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Journal Cover Anatolian Journal of Psychiatry
  [SJR: 0.183]   [H-I: 6]   [2 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1302-6631
   Published by ScopeMed Homepage  [97 journals]
  • The associations of the antipsychotic polypharmacy in schizophrenia
           treatment with the symptoms, side effects and the quality of life

    • Abstract: 2016-01-23T23-34-18Z
      Source: Anatolian Journal of Psychiatry
      Deniz Ceylan, Sinem Yeşilyurt, Berna Binnur Akdede, Zeliha Sayın, Köksal Alptekin.
      Objective: Antipsychotic polypharmacy is widespread in schizophrenia treatment, and it has been observed to become more widespread over the years. However, the benefits of antipsychotic polypharmacy in schizophrenia treatment are controversial. The present study aims to investigate the relationship between antipsychotic polypharmacy and the quality of life. Methods: Ninety two patients who met DSM-IV criteria for schizophrenia were divided into monotherapy (MT) and polypharmacy (PP) groups with respect to their medications. The quality of life was assessed using the Quality of Life Scale (QLS), the severities of symptoms were assessed using the Positive and Negative Syndrome Scale (PANSS) and the Clinical Global Impression Scale, and the side effects of antipsychotics were assessed using the UKU Side Effect Rating Scale. Results: Total QLS scores in the PP group were significantly lower than those in the MP group. The total antipsychotic doses and the frequencies of the side effects including sedation, dystonia, erectile and ejaculation dysfunction were detected to be higher in the PP group in comparison to the MP group. Total QLS scores were found to be significantly subject to the direct influence of total PANSS negative scores. Conclusion: Poorer quality of life, more severe negative symptoms and more frequent antipsychotic side effects were observed in patients who were receiving antipsychotic polypharmacy, in comparison to patients who were receiving antipsychotic monotherapy. The presence of negative symptoms, and consequently lack of improvement in symptoms may lead clinicians to prefer antipsychotic polypharmacy. However, antipsychotic polypharmacy does not bring sufficient improvement in symptoms and quality of life, whereas it leads to higher antipsychotic doses and increased side effects.

      PubDate: Tue, 19 Jan 2016 12:04:01 GMT
  • Turkish version of Facebook Jealousy Questionnaire: reliability and
           validity studies on university students

    • Abstract: 2016-01-23T23-34-18Z
      Source: Anatolian Journal of Psychiatry
      H. Andaç Demirtaş-Madran.
      Objective: The aim of the present study was to develop and assess validity and reliability of the Turkish version of the Facebook Jealousy Questionnaire. Methods: A Turkish version of the Facebook Jealousy Questionnaire was translated to Turkish from English, and then translated back to English. The sample consisted of 307 students from two different universities in Ankara. In order to determine criterion validity of the scale, its correlation with the Turkish version of Romantic Jealousy Scale’s subscale ‘triggers of jealousy’ was used. Results: For determining the reliability and validity of the scale, internal consistency (Cronbach’s alpha), test-retest and corrected item-total correlations, criterion validity were used. Gender, age and some relational differences such as relational satisfaction and attractiveness of the partner were examined. There were only a significant negative correlation between age and Facebook jealousy score. Conclusions: This study supports the one-factor model of the Facebook Jealousy Questionnaire indicated by the original study. Findings demonstrate that the Turkish version of the Facebook Jealousy Questionnaire is a highly reliable and valid instrument to measure Facebook jealousy.

      PubDate: Tue, 19 Jan 2016 12:01:02 GMT
  • Alexithymia levels in patients with unipolar and bipolar depression and
           the effect of alexithymia on both severity of depression symptoms and
           quality of life

    • Abstract: 2016-01-18T23-16-54Z
      Source: Anatolian Journal of Psychiatry
      Şaban Karayağız, Mustafa Baştürk.
      Objective: Aims of this study are to compare the alexithymia scores of patients with unipolar depression (UD), bipolar affective disorder depressive episode (BAD-D) and healthy controls, to explore the effects of alexithymia scores on both severity of depression symptoms and quality of life. Methods: Case group of the study is consisted of one hundred and eighteen UD diagnosed, forty eight BAD-depression diagnosed patients, based on DSM-IV-TR criteria. Control group of the study is consisted of ninety six people who had no history of psychiatric disease. Overall, 262 people had involved in the study. Sociodemographic and Clinical Data Form, Hamilton Rating Scale for Depression (HRDS), Beck Depression Inventory (BDI), Toronto Alexithymia Scale (TAS-20) and SF-36 Quality of Life Scale are used for acquiring information of the patients. Results: Mean of age, gender, marital status, place for living, level of income of UD, BAD-D and control groups were similar. Statistically significant differences were observed in between UD, BAD-D and control groups, in terms of HRDS, TAS-20 and SF-36 scores. Mean group scores of UD and BAD-D group were higher than controls, in terms of all scales. However, mean points of UD and BAD-D groups were similar in terms of four scales. Patients with UD and BAD-D had positive relationship with TAS-20, BRDS and BDI; negative relationship between SF-36, significantly. In conclusion, it is found that alexithymia scores of UD and BAD-D groups were higher; quality of life scores were lower than controls. It is also observed that patients with higher alexithymia scores have more severe depressive symptoms and having a less sense of quality of life. Although our findings indicate that presence of alexithymia is important in depressive disorders, however no difference were found between alexithymia scores in patients with UD and BAD-D. Discussion: Alexithymia scores of all groups had positively related with depression, negatively related with quality of life. Our findings showed that, alexithymia is an important factor to the diagnosis of depressive disorders, however alexithymia is not a marker to make differential diagnosis of BAD-D and UD.

      PubDate: Mon, 18 Jan 2016 02:42:09 GMT
  • The profiles of children pushed to crime who are treated in a regional
           psychiatric hospital in Turkey

    • Abstract: 2016-01-18T23-16-54Z
      Source: Anatolian Journal of Psychiatry
      Nalan Gördeles Beşer, Leyla Baysan Arabacı, Gülçin Uzunoğlu.
      Objective: The study was conducted to determine the profiles of the children pushed into crime who treated in psychiatric hospital between the years of 2010-2014. Methods: The study, designed as a Retrospective cohort, was conducted by examining the file records of 144 adolescents/children pushed into crime. These outpatient or inpatient adolescents / children were treated as forensic case in a Child and Adolescent Psychiatry Inpatient Units in a regional psychiatric hospital between the years of 2010-2014. Results: 79.9% of investigated cases were men and their average age was 15.33±1.54. It was determined that 59.0% of the cases did not attend school while the treatment period because of the legal cause and 13.2% of these cases worked as a laborer before. 65.3 % them living with their family. Of 72.2% adolescents have negative relationship with their family. 11.8% of adolescents fathers’ have alcohol-substance and 4.9% of adolescent fathers’ have abuse and legal problems. 70.8% adolescents have diagnosis of chronic mental illness, 13.9% of them has more than one psychiatric diagnosis. 81.2's% adolescents have committed crimes for the first time and 18.8% of hem has repeated crime stories. It was determined that adolescents who have migration story and bad family relationships in their past involved in the crimes. Conclusion: It was determined that many of the adolescents pushed in to crime have mental disorder, their academic success and parents’ educational level are low , they have past migration story and the adolescents having a negative family relationships commit repetitive crime.

      PubDate: Mon, 18 Jan 2016 02:39:15 GMT
  • Examining psychometric properties of Distress Intolerance Index and
           Cognitive-Behavioral Avoidance Scale

    • Abstract: 2016-01-18T23-16-54Z
      Source: Anatolian Journal of Psychiatry
      Zehra Çakır.
      Objective: The aim of the study is to investigate psychometric features of Distress Intolerance Index (DII), which was developed to identify the golden standard of distress tolerance concept, and Cognitive-Behavioral Avoidance Scale (CBAS), which assesses avoidance multidimensionally, in a university students population. Methods: The study sample consists of 610 undergraduate students from various departments in Hacettepe and Uludağ University (434 female, 71.4%; 176 male, 28.6%). Test-retest reliability was examined in a sample of 92 people. In addition to DII and CBAS, Positive and Negative Affect Scale (PANAS), Penn State Worry Questionnaire (PSWQ), Coping with Stress Scale (CSS), Cognitive Emotion Regulation Questionnaire (CERQ), Brief Symptom Inventory (BSI) and Beck Depression Inventory (BDI) was also applied. Construct validity of the scales was tested via factor analysis, Cronbach’s alpha coefficients and test-retest correlations were calculated to check for reliability, and Pearson correlation analysis was conducted to investigate criterion-related validity. Results: One factor solution was suitable for DII as also recommended in the original form and reliability of the index was estimated as 0.92. Test-retest reliability was 0.86. The analysis for criterion-related validity revealed theoretically expected significant correlations between DII and BDI, PNAS, BSI and PSWQ, ranging from -0.25 to 0.60. Factor analysis for construct validity of CBAS revealed a four factor solution consistent with the original form. Two items in the original form were excluded from the Turkish version. Reliability coefficient was 0.92 for the overall scale and varied between 0.72 and 0.88 for the subscales. Test-retest reliability varied between 0.60 and 0.90. Analysis for criterion-related validity showed expected and significant correlations varying between -0.10 and 0.44 for CBAS subscales and CERQ, CSS subscales and PSWQ, BDI and BSI overall scores. Conclusion: The findings of this study shows that DII and CBAS are valid and reliable scales. This study also provided further evidence to the validity and utility of the DII.

