":"<jats:p>\n                    The present study sought to determine the extent of alexithymia within the cystic fibrosis (CF) population and examine how it relates to both the severity of the illness and the effectiveness of patient disease management strategies. The study sample included adolescents aged 14 to 18 years, consisting of individuals with confirmed CF and age-matched healthy controls. Patients with CF exhibited significantly higher total scores on the Toronto Alexithymia Scale (TAS-20) compared to the control group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.013). A significant negative correlation was also observed between TAS-20 scores and forced expiratory volume in 1 second (FEV\n                    <jats:sub>1<\/jats:sub>\n                    ) (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.005). Pediatric pulmonologists should be aware of alexithymic features when managing CF. For patients who are clinically regressing and have persistent difficulties maintaining adherence to treatment, a multidisciplinary approach that integrates the expertise of pediatric psychiatrists into treatment approaches can overcome both the medical and emotional challenges of CF.\n                  <\/jats:p>","DOI":"10.1177\/00099228261479541","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:24:30Z","timestamp":1787401470000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Alexithymia Level in Children With Cystic Fibrosis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5252-7806","authenticated-orcid":false,"given":"Fatih","family":"Ercan","sequence":"first","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi","family":"Pekcan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semih","family":"Erden","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7863-831X","authenticated-orcid":false,"given":"Nefise Bet\u00fcl","family":"Ercan","sequence":"additional","affiliation":[{"name":"Health Directorate of Konya Province, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1378-9250","authenticated-orcid":false,"given":"Hanife Tu\u011f\u00e7e","family":"\u00c7a\u011flar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0161-1167","authenticated-orcid":false,"given":"Ahmet","family":"\u00c7a\u011flar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Health Sciences, Beyhekim Training and Research Hospital, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asl\u0131 \u0130mran","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6k\u00e7en","family":"\u00dcnal","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2733-7194","authenticated-orcid":false,"given":"Suat","family":"Sava\u015f","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8252-7775","authenticated-orcid":false,"given":"Fatma Nur","family":"Ayman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan Arif","family":"\u0130stanbullu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6516-8547","authenticated-orcid":false,"given":"Bahar Ece","family":"Tokdemir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Meram School of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-37722009000100012"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4067\/s0717-92272015000100004"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.7.137"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.42.3.235"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3999(96)00222-x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1221648\/full"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-010-0248-6"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2223\/jped.489"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2017.07.006"},{"key":"e_1_3_2_11_2","unstructured":"Cystic Fibrosis Foundation. 2024 Patient registry highlights. Accessed July 28 2026. https:\/\/www.cff.org\/medical-professionals\/2024-patient-registry-highlights"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13011"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1682"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3282ef480a"},{"key":"e_1_3_2_15_2","unstructured":"Kovacs M. Children\u2019s Depression Inventory: Parent version (CDI:P) profile report. Published online 2004. Accessed August 10 2026. https:\/\/cms.jvrafricagroup.co.za\/assets\/documents\/products\/samples\/childrens-depression-inventory\/sample-_-children\u2019s-depression-inventory-_-parent-report.pdf"},{"key":"e_1_3_2_16_2","unstructured":"\u00d6y B. \u00c7ocuklar i\u00e7in depresyon \u00f6l\u00e7e\u011fi: Ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131 [Children\u2019s depression inventory: validity and reliability study]. T\u00fcrk Psikiyatri Dergisi. 1991;2(2):132-136. Accessed July 28 2026. https:\/\/turkmedline.net\/detay\/cocuklar-icin-depresyon-olcegi-gecerlik-ve-guvenirlik-calismasi\/0b10961359c44a\/tr\/29%2B1991%2B2%2B2"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199902000-00003"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200108000-00006"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.neuropsych.14070169"},{"key":"e_1_3_2_20_2","unstructured":"G\u00fcle\u00e7 H K\u00f6se S G\u00fcle\u00e7 MY et al. Reliability and factorial validity of the Turkish version of the 20-item Toronto Alexithymia Scale (TAS-20). Klin Psikofarmakol Bul. 2009;19(3):19. Accessed July 28 2026. www.psikofarmakoloji.org"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1037\/A0020256"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177982"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.71531"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1159\/000287479"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1159\/000287043"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)90050-7"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.physchotherapy.1986.40.3.430"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/00223891003670125"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1159\/000075537"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1037\/10182-009"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/00223890701629698"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15243"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-014-0038-7"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/S12890-023-02335-5"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.27038"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2011.03.005"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-11-5"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(99)00233-3"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6708865"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.05.045"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.5152\/npa.2016.12385"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261479541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228261479541","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261479541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:16:13Z","timestamp":1787656573000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228261479541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,22]]},"references-count":40,"alternative-id":["10.1177\/00099228261479541"],"URL":"https:\/\/doi.org\/10.1177\/00099228261479541","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,22]]},"article-number":"00099228261479541"}}