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Journal Cover Anatolian Journal of Psychiatry
  [SJR: 0.15]   [H-I: 10]   [3 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1302-6631
   Published by ScopeMed Homepage  [98 journals]
  • Antipsychotics, chlorpromazine and recurrent priapism: a review over a

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Demet Sağlam Aykut, Evrim Özkorumak Karagüzel, Ersagun Karagüzel.
      Priapism is a rare urological emergency characterized by painful erection exceeding 4-6 h and generally occurring independently of sexual desire and sexual relations. The etiology is broad and various. The ischemic type represents 95% of all cases of priapism. No cause is determined in 60% of cases of ischemic priapism, while hematological diseases, a history of drug use, malignity or a history of neurological disease can be identified in 40%. The drugs most commonly associated with priapism are antipsychotics, antidepressants, anticoagulants and antihypertensives. Although antipsychotic agents are implicated in 15-26% of cases of priapism, the mechanism involved in drug-associated priapism is unclear. The peripheral alpha 1 blocking activities of psychotropic agents or central serotonin-like activities are, however, implicated. The phenothiazine group antipsychotic agents chlorpromazine and thioridazine have the highest alpha adrenergic activity and are the antipsychotics most reported in association with priapism. Chlorpromazine is an antipsychotic with high alpha 1 antagonistic activity, and cases of priapism associated with use of chlorpromazine at varying doses and for varying durations have been reported. In this case report, the priapism in the patient with schizoaffective disorder is associated with intramuscular injection of chlorpromazine, in this regard the priapism cases and predictive factors in the literature is reviewed for the aim of increasing the sensitivity of clinician across the adverse effects of drugs and the importance of adequate psychiatric history and medical history taking and registering adverse effects of drugs is emphasized.

      PubDate: Sun, 02 Oct 2016 12:31:57 GMT
  • Relation between early maladaptive schemas of adolescents and depressive

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Sebla Gökçe, Arzu Önal Sönmez, Canan Yusufoğlu, Yasemin Yulaf, İbrahim Adak.
      Objective: The aim of this study is to investigate relation between depressive disorder and early maladaptive schemas of adolescents and to compare early maladaptive schemas of adolescents diagnosed with depressive disorder with schemas of adolescents diagnosed with other psychiatric disorders. Methods: Eighty adolescents with depressive disorder and 138 adolescents with other psychiatric disorders who had been diagnosed through Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) between January-May 2016 in Erenköy Research and Training Hospital for Psychiatry and Neurology Child and Adolescent Outpatient Clinic were enrolled in this study. The sociodemographic form of the patients was filled out by the clinicians. The early Maladaptive Schema Questionnaires Set for Children and Adolescents was filled out by adolescents. Results: There were 145 females and 73 males in the study. The mean age of the adolescents was 14.8 (11-18 years old). The control group was consisted of attention deficit hyperactivity disorder, anxiety disorders, obsessive compulsive disorder, conduct disorder, oppositional defiant disorder and post-traumatic stress disorder. Defectiveness/shame, mistrust/abuse, emotional deprivation, abandonment/instability, failure, non-self-approval, negativity/pessimism schema scores were significantly greater in adolescents diagnosed with depressive disorder than the control group. There was a statistically significant relation between the schemas of defectiveness/shame, mistrust/abuse, abandonment/instability, non-self-approval and depressive disorder in regression analysis. Discussion: Adolescent depressive disorder, frequently a missed diagnosis that when not treated can lead to health problems such as suicide, drug abuse and obesity, is accepted as an important public health issue. Consistent with literature, schemas under the title of disconnection and rejection and other directedness are related with the depressive disorder in adolescence and associated with the relationship of the primary caregivers and the children. Revealing maladaptive schemas and focusing on these schemas is important in adolescence depressive disorder treatment.

      PubDate: Sun, 02 Oct 2016 12:30:30 GMT
  • Facial edema after olanzapine addition to sertraline: a case report

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Behice Han Almış, Mustafa Çelik.
      Although facial edema due to drugs is common especially with calcium channel blockers, beta blockers, non-steroidal anti-inflammatory drugs, and several hormonal drugs they can rarely occur with new generation antipsychotics. There are case reports with olanzapine especially as peripheral edema. In literature two relatively young cases who developed facial edema with olanzapine have been reported. We present a 72 year old female patient with major depression who developed facial edema after addition of olanzapine 2.5 mg/day to sertraline. Olanzapine treatment in the elderly should be carefully decided because even small doses of olanzapine may increase risk of edema.

      PubDate: Sun, 02 Oct 2016 12:29:11 GMT
  • Psychometric properties of the Turkish Versions of Perceived Deficit
           Questionnaire - Depression and British Columbia Cognitive Complaints

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Ömer Aydemir, Fikret Poyraz Çökmüş, Fatma Akdeniz, Didem Sücüllüoğlu Dikici, Kuzeymen Balıkçı.
      Objective: In major depressive disorder, both during acute episode and in remission neurocognitive symptoms endure, but are underrated. The aim of this study is to demonstrate reliability and validity of the Turkish versions of Perceived Deficit Questionnaire - Depression (PDQ-D) and British Columbia Cognitive Complaints Inventory (BC-CCI) which are useful in the subjective assessment of neurocognitive symptoms in major depressive disorder. Methods: Turkish forms of the instruments are obtained after the translation and back-translation procedure. Thereafter, 50 in- or outpatients diagnosed with major depressive disorder, and 150 healthy volunteers for conducting the factor analyses and 68 healthy age- and education-matched controls for performing the group comparisons were included in the study. Beside the study instruments, Digital Symbol Substitution Test (DSST) used in the objective assessment of neurocognitive symptoms is applied. Results: The mean age of major depressive disorder group (n=50) was 37.5±11.4 and of healthy control group for the factor analyses was 23.4±5.5 and of that for the group comparisons was 35.4±9.9. Cronbach alpha coefficient of BC-CCI was 0.93 and item-total score correlation coefficients were between 0.69-0.85. Cronbach’s alpha coefficient of PDQ-D was 0.96 and item-total score correlation coefficients were between 0.52-0.91. In the factor analysis of both instruments, one factor solution was obtained. The correlation between BC-CCI and DSST was r=0.40, and for PDQ-D it was r=0.41. Both BC-CCI and PDQ-D significantly differentiated major depressive disorder group from healthy control groups. Conclusion: These results suggest that the Turkish forms of Perceived Deficit Questionnaire - Depression (PDQ-D) and British Columbia Cognitive Complaints Inventory (BC-CCI) are practical in the assessment of neurocognitive symptoms of major depressive disorder and can be used reliably and validly both in studies and in daily practice.

      PubDate: Sun, 02 Oct 2016 12:08:42 GMT
  • Assessment of psychosocial features and quality of life of typically
           developing siblings of children who diagnosed with autism spectrum

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Murat Eyüboğlu, Burak Baykara, Damla Eyüboğlu.
      Objective: The aim of this study is to compare typically developing siblings of children, who were diagnosed with autism spectrum disorder (ASD), with typically developing children matched by sociodemographic characteristics, in terms of psychosocial features and quality of life. Methods: Forty-one typically developing siblings of 41 cases who diagnosed autistic disorder, Asperger disorder and pervasive developmental disorder-not otherwise specified according to DSM IV-TR and 43 controls of typically developing controls, who has no history of any psychiatric disorder in their family, were included. Psychiatric diagnostic interview were applied to all children who admitted to the study. Strengths and Difficulties Questionnaire and Pediatric Quality of Life Questionnaire were applied to case and control groups. Childhood Autism Rating Scale and Pediatric Quality of Life Questionnaire-parent form and Strengths and Difficulties Questionnaire-parent form were applied to parent of case and control groups. Results: The physical health total scores, emotional functioning scores, psychosocial health total scores and total scores of Pediatric Quality of Life Questionnaire and prosocial subscale scores of Strengths and Difficulties Questionnaire were significantly lower in case group. Conclusion: It can be considered that even typically developing siblings of children who diagnosed with autism spectrum disorder have no psychiatric diagnosis according to international diagnostic criteria, these children have negative self-evaluation in physical and social areas and their parents are not enough to be aware of difficulties that these children experienced.