      PubDate: Sun, 17 Jan 2016 22:37:21 GMT
  • Toxic epidermal necrolysis in a bipolar patient receiving lamotrigine,
           lithium and duloxetine combination treatment

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Filiz Civil Arslan, Evrim Özkorumak, Deniz Aksu Arıca, Zeynep Çalışkan İlter.

      PubDate: Tue, 29 Dec 2015 12:43:30 GMT
  • A case of an hoarding disorder and idiopathic basal ganglion calcification

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Hayriye Mihrimah Öztürk, Filiz Şükrü Durusoy, Özden Arısoy.

      PubDate: Tue, 29 Dec 2015 12:41:20 GMT
  • Analgesic effects of quetiapine in two cases

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Akif Camkurt, Ebru Fındıklı, Serkan Güneş.

      PubDate: Tue, 29 Dec 2015 12:38:24 GMT
  • Anatolian Journal of Psychiatry in its 17th year

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Lut Tamam.

      PubDate: Tue, 29 Dec 2015 12:02:51 GMT
  • Effectiveness of the solution focused therapy which is based on
           interpersonal relationship theory: retrospective investigation

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Ayşegül Bilge, Esra Engin.
      Objective: The aim of this research is to investigate the effectiveness of solution focused therapy which is based on interpersonal relationship theory in retrospective methodology. Methods: This research was planned as a pre/posttest without control group. The research population included 36 students who are registered a school of health of a university and applied to psychological consultation services of their school for their psychological issues. Student’s introduction and consulting form, Beck Anxiety Scale, Beck Depression Scale, Problem Solving Inventory were used as data collection forms. All ethic permission was provided. In this research, the five sessions solution focused therapy approach which is based on Peplau’s interpersonal relationship theory was used for students. Inventories were applied both before and after the therapy sessions. Descriptive statistics, independent sample t test, Mann Whitney U test, Kruskall Wallis test were used for data analysis. Conclusion: When the scores of anxiety, depression and problem solving skills were compared before and after sessions; anxiety, depression and problem solving inventory. They were found that the mean scores of inventories decreased as statistically significant. Differences of scores when participating joyful activities and having someone which can be shared for their individual problems in depression was found decreased as statistically significant. Also it can be seen the some direction when having actively a kind of hobby in anxiety and problem solving skill scores differences. Discussion: It can be said that the five sessions solution focused therapy which is based on Peplau’s interpersonal relationship therapy was affected for students which are applied psychological consultation services for their problems.

      PubDate: Tue, 29 Dec 2015 11:53:48 GMT
  • Validity and reliability for the Turkish adaptation of the Consciousness
           in Dreams Scale

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Ahmet Genç, Yaşar Barut, Gülşah Başol.
      Objective: The aim of this research is to adapt the Consciousness in Dreams Scale (RBÖ) to Turkish and to examine its psychometric properties. Method: 551 college students participated in the study. The average age of the participants is 21.7; 62% of participants were women and 38% were men. After the scale bilingual equivalence is completed, the validity and reliability analysis are checked. The exploratory factor analysis and confirmatory factor analysis are used for the construct validity and Cronbach's alpha coefficient is utilized for internal consistency reliability. Also corrected-item total correlations and according to t test results differences between each item's means of upper-lower %27 points were analyzed. Results: In the exploratory factor analysis of the scale, unlike the original form, a 7 factor structure was obtained that explains the 57% of the total variance and consists 28 items. The factor loads were found to vary between 0.34 and 0.92. Confirmatory factor analysis results confirmed the structure that was obtained after exploratory factor analysis (χ2=697.70; χ2/sd=2.17; RMSEA=0.059; SRMR=0.064; CFI=0.96; GFI=0.93; AGFI=0.89; NNFI=0.92). The internal consistency coefficient Cronbach that derived from the reliability analysis of the scale has ranged between 0.73 and 0.82. Corrected item-total correlations ranged 0.31 to 0.77 and according to t test results differences between item's means of upper-lower 27% points were significant. Conclusion: Based on the results obtained after analysis, RBÖ is a valid and reliable that can be used to measure a person’s level of consciousness in dreams. Nevertheless, further studies that will use RBÖ are important for its measurement force.

      PubDate: Tue, 29 Dec 2015 11:52:14 GMT
  • Using the psychodrama in adolescents with social anxiety disorder

    • Abstract: 2015-12-29T23-17-06Z
      Source: Anatolian Journal of Psychiatry
      Özden Şükran Üneri, Ejder Akgün Yıldırım, Canan Tanıdır, Tuğçe Aytemiz.
      Objective: In this study we aimed to investigate the properties and strong and weak parts of the psychodrama group therapy techniques in adolescents with social anxiety disorder and tried to create a psychodrama group therapy model for adolescents. Methods: The group consists of adolescents aged 16-18 years old who were diagnosed with social anxiety disorder in the child and adolescent psychiatry outpatient clinic of a research hospital for psychiatric and neurologic disorders in İstanbul and who were volunteer to join the group. The adolescents with a psychotic disorder, autism spectrum disorder or mental retardation were not included in the study. The group was started when the number of volunteer adolescents have reached ten and group meetings were planned as once a week lasting 1.5-2 hours. Results: In this group therapy program using psychodrama techniques, totally 14 sessions were done. The total time of sessions have changed between 70 and 150 minutes according to the needs of the group and the related topic. Minimum 2 group members and maximum 8 group members attended to the group sessions. We observed in the meetings with low attendance, co-therapists’ acting and taking roles as group members maintained the group permanency and increased the assertiveness of the inhibited group members. Also we observed that spontaneity and creativity increased if the co-therapists joined the group games. Using symbolic items like toys facilitated the expression of emotions in this group for the adolescents. Discussion: While using psychodrama with adolescents with social anxiety disorder in order to minimize the problems of low attendance and warrant the group permanency it is useful to conduct the group with at least two co-therapists and to begin with more than ten or twelve group members at the beginning. Groups should be conducted weekly and interest areas of adolescents should be taken into account while preparing group games and symbolic items should be used often

      PubDate: Tue, 29 Dec 2015 11:47:58 GMT
  • Dating violence in adolescent forensic cases with history of sexual abuse

    • Abstract: 2015-12-14T23-17-40Z
      Source: Anatolian Journal of Psychiatry
      Nagehan Üçok Demir, Mustafa Yasin Irmak, Duygu Murat, Neşe Perdahlı Fiş.
      Objective: Dating violence defined as physical, sexual or psychological/emotional violence within a dating relationship. Consequences identified from longitudinal studies include cigarette smoking, marijuana and other illicit substance use, antisocial behavior, depression, and suicide ideation and attempts. We aimed to examine the concept of dating violence within a group of adolescent forensic sexual abuse cases. Methods: The files of girls aged 12-18 years who had been referred to child psychiatry forensic outpatient clinic between September 2010 and December 2012 were examined retrospectively. The group with the presence of dating violence was compared to the group without dating violence with regard to characteristics of abuse and psychiatric findings from the clinical interview. Results: The mean age of our sample was 15.20±1.67 years. Almost 75% of the cases had been abused by someone they were familiar with. Among them dating partners were the first on the list (52.3%). In both groups the most common psychiatric diagnoses were post-traumatic stress disorder and acute stress disorder, followed by major depression. Those girls, who were subjected to dating violence, had significantly more suicidal acts after the trauma. Sexual abuse with penetration was significantly higher in the dating violence group. Conclusion: The term “dating violence”, has long been known in western countries and has been regarded as a serious public health problem. It is a relatively new term in Turkey. Due to its serious consequences, such as increased suicidal attempts, the awareness about dating violence should become an issue of great importance. Keywords:

      PubDate: Fri, 11 Dec 2015 09:04:21 GMT
  • The effectiveness of psychodrama therapy in reducing school
           counselors’ occupational burn out

