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Journal Cover Anatolian Journal of Psychiatry
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   ISSN (Print) 1302-6631
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  • Co-occurrence of primary polydipsia and bipolar disorder: can it be a sign
           of HPA axis dysfunction'

    • Abstract: 2017-01-01T04-40-41Z
      Source: Anatolian Journal of Psychiatry
      Yasin Hasan Balcıoğlu, Simge Seren Kırlıoğlu, Emine Füsun Özdemir, Fatih Öncü.
      Primary polydipsia (PP) is an etiologically unclear condition that characterized by increased thirst and excessive fluid intake with greater than 3L per day and which usually is coincided in patients with psychiatric disorders. The most commonly reported psychiatric disorder is schizophrenia; however, bipolar disorder is also infrequently described in concurrence. It is remarkable to note that PP could be life-threatening owing to hyponatremia which may lead seizures, cerebral edema, cardiac arrest and coma; thereby, diagnosing and treating PP are crucial. We report a case with a diagnosis of bipolar disorder, currently on remission with the treatment of lithium, presented with 5-month-history of increased water intake. A thorough clinical and diagnostic assessment revealed that patient had not any medical condition which could lead to polydipsia. It is argued that dysregulation of hypothalamic-pituitary-adrenal (HPA) axis could be the underlying reason of affective disorders and the mechanism which may lead to PP. Despite the cause of polydipsia remains unclear, we aimed to provide evidence for the associative role of HPA axis dysfunction in PP comorbid bipolar disorder.

      PubDate: Tue, 27 Dec 2016 23:45:30 GMT
  • A case of osteogenesis imperfecta presenting with psychotic symptoms

    • Abstract: 2017-01-01T04-40-41Z
      Source: Anatolian Journal of Psychiatry
      Evrim Özkorumak Karagüzel, Demet Sağlam Aykut, Pınar Kızılay Çankaya, Murat Karkucak.
      Osteogenesis imperfecta (OI) is regarded as a heterogeneous clinical condition. Genetic complexity and extensive phenotypic variation lead to heterogeneous clinical manifestations in the condition. A 33-year old, male underwent consultation because of irritability, reference ideas and aggressive behavior. OI type-IV was diagnosed on the basis of physical examinations and radiological findings. Psychotic symptoms improved following low-dose antipsychotic treatment. This report presents a rare case of OI with psychotic symptoms. Comorbidity of a psychiatric disorder and OI in a case with a positive family history for both may also emphasize a common genetic basis between the psychotic disorders and OI.

      PubDate: Tue, 27 Dec 2016 22:39:33 GMT
  • Effect of gender differences on impulsivity in adolescents with
           attention-deficit/hyperactivity disorder

    • Abstract: 2017-01-01T04-40-41Z
      Source: Anatolian Journal of Psychiatry
      Sebla Gökçe, Canan Yusufoğlu, Elif Akın, Muhammed Ayaz.
      Objective: Impulsiveness has been considered the core symptom of attention-deficit/hyperactivity disorder (ADHD). In this study, we aimed to assess effect of gender differences on impulsivity in adolescents diagnosed with ADHD. Methods: One hundred and fifty-six adolescents (91 males, 65 females) who were admitted to the Erenköy Research and Training Hospital for Psychiatry and Neurology Child and Adolescent Clinic between 01.01.2016 and 01.05.2016 and diagnosed with ADHD were recruited to participate in this study. Adolescents filled out Barratt Impulsiveness Scale and parents completed the SNAP IV ADHD Scale. Results: Of the participants, 41.6% (n=65) were female and 58.3% (n=91) were male. The mean age of girls was 14.3±1.7 years, and the mean age of boys was 14.4±1.7 years. The Barratt impulsivity mean total scores, the Barratt attentive impulsivity subscale mean scores, and the Barratt motor impulsivity subscale mean scores were significantly higher in the female ADHD group than in the male ADHD group. In multiple linear regression analysis, gender was significantly correlated with the Barratt impulsivity total mean score, the Barratt attentive impulsivity mean score, and the Barratt motor impulsivity mean score. Conclusion: The finding of greatest interest in this analysis is that the adolescent girls who were diagnosed with ADHD had greater attentive and motor impulsivity scores than boys as measured by the BIS-11. Although, some previous research reported inconsistent findings of impulsivity levels by gender, our findings confirm prior reports of higher impulsivity in the female clinical population.

