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Journal Cover   Anatolian Journal of Psychiatry
  [SJR: 0.183]   [H-I: 6]   [2 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1302-6631
   Published by ScopeMed Homepage  [97 journals]
  • Poor insight in obsessive compulsive disorder: a case report

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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

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


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

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

      PubDate: Sat, 04 Jul 2015 02:58:23 GMT
       
  • Personality characteristics of adolescents with substance use disorders

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Alkol madde kullanım bozuklukları olan ergenlerin kişilik özellikleri.
      Objective: Personality characteristics are found to be related with substance use initiation, substance abuse, substance dependence and substance use continuance. The aim of this study is to investigate the personality characteristics of adolescents with alcohol/substance use disorder (ASUD). Methods: Sixty-nine adolescents with ASUD, aged between 16 and 18 were compared with 69 adolescents with similar sociodemographic properties and without ASUD. Minnesota Multiphasic Personality Inventory (MMPI) was used to assess personality traits. Results: Adolescents with SUD had higher scores for psychopathology, hypochondriasis, hysteria, depression, psychopathic deviation, paranoia, psychasthenia, schizophrenia and hypomania scales and lower score for defensiveness (K) scale when compared with the control group. Discussion: Adolescents with ASUD have insufficient defense mechanisms and negative personality characteristics. Personality characteristics of these adolescents should be considered in the treatment and follow up periods.

      PubDate: Fri, 03 Jul 2015 02:42:05 GMT
       
  • Anger and aggression level in parents of children with attention deficit
           and hyperactivity disorder

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Koray Kara, İbrahim Durukan, Cem Koparan, Demet Altun, Dursun Karaman, Selçuk Özkan.
      Objective: In this study we aimed to assess the aggression and trait anger-anger expression levels in parents of children with attention deficit and hyperactivity disorder (ADHD) and to investigate the relationship between symptoms of ADHD/oppositional defiant disorder and aggression and anger levels of parents. Methods: The study sample consisted parents of 58 children diagnosed with ADHD between 6-14 ages. The healthy control group consisted of 54 healthy children's parents. Both ADHD and healthy group were assessed with Sociodemographic Data Form, Buss-Perry Aggression Questionnaire and Trait Anger Expression Inventory. Symptoms of ADHD in children were evaluated with the DSM-IV Based Behavior Disorders Screening and Rating Scale. Results: We found that trait anger level of mothers was higher in ADHD group than the control group. Anger control scores of ADHD parents was lower than the control group. Buss-Perry aggression questionnaire total aggression score and hostility subscale score was found to be higher In ADHD group than healthy control group. Additionally, attention deficit and oppositional defiant symptom levels of ADHD children were in relation with hostility level of parents and trait anger level of mothers. Conclusion: In our study trait anger and total aggression levels of mothers were found to be higher in ADHD group than healthy control group. Anger control levels of parents of ADHD group were lower than the control group. Parents of children with ADHD should be aware of their emotion and behavior related to anger and aggression during the treatment of child.

      PubDate: Fri, 03 Jul 2015 02:36:24 GMT
       
  • Spontaneous ejaculation induced by duloxetine

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Akif Camkurt, Mehmet Fatih Yılmaz, Serkan Güneş, Erdem Önder Sönmez, Atakan Yücel.
      Sexual dysfunctions such as diminished libido, erectile dysfunction, arousal problems, or delayed orgasm are common side effects of antidepressant medication. However, spontaneous ejaculation is a rare side effect caused by antidepressants. Several case of spontaneous ejaculation have been reported about escitalopram, venlafaxine and reboxetine in the literature. In this paper, a 46-year-old man who developed spontaneous ejaculation with duloxetine is discussed.

      PubDate: Fri, 03 Jul 2015 02:33:33 GMT
       
  • Validity and reliability of The Diabetes Obstacles Questionnaire in type-2
           diabetic patients

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Gülsüm Kahraman, Nurgül Güngör Tavşanlı, Hakan Baydur, Dilek Özmen, Erol Özmen.
      Objective: The Diabetes Obstacles Questionnaire (DOQ) helps to determine the problems encountered with their illness by type-2 diabetic patients in daily life and the purpose of this study was to adapt this questionnaire to Turkish and to perform validity and reliability analysis. Methods: This was a methodological study planned to adapt DOQ to the Turkish language and to carry out validity and reliability analysis. After obtaining the necessary permission and making the translation, the questionnaire was applied to 400 type 2 diabetes patients, who had been diagnosed at least one year previously, in the endocrinology polyclinic of Manisa Government Hospital and the endocrinology polyclinic of Hafsa Sultan Hospital in Celal Bayar University. The WHOQOL-8 quality of life questionnaire was applied along with the DOQ in order to examine the extent of correspondence with a scale which measures similar concepts. In order to assess the reliability of the scale, the coefficient of internal consistence (Cronbach’s alpha value) was examined and in order to evaluate the relation of each item to dimension, the item-total correlations and the internal consistence coefficients when items were deleted were evaluated. Also, the items of the questionnaire were applied again to 30 people after a gap of at most two weeks and test- retest analysis as performed. When this was done, intraclass correlation coefficients were examined. Results: The DOQ consists of eight scales and a total of 78 questions. Ten of these questions were excluded in our study as they were not applicable to Turkish society. Conclusion: The study was similar to the original study from the aspect of factors produced in the dimensions.

