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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]
  • Determining validity and reliability of Turkish version of Fear of Missing
           out Scale

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Mehmet Enes Gökler, Reşat Aydın, Egemen Ünal, Selma Metintaş.
      Objective: The aim of the study was to determine the validity and reliability of Turkish version of Fear of Missing Out (FoMO). Methods: This methodologic study was carried out in two faculty of Eskişehir Osmangazi University. Our study group consisted of 200 students over the age of 18. Translation process was conducted in accordance with the literature. Opinions of fifteen specialists’ were asked to examine the construct validity. Content Validity Index (CVI) coefficient of FoMO Scale was 0.62. Participants’ sociodemographic characteristics about their social media usage, FoMO Scale and Problematic Mobile Phone Use (PU) were conducted. Results: Of the participants 52.5% was female. The mean of age was 21.4±3.0 years. According to factor analysis, factor loading ranged between 0.36-0.77 and consisted of single factor structure. Cronbach’s alpha coefficient of the scale was 0.81. Reliability coefficient of test-retest was 0.81. The scale was statistically and positively correlated with the PU with confirming concurrent validity. The statistically significant relationship was found between the number of social media account, the frequency of checking Facebook and Twitter and the total point of FoMO Scale. There is no significant relationship between the frequency of checking his/her internet for looking personnel e-mail or calling and total point of FoMO Scale. Conclusion: FoMO Scale is a valid and reliable instrument to evaluate the FoMO among university students. Additionally, we emphasized that further research is needed on different and larger groups by using the scale.

      PubDate: Sun, 25 Oct 2015 11:03:49 GMT
  • Successful treatment of a case who had deliberate self-harm by inserting
           needles to her body for 12 years

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Aslıhan Okan İbiloglu, Abdullah Atlı, Süleyman Demir, Aytekin Sır.
      Deliberate self-harm or self-injurious behaviors (SIB)” defined as the intentional, direct injuring of body tissue without suicidal intent in addition to this topic has generated mounting interest among mental health professionals, over the past years. Psychiatric disordered patients have the tendency to self-harm repeatedly. We report here, a case that was referred for SIB with deliberately inserted needles in her body, over the last 12 years.

      PubDate: Sun, 25 Oct 2015 10:57:45 GMT
  • The effectiveness of the tobacco, alcohol and drug dependence treatment
           program (SAMBA) on drug users in probation

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Kültegin Ögel, Rabia Bilici, Gönül Güvenç Bahadır, Alp Maçkan, Olcay Tuna.
      In this research, the aim is that searching the effectiveness of a structured treatment program over treatment process on substance abusers, who are sent to medical institutions because of compulsory treatment within the scope of probation. Methods: Two hundred and fourteen substance users who were sent to Erenköy Mental Health and Neurological Diseases Hospital AMATEM Clinic within the scope of probation have been taken under research, consecutively. The tobacco, alcohol and drug dependence treatment program (SAMBA) has been applied to substance users. Before and after application, Addiction Profile Index Clinic Form (BAPI-K) and a questionnaire to assess knowledge of drug users about addiction has been applied. They have attended the SAMBA program, once in 15 days, 6 times in total and they have all been made urine tests at each time. Urine tests have been made for 6 weeks. People who have not participated in the program once or in whose urine tests substance has been found once have been considered as incompatible with treatment. Findings: The 62.8% of the sample (n=76) have completed the SAMBA program; the urine test results of 33.1% of them (n=40) have been evaluated as positive. The risk that having positive urine test results on those who did not complete the program, has been found nine times more (odds ratio 9.02) than those who completed. When scores are compared before and after implementation; while leaving the substance motivation subscale scores has been increased, BAPI total, craving, depression and anxiety scores have been found to be decreased. Also a statistically significant increase in the Knowledge Assessment Survey scores has been observed. Those who have high scores of craving and novelty-seeking behavior initially, have lower rate of completing the program. Conclusion: It has been shown that SAMBA program is an increasing factor for adherence to treatment on substance users, who were directed to treatment because of probation, users who have craving and novelty-seeking behavior carry a risk about completing structured treatment program.