      PubDate: Tue, 27 Dec 2016 13:37:00 GMT
  • Level, prevalence and sociodemographic correlates of alexithymia in a
           physician population in Ankara

    • Abstract: 2017-01-01T04-40-41Z
      Source: Anatolian Journal of Psychiatry
      Arda Karagöl.
      Objective: Alexithymia is a thinking style that emphasizes external stimuli rather than internal emotional experiences, it is characterized by externally oriented thinking (EOT). Alexithymia is associated with depression and many psychiatric disorders. It directly affects mental health but is rarely emphasized in clinical practice. Physicians are at risk of psychiatric disorders. Alexithymia and EOT may contribute to their psychiatric problems. Our aim was to examine alexithymia levels and their sociodemographic correlates in a physician population. Methods: Participants were 83 physicians employed in five hospitals (three education and research hospitals, one state hospital and one university hospital) in Ankara. Participants completed the Toronto Alexithymia Scale (TAS-20) and a sociodemographic questionnaire. Results: The mean TAS-20 score was 44.1±6.3 and 13.25% of the participants were found to be alexithymic. Participants with a psychiatric patient in their family were statistically more likely to have difficulty describing their feelings. EOT was associated with female gender, greater age, seniority in the medical profession, being married, and being born and mostly living in the western region of Turkey. Discussion: EOT may be associated with depression, cultural values and stigmatization. Physicians must be encouraged to discuss and be aware of their EOT to maintain their mental health.

      PubDate: Tue, 27 Dec 2016 13:33:03 GMT
  • Olanzapine and tardive dyskinesia: a case report

    • Abstract: 2017-01-01T04-40-41Z
      Source: Anatolian Journal of Psychiatry
      Ebru Şahan, Meliha Zengin Eroğlu.
      Tardive dyskinesia is a serious and common motor side-effect of treatment with especially traditional neuroleptics with an unknown pathophysiological basis. The essential features of neuroleptic-induced tardive dyskinesia (TD) are abnormal, involuntary movements of the tongue, jaw, trunk or extremities that emerges in a patient predisposed to antipsychotic medication. Although the exact pathogenesis of TD is unclear, there is some evidence that dopamine supersensitivity in the nigro-striatal pathway due to the antipsychotics could contribute to these dyskinetic movements. New generation antipsychotics have less risk in terms of tardive dyskinesia compared to traditional neuroleptics however there is still probability of late adverse effects. Although it has been suggested that olanzapine can improve tardive dyskinesia in some patients, few reported cases have shown that the prolonged use of olanzapine can instead be associated with tardive dyskinesia/dystonia. Here we report a case who experienced tardive dyskinesia after 12 years of treatment with olanzapine and its treatment with clozapine.

      PubDate: Tue, 27 Dec 2016 01:04:32 GMT
  • Journal subject index

    • Abstract: 2016-12-10T09-39-40Z
      Source: Anatolian Journal of Psychiatry

      PubDate: Sun, 04 Dec 2016 10:37:05 GMT
  • Journal author index

    • Abstract: 2016-12-10T09-39-40Z
      Source: Anatolian Journal of Psychiatry

      PubDate: Sun, 04 Dec 2016 10:35:43 GMT
  • Thanks to our advisers

    • Abstract: 2016-12-10T09-39-40Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sun, 04 Dec 2016 10:32:58 GMT
  • The process of assessing adolescent patient who need liver transplant
           because of suicide attempt

    • Abstract: 2016-12-10T09-39-40Z
      Source: Anatolian Journal of Psychiatry
      Burcu Kardaş, Ömer Kardaş, Burcu Özbaran, H. Serpil Erermiş.
      Suicide ideations, attempts and completed suicides are frequent situations in clinical practice of child and adolescent psychiatry. Besides, these situations especially are more common in adolescence period and suicide is one of the major causes of death for this age group. Just because of its easy accessibility, paracetamol (acetominophen) is a drug that is commonly used in suicidal attempts. Paracetamol toxicity is a fatal situation which is one of the most frequent causes of acute liver failure. Liver transplantation is the only option for treatment of acute liver failure. Transplantation from a living donor is the first option because of limited organ sources. In transplantation process, both donor and recipient must be evaluated psychiatrically. Child and adult psychiatrists must work in cooperation with organ transplantation team, in this emergency of which a race against time endures. Furthermore, unlike from adult psychiatrists, child psychiatrists have to evaluate candidate pediatric cases according to their developmental characteristics. In this article, we aimed to evaluate pretransplantational process of child psychiatry consultation in an adolescent who has hepatic failure due to paracetamol intoxication. We discussed the common and urgent medical and psychiatric situations that may be experienced in emergent transplantation cases.

