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Journal Cover Anatolian Journal of Psychiatry
   [4 followers]  Follow    
  This is an Open Access Journal Open Access journal
     ISSN (Print) 1302-6631
     Published by ScopeMed Homepage  [77 journals]   [SJR: 0.137]   [H-I: 6]
  • Unwanted sexual intercourse in a group of married women: prevalence,
           reasons and short term consequences

    • Abstract: 2014-11-22T19-02-00Z
      Source: Anatolian Journal of Psychiatry
      Aziz Yaşan, Lut Tamam, Hilal Selçuk Bardakçı.
      Objective: The aim of this study was to examine the prevalence of unwanted sexual intercourse, its reasons, some short term consequences and related sexual function disorder in a group of married women. Methods: Sixty three married women who have been working as research fellow in a university have participated in the study. A study form including sociodemographic features and information relevant to unwanted sexual experiences of cases were completed by participants. Arizona Sexual Experiences Scale were given to collect information about sexual life and experiences of subjects. Results: More than half of the cases revealed that they had unwanted sexual intercourse during their lifetime. The most common reasons for unwanted sexual intercourse were using sex as a way of showing their love and satisfying a need to be sensual. According to Arizona Sexual Experience Scale, women those have unwanted sexual intercourse had significantly lower sexual desire, arousal, orgasm and sexual satisfaction subscale as compared to women those did not have unwanted sexual intercourse. Discussion: This study has shown that all unwanted sexual intercourse may not be considered as traumatic and for some women it might be considered as positive sexual experience. However, in some cases it may lead to negative psychological consequences and sexual dysfunction. Thus, further studies are warranted to determine the factors leading an unwanted sexual course to be considered as a positive or negative experience. In psychiatric practice, evaluating unwanted sexual course might help psychiatrists to find out a precipitating factor for a sexual dysfunction and some psychiatric syndromes.

      PubDate: Wed, 19 Nov 2014 11:39:42 GMT
       
  • The adaptation of Causal Uncertainty Scale into Turkish

    • Abstract: 2014-11-22T19-02-00Z
      Source: Anatolian Journal of Psychiatry
      İrem Uz.
      Objective: Causal uncertainty is being uncertain about the causes of social events. Causal uncertainty is related with effortful information processing, attributional processes, depression, anxiety, and negative affect. Although causal uncertainty is implicated in relation to many psychiatric as well as clinical and social psychological constructs, a Turkish version of Causal Uncertainty Scale is missing. The present study was carried out in order to translate the Causal Uncertainty Scale into Turkish, and examine its validity and reliability. Methods: It was translated into Turkish by three English-Turkish bilinguals who first worked independently, then worked together. Once a version was agreed upon, the scale was back-translated into English and was found to be equivalent. The final Turkish scale was tested upon 138 university students. Results: Item analysis, factor analysis, and internal reliability tests showed that the Turkish scale was internally reliable. Discriminant and predictive validity tests indicated that the Turkish scale was valid. There were no sex or age differences in Turkish scale, attesting further to its reliability and validity. Discussion: Future studies can use the validated Turkish Causal Uncertainty Scale both to replicate the findings found in other countries and to venture into new research areas.

      PubDate: Wed, 19 Nov 2014 11:36:08 GMT
       
  • Psychometric Properties of Turkish Version of the Behavior Problems Scale
           for High School Students

