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Journal Cover Anatolian Journal of Psychiatry
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  This is an Open Access Journal Open Access journal
     ISSN (Print) 1302-6631
     Published by ScopeMed Homepage  [77 journals]   [SJR: 0.137]   [H-I: 6]
  • Validity and reliability of the Turkish Version of the Vaginal Penetration
           Cognition Questionnaire (VCPQ) in a sample of women with vaginismus and
           dyspareunia

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Sultan Doğan, Gamze Varol-Saraçoğlu, Evrim Erbek.
      Objective: To examine reliability and validity of the Turkish version of the Vaginal Penetration Cognition Questionnaire (VPCQ) in a Sample of Women with Vaginismus and Dyspareunia. Method: A sample of 210 women with female sexual dysfunction (FSD) (70 women with lifelong vaginismus, 70 women with dyspareunia and 70 women without sexual complaints) completed the questionnaire. Factor analyses and validation measures were conducted in both women with and without FSD. Additionally, all participants completed Structured Assessment Questionnaire (SAQ) regarding biographic and complaint characteristics. Results: Conduction of factor analyses yielded five subscale regarding cognitions about vaginal penetration: control cognitions, positive cognitions, self-image cognitions, catastrophic and pain cognitions and genital incompatibility cognitions. Reliability of these five subscales of Turkish version VPCQ ranged from 0.56-0.93, and the test-retest correlations were satisfactory. Four subscales were able to detect significant differences between women with and without FSD. Women with lifelong vaginismus showed lower levels of perceived penetration control and genital incompatibility cognitions, when compared with women with dyspareunia. Conclusions: These results suggest that Turkish VPCQ is a reliable and valid brief self-report measure for assessing cognitions regarding vaginal penetration in women with vaginismus or dyspareunia.

      PubDate: Tue, 19 Aug 2014 23:39:45 GMT
       
  • Single dose bupropion related acute dystonia: a case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Süleyman Demir, Abdullah Atlı, Mehmet Güneş, Songül Çatı, Eşref Akıl, Nuralay Çetinkaya.
      Bupropion is an important pharmacologic agent similar to nicotine in the treatment of smoking cessation approved by Food and Drug Administration and European Union. Also, bupropion is an agent in the treatment of major depression as noradrenaline and dopamine reuptake inhibitor. In nicotine addiction, it is thought that it affects by blocking the dopamine reward pathway and decreasing the withdrawal symptoms related with noradrenaline pathway. We aimed to present a case with major depression and nicotine addiction developing acute dystonia with use of bupropion. Thirty-two year-old male, was diagnosed as having major depression and comorbid nicotine addiction. He did not have either another psychiatric problems or another medical disease and also he had not been using any kind of medicine. He was started to have 300 mg/day bupropion. The day after having first dose of 300 mg bupropion, he had some kind of pseudoesthesias, which caused sense of his neck being shorten, holding his tongue out of his mouth, not swallowing his saliva so he was taken to emergency. Evaluations and routine testing were observed normal ranges and there were not determined any pathologic issues out of acute dystonia during the neurologic examination. Clinical table showed that acute dystonia related to bupropion. His symptoms were getting better after he was given 5 mg biperiden as i.m. Finally, it was observed that there were not any dystonia symptoms after 24 hours of his check. Side effects of bupropion include insomnia, headache, dry mouth, eruption, nausea, excessive sweating, tinnitus and hypertension. Psychiatric problems including hypomania, acute psychosis, visual hallucinations and dystonia, hyponatremia, hypokalemia, and thrombotic thrombocytopenic purpura also reported as side effects of bupropion use in literature.

      PubDate: Tue, 19 Aug 2014 23:38:21 GMT
       
  • Investigating the mediator roles of obsessive beliefs in the relationships
           between, attachment and obsessive compulsive symptoms

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Sevginar Vatan.
      Objective: The present study aimed at investigating the relationships between attachment, obsessive beliefs and obsessive compulsive symptoms in Turkish normal sample. Moreover, examining the mediator roles of obsessive beliefs between attachment and obsessive compulsive symptoms was aimed. Methods: For these purposes 118 female and 108 male participants completed questionnaires related to research variables. Experience in Close Relationship Scale to evaluate attachment, Obsessive Belief Questionnaire to evaluate obsessive beliefs and Padua Inventory-Washington State University Revision to evaluate obsessive compulsive symptoms were used in this study. Results: A series of hierarchical regression analyses where gender and age were controlled. Findings of the analyses revealed that control variables (gender and age) only predict contamination obsession and cleaning compulsive symptoms. According to results, being female and older age are as a risk factor for this symptoms. The results provide evidence for the mediator role of responsibility/threat estimation of obsessive beliefs between anxiety of attachment and symptoms which are obsessional thoughts about harm to self/others, contamination obsessions and cleaning compulsions, dressing/grooming symptoms. Based on checking symptoms both responsibility/threat and perfectionism/uncertainty obsessive beliefs had the mediator role between anxiety of attachment and these symptoms. Although, avoidance of attachment and importance/control of thoughts predicted obsessional impulses to harm self/others by separately, there were not mediator effects in these analyses. Conclusion: To sum up according to results of this study attachment and obsessive beliefs follow different paths toward different obsessive compulsive symptoms. The results were discussed in the light of the related literature.

      PubDate: Tue, 19 Aug 2014 23:36:41 GMT
       
  • A research on suicide attempt with drug overdose in North Cyprus: data
           analysis of 2002-2012

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      İpek Sönmez, Abidin Akbirgün, Ali Bozkurt.
      Objective: The aim of the study was to analyze the properties of 2334 cases who applied to North Cyprus Nicosia Burhan Nalbantoğlu State Hospital with suicide attempts by drug intoxication in 11 years. Methods: This study has been conducted by analyzing age, gender and suicide attempts dates of the files of 2334 cases retrospectively, who applied to Cyprus Nicosia Burhan Nalbantoğlu State Hospital with suicide attempts by drug intoxication between years 2012-2012. Results: 64.1% (n=1497) of patients were female and 35.9% (n=837) were male. The female/male ratio was 1.79. The mean age of women and male patients were 25.80±11.36 and 27.94±12.44 respectively. The mean age of women compared with men was statistically significant low. Women attempted suicide more often between ages 16-22, this range was 18-24 for men and 18-22 for whole subjects. When we analyze all subjects together age range was 12-92, mean age was 26.57±11.80. The numbers of suicide attempts were 183 in 2002, 158 in 2003 and started to increase by 2004. Conclusion: The female/male ratio was 1.79 of suicide attempts similar to Japan data. The difference of Cypriot sample may be related with higher employment ratios in women and less stressful life events in a small island. The lower mean age of this sample compared with the literature might be related with low coping styles, hopelessness and despair of young people in negative life events. One of the possible causes of the beginning of increase in suicide numbers in 2004 can be the results of the referendum.

      PubDate: Tue, 19 Aug 2014 23:34:22 GMT
       
  • Risperidone use in preschool children with aggressive and destructive
           behavioral symptoms

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Caner Mutlu, Özden Şükran Üneri, Canan Tanıdır, Hatice Güneş, Mazlum Çopur, Ali Güven Kılıçoğlu, Hilal Adaletli, Hamiyet İpek, Ayten Erdoğan.
      Objective: We aimed to investigate the prevalence and mode of risperidone use in preschool aged children admitted with a chief complaint of aggressive and destructive behavioral symptoms. Methods: In this retrospective chart review study, medical records of the patients were reviewed for age, gender, primary and comorbid diagnoses, dosage and duration of risperidone treatment. Dosage and duration of risperidone treatment were compared among primary diagnoses. Results: In 2790 children prevalence of risperidone use was 18.5% (n=516). Mean age was 4.86±1.12 years. Of these patients, %74.4 had primary diagnosis of a disruptive behavior disorder (DBD). Mean starting dosage of risperidone was 0.35 mg/day and mean maintenance dosage was 0.52 mg/day. The mean length of treatment was 4.9 months. Starting and maintenance doses were significantly higher and treatment duration was longer in patients with mental retardation (MR) than in those with DBDs. Conclusion: In preschoolers, risperidone is frequently used to control aggressive and destructive behavioral symptoms which may improve with higher doses and longer treatment in those with MR. The development of evidence-based treatment modalities for children with aggressive and destructive behaviors necessitates controlled studies and confirmation of their pertinence to clinical practice.