      PubDate: Sun, 02 Oct 2016 12:07:36 GMT
  • Emotion recognition and theory of mind deficits in children with attention
           deficit hyperactivity disorder

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Nurullah Bolat, Damla Eyüboğlu, Murat Eyüboğlu, Enis Sargın, Kayı Eliaçık.
      Objective: Children diagnosed with attention deficit hyperactivity disorder (ADHD) appear to represent insufficient social behavior. Emotion recognition and theory of mind (ToM) abilities are the main domains of social cognition. The purpose of the study was to evaluate the emotion recognition and ToM abilities of children with ADHD. Methods: Sixty-nine patients diagnosed with ADHD and 69 typically developing children participated as the control group in this study. ToM Tasks, Comprehension Test (CT) and Unexpected Outcomes Test (UOT) were applied in both groups. Results: According to the first order ToM Task scores, second order ToM Task scores and total scores of ToM Task, ADHD group have significantly lower scores compared to the controls. In addition, cases in the study group performed poorly on CT and UOT. The findings showed positive correlation between total ToM scores and UOT scores, ToM scores and CT scores, UOT scores and CT scores. Conclusion: Our results clearly revealed that children with ADHD encounter problems with ToM and emotion recognition. Elucidating the deficits in emotion recognition and ToM may contribute to the development of proper interventions in the children with ADHD.

      PubDate: Sun, 02 Oct 2016 12:01:42 GMT
  • A case report of opposite sex twin pairs in which one had female to male
           gender dysphoria

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Şenol Turan, Ömer Faruk Demirel.
      The etiology of gender dysphoria (GD) is not fully known. In recent years, there are studies suggesting that the development of GD is related to some biological mechanisms. The hypothesis conveying that there is a biological background in the development of GD emphasize the importance of exposure to sex hormones in prenatal period. According to this hypothesis, while prenatal exposure to sex hormones causes development of male identity, non-exposure results with female identity. This hypothesis is supported with determination of the relationship between prenatal exposure to testosterone and masculine behaviors, in complete androgen insensitivity syndrome mostly development of female identity, and presence of near values of 2nd and 4th finger ratio in individuals with GD and the individuals with the sex they want to pass. In this article, one of the twins is male and the other one is female-to-male GD case was discussed in terms of the roles of prenatal exposure to sex hormones in the etiology of GD.

      PubDate: Sat, 01 Oct 2016 23:31:50 GMT
  • Non-suicidal self-injury and its relationship with family characteristics
           among adolescents in ─░zmit, Turkey

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      İrem Damla Çimen, Ayşen Coşkun, Serhat Nasıroğlu, Nilay Etiler.
      Objective: The aim of this study is to investigate the relationship between non-suicidal self-injury and family functioning, and family characteristics. Methods: In this cross-sectional study, the participants were given the sociodemographic data form and the Family Evaluation Scale. The sociodemographic data form was included questions about family characteristics like health status, marital status, educational level, smoking-alcohol-substance use of parents and parents’ occupation. Family Evaluation Scale enables assessment of successes and failures of family functions in some areas like problem solving, communication, roles, emotional reaction capability, capacity of showing interest, behavior control, general functions. Scales were applied to 555 students of 7th, 8th, 9th and 10th grades from İzmit (Turkey) central county were included in this study. Results: The prevalence of non-suicidal self-injury among young participants of this study was found 11.4%. Non-suicidal self-injury was determined in 41 girls and 22 boys of total 63 adolescences. These rates are lower than other studies reviewed in the literature. The age at onset of non-suicidal self-injury was 12.4±1.87 years. A significant difference was found between groups with and without non-suicidal self-injury in family characteristics like alcohol use of father, important event experienced by the family in the last year and chronic disease in family. Also, a significant association was found between non-suicidal self-injury and high score levels of family evaluation scale’s all subscales. Conclusion: In studies reviewed in literature it was observed that most studies include high school students and very few community studies include the period of early and mid-adolescence. Considering the age of onset of behavior, findings show that determination of preventive measures or regenerative methods in terms of family functioning is important in preventing occurrence of non-suicidal self-injury in adolescents or prevention of progression of this behavior.

      PubDate: Sat, 01 Oct 2016 23:28:00 GMT
  • Shift in paradigm: understanding adjustment of dialysis patients

    • Abstract: 2016-10-08T15-16-17Z
      Source: Anatolian Journal of Psychiatry
      Margorit Rita Krespi Boothby.
      End stage renal failure (ESRF) and its treatment can lead to adjustment difficulties. However, the extent of these difficulties is not known. Adjustment is a complex and multidimensional construct. In general beliefs about illness and its treatment influence adjustment but the findings are inconsistent. This is probably because adjustment and beliefs have been defined in a variety of ways based on professional or theoretical views. One possible way of establishing a standard approach to defining adjustment and beliefs is to be guided by patients’ own views. Qualitative studies identify ways of evaluation of life and beliefs about ESRF and its treatment that have not been identified by quantitative studies. These findings can be considered as patient-derived targets for psychoeducational programs or clinical practice for ESRF patients. However, qualitative research cannot provide evidence about the frequency of patients’ beliefs and ways of evaluation of life. Therefore, questionnaires have been developed on the basis of qualitative findings. These helped to examine the utility of the findings for clinical practice, and understand the relationship of quality of life with beliefs. More research is needed to investigate how the findings on these questionnaires converge and diverge with those on existing generic and/or ESRF specific quality of life and beliefs measures.

      PubDate: Sat, 01 Oct 2016 23:25:51 GMT
  • Erratum for "Evaluation of the effect of schizophrenia patients’
           beliefs about their auditory hallucination on the disease"

    • Abstract: 2016-10-01T05-26-00Z
      Source: Anatolian Journal of Psychiatry
      The authors of article entitled” Evaluation of the effect of schizophrenia patients’ beliefs about their auditory hallucination on the disease” which has been published in August 2016 issue (17(4):285-291) are corrected as follows; Mustafa TATLI, Alaaddin BULUT, Neşe ÜSTÜN GÜVENEROĞLU, Fulya MANER.

      PubDate: Mon, 26 Sep 2016 10:06:32 GMT
  • Online surveys

    • Abstract: 2016-10-01T05-26-00Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Mon, 26 Sep 2016 10:03:40 GMT
  • Congress of Clinical Child and Adult Psychiatry (September 23rd-26th 2016,
           Istanbul, Turkey) Abstracts of Verbal and Poster Communications

    • Abstract: 2016-09-24T23-19-28Z
      Source: Anatolian Journal of Psychiatry

      PubDate: Thu, 22 Sep 2016 21:17:33 GMT
  • Psychotic symptoms associated with switching from OROS methylphenidate to
           modified-release methylphenidate

    • Abstract: 2016-08-20T04-15-28Z
      Source: Anatolian Journal of Psychiatry
      Özalp Ekinci, Serkan Guneş, Nuran Ekinci.
      Methylphenidate (MPH), the first line medication treatment of attention deficit hyperactivity disorder (ADHD), may be associated with behavioral adverse effects. Amongst these reactions, psychotic symptoms are the most challenging ones for clinicians. For ADHD patients with suboptimal symptom control, switching MPH formulations may be helpful. The possible differences in the risk of adverse effects between long acting MPH formulations is largely unknown. Hereby, we report a child case who developed psychotic symptoms when switching from osmotic release oral system (OROS) MPH to modified-release MPH.