    • Abstract: 2015-12-14T23-17-40Z
      Source: Anatolian Journal of Psychiatry
      Füsun Gökkaya, Osman Özdel.
      Objective: Aim of this study is to investigate the effectiveness of psychodrama therapy in reducing school counselors’ occupational burn out. In addition, the increase in satisfaction with life and the reduction of depressed mood and level of the hopelessness are expected when the occupational burn out is decreased. Methods: Psychodrama therapy was conducted with school counselors, 16 sessions, four hours in a week. Study was finalized with 14 school counselors who have either psychology or psychological counseling. School counselors are administered to fill the Maslach Burnout Inventory (MBI), The Satisfaction with Life Scale (SLS), Beck Depression Inventory (BDI) and Beck Hopelessness Scale (BHS) before and after the study. Additionally a Result Evaluation Form containing open ended questions was used. After the study changes in the counseling teachers were evaluated by the comparison of the score of the scales and with the results of the evaluation forms. Results: A statistical significant difference was found between the pretest and posttest scores after the therapy in MBI and SLS. There was no significant difference in BDI scores and also in BHS scores. The SLS’s pre-test and post-test scores were not significant however; there was a remarkable reduction in the scores. Conclusions: Current findings are discussed with reference to the literature. It was found that psychodrama is a useful technique in reducing occupational burn out. Similar studies in which will include the comparison of counseling group and control group with a larger sample will be beneficial.

      PubDate: Fri, 11 Dec 2015 09:02:14 GMT
  • Relations between depression and PTSB and perceived social support in
           female child victims of incest

    • Abstract: 2015-12-14T23-17-40Z
      Source: Anatolian Journal of Psychiatry
      Seher Akbaş, Berna Aydın, Cihad Dündar, Ahmet Turla.
      Objective: This study investigated the association between psychological stress and perceived social support by examining the source of perceived social support (family, peers or teachers). Methods: Female victims of incest subjected to sexual abuse aged 9-18 years (n=31) and a control group consisting of age- and gender-matched girls with no history of psychological trauma were enrolled. All participants completed the Child Depression Inventory, Child Post-traumatic Stress Reaction Index and Perceived Social Support Scale-Revised. Results: The results showed that post-traumatic stress disorder (PTSD) and depression symptoms in victims of decreased significantly as perceived social support scores increased. Although the social support that incest victims perceived from families was significantly lower, perceived social support from families nevertheless significantly reduced symptoms of both depression and PTSD. No significant correlation was determined between perceived support from peers and psychological symptoms, while perceived social support from teachers reduced symptoms of PTSD. Discussion: Endeavors aimed at better understanding the interaction between sources of social support and psychological impact in incest experienced by children are important in terms of guiding preventive measures and treatment.

      PubDate: Thu, 10 Dec 2015 09:30:05 GMT
  • Relation of juvenile criminal behavior to sociodemographic features and

    • Abstract: 2015-12-14T23-17-40Z
      Source: Anatolian Journal of Psychiatry
      Burcu Çakaloz, Gülşen Ünlü, Merve Aktaş Terzioğlu, Nazlı Kapubağlı, Çiğdem Tekkanat.
      Objective: This study aimed to evaluate the sociodemographic features of the juvenile offenders and their families, the characteristics of the crime and the relationship between criminal behavior and intelligence in a group of teens that were referred to a university hospital for forensic evaluation regarding Turkish penal code article 31/2, by legal forces. Methods: This study was carried out by the retrospective assessment of medical records of children and adolescents that were referred to Pamukkale University Medical School Child and Adolescent Psychiatry Department for forensic evaluation regarding Turkish penal code article 31/2 by legal authorities between the dates 01.07.2009 and 30.06.2013. Sociodemographic features of the cases and their families, WISC-R (Wechsler Intelligence Scale for Children-revised) results, clinical assessment results and data regarding the legal process were derived from the legal file records of the cases. Results: Of the cases, 91.3% (n=116) were male while 8.7% (n=11) were female. A total of 127 children were convicted of 167 crimes in total and the most common committed crimes were offences against property while offences against physical integrity came in the second. Via clinical evaluation, it was determined that 65.4% of the cases (n=83) had normal intellectual capacity. Of the cases, 26.8% (n=34) had borderline intellectual functioning while 7.8% (n=10) had some type of mental retardation. Repeat offenders had statistically lower average verbal IQ scores compared to one- time offenders. Discussion: It is remarkable that delinquent children have frequently common problem areas such as limited intellectual capacity, socioeconomic difficulties and low educational backgrounds for both the cases and their families. It seems necessary to determine the requirements of children under risk and taking precautions and providing support in relation to this, to successfully decrease the rates of child delinquency.

      PubDate: Thu, 10 Dec 2015 09:22:36 GMT
  • First described case of clomipramine-induced acute eosinophilic
           pneumonia-like syndrome leading to acute respiratory failure

    • Abstract: 2015-12-10T04-17-44Z
      Source: Anatolian Journal of Psychiatry
      Pınar Çimen, Mehmet Ünlü, Cenk Kıraklı, Semra Bilaçeroğlu, Recep Demirer.
      Drugs are well-known causes of eosinophilic lung disease and patients with drug-induced eosinophilic lung disease can have variable clinical presentations. Clinical features may range from asymptomatic eosinophilic infiltrates to acute eosinophilic pneumonia (AEP)-like syndrome leading to acute respiratory failure. This report describes the first case of clomipramine-induced AEP-like syndrome causing acute hypoxemic respiratory failure which was treated successfully. Considering the increasing usage of tricyclic antidepressants, physicians should be aware of this very rare and life-threatening complication of clomipramine.

      PubDate: Thu, 10 Dec 2015 00:50:13 GMT
  • The impact of family resources and stressful events in the progression of
           drug addicts in the process of change

    • Abstract: 2015-12-05T04-15-38Z
      Source: Anatolian Journal of Psychiatry
      Aleksandra Dickov, &#;eljka Meduri&#;, Veselin Dickov, Marija Kajtez, Nina Brkic-Jovanovic.
      Objective: The families, when faced with difficult life events, use a specific key processes of resilience. The main objective of this study was to determine the predictor role of family resources and stressful events through which the family passes in relation to the advancement of drug users through the process of change (termination of abuse) and in relation to the quality of life of the addict. Methods: To obtain data subjects were surveyed through four questionnaires. The questionnaire with general information, FILE scale gives the index of family stress, and family vulnerability as a result of the aggregation of life events experienced by families. FIRM is the scale used for social support, WHODAS generic instrument for assessing health and disability, including mental, neurological and addiction. URICA was used for testing stages of change. The sample consisted of 200 patients who were hospitalized at the department of addiction. Results: Our study confirmed that there is a significant correlation between family resources and life events. Correlation between quality of life and life events is not statistically significant at the total score of quality of life, nor individual domains. Only in the area of quality of life relating to cognition, there is a weak negative correlation. Conclusion: Family resources and stressful life events do not affect the quality of life in the process of change but there is a significant correlation between family resources and stressful life events and families that have passed through periods of life events can strengthen their individual capacities.

      PubDate: Mon, 30 Nov 2015 06:36:51 GMT
  • Trends and gender differences in alcohol and substance use among children
           and adolescents admitted to an addiction treatment center in Turkey:
           comparison of 2014 with 2011

    • Abstract: 2015-12-05T04-15-38Z
      Source: Anatolian Journal of Psychiatry
      Neslim Güvendeğer Doksat, Arzu Demirci Ciftci, Oğuzhan Zahmacıoğlu, Mehmet Tekden, Fatih Özbek, Gülay Günay, Gizem Melissa Kocaman, Ayten Erdoğan.
      Objective: The aim of this study was to evaluate the trends and gender differences in alcohol and substance use behaviors in youth admitted to an addiction treatment center in Istanbul. Methods: Participants were 2755 substance using children and adolescents who were treated at the Bakırköy Mental Health and Neurologic Disorders Hospital between 2011 and 2014. The World Health Organization student drug use questionnaire’ was completed by trained clinicians. Results: There was an increase in the total number of youths admitted for substance use treatment (31.4% in 2011, 68.6% in 2014). A significant increase found in polysubstance use and in the number of females seeking treatment for substance use from 2011 to 2014. Alcohol, ecstasy, synthetics cannabinoids and heroin usage showed increase whereas inhalants, cannabis, prescribed medicines usage showed decrease in 2014. In 2014 while girls mostly consumed ecstasy, prescribed medicines and cocaine boys mostly used cannabis and synthetics. Conclusions: As new popular illicit drugs emerge in the market in the recent years, it is essential to reexamine the new trends in substance use and to reconsider prevention policies and treatment strategies.

