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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  [96 journals]
  • Traumatic loss and posttraumatic growth: the effect of traumatic loss
           related factors on posttraumatic growth

    • Abstract: 2015-05-13T04-17-35Z
      Source: Anatolian Journal of Psychiatry
      Merve Yılmaz, Ayten Zara.
      Objective: The present study aimed to investigate the experience of posttraumatic growth (PTG) in bereaved individuals. The contributory role of traumatic loss related factors in the development of PTG were explored. Methods: One-hundred and thirty two bereaved individuals who lost a first degree relative or a romantic partner between 5 to 17 months ago took part in the study. Results: A curvilinear relationship between grief intensity and growth was found. Perceiving the loss as traumatic event was found to be significantly related with higher levels of PTG. Hierarchical multiple regression analyses indicated that traumatic perception of loss and coping styles (problem-focused, social support, religious coping) explained 32% of the variance in PTG. Conclusion: The findings of this study support that traumatic losses can be transformative experiences that initiate positive changes in bereaved individuals. However, post-bereavement stress as well as grief intensity should be assessed properly since low and high levels of distress would impede the development of PTG. Clinical interventions should consider promoting grief-focused effective ways of coping with traumatic loss in order to enhance growth in bereavement.

      PubDate: Sat, 09 May 2015 06:13:03 GMT
  • Urinary incontinence due to mirtazapine use: a case report

    • Abstract: 2015-04-28T23-26-30Z
      Source: Anatolian Journal of Psychiatry
      Yelda Yenilmez Bilgin, İbrahim Yağcı, Serhat Tunç, Aslan Demir.
      Urinary incontinence is a rare adverse effect of psychotropic drugs. Urinary incontinence is a medical, social and hygienic problem that causes decrease in the life quality. In the literature, this adverse effect has been reported due to use of serotonin reuptake inhibitors and antipsychotic drugs in case reports. Urinary incontinence due to mirtazapine use has been reported in only one case study. Mirtazapine is an antidepressant drug that effects both the serotonergic and the noradrenergic systems. Mirtazapine is currently used for many psychiatric diseases such as panic disorder, generalized anxiety disorder, post-traumatic stress disorder, and obsessive compulsive disorder. During mirtazapine use adverse effects such as sedation, headache, dizziness, fatigue, hypotension, reflex tachycardia, gastrointestinal symptoms and urinary retention may occur. This article aims to present a case with urinary incontinence which is caused by mirtazapine treatment and recovered when the treatment is stopped.

      PubDate: Mon, 27 Apr 2015 01:25:49 GMT
  • Oxybutynin addiction amongst prisoners: two case reports

    • Abstract: 2015-04-28T23-26-30Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Balasar, Faruk Cicekci.
      This study was designed to present two inmates staying Konya E type prison and wanting to increase the prescription and/or current dosages of oxybutynin. The study showed that oxybutynin is used to achieve similar feelings to the effects obtained by the use of substance and alcohol among inmates.

      PubDate: Mon, 27 Apr 2015 01:22:51 GMT
  • Thyroid gland functions are affected in obsessive-compulsive disorder

    • Abstract: 2015-04-28T23-26-30Z
      Source: Anatolian Journal of Psychiatry
      Osman Mermi, Murad Atmaca.
      Objective: In the present study, it was aimed to examine thyroid functions in a group of patients with OCD who had not any comorbid conditions. Methods: Our present study included forty patients diagnosed with OCD and forty healthy controls. The subjects were selected by the chart reviews among the patients with OCD who had applied to the Firat University School of Medicine Department of Psychiatry, as inpatients or outpatients and had met the criteria of the present investigation. Thyroid hormone values had been obtained by using an auto analyzer. Results: Independent t test revealed that there were no statistically significant differences thyroid stimulating hormone (TSH) values between the patients with OCD and healthy control subjects whereas there were statistically significant reduced levels of free triiodothyronine (FT3) and free thyroxine (FT4) hormones in the patient group compared to those of healthy ones. Conclusion: Consequently, altered levels of thyroid hormones may be associated with pathophysiology or maintenance of OCD.

      PubDate: Mon, 27 Apr 2015 01:19:12 GMT
  • Construction and factorial structure determination of the Questionnaire of
           Marital Quality

    • Abstract: 2015-04-28T23-26-30Z
      Source: Anatolian Journal of Psychiatry
      Raheleh Moein, Yadoll Khorramabadi.
      Objective: This study was conducted to develop and validate the questionnaire of marital quality. Methods: Confirmatory factor analysis was the method of research. The statistical population was couples referring to counseling centers in the City of Hamadan. The sample size was 40 men and women who were selected randomly. Data were analyzed b. To determine the psychometric properties of the test, methods of face and content validity and construct validity were used, and for reliability Cronbach’s alpha coefficient was used. Results: The results of research show that the questionnaire of marital quality has the reliability of 0.9544, combined reliability of 0.98 and convergent validity of 0.406. Discussion: Finally, our results showed that marital quality questionnaire of Likert-type with 6 scales and 65 questions is valid and reliable. Due to the lack of valid and reliable instruments that are culturally appropriate in Iran, using this questionnaire to measure the marital quality can be useful.

      PubDate: Mon, 27 Apr 2015 01:16:42 GMT
  • Evaluation of the relationship between serum vitamin D levels and Tobacco
           Use Disorder

    • Abstract: 2015-04-14T04-32-25Z
      Source: Anatolian Journal of Psychiatry
      Tijen Şengezer, Rabia Nazik Yüksel, Tuğba Babacan, Hüseyin Can, Nesrin Dilbaz.
      Objective: In recent years; vitamin D, being a steroid hormone with neuroprotective and anti-oxidant effects apart from the effects on musculoskeletal system and endocrine system has been emphasized and studies on the relation of metabolic diseases, malignancies, neuropsychiatric diseases with vitamin D has been performed. A pandemic deficiency of vitamin D is mentioned all around the world. Although it has been reported that there is a relation between tobacco consumption and vitamin D; literature is limited and no data from Turkey regarding to the tobacco consumption and vitamin D has been reported. To evaluate vitamin D levels in individuals admitted to our hospital’s ‘smoking cessation unit’ and accordingly, to investigate the relation of vitamin D levels with tobacco dependence. Methods: Seventy-two cases between ages of 17-69 referring to smoking cessation unit were included in our study. Retrospectively, demographic data form the patients’ files, Fagerström Test for Nicotine Dependence (FTND), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) forms were examined and levels of vitamin D were recorded. Whether the parameters conform the normal distribution or not is evaluated by Kolmogorov-Smirnov test. In statistical analyses; Mann-Whitney U test, Kruskall-Wallis H test, one way ANOVA were applied. p

      PubDate: Fri, 10 Apr 2015 12:30:44 GMT
  • Evaluation of the contribution of inpatient services and experiences on
           improvement in child and adolescent psychiatry practice

    • Abstract: 2015-04-14T04-32-25Z
      Source: Anatolian Journal of Psychiatry
      Burcu Özbaran, Sezen Köse, Ebru Yılmaz, Ayşe Nur Aydın, Cahide Aydın.
      Objective: In this study it’s aimed to evaluate the sociodemographic characteristics, psychiatric diagnoses, treatment options and improvement levels of the patients who were treated in Child and Adolescent Psychiatry inpatient service. Methods: One hundred and forty-nine patients between who were treated in Ege University Child and Adolescent Psychiatry inpatient service between March 2013 and September 2014 were evaluated. The patients’ files were used for data collection and Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime version (K-SADS) was used for appropriate patients. Clinic Global Impression Scale-Severity (CGIS-S) was used for all cases for determining the psychiatric disorder severity and Clinic Global Impression Scale-Improvement (CGIS-I) was used for evaluating the treatment effect. Results: The age mean was 14.2. %63.1 of the patients were girls and %36.9 boys. The common diagnoses were mood disorders %57.7, attention deficit and hyperactivity disorder %10.7, schizophrenia and other psychotic disorders %8.1. The mean treatment duration was 24.4 days. It is founded that the longer duration of hospitalization has positive effect on CGI improvement scores. All patients get psychopharmacological medication during inpatient follow up. The most used medication were antipsychotics. First CGIS-S median level of the patients was 5 (markedly ill) (range: 3-7) and 3 when discharging. When we compare the hospitalization and discharge CGI-S score medians of patients’, a statistically significant difference was founded. Results: Although there is a limited number of inpatient services for children, the positive contribution of inpatient services on children and adolescents’ mental health is incontrovertible unquestionable. This study is a preliminary report for forthcoming studies with special inpatient services for children and adolescent. Key words:

      PubDate: Fri, 10 Apr 2015 12:28:33 GMT
  • New synthetic cannabinoid intoxications in emergency department (It’s
           grass, It's no sin)

    • Abstract: 2015-04-14T04-32-25Z
      Source: Anatolian Journal of Psychiatry
      Halil Doğan, Doğaç Niyazi Özüçelik, Kurtuluş Açıksarı, Akkan Avcı, Mustafa Yazıcıoğlu, Mustafa Ferudun Çelikmen, Çağatay Karşıdağ, Murat Erkıran, Umut Mert Aksoy.
      Objective: The aim of this study is to evaluate prognosis and clinical futures of the subjects who use new synthetic cannabinoid products (SCPs) with Poisoning Severity Score (PSS) in the Emergency Department (ED). Methods: We retrospectively reviewed 272 cases which resorted, to our ED between 2012 and 2014. All patients’ clinical, laboratory levels and the PSS were studied. Results: The average age of the subjects was 25.1±7.1 years and 97.4% of them were male. 44.1% of all SCPs patients came to hospital during Ramadan. Of the 272 patients using SCPs, 83.5% used Bonsai-18 while 16.2% of them used Jamaica gold. Agitation was the most common psychoactive finding while dizziness was the most common physical finding. The most common symptoms and findings were seen in the gastrointestinal system. Most of the patients were found to be in the moderate PSS group. There was no patient in the non PSS group. While one patient in the fatal PSS group died in the 96th hour due to failure of multiple organs, the others had been discharged. Conclusion: SCPs cases have been increasing gradually in EDs including Ramadan. Our study has shown that SCPs have different physical and psychoactive effects, changeable from minor-PSS to fatal PSS (death). Therefore ED and psychiatry physicians should have much more knowledge about these new SCPs.

      PubDate: Fri, 10 Apr 2015 12:26:49 GMT
  • Effect of adult attention deficit hyperactivity symptoms on smoking

    • Abstract: 2015-04-04T14-28-52Z
      Source: Anatolian Journal of Psychiatry
      Ceyhan Balcı Şengül, Cem Şengül, Gülşen Ünlü, Ahmet Büber, Kamuran Karakülah, Hasan Herken.
      Background: Nicotine addiction is the most prevalent addiction type all over the world and Attention Deficit Hyperactivity Disorder (ADHD) is an important factor associated with nicotine addiction. Primary aim of this study was to evaluate the effect of ADHD symptoms on smoking cessation. Methods: Smokers who had admitted to the smoking cessation center were evaluated with using Wender Utah and Fagerstorm Scales at the beginning of study and for the success of smoking cessation at the end of six months. Results: Of the 353 smokers enrolled to the study, 99 individuals had a score of 36 or higher on Wender Utah scale (ADHD symptoms group). Of these 99 patients with ADHD symptoms, 11 (11.1%) and of the 254 non-ADHD symptoms group, 68 (26.8%) had quitted smoking after a period of six months. Logistic regression analysis revealed that having ADHD symptoms predicted failure of smoking cessation (adjusted odds ratios 2.12, 95% confidence interval 1.02-4.40) after controlling for sociodemographic and smoking-related variables. Conclusions: ADHD symptoms may be an important factor affecting smoking cessation. Examining these symptoms in problematic nicotine addicts might help treatment outcome.

      PubDate: Sun, 29 Mar 2015 11:37:13 GMT
  • Prevalance of Eating Disorders in Female University Students and Affecting

    • Abstract: 2015-04-04T14-28-52Z
      Source: Anatolian Journal of Psychiatry
      Sema Çelik, Elçin Banu Yoldaşcan, Ramazan Azim Okyay, Yarkın Özenli.
      Objective: The purpose of this study is to determine the size and the prevalence of eating disorders among the female students at the University of Cukurova and to evaluate the affecting sociodemographic and psychological factors. Methods: This cross-sectional was carried out among female students who study at Cukurova University between November 2012 and May 2013. While 668 students were planned to achieve, 32 (4.7%) of the students were absent, thus a total 636 students (95.3%) were included in the study. A questionnaire that queries sociodemographic characteristics, Eating Attitudes Test (EAT), the Beck Depression Inventory (BDI) and the Liebowitz Social Anxiety Scale (LSAS) were administered to the participants by face to face interview method. After the questionnaires completed, weight and height were measured to calculate the body mass index (BMI). In data evaluation, for comparisons of numerical variables t-test between independent groups; for comparisons of categorical variables chi-square test was used. Findings: The mean age of the participants was 21.63±1.80. According to the EAT cut-off scores 6.3% of the participants were found to have an eating disorder. Eating disorders were found to be significantly low in those who have crowded families. Preexisting disease existence, BMI and BDI scores of eating disorders were significantly higher than those without eating disorders. LSAS scores were not significantly different between students with or without eating disorders. Conclusion: Eating disorders are common in university students. It should be also kept in mind that students who have depressive symptoms and high BMI are at risk in terms of eating disorders.

      PubDate: Sun, 29 Mar 2015 11:34:34 GMT
  • Psychotic disorder due to systemic corticosteroids

    • Abstract: 2015-04-04T14-28-52Z
      Source: Anatolian Journal of Psychiatry
      Fikret Poyraz Çökmüş, Kadir Aşçıbaşı, Talat Sarıkavak, Erol Özmen.
      The discovery of corticosteroids in 1949, revolutionized the practise of medicine. Corticosteroids become the mainstay of therapy for a variety of acute and chronic diseases (e.g., endocrinopathies, cancer, inflammatory diseases, systemical lupus erythematosus, multiple sklerosis, asthma). Corticosteroids often induce psychiatric syndromes, including depression, mania, psychosis, delirium, obsessive-compulsive symptoms, suicidality, catatonia and reversible dementia. In our case, we will discuss 67 years old male patient who developed psychotic disorder after receiving systemic corticosteroid treatment.

      PubDate: Sun, 29 Mar 2015 11:32:42 GMT
  • Methylphenidate induced gynecomastia in a prepubertal boy: a case report

    • Abstract: 2015-04-04T14-28-52Z
      Source: Anatolian Journal of Psychiatry
      Behice Han Almış, Habip Almış, Mustafa Çelik, Funda Gümüştaş, Mehmet Turgut.
      Methylphenidate is a frequently used treatment choice in attention deficit hyperactivity disorder. In this paper we will present a prepubertal boy who suddenly developed bilateral gynecomastia after sustained release methylphenidate (OROS MPH) treatment and we will discuss literature on this topic. Although the mechanism is not known, rare development of gynecomastia should be kept in mind in cases using methylphenidate.

      PubDate: Sun, 29 Mar 2015 11:31:00 GMT
  • Habitual caffeine use in psychiatric patients: relationship with sleep
           quality and symptom severity

    • Abstract: 2015-04-04T14-28-52Z
      Source: Anatolian Journal of Psychiatry
      Osman Mermi, Faruk Kılıç, Mehmet Gürkan Gürok, Seda Yılmaz, Sema Baykara, Fatih Canan, Murad Kuloğlu, Murad Atmaca.
      Objective: The purpose of this study was to investigate the patterns of caffeine use and the one-month prevalence of caffeine intoxication among psychiatric patients in comparison with healthy controls. Methods: Four hundred and one patients with various psychiatric disorders and 150 healthy controls were screened for one month caffeine intoxication according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. All participants were asked to complete Pittsburgh Sleep Quality Index (PSQI). The patients were also assessed with the Clinical Global Impression Scale (CGI) to determine symptom severity. Results: The amount of daily caffeine consumption was statistically significantly higher in healthy control subjects than in patients. However, the prevalence of caffeine intoxication was greater among patients with a psychiatric disorder (8%) when compared with healthy controls (2.7%). In the patients, the amount of caffeine consumption correlated positively with age, CGI, and PSQI scores, indicating that patients with older age, poorer sleep quality, and more severe pathology consumed higher amounts of caffeine. Conclusions: Caffeine intoxication was more prevalent in psychiatric patients than in healthy subjects. The amount of caffeine intake was shown to be associated positively with the severity of pathology and inversely with sleep quality. Further studies are needed to investigate the effect of regulating caffeine consumption on severity of pathology and sleep quality among psychiatric patients.