      PubDate: Thu, 18 Aug 2016 05:25:20 GMT
  • An analysis of the relation between marital satisfaction and maternal

    • Abstract: 2016-08-20T04-15-28Z
      Source: Anatolian Journal of Psychiatry
      Ender Durualp, Nazan Kaytez, Burcu Aykanat Girgin.
      Objective: The purpose of this study is to test the hypothesis that mothers with high marital satisfaction have high maternal attachment. Methods: The sample of the study consisted of 114 volunteer mothers who applied to the maternity and pediatrics departments of the state hospital in Çankırı province. The data were collected by ‘Mother Information Form’, ‘Maternal Attachment Inventory’, and ‘Married Life Scale'. Findings: The results show that the mothers who got married at the age of 31 or later and themselves and their spouses are high school graduates have a significantly high maternal bonding level, whereas in the case where the mothers themselves and their spouses are university graduates, are employed, and who share childcare responsibilities with their spouses have a marital satisfaction that is significantly high; and those whose financial income is greater than their costs, who share the housework with their spouses, who had a friendship phase with their spouses prior to the marriage, who had never been exposed to violence by their spouses, whose pregnancies were planned, who held their babies in their arms in the first 30 minutes following the birth, and who had a baby with the gender they desired have both maternal bonding and marital satisfaction levels that are significantly high (p

      PubDate: Thu, 18 Aug 2016 05:22:27 GMT
  • Psychosocial skill training applied to schizophrenia patients at community
           mental health center and the results

    • Abstract: 2016-08-10T04-18-03Z
      Source: Anatolian Journal of Psychiatry
      Lütfiye Söğütlü, Şakir Özen, Cenk Varlık, Ahmet Güler.
      Objective: Although the first choice for the treatment of schizophrenia is drugs, using merely the drugs is insufficient to treat schizophrenia. The main purpose of the study is to provide Psychosocial Skills Training (PSST) to a group of patients who have been treated and consulted by the Community Mental Health Center; and also to test the argued benefits of the treatment comparing the patients with a control group. Methods: Sixty patients who had been receiving regular outpatient treatment at Küçükçekmece Community Mental Health Center and who met the study criteria were chosen as the participants of the study. Both the study group and the control group were composed of 30 patients each, totally 60 patients. The PSST group was divided into three subgroups and the training was given in two sessions each of which lasted forty five minutes. Totally 18 sessions were conducted in approximately five months. The test battery was applied to both the study and the control groups by the researcher at the beginning and at the end of the study. In the test battery, the following tests were applied to the patients: Socio Demographic Data Form, Positive and Negative Syndrome Scale (PANSS), Calgary Schizophrenia Depression Scale (CSDS), Schedule for Assessing the Three Components of Insight (SATCI), Drug Treatment Compliance Rating Scale in Patients with Psychotic Disorders (DTCRS), Quality of Life Scale for Schizophrenia Patients (QLSSP), Social Functionality Scale (SFS). Results: When two groups were compared at the beginning and at the end of the study, significant difference was observed in negative symptoms sub-scale, general psycho-pathology sub-scale and PANSS total points. In the study group, the points of CSDS, SATCI, DTCRS, QLSSP, SFS improved/increased significantly after the training. Conclusion: For the treatment of chronic mental diseases such as schizophrenia, which is characterized by notable malfunctioning in the socialization and functionality of the patients, psychosocial approaches have become quite popular and agreed upon methods. Adding PSST to the treatment of schizophrenia patients whose routine policlinic follow-up activities were performed regularly has caused considerable improvement in psychopathologies, depression levels, insight, compliance, life qualities and functionalities of the patients.

      PubDate: Fri, 05 Aug 2016 14:21:39 GMT
  • Sleepwalking after father-daughter incest: a forensic case

    • Abstract: 2016-08-10T04-18-03Z
      Source: Anatolian Journal of Psychiatry
      Serkan Güneş, Veli Yıldırım, Özalp Ekinci, Fevziye Toros.
      Incest is defined as sexual relations between close blood relatives. Many psychiatric disorders may occur after incest in children, but sleepwalking due to sexual abuse is a rare condition. Sleepwalking, a type of parasomnias, is characterized by sudden motor movements that occur during the first third of the night. Sleepwalkers may get up and walk around during sleep and they cannot usually remember the episodes in the morning. In this paper, an eight-year-old girl developed sleepwalking after being sexually abused by her father has been discussed.

      PubDate: Fri, 05 Aug 2016 14:19:22 GMT
  • Munchausen syndrome in an adolescent case with type-1 diabetes referred
           with hypoglycemic attacks

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Sevcan Karakoç Demirkaya, Süheyla Tağcı, Hatice Aksu.
      Munchausen syndrome is a factitious disorder characterized with intentional production or feigning of physical or psychological signs or symptoms, continuous hospital admissions and pathologic lying. Frequent and unnecessary testing and long hospital stays cause loss of investment and time both for individual himself and health care systems. Clinicians must bear in mind the diagnosis of Munchausen syndrome when unexplained clinical deterio-ration of patients occurs during course of a chronic physical disorder. In this case presentation, Munchausen syn-drome diagnosis given to an adolescent with diagnosis of type I diabetes mellitus and with hypoglycemia attacks leading to several admissions to emergency services, is discussed.

      PubDate: Sat, 23 Jul 2016 13:13:19 GMT
  • A case with alopecia related to risperidone use

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Sercan Karabulut, Sibel Çakır.
      Alopecia involves the loss of some or all of the hair from the head and sometimes other parts of body. The etiology contains a lot of factors including drug use and psychotropic agents at sometimes. Atypical antipsychotics are less frequently accused, compared to the other psychotropic agents. In the literature, olanzapine, risperidone, ziprasidone, loxapine, quetiapine and haloperidol are the reported drugs associated with alopecia. Alopecia which may be seen rarely, was observed in our patient with schizoaffective disorder, thus in this report the patient’s follow-up, treatment process and approach to alopecia cases were described.

      PubDate: Sat, 23 Jul 2016 13:09:24 GMT
  • A problem of humanity: refugees

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sat, 23 Jul 2016 12:47:04 GMT
  • Improvement of stuttering with use of methylphenidate in a child who was
           diagnosed with concomitant stuttering and ADHD

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Leyla Bozatlı, Kıvanç Kudret Berberoğlu, Cansın Ceylan, Işık Görker.
      Stuttering is a psychological, neurological and neurophysiological rhythmic disorder in an understandable speech that is characterized by hesitation in speech flow, standstill with repeating a word or a sound, extension of a sound. Etiology of stuttering is not exactly known. In this case presentation, it is aimed to discuss the disappearance of stuttering in an 11 year old child who was diagnosed with stuttering and ADHD after treating with methylphenidate extended release.

      PubDate: Sat, 23 Jul 2016 12:00:56 GMT
  • Binge eating attacks appearing after incest: a case report

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Damla Balkan, Nilfer Şahin.
      In recent years, it is thought that there is a relationship between eating disorder and post-traumatic stress disorder. Especially after sexual abuse, eating disorders is thought to be higher than that seen in the normal population. Exposed to a trauma such as sexual abuse of children, may not develop healthy defense mechanisms. The live event can be revived again in the mind, they can see in their dreams. In this case, they feel emotions like fear, anger, and guilt as iterator. To get rid of their emotions about the sexual abuse they can convert the feelings by suppressing with unconscious mechanisms to thoughts and feelings about eating food. Many studies have shown a relationship between post-traumatic stress disorder and eating disorders. Although the majority of research was a significant correlation, there are also publications which show that there isn’t a direct relationship. Here of we present a patient who developed post-traumatic stress disorder and eating disorders after incest, sexual abuse.