      PubDate: Mon, 30 Nov 2015 00:23:52 GMT
  • The effect of education and group interaction on the family burden and
           support in the mothers of intellectually disabled children

    • Abstract: 2015-11-24T23-17-26Z
      Source: Anatolian Journal of Psychiatry
      Zehra Çalışkan, Meral Bayat.
      Objective: This study was conducted to determine the effect of interactive education with group interaction on the family burden and support in the mothers of intellectually disabled children by using pre-post test with control group experimental design. Methods: The study was conducted with 62 mothers have intellectually disabled children between 15th September 2010 and 30th May 2011. An education about difficulties and coping strategies was given to the study group mothers as 6 sessions (every session is for 35-45 minutes) by using interactive methods. Before and after the study, Family Burden Evaluation Scale for Families of Child with Intellectual Disabilities and Family Support Scale were practiced with mothers in the study and control groups. Results: It is determined that family burden mean score was decreased, family support median score was increased in the study group mothers after the education. Also, there was a negative and poor level meaningful relation between total family support and total family burden scores in the study group mothers after the education. Conclusions: The education given by the nurses was effective on decreasing family burden and increasing family support in mothers have intellectually disabled children. It is suggested that education should be given regularly and constantly and mothers who live same problems should be supported by being together.

      PubDate: Tue, 24 Nov 2015 02:21:24 GMT
  • The development of Short-Form Five Factor Personality Inventory

    • Abstract: 2015-11-24T23-17-26Z
      Source: Anatolian Journal of Psychiatry
      Arkun Tatar.
      Objective: Five Factor Personality Inventory, when used in large samples for screening purposes may lead to difficulties and unhealthy results because of its length. The inventory contains 220 items and designed to assess five factors and seventeen sub dimensions. However, when only five factors need to be evaluated, administration of the long form of the inventory causes loss of time, effort and economic value. For this reason this study aims to develop a short form of the inventory to assess only the five factors of the scale. Methods: The data of the normative sample of 5239 participants of the inventory was divided into two. The first half consisting of 2000 participants was used for the selection of items, and the second half consisting of 3239 participants was used for cross validity study. The short form constructed was administered to a sample of 1518 participants as a third study. The results of the first two studies were compared with the data of the third study. Results: Out of the long form of the inventory 76 items for the five factors, 6 items for the social desirability dimension and 3 items as control items were selected by using item response theory. Various methods were used to determine the validity of the short form, and the correlations between the long and the short forms. High correlation coefficients were found for each of the factors of the long and the short forms in each of the three analyses of data. Structural validity of the short form was shown by explanatory and confirmatory factor analysis. Reliability values of the short form were close to the values of the long form in all of the studies. Test retest correlation coefficients of the short form were also high. All of the results showed very close factor values. Conclusion: It was seen that the developed short form of 85 items complied with five factor model and also protected the structure of the long form. Many strong correlations between the two forms showed that the short form represents the long form.

      PubDate: Tue, 24 Nov 2015 02:15:26 GMT
  • Effectiveness of solution-focused coping with depression training on
           depression symptoms

    • Abstract: 2015-11-24T23-17-26Z
      Source: Anatolian Journal of Psychiatry
      Enver Sarı, Nevin Günaydın.
      Objective: Since Solution-focused brief therapy introduction in the mid-1980s, research has consistently shown that solution focused therapy is effective in the treatment of depression and numerous other conditions. The purpose of this experimental study was to examine the effectiveness of solution focused coping with depression training based on solution focused brief therapy on the depression symptoms of university students. Methods: This research is a quasi-experimental design in which pretest-posttest design with a control and placebo groups have been used. The data were obtained from a sample consisting of 48 university students who have depression symptoms, 16 in experimental, 16 in control and 16 in placebo groups. Beck Depression Inventory (BDI) was administered as pretest, posttest and follow-up tests. Dependent variable was solution-focused therapy in which experimental group was provided with 7-hour group counseling (7 sessions which took one hour). In the meantime, placebo group was provided with irrelevant training (communication skills) to eliminate the effect of subjects. After the sessions were wound up, BDI questionnaire was administered again among both groups. One month later, the posttest and then BDI questionnaire were conducted. Results: Results indicated that there were significant differences among the experimental, the control and placebo groups for mean of depression points in favor of the experimental group. The results of the follow-up tests administered to experimental group one month later indicated that the differences between posttest and follow-up test results were not significant. Conclusion: Findings obtained from end of the research indicated that solution focused coping with depression training is effective in reducing depressive symptoms of university students.

      PubDate: Tue, 24 Nov 2015 02:09:58 GMT
  • Determining validity and reliability of Turkish version of Fear of Missing
           out Scale

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Enes Gökler, Reşat Aydın, Egemen Ünal, Selma Metintaş.
      Objective: The aim of the study was to determine the validity and reliability of Turkish version of Fear of Missing Out (FoMO). Methods: This methodologic study was carried out in two faculty of Eskişehir Osmangazi University. Our study group consisted of 200 students over the age of 18. Translation process was conducted in accordance with the literature. Opinions of fifteen specialists’ were asked to examine the construct validity. Content Validity Index (CVI) coefficient of FoMO Scale was 0.62. Participants’ sociodemographic characteristics about their social media usage, FoMO Scale and Problematic Mobile Phone Use (PU) were conducted. Results: Of the participants 52.5% was female. The mean of age was 21.4±3.0 years. According to factor analysis, factor loading ranged between 0.36-0.77 and consisted of single factor structure. Cronbach’s alpha coefficient of the scale was 0.81. Reliability coefficient of test-retest was 0.81. The scale was statistically and positively correlated with the PU with confirming concurrent validity. The statistically significant relationship was found between the number of social media account, the frequency of checking Facebook and Twitter and the total point of FoMO Scale. There is no significant relationship between the frequency of checking his/her internet for looking personnel e-mail or calling and total point of FoMO Scale. Conclusion: FoMO Scale is a valid and reliable instrument to evaluate the FoMO among university students. Additionally, we emphasized that further research is needed on different and larger groups by using the scale.

      PubDate: Sun, 25 Oct 2015 11:03:49 GMT
  • Successful treatment of a case who had deliberate self-harm by inserting
           needles to her body for 12 years

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Aslıhan Okan İbiloglu, Abdullah Atlı, Süleyman Demir, Aytekin Sır.
      Deliberate self-harm or self-injurious behaviors (SIB)” defined as the intentional, direct injuring of body tissue without suicidal intent in addition to this topic has generated mounting interest among mental health professionals, over the past years. Psychiatric disordered patients have the tendency to self-harm repeatedly. We report here, a case that was referred for SIB with deliberately inserted needles in her body, over the last 12 years.

      PubDate: Sun, 25 Oct 2015 10:57:45 GMT
  • The effectiveness of the tobacco, alcohol and drug dependence treatment
           program (SAMBA) on drug users in probation

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Kültegin Ögel, Rabia Bilici, Gönül Güvenç Bahadır, Alp Maçkan, Olcay Tuna.
      In this research, the aim is that searching the effectiveness of a structured treatment program over treatment process on substance abusers, who are sent to medical institutions because of compulsory treatment within the scope of probation. Methods: Two hundred and fourteen substance users who were sent to Erenköy Mental Health and Neurological Diseases Hospital AMATEM Clinic within the scope of probation have been taken under research, consecutively. The tobacco, alcohol and drug dependence treatment program (SAMBA) has been applied to substance users. Before and after application, Addiction Profile Index Clinic Form (BAPI-K) and a questionnaire to assess knowledge of drug users about addiction has been applied. They have attended the SAMBA program, once in 15 days, 6 times in total and they have all been made urine tests at each time. Urine tests have been made for 6 weeks. People who have not participated in the program once or in whose urine tests substance has been found once have been considered as incompatible with treatment. Findings: The 62.8% of the sample (n=76) have completed the SAMBA program; the urine test results of 33.1% of them (n=40) have been evaluated as positive. The risk that having positive urine test results on those who did not complete the program, has been found nine times more (odds ratio 9.02) than those who completed. When scores are compared before and after implementation; while leaving the substance motivation subscale scores has been increased, BAPI total, craving, depression and anxiety scores have been found to be decreased. Also a statistically significant increase in the Knowledge Assessment Survey scores has been observed. Those who have high scores of craving and novelty-seeking behavior initially, have lower rate of completing the program. Conclusion: It has been shown that SAMBA program is an increasing factor for adherence to treatment on substance users, who were directed to treatment because of probation, users who have craving and novelty-seeking behavior carry a risk about completing structured treatment program.