      PubDate: Sun, 25 Oct 2015 10:45:03 GMT
  • The effects of one community mental health center on antipsychotic
           polypharmacy: 12-months follow-up of patients with schizophrenia

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Abdülkadir Tabo, Erkan Aydın, K. Oğuz Karamustafalıoğlu, Hüseyin Yumrukçal, U. Erman Uzun, M. Cansu Ülgen.
      Objective: Treatment with multiple antipsychotic medications (antipsychotic polypharmacy [APP]) in schizophrenia is recommended to be considered as a last resort, due to non-compliance, metabolic side effects and high mortality. On the other hand, in current clinical practice, APP is quite commonplace. The effects of one “community mental health center” (CMHC) activities on APP and clinical symptoms of enrolled schizophrenia patients were investigated in order to determine changes on antipsychotic treatment processes for schizophrenia. Methods: Sociodemographic Data Form, Positive and Negative Symptom Scale for Schizophrenia (PANSS) scores, Pharmacotherapy Compliance Scale evaluations and modes of medication utilization of 120 patients who were followed-up in this center for one year were evaluated retrospectively. Results: All PANSS subscale (positive, negative and general) scores of the patients decreased and compliance with drug treatment increased; rates of APP remained the same and mean drug treatment doses did not change. Conclusion: The insistence on APP, in spite of improvements in symptoms and patient compliance, shows the importance of maintaining community mental health activities as well as interventions targeting prescription habits of psychiatrists. Such interventions can provide a decrease in use of multiple medications. Results indicate the need to utilize community mental health center services to increase the effectiveness of psychopharmacotherapy for schizophrenia.

      PubDate: Thu, 22 Oct 2015 09:34:56 GMT
  • Ring finger autophagy after spouse’s death

    • Abstract: 2015-10-26T15-34-12Z
      Source: Anatolian Journal of Psychiatry
      Rugül Köse Çınar, Öznur Taşdelen, Bülent Sönmez, Yasemin Görgülü.
      Self-mutilation is defined as self-injury to body tissue without conscious suicidal intent. Self-mutilative behavior can be seen in the context of many psychiatric disorders. Auditory hallucinations in form of voices giving orders increase the risk of self-mutilation. We report a case of “major depressive disorder with psychotic features” who had cut and eat his ring finger in respond to his deceased wife’s ordering voice.

      PubDate: Thu, 22 Oct 2015 09:25:31 GMT
  • Reliability and validity studies of Turkish Version of Extended Personal
           Attributes Questionnaire

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      H. Andaç Demirtaş-Madran.
      Objective: The aim of the present study was to develop and assess validity and reliability of the Turkish Version of Extended Personal Attributes Questionnaire. Methods: A Turkish version of the questionnaire was translated from English by a bilingual person, and then independently translated back to English items by another bilingual individual. The sample consisted of 340 university students from different universities in Ankara, Turkey. In order to determine criterion validity of the scale, its correlation with the Turkish Version of Bem Sex Role Inventory was examined. Results: For determining the reliability of the scale, internal consistency and test-retest methods were used. Criterion validity of the scale and sex differences were examined. Conclusions: This study supports the six-factor model of the Turkish Version of Extended Personal Attributes Questionnaire indicated by the original study.

      PubDate: Mon, 12 Oct 2015 05:41:47 GMT
  • Suicidal thoughts and suicide attempts in Sydenham's chorea: a case report

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      Esra Özdemir Demirci.
      Sydenham’s chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic. After the clinical motor and cardiac symptoms, patients with Sydenham’s chorea have also been presented with the obsessive-compulsive symptoms, anxiety, depression, attention problems and emotional lability. However, in the literature, it could not be reached on a case with the suicidal thoughts or suicide attempts. In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms. In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues.