    • Abstract: 2014-11-22T19-02-00Z
      Source: Anatolian Journal of Psychiatry
      Aslı Bugay, Müge Çelik Örücü, Mana Ece Tuna, Figen Çok, Petek Aşkar.
      Objective: The purpose of the study was to investigate the validity and reliability of the Behavior Problem Scale (BPS) in a sample of Turkish high school students. Methods: This is a descriptive study and confirmatory factor analysis was used. The scale was administered to 542 Anatolian high school students from 9th, 10th and 11th grades in Ankara. Results: Confirmatory factor analysis was conducted for both single and two-factor models of the BPS and the following indices were obtained: (χ2(35)=166.09, p=0.01; χ2/df-ratio=4.74; GFI=0.939, CFI=0.893, RMSEA=0.083, and SRMR=0.049) for two-factor model. The internal consistency of the BPS was assessed by Cronbach’s alpha, which was 0.80 for the total; 0.71 for rudeness; and 0.70 for disobedience. For criterion validity, Multidimensional Students’ Life Satisfaction Scale (MSLSS) was used. Pearson correlation coefficient revealed a significant negative correlation between BPS scores and MSLSS, suggesting that participants with a high BPS scores were more likely to score lower on the MSLSS. Conclusion: The results of this study showed that the Turkish version of the BPS provides a reliable and valid measure for Turkish high school students.

      PubDate: Wed, 19 Nov 2014 11:32:16 GMT
       
  • P50 sensory gating in patients with vaginismus

    • Abstract: 2014-11-22T19-02-00Z
      Source: Anatolian Journal of Psychiatry
      Işıl Göğcegöz Gül, Rıfat Karlıdağ, A. Cemal Özcan.
      Objective: P50 sensory gating was investigated in patients with primary vaginismus (PV) with the hypothesis that interpreting coping capacities as a stress factor during sexual intercourse by perceiving unrelated stimuli and an impairment of the sensory information processing may be associated with fear/anxiety related to a possible pain in vulvovagina. Methods: A total of 35 patients who were diagnosed with PV and 29 healthy volunteers matched for age and gender underwent P50 recording in the neurophysiology laboratory and the results were compared. Results: The PV group's P50 gating ratio and S1 amplitude were statistically significantly lower than in the control group. Conclusion: Sensory gating is required for filtering the stimuli coming to the brain and developing an appropriate behavioral response. The reduced formation of an appropriate behavioral response in the PV group can lead to a perception of excessive and unrelated stimuli coming from internal and external environments and interpreting these as a stress factor exceeding the capacity to cope. Our study is the first to evaluate sensory gating in PV patients and new studies with larger patient groups are required.

      PubDate: Wed, 19 Nov 2014 11:28:58 GMT
       
  • Evaluating the people who were sent for determining of criminal
           responsibility

    • Abstract: 2014-11-22T19-02-00Z
      Source: Anatolian Journal of Psychiatry
      Yasemin Görgülü, Aylin Küçük, Seçil Uysal Çetinkaya.
      Objective: According to the penal code in Turkey, a person who, during the commission of a crime, is under the influence of mental illness, who cannot detect legal meaning and consequences of the act committed or whose ability to redirect his/her behavior in relation to the act decreased significantly, will not be punished. The purpose of this study is to evaluate socio-economic data on people who were sent for criminal responsibility evaluation to the largest forensic psychiatry clinic of Turkey during one-year period, the expert opinion on criminal responsibility, the diagnostic distributions, the nature of their crimes. Methods: The medical files of 332 people were examined retrospectively. Results: It has been determined that 54.5% had a full criminal responsibility since it was detected that they had no mental illness or weakness which might affect their criminal responsibility and 39.5% were found to have no criminal responsibility for having a psychiatric disorder on the date of crime. Discussion: Considering the fact that those who were sent for psychiatric evaluation after committing a crime have psychiatric disorders as well as the distribution of psychiatric disorder diagnoses, the nature of the crimes committed and against whom these crimes were committed, results of the studies in our country and abroad were found to be compatible and consistent.

      PubDate: Wed, 19 Nov 2014 11:24:18 GMT
       
  • Tramadol induced depression: report of two cases

    • Abstract: 2014-11-13T14-15-09Z
      Source: Anatolian Journal of Psychiatry
      Kumru Şenyaşar, Özlem Devrim Balaban, Menekşe Sıla Yazar, Nezih Eradamlar.