      PubDate: Sat, 23 Jul 2016 11:53:53 GMT
  • Mescaline abuse via peyote cactus: the first case report in Turkey

    • Abstract: 2016-07-25T23-15-27Z
      Source: Anatolian Journal of Psychiatry
      Cengiz Cengisiz, Ufuk Bal, Kemal Türker Ulutaş, Nebile Dağlıoğlu.
      Mescaline,β-3,4,5-trimethoxy phenethylamin, is a psycho-active hallucinogen alkalloid extracted from cactus of peyote that resemble natural neurotransmitters epinephrine and dopamine. Peyote is a long-time expanding herb in the desert sand area along Texas and Mexico region and continues to be used hundreds of years by Residents of Mexico and South-western America for rituals. Following the civil war in Syria, large number of refugees from Syria where is the neighboring country immigrated to southern cities of Turkey. These people have intense interactions with young individuals living in Turkey, particularly for novelty seeking drug-addicted teens.

      PubDate: Sat, 23 Jul 2016 11:48:28 GMT
  • Incidental diagnosis of mucopolysaccaridosis type III B while following up
           with ADHD

    • Abstract: 2016-07-04T23-15-36Z
      Source: Anatolian Journal of Psychiatry
      Nafiye Urgancı, Derya Kalyoncu.
      Mukopolisakaridoz tip III (Sanfilippo sendromu), otozomal resesif kalıtılan heparan sülfat enziminin lizozomal indirgenmesinde rol alan dört enzimden birinin eksikliğine bağlıdır. Çocuklara genellikle geç tanı konur veya yanlışlıkla idiyopatik konuşma gecikmesi, dikkat eksikliği hiperaktivite bozukluğu (DEHB) ve/veya otizm tanısı konur. İlerleyici zihinsel yıkım, davranış sorunları ile daha az belirgin dismorfik yüz bulguları ve hafif bedensel bulgularla karakterizedir. Karın ağrısı nedeniyle çocuk gastroenteroloji bölümüne başvuran ve DEHB’si olan aşırı huzursuz, işbirliği kurulamayan, alınan öyküde geceleri de uyuyamayan, konuşmaya geç başlayan ve bu nedenle defalarca çocuk psikiyatrisine başvurdukları saptanan mukopolisakkaridoz III B tanısı konan olgu sunulmuştur.

      PubDate: Thu, 30 Jun 2016 22:19:52 GMT
  • Manic episode following deep brain stimulation

    • Abstract: 2016-07-04T23-15-36Z
      Source: Anatolian Journal of Psychiatry
      Seda Kiraz, Meliha Zengin Eroğlu, Alişan Burak Yaşar, Murat Kiraz, Akın Akakın, Kemal Tutkavul, Mecit Çalışkan.
      Deep brain stimulation (DBS) of subthalamic nucleus is an effective treatment method for palliating Parkinson’s disease. But this treatment has some psychiatric side effects. Mania, depression, suicide attempt and cognitive problems can be seen as side effects of deep brain stimulation. The mechanism of emerging these side effects is not well understood. In this article, in order to attract attention to multidisciplinary approach of DBS application in Parkinson’s disease treatment, it is discussed that clinic and treatment of mania developed after DBS treatment of a Parkinson’s disease patient who is 73 years old and has not any psychiatric disease in the past.

      PubDate: Thu, 30 Jun 2016 22:13:01 GMT
  • Clozapine induced nocturnal enuresis: report of two cases

    • Abstract: 2016-07-04T23-15-36Z
      Source: Anatolian Journal of Psychiatry
      Bahar Yeşil, Behice Han Almış.
      Clozapine is used specifically with treatment resistant schizophrenia and is a highly effective antipsychotic. However some of its side effects which vary in severity limits its usage. Nocturnal enuresis is one of the rarely seen but disturbing side effects of clozapine, and its mechanism is multifaceted. In this paper two cases with enuresis nocturna due to clozapine and their treatments are discussed. It is important to consider and manage this side effect in adjusting the dosage process of clozapine which tends to cause enuresis in higher rates than other atypical antipsychotics. Furthermore it should to be kept in mind that adjusting the dosage of clozapine, and aripiprazol combination treatments may be an alternative treatment as well.

      PubDate: Thu, 30 Jun 2016 22:08:05 GMT
  • Gabapentin withdrawal in a depressed patient: A case report

    • Abstract: 2016-06-30T09-15-36Z
      Source: Anatolian Journal of Psychiatry
      Bahar Yeşil, Hatice Birgül Elbozan.
      The third generation antiepileptic, gabapentin, is a structural analogue of gamma aminobutyric acid (GABA), which is an important neurotransmitter of central nervous system. It is used to treat partial epilepsy, neuropathic pain, and movement disorders, as well as a variety of psychiatric conditions such as bipolar disorder, anxiety disorder, and alcohol addiction. Currently it is accepted to possess a potential for abuse and addiction. In this study, we present a case of a woman with depression who had been using a high dose gabapentin treatment for neuropathic pain due to spinal surgery performed 3 years before. Here, we highlight the withdrawal symptoms following the termination of gabapentin, and their treatment. The symptoms of varying severity in gabapentin withdrawal underline the importance of progressively decreasing the dose on a schedule of several months before ceasing the drug completely. Predisposing factors should be noted, and alternative treatment options like melatonin and mirtazapine should be considered.

      PubDate: Thu, 30 Jun 2016 08:52:47 GMT
  • The effect of educational therapy on self-esteem and problem behaviors in
           children with specific learning disability

    • Abstract: 2016-06-30T09-15-36Z
      Source: Anatolian Journal of Psychiatry
      Nagihan Saday Duman, Özgür Öner, Ayla Soykan Aysev.
      Objective: The purpose of this study is to investigate the effectiveness of educational therapy on the level of self-esteem and problem behaviors in children diagnosed with specific learning disability (SLD). Methods: A total of 150 children between 9-11 years of age were included in the study. Wechsler Intelligence Scale for Children-Revised (WISC-R) and SLD test battery was administered to all children who were diagnosed with SLD. Piers-Harris Children’s Self-Concept Scale, Child Behavior Checklist (CBCL 6-18) and Teacher’s Report Form were also used. The scales were administered again to children in the educational therapy group when the therapy was completed and to children in the control group after three months. Results: The level of self-esteem in children with a diagnosis of SLD was found to be lower than the normal developing children. Scores related to behavioral problems in CBCL 6-18 and TRF 6-18 were found higher in children with a diagnosis of SLD than the normal developing children. In the evaluations performed after the therapy, a significant difference was found in the SLD test battery scores of the children who were diagnosed with SLD and were administered educational therapy compared to the SLD test battery scores of those on the waiting list. In the evaluations performed after the educational therapy, an increase in the level of self-esteem and a decrease in problem behavior scores were found in the group that were diagnosed with SLD and received educational therapy. Discussion: Educational therapy was found to increase the level of self-esteem and to decrease behavioral problems and symptoms of SLD in children. However, other psychosocial factors are thought to play a role in children’s better detection themselves except improvement signs of SLD with education. More specific studies are needed on the impact of these factors.