      PubDate: Mon, 12 Oct 2015 05:36:44 GMT
  • Clinical features and comorbid psychiatric disorders in children and
           adolescents with trichotillomania: a clinical sample

    • Abstract: 2015-10-16T23-21-17Z
      Source: Anatolian Journal of Psychiatry
      Hilal Adaletli, Hatice Güneş, Canan Tanıdır, Caner Mutlu, Tuğçe Aytemiz, Ali Güven Kılıçoğlu, Kayhan Bahalı, Sema Kurban, Özden Şükran Üneri.
      Objective: Trichotillomania (TTM) is characterized by the repetitive pulling out of one's own hair from the scalp, eyebrows, eyelashes, or other areas of the body and is often associated with other psychiatric disorders. In this study we aimed to investigate the clinical and sociodemographic characteristics and comorbid psychiatric disorders in children with TTM. Methods: Twenty-three children and adolescents (15 females and 8 males, median age: 12, range: 6-18 years), who were followed at our outpatient clinic with the diagnosis of TTM, were included in the study. The Turkish version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present and Lifetime version was used to detect the comorbid psychiatric disorders. Depression and anxiety levels were measured by Childhood Depression Inventory (CDI) and State-Trait Anxiety Inventory for Children, respectively. Results: The most commonly affected areas were; the scalp (n=13). Nine cases have been affected more than two areas. Median duration of the symptoms were 7±20.01 months (range: 7 days-72 months) at admission. 65.2% of the cases reported precipitating stress factors before the beginning of TTM symptoms. Nineteen (82.6%) subjects suffered from at least one psychiatric disorder and 14 (60.8%) from at least two psychiatric disorders. The most common comorbid disorders were anxiety disorders (n=15), disruptive behavioral disorders (n=6), tic disorder (n=3) and enuresis nocturna (n=3). The mean score in the CDI was 13.25±8.45. Mean state and trait anxiety scores were 37.19±8.01 and 37.62±7.61, respectively. There was a significant relationship between the time passed until admission to a psychiatry clinic and having multiple comorbid psychiatric disorders. Conclusion: High rates of comorbid psychiatric disorders were found in children and adolescents with TTM. Delay in psychiatric help-seeking seems to be associated with other psychiatric disorders. Early intervention may decrease comorbid psychiatric disorders, which may affect treatment options and prognosis.

      PubDate: Mon, 12 Oct 2015 05:31:42 GMT
  • The Turkish adaptation, validity and reliability study of General
           Causality Orientations Scale in a university sample

    • Abstract: 2015-10-11T23-18-29Z
      Source: Anatolian Journal of Psychiatry
      Gamze Şen, İhsan Dağ.
      Objective: The aim of this study was to test the validity and reliability of General Causality Orientations Scale (GCOS) for a Turkish sample, which can evaluate the source of the behavior and internal processes besides the preference for the perception of external pressure and coercion. Methods: Firstly, GCOS was translated in Turkish with participation of five expert judges. Resulting scale were administered to a college sample of 363 participants (239 females, 66.6%; 124 males, 33.4%). A subsample of 51 participants were retest after three weeks for test retest reliability. Results: Based on item analysis, Pearson’s correlations, and factor analysis, Turkish form of the GCOS was resulted 40 items with two of them are reversed although original form was 51 items. The internal validity of GCOS is 0.81, and correlations with the other scales (Locus of Control Scale, Brief Symptom Inventory) were between 0.10-0.39, which are low but indicating significant conceptual relations. Test-retest reliability coefficients were between 0.71-0.86. Conclusion: Sufficient reliability and validity indexes and suitability of GCOS in Turkish college sample were discussed.

      PubDate: Wed, 07 Oct 2015 02:17:33 GMT
  • Does the quality of life in autism spectrum disorder differ from other
           chronic disorders and healthy children'

    • Abstract: 2015-10-11T23-18-29Z
      Source: Anatolian Journal of Psychiatry
      Önder Öztürk, Serpil Erermiş, Eyüp Sabri Ercan, Figen Gülen, Bürge Kabukçu Başay, Ömer Başay, Sezen Köse, Fatma Özgün Öztürk, Hüseyin Alaçam, Cahide Aydın.
      Objective: Autism spectrum disorder (ASD) is characterized by deficits in social interaction, communication, restricted interests, and repetitive patterns of behavior. This study examined quality of life (QoL) and related clinical factors in children with ASD, compared to children with Attention Deficit Hyperactivity Disorder (ADHD), children with asthma, and healthy controls (HC). Methods: QoL was assessed by the Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0). Additionally, parents of the children provided socio-demographic information and filled out an evaluation questionnaire, child behavior check list (CBCL), and Turgay DSM-IV disruptive behavior disorders rating scale (T-DSM-IV-S). Results: The physical health, psychosocial health, social functioning, and scale total score of the ASD group were significantly lower than those of the three comparison groups. The school functioning score domain was lower in the ASD group than in the asthma and HC groups. In contrast, the emotional functioning domain assessments did not reveal statistically significant differences between the ASD group and the comparison groups. In the ASD group, the total problem score, inattention, and hyperactivity scores were significantly higher than both the asthma and HC groups, and the internalizing scores were higher than the healthy group. Conclusion: The poor QoL is most likely due to functional losses and problem behaviors related to ASD and may negatively affect not only children with ASD but also the whole life of the family.