      PubDate: Sat, 01 Nov 2014 12:56:32 GMT
       
  • A mental health service planning for adolescence-aged group: observations
           and recommendations based on a training and research hospital’s
           one-year experience

    • Abstract: 2014-11-13T14-15-09Z
      Source: Anatolian Journal of Psychiatry
      Özden Şükran Üneri, Gülser Dinç, Zeynep Göker, Esra Güney.


      PubDate: Sat, 01 Nov 2014 12:54:22 GMT
       
  • The effect of approval dependence and empathy on excessive internet use
           through social benefit among university students

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Diğdem M. Siyez.


      PubDate: Thu, 23 Oct 2014 09:46:24 GMT
       
  • The effect of cluster B personality disorder comorbidity on the coping
           styles in patient with bipolar disorder

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Haluk Usta, Hüseyin Güleç, Aytül Gürsu Hariri, Medine Güleç.
      Objective: The effect of the presence of cluster B personality disorders which are frequent comorbidities with bipolar I disorder on the coping strategies was investigated and also it was studied whether there was a different profile. Methods: The patients who were in remission period and had bipolar disorder were included in the study. All things considered, we included 50 male and 50 female patients who had bipolar I disorder in remission period with cluster B personality disorder, and 50 male and 50 female patients without cluster B personality disorder. SCID-I and SCID-II were used respectively. The COPE scale was also given to determine patients’ coping styles. Results: In terms of coping styles, the patients with cluster B personality disorder had higher dysfunctional coping styles scores. There were no significant differences for problem-focused coping scores, and emotion-focused coping scores among those patients. When the subscales were examined, the scores of focusing on emotions and expressing emotions, denial, retraining, and substance use subscales were higher among the patients with cluster B personality disorder. Conclusion: When the coping styles of bipolar patient groups those were divided according to having cluster B personality disorder or not were compared, it was seen that the group with cluster B personality disorder were using more dysfunctional coping styles. These findings can be important with regards to psycho-social interventions. Our findings must be replicated with larger and different comorbidity groups.

      PubDate: Thu, 23 Oct 2014 09:43:41 GMT
       
  • Investigating the relationship between pain and major depressive disorder
           in terms of depressive symptoms

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Salih Saygın Eker, Özlem Çetin Eker, Selçuk Kırlı, Güven Özkaya, Begüm Esra Baykal, Cengiz Akkaya.
      Objective: Pain or painful physical complaints may be the sole complaint for admission to health care units in most of the major depression disorder (MDD) patients. In this study it is aimed to investigate the association between pain and depressive symptoms in depressed patients. Methods: A hundred patients, between 18-65 years of age and diagnosed with MDD according to DSM-IV-TR diagnostic criterion, who admitted to the outpatient clinic of Psychiatry department were enrolled to the study. Patients with accompanying axis I or axis II disorders according to DSM-IV-TR, patients with alcohol or substance abuse and patients whose pain complaints are attributable to an existing organic illness are excluded. Sociodemographic data form, Hamilton Depression Rating Scale (HDRS) which measures depression and Visual Analogue Scale (VAS) were applied to all patients who were enrolled to the study. Results: The mean age of the patients were 37.2±11.3 years, mean number of MDD episodes were 1.9±1.12, duration of the recent episode were 7.2±5.6 months and mean score of HDRS were 21.8±4.2. 47% of the patients had pain complaint. Duration of the painful complaints were 28.7±34.4 months, mean score of VAS was 55.8. The most painful complaint was headache. Mean number of painful complaint localization was 1.6±0.9. The painful complaints were found to be associated with more severe depression. Discussion: It is clear that there is an association between MDD and pain. It is also known that the course of depression is poorer in MDD patients with painful complaints. Thus, for clinical practice, painful complaints should be questioned in details and treatment options should arranged in this regard for better outcome in the treatment of MDD.