      PubDate: Tue, 19 Aug 2014 23:31:07 GMT
       
  • The relationship between risky behaviors and childhood abuse, impulsivity
           and risky behaviors in university students

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Özge Erel, Zeynep Belma Gölge.
      Objective: The aim of this study is to investigate risky behaviors among university students and to reveal the relationship between risky behaviors, impulsivity and childhood abuse. Methods: Participants of this research were 1102 university students (740 women and 362 men) who attended state or foundation universities at Turkey’s 24 different cities in 2012-2013 educational years. In this study, Demographic Information Form, Childhood Abuse Experience Scale (CAES), this collects information about abuse experiences before the age of 18, Barratt Impulsivity Scale (BIS-11), which measures impulsivity and Risky Behaviors Questionnaire, which identifies habituation and frequency of risky behaviors that were applied. Results: Male university students tend to engage in risky behaviors more than female university students do, except not using condom in one-night stand. A positive and strong correlation was found between CAES and BIS-11 scores. CAES and BIS-11 scores were also significantly different between participants who reported risky behavior and who did not. Conclusion: Impulsivity and risky behaviors which are observed among young people lead to individual and communal problems. Risky behaviors and impulsivity are long term effects of childhood abuse, so this situation shows the requirement of putting on emphasis on prevention and intervention programs about childhood abuse. Furthermore, impulsivity, which is considered to be a serious risk factor, and risky behavior oriented protective programs should be employed.

      PubDate: Tue, 19 Aug 2014 23:24:52 GMT
       
  • Gestational termination process in sexual abused adolescent: a case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Gonca Özyurt, Özlem Gencer, Emre Okyay, Ferruh Acet.
      Sexual abuse is an important public health problem with the prevalence of 7-36% in women and 3-29% in men. While sexual abuse can be seen at all ages, adolescent pregnancy is an important negative result of sexual abuse in adolescence. Considering the risks of psychosocial stress factors influencing adolescents’ mental health negatively and causing developmental delays, having a child at adolescent age cannot be appropriate for adolescents and adolescents cannot take care of a child or cannot take on the responsibilities of a parent. Due to item 99/6 of Turkish Criminal Code which came into effect in July of 2005, gestation termination can be in the first 10 weeks of pregnancy as a normal legal procedure but if the gestation is the result of a sexual abuse, gestation termination time is extended to the first twenty weeks of pregnancy. Due to Gestation termination and sterilization employments’ implementation and inspection policy guidelines which came into effect as a decision of the Council of Ministers on the 14th of November in 1983; in adolescent pregnant who have mental disorders, gestation termination can be done after first ten weeks because of their mental disorders. This is a case report about the process of gestation termination decision and termination period of a 16 year old pregnant girl with a medication for bipolar disorder and mental retardation, who learnt the pregnancy in its sixteenth week and then consulted to the obstetrics and gynecology clinic for termination of gestation.

      PubDate: Tue, 19 Aug 2014 23:20:45 GMT
       
  • Birth order in children diagnosed with attention deficit hyperactivity
           disorder

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Alper Evrensel, Serdar Alparslan, Özgür Yorbik.
      Objective: Etiopathogenesis of attention deficit hyperactivity disorder (ADHD) has not been elucidated. It has been thought that environmental and genetic factors played a role in it. Perinatal fetal traumas might cause minimal brain damage. Being a first born child is a risk factor in term of exposure to birth traumas. There are few studies which focus on the effect of birth order in ADHD. The present study aims to analyze the birth order characteristics of children with ADHD. Methods: The birth orders of children, 16 females and 49 boys with ADHD were determined with Slater’s Index. Data were compared with the control group. Results: The birth order index of children with ADHD was statistically lower compared to the control group. This result indicates that the firstborn children are more likely to have ADHD. Discussion: The results of this research show first or one of the first born children are more under exposure to perinatal traumas and for those reason minimal brain damages play an important role in etiopathogenezis of ADHD.

      PubDate: Tue, 19 Aug 2014 23:16:14 GMT
       
  • Combining transcranial magnetic stimulation and cognitive-behavioral
           therapy in treatment resistant obsessive-compulsive disorder

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Oğuz Tan, Gökben Hızlı Sayar, Barış Önen Ünsalver, Mustafa Murat Arat, Oğuz Karamustafalıoğlu.
      Abstract Objective: A non-negligible percentage of patients with obsessive-compulsive disorder (OCD) do not respond satisfactorily to treatments. Inpatient cognitive-behavioral therapy (CBT) has provided some relief in even refractory and chronic patients. Repetitive transcranial magnetic stimulation (rTMS) has also provided promising results. However, no studies have combined these two strategies. Methods: Eighteen patients with treatment resistant and chronic OCD who had been hospitalized in order to receive pharmacotherapy, inpatient CBT and rTMS were evaluated on the Yale-Brown Obsession and Compulsion Scale (Y-BOCS) and the Hamilton Depression Rating Scale-17 (HDRS-17). rTMS was applied every day over the left dorsolateral prefrontal cortex for 5 days in a week with parameters of 25 Hz and 1000 pulses. Results: Y-BOCS scores decreased by 59.14%; from 30.72 ± 6.12 at admission to 12.55 ± 7.44 when discharged. HDRS-17 scores decreased by 56.80%; from 18.38 ± 3.94 at admission to 7.94 ± 5.70 at discharge. The mean numbers of rTMS and CBT sessions were 23.28 ± 6.78 and 17.17 ± 5.04 respectively. Discussion: The combination of pharmacotherapy, CBT and rTMS may be effective in treatment resistant and chronic OCD in the short term.

      PubDate: Mon, 11 Aug 2014 10:31:21 GMT
       
  • Neuroacanthocytosis in a psychiatry clinic: a case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Rahime Hülya Bingöl Çağlayan, Gökçen Gözübatık Çelik, Neşe Kocabaşoğlu, Güneş Kızıltan.
      Neuroacanthocytosis (NA) syndromes are a group of genetically defined diseases characterized by peripheral blood acanthocytes, central nervous system as well as neuromuscular symptoms. The clinical presentation of neuroacanthocytosis typically includes chorea and dystonia. Psychiatric and cognitive symptoms may be significant including obsessive–compulsive disorder, depression and schizophrenia-like psychosis (1,2). Here, we aim to discuss a case presented with psychiatric symptoms and orofacial dyskinesia with the diagnosis of neuroacanthocytosis.A 25 year-old man was admitted to our outpatient clinic with depression, tongue biting and a speech disorder alleviated. His symptoms began after the death of his mother one year ago. Psychiatric examination showed that he had depression childish speaking as well as behavioral abnormalities. His history revealed dependent personality disorder. Neurological examination showed chorea, tics in his face and arms and hypotonia in all extremities. His cranial magnetic resonance imaging was normal (Photo), muscle enzymes were elevated, peripheral blood smear showed increased number of acanthocytes. The differential diagnosis was made between chorea-acanthocytosis, McLeod's syndrome and Huntington's disease. The gene analysis for Huntington’s disease was negative, his lipid profile was normal. Symptomatic treatment was commenced.

      PubDate: Fri, 11 Jul 2014 13:42:21 GMT
       
  • Diplopia: a rare adverse effect of citalopram

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Seyed Hamzeh Hosseini, Amirhossein Ahmadi.
      Diplopia is a situation that includes double vision and disruption in daily living. To the best of our knowledge, there has been just one case of diplopia associated with citalopram. Here, we report a case of diplopia following citalopram use in a healthy subject. We believe that patients and physicians should be aware of the potential for diplopia induction by citalopram use and other selective serotonin reuptake inhibitors.