      PubDate: Wed, 07 Oct 2015 02:10:14 GMT
  • Turkish adaptation of Young’s Internet Addiction Test-Short Form: a
           reliability and validity study on university students and adolescents

    • Abstract: 2015-09-22T23-16-47Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Kutlu, Mustafa Savcı, Yasin Demir, Ferda Aysan.
      Objective: The objective of the study is to examine the validity and reliability of the Turkish version of the Short Form of Young’s Internet Addiction Test (YIAT-SF) for university students and adolescents. Methods: The study was conducted with four different sample groups of 1167 university students of 17-35 years of age and five different sample groups of 945 adolescents aged between 14 and 17. The validity of the scale was examined using exploratory factor analysis, confirmatory factor analysis and criteria-dependent validity. The reliability of the scale was analyzed using Cronbach alpha coefficient and test-retest method. Item analysis was conducted using corrected item total points correlation and item average points for 27% of top and bottom groups. Findings: Exploratory factor analysis results demonstrated that the scale was formed by 12 items and a single factor for both university students and the adolescents; and confirmatory factor analysis showed that YIAT-SF had good adaptive values for both groups and correlation analysis results determined that YIAT-SF was correlated with the applied scales within the context of criteria-dependent validity for both university students and the adolescents. Both YIAT-SF Cronbach alpha and test-retest reliability coefficients were found to be within the acceptable range for both groups. Finally, corrected item total correlation coefficients were observed to be at acceptable levels for both university students and the adolescents and t-values related to item average points for 27% of top and bottom groups were found to be significant. Result: These findings demonstrated that YIAT-SF is a reliable and valid scale for both university students and adolescents.

      PubDate: Mon, 21 Sep 2015 01:17:18 GMT
  • Relation of addiction with dopamine 2 receptor (DRD2) TaqIA polymorphism
           in heroin addicts

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Barış Yılbaş, Neslihan Akkişi Kumsar, Nesrin Dilbaz.
      Objective: To understand the etiologic reasons of heroin addiction will make an important contribution to the prevention and treatment of this disease. It is thought that DRD2 TaqIA gene polymorphism affects the reward system by causing hyperdopaminergic activity and thereby might also lead to the development of substance addiction. The purpose of this study is to examine the possible relation between TaqIA polymorphism and heroin addiction. Methods: One hundred patients, who applied to Ankara Numune Hospital Alcohol and Substance Treatment and Training Centre for treatment and were diagnosed with heroin addiction as a result of the clinical evaluation that was conducted in accordance with DSM-IV were included in this study. One hundred healthy volunteers, who accepted to participate in the study as the control group and were matched with the patient group in terms of age and gender, were involved. Results: There was no statistically significant difference between the patient and control groups in terms of A1 allele carrier. As a result of the evaluation that was performed by dividing the patient group into two groups according to A1 allele carrier, no statistically significant relation was determined between the substance-use features and A1 allele. Conclusion: DRD2 TaqIA polymorphism, which is known to be associated with reward pathways, cannot be a genetic factor that is effective on the development of heroin addiction alone and it is required to consider different genes and gene-gene interactions in broader sample groups in order to determine the genetic factors causing the addiction.