      PubDate: Sun, 25 Oct 2015 10:45:03 GMT
  • The effects of one community mental health center on antipsychotic
           polypharmacy: 12-months follow-up of patients with schizophrenia

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Abdülkadir Tabo, Erkan Aydın, K. Oğuz Karamustafalıoğlu, Hüseyin Yumrukçal, U. Erman Uzun, M. Cansu Ülgen.
      Objective: Treatment with multiple antipsychotic medications (antipsychotic polypharmacy [APP]) in schizophrenia is recommended to be considered as a last resort, due to non-compliance, metabolic side effects and high mortality. On the other hand, in current clinical practice, APP is quite commonplace. The effects of one “community mental health center” (CMHC) activities on APP and clinical symptoms of enrolled schizophrenia patients were investigated in order to determine changes on antipsychotic treatment processes for schizophrenia. Methods: Sociodemographic Data Form, Positive and Negative Symptom Scale for Schizophrenia (PANSS) scores, Pharmacotherapy Compliance Scale evaluations and modes of medication utilization of 120 patients who were followed-up in this center for one year were evaluated retrospectively. Results: All PANSS subscale (positive, negative and general) scores of the patients decreased and compliance with drug treatment increased; rates of APP remained the same and mean drug treatment doses did not change. Conclusion: The insistence on APP, in spite of improvements in symptoms and patient compliance, shows the importance of maintaining community mental health activities as well as interventions targeting prescription habits of psychiatrists. Such interventions can provide a decrease in use of multiple medications. Results indicate the need to utilize community mental health center services to increase the effectiveness of psychopharmacotherapy for schizophrenia.

      PubDate: Thu, 22 Oct 2015 09:34:56 GMT
  • Ring finger autophagy after spouse’s death

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Rugül Köse Çınar, Öznur Taşdelen, Bülent Sönmez, Yasemin Görgülü.
      Self-mutilation is defined as self-injury to body tissue without conscious suicidal intent. Self-mutilative behavior can be seen in the context of many psychiatric disorders. Auditory hallucinations in form of voices giving orders increase the risk of self-mutilation. We report a case of “major depressive disorder with psychotic features” who had cut and eat his ring finger in respond to his deceased wife’s ordering voice.

      PubDate: Thu, 22 Oct 2015 09:25:31 GMT
  • Reliability and validity studies of Turkish Version of Extended Personal
           Attributes Questionnaire

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      H. Andaç Demirtaş-Madran.
      Objective: The aim of the present study was to develop and assess validity and reliability of the Turkish Version of Extended Personal Attributes Questionnaire. Methods: A Turkish version of the questionnaire was translated from English by a bilingual person, and then independently translated back to English items by another bilingual individual. The sample consisted of 340 university students from different universities in Ankara, Turkey. In order to determine criterion validity of the scale, its correlation with the Turkish Version of Bem Sex Role Inventory was examined. Results: For determining the reliability of the scale, internal consistency and test-retest methods were used. Criterion validity of the scale and sex differences were examined. Conclusions: This study supports the six-factor model of the Turkish Version of Extended Personal Attributes Questionnaire indicated by the original study.

      PubDate: Mon, 12 Oct 2015 05:41:47 GMT
  • Suicidal thoughts and suicide attempts in Sydenham's chorea: a case report

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      Esra Özdemir Demirci.
      Sydenham’s chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic. After the clinical motor and cardiac symptoms, patients with Sydenham’s chorea have also been presented with the obsessive-compulsive symptoms, anxiety, depression, attention problems and emotional lability. However, in the literature, it could not be reached on a case with the suicidal thoughts or suicide attempts. In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms. In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues.

      PubDate: Mon, 12 Oct 2015 05:36:44 GMT
  • Clinical features and comorbid psychiatric disorders in children and
           adolescents with trichotillomania: a clinical sample

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      Hilal Adaletli, Hatice Güneş, Canan Tanıdır, Caner Mutlu, Tuğçe Aytemiz, Ali Güven Kılıçoğlu, Kayhan Bahalı, Sema Kurban, Özden Şükran Üneri.
      Objective: Trichotillomania (TTM) is characterized by the repetitive pulling out of one's own hair from the scalp, eyebrows, eyelashes, or other areas of the body and is often associated with other psychiatric disorders. In this study we aimed to investigate the clinical and sociodemographic characteristics and comorbid psychiatric disorders in children with TTM. Methods: Twenty-three children and adolescents (15 females and 8 males, median age: 12, range: 6-18 years), who were followed at our outpatient clinic with the diagnosis of TTM, were included in the study. The Turkish version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present and Lifetime version was used to detect the comorbid psychiatric disorders. Depression and anxiety levels were measured by Childhood Depression Inventory (CDI) and State-Trait Anxiety Inventory for Children, respectively. Results: The most commonly affected areas were; the scalp (n=13). Nine cases have been affected more than two areas. Median duration of the symptoms were 7±20.01 months (range: 7 days-72 months) at admission. 65.2% of the cases reported precipitating stress factors before the beginning of TTM symptoms. Nineteen (82.6%) subjects suffered from at least one psychiatric disorder and 14 (60.8%) from at least two psychiatric disorders. The most common comorbid disorders were anxiety disorders (n=15), disruptive behavioral disorders (n=6), tic disorder (n=3) and enuresis nocturna (n=3). The mean score in the CDI was 13.25±8.45. Mean state and trait anxiety scores were 37.19±8.01 and 37.62±7.61, respectively. There was a significant relationship between the time passed until admission to a psychiatry clinic and having multiple comorbid psychiatric disorders. Conclusion: High rates of comorbid psychiatric disorders were found in children and adolescents with TTM. Delay in psychiatric help-seeking seems to be associated with other psychiatric disorders. Early intervention may decrease comorbid psychiatric disorders, which may affect treatment options and prognosis.

      PubDate: Mon, 12 Oct 2015 05:31:42 GMT
  • The Turkish adaptation, validity and reliability study of General
           Causality Orientations Scale in a university sample

    • Abstract: 2015-10-11T23-18-29Z
      Source: Anatolian Journal of Psychiatry
      Gamze Şen, İhsan Dağ.
      Objective: The aim of this study was to test the validity and reliability of General Causality Orientations Scale (GCOS) for a Turkish sample, which can evaluate the source of the behavior and internal processes besides the preference for the perception of external pressure and coercion. Methods: Firstly, GCOS was translated in Turkish with participation of five expert judges. Resulting scale were administered to a college sample of 363 participants (239 females, 66.6%; 124 males, 33.4%). A subsample of 51 participants were retest after three weeks for test retest reliability. Results: Based on item analysis, Pearson’s correlations, and factor analysis, Turkish form of the GCOS was resulted 40 items with two of them are reversed although original form was 51 items. The internal validity of GCOS is 0.81, and correlations with the other scales (Locus of Control Scale, Brief Symptom Inventory) were between 0.10-0.39, which are low but indicating significant conceptual relations. Test-retest reliability coefficients were between 0.71-0.86. Conclusion: Sufficient reliability and validity indexes and suitability of GCOS in Turkish college sample were discussed.

      PubDate: Wed, 07 Oct 2015 02:17:33 GMT
  • Does the quality of life in autism spectrum disorder differ from other
           chronic disorders and healthy children'

    • Abstract: 2015-10-11T23-18-29Z
      Source: Anatolian Journal of Psychiatry
      Önder Öztürk, Serpil Erermiş, Eyüp Sabri Ercan, Figen Gülen, Bürge Kabukçu Başay, Ömer Başay, Sezen Köse, Fatma Özgün Öztürk, Hüseyin Alaçam, Cahide Aydın.
      Objective: Autism spectrum disorder (ASD) is characterized by deficits in social interaction, communication, restricted interests, and repetitive patterns of behavior. This study examined quality of life (QoL) and related clinical factors in children with ASD, compared to children with Attention Deficit Hyperactivity Disorder (ADHD), children with asthma, and healthy controls (HC). Methods: QoL was assessed by the Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0). Additionally, parents of the children provided socio-demographic information and filled out an evaluation questionnaire, child behavior check list (CBCL), and Turgay DSM-IV disruptive behavior disorders rating scale (T-DSM-IV-S). Results: The physical health, psychosocial health, social functioning, and scale total score of the ASD group were significantly lower than those of the three comparison groups. The school functioning score domain was lower in the ASD group than in the asthma and HC groups. In contrast, the emotional functioning domain assessments did not reveal statistically significant differences between the ASD group and the comparison groups. In the ASD group, the total problem score, inattention, and hyperactivity scores were significantly higher than both the asthma and HC groups, and the internalizing scores were higher than the healthy group. Conclusion: The poor QoL is most likely due to functional losses and problem behaviors related to ASD and may negatively affect not only children with ASD but also the whole life of the family.