      PubDate: Fri, 11 Jul 2014 13:41:47 GMT
       
  • Social functionality and internalized stigmatization levels of forensic
           psychiatry patients

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Leyla Baysan Arabacı, Ceyda Başoğul, Ayşe Büyükbayram.
      Objective: The aim was to determine the internalized stigma and social functioning levels of the individuals who committed crime and had mental disorder and were treated in forensic psychiatry units of Mental Health and Illnesses Hospitals.Method: This cross-sectional research was carried out between the dates of January and April 2013. It was planned to carry out the research in five hospitals having Forensic Psychiatry Unit in Turkey, but because of two hospital administrations’ disapproval, it was carried out in 3 hospitals. Of the patients treated in those three hospitals (N=109), totally 87 patients participated our research except the patients who had psychiatric symptoms at a level that they couldn’t participate (n=22). Data were collected by talking to the patients face to face. In the research, “Descriptive Information Form”, “Internalized Stigma of Mental Illness Scale (ISMI)” and “Social Functioning Scale (SFS)” were used. In data evaluation, number-percentage distribution was done and the relationship between the variables was examined by t-test, variance analysis and correlation analysis.Findings: 94.3% of the patients were men and their average of age was 37.78±11.12. Patients ISMI and subscale average points were respectively found as xself-stigma= 44.43±12.80 (max:91); Xalienation=14.33±3.58(max:24); Xapprovingliteraljudgements=16.90±3.85(max:28); xperceiveddiscrimination=12.11±2.89(max:24); xsocialwithdrawal=14.34±3.61(max:24) and Xresistagainststigma=13.26±2.03(max:20). SFS subscale average points was found as Xwithdrawal=10.44±2.48; Xinterpersonalcommunication=4.87±2.28; Xindependenceperformance=12.25±6.98; Xindependencecompetence=31.54±8.36; Xhobbies=8.54±4.73; Xinitialsocialactivity=8.23±7.31 and Xjob=4.16±2.60. It was determined that the more self-stigma scale average points increased, the more social functioning average points decreased (P

      PubDate: Fri, 11 Jul 2014 13:41:09 GMT
       
  • Alexithymia in social anxiety disorder: is there a specific relationship
           or is it a feature of comorbid major depression'

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Erhan Ertekin, Ahmet Koyuncu, Banu Aslantaş Ertekin, İlker Özyıldırım.
      Objective: Alexithymia has been extensively studied in the literature regarding its relationship with major depression. However, patients with anxiety related problems also have high alexithymic traits. Our study aimed to assess the presence of alexithymia and clinical variables associated with it in a specific subset of patients with anxiety, namely social anxiety disorder (SAD).Methods: 140 patients with generalized type SAD were assessed by using Toronto Alexithymia Scale-20 (TAS-20), Liebowitz Social Anxiety Scale (LSAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Global Assessment of Functioning Scale (GAF). Participants with TAS-20 scores ≥61 were considered as alexithymic and they were compared with non-alexithymic (TAS-20

      PubDate: Fri, 11 Jul 2014 13:40:35 GMT
       
  • Personality dimensions in patients with social phobia

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Uğur Kolat, Esra Kolat, Selime Çelik Erden, Uğraş Erman Uzun, Rabia Önem Akçakaya, Can Sait Sevindik.
      Objective: In this study, we aimed to evaluate the properties of temperament and character in patients with social anxiety disorder(SAD) compared to healthy controls, who have similiar socio-demographic characteristics. The secondary aim of study is to investigate the relationship between temperament and character in patients with social anxiety disorder with the presence of comorbid depression and disease severity. Method: This study was conducted at the Outpatient Clinic in the Department of Psychiatry of Şişli Etfal Educating and Researching Hospital. 64 patients with social anxiety disorder whose diagnoses were made by DSM-IV and 64 healthy controls were included in this study. Control group were matched to SAD group according to age, gender and educational status. Cloninger Temperament and Character Inventory, Hamilton Depression Scale and Liebowitz Social Anxiety Scale were administered to the participants. SCID-I/CV (Structured Clinical Interview for DSM-IV Axis I Disorder, Clinical Version) was used to evaluate the psychopathology in patients and control groups. Results: With or without comorbid depression, in SAD group HA(harm avoidance) scores were significantly higher compared to healthy controls and this difference was more pronounced in SAD group with comorbid depression. In addition, P(persistence) score was significantly lower in SAD group with comorbid depression compared to healthy controls while RD (reward dependence) score was significantly lower in SAD group without comorbid depression compared to healthy controls. In terms of character traits, SD(self directedness) and C(cooperativeness) scores were significantly lower in both SAD with or without comorbid depression groups compared to healthy controls. SD (self-directedness) score was significantly lower in generalized SAD group compared to non-generalized SAD group where as HA score was significantly higher in generalized SAD group compared to non-generalized SAD group. It seems that there is a linear relationship between the severity of illness and HA(harm avoidance) scores. Discussion: One of the most important findings of this study is that, HA is not only associated with depression, HA significantly rise in SAD patients without depression. Regardless of other temperament parameters HA has a significant effect on the severity of the SAD, and this supports the hypothesis that the serotonergic system plays a significant role on SAD.

      PubDate: Fri, 11 Jul 2014 13:34:21 GMT
       
  • Frontal Lobe Syndrome Developing After Head Trauma: Case Report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Betül Çevik, Ali Yıldırım, Dürdane Aksoy, Erdal Özer, Semiha Kurt.
      Frontal lobe syndrome (FLS) is a clinical picture caused by damages due to reasons like prefrontal cortex cerebrovascular disease, tumor, infection or head trauma and displaying itself through distinct and permanent personality, social adaptation, and behavior changes. A 13-year-old, right-handed male case was in deep coma for 1.5 months after a traffic accident 28 months ago. His brain tomography revealed fractures in right orbital floor and anterior skull base, subarachnoid hemorrhage, right frontal contusion, left frontal epidural hematoma and pneumocephalus. Two months after the accident, case could perform simple commands and was right hemiplegic and motor aphasic. Motor deficit was treated through rehabilitation. His family was complaining about his hoarseness, inattentiveness, forgetfulness, overeating, meaningless crying, itchiness, nervosity, aggressiveness, swearing, and repeating the same sentence. In the examination, he had partial time orientation, intermediate self-care, increased euphoric, psychomotor activity, labile and inappropriate affect, disinhibition, no insight, hoarse voice, foul language, near-far memory disorder and impaired reading, writing, calculating and judging compared to his peers. FLS was considered for the patient. This case was reported since his daily-life activities considerably deteriorated due to FLS remaining as sequellae despite full recovery in deep coma and motor deficit, developing after head trauma.

      PubDate: Fri, 11 Jul 2014 13:33:42 GMT
       
  • Substance use effects on the characteristics of crime and violence in
           criminal male with schizophrenia

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Emrah Çinik, Oya Güçlü, Ömer Şenormancı, Erkan Aydın, Murat Erkıran, Hüsnü Erkmen.
      Objective: The aim of our study is to examine the effects of the substance abuse on criminal and violent behaviors, clinical features of the disease in criminal male with schizophrenia. Methods: Male inpatients with schizophrenia diagnosed according to the DSM-IV criteria who had been hospitalized for observation or mandatory treatment in Bakırköy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery forensic psychiatry unit were participated in the study. Patients with substance use disorders according to the DSM-IV criteria at any time of their lifes and/or at that time were assessed, two groups as patients with substance use disorders (n=50) and patients without substance use disorders were compared using the questionnaire for demographic and clinical characteristics, Positive and Negative Syndrome Scale (PANNS), Schedule for Assessing the Three Components of Insight and Taylor’s Violence Rating Scale. Results: In our study 90% of the patients with substance abuse comorbidity were paranoid subtype. Total number of committed crimes was higher in patients with substance abuse comorbidity. Their crimes involved serious violence included homicide and attempted homicide. They committed crimes mostly against strangers using frequently knives and fire guns. Eighty-eight percent of the patients with substance abuse comorbidity stated that they used cannabinoid and several substances during these crimes. Their PANSS scores were higher. It had been found that they had experienced more physical violence at childhood, more suicidal attempts and self-injury behaviors. Conclusions: Substance abuse co-morbidity in schizophrenia markedly affects the psychopathology, violent behaviors, criminal behaviors and compliance with the treatment. Studies investigating the causal relationship between substance and crime in schizophrenia can be helpful in the development of methods targeting protection.