      PubDate: Mon, 07 Sep 2015 01:42:13 GMT
  • Childhood traumas in patients with bipolar disorder: association with
           alexithymia and dissociative experiences

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Onur Yılmaz, Mehmet Alpay Ateş, Ümit Başar Semiz, Recep Tütüncü, Yasin Bez, Ayhan Algül, Hakan Balıbey, Cengiz Başoğlu, Servet Ebrinç, Mesut Çetin.
      Objective: The number of studies investigating the traumatic events experienced during childhood period in patients with bipolar disorder (BD) are limited and to our knowledge no previous study was conducted about alexithymia and dissociative experiences of these patients as well. Besides investigation of childhood traumas and associated dissociative and alexithymic properties, identification of the differences between BD patients with and without childhood trauma (CT) was aimed in this study. Methods: Among the admissions to the psychiatry outpatient clinic, 70 BD patients and 70 healthy control subjects were included into the study. Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I), Dissociative Experiences Scale (DES), Childhood Trauma Questionnaire (CTQ) and Toronto Alexithymia Scale (TAS-20) were administered. Results: Mean subscale and total scores of patients with BD in both CTQ and TAS-20, and mean DES score were found to be significantly higher than healthy control subjects. Psychopathological acts, number of episodes and suicide attempts were higher in the BD patients with childhood trauma history than that of the BD patients without any history of childhood trauma. Additionally, positive correlations were found between ‘sexual abuse’ and alexithymia total score along with ‘difficulty identifying feelings’ subscale score. Moreover, mean DES score was also found to be positively correlated with ‘difficulty identifying feelings’ subscale score, ‘difficulty to describe feelings’ subscale score, alexithymia total score, and episode frequency. Conclusion: These results highlight the importance of protective mental health in the treatment of BD and reveal that childhood traumas should be questioned when evaluating patients especially with the diagnosis of BD.

      PubDate: Mon, 07 Sep 2015 01:35:14 GMT
  • Evaluation of the effect of schizophrenia patients’ beliefs about
           their auditory hallucination on the disease

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Tatlı, Alaaddin Bulut, Neşe Üstün Güveneroğlu.
      Objective: In schizophrenia, auditory hallucinations and their interpretations by the patients are thought to effect the life quality, functionality, self-esteem of the patient and the course of the disease. From this point forth, in our study we aimed to evaluate the effect of the beliefs of schizophrenia patients about their auditory hallucinations, on the duration of the disease, the life quality and self-esteem of the patients. Methods: Seventy patients staying in the inpatient clinics of Bakırköy Prof. Dr. Mazhar Osman for Psychiatric, Neurosurgery and Neurological Diseases Training and Research Hospital who are diagnosed as schizophrenia according to DSM-IV-TR, are enrolled into the study. Patients are assessed through sociodemographic data form, Beliefs about Voices Questionnaire, Rosenberg Self-Esteem Scale, Life Quality Scale in Schizophrenia. Results: 34.3% of the patients that are enrolled into the study have positive beliefs and 65.7% have negative beliefs about their auditory hallucinations. Disease duration is 7.2 years for the patients who had positive beliefs and 10 years for the patients who have negative beliefs. Treatment noncompliance or irregular drug usage is found as 29.2% in patients with positive beliefs and treatment noncompliance or irregular drug usage is found as 60.8% in patients with negative beliefs about their hallucinations. In our study; 87.5% of the patients, who have positive beliefs, have high self-esteem, on the other hand; only 8.7% of the patients who have negative beliefs about their hallucinations, have high self-esteem. As we go through the life quality scale, the mean score in the positive believer group is 87.5 and in the negative believer group the mean score is 52.5. Conclusion: In our study it’s found that, in schizophrenia patients, positive beliefs about auditory hallucinations are related with shorter duration of the disease, higher self-esteem, higher quality of life and more compliance to the treatment.

      PubDate: Sun, 06 Sep 2015 11:48:52 GMT
  • Somatization disorder and hypochondriasis: as like as two peas'

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      İsmet Kırpınar, Erdem Deveci, Alperen Kılıç, Demet Zihni Çamur.
      Objective: Although the DSM-IV has provided some criteria for differential diagnosis of Hypochondriasis and Somatization Disorder, the differences between these disorders have rarely been studied. This study aimed to compare demographic and psychometric properties between hypochondriasis and somatization disorder. Methods: We investigated a sample of 100 patients aged 18-65 years who had been consecutively diagnosed as having hypochondriasis or somatization disorder via the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). The patients completed a battery of scales to measure anxiety, depression, dissociation, and somatosensorial amplification levels. Results: The only statistically significant difference between the two groups was in terms of health anxiety. The mean Health Anxiety Inventory score was higher in the hypochondriasis group. No differences arose between the two groups in terms of other psychometric properties. Conclusions: Our results show that except for health anxiety levels, hypochondriasis and somatization disorder are similar in terms of psychological variables. The higher health anxiety levels in the hypochondriasis group support the opinions about the necessity of new categorization in these disorders.