      PubDate: Sat, 03 Dec 2016 09:20:41 GMT
  • Assessment of the assault characteristics and psychiatric symptoms of
           sexual assault victims who reported to criminal justice system

    • Abstract: 2016-12-10T09-39-40Z
      Source: Anatolian Journal of Psychiatry
      Münevver Hacıoğlu Yıldırım, Rengin Güvenç.
      Objective: Sexual assault a common traumatic experience which is mainly female targeted and hard to be expressed. The number of judicial applications caused by sexual assault is less than other traumatic events. The aim of this study is to evaluate the clinical and trauma features of sexual assault victims who reported to criminal justice system. Methods: The observation files of cases in the years between 2013 and 2016 who legally consulted to hospital after a sexual assault and cases who were directed to psychotherapy unit due to 102th clause of Turkish Criminal Code were evaluated retrospectively. Results: One hundred and nine cases were taken to the research. 95.4% of cases were female and 4.6% were male. 81.7% of cases are sexually assaulted by acquaintances and 96.7% of them were psychologically affected. It has been found that the perpetrator's ratio of the imprisonment and the ratio of transfer to our institution via the court is higher in cases of foreign perpetrator. 63.3% of cases had post-traumatic stress disorder after the assault. Presence of acute stress disorder and the family who informed about the assault were determined as a predictor. Discussion: Psychiatric symptoms of sexual assault is high -especially higher in the victims that were abused by their acquaintances. The victims who have the symptoms of acute stress disorder after the sexual assault are the risk group considering the development of post-traumatic stress disorder.

      PubDate: Sat, 03 Dec 2016 09:10:57 GMT
  • Mirtazapine induced galactorrhea: a case report

    • Abstract: 2016-12-03T08-54-14Z
      Source: Anatolian Journal of Psychiatry
      Faruk Kılıç, M. Murat Kuloğlu.
      Galactorrhea is called milky flow spontaneously coming from each breast. It may happen secondary many diseases and drug usage. Antidepressants induce galactorrhea is rare. There are obviously limited reports on mirtazapine, which is noradrenergic and specific serotonergic antidepressant (NaSSA), related hyperprolactinemia and galactorrhea. In this paper, a hyperprolactinemia and galactorrhea case is reported due to mirtazapine treatment of depression.

      PubDate: Sat, 03 Dec 2016 08:51:36 GMT
  • Preschool bipolar disorder: three cases and their follow-up

    • Abstract: 2016-12-03T08-54-14Z
      Source: Anatolian Journal of Psychiatry
      Ayşe Kutlu, Handan Özek Erkuran.
      Objective: Three preschool mania cases were presented discussing clinical phenomenology and treatment with relevant literature. Methods: Psychiatric assessments were done based on Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria. Symptom severity was measured using Young Mania Rating Scale. Results: All met criteria for bipolar disorder type I and attention deficit hyperactivity disorder (ADHD). Familial depression, anxiety and stressful life events increased symptom severity and treatment resistance. Premature dropouts and referrals due to repetitive manic episodes were frequent. While no clinical improvement was observed in a case where valproate was single agent, new generation antipsychotics (risperidone, olanzapine, aripiprazole, paliperidone) were well-tolerated. Discussion: We believe nature, clinical course and treatment of bipolar disorder in preschoolers needs to be further enlightened with larger sample groups and longitudinal follow- up studies, as this rare condition is an important cause of morbidity and functional loss mainly for this age group where lower rates of treatment response and follow-up and comorbidity with other psychiatric disorders, especially ADHD is common.