      PubDate: Mon, 27 Jun 2016 05:21:33 GMT
  • Prevalence and characteristics of impulse control disorders in a group of
           medical students

    • Abstract: 2016-06-30T09-15-36Z
      Source: Anatolian Journal of Psychiatry
      Lut Tamam, Özlem Paltacı, Necla Keskin.
      Objective: To determine the prevalence of impulse control disorders (ICDs) among medical students and evaluate the related socio-demographic and clinical features. Methods: A total of 277 students in the fourth and fifth year of medical school were included in the study. The study was conducted between September 2011 and June 2012 in Çukurova University Medical School, Adana, Turkey. A demographic data form has been completed. The Structured Clinical Interview for DSM-IV (SCID-I) was used to determine axis I psychiatric disorders. The prevalence rates of ICDs were investigated by using the modified version of the Minnesota Impulse Disorders Interview. All patients completed Barratt Impulsiveness Scale Version 11 (BIS-11) and Symptom Check List-90. Results: The lifetime prevalence of at least one ICD in our sample was 11.2% (n=31). When the participants with the diagnosis of ICDs not otherwise specified were excluded the prevalence rate decreased to 7.9%. The most common ICD was intermittent explosive disorder (6.1%), followed by trichotillomania (2.5%). History of suicide attempts was significantly higher in the group with ICD. There was statistically significant difference between comorbidity of other Axis I psychiatric disorders and a significant difference was observed in terms of total impulsivity, non-planning activity, and motor impulsivity scores as determined by BIS-11 between groups with or without ICDs. Conclusion: ICDs might be underdiagnosed in young adult populations. ICDs affect the quality of life, the course and outcome of comorbid disorders so it is important to ask for these disorders in regular psychiatric interviews and treating them in an appropriate and specific way.

      PubDate: Mon, 27 Jun 2016 03:14:35 GMT
  • A case of Fahr’s Syndrome presenting with psychotic depression and

    • Abstract: 2016-06-30T09-15-36Z
      Source: Anatolian Journal of Psychiatry
      Özlem Uzunkaya Ethemoğlu, Sedat Yasin, İbrahim Fatih Karababa, Özcan Kocatürk.
      Fahr’s Syndrome is rarely occurring neuropsychiatric disease which is characterized by symmetric calcifications of basal ganglia. It was described for the first time by Fahr in 1930. Although, the most common symptoms are extrapyramidal system signs, Fahr syndrome might also present with seizure, dementia and psychiatric symptoms. Treatment is symptomatic. We report a case of Fahr Syndrome presented by generalized tonic clonic seizure and psychotic depression.

      PubDate: Mon, 27 Jun 2016 02:56:15 GMT
  • Validity and Reliability of the Turkish version of DSM-5 Depression
           Severity Scale-Child Form

    • Abstract: 2016-06-19T23-16-30Z
      Source: Anatolian Journal of Psychiatry
      Şermin Yalın Sapmaz, Nefize Yalın, Handan Özek Erkuran, Siğnem Öztekin, Bengisu Uzel Tanrıverdi, Ertuğrul Köroğlu, Ömer Aydemir.
      Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 Depression Severity Scale-Child Form. Methods: The scale was prepared by carrying out the translation and back-translation of DSM-V Depression Severity Scale-Child Form. Study group consisted of 46 patients that have been treated in a child psychiatry unit and diagnosed with depressive disorder and 135 healthy volunteers that were attending middle or high school during the study period. For the assessment, Child Depression Inventory (CDI) was used along with DSM-5 Depression Severity Scale-Child Form. Results: Regarding reliability analyses, Cronbach’s alpha internal consistency coefficient was calculated as 0.911 while item-total score correlation coefficients were measured between 0.579 and 0.801. As for construct validity, a factor that could explain 59.2% of the variance was obtained and was consistent with the original structure of the scale. In the concurrent validity analysis, the scale showed a very high correlation with Child Depression Inventory with a correlation coefficient value measured as r=0.847. Conclusion: It was concluded that Turkish version of DSM-5 Depression Severity Scale-Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.

      PubDate: Sat, 18 Jun 2016 12:42:39 GMT
  • Hiccups secondary to selective serotonin reuptake inhibitory drugs: case

    • Abstract: 2016-06-19T23-16-30Z
      Source: Anatolian Journal of Psychiatry
      Emrah Songur, Rıdvan Üney.
      Hiccups are involuntary and intermittent contraction of the diaphragm and the intercostal muscles. Hiccup is usually a self-limited disorder, but it is needed to use physical interventions and pharmacological treatment for some intractable hiccups. In medical literature some cases, treated with drugs that effect on serotonergic system, are described for intractable hiccups. In this case report, we aim to present a hiccup case secondary to selective serotonin reuptake inhibitory drugs (paroxetine, fluoxetine and sertraline respectively) in a 28-year-old man with major depression with psychotic features.

      PubDate: Sat, 18 Jun 2016 12:32:32 GMT
  • Projections of certain social ties defined by Vamik Volkan on ancient
           Cappadocian coins

    • Abstract: 2016-06-19T23-16-30Z
      Source: Anatolian Journal of Psychiatry
      Selçuk Kırlı, Nuran Şen, Mustafa Şahin.
      Objective: This study aims to analyze the reflections of certain social ties defined by Volkan, which constitute a wider group identity when combined together and enable the group to maintain its existence, on ancient Cappadocian coins; and thereby to indicate how these concepts go beyond being concepts of the present day and apply to ancient times as well. Methods: For the purpose of this study, we screened the national and international collections of ancient Cappadocian coins, examining the symbols on these coins by taking into consideration the particulars of the historical development of the Kingdom as well as its relations with neighboring kingdoms. To that end, all significant historical events concerning the kingdom throughout the period starting before its foundation to its abolition as well as the coins issued within such period and the symbols thereon are presented in tabular form in comparison to the coins of the neighboring kingdoms of the same era. Results: Coins issued in the Kingdom of Cappadocia until 280 B.C. and the symbols thereon have evident characteristics of ancient Persian culture. Coins issued between 280-163 B.C. reflect characteristics of the Greek culture and Persian symbols together. Between 163-86 B.C. the coins acquired completely Hellenistic characteristics, which continued until 36 B.C. Another distinction is observed in symbols on the coins during the reign of King Archelaos. When compared with the neighboring kingdoms, it is seen that the symbols on Cappadocian coins have characteristics both similar to, and evidently distinct from those of the neighboring kingdoms.

      PubDate: Sat, 18 Jun 2016 12:24:30 GMT
  • Xanthine oxidase, adenosine deaminase and vitamin E levels in patients
           with schizophrenia

    • Abstract: 2016-06-08T23-15-29Z
      Source: Anatolian Journal of Psychiatry
      Hasan Kılıçgün, E. Erdal Erşan, Sevtap Bakır, Serpil Erşan, Derya Koç, Özlem Demirpençe, Kübra Doğan.
      Objective: Neuronal damage caused by free radicals is believed to be effective in pathogenesis of several psychiatric disorders. This belief is due to the toxic effects of free radicals that play a role in oxidative stress. Considering that the brain is one of the most sensitive organs to the oxidative damage, the importance of oxidative stress in psychiatric disorders will become more apparent. Additionally, high oxygen use in the brain, and its structure rich in lipid, which is one of the most sensitive molecules to the free radical damage, and its having the average antioxidant system yield support oxidative stress theory in the pathogenesis of psychiatric disorders. This study aimed to determine xanthine oxidase (XO), adenosine deaminase (ADA) and vitamins E levels in patients with schizophrenia and control groups, and to investigate the relationship between schizophrenia and the parameters by comparing the measured parameters with each other. Methods: Our study sample included 30 patients diagnosed with schizophrenia. The control group consisted of 30 healthy volunteers matched by sex with similar age and smoking habits. In the patient group and the control group, adenosine deaminase, xanthine oxidase, and vitamin E were measured manually using spectrophotometric methods. Results: Serum xanthine oxidase levels in the schizophrenic group were significantly higher than the control group levels. Serum vitamin E and adenosine deaminase levels in the schizophrenia group were significantly lower than the levels of the control group. Discussion and Conclusion: The fact that mechanism of schizophrenia pathogenesis which has a wide variety of clinical symptoms and a disease process is yet to be elucidated reveals the importance of this kind of studies. In this study, low levels of antioxidant vitamin E and adenosine deaminase, and high levels of xanthine oxidase suggest that oxidative stress-mediated neuronal damage may play a role in the pathogenesis of schizophrenia. Therefore, we believe that further research with larger sample groups should be conducted.