      PubDate: Thu, 23 Oct 2014 09:39:47 GMT
       
  • Validation of Turkish Version of Premenstrual Symptoms Impact
           Survey™ (PMSIS™) for assessing status of premenstrual syndrome
           in women of reproductive age

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ömer Tolga Güler, Tijen Ataçağ, Eyüp Yaycı, Ali Çetin, Meral Çetin.
      Objective: We aimed to evaluate the reliability and validity of a Turkish adaptation of the Premenstrual Symptoms Impact Survey™ (PMSIS™), a six-question health survey that measures the impact of symptoms of premenstrual syndrome (PMS) on an individual’s functional health and well-being. Methods: The PMSIS™ was independently translated into Turkish and its adaptation to Turkish language was performed via back-translation. The reliability and validity of the PMSIS™ were examined with 63 women of reproductive age, found healthy during annual well-woman gynecologic examination. Premenstrual Syndrome Scale (PMSS), a Turkish questionnaire, was administered to assess the concurrent validity of the PMSIS™. For the assessment of survey data, the content validity, test-retest reliability, Cronbach’s alpha, concurrent validity, and construct validity tests were used. Results: The content validity index of the Turkish version of PMSIS™ was found as high (91%). After reliability analyses, the intra-class correlation coefficient between the PMSIS™ scores at the first and second assessments was 0.70, showing a good agreement between test and retest values; and the Cronbach’s alpha coefficient was 0.89, indicating adequate and high internal consistency. Regarding the concurrent validity, the Pearson's correlation coefficient between the PMSIS™ (first assessment) and PMSS scores was 0.70 (p=0.001). Regarding the construct validity, factor analysis revealed that one dimension was found; and factor loading of items ranged from 0.74 t0 0.84 and total variant of scale was expressed as 65.1%. The PMSIS™ had a good concurrent and construct validities. Conclusions: The Turkish version of PMSIS™ has good reliability and validity properties. It is a reliable, consistent, and valid instrument to assess the status of PMS in women of reproductive age and the outcome of PMS treatment in Turkish population.

      PubDate: Thu, 23 Oct 2014 09:35:45 GMT
       
  • Mood and personality changes in the patients undergone coronary
           angiography

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ali İrfan Gül.
      Objective: Changes in health status and psychopathology can cause alterations in some personality traits. The aim of this study is to search the change of major personality characteristics, anxiety and depression levels before and after coronary angiography application in the patients who were undergone elective diagnostic coronary angiography first time in their life. Methods: Thirty four male and 22 female who admitted to cardiology policlinic due to chest pain and in whom elective diagnostic coronary angiography was indicated were included in the study. To these patients, Hospital Anxiety and Depression Scale (HADS) and Eysenck Personality Questionnaire-Revised Short Form (EPQ-RSF) were applied just before and two weeks after the coronary angiography test. Obtained data in points before and after angiography were compared statistically. Results: Fifty six patients were included, 22 of them were female. 26 of all didn’t have any pathology which necessitated medical treatment while 30 patients were diagnosed to have coronary artery disease (CAD). The pre-angiography points of the patients without coronary artery disease (n=26) from HADS anxiety subquestionnaire and EPQ-RSF neuroticism subquestionnaire were found to be statistically higher than those of the patients with coronary artery disease (n=30) while points from EPQ-RSF extraversion sub questionnaire were statistically higher in patients with CAD. In respect to the questionnaire given two weeks after coronary angiography; EPQ-RSF extraversion sub questionnaire points of the patients without CAD were statistically higher while HADS anxiety subquestionnaire and EPQ-RSF neuroticism subquestionnaire points of the patients with CAD were found to be statistically higher compared to the other group. Conclusion: According to the results obtained, the complaints of significant number of patients undergone coronary angiography were composed of psychosomatically originated psychopathologies in reality. And also this study showed that psychiatric disorders such as anxiety and depression increased together with appearance of neurotic personality traits when the people learned impairment in their health status

      PubDate: Thu, 23 Oct 2014 09:32:26 GMT
       
  • Psychopathology in abused children and adolescents and related risk
           factors