      PubDate: Fri, 11 Jul 2014 13:21:08 GMT
       
  • The relationship between Nine Types Temperament Model with
           Psychobiological Personality Model and Affective Temperament Model

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Enver Demirel Yılmaz, Görkem Gençer, Özge Ünal, Alp Örek, Ömer Aydemir, Erdem Deveci, İsmet Kırpınar.
      Objective: This study aims to determine Nine Types Temperament Model (NTTM), which is a new temperament model, with Psychobiological Personality Model (PPM) and Affective Temperament Model (ATM) and define the possible relations between categories and dimensions and their degrees of predicting each other. Methods: The sample group consists of 206 healthy volunteers who did not receive any psychiatric treatment in their life and do not have any chronic disease. Structured Clinical Interview for DSM-IV (SCID-I), Structured Clinical Interview for DSM-III-R personality disorders (SCID-II), Temperament and Character Inventory (TCI), Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire Version (TEMPS-A) and Nine Type Temperament Scale (NTTS) were used to collect data. Results: Except for NTM3, NTM8 and NTM9 temperament categories, all NTTS categories have significant correlation with various TCI dimensions at a level r=0.40 and above. Except for NTM1, NTM5 and NTM9 temperament categories, all NTTS categories have significant correlation with various TEMPS-A categories at a level r=0.40 and above. According to the results of regression analyses, it is found that TCI dimensions and TEMPS-A categories can explain 29-63% of variance of NTTS temperament categories. Conclusion: This study indicates that although there are consistent and significant correlations between dimensions and categories of NTTS and the two scales widely used in psychiatry, there are conceptual differences between NTTM, PPM and ATM and temperament categories of NTTM have unique features.

      PubDate: Fri, 11 Jul 2014 13:15:23 GMT
       
  • PTSD among Turkish veterans of the southeast

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Berna Güloğlu, Özlem Karaırmak.


      PubDate: Tue, 01 Jul 2014 05:45:01 GMT
       
  • Cannabis-induced mania in an adolescent

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Taha Can Tuman, Akif Asdemir, Mustafa Baştürk.


      PubDate: Mon, 30 Jun 2014 15:00:09 GMT
       
  • Differences between genders according to psychological and behavioral
           variables among 10th grade students in Istanbul

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Cüneyt Evren, Müge Bozkurt, Arzu Çiftçi-Demirci, Bilge Evren, Yeşim Can, Gökhan Umut.
      Objective: Aim of this study was to determine the gender differences according to psychological and behavioral variables among 10th grade students in Istanbul/Turkey. Methods: Cross-sectional online self-report survey conducted in 45 schools from the 15 districts in Istanbul. The questionnaire included sections about demographic data and school life. Also depression, anxiety, anger, sensation seeking, assertivity and impulsivity subscales of Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on the 4957 subjects. Results: Rate of males was 52.7% (n=2614). Mean age, sensation seeking and impulsivity scores were higher in males, whereas depression, anxiety, anger and lack of assertivity scores were higher in females. Rates of poor school success, disciplinary punishment, absenteeism, truancy before age of 13, physical harm from a friend, physical fight in last year, to bear arms and problem with the law were higher in males, whereas having suicidal ideation or attempt were higher in females. In logistic regression model, school related problems (poor school success, absenteeism and truancy before age of 13), delinquent behavior (physical fight in last year, to bear arms and physical harm from a friend), sensation seeking, and lower depression, anxiety, anger, impulsivity, lack of assertivity, and suicidal ideation differentiated males from females. Discussion: The findings suggest that females have higher psychological problems such as anger, depression and anxiety, which may also be related with suicidal thoughts, whereas males have higher school related and behavioral problems.

      PubDate: Sun, 25 May 2014 09:22:38 GMT
       
  • Mania associated with Zoophilia: A Case Report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Meliha Zengin Eroğlu, Mecit Çalışkan, Elif Topbaş.
      Zoophilia is a type of paraphilia whereby the person gets sexual pleasure in sexual intercourse with animals. There is a paucity in the medical literature on zoophilia. We present a rare case of zoophilia occured in manic episodes. A 68-year-old man who had both zoophilia and irritability, ouditory halucinations, grandiose and mystic delusions was assessed by our clinic. After antimanic treatment abnormal sexual behavior disapperad. Patient had similar paraphiliac symptomes during his previous five manic episodes. Hypersexuality is a common symptom of mania but paraphilia is rarely reported. We recommend that due to the prevalence of this condition, questions exploring the topic should be asked in psychiatric interview.

      PubDate: Fri, 16 May 2014 06:19:50 GMT
       
  • Borders of self injuries behavior

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Alper Evrensel, Orçun Akyol.


      PubDate: Wed, 09 Apr 2014 08:24:54 GMT
       
  • The prevalence and risk factors of substance use among university students
           in Turkish Republic of Northern Cyprus

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ebru Çakıcı, Mehmet Çakıcı, Ayhan Eş, Deniz Ergün.
      Objective: As the age starting using drugs decrease and drug use among young people increase, the prevention programs start to focus on young people who has become most important risk group. The purpose of this study is to determine the characteristics and risk factors for cigarette, alcohol and other psychoactive drug (OPD) use among university students in Turkish Republic of Northern Cyprus (TRNC). Methods: A survey was administered to 1323 university students randomly chosen. The questionaire was designed to obtain data about socio-demographic characteristics of the students, the frequency of their cigarette-alcohol and OPD use and beliefs and attitudes of the students about substance use. Results: 398 (30.3%) of the students were from TRNC, 824 (62.7%) from Turkey and 92 (7.0%) from other countries. The life-time use of cigarette was 69.5% and boys smoked more than girls. Students from Turkey smoked cigarette significantly more often. Life-time use of any alcoholic beverages was 81.0% and the students from TRNC used alcohol significantly more than others. Life-time use of any illicit drug was 10.9% and the ratio was higher for boys. Life-time use of cigarette and life-time use of OPD and gender (being male) were found to be positively associated with the tendency to use illicit drugs. Conclusion: Repeating prevalence studies for substance use among university students at certain intervals will be helpful to follow the changes of substance use rates and determine the substances mostly preferred so that prevention programs can be planned more efficiently. ÖZET (Anadolu Psikiyatri Derg 2014; 15:108-115) Anahtar sözcükler: içme oranı anlamlı olarak daha yüksekti. Yaşam boyu herhangi bir alkollü içecek kullanımı %81.0’dı ve KKTC’li öğrenciler diğerlerine

      PubDate: Wed, 09 Apr 2014 04:44:19 GMT
       
  • To stop or not to stop' Combined use of valproate and
           electroconvulsive treatment

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Gül Eryılmaz, Işıl Göğcegöz Gül, Gökben Hızlı Sayar, Cemal Onur Noyan, Eylem Özten.
      Objective: Clinical decision regarding the combination of valproate and electroconvulsive treatment have been contradictory. Concerns exist that anticonvulsants that are used a mood stabilizers may interfere with seizure during ECT. This report examines the clinical use of concurrent ECT and valproate in full dose and reduced dose for manic episode of bipolar disorder. Methods: We studied the records of 75 consecutive non-epileptic bipolar disorder manic episode patients referred for ECT between the months of April 2010 and July 2013 in an psychiatric hospital. We compared mean stimulus intensity, mean seizure duration, number of ECTs administered and change in Young Mania Scale scores between those who were on full dose valproate, 40% reduced dose valproate and those who were not on valproate or other mood stabilizers. Results: Valproate free group and %40 reduced valproate dose group did not significantly differ in seizure duration (p=0.078) but full dose valproate group had significantly shorter seizure duration than valproate free group (p=0.038). The full dose valproate group had significantly higher number of ECT sessions required. The treatment combination was well tolerated, with no serious adverse events observed in full dose or reduced dose valproate groups. All 75 patients had significantly reduced scores on Young Mania Scale. Discussion: Concurrent use of valproate with ECT in bipolar diorder manic episode seems safe, did not interfere with routine ECT practice, and allowed for transition to maintenance pharmacotherapy. Prospective studies are required to confirm these findings and also to compare cognitive adverse effects.