      PubDate: Wed, 08 Jun 2016 00:03:17 GMT
  • The prevalence and risk factors of psychoactive drug use in Turkish
           Republic of Northern Cyprus: 2003-2013

    • Abstract: 2016-06-08T23-15-29Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Çakıcı, Nesli Tutar, Ebru Çakıcı, Meryem Karaaziz, Ayhan Çakıcı.
      Objective: Studies about psychoactive substance use which is becoming more prevalent in the world and threatening humanity have increased. In this study, the results of 2015 substance use prevalence research are compared with 2003 and 2008 studies to examine the course of substance use in TRNC. Methods: The population of this study consists of Turkish speaking individuals who live in Turkish Republic of Northern Cyprus (TRNC) and are between ages of 18-65. The sample of 1040 individuals representing the general population was determined by stratified random sampling method by considering sex, age and geographical area quotas. The data was collected in May and June 2013. The survey form of the study was prepared from ‘European Model Questionnaire’ of Council of Europe. Prevalence results are given compared with the data of 2003 (825 people) and 2008 (804 people) and used the same questionnaire. Results: At least once life-time cigarette use was 62.1% and alcohol use was 68.5%. The lifetime prevalence of any substance use other than cigarette and alcohol was 8.5% while illicit substance use was 8.4%. Illicit substance use rates were 3% in 2003 and 7.7% in 2008. Cannabis and synthetic cannabinoid ‘bonsai’ which had been popular in recent years were found to be the most widely used illicit substances. Conclusion: The study shows that cigarette use in TRNC is higher than the rates of world average and alcohol use rates are parallel to western countries. An important increase in the rates of illicit substance use is found between the years of 2003-2013 in TRNC.

      PubDate: Wed, 08 Jun 2016 00:02:24 GMT
  • Is catatonia a predictive symptom of affective disorders following
           traumatic stress' A case report

    • Abstract: 2016-06-08T23-15-29Z
      Source: Anatolian Journal of Psychiatry
      Çilem Bilginer, Gülşah Baki, Mutlu Karakuş, Sema Kandil.
      Catatonia is a syndrome that is characterized by abnormal body movements, negativism, mutism or disturbances in conscious. During the twentieth century catatonia was accepted as a condition associated with schizophrenia but today it is defined as a separate disorder. Catatonia is a rarely reported condition in children and adolescents and a curable condition with early diagnosis and proper treatment. But it could be a life-threatening disorder if fever and autonomic changes accompany with it. In this report an adolescent diagnosed with catatonia following acute stress disorder and also diagnosed with manic episode in follow-up visits is presented. Thus we aimed to take attention to catatonia that can be neglected in children and adolescents and to follow-up visits of these cases.

      PubDate: Tue, 07 Jun 2016 23:11:57 GMT
  • Menstrual psychosis: a case report

    • Abstract: 2016-06-08T23-15-29Z
      Source: Anatolian Journal of Psychiatry
      Evrim Aktepe, Emel Özen, Funda Özyay Eroğlu.
      Menstrual psychosis (MP) is not a distinct title within the current standard psychiatric classification. Most of the literature on this disorder is based on case reports. Due to its unique clinical symptoms, MP differs from other disorders that come with psychotic symptoms. It has been reported that controlled studies utilizing large samples as well as long-term monitoring are required for the treatment of MP cases. This study presents the case of a female adolescent with MP involving affective and psychotic findings, and it attempts to raise awareness regarding this rare disorder.

      PubDate: Tue, 07 Jun 2016 23:09:28 GMT
  • Psychiatry Journals in Turkey and their Future

    • Abstract: 2016-05-27T23-19-30Z
      Source: Anatolian Journal of Psychiatry
      Lut Tamam.

      PubDate: Thu, 26 May 2016 08:49:29 GMT
  • Fluoxetine induced trichotillomania in a 7-year- old boy: a case report

    • Abstract: 2016-05-27T23-19-30Z
      Source: Anatolian Journal of Psychiatry
      Nurullah Bolat, Mesut Yavuz.
      Trichotillomania (TTM) is a mental disorder characterized by recurrent hair pulling that result in significant hair loss. Traditionally, serotonin has been the principal neurotransmitter implicated in TTM, however, recent literature strongly supports the role of dopamine in the pathophysiology of TTM. Here we describe 7 year old boy who had fluoxetine-induced trichotillomania. According to the temporal association in time between fluoxetine treatment, the symptoms of trichotillomania and the resolution of symptoms in the absence of fluoxetine, hair pulling was likely fluoxetine induced. It is implicated that serotonin reuptake inhibitors may have facilitative effects on dopamine. We suggest that TTM may be the result of dopamine increase due to fluoxetine treatment. To our knowledge this is the first reported case of antidepressant-induced trichotillomania.

      PubDate: Thu, 26 May 2016 08:39:45 GMT
  • Translation of original form of Schutte Emotional Intelligence Test into
           Turkish and examination of its psychometric properties

    • Abstract: 2016-05-27T23-19-30Z
      Source: Anatolian Journal of Psychiatry
      Arkun Tatar, Serdar Tok, Merih Tekin Bender, Gaye Saltukoğlu.
      Objective: The purpose of the present study is to adopt Schutte Self Report Emotional Intelligence Test (SSREIT-33) into Turkish preserving its original factor structure and number of items by applying the test to a heterogeneous participants group representing general population. It is also intended to conduct a research design in accordance with the main features (psychometric properties) of the presentation study. Methods: A total of 1561 people, 839 female, 722 male, ranging in age from 18 to 78 participated in the study. Results: The criterion validity coefficient of the SSREIT-33 total score with Toronto Alexithymia Scale was determined as -0.63, and it was 0.87 with 41 item Revised Schutte Emotional Intelligence Test; and discriminant validity coefficient of SSREI total score with the factors of Short Form Five Factor Personality Inventory was as follows: 0.48 for openness to experience, -0.28 for emotional stability, 0.39 for conscientiousness, 0.16 for agreeableness and 0.11 for extraversion. The test-retest reliability coefficient for 15 and 30 days applications were 0.81 and 0.78 respectively. Confirmatory factor analysis results revealed acceptable fit index values for single factor structure. Internal consistency coefficient of the test was found as 0.86. Conclusion: The values obtained from the form translated into Turkish in this study were quite similar to the values obtained from SSREI-33 presentation study.

      PubDate: Thu, 26 May 2016 06:02:02 GMT
  • Long-term prognosis of commercially sexually exploited youth in Turkey:
           brief report

    • Abstract: 2016-05-27T23-19-30Z
      Source: Anatolian Journal of Psychiatry
      Bengi Semerci, Sarper Taşkıran, Ali Evren Tufan, Işın Şanlı.
      Objective: Factors contribute to commercial sexual exploitation of youth (CSEY) and a variety of physical and psychological consequences of CSEY were previously discussed in the literature. The aim of the current study was to determine the long term prognosis of a sample of CSEY in Turkey. Methods: A sample of 108 CSEY (all females) with a mean age of 16.7±2.7 (range=9-22) years living in a specialized center for protection against perpetrators were examined in terms of their sociodemographic variables, previous abuse history, family history and current psychopathology. Identified cases were referred for psychiatric evaluation. We obtained follow-up data 11 years after initial contact from this cohort (mean age 25.9±2.6 at time of follow-up) with the subjects and received information regarding their current functioning. Results: Follow up data revealed that recommendations during psychiatric follow up could not be acted upon. 71.4% of the initial sample (n=76) could be reached via direct or indirect contacts. We found that good/superior functioning was very rare and that one-third of the sample that could be reached still were being sexually exploited. Important considerations derived from the results were discussed in the current article.