      PubDate: Sat, 03 Dec 2016 08:42:53 GMT
  • The validity and the reliability study of the Egocentricism Scale in

    • Abstract: 2016-11-26T03-01-18Z
      Source: Anatolian Journal of Psychiatry
      Duysal Aşkun, Fatih Çetin.
      Objective: The aim of the current study is to validate and test the psychometric properties of the Adolescent Egocentricism Scale in Turkish which can be used in certain studies carried out with adolescent and adult populations. Methods: The translation of the scale was carried out in five different steps. The resulting form was applied to three different samples (N1=547, N2=656, N3=155) totaling up to 1358 university students. For construct validity, confirmatory factor analysis was carried out. For convergent and discriminant validity, the Narcissism Scale, Inclusion of the Other to the Self Scale, Aggression Scale, and Rosenberg Self-Esteem Scale were administered. For the reliability measures, internal reliability and test re-test reliability analyses were carried out. Results: As a result of the validity analyses, the original three factor structure (uniqueness, self-focus, imaginary audience) was kept. The relationships of the whole scale or of the sub-dimensions with similar of different structures were validated according to certain theoretical assumptions. As a result of the reliability analyses, the internal reliability of the whole scale was between 0.73 and 0.78, and the results of the test re-test reliability analyses were between 0.61 and 0.68. In addition, there were significant sex differences and significant differences in high and low scores of egocentricism. Conclusion: The results of the analyses revealed adequate proof for the validity and the reliability of the Turkish version of the scale and the results were discussed in light of the available literature.

      PubDate: Sun, 20 Nov 2016 07:32:24 GMT
  • The Perinatal Grief Scale (33-item short version): validity and
           reliability of the Turkish version

    • Abstract: 2016-11-26T03-01-18Z
      Source: Anatolian Journal of Psychiatry
      Miray Özgür Köneş, Meltem Mecdi Kaydırak, Ergül Aslan, Hatice Yıldız.
      Objective: This methodological study aimed to test the validity and reliability of the Turkish version of the Perinatal Grief Scale (33-item short version). Methods: The study included 185 women who were living perinatal loss and up to 12 weeks past. Data were collected using a questionnaire on sociodemographic features and the Turkish version of The Perinatal Grief Scale (33-item short version). Validity studies included language and content validity. For reliability analyses, Cronbach’s alpha coefficients were calculated and, for test-retest reliability, the scale was re-administered after a two-week interval. Results: Content validity index of the scale was 0.95. The overall Cronbach’s alpha coefficient was calculated as 0.96, ranging from 0.91 to 0.93 for three subscales. Item-total correlations were between 0.11 and 0.86. The overall test-retest reliability was 0.91. Conclusion: It was determined that the 32-item version is a valid and reliable instrument that can be used for living perinatal loss women evaluating grief in the Turkish population. The total score of perinatal grief and grief subscale score decreased with removaling of the item 12.

      PubDate: Sun, 20 Nov 2016 07:27:53 GMT
  • Oromandibular dystonia with sertraline treatment: a case report

    • Abstract: 2016-11-26T03-01-18Z
      Source: Anatolian Journal of Psychiatry
      Sema Baykara.
      Selective serotonin reuptake inhibitors are generally first choice drugs in the treatment of depression, anxiety disorder, eating disorder and various psychiatric disturbances, such as impulse control disorder. Sertraline is a selective serotonin reuptake inhibitor. It also makes dopamine reuptake inhibition. It may show somnolence, nervousness, sweating, drowsiness, insomnia, dizziness, nausea, chilling, skin rash, dyspepsia, loss of appetite, headache, diarrhea, ejaculation disorder, dry mouth, and weight loss as side effects. It has been reported that akathisia, dystonia, tardive dyskinesia and Parkinsonism may be seen as the extrapyramidal system findings during use of sertraline. Acute dystonia is a psychiatric emergency. It develops not only due to use of antipsychotics but, it has also been reported to occur due to use of antiemetics and antidepressants as well. In this report, we present a case with oromandibular dystonia, which developed during 50 mg sertraline treatment on the patient with adjustment disorder. Clinicians should always keep in their mind that there may be extrapyramidal side effects during use of selective serotonin reuptake inhibitors.