      PubDate: Tue, 08 Apr 2014 22:09:03 GMT
       
  • White matter lesions in patient with treatment resistant obsessive
           compulsive disorder: a case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Osman Özdemir, Pınar Güzel Özdemir, Vedat Çilingir, Ekrem Yılmaz, Mehmet Deniz Bulut.
      Neurobiological models of Obsessive compulsive disorder (OCD) suggest that there are structural and functional abnormalities in frontal-striatal-thalamic-cortical circuits. These cortical and subcortical microcircuits are physically and functionally connected through the white matter. Therefore, the disrupted white matter microstructure may be implicated in the pathophysiology of OCD. Neuroanatomical studies have reported various regional white matter abnormalities in patients with OCD. In this case, we present subcortical WMHs in a patient with treatment resistant OCD.

      PubDate: Tue, 08 Apr 2014 22:08:18 GMT
       
  • Attachment styles in women with vaginismus

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Özlem Özel Özcan, Birgül Elbozan Cumurcu, Rıfat Karlıdağ, Süheyla Ünal, Elif Aktan Mutlu, Şükrü Kartalcı.
      Objective:Attachment styles reflect individual differences in beliefs about oneself and others, interpersonal functioning and close relationships. This study intended to investigate attachment styles of vaginismus patients. Methods: Our sample was included 56 patients with vaginismus and 51 healthy women. Golombok Rust Inventory of Sexual Satisfaction Scale (GRISS) and Relationship Scales Questionnaire (RSQ) were administered to the patients and healthy control group. Results: The scores of the vaginismus group for secure attachment scores were statistically significantly lower than the healthy control group (p=0.041) while there was no difference between the groups for the fearful, preoccupied and dismissive attachment subscale scores (p= 0.071, p= 0.14, p= 0.114 respectively). GRISS total and subscale scores were statistically higher in women with an insecure attachment style when the total sample as divided into two groups as secure and insecure attached individuals.Conclusions: These findings taken together support the notion that insecure attachment may be an important factor in the pathogenesis of vaginismus.

      PubDate: Tue, 08 Apr 2014 22:06:35 GMT
       
  • Neuropsychologic functions and soft neurologic signs in adult ADHD

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ayşe Nur İnci Kenar, Hasan Herken.
      Objective: Attention deficit hyperactivity disorder (ADHD) is a neuropsychiatric illness and etiopathogenetic studies focus on fronto-striatal circuit. Soft neurologic signs that are used in the investigation of brain function disorders in psychiatric diseases were studied more in childhood ADHD. In the present study, it is aimed to study the neuropsychologic test performances that are sensitive to frontal lobe functions and soft neurologic signs in adult ADHD. Methods: Sixty subjects with ADHD and 60 healthy control subjects aging between 18-60 years were included into the study. Presence of comorbid psychiatric disorder was not investigated in the ADHD group. Neurological examination for soft signs and neuropsychologic tests (Digit span, verbal memory, Stroop task and Wisconsin card sorting test (WCST)) were performed to both groups. Neurological examination for soft signs and neuropsychologic tests of 59 patients and 46 control subjects were regarded as effective and were analyzed statistically. Results: Mean age was 28.93±8.08 years in the ADHD group (59.3% female, 40.7% male) and 32.07±8.11 years in the control group (63.0% female, 37.0% male). Significantly low performance was determined in digit span, verbal memory and Stroop task tests in adult ADHD group according to the control group. No difference was determined in WCST between adult ADHD and control groups. In the neurological examination for soft signs, adult ADHD group had significantly low performance according to the control group in motor coordination and finger-thumb opposition tests. Adult ADHD group had significantly low performance according to the control group in sensory integration and audiovisual integration and extinction tests. Adult ADHD group had low performance according to the control group in memory, synkinesis and gaze impersistence tests in “Others tests”. Discussion: It is implied that ADHD is common in childhood and its symptoms decrease in adulthood. It is also thought that a functional defect continues in frontal lobe, cerebellum, parietal lobe and/or in fronto-striatal pathways that provide associations between each other and this may affect the prognosis and treatment of the disorder.

      PubDate: Mon, 24 Mar 2014 03:02:26 GMT
       
  • Prevalence, psychiatric comorbidity, and quality of life in patients with
           bipolar disorder in Sivas province

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Özgür Özdemir, Orhan Doğan.
      Objective: The aims of this field research are to investigate the prevalence rates, psychiatric comorbidity, and quality of life in patients with bipolar disorders (BD) in Sivas province. Methods: One thousand and four hundred-six people from 510 houses that represent of Sivas province constituted the sample of this research. Sociodemographic Information Form, Structural Clinical Interview for DSM-IV Axis I Disorders, Clinical Version (SCID-I), Structural Clinical Interview for DSM-III-R Axis II Personality (SCID-II), and 36-Item Short-Form Quality of Life (SF-36) were applied to the sample. Data are evaluated using chi-square test and Mann Whitney U test. Findings: The lifetime prevalence rate of BD was 0.71%, for BD-I was 0.43%, for BD-II and cyclothymic disorder was 0.14%. According to SCID-I, anxiety disorders (psychiatric comorbidity) was found to be 30% of patients, and personality disorder was found to be 50% according to SCID-II. The points of physical role difficulties, general health, social functionality, and emotional role difficulties subscales of SF-36 were found significantly lower in patient group than control group. Discussion: The prevalence and psychiatric comorbidity was similar to other countries. BD has been affected quality of life of patients as negative. It may given useful knowledge that a field research with represented Turkey.

      PubDate: Mon, 24 Mar 2014 03:01:09 GMT
       
  • Metacognitions in panic disorder

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ömer Böke, Ozan Pazvantoğlu, Zehra Babadağı, Esra Ünverdi, Rukiye Ay, Eda Çetin, Ahmet Rifat Şahin.
      Objective: Metacognitions can be effective in occurrence and maintaining of mental illnesses. The objective of this study is to reveal the metacognitions in patients with panic disorder (PD) and to investigate the relations between metacognitions and clinical features in PD. Methods: Eighty-four patients with panic disorder and sixty-five healthy controls were enrolled to the study. Metacognition Scale (MCQ), Panic Agoraphobia Scale (PAS) and Beck Anxiety Inventory (BAI) were applied to PD patients. MCQ were applied to control group. Results: It was detected that PD patients, compare to healthy controls had more dysfunctional metacognitions and they were using more ‘uncontrollability and danger’ metacognition in large effect size, where as ‘the need to control thoughts’ in moderate effect size than healthy control. Significant mild degree positive correlation was found between total score of PAS and ‘uncontrollability and danger’ subscale of MCQ. In subscale of PAS only anticipatory anxiety was significantly correlated with metacognitions. This correlation was between anticipatory anxiety with ‘uncontrollability and danger’ and ‘need to control thoughts’ metacognitions in positive direction, mild degree. Also significant correlations between BAI with ‘uncontrollability and danger’, and ‘the need to control thoughts’ and total score of MCQ were found. Discussion: Dysfunctional metacognitions were high in PD patients. In PD ‘uncontrollability and danger’ and ‘need to control thoughts’ have important role. There was a mild but significant correlation with these two metacognition and anticipatory anxiety.

      PubDate: Mon, 24 Mar 2014 02:59:41 GMT
       
  • Restless legs syndrome in a bipolar disorder patient treated with low dose
           olanzapine: is there an association'

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Şadiye Visal Buturak, Duygu Tiryaki, Ersel Dağ, Yakup Türkel.
      Objective: To report a case of restless legs syndrome (RLS) in a patient with bipolar disorder (BD) caused by olanzapine. Case: A female patient was diagnosed with mixed episode of BD. Olanzapine 10 mg/d was added to the extended release valproic acid 1000 mg/d treatment that the patient was using. In the next day after the beginning of olanzapine, itching, aching and tingling sensations begun in her legs at rest. She was diagnosed as RLS caused by olanzapine. Then the dose of olanzapine gradually reduced. But the symptoms were continuing at the dose of 2,5 mg/d. RLS symptoms disappeared in the next day after discontinuation of olanzapine. Discussion: One of the causes of RLS is antipsychotic drugs. It is not clear, how often antipsychotic drugs caused RLS. Again it is not clear that antipsychotic drugs are caused dose-dependent RLS. Mostly case reports on this topic are available. Further systematic studies on this topic will help us to diagnose the RLS correctly and apply appropriate treatment. Conclusion: Further studies are needed about antipsychotic drugs induced RLS.