      PubDate: Thu, 26 May 2016 05:58:36 GMT
  • Early diagnosis and treatment of ADHD are important for a secure
           transition to adolescence

    • Abstract: 2016-04-21T20-32-30Z
      Source: Anatolian Journal of Psychiatry
      Oğuzhan Zahmacıoğlu, Emine Zinnur Kılıç.
      Objective: Attention-deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders that begins in childhood. By using self-esteem and loneliness scales, our aim was to compare the adolescents who were diagnosed “early” and are currently receiving treatment with the ones with “late” diagnoses. By examining loneliness and self-esteem directly, we wish to emphasize a possibility of positive impact of early diagnosis and treatment. We hypothesized that the duration of treatment is an important factor in reducing several negative psychosocial impacts of ADHD. Methods: The study included 62 adolescent patients with a “late” ADHD diagnosis between the ages of 12 and 14 years, and 55 adolescent patients with “early” diagnosis between the ages of 6 and 8 years who have been followed up regularly with appropriate treatment for nearly 6 years. These groups were compared with regard to self-esteem and feelings of loneliness. Results: The UCLA Loneliness Scale scores were higher, but the Rosenberg Self-esteem Scale scores were lower in the late-diagnosed group. These results did not change with regard to ADHD subtypes and gender. Conclusion: The late-diagnosed adolescents with ADHD feel they are alone more than the early-diagnosed adolescents, and they like themselves less compared to the early-diagnosed group.

      PubDate: Thu, 21 Apr 2016 13:02:26 GMT
  • Impact of alcohol and substabce use by patients with schizophrenia on
           burden, quality of life, anxiety and depression levels of primary

    • Abstract: 2016-04-21T20-32-30Z
      Source: Anatolian Journal of Psychiatry
      Menekşe Sıla Yazar, Ahmet Alper Depçe, Özlem Devrim Balaban, Derya İpekçioğlu, Nezih Eradamlar.
      Aim: Alcohol and substance use are the most common comorbidities among patients with schizophrenia, with significantly higher levels of burden reported among primary caregivers. In this study, we aimed to assess the impact of alcohol and substance use on caregivers, and the effects of the severity of disease symptoms and certain attributes of patients and their primary caregivers on the burden, depressive symptoms, quality of life, and anxiety levels of caregivers.Methods: We recruited 100 patients with schizophrenia according to DSM-IV TR from inpatient clinics of Bakırköy Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery and their primary caregivers from September 2010 to March 2011. The severity of patient symptoms was assessed using the Positive and Negative Syndrome Scale (PANSS). All caregivers completed the Sociodemographic and Clinical data form, The Zarit Burden Scale, Beck Depression Inventory, State-Trait Anxiety Inventory, and WHO Quality of life-BREF. Results: The ages of caregivers and patients were 23–68 and 20–65 years, respectively. The primary caregiver was the patient’s mother in 53% of cases. We found levels of burden that were significantly higher for caregivers of patients with alcohol or substance use, and these were positively correlated with the positive psychotic subscale of PANSS. Caregivers of patients without alcohol and substance use had significantly higher scores for psychological and social relationship domains of WHOQOL-BREF.Discussion: Alcohol and substance use disorder which causing more complicated and severe needs of schizophrenia patients is associated with increased level of caregiver burden, depression and anxiety levels and decreased quality of life. Our findings suggest that there is a significant relationship between caregiver burden and alcohol and substance use by patients with schizophrenia.

      PubDate: Tue, 19 Apr 2016 12:32:33 GMT
  • Translation of Big-Five Personality Questionnaire into Turkish and
           comparing it with Five Factor Personality Inventory Short Form

    • Abstract: 2016-04-21T20-32-30Z
      Source: Anatolian Journal of Psychiatry
      Arkun Tatar.
      Objective: There is not great number of Turkish personality tests developed or adapted based on five factor model. For this reason, Big Five Personality Questionnaire (B5KT-50-Tr) was translated into Turkish. Consequently, B5KT-50-Tr and Five Factor Personality Inventory Short Form (5FPI-SF) were applied to the same group and constructs and factors of these two test were compared by various procedures. In this way we aimed to reveal the similarities and differences of two tests. Methods: The study was carried out in two phases and with two separate studies. In the first phase of the study B5KT-50-Tr was translated into Turkish. A total of 1167 people, 589 women and 578 men ranging in age from 18 to 70 participated in this study. Out of these participants 98 people took part in the test- retest study. In the second phase of the study both tests were administered and the total number of participants were 1463, 786 women and 677 men, ranging in age from 18 to 80. Results: In the translation study B5KT-50-Tr explained 35.58% of the total variance by five factors and CFA results showed model fit. Internal consistencies of the factors of the test were calculated between 0.65 and 0.79, and test-retest coefficients were between 0.55 and 0.80. As for the comparison study, B5KT-50-Tr explained 36.10% of the total variance and 5FPI-SF explained 32.11% of the total variance. According to the results of CFA both tests showed model fit at a close level to each other. Internal consistencies of the factors of B5KT-50-Tr were between 0.68 and 0.79, and for 5FPI-SF were between 0.68 and 0.85. The correlation coefficients of the factors of the two test with each other were found between 0.51 and 0.66. Although there was no difference between IRT item parameter values between two tests, mean factor scores of all factors were found different. Conclusion: Translation study show that B5KT-50-Tr has met the basic psychometric requirements. As for the comparison study, it has been observed that the tests are largely similar in terms of the features compared. The obtained results are discussed in terms of the details.

      PubDate: Tue, 19 Apr 2016 12:30:46 GMT
  • A potential biomarker for bipolar I disorder: serum arginine vasopressin

    • Abstract: 2016-04-21T20-32-30Z
      Source: Anatolian Journal of Psychiatry
      Akif Asdemir, Tayfun Turan, Cengiz Uysal, Eser Kılıç.
      Objective: The neuropeptide arginine vasopressin (AVP) has effects on behavior and stress regulations which are impaired in bipolar disorder (BD). Only a very limited number of studies have investigated AVP levels in bipolar disorder in contrast to depressive disorders. The study aimed to investigate serum AVP levels during the manic, depressive, or remission periods and after treatment response in patients with bipolar I disorder (BD-I) and healthy controls. Methods: The study consisted of 67 patients with BD-I and 24 healthy controls. The patients were in the manic, depressive, or remission periods of BD-I. Serum AVP levels were assayed in the three groups of patients with BD-I and the controls at the study onset. Then, a second measurement of the AVP levels were carried out in the manic or depressive periods after treatment response. The treatment response was defined as a 50% decrease in the Young Mania Rating Scale and the Hamilton Depression Rating Scale scores for manic and depressive episodes, respectively. Results: The main finding was the significantly lower serum AVP levels in BD-I during manic, depressive, or remission periods compared to healthy controls. After-treatment-response serum AVP levels in depressive BD-I patients increased to the levels of healthy controls and became higher than in the remission period of BD-I. Conclusions: The global reduction in serum AVP levels may be an indicator of impaired neuronal function and neuroprogressive deterioration seen in BD. Notably, given the increased AVP levels in major depressive disorder, serum AVP levels may contribute to distinguishing depressive BD-I from major depressive disorder.