      PubDate: Fri, 03 Jul 2015 02:32:12 GMT
       
  • Children Aggression Scale-Parent Version (CAS-P): Turkish validity and
           reliability study

    • Abstract: 2015-07-04T23-29-28Z
      Source: Anatolian Journal of Psychiatry
      Elif Ercan, Eyüp Sabri Ercan, Ülkü Akyol Ardıç, Semra Uçar.
      Objective: The aim of this study was to examine the psychometric properties of the Children Aggression Scale-Parent Version. CAS-P developed to help evaluate severity, frequency and diversity of aggressive behavior. Methods: The scale has 33 items representing five domains. The CAS-P was completed for 473 clinically referred children’s parents. Validity was evaluated by examining the relationship of CAS-P scores to other criteria parent rating scales and for the construct validity confirmatory factor analysis (CFA) was conducted. For the reliability the internal consistency were examined. Results: Consistent with previous research, confirmatory factor analysis of the CAS-P confirmed the good-fit of the original model (χ2=842.15; sd=302; χ2/sd)=2.7; RMSEA=0.069; CFI=0.96; NFI=0.95). In order to test the scale for construct validity, the Child Behavior Checklist/4-18 and DSM-IV based Behavior Disorder Screening and rating scale were administered to participants, and the correlations with clinical constructs were in the expected direction. Also the reliability analysis revealed that the CAS-P subscales demonstrated high internal consistency. Conclusion: In the light of the findings, it was concluded that the Turkish version of CAS-P could be used as a reliable and valid tool in research and treatment contexts.

      PubDate: Wed, 01 Jul 2015 00:55:54 GMT
       
  • The role of fecal microbiota transplantation in psychiatric treatment

    • Abstract: 2015-06-19T04-21-44Z
      Source: Anatolian Journal of Psychiatry
      Alper Evrensel, Mehmet Emin Ceylan.


      PubDate: Sat, 13 Jun 2015 13:07:48 GMT
       
  • Treatment with amitriptyline of three patients with burning mouth syndrome

    • Abstract: 2015-06-19T04-21-44Z
      Source: Anatolian Journal of Psychiatry
      Halil İbrahim Taş, Mehmet Fatih Üstündağ, Halil Özcan.


      PubDate: Sat, 13 Jun 2015 13:05:02 GMT
       
  • Impulse control disorders: DSM-5 and beyond

    • Abstract: 2015-06-19T04-21-44Z
      Source: Anatolian Journal of Psychiatry
      Lut Tamam.


      PubDate: Sat, 13 Jun 2015 12:56:46 GMT
       
  • The efficacy of flupenthixol decanoate in bipolar disorder patients who
           have no sufficient remission with existing treatments

    • Abstract: 2015-06-07T14-23-18Z
      Source: Anatolian Journal of Psychiatry
      Salih Saygın Eker, Cengiz Akkaya, Erdal Pirinçci, Şengül Cangür, Selçuk Kırlı.
      Objective: It is aimed to evaluate the prophylactic effect of flupenthixol decanoate in remitted BD patients. Methods: Remitted patients with bipolar disorder (BD), who had at least one mood episode each year in the last five years in spite of adequate pharmacotherapy, were included. Flupenthixol decanoate 20 mg/ml was administered in every two weeks. Hamilton Depression Rating Scale (HDRS), Young Mania Rating Scale (YMRS), Bipolar Disorder Functioning Questionnaire (BDFQ), General Assessment of Functionality (GAF) and Side Effect Rating Scale (UKU) were applied. Patients were followed up for 12 months. Results: Eight patients with a mean age of 34.7±7.5 were enrolled to the study. None of the patients were under monotherapy before the study enrollment. Three (37.5%) of the three patients were dropped out. The data of remaining 5 patients’ were evaluated. At the end of the study mean number of mood episodes declined to 0.2±0.4 per year indicating a statistical significance and the mean score of BDFQ declined to 119.6±2.7. Conclusions: Flupenthixol decanoate significantly improved functionality and decreased the number of mood episodes allowing an alternative treatment even in remitted BD patients. ÖZET

      PubDate: Sat, 06 Jun 2015 05:32:31 GMT
       
  • Traumatic loss and posttraumatic growth: the effect of traumatic loss
           related factors on posttraumatic growth

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

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

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

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

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

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

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

      PubDate: Mon, 27 Apr 2015 01:19:12 GMT
       
  • Evaluation of the relationship between serum vitamin D levels and Tobacco
           Use Disorder

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      PubDate: Fri, 23 Jan 2015 10:54:10 GMT
       
 
 
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