      PubDate: Sun, 20 Nov 2016 07:25:20 GMT
  • The prevalence and risk factors of psychoactive drug use in primary school
           students in Turkish Republic of Northern Cyprus

    • Abstract: 2016-11-26T03-01-18Z
      Source: Anatolian Journal of Psychiatry
      Ebru Çakıcı, Buse Keskindağ, Meryem Karaaziz, Mehmet Çakıcı.
      Objective: The age of using psychoactive drug has decreased in recent years while it has threatened children. This study considers types of psychoactive drugs used, risk factors and causal attributions among primary school 5th grade students in TRNC. Methods: The study was conducted with 2345 students during May-June 2015 in 75 public primary schools and two private primary schools that are dependent to Ministry of Education and Culture in TRNC. In this study, USA Department of Education “California Healthy Kids Survey” was used by adapting to Turkish. Results: The study found the lifetime prevalence of cigarette use %10.9, alcohol use %23.5 and illicit drug use %1.2. Half of the students (%51.3) reported they have known name of an illicit drug other than cigarette and alcohol. The most known illicit drug is “bonsai” (%5.3) among students. Living in a city, having brother/sister, having separate parents and being exposed to bad behaviour are predictive risk factors for using cigarette and alcohol. On the other hand, being male, being exposed to bad behavior and physical violence are predictive risk factors for using illicit drugs. Conclusions: This study shows that the age of using psychoactive drug has decreased in TRNC and it even exists among primary school students like all over the world. This study proves that prevention studies for psychoactive drug use for children needs to be put into practice as soon as possible.

      PubDate: Sun, 20 Nov 2016 07:21:25 GMT
  • An obsessive compulsive disorder case mixed with the very early onset

    • Abstract: 2016-11-12T09-10-42Z
      Source: Anatolian Journal of Psychiatry
      Hatice Ünver, Dilara Bingöl Karagöz, Nursu Çakın Memik.
      Obsessive-compulsive disorder (OCD) is a psychiatric disorder which seen with recurrent obsessions and/or compulsions, chronic, demonstrate periodic course and affects social and daily functions of the individual considerably. Studies shown that about half of the adult patients with a diagnosis of OCD; the onset of disease in childhood or adolescence. Early onset is associated with more severe symptoms, more comorbidities and bad course of disease. In cases with early-onset OCD may also occur psychotic symptoms; difficulties being experienced for the diagnosis, treatment and follow-up process of these cases. In this case report it has been studied the differential diagnosis of an OCD case mixed with early onset schizophrenia.

      PubDate: Tue, 08 Nov 2016 00:09:49 GMT
  • Validity and reliability study of Turkish version of the Self Theory Scale

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Yasemin Yavuzer, Zeynep Karataş, Betül Polat-Demir.
      Objective: The purpose of this study was to determine the validity and reliability of Self Theory Scale in Turkish society. For this purpose was analyzed in Turkish candidate teacher the validity and reliability of the Turkish form of the Self-Theory Scale. Methods: English form of the scale was applied to 30 candidate teacher studying in grade 4th English Teaching from Mehmet Akif Ersoy University Faculty of Education. The same group was given the Turkish version of the scale three week later. High level of correlation was observed between the scores obtained from the English and Turkish form. The scale was applied to the study group (426 students) by the researchers in accord with the principles of volunteering. The psychometric properties of scale were investigated by exploratory factor analysis, confirmatory factor analysis, criterion related validity, and half split methods. The Positive and Negative Affect Schedule, The Beck Depression Inventory and The Coopersmith Self Esteem Inventory were used for criterion related validity. Results: According to the exploratory factor analysis, it was revealed that the Turkish form of the scale had nine subscales with the 36 items, and the total amount of variance explained by all of the nine factors was 55.98%. As a result of the confirmatory factor analysis, 36 items and nine subscales were concluded to be suitable for the Turkish sample. The lowest Cronbach’s alpha coefficient was 0.52 for a subscale of the scale and all of the 36 items was 0.84. It was found half split reliability as 0.79. It was determined that the item total correlation coefficients of the subscales varied between 0.30 and 0.78. The findings showed that there was moderately positive correlations between the Self Theory Scale (and subscales) and Positive Affect and Coopersmith Self Esteem Inventory scores and negative correlations between Self Theory Scale and Negative Affect and Beck Depression Inventory scores. In addition, university students usually said that they have a positive self-theory. Women's Self Theory Scale total scores and academic achievement, personality and family relations subscales scores are higher than the male. Conclusion: Based on the analysis results, it was decided that the scale can measure positive and negative perceptions of themselves of Turkish university students across a variety of life domains

      PubDate: Sat, 22 Oct 2016 23:12:11 GMT
  • Can serum BDNF levels predict the distinction between bipolar disorder
           depressive episode and unipolar depressive episode?