      PubDate: Tue, 19 Apr 2016 12:29:40 GMT
  • Emotional schemas accompanying self-harm behaviors among adolescents

    • Abstract: 2016-04-16T20-35-56Z
      Source: Anatolian Journal of Psychiatry
      Kaasım Fatih Yavuz, Nuran Yavuz, Sevinç Ulusoy, Güliz Özgen.
      Objective: The aim of this study is to assess emotion regulation processes in adolescents with self-harm behavior by the emotional schema approach. Methods: The study included 101 adolescents with delibrate self-harm behavior (DSH), 99 adolescents with psychiatric diagnose and treatment without DSH (without DSH) and 99 healthy adolescents as the control group. Adolescents with DSH were asked to complete Sociodemographic Data Form, Self-Harm Behavior Form, and Leahy Emotional Schema Scale (LESS). Other two groups were asked to complete socio-demographic data form and LESS, afterwards these three groups were compared. Data were assessed with chi-square test and one way analysis of variance methods. Results: While suicide attempts, childhood violence and domestic violence were found significantly more in the DSH and without DSH groups, separation from parents and migration history frequency were found significantly higher only in the DSH group according to other two groups. Groups were compared with LESS; and it was found that ‘weakness against emotions’, ‘uncontrollability’, ‘rumination’, ‘seeing emotions as dangerous’, ‘dissimilarity’ and ‘guilt’ subscale’s mean scores were significantly higher in DSH group. Beside these results LESS ‘acceptance of feelings’, ‘consensus’, ‘comprehensibility’ subscales were lower in DSH group. Discussion: These results show that psychological stressors which individuals encountered in developing period, have establishing effects for DSH. Findings of our research support that DSH is one of the maladaptive coping styles for experienced negative emotions. Focusing on the emotion regulation functions of DSH and accompanying emotional schemas, may help dealing with difficulties through treatment.

      PubDate: Tue, 12 Apr 2016 22:24:02 GMT
  • Angioedema associated with atomoxetine: a case report

    • Abstract: 2016-04-16T20-35-56Z
      Source: Anatolian Journal of Psychiatry
      Merve Çıkılı Uytun, Esra Demirci.
      Angioedema can be occur a drug adverse reaction. Drugs such as non-steroidal anti-inflammatory drugs (NSAIDs), antihypertensive drugs, antibiotics, proton pump inhibitors, fibrinolytic agents, estrogens, calcium channel blockers, beta blockers, and psychotropic drugs (such as serotonin reuptake inhibitors-SSRIs) can induce this reaction. In the literature, there are few case reports about angioedema induced by SSRIs and there is no case report related to atomoxetine. Herein we report a case of angioedema which occurred after initiation of atomoxetine in a 9-year-old girl being treated for attention deficit and hyperactivity disorder; the side effect disappeared after discontinuation.

      PubDate: Tue, 12 Apr 2016 22:23:19 GMT
  • Impact of parental consanguinity on clinical features in schizophrenia

    • Abstract: 2016-04-16T20-35-56Z
      Source: Anatolian Journal of Psychiatry
      Tolga Binbay, Deniz Arık Binbay, Halis Ulaş, Berna Binnur Akdede, Köksal Alptekin.
      Objective: The purpose of this study was to evaluate the impact of parental consanguinity on the clinical features in schizophrenia. Methods: The sample of the study was based on DSM-IV schizophrenia patients admitted to Sinop Atatürk State Hospital between 2009 and 2001. Sociodemographic (age, gender, marital status, completed years of education, employment status) and clinical features (family history of psychiatric disorders, age of onset, number of hospitalization), and parental consanguinity were retrieved retrospectively from case registries. Results: A total of 182 patients (51.1% female and mean age 38.8 years) were included. Frequency of any parental consanguinity and first degree cousin marriages were 19.9% and 13.2% respectively. Mean age of onset of schizophrenia was significantly lower among patients with parental consanguinity than patients with no parental consanguinity (22.1 and 25.5 years respectively; t180=2.1, p

      PubDate: Tue, 12 Apr 2016 22:20:13 GMT
  • The frequency of metabolic syndrome in psychiatric patients using
           antidepressant medications

    • Abstract: 2016-04-16T20-35-56Z
      Source: Anatolian Journal of Psychiatry
      Ebru Fındıklı, Filiz İzci, Mehmet Akif Camkurt, Ali Çetinkaya, Hüseyin Avni Fındıklı, Murad Atmaca.
      Objective: There are limited studies investigating the metabolic syndrome (MetS) in patients using antidepressants. This study examines and compares the prevalence of MetS and related factors in psychiatric patients taking various antidepressants at an outpatient clinic. Methods: The study comprised a total of 70 patients using fluoxetine, paroxetine, sertraline, citalopram, escitalopram, clomipramine and venlafaxine aged 18-60 years with depressive and anxiety disorder. MetS rates of patients (according to National Cholesterol Education Program-Adult Treatment Panel III-NCEP III) who met the study criteria were obtained. Results: In our study metabolic syndrome frequency was 32.8% in total patient groups according to NCEP-III criteria. The higher metabolic syndrome frequency was found in drug groups such as clomipramine, paroxetine and venlafaxine groups. The safest drug for metabolic syndrome was fluoxetine as seen in its relevant group. Conclusion: Conventional antidepressants may cause metabolic syndrome which is important for mortality, morbidity and quality of life of psychiatric patients.

      PubDate: Tue, 12 Apr 2016 22:09:31 GMT
  • Sociodemographic features, depression and anxiety in women with life-long

    • Abstract: 2016-04-01T23-20-43Z
      Source: Anatolian Journal of Psychiatry
      Evrim Özkorumak Karagüzel, Filiz Civil Arslan, Ahmet Tiryaki, Mehmet Armağan Osmanağaoğlu, Elif Şimşek Kaygusuz.
      Objective: Vaginismus is a female sexual dysfunction with reflex spasm of the muscles around vagina making penile penetration impossible. Many factors such as psychological, social and cultural may cause vaginismus were proposed, but debates are still ongoing. In this study, factors that may be related with vaginismus were studied and compared with controls. Methods: The participants were women with vaginismus without any organic pathology in gynecological examination and healthy controls. Twenty-five women with vaginismus and 25 controls who have no difficulty with vaginal penetration were evaluated by self-reported scales for depression, anxiety and sexual function. Sociodemographic variables were collected for each participants. Results: Women with vaginismus did not differ from controls in sociodemographic characteristics. The women with vaginismus had significantly higher levels of depression and anxiety. Total score of Glombok-Rust Sexual Satisfaction Scale, subscores of vaginismus, satisfaction, avoidance, anorgasmia were significantly higher and level of sexual knowledge was also limited in women with vaginismus. Discussion: Multiple sociodemographic and clinical factors are found associated with vaginismus. Some of the findings are supported by the literature but some are not. This may remind us there are still unclear concerning related factors in vaginismus. So, there is need for further studies in which hypotheses of different etiopathogeneses of vaginismus will be held.

      PubDate: Fri, 01 Apr 2016 11:33:31 GMT
  • The determinants of benzodiazepine prescription at discharge from a
           psychiatric inpatient clinic

    • Abstract: 2016-04-01T23-20-43Z
      Source: Anatolian Journal of Psychiatry
      Okan Ekinci, Aslı Ekinci.
      Objective: The present study aimed to explore the clinical and demographic determinants associated with receiving a benzodiazepine (BDZ) at discharge from a psychiatric inpatient clinic. We hypothesized that BDZ prescribing at discharge would be significantly related to specific demographic and clinical features rather than prescriber effects. Methods: This retrospective chart review comprised records of patients who were hospitalized between January 2014 and January 2016. Results: Of the 1017 patients analyzed, 32.9% (n=335) received a BDZ at discharge. The analysis resulted in three models predictive of BDZ prescription at discharge: age, the presence of suicidal attempt and primary diagnosis. We found that there is no impact of prescriber effects on receiving a BDZ at discharge. Conclusion: Our results indicate that BDZs are being prescribed frequently at discharge, and while prescribing appears to be influenced by diagnosis, suicidality and age. Clinicians need to be alert to potential confounders that may be affecting prescribing practices. In addition, the prescribers should take into account for their patient’s diagnosis, some clinical and demographic features when starting a BDZ at inpatient clinic.

      PubDate: Fri, 01 Apr 2016 11:32:02 GMT
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