      PubDate: Wed, 07 Oct 2015 02:10:14 GMT
  • Turkish adaptation of Young’s Internet Addiction Test-Short Form: a
           reliability and validity study on university students and adolescents

    • Abstract: 2015-09-22T23-16-47Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Kutlu, Mustafa Savcı, Yasin Demir, Ferda Aysan.
      Objective: The objective of the study is to examine the validity and reliability of the Turkish version of the Short Form of Young’s Internet Addiction Test (YIAT-SF) for university students and adolescents. Methods: The study was conducted with four different sample groups of 1167 university students of 17-35 years of age and five different sample groups of 945 adolescents aged between 14 and 17. The validity of the scale was examined using exploratory factor analysis, confirmatory factor analysis and criteria-dependent validity. The reliability of the scale was analyzed using Cronbach alpha coefficient and test-retest method. Item analysis was conducted using corrected item total points correlation and item average points for 27% of top and bottom groups. Findings: Exploratory factor analysis results demonstrated that the scale was formed by 12 items and a single factor for both university students and the adolescents; and confirmatory factor analysis showed that YIAT-SF had good adaptive values for both groups and correlation analysis results determined that YIAT-SF was correlated with the applied scales within the context of criteria-dependent validity for both university students and the adolescents. Both YIAT-SF Cronbach alpha and test-retest reliability coefficients were found to be within the acceptable range for both groups. Finally, corrected item total correlation coefficients were observed to be at acceptable levels for both university students and the adolescents and t-values related to item average points for 27% of top and bottom groups were found to be significant. Result: These findings demonstrated that YIAT-SF is a reliable and valid scale for both university students and adolescents.

      PubDate: Mon, 21 Sep 2015 01:17:18 GMT
  • Relation of addiction with dopamine 2 receptor (DRD2) TaqIA polymorphism
           in heroin addicts

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Barış Yılbaş, Neslihan Akkişi Kumsar, Nesrin Dilbaz.
      Objective: To understand the etiologic reasons of heroin addiction will make an important contribution to the prevention and treatment of this disease. It is thought that DRD2 TaqIA gene polymorphism affects the reward system by causing hyperdopaminergic activity and thereby might also lead to the development of substance addiction. The purpose of this study is to examine the possible relation between TaqIA polymorphism and heroin addiction. Methods: One hundred patients, who applied to Ankara Numune Hospital Alcohol and Substance Treatment and Training Centre for treatment and were diagnosed with heroin addiction as a result of the clinical evaluation that was conducted in accordance with DSM-IV were included in this study. One hundred healthy volunteers, who accepted to participate in the study as the control group and were matched with the patient group in terms of age and gender, were involved. Results: There was no statistically significant difference between the patient and control groups in terms of A1 allele carrier. As a result of the evaluation that was performed by dividing the patient group into two groups according to A1 allele carrier, no statistically significant relation was determined between the substance-use features and A1 allele. Conclusion: DRD2 TaqIA polymorphism, which is known to be associated with reward pathways, cannot be a genetic factor that is effective on the development of heroin addiction alone and it is required to consider different genes and gene-gene interactions in broader sample groups in order to determine the genetic factors causing the addiction.

      PubDate: Mon, 07 Sep 2015 01:42:13 GMT
  • Childhood traumas in patients with bipolar disorder: association with
           alexithymia and dissociative experiences

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Onur Yılmaz, Mehmet Alpay Ateş, Ümit Başar Semiz, Recep Tütüncü, Yasin Bez, Ayhan Algül, Hakan Balıbey, Cengiz Başoğlu, Servet Ebrinç, Mesut Çetin.
      Objective: The number of studies investigating the traumatic events experienced during childhood period in patients with bipolar disorder (BD) are limited and to our knowledge no previous study was conducted about alexithymia and dissociative experiences of these patients as well. Besides investigation of childhood traumas and associated dissociative and alexithymic properties, identification of the differences between BD patients with and without childhood trauma (CT) was aimed in this study. Methods: Among the admissions to the psychiatry outpatient clinic, 70 BD patients and 70 healthy control subjects were included into the study. Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I), Dissociative Experiences Scale (DES), Childhood Trauma Questionnaire (CTQ) and Toronto Alexithymia Scale (TAS-20) were administered. Results: Mean subscale and total scores of patients with BD in both CTQ and TAS-20, and mean DES score were found to be significantly higher than healthy control subjects. Psychopathological acts, number of episodes and suicide attempts were higher in the BD patients with childhood trauma history than that of the BD patients without any history of childhood trauma. Additionally, positive correlations were found between ‘sexual abuse’ and alexithymia total score along with ‘difficulty identifying feelings’ subscale score. Moreover, mean DES score was also found to be positively correlated with ‘difficulty identifying feelings’ subscale score, ‘difficulty to describe feelings’ subscale score, alexithymia total score, and episode frequency. Conclusion: These results highlight the importance of protective mental health in the treatment of BD and reveal that childhood traumas should be questioned when evaluating patients especially with the diagnosis of BD.

      PubDate: Mon, 07 Sep 2015 01:35:14 GMT
  • Evaluation of the effect of schizophrenia patients’ beliefs about
           their auditory hallucination on the disease

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Tatlı, Alaaddin Bulut, Neşe Üstün Güveneroğlu.
      Objective: In schizophrenia, auditory hallucinations and their interpretations by the patients are thought to effect the life quality, functionality, self-esteem of the patient and the course of the disease. From this point forth, in our study we aimed to evaluate the effect of the beliefs of schizophrenia patients about their auditory hallucinations, on the duration of the disease, the life quality and self-esteem of the patients. Methods: Seventy patients staying in the inpatient clinics of Bakırköy Prof. Dr. Mazhar Osman for Psychiatric, Neurosurgery and Neurological Diseases Training and Research Hospital who are diagnosed as schizophrenia according to DSM-IV-TR, are enrolled into the study. Patients are assessed through sociodemographic data form, Beliefs about Voices Questionnaire, Rosenberg Self-Esteem Scale, Life Quality Scale in Schizophrenia. Results: 34.3% of the patients that are enrolled into the study have positive beliefs and 65.7% have negative beliefs about their auditory hallucinations. Disease duration is 7.2 years for the patients who had positive beliefs and 10 years for the patients who have negative beliefs. Treatment noncompliance or irregular drug usage is found as 29.2% in patients with positive beliefs and treatment noncompliance or irregular drug usage is found as 60.8% in patients with negative beliefs about their hallucinations. In our study; 87.5% of the patients, who have positive beliefs, have high self-esteem, on the other hand; only 8.7% of the patients who have negative beliefs about their hallucinations, have high self-esteem. As we go through the life quality scale, the mean score in the positive believer group is 87.5 and in the negative believer group the mean score is 52.5. Conclusion: In our study it’s found that, in schizophrenia patients, positive beliefs about auditory hallucinations are related with shorter duration of the disease, higher self-esteem, higher quality of life and more compliance to the treatment.

      PubDate: Sun, 06 Sep 2015 11:48:52 GMT
  • Somatization disorder and hypochondriasis: as like as two peas'

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      İsmet Kırpınar, Erdem Deveci, Alperen Kılıç, Demet Zihni Çamur.
      Objective: Although the DSM-IV has provided some criteria for differential diagnosis of Hypochondriasis and Somatization Disorder, the differences between these disorders have rarely been studied. This study aimed to compare demographic and psychometric properties between hypochondriasis and somatization disorder. Methods: We investigated a sample of 100 patients aged 18-65 years who had been consecutively diagnosed as having hypochondriasis or somatization disorder via the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). The patients completed a battery of scales to measure anxiety, depression, dissociation, and somatosensorial amplification levels. Results: The only statistically significant difference between the two groups was in terms of health anxiety. The mean Health Anxiety Inventory score was higher in the hypochondriasis group. No differences arose between the two groups in terms of other psychometric properties. Conclusions: Our results show that except for health anxiety levels, hypochondriasis and somatization disorder are similar in terms of psychological variables. The higher health anxiety levels in the hypochondriasis group support the opinions about the necessity of new categorization in these disorders.