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Salih Saygın Eker, Ülkü Sarıkavaklı, Şengül Cangür, Özlem Çetin Eker, Cengiz Akkaya.
      Objective: This is study aimed to determine if serum levels of brain derived neurotrophic factor (BDNF) can be used as a biological marker to make a distinction between the depressive episodes of bipolar disorder (BD) and recurrent major depressive disorder (UD). Methods: Patients between 18-65 years of age and diagnosed with BD and UD according to DSM-IV-TR diagnostic criteria, who were admitted to the outpatient clinic of psychiatry department were enrolled to the patient arm of the study. Volunteers between 18-65 years of age, who had no physical morbidity and clinical psychopathology according to DSM-IV-TR diagnostic criteria, were enrolled to the control arm of the study. There were 24 patients (11 BD and 13 UD) and 18 healthy volunteers. Patients were required to be drug naïve for the past four weeks prior to the study enrollment. Hamilton Depression Rating Scale (HDRS) were applied to all patients. The serum levels of BDNF of all the subjects were studied. Results: There were no differences between groups in terms of sociodemographic variables. Total number depressive episodes were higher in BD group compared to UD group. There were no differences between BD and UD groups in terms of serum levels of BDNF. However, in patient group serum BDNF values were lower than the control group. Serum BDNF levels did not correlate with age, body mass index or gender in each group. Serum BDNF levels did not correlate with mean scores of HDRS or number of depressive episodes. Discussion: Considering the outcomes of the present study, serum BDNF levels did not demonstrate any significant difference between patient groups. However, serum BDNF levels were lower in patient groups compared to controls. For the time being there is no valid biological diagnostic marker for psychiatric disorders. The data of the present study is far from generating a biological marker for the distinction of depressive episodes of UD and BD.

      PubDate: Sat, 22 Oct 2016 23:10:22 GMT
  • Turkish validation of the Parents’ Beliefs about Children’s
           Emotions Questionnaire

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Şükran Kılıç, Hatice Kumandaş.
      Objective: The present study is aimed to examine psychometrical properties of the Parents’ Beliefs about Children’s Emotions Questionnaire (PBACE), which is an important part of parental emotion socialization and closely related to children mental health, for Turkish parents and to detect measurement invariance according to parent gender Methods: three hundred and fifty mothers and 350 fathers who have children between the age of 4-10 participated in this study in Aksaray city center. The PBACE is a Likert type scale and consisting of 33 items. For its Turkish adaptation, translation and back-translation were completed, and then submitted to experts for content, semantic and conceptual equivalance. Confirmatory Factor analysis (CFA) was performed for examining construct validity. Parents of gender-based measurement invariance structure were analyzed by calculating the configural, metric and scalar invariance. An evaluation of the reliability of the scale was made using, internal consistency (Cronbach's alpha) coefficients, test-retest correlation methods and item-total correlation. Results: The validity of the data obtained from the measurement tool in the study were analyzed by examining the results of CFA. CFA results indicated that the questionnaire has a structure of seven factors and data model compliance was found to be within acceptable values. Internal consistency coefficients, test-retest values and item total correlations were examined and it was found that PBACE is a reliable measuring instrument. For parent gender measurement invariance fit indexes (Chi square, RMSEA, SRMR, CF, TLI) in gradually obtained models was examined whether the range is acceptable. When examining structural analysis results for two different gender level, it was seen that metric and scalar invariance is achieved. Discussion: Parents can use Turkish version of PBCAE for evaluating children's positive and negative emotions and parents and the questionnaire can also be used in studies examining clinical, developmental and family systems.