      PubDate: Tue, 24 Mar 2015 23:54:23 GMT
  • Aerobic exercise in depression and anxiety disorders

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sat, 14 Feb 2015 05:57:26 GMT
  • Validity and reliability of the Turkish version of the Smartphone
           Addiction Scale-Short Version among university students

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Cemal Onur Noyan, Aslı Enez Darçın, Serdar Nurmedov, Onat Yılmaz, Nesrin Dilbaz.
      Objective: The aim of this study was to evaluate the reliability and validity of the Turkish version of the Smartphone Addiction Scale-Short Version (SAS-SV) among university students. Methods: Three hundred and sixty-seven university students using smartphone from Uskudar University are enrolled the study. Sociodemographic information including characteristics of smartphone usage, internet addiction scale and SAS-SV were conducted. SAS-SV consists of ten items and single factor structure. For the examination of structure validity, the Kaiser-Meyer-Olkin and Bartlett’s tests were utilized. In order to check the reliability of each item, Cronbach’s alpha correlation coefficient was confirmed for each item and total. The corrected item-total correlation coefficients and test-retest reliability were also calculated. The concurrent validity was confirmed using Internet Addiction Scale. Results: Cronbach’s alpha coefficient of the scale was 0.867 and had a high reliability. Reliability coefficient of test-retest was 0.926. The SAS-SV was statistically and positively correlated with the internet addiction scale confirming concurrent validity. Participants who evaluated themselves as addicted to smartphones had statistically significantly higher SAS-SV scores than the participants who evaluated themselves as not-addicted. Also the SAS-SV scores were statistically and positively correlated with the frequency of smartphone-checking behavior and the time consumed during smartphone use. Conclusion: SAS-SV is a valid and reliable instrument to evaluate smartphone usage among university students.

      PubDate: Sat, 14 Feb 2015 05:20:49 GMT
  • The Vengeance Scale: Turkish adaptation study

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Seydi Ahmet Satıcı, Gürhan Can, Ahmet Akın.
      Objective: Vengeance, which can be defined as taking revenge by displaying a desire or behavior of revenge for a pain of a harm on a person who has done the harm, is a primitive, destructive and illogical personality trait accompanying many of the personality traits. The aim of the study is to adapt the Vengeance Scale (VS) to Turkish, which was developed to measure the traits of individuals who assume that they have been humiliated in such a situation and tend to desires or behaviors of taking revenge. Methods: This research is composed of the findings of two separate studies. The first study was performed with 332 participants (157 female and 175 male) attending Sakarya University. The second study consisted of 335 participants (199 female and 156 male) attending Anadolu University. In the first study, language equivalency, exploratory and confirmatory factor analyses, and reliability of the scale were investigated. In the second study, criterion-related validity and gender-related discriminant validity of the scale, which was translated into Turkish, were investigated. Findings: As a result of the exploratory factor analysis, it was determined that the Turkish version of the scale explained 37% of the total variance and that it had a one-dimensional structure as in the original scale. Confirmatory factor analysis results indicate that the one-dimensional structure of the scale provides a good fit (χ2=341, χ2/df=2.23, NFI=0.95, CFI=0.97, IFI=0.97, RFI=0.94, GFI=0.91, RMSEA=0.061, SRMR=0.050). It was also determined that the Cronbach's alpha internal consistency coefficient of the scale was 0.91, while test-retest correlation coefficient was 0.87. It was determined that there were negative correlations between VS and forgiveness within the scope of criterion-related validity, whereas there were positive correlations between VS and anger rumination. Moreover, males (68.61±23.36) were found to have significantly (t(353)=2.37, p

      PubDate: Sat, 14 Feb 2015 05:19:11 GMT
  • Tryptophan hydroxylase gene polymorphism in patients with
           obsessive-compulsive disorder

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Sevda Korkmaz, Ebru Önalan, Hüseyin Yüce, Murad Atmaca.
      Objective: There is limited number of studies on the effects of tryptophan hydroxylase-1 (TPH-1) A218C gene polymorphism on obsessive-compulsive disorder (OCD) etiology. This study aims to scrutinize the role of TPH-1 A218C gene polymorphism on OCD etiology. Methodology: Sixty patients diagnosed with OCD, applied to our clinic and fitting the study criteria were accepted as patient group. A group of 60 healthy individuals matching the patient group in age and gender were selected as the control group. In the study the Clinical Interview Scale Structured for DSM-IV Axis-I Disorders, Sociodemographic and Clinical Data Form, Yale-Brown Obsessive Compulsive Rating Scale (Y-BOCS) and Hamilton Depression Rating Scale were applied to participants initially. Consequently, they were classified into two groups of ‘responsive to therapy’ and ‘resistant to therapy’ based on their therapy histories and Y-BOCS points. For DNA isolation 300 μl blood samples were used in compliance with standard methods. Restriction Fragment Length Polymorphism method was used to evaluate A218C polymorphism in TPH-1 gene within the blood samples. Results: No significant difference was observed between patient and control groups related to TPH-1 genotypes. However, a significant increase was observed in AA genotype frequency for TPH-1 gene in the patient group resistant to therapy and in CC genotype frequency in the patient group responsive to therapy. The difference of the allele type ratios in this polymorphism between each patient group could be related to the response to therapy. To confirm the findings of the study, more research on the same gene polymorphisms is required with OCD patients in different societies.

      PubDate: Sat, 14 Feb 2015 05:10:39 GMT
  • Turkish version of the Body Image Quality of Life Inventory (BIQLI): a
           validity and reliability study

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Meral Demiralp, Bahtiyar Demiralp, Gamze Sarıkoç, Emine İyigün, Cengizhan Açıkel, Mustafa Başbozkurt.
      Objective: Body image is a multidimensional structure that not only limited with person’s physical appearance but also contains person’s attitudes towards one’s body and self-perception. The Body Image Quality of Life Inventory (BIQLI) was developed to measure the quantities the effects of one’s body image on various self-experience and life contexts. In this study, it is aimed to examine the validity and reliability of the Turkish version of BIQLI and to evaluate the psychometric properties. Methods: After obtaining the necessary permissions, Turkish language and cultural appropriateness of the inventory has been studied firstly. Research was conducted with 275 volunteers who attend a university college education female student in Ankara. The Social Appearance Anxiety Scale (SAAS) was used for the criterion validity. In order to determine the construct validity of Body Image Quality of Life Inventory (BIQLI), factor analysis was conducted. Results: Factor analysis yielded four factors: effect on the self-value, effect on daily life, and effect on interaction with opposite sex, effect on behavior/attitude. The Cronbach’s alpha for the BIQLI was 0.89. The computed test re-test reliability coefficient for the BIQLI was 0.92. It was found a correlation which was strong negative and significant (r=-0.62) between BIQLI and SAAS. Discussion: The Turkish version of BIQLI (BİYNEÖ) is an inventory which has sufficient reliability and validity for use in Turkish society.

      PubDate: Sat, 14 Feb 2015 05:08:48 GMT
  • Can we predict bipolarity among patients diagnosed as major depression
           first episode' A pilot study

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Sinem Gönenli Toker, K. Oğuz Karamustafalıoğlu.
      Objective: Bipolar disorder is a common psychiatric disorder, although the diagnosis is often delayed until. Especially depressed and hypomanic episodes misdiagnosis are very frequent. We aimed in this study, patients with the major depression, detect possible diagnosis of bipolar disorder to using Hypomania Checklist-32 (HCL-32). This study we also aimed to see whether certain HCL-32 items in favor of distinguishing bipolar disorder, we planned this study as a pilot study for a future large-scale multicenter study. Methods: This study included 100 patients who diagnosed as major depressive disorder according the DSM-IV in first admission and patients were asked to complete the HSL-32. HSL-32 cut-off score of 14 was considered to be bipolar and unipolar patients were divided into two groups. Results: 52 patients took more than 14 on HCL-32 and these patients were evaluated as bipolar group. There were no differences about sociodemographic variables between groups. Answers of the two groups were compared according to the HCL-32; bipolar group had significantly higher rate of answering “yes” to following question; the increase in self-esteem, increased energy, psychomotor activation, goal-oriented activity, increased talkativeness, creativity and elevated mood. Conclusions: We found 52% bipolarity rate of our study group. There are lower and similar rates are exist in the literature. By looking at these high rates, HCL-32 is quite sensitive in determining the incidence of bipolar disorder, but not specific enough to say that a screening tool. Especially bipolar I disorder, bipolar II disorder and recurrent major depressive disorder necessary to distinguish said to be needed at a higher cut-off points. Bipolar group had significantly higher rate of answering “yes” to certain questions; so in depressed patients with suspected clinical practice examination bipolarity putting more focus on these areas would be beneficial, especially in terms of bipolarity can be interpreted as the tip.