      PubDate: Sun, 06 Sep 2015 11:47:20 GMT
  • How does impact of objective and subjective disaster exposure relate to
           the three clusters of posttraumatic stress symptoms'

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Gözde İkizer, Ayşe Nuray Karancı, Canay Doğulu.
      Objective: Around the globe, millions of people are exposed to disasters annually. Disasters may result in a wide range of psychological consequences in adult populations, including posttraumatic stress symptoms (PTS). However, little is known about the effects of the impacts of type of disaster exposure on the symptoms of PTS. This study aimed to understand the effects of objective and subjective impact severity of disaster exposure on symptoms of PTS in the aftermath of two earthquakes which struck Van, Turkey in 2011. Methods: Three hundred and sixty earthquake survivors from districts with different levels of earthquake exposure participated in the study. Consistent with the aims of the study, the participants responded to the Impact of Event Scale-Revised and a measure of earthquake exposure severity. The relationship between symptom clusters and impact of disaster exposure was examined through a multivariate analysis of variance. Results: The findings demonstrated differential effects of type of disaster exposure severity on the symptom clusters of PTS, showing that the two core clusters, re-experiencing and avoidance, differentially related to levels of subjective and objective impact of disaster exposure while symptoms of hyperarousal were commonly reported in survivors who experienced high levels of impact irrespective of the type of exposure. Discussion: This study provided empirical evidence for an important distinction regarding impact of exposure between symptom clusters of PTSD. The findings may guide the development or planning of psychoeducation-based interventions with differential focus on posttraumatic stress symptoms for survivors having different levels of objective and/or subjective impact of exposure.

      PubDate: Sun, 06 Sep 2015 11:44:37 GMT
  • Stress reaction, anxiety and depression after bomb attacks in
           Reyhanlı in Syria-Turkey border

    • Abstract: 2015-08-28T23-28-46Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Arı, Mehmet Hanifi KOKAÇYA, Ümit Sertan Çöpoğlu, Erhan Yengil, Yüksel Kıvrak, Musa Şahpolat, Birsen Budak.
      Objective: Terror attacks are actions taken to create maximum negative psychological impact on the target population. As result of two separate bombings on March 11th 2013 at Hatay, Reyhanlı 52 people died and 146 people were injured. The purpose of this study is to determine the ratio of depression, anxiety and post-traumatic stress disorder (PTSD) on sixth month following the blast in those people who were exposed to explosions either visually and auditory, and in those who were indirectly exposed by being witnesses. Methods: In this study 43 people who were directly exposed, 42 people who were indirectly exposed to the explosions and 45 healthy people as a control group are included for a total of 130 individuals. On sixth month after the blast Beck Depression Inventory, Civilian Versions of Post-traumatic Stress Disorder Checklist, State-Trait Anxiety Inventory and Sociodemographic Information Form were administered to all subjects. Results: The prevalence of depression, anxiety and post-traumatic stress disorder on people who directly and indirectly exposed to explosions are significantly high compared to control group. Among the three groups there are no statistically significant differences in terms of age, gender and demographic factors. Conclusions: Our study has supportive information about the individuals who were exposed to terrorist attacks have high prevalence of PTSD. Additionally, the fact that the prevalence of PTSD and depression were higher in directly exposed cases than indirectly exposed ones may be illustrative in terms of approach to terror trauma.

      PubDate: Thu, 27 Aug 2015 09:35:06 GMT
  • Poor insight in obsessive compulsive disorder: a case report

    • Abstract: 2015-08-14T04-21-30Z
      Source: Anatolian Journal of Psychiatry
      İrem Damla Çimen, Nursu Çakın Memik, Özlem Yıldız Gündoğdu.
      Obsessions are repetitive and continuous thoughts, impulses, or images which experienced as forcibly, coming unintentionally, and are causing significant anxiety or distress in most people. Compulsions are defined as repetitive behaviors or mental acts that occurs in response to people's obsession or felt strictly forced according to the rules that must be followed. Until recent studies, researchers believed that obsessive-compulsive disorder (OCD) is rare in childhood, but new studies show that it’s not rare as believed. Insight in OCD is defined as acceptance of obsessions and compulsions unreasonable and excessive. Insight of some children and young people with OCD can be poor. Poor insight in OCD is the determinant of poor response to treatment. In literature, there is not enough information about poor insight in children. So, a lot of questions still remain unanswered and there is a need to work on insight in children. In this case report, it is aimed to discuss the process of diagnose and treatment of a patient who is fifteen years old and diagnosed as OCD with poor insight.

      PubDate: Thu, 13 Aug 2015 23:00:53 GMT
  • Low dose olanzapine induced torticollis and treatment: A case report

    • Abstract: 2015-08-14T04-21-30Z
      Source: Anatolian Journal of Psychiatry
      Nermin Gündüz, Hatice Turan, Tülay Satı Kirkan.
      Olanzapine is a second generation antipsychotic agent that is used for the treatment of the psychotic disorders and mood disorders. Olanzapine is also known to have greater affinity for mezolimbic dopaminergic pathway than for nigrostriyatal dopamine pathway. As a result olanzapine is associated with significantly fewer extrapyramidal symptoms. Tardive dystonia is a rare side effect of antipsychotic treatment frequently causing twisting painful muscle contractions. Effective treatment choice for tardive dystonia is limited. The clinicians must consider acute dystonia neurological disorders and family history for differential diagnosis. Here we present a rare case of torticollis after 5 mg/day olanzapine treatment in a young female patient with psychotic disorder.

      PubDate: Thu, 13 Aug 2015 22:58:30 GMT
  • Factors predicting aggressive behaviors in children with
           attention-deficit/hyperactivity disorder

    • Abstract: 2015-08-14T04-21-30Z
      Source: Anatolian Journal of Psychiatry
      Ayşe Burcu Ayaz, Elif Erol Güler, Burcu Yıldırım, Gözde Yazkan Akgül, Ayşe Büyükdeniz, Zeynep Çubukçuoğlu Taş.
      Objectives: Aggressive behaviors are an important associated developmental feature of Attention-Deficit/Hyperactivity Disorder (ADHD) and affect long term prognosis of ADHD. In this study, it’s aimed to investigate the impact of sociodemographic variables, and variables related with the child such as verbal skills, the ability to decode facial expressions, social reciprocity skills and anxiety levels, on aggressive behaviors in children with ADHD. Methods: The study group consisted of 116 children between 7 and 11 year-old, who referred to a child psychiatry clinic, and were diagnosed with ADHD for the first time. A sociodemographic form, Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-Scale)-parent form, Social Reciprocity Scale (SRS), Child Behavior Checklist (CBCL), Screen for Child Anxiety Related Emotional Disorders (SCARED)-parent form, Reading Mind in the Eyes Test were used for assessment. Diagnoses were established based on clinical interview, and supported by the Kiddie Schedule for Affective Disorders and Schizophrenia. Results: The mean age of children were 9.65±2.01. The CBCL aggressive behavior subscale score was correlated with the SCARED-parent form total score, SRS total score, and T-DSM-IV-Scale-parent form hyperactivity/impulsivity (H/I) subscale score. In multiple linear regression analysis, the three control measures were found to be the predictive factors of aggressive behavior severity, with the mean score of T-DSM-IV-S H/I subscale recording a higher beta value than the SCARED Parent Form score, and SRS total score. Discussion: In children with ADHD, it’s supposed that investigating the predictive factors, and implementing the preventive interventions before the appearance of aggressive behaviors will improve the prognosis of disorder.

      PubDate: Tue, 11 Aug 2015 01:06:56 GMT
  • The psychological symptom, probability of suicide and coping ways of a
           group of convict and detainee

    • Abstract: 2015-08-08T17-39-08Z
      Source: Anatolian Journal of Psychiatry
      Sibel Çaynak, Yasemin Kutlu.
      Objective: This research was done by means of descriptive and cross-sectional research types for the purpose of determining the psychological symptoms, probability of suicide and coping ways of a group of convict and detainee. Sixty-eight detainees and convicts who were in a penal institution allied to Ministry of Justice in March 2014 constituted sample of the research. Methods: To collect data, Questionnaire Form, Symptom Checklist 90 Revised, Suicide Probability Scale, Coping Inventory for Stressful Situations-Short Form were used. Data were evaluated with descriptive statistics, t test, variance analysis and Spearman correlation analysis. Results: Average age of the participants being 33.4±8.7, they were all males. General Symptom Index point of the participants being 1.26±0.76 and point of Suicide Probability Scale being 74.22±2.9, %57.35 of them were determined to be in the high-risk group, with regard to suicide. Again, the participant’s point of task-oriented coping was 21.57±0.77, emotion-oriented coping point was 21.44±0.87 and avoidance-oriented coping point was determined to be 19.19±0.96. There was a negative relationship between General Symptom Index and the age at the first crime and positive relationship between General Symptom Index and the the frequency of being sent to prison; while a negative relationship was found between the age at the first crime and suicidal ideation. Discussion and Conclusion: In conclusion, psychiatric symptom level and probability of suicide of the detainees and convicts who participated in the study were high and they were using task-oriented and emotion-oriented coping methods more frequently. Hence the detainees and convicts should be examined in terms of psycological problems. Necessary protective measures should be taken and coping methods should be strengthened.