      PubDate: Mon, 24 Mar 2014 02:58:06 GMT
       
  • Feelings, thoughts and attitudes of high school students toward school
           bullying and the bullies

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Selma Tural Hesapçıoğlu, Habibe Yeşilova.
      Objective: To evaluate factors like thoughts toward bullying and bullies, effects of bullying on their lives and school interest’s, types of bullying which they exposed to or applied in view of high school students. Methods: Total 1432 students completed Bullying Questionnaire. In this questionnaire it is asking to victims: types and frequency of bullying which they exposed to, where, when and by who they exposed to, what they felt and done after bullying, what they feel about bullying in generally. Then it is asking to bullies: types and frequency of bullying which they applied, what they felt after bullied others, why they bully others. In the third level there are questions about bullying in schools and school climate. Results: %27,7 of the participants declared that bullying is a very important problem in their schools, %54,7 feel indisposed because of bullying in their schools, %21,3 afraid to come to school because of bullies. %27,3 of the victims declared that they exposed to bullying because of jealousy. %42,8 of the bullies declared that they bully others because others deserve punishment. Type of bullying which most exposed (92,1%) and applied (88,3%) is verbal bullying; second frequent exposed (77,5%) and applied (76,4%) type is physical bullying. Most of students exposed to bullying in the classrooms (%47,0). Students implied that they seldom communicate with their teachers and school directors about bullying which they exposed to in schools. Comment: Bullying is one of the challenging problems in recent education system, affects some students’ lives more than others. In this point school climate and interventions of school direction about bullying become important. Rates of sharing this matter with school directors are low between high school students. The needs of school directors’ and teachers’ guidance, counseling and encouragement to students for collaboration about bullying are coming out.

      PubDate: Mon, 24 Mar 2014 02:54:56 GMT
       
  • Temperament and Personality Traits of Bipolar Disorder I Patients Comorbid
           with Adult ADHD

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Nihan Oğuz, Timuçin Oral, Mehmet Oğuz.
      Objective: Temperament and personality in bipolar I patients have been studied but temperament and personality in bipolar I patients comorbid with adult ADHD have not been studied. The aim of this study was to determine the effect of ADHD on the temperament and personality of bipolar I patients in remission. Materials and Method: Patients with a bipolar I disorder diagnosis (n=121) (female 71, male 50) were matched with control group with no known psychiatric illness (n=100 female 55 male 45) according to age, sex, education were recruited from consecutive admissions. Information about the characteristics of patients and control group were obtained from sociodemographic form, SCID-I, SCID-II. All patients were interviewed for the presence and history of current adult and childhood ADHD diagnosis. The subjects also completed the Adult ADD/ADHD DSM-IV Based Diagnostic and Screening Rating Scale Turkish version and the Turkish version of TEMPS-A scale. Results: Adult ADHD diagnosis were observed in bipolar I patients with 22.3% (n=27) and in control group with 8% (n=8). The mild depressive and anxious temperaments were observed in bipolar I patients. The bipolar patients comorbid with adult ADHD were observed to have moderate/severe episodes, earlier and longer maintenance treatment periods. Both groups didnot differ in terms of temperament. Antisocial personality disorder were observed only in bipolar I patients comorbid with adult ADHD. Conclusion: Bipolar I disorder comorbid with adult ADHD has significant clinical implications which may relate to a personality disorder. This may be due to the influence of ADHD on bipolar I disorder.

      PubDate: Mon, 10 Mar 2014 09:34:18 GMT
       
  • Delusions and their formation

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Orhan Doğan, Hülya Turgut.
      Delusions are a product of thinking disorder. They are main importance in diagnosis of psychotic disorders. It has some discusses that how is being delusion formation, while the definition of delusion is very clear. It is necessary to understand the inner world of a patient with psychotic disorder for recognize to him/her. In order to understand the delusions, it is necessary to obtain some knowledge those meanings of the delusions, their formation what conditions, the relations between patient’s inner state and thinking functions, meeting what needs of patient. The knowing the delusions and their contents have influence on psychotic disorders and their outcomes. In this article, the definition, history, types, features and the formation theories of delusion have been reviewed. It has been thought that these knowledge are important from aspects such as to understand the patients, make diagnosis correctly, to apply favorable alternative treatments, to diminish disability depend on psychotic disorder.

      PubDate: Mon, 10 Mar 2014 09:32:51 GMT
       
  • Using antipsychotic drugs in patients with chronic psychosis

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Hülya Turgut, Ayşe Yıldırım.
      Objective: Nonadherence to treatment is an important problem in patients with chronic psychosis. Nonadherence to drug treatment is common. The aims of this study are to determine the drugs that patients with chronic psychosis use, to investigate the relations among drugs and some variables, and to do inference for future. Methods: One hundred and fifteen patients formed an example of 125 patients that registered to Bilecik Community Mental Health Center. The Sociodemographic and Clinical Information Form and the Structured Clinical Interview for DSM-IV Axis I Disorders/SCID-I are applied to the patients. In the statistical assessment, Student’s t test, chi-square test, mean value, and percentage were used. Findings: It has been found that the second-generation antipsychotic drugs have been used too many for every sociodemographic feature. Thirty percent of 115 patients have been used depot/long action antipsychotic drugs. Forty-seven percent of 115 patients have been evaluated themselves as better than last year. Result: It has been suggested that must be taken pains to the issues such as effectiveness, side effects, using easiness, being cheap in choosing antipsychotic drugs to increase patients’ adherence to drug treatment.

      PubDate: Mon, 10 Mar 2014 09:32:24 GMT
       
  • Comparison of temperament and clinical features of bipolar disorder
           patients with and without suicide attempt history

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Serhat Tunç, Yelda Yenilmez, Kürşat Altınbaş.
      Objective: Suicide attempt is quite frequently encountered in the course of bipolar disorder (BPD). In recent years many studies were conducted for examining the relationship between temperamental characteristics and clinical characteristics of patients with BPD. The aim of this study is to compare the specific temperament features and clinical features of BPD patients with and without a history of suicide attempt (SA) to test the hypothesis that depressive, cyclothymic and irritable temperament scores are higher in bipolar patients with suicide history. Methods: We enrolled a total of 100 patients, 50 of them with a history of SA, 50 without at Bakırköy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery. All patients were diagnosed according to DSM-IV-TR criteria for 'Bipolar Disorder in Remission' and signed a written informed consent before study entry. Sociodemographic data were collected and temperament was assessed by the means of TEMPS-A. Results: Depressive, cyclothymic and irritable temperament scores were significantly higher in BPD patients with SA than in those without. Moreover cigarette and alcohol consumption, family history for psychiatric illness, presence of other psychiatric illnesses, history of childhood trauma, episode duration, history of hypo/manic switch were also significantly higher in the group with than without SA. Discussion: Our study confirmed other findings reported in the literature on risk factors associated with suicide behavior. In addition, we also found that depressive, cyclothymic and irritable temperament scores are higher in patients with SA. The assessment of temperament could be added in the evaluation of patients in order to predict possible suicide behavior.