      PubDate: Sun, 06 Sep 2015 11:47:20 GMT
  • How does impact of objective and subjective disaster exposure relate to
           the three clusters of posttraumatic stress symptoms'

    • Abstract: 2015-09-08T14-25-06Z
      Source: Anatolian Journal of Psychiatry
      Gözde İkizer, Ayşe Nuray Karancı, Canay Doğulu.
      Objective: Around the globe, millions of people are exposed to disasters annually. Disasters may result in a wide range of psychological consequences in adult populations, including posttraumatic stress symptoms (PTS). However, little is known about the effects of the impacts of type of disaster exposure on the symptoms of PTS. This study aimed to understand the effects of objective and subjective impact severity of disaster exposure on symptoms of PTS in the aftermath of two earthquakes which struck Van, Turkey in 2011. Methods: Three hundred and sixty earthquake survivors from districts with different levels of earthquake exposure participated in the study. Consistent with the aims of the study, the participants responded to the Impact of Event Scale-Revised and a measure of earthquake exposure severity. The relationship between symptom clusters and impact of disaster exposure was examined through a multivariate analysis of variance. Results: The findings demonstrated differential effects of type of disaster exposure severity on the symptom clusters of PTS, showing that the two core clusters, re-experiencing and avoidance, differentially related to levels of subjective and objective impact of disaster exposure while symptoms of hyperarousal were commonly reported in survivors who experienced high levels of impact irrespective of the type of exposure. Discussion: This study provided empirical evidence for an important distinction regarding impact of exposure between symptom clusters of PTSD. The findings may guide the development or planning of psychoeducation-based interventions with differential focus on posttraumatic stress symptoms for survivors having different levels of objective and/or subjective impact of exposure.

      PubDate: Sun, 06 Sep 2015 11:44:37 GMT
  • Stress reaction, anxiety and depression after bomb attacks in
           Reyhanlı in Syria-Turkey border

    • Abstract: 2015-08-28T23-28-46Z
      Source: Anatolian Journal of Psychiatry
      Mustafa Arı, Mehmet Hanifi KOKAÇYA, Ümit Sertan Çöpoğlu, Erhan Yengil, Yüksel Kıvrak, Musa Şahpolat, Birsen Budak.
      Objective: Terror attacks are actions taken to create maximum negative psychological impact on the target population. As result of two separate bombings on March 11th 2013 at Hatay, Reyhanlı 52 people died and 146 people were injured. The purpose of this study is to determine the ratio of depression, anxiety and post-traumatic stress disorder (PTSD) on sixth month following the blast in those people who were exposed to explosions either visually and auditory, and in those who were indirectly exposed by being witnesses. Methods: In this study 43 people who were directly exposed, 42 people who were indirectly exposed to the explosions and 45 healthy people as a control group are included for a total of 130 individuals. On sixth month after the blast Beck Depression Inventory, Civilian Versions of Post-traumatic Stress Disorder Checklist, State-Trait Anxiety Inventory and Sociodemographic Information Form were administered to all subjects. Results: The prevalence of depression, anxiety and post-traumatic stress disorder on people who directly and indirectly exposed to explosions are significantly high compared to control group. Among the three groups there are no statistically significant differences in terms of age, gender and demographic factors. Conclusions: Our study has supportive information about the individuals who were exposed to terrorist attacks have high prevalence of PTSD. Additionally, the fact that the prevalence of PTSD and depression were higher in directly exposed cases than indirectly exposed ones may be illustrative in terms of approach to terror trauma.

      PubDate: Thu, 27 Aug 2015 09:35:06 GMT
  • 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

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

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

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

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

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

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

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

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

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

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

    • Abstract: 2015-11-14T23-18-04Z
      Source: Anatolian Journal of Psychiatry
      Orhan Doğan.

      PubDate: Sat, 14 Feb 2015 05:57:26 GMT
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