      PubDate: Sat, 22 Oct 2016 23:08:26 GMT
  • A case of psychogenic movement disorder unresponsive to
           psychopharmacological treatment

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Yaşar Altun, Aysun Kalenderoğlu, Mustafa Çelik.
      Psychogenic movement disorders (PMD) are movement disorders for which an etiology cannot be found after exclusion of organic causes. These movement disorders can perfectly mimic organic movement disorders. Clinical observations, detailed medical history and neurological examination can help diagnose this condition. We present a 45 years old man with weakness in his right leg for two years which was evident especially during a walk. His physical examination showed that during initiation of walk dystonic posturing occurred for a few seconds and this caused gait disturbance. Laboratory and radiological tests for differential diagnosis did not reveal any abnormal finding. Diagnosis of PMD was made based on these results. Psychotropic medications and cognitive behavioral therapy failed to produce any response. In conclusion both diagnosis and treatment of PMD pose a great challenge for clinician. This diagnosis should be kept in mind in order to avoid adverse consequences of wrong diagnoses and unnecessary treatments.

      PubDate: Sat, 22 Oct 2016 23:06:49 GMT
  • Psychometric properties of the 20-Item Toronto Alexithymia Scale in a
           Turkish adolescent sample

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Nurullah Bolat, Mesut Yavuz, Kayı Eliaçık, Adil Zorlu, Cüneyt Evren, Samet Köse.
      Objective: Alexithymia have the similar negative consequences for mental health in adolescence as in adulthood. However, there is no alexithymia scale for clinical and research purposes in Turkish adolescents. This study aims to evaluate the psychometric properties of the Turkish version of 20-Item Toronto Alexithymia Scale (Turkish TAS-20) in a Turkish adolescent sample. Methods: Turkish TAS-20 was administered to 948 adolescents aged between 12 to 17 years (439 male and 509 female). The participants were grouped as total sample (12-17 years old), younger (12-14 years old) and older (15-17 years old) adolescents. Cronbach’s α coefficients, mean inter-item correlations, intercorrelations of factors, confirmatory factor analysis, and measures of goodness-of-fit were determined. Results: The Cronbach’s α coefficients were 0.78 for the total scale, 0.80, 0.68, 0.40 for the factor 1, factor 2, and factor 3, respectively. The Cronbach’s α coefficient for full scale was favorable for total group. The Cronbach’s α coefficient for factor 3 was reasonable in older (0.55 for 15-17 years old), however, it was low in younger adolescents (0.20 for 12-14 years old). All criteria of goodness-of-fit met the standards for adequacy-of-fit for all age groups. The mean inter-item correlation coefficients for the total sample, 12-14 year old group, and 15-17 year old group were 0.15, 0.11, and 0.21, respectively and were in the acceptable range of 0.10 to 0.50. Conclusion: The psychometric properties of Turkish TAS-20 for adolescents were comparable with the results of the reliability and validity study of Turkish TAS-20 in Turkish adults. However, caution should be taken when interpreting the results, because factor 3 appears to have weak psychometric properties. Considering factor 3, we suggest that the Turkish TAS-20 best fits for adolescents who are older than 14 years old.

      PubDate: Sat, 22 Oct 2016 23:04:58 GMT
  • Violence against women and quality of life

    • Abstract: 2016-10-29T02-55-13Z
      Source: Anatolian Journal of Psychiatry
      Berna Bilgin Şahin, Pınar Erbay Dündar.
      Objective: The aim of this study is to determine the prevalence, risk factors of domestic violence and its relationship with quality of life in women. Methods: This cross-sectional study is conducted on 287 women aged between 15 and 64 years with at least one marriage and in two Family Health Center located in urban and semi-urban region. A questionnaire consists of 65 questions and World Health Organization Quality of Life - BREF (WHOQOL-BREF) Scale is applied for evaluation quality of life of participants. Results: The prevalence of being subjected to violence by husband or ex-husband at least one time and within last year is 27.2% and 13.6%. Women are subjected to at least one of these violence types, 39.4% emotional violence/abuse, 24.4% economic violence/abuse, 23.3% physical violence, 9.8% sexual violence. Exposure to domestic violence is deteriorate in all domains of quality of life of women. Exposure to violence in childhood of the partner is the factor significantly associated with the every kind of violence. Involuntary or prearranged marriage, having three or more children, excessive alcohol usage of husband and being witnessed to violence during childhood are found as other risk factors which increases the rate of violence against women. Conclusion: It is necessary to develop policies not only status of women but also to change perspective of society against violence with a multi-dimensional approach.

      PubDate: Sat, 22 Oct 2016 23:02:46 GMT
  • 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
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