      PubDate: Wed, 05 Aug 2015 23:06:57 GMT
  • Validity and reliability of the Turkish version of Stuttering-Parental
           Diagnostic Questionnaire

    • Abstract: 2015-08-03T23-18-12Z
      Source: Anatolian Journal of Psychiatry
      Şükrü Torun, Müzeyyen Çiyiltepe, Ahmet Çevikaslan.
      Objective: The purpose of the study was to determine the validity and reliability of the Turkish version of the Stuttering-Parental Diagnostic Questionnaire (S-PDQ). The questionnaire has three subscales, to measure a child’s speech behaviors, parent’s worries about their child’s speech behaviors, and the parents’ attitude towards their child’s speech behaviors. Methods: The original S-PDQ was translated and adopted into Turkish. The Turkish version (S-PDQ-T) was administered parents of 65 children who stutter (CWS) and of 196 children who do not stutter (CWNS). The questionnaire is a 62-item, 4-point Likert type scale. The reliability of the scale was made with internal consistency (Cronbach's alpha) coefficient and test-retest correlation. The S-PDQ-T was also correlated with three other scales for the content validity; Ways of Coping Questionnaire, Parental Attitude Research Instrument and State-Trait Anxiety Inventory. Results: Cronbach’s alpha coefficient was 93.9%, 95% and 79.1% for subscale I, II, III respectively. The correlation of the test re-tests at 10 weeks was 0.97, 0.78, and 0.86 for subscale I, II, and III. Conclusion: The results concerning the construct, discriminative, and criterion validity of the S-PDQ-T as well as its reliability coefficients of total, the subscale, and test-retest reliabilities indicate that its psychometric properties were at satisfactory levels. Parents are viewed as powerful components of the rehabilitation team at all stages of intervention. Knowing their beliefs, the way they look at their child’s speech behavior will enable clinicians to help them to cope with and prepare a stable, easy to speak environment starting at home. Clinicians utilize the S-PDQ-T for management purposes.

      PubDate: Sun, 02 Aug 2015 13:08:28 GMT
  • Examination of relation between parental acceptance-rejection and family
           functioning with severity of depression in adolescents with depression

    • Abstract: 2015-07-15T09-17-15Z
      Source: Anatolian Journal of Psychiatry
      Özlem Şireli, Ayla Aysev Soykan.
      Objective: Aim of the study was to examine the associations between severity of depression in adolescence and parent attitudes/family functioning. Methods: Thirty adolescents with depression and 30 age and gender matched controls; and their parents participated in this study. Adolescents were evaluated by ‘Disorders and Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version’. Perceived parent attitudes was assessed by ‘The Parental Acceptance-Rejection/Control Questionnaire’. ‘The Childhood Depression Inventory’ was administered to evaluate severity of depression in adolescents. Family functioning was assessed by ‘The Family Assessment Device’ which was filled by both parents. Results: Adolescents with depression perceived their mothers and fathers as more rejecting than did adolescents without depression. There wasn’t a significantly different between perceived parental control levels in two groups. In mother-reported family functioning scores including problem solving, communication, roles, affective, responsiveness, behavior control and general functioning in depression group were higher than those in controls. In father-reported family functioning scores including problem solving and affective involvement in depression group was higher than that in controls. Adolescents’ depression levels were positively correlated with perceived paternal rejection levels and impairment of family functioning levels. There wasn’t a significant relation between adolescents’ depression severity and perceived paternal control levels. Discussion: Our results suggest that adolescent depression was associated with both perceived maternal and paternal rejection and impairment in family functioning. Long-term follow-up studies are required to determine causal/temporal relationships between adolescent depression with parent attitudes and family functioning.

      PubDate: Tue, 14 Jul 2015 06:57:44 GMT
  • Adaptation of Emotional Intelligence IPIP Scales (EI-IPIP) into Turkish
           and examination of its psychometric properties

    • Abstract: 2015-07-15T09-17-15Z
      Source: Anatolian Journal of Psychiatry
      Arkun Tatar, Gaye Saltukoğlu, Serdar Tok, Merih Tekin Bender.
      Objective: Turkish emotional intelligence scales are few, and Emotional Intelligence Test (IPIP-EIT) has several favorable features due to its large item pool, International Personality Item Pool, it was developed. The aim of this study is to adopt IPIP-EIT into Turkish and to examine the scale's psychometric properties. Methods: One thousand seven hundred and fifty-four people ranging in age from 18 to 80 participated in the study. Out of these participants 211 people ranging in age from 18 to 63 took place in the test-retest study. Results: Alpha internal consistency coefficients of the main application of the test were as follows: 0.64 for attending emotions, 0.71 for emotion based decision making, 0.57 for emphatic concern, 0.58 for negative expressivity, 0.70 for positive expressivity, 0.61 for responsive distress, and 0.59 for responsive joy. Alpha internal consistency coefficient for the entire scale was 0.86. Correlations coefficients between the test and retest scores ranged from 0.67 to 0.80 for the subscales and it was 0.81 for the entire scale. Confirmatory factor analysis of the test showed seven dimensional single level factor structure. Its selected fit indexes were found as follows: goodness of fit index 0.95, adjusted goodness of fit index 0.92, root mean square error 0.003, and root mean square error of approximation 0.09. Examination of items based on item-response theory suggested that while some items had high discriminant power, others had low discriminant power. Conclusion: Results of the present study indicates that even though Turkish adaptation of the IPIP-Emotional Intelligence Test has not a very strong structure, it can be considered as a valid and reliable device to measure emotional intelligence.

      PubDate: Tue, 14 Jul 2015 06:55:22 GMT
  • ADHD in preschool children: review of psychosocial interventions

    • Abstract: 2015-07-15T09-17-15Z
      Source: Anatolian Journal of Psychiatry
      Özlem Yıldız Gündoğdu, Fatma Varol Taş, Esra Yıldırım Özyurt, Funda Dönder, Nursu Çakın Memik.
      Attention deficit hyperactivity disorder (ADHD) is one of the most diagnosed and treated disorders among child and adolescent psychiatry. Current studies focus on etiology, treatment, long term results and mostly contain school age, adolescence and adulthood. Studies regarding symptoms, diagnosis and treatment of pre-school age are limited and interest on this issue has been increasing over the last years. Therefore, the purpose of present review is to give difficulties of diagnosis and differentiating diagnosis of pre-school ADHD and presentation of proven parent training programs. In the first section of the paper, clinical features and diagnosing stages of pre-school ADHD are presented. In the following parts parent training programs are attempted to be presented in a detailed way which may represent new perspectives to clinicians in the field.

      PubDate: Tue, 14 Jul 2015 06:46:08 GMT
  • Thanks to our reviewers

    • Abstract: 2015-07-09T23-17-11Z
      Source: Anatolian Journal of Psychiatry
      O Doğan.

      PubDate: Sun, 05 Jul 2015 03:10:45 GMT
  • Sexual abuse and age

    • Abstract: 2015-07-09T23-17-11Z
      Source: Anatolian Journal of Psychiatry
      İ. Hasan Köle.

      PubDate: Sun, 05 Jul 2015 03:02:51 GMT
  • The search for traditional religious treatment amongst schizophrenic
           patients: the current situation

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Esra Yazıcı, Ahmet Bülent Yazıcı, Mustafa İnce, Atila Erol, Ayşe Erdoğan, Hüsnü Selim İkiz, İsmet Kırpınar.
      Objective: Societies have been searching for different traditional treatments for schizophrenia at different rates. Understanding the preferences and priorities of patients as they explore treatment is important for the proper management of this process. This study evaluated the frequency of patients’ pursuit of traditional treatment for schizophrenia and the factors associated with this in western Turkey. Methods: The study involved 346 patients who were diagnosed with schizophrenia at inpatient psychiatry clinics and community mental health centers in Kocaeli and Sakarya. The patients were re-evaluated using the SCID-I-CV to confirm the diagnosis and were then asked to fill in a survey form to facilitate the evaluation of their search for traditional schizophrenia treatment. Results: Amongst the participants, 89.3% had consulted a traditional healer for schizophrenia treatment at least once in their lifetime. All of the traditional healers who were consulted were religious healers. Of all the participants, 39% consulted traditional healers for first aid treatment. Although the patients had not had any attack that required hospitalization in the past year, 27% continued to consult such healers and 26% continued to wear amulets. The results showed that the educational levels of the patients’ relatives were a predictor of the tendency to consult traditional healers. Conclusions: Most schizophrenic patients have consulted traditional religious healers at least once in their lifetime (89.3%). This is a very high rate and should be considered by physicians as they evaluate patients’ search for help.

      PubDate: Sat, 04 Jul 2015 02:58:23 GMT
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