      PubDate: Mon, 10 Mar 2014 09:31:21 GMT
       
  • Hyperprolactinemia connected with venlafaxine: a case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Esra Yancar Demir, Özgül Gözlükaya, Hülya Olgun Yazar.
      Venlafaxine is a serotonin and noradrenaline reuptake inhibitor (SNIR) agent. Besides serotonin and noradrenaline reuptake inhibition effect it has also little effect on dopamine reuptake inhibition. The power of reuptake inhibition is dose dependent. The serotonin and noradrenaline reuptake inhibitors like venlafaxine have very rare side effects on reproductive and endocrine systems. The literature reveals only one case about venlafaxine causing galactore and two cases of dose related rise in prolactin levels. In this paper, we report a 70 years old female patient with vascular dementia. She had received 20 mg/day escitalopram treatment because of depressive mood but had no benefit. We changed the medical treatment to 75 mg/day venlafaxine and not having proper answer, we raised the dose to 150 mg/day. As soon as the dose was titrated up, the patient started to have symptoms like nausea, vomiting, weight loss and sleepiness that were progressive day by day. Upon investigation of the possible cause of the symptoms, hyperprolactinemia was identified and the mechanisms leading to hyperprolactinemia were further investigated. Magnetic resonance imagings for adenomas were free of proof. Then the drugs used by the patient were evaluated. Venlafaxine was the only possible suspect as the symptoms started after its administration and the dose of the drug was reduced to 75 mg/day and the laboratory showed a decrease in prolactin levels to normal. Data presented in this report is consistent with the previous case reports about dose related elevations of prolactin levels. With this case report, we wanted to attract the attention to a very rare adverse effect of venlafaxine that is believed to be dose related and try to find answers about the possible mechanisms.

      PubDate: Sat, 01 Mar 2014 13:26:46 GMT
       
  • Postictal psychosis and aripiprazole treatment in an adolescent with
           epilepsy and mild mental retardation: Case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Serkan Karadeniz, Mutlu Karakuş, Büşra Duran, Canan İnce, Sema Kandil.
      In patients with epilepsy, psychotic symptoms are divided into three groups as ictal, interictal and postictal according to their occurence time. In this case, a 16 years-old boy who had an intracranial hemorrhage when he is 1,5 months-old followed up in the Pediatric Neurology Department with epilepsy; in the last three weeks , after the epileptic seizures visual-auditory halucinations, persecution, delusions and disorganized behavior detected. Patient's epilepsy treatment is reorganized by Pediatric Neurology Department but because of persistent psychotic symptoms and seizures he is consulted to Child and Adolescent Psychiatry. According to patient's psychiatric and psychometric examination, aripirazole 2,5 mg/day treatment started, after three days the dose increased to 5mg/day and at the end of one week the dose increased to 7,5mg/day. After 10 days at the first polyclinic control, despite the existing seizures, the psychotic symptoms and disorganized behavior disappeared. In the literature case reports about some antipsychotic drugs used for treating PIP symptoms are reported but there is no information about aripiprazole treatment. This point makes this case important.

      PubDate: Sat, 01 Mar 2014 13:25:45 GMT
       
  • A pica case associated with suicide-bereavement

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      İnci Meltem Atay.
      Pica is defined as the consumption of non-edible substances for at least one month. Although there are reports about the causes of pica accusing nutritional deficiencies and psychosocial stress, the etiology and treatment protocols still remain unclear. In this case, a patient with pica accompanied by serious psychiatric and medical comorbidities which occur after witnessing a suicide during adolescence is described firstly in the literature.

      PubDate: Sat, 01 Mar 2014 13:25:00 GMT
       
  • Pedophilia from the viewpoint of forensic medicine associated with a case

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Alper Evrensel, Aytekin Özşahin.
      Pedophilia, even though rare, is a disorder that requires further examination due to accompanying social, medical, ethical and legal problems. This case report evaluates the clinical presentation and forensic aspects of a patient, who had been punished for his pedophilic behaviors before, and asked for forensic observation due to a similar type of crime.

      PubDate: Sat, 15 Feb 2014 13:41:42 GMT
       
  • Seroprevalence of Hepatitits B, Hepatitits C, HIV and Syphilis infections
           among non-injecting drug users

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Elif Aktan Mutlu, A. Ender Altıntoprak, Levent Tokuçoğlu.
      Objective: While injection drug use is clearly a significant risk factor for the acquisition of certain infectious diseases, non-injection drug users (NIDUs) may also have higher risk than the general population, due to their involvement in risky behaviors. This study aimed to examine the prevalence of anti-HIV, anti-HCV, and HBsAg and VDRL seropositivity among a sample of non-injecting drug users. Methods: Medical records of the drug users who attended to our psychiatry clinics between April 2010 and April 2011 were reviewed and 55 non-injecting drug users without a previous history of intravenous drug use were identified. Anti-HIV, anti-HCV, HBs-Ag and VDRL assay results have been extracted and seroprevalence rates were calculated. Results: All but one NIDUs were male (n=54; 98. 2%); 28 (50.9%) were between 15 and 25 years of age. Serologically, only one patient (a heroin user) was tested positive for HBsAg (1.81%) and one patient (a heroin user) was anti-HCV positive. None of the patients screened for anti-HIV or VDRL were tested positive. Conclusions: This study found low seropositivity rates for HBV, HBC, HIV and VDRL among a group of NIDUs, which might be related to the cultural characteristics of the region.

      PubDate: Sat, 15 Feb 2014 13:36:40 GMT
       
  • A cross-sectional analysis of patient characteristics and practice
           patterns in the management of bipolar disorder across Turkey

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Mustafa Bilici, Sermin Kesebir, Evrim Özkorumak, Ömer Yanartaş, Sema İşitmez, Ali Saffet Gönül.
      Objective: Bipolar disorder (BD) is one of the leading causes of disability among medical and psychiatric disorders associated with prevalent, chronic, severe and highly disabling characteristics. This study was designed to identify clinical characteristics and practice patterns in the management of outpatients with BD across Turkey. Methods: This multi-center cross-sectional study involving 1001 patients diagnosed with using DSM-IV criteria was conducted prospectively at 31 outpatient psychiatry clinics for 12 months. Patient demographics, clinical features, family history, comorbid psychiatric disorders, and the treatment modalities were assessed by means of semi-structured questionnaire. Results: Age at the onset of symptoms was 26.7±9.8 years, age at diagnosis was 28.9±10.4 years, and the time interval between them was 2.2 (4.7) years. Misdiagnosis prior to current diagnosis was evident in 40.3% of bipolar patients. The most common type of first episode was mania (57.1%) and depression (34.5%). Comorbid psychiatric illness was identified in 12.0% of patients. Only 10% of patients were receiving monotherapy. The most commonly prescribed drugs for depressive, manic and mixed episodes were lithium, sodium valproate and quetiapine, respectively. Conclusion: The time interval between onset of symptoms and the initial diagnosis in Turkish sample was quite shorter than reported in the literature. The misdiagnosis rate in the present study and recent studies were similar. A low comorbidity rate appears to indicate a lower prevalence of comorbid disorders in BD in Turkish sample. Lithium, sodium valproate and atypical antipsychotics were more commonly used drugs in the treatment of BD in Turkey.

      PubDate: Sat, 15 Feb 2014 13:31:29 GMT
       
  • Misconceptions and myths about cognitive-behavioral therapy among
           psychiatrists and psychiatry residents

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Erhan Ertekin, Berk Murat Ergun, Mehmet Zihni Sungur.
      Objective: Cognitive-behavioral therapy (CBT) is a widely used form of psychotherapy. Despite its well established efficacy for various psychological problems, it is surrounded by numerous false beliefs and myths. Some of these myths are not only common in clients, but are also shared by clinicians working in the area of psychiatry. Therefore, this study primarily aimed to detect the myths related to CBT that are common among psychiatrists and psychiatry residents in Turkey and in a sample of non Turkish European psychiatry residents. Methods: A questionnaire was developed by the researchers to detect the participants’ opinions on the following variables: personal interest in psychotherapy, CBT training available in the institution they work and formal training through courses, the effectiveness of CBT on various psychiatric disorders and some of the common myths and misconceptions about CBT. A total of 140 participants -73 psychiatry trainees, 33 young psychiatrists from Turkey and 34 members of The European Federation of Psychiatric Trainees (EFPT) from different European countries who were in Turkey for the annual forum of EFPT- completed the questionnaire. Results: The data revealed that only 32.1% of participants have education / training on CBT in their psychiatry training programs and only 2.9% of the whole study group rated CBT training in their institution as ‘sufficient’. 40.7% of participants (n:57) reported that CBT is the type of psychotherapy they are most interested in. CBT was seen as a treatment primarily for anxiety disorders but not in more severe disorders such as schizophrenia, bipolar and personality disorders. 37.1% of the participants declared that they think CBT should not be used for patients with schizophrenia whereas the other two conditions in which CBT regarded as ‘should not be used’ by a significant number of participants were bipolar disorder and personality disorders (28.6% and 22.9% respectively). Conclusions: The findings of the study indicate the need to evaluate alternative and better ways of promoting CBT in order to reduce misunderstandings and improve good practice amongst professionals working in the area of psychiatry. The findings indicate the need to promote CBT and increase awareness for possible misconceptions and myths that have grown up around CBT. This will help reduce myths and misconceptions about CBT. Therefore it will also improve good practice amongst psychotherapy professionals and motivate purchasers and clients to demand help for a wide range of psychological problems that CBT may be effective as a means to reduce suffering.