      PubDate: Sat, 14 Feb 2015 05:06:54 GMT
  • The preferred clothing style in psychiatrists and its effect on the
           patient-physician relationship

    • Abstract: 2015-02-16T14-33-40Z
      Source: Anatolian Journal of Psychiatry
      Ürün Özer, Veysi Çeri, Güliz Özgen, Bahadır Turan.
      Objective: First impression carries significance in interpersonal relations. Establishing a relationship also forms the basis of the treatment process which will be conducted by the patient and the physician together. Physicians' clothing has been suggested to create major differences in physician-patient relationship. In this study, it was aimed to investigate the clothing style of psychiatrists preferred by psychiatrists and psychiatric patients and their opinion about its possible effects on physician-patient relationship. Methods: Consecutive 150 patients who applied to psychiatry outpatient clinic and 100 psychiatrists were included in the study. At first, sociodemographic data form was completed. Then, the pictures of different clothing styles were shown to participants and a questionnaire about its possible effects on physician-patient relationship was applied. Results: Mean age of the patients was 39.3±2.8 (range 19-79 years), 73 (48.7%) patients were female, 77 (51.3%) patients were male. Diagnoses of 40 (26.7%) patients were psychotic disorders, 52 (34.7%) were affective disorders, 31 (20.7%) were anxiety disorders and 27 (18.0%) patients were diagnosed with other disorders. Mean age of the psychiatrists was 32.4±8.2 (range 24-59 years), 52 (52.0%) psychiatrists were female, 48 (%48,0) psychiatrists were male. Mean duration of practicing medicine was 7.7±8.2 years, and mean duration of practicing psychiatry was 6.2±7.2 years. The number of psychiatry residents was 68 (68.0%), and the number of psychiatrists was 32 (32.0%). It was found that psychiatrists attached more importance to physician's clothing compared to patient group (p

      PubDate: Sat, 14 Feb 2015 05:04:27 GMT
  • Genetic testing in children with autism spectrum disorders

    • Abstract: 2015-02-11T09-34-05Z
      Source: Anatolian Journal of Psychiatry
      Esra Çöp, Pınar Yurtbaşı, Özgür Öner, Kerim M. Münir.
      Objective: The aim of this study was to investigate karyotype abnormalities, MECP2 mutations, and Fragile X in a clinical population of children with Autism Spectrum Disorders (ASD) using The Clinical Report published by the American Academy of Pediatrics. Methods: Ninety-six children with ASD were evaluated for genetic testing and factors associated with this testing. Results: Abnormalities were found on karyotype in 9.7% and in DNA for fragile X in 1.4%. Karyotype abnormalities include inv(9)(p12q13); inv(9)(p11q13); inv(Y)(p11q11); Robertsonian translocation (13;14)(8q10q10) and (13,14)(q10q10); 9qh+; Yqh+; 15ps+; deletion 13(p11.2). Conclusion: Genetic testing should be offered to all families of a child with an ASD, even not all of them would follow this recommendation. Although karyotype and FRAXA assessment will yield almost 10% positive results, a detailed history and physical examination are still the most important aspect of the etiological evaluation for children with ASD. Also, it is important to have geneticists to help in interpreting the information obtained from genetic testing.

      PubDate: Mon, 09 Feb 2015 00:34:59 GMT
  • The effects of regular exercise on anxiety, depression and quality of life
           in adult alcohol and drug dependents in addiction treatment

    • Abstract: 2015-02-11T09-34-05Z
      Source: Anatolian Journal of Psychiatry
      Hülya Yeltepe Ercan, İlhan Lütfi Yargıç, Cengiz Karagözoğlu.
      Objective: The purpose of this study was to examine the effects of moderate-intensity aerobic and strength exercises on anxiety, depression, and quality of life of individuals with alcohol and substance addiction disorder during addiction treatment. Methods: This is a quasi-experimental design research. Depression, anxiety and quality of life of participants were assessed at baseline and at the end of the study and compared the difference between exercise and control group. The Bruce Treadmill Test was used to measure the predicted VO2max to examine the changes in aerobic capacity and the four to six repetition submaximal strength test was used to measure the predicted one repetition maximal strength of the participants in the exercise group. Resting heart rate and blood pressure were also monitored. Results: Anxiety scores of exercisers was significantly lower than control group at the end of the study. Depression level of exercisers was also lower than control group but the difference was insignificant. From the physical health component of quality of life; physical functioning and physical role scores and, from the mental health component of quality of life; social functioning and emotional role scores were higher among the exercisers than the controls. A significant increase has been found in aerobic capacity and strength in the exercise group after the exercise intervention. Conclusions: This study is one of the first to examine the effects of both moderate-intensity aerobic and strength exercises on anxiety, depression and quality of life in adult alcohol and drug dependents’ in addiction treatment in Turkey.

      PubDate: Mon, 09 Feb 2015 00:25:34 GMT
  • Daily Goals Scale: Psychometric properties of the Turkish version

    • Abstract: 2015-02-11T09-34-05Z
      Source: Anatolian Journal of Psychiatry
      Fuad Bakioğlu, Bahtiyar Eraslan Çapan.
      Objective: This research aims to conduct validity and reliability efforts for adaptation of Daily Goals Scale into Turkish culture. Methods: The research was conducted in two stages. The first stage comprised of translation works, exploratory factor analysis, internal consistency and test-retest methods; the second stage comprised of confirmatory factor analysis and discriminant validity. A total of 297 university students took part in the first stage of the research, whereas 303 others in the second stage. Results: As a result of exploratory factor analysis, % 56 of total variance of the Daily Goals Scale is explained and the factor loadings differ between 0.63 and 0.83. At the end of the confirmatory factor analysis, we can say that it has an acceptable adaptation. (χ2=192.38, sd= 63, χ2/sd=3.05, RMSEA=0.08, RMR=0.02, SRMR=0.04, GFI=0.91, AGFI=0.87, CFI=0.98, NNFI=0.98). The research also suggests that parameter of internal consistency of the scale is found as 0.92 and test-retest reliability parameter proves 0.80. The correlation parameters as well as Life Satisfaction Scale (0.45), Depression Scale (-0.23), Anxiety Scale (-0.16), Hope Scale (-0.17) were examined under the scale's discriminant validity. Conclusions: We can say that the Turkish version of the Daily Goals Scale is valid and reliable

      PubDate: Mon, 09 Feb 2015 00:18:42 GMT
  • Trait anger and anger expression styles in adolescents

    • Abstract: 2015-02-11T09-34-05Z
      Source: Anatolian Journal of Psychiatry
      Dilek Özmen, Erol Özmen, Aynur Çetinkaya, İpek Akil.
      Objective: The aim of this study was to investigate the trait anger levels and anger expression styles of students in the second stage of primary education and the factors affecting them. Methods: The study was carried out on students in the second stage of primary education (classes 6, 7 and 8) at three schools in the center of the city of Manisa in an area with inhabitants at various socioeconomic levels. A sociodemographic form, The State-Trait Anxiety Scale for Children, and The State Trait Anger Scale were applied to the students. Variables affecting students’ trait anger and anger expression styles were examined using multiple linear regression analysis. Results: It was observed that levels of trait anger in the adolescents remained at the level of ‘a little’, that they did not express out their anger and that they tended to control their anger moderately, and that the levels of suppressed anger were not high. The factors which most affected levels of trait anger and anger expression styles in the adolescents were anxiety, gender and family type. A positive correlation was found between anxiety and trait anger, suppressed anger and expressed anger, while a negative correlation was found between anxiety and anger which was kept under control. Male students had a higher level of trait anger and expressed their anger more often, while female students controlled their anger more. The levels of trait anger, expressed anger and suppressed anger were higher in adolescents living in split-up families, and their anger was less controlled. Discussion: The results of this study suggest that adolescents in Turkey are not prone to experiencing anger and they tend to control their anger; when they get angry; they do not suppress it or bear grudges, they are not prone to argue with others; and when they get angry they do not express it in words or behavior. Because of the reduction of anxiety levels increase the ability to control the anger level, reduction of anxiety should definitely be placed in anger control training programs and therapeutic attempts in adolescents.