      PubDate: Sat, 15 Feb 2014 13:10:16 GMT
       
  • A female adolescent with factitious disorder presenting neurological and
           psychiatric symptoms: case report

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Özhan Yalçın.
      The essential feature of factitious disorder is the deliberate falsification and fabrication of medical or psychological symptoms in oneself or others without obvious external rewards. The DSM-V and seperated factitious disorder in two subcategories entitled with “factitious disorder imposed on self” and “factitious disorder imposed on another”. There has been increasing recognition and awareness of “Munchausen by Proxy” in the last two decades for pediatric patients with inexplicable, dramatic or rare sign and symptoms. However as a result of similar prevalance rates with adult population and early onset of the disorder, “factitious disorder imposed on self” subcategory must be also considered in the pediatric patients with inexplicable symptoms and unknown etiology. In this case report, an adolescent female patient diagnosed with factitious disorder presenting signs of temporal lobe epilepsy and obsessive compulsive disorder, is going to be presented.

      PubDate: Sat, 15 Feb 2014 13:09:07 GMT
       
  • The Validity and Reliability of Modified Leymann Inventory of
           Psychological Terror

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Oznur Korukcu, Okan Bulut, Ayla Tuzcu, Zeliha Bayram, Hafize Ozturk Turkmen.
      Objective: The aim of this study was to investigate the factor structure and psychometric qualities of the modified Leymann Inventory of Psychological Terror scale. Methods: A sample of 270 health sciences employees from Turkey was given the modified Leymann Inventory of Psychological Terror. Confirmatory factor analysis (CFA) was conducted to examine the dimensional structure. Internal consistency of the dimensions was assessed using Cronbach’s alpha. Also, the invariance of the scale across male and female participants was tested. All CFA analyses were conducted in Mplus 6. Lastly, the level of mobbing that academic employees were being exposed was examined. Results: The Cronbach’s alpha value was above 0.80 for all dimensions. The original model was modified based on the modification indices. Fit statistics for the modified model were satisfactory. The Tucker-Lewis Index (TLI), and comparative fit index (CFI) indices are both greater than 0.90 for both the original and modified models but the modified model had a better fit. Conclusion: The six-dimensional structure from the modified LIPT seems invariant across male and female participants.

      PubDate: Sat, 15 Feb 2014 13:08:26 GMT
       
  • Quetiapine Induced Hair Loss in an Adolescent Case

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Kemal Utku Yazıcı, İpek Perçinel.
      Hair loss is a frequently seen side-effect of psychotropic medicaments. Beside the psychotropic medicaments valproic acid and lithium, mostly blamed for alopecia, also cases due to use of antidepressants and typical/atypical antipsychotics have been reported. However, studies on alopecia caused by atypical antipsychotic drugs is scarce and limited by case reports. In this paper, a 16-year-old adolescent patient developing diffuse alopecia associated with use of quetiapine and recovering after cessation of the medicament is presented. As far as we know, this is the first case reporting quetiapine-associated alopecia in an adolescent.

      PubDate: Sat, 15 Feb 2014 13:07:08 GMT
       
  • Menarche age in schizophrenia

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Esin Evren Kılıçaslan, Almıla Erol, Burçak Zengin, Ferdi Köşger, Sezen Türkoğlu, Betül Eliküçük, Levent Mete.
      Object: Interest in the association between female sex hormones and mental diseases is not new. A possible association betweeen schizophrenia and estrogens is remarkable. Research on the subject suggested that, women with schizophrenia have chronic gonadal hypofunction and hypoestrogenism. With regard to the hypotesis claiming; insufficient functioning of the sexual glands and estrogen defficiency in women with schizophrenia, the onset of the puberty may be later. In this study,our aim is to examine whether there is difference between women with schizophrenia and mentally healty women considering the age at menarche. Methods: In this study, we included 289 patients who were diagnosed with schizophrenia and 339 mentally healty individuals from the internal medicine outpatient clinic as control group. SCID-I is used to confirm the disorder in schizophrenia group, and to exclude any mental ilness in the control group. Those with mental retardation or organic brain disorders were excluded from the study. Individuals personal information and age at menarche is determined with a sociodemografic form in consultation with the patient and a relative. Results: Compared to controls, the mean age at menarche was higher in women with schizophrenia, but this difference is not statistically significant. Discussion: This supports hypothesis that hypoestrogenism in women with schizophrenia may be caused by neuroleptic treatment. However the participation of the internal medicine patients instead of the healty controls is the limitation of our study. Internal diseases may have influence on the onset of puberty.

      PubDate: Sat, 15 Feb 2014 13:06:26 GMT
       
  • Association of body mass index with depression and alexithymia

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Arda Karagöl, Gamze Özçürümez, Aslı Nar, Nilgün Taşkıntuna.
      OBJECTIVE: Association between body mass index (BMI) and mental disorders had long been investigated. Recent researches declare a relation between obesity and depressed mood as well as clinical depression. On the other hand mental disorders such as alexithymia are also found to be correlated with an increased risk of obesity. Therefore we aimed to evaluate depression and alexithymia together among normal, overweight and obese adults in order to assess what kind of an association is there between BMI, depression and alexithymia. Additionally we investigated whether there was a relationship between psychosomatic disorders and alexithymia. METHOD: We enrolled 100 adults, aged between 18 to 67 from Department of Endocrinology out-patient clinic whom had normal levels of TSH, fT3 and fT4 thyroid hormones and formed 3 groups according to their Body Mass Index (BMI). Individuals who had had BMI between 18.5-24.99 formed the normal, BMI between 25-29.99 formed the overweight and BMI 30 and above formed the obese groups. All three groups were evaluated by Composite International Diagnostic Interview (CIDI) for clinical diagnosis and also given Toronto Alexithymia Scale 26 item (TAS-26) as well as Beck Depression Inventory (BDI). RESULTS: There was a positive relation between BMI and current depressive episode and this finding was stronger in women. There was no such relation with lifelong depression. TAS-26 total and subscale scores revealed no difference between three groups. As BDI total scores got higher TAS-26 scores were higher. Hence there was a strong positive relation between depression and alexithymia. CONCLUSION: Our findings indicate that higher BMI increases current depressive episode. No association is found between BMI and lifelong depression. Depression and depression severity are strongly associated with alexithymia. Contradictive with literature, alexithymia and its severity are not found to be related with BMI. Following overweight and obese indviduals is important to offset the adverse outcomes of depression.

      PubDate: Sat, 15 Feb 2014 12:56:30 GMT
       
  • Internet and Information

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Orhan Doğan.


      PubDate: Sat, 08 Feb 2014 22:59:02 GMT
       
  • Southeast veterans and post-traumatic stress disorder

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Barbaros Özdemir, Taner Öznur, Cemil Çelik, K. Nahit Özmenler.


      PubDate: Sat, 08 Feb 2014 22:53:50 GMT
       
  • Repetitive transcranial magnetic stimulation

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Onur Durmaz.


      PubDate: Sat, 08 Feb 2014 22:51:26 GMT
       
 
 
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