      PubDate: Mon, 09 Feb 2015 00:15:05 GMT
  • An association study of D-Amino Acid Oxidase and D-Amino Acid Oxidase
           Activator polymorphisms and schizophrenia in patients from Turkey

    • Abstract: 2015-02-11T09-34-05Z
      Source: Anatolian Journal of Psychiatry
      Şükrü Kartalcı, Ceren Acar.
      Objective: Schizophrenia is a highly heritable complex disease. The genetic interactions underlying this heritability is still needs to be understood. Linkage studies pointed out the D-amino acid oxidase (DAO) and D-amino acid oxidase activator (DAOA-G72) genes as candidate genes in susceptibility to schizophrenia. The association studies of interaction partners D-amino acid oxidase and D-amino acid oxidase activator gene polymorphisms and schizophrenia has been performed in different studies with different ethnic origins. However these studies showed conflicting results. In this study, it is aimed to examine the effects of several DAO and DAOA polymorphisms in Turkish schizophrenia patients. Methods: In the present study two single nucleotide polymorphisms (SNPs) within DAO gene (rs2111902 and rs3741775) and one in DAOA gene (rs2391191) were genotyped in individuals with Turkish origin from Malatya region on eastern part of Turkey. 96 schizophrenia patients and 100 mentally healthy individuals are the subjects of this study. Results: No significant difference was found in between the controls and schizophrenia sample for the SNPs rs2111902 and rs3741775 of DAO gene but a significant association was found on the allelic level of rs2391191 of DAOA gene. The relationship between aggressive behavior, suicide attempts and genotypes were also evaluated in the patient group. Discussion: A significant association for the G allele of rs2391191 at the allelic level was found, on the other hand no association could be shown between the examined rs2111902 and rs3741775 polymorphisms and the pathology of the disorder in the group of Turkish schizophrenia patients included in this study.

      PubDate: Mon, 09 Feb 2015 00:09:34 GMT
  • Odor and taste sensitivity in children with attention
           deficit/hyperactivity disorder

    • Abstract: 2015-02-05T04-32-34Z
      Source: Anatolian Journal of Psychiatry
      Burcu Akın Sarı, Nilgün Taşkıntuna.
      Objective: Attention deficit/hyperactivity disorder (ADHD) is diagnosed using Diagnostic and Statistical Manual of Mental Disorders criteria, neuropsychological testing, examinations, and parent, teacher, and self-evaluation forms. No biological, electrophysiological, or neuroimaging markers currently exist to diagnose ADHD. Many studies about the biological markers for diagnosing ADHD have been conducted. Olfactory and gustatory dysfunctions have not been well studied in ADHD for this purpose. For this reason this study aimed to evaluate both the olfactory and gustatory functions of children with ADHD. Methods: A total of 34 children with ADHD and a control group containing 31 children aged 6-15 years participated in the study. We used the ‘Sniffin’ sticks odor tests and propylthiouracil (PROP) bitterness sensitivity test to examine odor and taste sensitivity, respectively. Results: We found no statistically significant differences between the ADHD and control groups in terms of odor sensitivity, odor discrimination, and odor identification. A statistically significant difference between groups was observed in PROP scores. Conclusion: PROP bitterness test is in an advantageous state for being a marker in advanced years due to ease of use, independence of age and very short test period. As a result, in our study, it is concluded that PROP bitterness test may be a biological marker for ADHD diagnosis, however, further studies are needed.

      PubDate: Sun, 01 Feb 2015 03:59:18 GMT
  • Parental monitoring in adolescence: an investigation according to
           adolescents’, mothers’ and fathers’ reports

    • Abstract: 2015-02-05T04-32-34Z
      Source: Anatolian Journal of Psychiatry
      Hicran Çetin Gündüz, Figen Çok.
      Objective: The aim of this study is to investigate parental monitoring and ways of parental monitoring of adolescents (child disclosure, parental solicitation, and parental control) according to adolescents’, mothers’ and father’s reports. Methods: Data were obtained from 972 15-18 years old adolescents and 972 mothers and 583 fathers who live in the center of Ankara. ANOVA and t-test were used to analyze the data. Results: Results of adolescents’, mothers’ and fathers’ reports indicated that parental monitoring was primarily carried out by mothers. Both mothers and fathers monitored female adolescents more than males, and mothers’ monitoring of female adolescent was higher than that of fathers.

      PubDate: Sun, 01 Feb 2015 03:57:44 GMT
  • Who is seeking Emergency Care at the Emergency Psychiatric Ward of
           Bakırköy Mental Health and Neurological Diseases Education and
           Research Hospital' A cross-sectional definitive study

    • Abstract: 2015-02-05T04-32-34Z
      Source: Anatolian Journal of Psychiatry
      Çiğdem Küçükali, Neşe Üstün Güveneroğlu, H. Burçin Demirağlı Duman, Nezih Eradamlar, Latif R. Alpkan.
      Objective: The aim of this study is to evaluate the main referral complaints, the sociodemographic data and the clinical diagnosis of the patients who have referred to our hospital. We also wanted to consider if the applicants really need emergent psychiatric care or could be treated via psychiatric outpatient clinics. Methods: Among 2000 admissions throughout august 2011; 775 of them were randomly selected and included to our study. We recorded the clinical diagnoses and sociodemographic data of the patients. Results: 54% of the patients who referred to our emergency psychiatric unit were female and 46% of them were male, 45% were single, 45% were married. 48% of the patients were graduated from primary school and 77% of them were unemployed. 61.8% of the patients were brought involuntarily by their relatives, 27.3% came voluntarily, 6.7 % were sent for the purpose of psychiatric consultation by another doctor, 2.5% came involuntarily with the police. The most common diagnoses were; 36% mood disorders, 22% psychotic disorders and 10.8% conversion disorder. We found that; 31% of the referrals were hospitalized. Conclusion: We found that; among the psychiatric emergency referrals, 72% of them were serious enough to get psychiatric emergency care and 28% could be treated in an outpatient clinic. If we consider that the referrals to the psychiatry emergency unit are mostly by the patients’ and their relatives’ request; it can be thought that informing the patients about their psychiatric diseases could minimize the congestion in the emergency units.

      PubDate: Sun, 01 Feb 2015 03:55:54 GMT
  • The relationship between eating attitude and behaviors with self-esteem of
           the university students

    • Abstract: 2015-02-05T04-32-34Z
      Source: Anatolian Journal of Psychiatry
      F.Esra Güneş, K. Burcu T. Çalık.
      Objective: The purpose of this study is to determine the relationship between eating attitude and behaviors, self-esteems of the university students studying in different department of education. Methods: For his purpose, it was evaluated the eating attitude and behaviors in two different faculties related to health (FHS) and fine arts (FFA) in the same university (n=450; %39.9 women, %60.1 men). A cross-sectional random sampling method with the questionnaire was performed including demographic information, the Eating Attitudes Test 40 and the Rosenberg Self-esteem Test was administered. When evaluated by Kruskal-Wallis test, does not have a normal distribution of the data and, the median, percentage (%) and frequency were calculated. Results: The students were grouped according to cut-off scores of the Eating Attitudes Test (EAT40). It was not shown significant difference between different faculties the median scores of body mass index (BMI) values and median scores of EAT40 of students. It was detected the statistical significant differences between the medians of Rosenberg Self-esteem Test subgroups scores of students in two different faculties (sensitivity to criticism, depressive mood, feeling threat in interpersonal relationships, relationship with the father. It was shown the statistical significant differences between the medians of Rosenberg Self-esteem Test subgroups scores (trusting people, psychosomatic symptoms, relationship with the father in FFA; sensitivity to criticism, psychosomatic symptoms, feeling threat in interpersonal relationships, parents’ interest, relationship with the father, psychic isolation in FHS) according to cut-off scores of the EAT (

      PubDate: Sun, 01 Feb 2015 03:48:11 GMT
  • Association of prenatal, natal and postnatal factors with maternal

    • Abstract: 2015-02-05T04-32-34Z
      Source: Anatolian Journal of Psychiatry
      Caner Mutlu, Özgür Yorbık, İlhan Asya Tanju, Fatih Çelikel, Rabia Gönül Sezer.
      Objective: The purpose of this study was to investigate the association of prenatal, natal and postnatal factors with maternal attachment in mothers having infants aged 1-4 months and defining no mental health problems. Methods: Information form, Symptom Checklist-90 (SCL-90) and Maternal Attachment Scale (MAS) were filled by mothers admitting to the pediatric clinics of two hospitals within six months, having infants aged 1-4 months, having birth records of their infants in one of these hospitals, having no previous psychiatric help for any reason, having no known psychiatric and/or chronic medical illness, being at least primary school graduates and agreeing to participate in the study (n=105). Associations of variables in the information form with scores of general symptom index (GSI) of the SCL-90 and MAS were evaluated. Results: Score of MBO of mothers having first baby was significantly higher compared to other mothers' scores. GSI score was significantly higher in mothers having a baby with undesired gender, compared to mothers having a baby with desired gender. There was no significant correlation between mother's age, length of marriage and the GSI score and MAS score. Conclusion: Having a baby for the first time, can be seen as one of the most important factors affecting attachment of mothers defining no mental health problems between the first and fourth months after birth. On the other hand, no difference found in almost all of prenatal, natal and postnatal factors in terms of maternal attachment suggests that maternal lovingly bonding process cannot be significantly affected by adverse conditions other than mental health problems

      PubDate: Sun, 01 Feb 2015 03:41:44 GMT
  • The Analysis of the Role of an Institution in Providing Safety and Quality
           in Psychiatric Health Care

    • Abstract: 2015-01-25T14-43-28Z
      Source: Anatolian Journal of Psychiatry
      Branko Gabrovec, Branko Lobnikar.
      Objective: Patient induced violence directed at the psychiatric health care staff is a common occurrence. The staff are confronted with various types of violence (verbal, sexual, frequently physical violence with resulting injuries). Methods: This study utilized a non-experimental sampling method, with its instrument being a structured questionnaire. The sample covered the personnel most frequently exposed to violence, namely, the nursing staff in closed and/or intensive psychiatric units in 5 Slovenian psychiatric hospitals, 3 psychiatric homes and 2 special education, and work and care centers. Results: Psychiatric health care staff, especially those working in reception wards, intensive care and closed units, are the most exposed of all the stakeholders faced with patient induced aggression. Conclusion: The institution has an influence on the establishment of organizational safety culture by creating systematic training models, taking necessary precautions to ensure safety and forming violent outbursts protocols during after the unfortunate event.

      PubDate: Fri, 23 Jan 2015 10:54:10 GMT
  • Analysis of the relationship between the childhood experiences of abuse
           and just world belief in delinquent adolescents

    • Abstract: 2015-01-25T14-43-28Z
      Source: Anatolian Journal of Psychiatry
      Ilgın Gökler Danışman, Esra Berberoğlu.
      Objective: The aim of this study is to investigate the relationship between the level of exposure to childhood abuse and belief in just world in delinquent adolescents and compare them with their non-delinquent peers. Methods: The sample consists of 200 delinquent male adolescents between the ages of 15-18. A Sociodemographic Information Form, General and Personal Just World Belief Scale and Childhood Trauma Questionnaire were used to obtain data. Results: The analysis revealed a significant relationship between level of exposure to childhood abuse and just world belief in delinquent adolescents. When the level of exposure to childhood experiences of abuse increases, adolescents' belief in general and personal just world decreases. Belief in a just world in delinquent adolescents who have been previously incarcerated found to be weaker than that of adolescents who are in a detention center for the first time. Previously incarcerated adolescents also scored higher in terms of level exposure to childhood abuse. Comparison of the mean scores of the participants of the current study with that of non-delinquent participants in other studies revealed that delinquent adolescents have higher levels of exposure to childhood abuse and weaker belief in general just world than adolescents without any criminal record. Discussion: The results of the current study are expected to contribute to a better understanding of adolescent delinquency in relation to childhood history of abuse. The findings underline the role of childhood abuse as a potential risk factor that shatters the adolescents' belief in a just world and puts them in conflict with law. These preliminary findings should be supported by further research that explore the causal relationships between these variables.

      PubDate: Fri, 23 Jan 2015 10:53:12 GMT
  • A pseudologia fantastica case leading to shared psychotic disorder in
           family members

    • Abstract: 2015-01-25T14-43-28Z
      Source: Anatolian Journal of Psychiatry
      Halil Özcan, Atakan Yücel, Erdem Önder Sönmez.

      PubDate: Thu, 22 Jan 2015 09:45:07 GMT
  • Mild cognitive impairment

    • Abstract: 2015-01-25T14-43-28Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Thu, 22 Jan 2015 09:42:58 GMT
  • The relationship among pain, depression, and illness perception in female
           patients with fibromyalgia

    • Abstract: 2015-01-02T04-20-44Z
      Source: Anatolian Journal of Psychiatry
      İpek Sönmez, Ferdi Köşger, Seide Karasel, Özgür Tosun.
      Objective: While pain is still the most important symptom among diagnostic criteria for fibromyalgia, mental symptoms also have an important role in diagnosis. There are a limited number of studies investigating the relationship between pain and illness perception in fibromyalgia. It was aimed to investigate the relationship between pain, depression and illness perception in this study. Methods: Fifty patients who were followed outpatiently and who had a diagnosis of fibromyalgia for more than 6 months were included in the study. Illness Perception Questionnaire (IPQ-R), Visual Analogue Scale for Pain (VAS) and Beck Depression Inventory (BDI) were used as measuring tools. Findings: In our study, a significant positive correlation between VAS score and subscale scores of IPS which are number of illness symptoms, thinking that these symptoms are related with the illness, duration of illness, personal control and emotional representations. There was no relation between VAS and age, duration of illness, BDI score and the subscales of IPS that are perception of illness consequences, treatment control and understanding the illness. Conclusion: Our findings make us think that pain and mood symptoms may occur due to different mechanisms in fibromyalgia.

      PubDate: Sun, 28 Dec 2014 14:27:11 GMT
  • Association of sociodemographical features, antiviral treatment, and
           necroinflammatory activity with depression and anxiety in chronic
           hepatitis B patients

    • Abstract: 2015-01-02T04-20-44Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Çelik, Nazlım Aktuğ Demir, Şua Sümer, Lütfi Saltuk Demir.
      Objective: Psychiatric disorders like depression and anxiety are known to be more prevalent in patients with chronic hepatitis B than healthy individuals. This increased prevalence may be due to multiple factors such as psychological distress associated with having a chronic disease, necroinflammatory activity in liver, side effects of treatment with antiviral agents or interferons, and/or direct effect of hepatitis viruses on central nervous system. Purpose of this study was to evaluate several risk factors that may be associated with anxiety and depression in patients with chronic hepatitis B. Methods: This study included 195 chronic hepatitis B patients. A psychiatrist made clinical interviews with the patients and filled Sociodemographic Data Form, Hamilton Anxiety Rating Scale (HARS), and Hamilton Depression Rating Scale (HDRS). Needle biopsies were performed to 175 patients who met biopsy criteria of American Association for the Study of Liver Diseases. Knodell Histological Activity Index was used to evaluate biopsy materials. HBV DNA and ALT levels were measured from patients’ sera. Findings: In the study sample, 119 patients were males and 76 were females. Mean HARS score was 7.3±6.2 and mean HDRS score was 8.8±6.6. Both HARS and HDRS scores were higher in females than males. HARS score was higher in patients with a family history of chronic hepatitis and both HARS and HDRS scores were higher in patients with comorbid medical illness. Alanine aminotransferase, HBV DNA levels, and level of fibrosis in liver biopsy didn’t affect HARS or HDRS scores. Also, there wasn’t a difference in HARS or HDRS scores according to patients’ usage of pegylated interferon, or oral antiviral therapy. Conclusion: Multiple factors affect the relation between chronic hepatitis and psychiatric disorders like anxiety and depression. Results of our study suggest that female sex, presence of a family history for chronic hepatitis B, comorbidity of other medical diseases, and ethnic origin affect more than the level of necroinflammatory activity and cellular damage in the liver or antiviral treatments.

      PubDate: Sun, 28 Dec 2014 14:23:00 GMT
  • A hypothermia case with early onset schizophrenia treated with clozapine

    • Abstract: 2015-01-02T04-20-44Z
      Source: Anatolian Journal of Psychiatry
      Gonca Özyurt, Neslihan İnal Emiroğlu, Burak Baykara.
      The usage of antipsychotics in children and adolescents increase in the general of the world and it was reported that 90% of these antipsychotics were atypical antipsychotic by researchers. Clozapine is considered to be the prototype of the atypical antipsychotics, as it was the first to be recognized as having less extrapyramidal side effects, not causing tardive dyskinesia, and not elevating prolactin. Clozapine is not a first choice antıpsychotic but it can be used when other antipsychotics can not be effective. Atypical antipsychotics, also clozapine, alter ability of body to regulate response to changes in temperature and humidity, patients may become hypothermic or hyperthermic; more likely in temperature changes due to inhibition of the hypothalamic control area. Transient temperature alteration can occur with clozapine in up to 50 % of patients, usually within the first three weeks of treatment. In this article we present an 17 years old male adolescent with early onset shizophrenia. Although threee different atypical antipsychotics were used and there was no treatment response in that case. After clozapine was administered , transient termoregulation alteration was seen at the beginning of the treatment .

      PubDate: Sun, 28 Dec 2014 14:17:43 GMT
  • Suicide probability and affecting factors in psychiatric inpatients

    • Abstract: 2015-01-02T04-20-44Z
      Source: Anatolian Journal of Psychiatry
      Selma Sabancıoğulları, Dilek Avcı, Selma Doğan, Meral Kelleci, Elvan Ata.
      Objective: The aim of this study is to examine suicide probability and affecting factors in psychiatric inpatients. Methods: This descriptive and cross-sectional study was conducted with 155 psychiatric inpatients at Cumhuriyet University Training and Research Hospital. Data was collected using the Descriptive Information and the Suicide Probability Scale (SPS). The SPS includes the following subscales: hopelessness, suicidal thoughts, negative self-evaluation, and hostility. Higher scores obtained from the SPS indicate elevated suicide probability. In statistical analyses, descriptive statistics, t test, one way analysis of variance, and the Kruskall Wallis test were used. Results: Mean SPS total score of the patients was found to be 82.54±14.76, which indicates moderate suicide probability. There were no significant differences in SPS total scores according to age, gender, marital status, and economic status. The mean SPS scores of patients who were diagnosed with depression, had previous thoughts about committing suicide and previous suicide attempts, and had suicidal thoughts at the time of the study were found to be significantly higher. Discussion: Mean suicide probability scores of the patients were at moderate levels. Patients who had previous suicidal thoughts and had previous suicide attempts have higher suicide probability. Our results show that suicide potential, which is a threat against patient safety in the psychiatry clinic, is high.

      PubDate: Sun, 28 Dec 2014 14:13:57 GMT
  • A comparison of extra and intra-familial sexual abuse of children and

    • Abstract: 2014-12-22T14-18-11Z
      Source: Anatolian Journal of Psychiatry
      Özlem Gencer, Aylin Özbek, Gonca Özyurt, Canem Kavurma.
      Objective: The aim of the study is to define and compare individual and family characteristics, occurrence as well as the consequences of the abuse and forensic processes of children who are victims of extra and intra- familial child sexual abuse. Methods: Data was collected by retrospective chart review of 182 cases who had admitted to a child and adolescent psychiatry clinic among 2010-2012 for forensic evaluation due to being victims of child sexual abuse. Following data collection cases were grouped into two; 139 children and adolescent as extra familial and 43 cases as intra familial child sexual abuse. Analysis of data was performed accordingly. Results: Girls were more commonly sexually abused in both groups. In the intra-familial group, mean ages of children and their parents were significantly lower. Biological father was the most common offender in the intra-familial sexual abuse group Children in the extra-familial sexual abuse group had significantly lower intelligences quotients and were not attending school. Time between the occurrence of the abuse and the forensic evaluation was significantly longer in the intra-familial group. Withdrawal of the claim was only present in the intra familial sexual abuse group. In both groups physical abuse accompanying sexual abuse were significantly more common in male victims.. Mean age under 12 years, intelligence level and psychiatric morbidity within the family were found to be the predictors of intra-familial sexual child abuse. Discussion: This study displays that ¼ of child sexual abuse is in the form of incest, known to have significantly more deteriorating effects on the victims. It takes longer to identify the cases of incest and its deleterious effects are more implicit. Extended and expansive research on child sexual abuse, especially incest, necessitates.

      PubDate: Sun, 21 Dec 2014 11:35:12 GMT
  • Partner violence against women, childhood trauma, depression and quality
           of life: A population based-study

    • Abstract: 2014-12-18T14-16-06Z
      Source: Anatolian Journal of Psychiatry
      Yüksel Kıvrak, Neriman Gey, Habibe Ayla Kıvrak, Mehmet Hanifi Kokacya, Ümit Sertan Çöpoğlu, Mustafa Arı.
      Objective: In this study our aim was to investigate the frequency of spousal violence, its relationship with childhood traumas, depression and sociodemographic factors and its effects on affected women’s life quality. Methods: Data of 410 randomly chosen people who live in the city center and nearby villages were evaluated. The sociodemographic data survey, Short Form 36 (SF-36), Family Violence Survey (FVS), Beck Depression Inventory (BDI), Childhood Trauma Scale (CTS) were applied. Results: Of the participants, 366 (89.3%) had experienced violence at least once in their lifetime. Three hundred and nine (75.4%) of them were emotional, 306 (74.6%) of them were sexual, 285 (69.5%) of them were verbal, 222 (54.1%) of them were physical, 321 (78.3%) of them were economical violence. BDI, CTS, husband’s educational level, disparity in age and education level between spouses were important for exposure to violence. Depression was an important effect on life quality of the affected women. Conclusion: Familial violence is frequent. BDS, CTS are the main predictors for spousal violence and life quality. Diagnosis and treatment of depression may help to prevent spousal violence and increase life quality.

      PubDate: Tue, 16 Dec 2014 22:33:05 GMT
  • Fog cloud in front of the Lewy bodies dementia: delirium

    • Abstract: 2014-12-18T14-16-06Z
      Source: Anatolian Journal of Psychiatry
      Nermin Yücel, Atakan Yücel, Nazan Aydın.
      Lewy body dementia (LBD) is the second most common form of dementia after Alzheimer disease. Clinical symptoms include acute onset of cognitive fluctuations accompanied by dementia, visual hallucinations, disorientation and sleep disorders that suggest initially the diagnosis of delirium. Antipsychotic medication for the treatment of delirium worsens the symptoms due to neuroleptic sensitivity associated with increased morbidity and mortality patients with LBD. In literature, there are rare case reports with overlooked LBD that presented like delirium symptoms. Additionally, it was declared that quetiapine and cholinesterase inhibitors have individually efficacy on treatment of LBD. In this case, we present a woman who had difficulty for diagnosis due to misdiagnosis of LCD and treatment with quetiapine and rivastigmine.

      PubDate: Tue, 16 Dec 2014 22:30:28 GMT
  • Inappropriate sexual behaviors associated with mental retardation or
           transvestic fetishism: a case study

    • Abstract: 2014-12-18T14-16-06Z
      Source: Anatolian Journal of Psychiatry
      Fatih Hilmi Çetin, Şahnur Şener, Elvan İşeri, Hande Ayraler Taner.
      One of the characteristics of puberty is awareness of one’s own sexuality. While searching in sexual behaviors sometimes put them awkward situations, yet this is how they exercise their sexuality. Deviations in sexual behavior such as paraphilia often begin in adolescence, transvestic fetishism is one of them. In this case report, 14-year-old male patient with mild mental retardation was brought with presenting symptoms of wearing his mother’s undergarments. This cross-dressing behavior has been going on for about a year and usually ending with masturbation associated with feelings of relief and quilt. He seemed embarrassed and was defensive to related questions, avoiding eye contacts and his mood was depressive in his mental examination. Mild mental retardation was determinated in his intelligence test. Sertraline 50 mg/day was started for his depression and weekly based therapy with him and his family was outlined. The purpose of the therapy, to make him understand his deviated behavior as well as educate him as what to do appropriately with his sexual feelings. In this paper, relationship between transvestic fetishism and mental retardation, differential diagnosis of transvestic fetishism and psychodynamics of transvestic fetishism are discussed. Last of all, diagnose of transvestic fetishism at an early age and early intervention are important for a successful treatment. The importance of sexual education to youngsters besides dealing familial and psychosexual factors contribute to treatment process are discussed. The need and choice of pharmacological treatment are also discussed in the light of the literature.

      PubDate: Tue, 16 Dec 2014 22:27:50 GMT
  • Relationship Between Thought and Language Disorder and Positive and
           Negative Syndrom Scale (PANSS) and sociodemographic characteristics in
           Patients with Schizophrenia

    • Abstract: 2014-12-18T14-16-06Z
      Source: Anatolian Journal of Psychiatry
      Halis Ulaş, Berna Yalınçetin, Tolga İbrahim Binbay, Berna Binnur Akdede, Selma Polat Özdemir, Deniz Özbay Gediz, Levent Var, Köksal Alptekin.
      Objective: Thought disorders are one of the important and less understood characteristics of schizophrenia. Thought disorder is generally considered in two parts as thought content and thought process. However, it has been suggested that thought disorder in schizophrenia is strongly related to impairment in thought process. Thought and language disorder in schizophrenia is known to be associated with particılar clinical symptoms. The aim of this study is to investigate relationship between thought and language disorder and subscales and items of PANSS in patients with schizophrenia. Methods: This study was conducted with 176 patients who met DSM-IV criteria for schizophrenia. Sociodemographic data form, Thought and Language Index (TLI) and Positive and Negative Syndrome Scale (PANSS) were administered to the patients. Results: Thought and Language Index score was significantly correlated with positive, negative, general psychopathology subscale scores and total score of PANSS. When the relationship between TLI and items of PANSS was evaluated; conceptual disorganisation (P2), suspiciousness/persecution (P6), blunted affect (N1), emotional withdrawal (N2), difficulty in abstract thinking (N5), lack of spontaneity and flow of conversation (N6), motor retardation (G7) and unusual thought content (G9) items of PANSS were significantly correlated with TLI. Conclusion: Thought and language disorder disorder was found related with positive, negative, general psychopathology subscalese of PANSS.

      PubDate: Tue, 16 Dec 2014 22:27:17 GMT
  • Depression in Schizophrenia

    • Abstract: 2014-12-14T14-24-47Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sat, 13 Dec 2014 15:06:06 GMT
  • Antidepressants-induced hyponatremia

    • Abstract: 2014-12-14T14-24-47Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sat, 13 Dec 2014 15:01:38 GMT
  • Development and evaluation of psychometric characteristics of the
           Inventory of Cognitions Related Bullying for Children

    • Abstract: 2014-12-06T14-17-54Z
      Source: Anatolian Journal of Psychiatry
      Füsun Gökkaya, Serap Tekinsav Sütcü.
      Objective: In recent years bullying has become the subject of many researches, researches which aimed to understand bullying and related factors has been increased, because of the its negative outcomes of bullying in schools. However the number of the studies which investigate the cognitions of children who are bullying others are rare. Because there is almost no scale developed to measures cognitions of bullies. The aim of this study is to develop a measure to evaluate the cognitions about bullying in children and to determine the psychometric characteristics of the scale. Methods: Bullying and the Moral Disengagement Scale and interviews which were done with children were used to develop a 25-item Likert type scale. Cognition about Bullying Inventory for Children was applied with Child Form of Bully-Victim Determination Scale and Bullying Behavior Tendency Scale to 1740 secondary public school students in İzmir, Turkey. Results: Three items in the scale were found as decreasing the alpha coefficient that's why these were eliminated form the scale. Final version was formed as 22-item scale. Internal consistency of the 22-item scale was found to be 0.91. Test retest reliability of the scale was notably high (r=0.79). Varimax rotation was done, as the result of the factor analysis it was found that 48.73% of total variance was explained by 3 factors. Based on correlation concurrent validity of the scale was found to be significant with the Child Form of Bully-Victim Determination Scale “bully” subscale (r=0.40) and with Bullying Behavior Tendency Scale (r=0.52). Conclusions: Cognitions About Bullying Inventory for Children was thought to be reliable and valid in acceptable levels. The scale is thought to be used in evaluation of the cognitions and be used to assess the effectiveness of psychological intervention used to reduce bullying for secondary school.

      PubDate: Thu, 04 Dec 2014 10:41:04 GMT
  • Psychometric properties of the Turkish version of the Yale Food Addiction
           Scale among bariatric surgery patients

    • Abstract: 2014-12-06T14-17-54Z
      Source: Anatolian Journal of Psychiatry
      Güzin Mukaddes Sevinçer, Numan Konuk, Süleyman Bozkurt, Özge Saraçlı, Halil Coşkun.
      Objective: The aim of this study was to examine validity and reliability of Turkish version of Yale Food Addiction Scale (YFAS) among Turkish bariatric surgery patients. Methods: The YFAS scale was administered to obese patients (n=171) who were seeking or underwent bariatric surgery. Construct validity of the scale was evaluated with factor analysis and reliability was evaluated with item-total score correlation and repeatability were tested by intraclass correlation (ICC) analysis between test-retest results. Results: Internal concistency was found adequate Kuder-Richardson Formula 20 coefficient (KR-20)=0.822, and Cronbach’s alpha=0.859 for the entire 25-item YFAS. As Bartlett's Test of Sphericity was significant, the factor model developed in the present study was decided appropriate. Factor analysis extracted six factor in Turkish YFAS that explained for 67.51% of the total variance. Item total correlation coefficients of scale ranged from 0.214-0.666. Conclusion: Our findings support the use of the Turkish YFAS as a reliable measure of food addiction among bariatric surgery patients.

      PubDate: Thu, 04 Dec 2014 10:39:30 GMT
  • An elder sister abuse: brother case

    • Abstract: 2014-12-06T14-17-54Z
      Source: Anatolian Journal of Psychiatry
      Sevgi Özmen, Esra Demirci, Didem Behice Öztop, Hatice Doğan.
      Incest, which is considered as a special topic in child abuse, is one of the most traumatic forms of sexual abuse. In incest cases, notification rates are relatively low, especially the sexual abuse between siblings remains hidden much more than other sexual abuses. In this case report, which appears in a random manner, 12-year-old male patient, who was abused by his sister, will be discussed. Our incest case has a big importance because of having a sister as an abuser, since incest abusers often considered to be fathers or brothers. At this point, the possibility of having the abuse carried out by anyone from children's social environment including each family members should be kept in mind.

      PubDate: Thu, 04 Dec 2014 10:37:49 GMT
  • Effect of aggression management training program on knowledge and
           attitudes of nurses working at psychiatric clinics

    • Abstract: 2014-12-06T14-17-54Z
      Source: Anatolian Journal of Psychiatry
      Sibel Çoban Arguvanlı, Nimet Karataş, Mürüvvet Başer, Gökmen Zararsız.
      Objective: The purpose of this study was to determine the effect of Aggression Management Training Program (AMTP) on knowledge levels and aggression perceptions of nurses working at psychiatric inpatient clinics in Kayseri/Turkey. Methods: This study was conducted with 27 nurses who participated to the AMTP as the one group pretest-posttest experimental design. Data were collected by using Personal Information Form, Perception of Aggression Scale, and Assessment Form of Knowledge Levels of Nurses Regarding Aggression Management. AMTP was carried out interactively with totally 3 groups including 2 groups (10 participants in each group) and 1 group of 7 participants. Knowledge levels and perceptions of aggression of nurses were evaluated before, after and three months after AMTP. Results: In this study, AMTP was found to increase knowledge level of nurses and led to positive changes at their aggression perceptions. Conclusion: Consequently, it was determined that AMTP increased knowledge levels of nurses working at psychiatric clinics and provided positive changes at their aggression perceptions. It could be recommended to continue training on aggression management with regular intervals.

      PubDate: Thu, 04 Dec 2014 10:36:14 GMT
  • Reliability and validity of Turkish form of SCOFF Eating Disorders Scale

    • Abstract: 2014-12-06T14-17-54Z
      Source: Anatolian Journal of Psychiatry
      Ömer Aydemir, Barış Köksal, Şermin Yalın Sapmaz, Hakan Yüceyar.
      Objective: There is no useful scale both in daily routine psychiatry practice and field trials in Turkish. The aim of the study is to perform the reliability and validity study of SCOFF Eating Disorders Scale. Methods: The study sample is consisted of female students of grade 5 of Celal Bayar University, School of Medicine. For the study, 62 volunteers were invited and 50 individuals who fulfilled all the study instruments constituted the study sample. All the study volunteers were female and the mean age was found to be 22.31±1.68. For concurrent validity, Eating Attitude Test was applied. Results: The forward and back translation of the SCOFF Eating Disoders Scale was performed, and linguistic equivalence was obtained with the scale prepared. In internal consistency, the Cronbach's alpha coefficient was found to be 0.74 and item-total correlation coefficients were between 0.21-0.55. In the exploratory factor analysis, one dimension was observed and all the items were represented. The confirmatory factor analysis confirmed the one-dimension structure. In the correlation analysis with Eating Attitude Test, the coefficient was found to be r=0.52. Conclusion: It is suggested that the Turkish form of SCOFF Eating Disorders Scale can be used reliably and validly in order to screen eating disorders.

      PubDate: Wed, 03 Dec 2014 12:28:54 GMT
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