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Hande Ayraler Taner, Fatih Hilmi Çetin, Yasemen Işık, Elvan İşeri.
      Objective: The aim of this study was to investigate the factors related to sexual abuse, developing early psychopathologies after sexual abuse and the factors related to these psychopathologies. Methods: In this study, the sexually abused children and adolescents who were referred to Gazi University Child and Adolescent Psychiatry Department for criminal reports between 2011 and 2012 were assessed retrospectively. Psychiatric diagnosis were made by using DSM-IV-TR diagnostic criteria. Results: The study included 107 sexually abused children. The sample consisted of 90 girls (84.1%) and 17 boys (15.9%). The number of participants who had a history of sexual abuse was 26 (24.2%). After the abuse, 77.6% of the patients were found to have a psychiatric diagnosis. It was also determined that having a psychiatric disorder history before the abuse, being abused by a known person out of the family, incest, multiple abuses, sexual abuse with penetration and accompanying physical violence is positively related to having a psychopathology after the abuse. It was detected in multiple logistic regression analysis that cases which had all of these three factors as having any psychiatric diagnosis before sexual abuse, being abused repeatedly and accompanying physical violence with sexual abuse, had the risk of having a psychopathology after the abuse 175 times higher than the others. Discussion: Early childhood sexual abuse often leads to mental health problems. Determining the factors associated with child sexual abuse and psychiatric disorders will be guiding at the follow-up and treatment of child sexual abuse cases.

      PubDate: Thu, 23 Oct 2014 09:28:31 GMT
       
  • Validity and reliability of the Turkish version of the Digital Game
           Addiction Scale

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Aylin Yalçın Irmak, Semra Erdoğan.
      Objective: The purpose of the study was to determine the validity and reliability of the Turkish version of the Digital Game Addiction Scale (DGAS-7) that was developed to explore the problematic gaming behavior of adolescents. Methods: The samples for this methodological study comprised 95 adolescents in the 9th, 10th and 11th grades of a high school in Istanbul who had played/continued to play computer/video games and were willing to participate in the study. The DGAS-7 is a 5-item Likert type, single-dimension scale made up of 7 questions. For its Turkish version, the scale was first translated and back-translated, and then submitted to an expert to check content validity. An evaluation of the reliability of the scale was made using item-total correlation, internal consistency (Cronbach's alpha) coefficient and test-retest correlation methods. The content validity index and concurrent validity were evaluated to assess validity, and explanatory factor analysis (AFA) and confirmatory factor analysis (CFA) were used to evaluate construct validity. Results: The mean age of the adolescents was 16.61±0.99 years and 69% were males. The Content Validity Index for the DGAS-7 was 0.92, Cronbach's alpha coefficient was 0.72 and item-total correlation ranged between 0.52 and 0.76. The correlation for the test-retest at three weeks was 0.80. In the explanatory factor analysis, 56.96% of the total variance on the one-dimensional scale was explained and factor loads ranged between 0.52-0.77. The confirmatory factor analysis revealed values of χ2=14.22, p=0.37, sd=14, RMSEA=0.012, AGFI=0.92, CFI=0.99, GFI=0.96, and SRMR=0.06, showing that the model was a good fit. Discussion/Conclusion: The results of the validity and reliability testing of the Turkish version of the DGAS-7 were found to be similar to the findings of the original scale. These results show that the Turkish version may be used as a valid and reliable tool in determining problem-causing digital gaming behavior among adolescents and also for purposes of early diagnosis and in other relevant research. It might be recommended that exploring the validity and reliability of the scale is repeated in different groups of subjects of similar ages and that the scale is used in prevalence studies.

      PubDate: Sat, 27 Sep 2014 12:49:26 GMT
       
  • The relationship between problematic internet using emotional intelligence
           and some sociodemographic variables

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Gülsüm Ançel, İnci Açıkgöz, Ayşe Gül Yavaş Ayhan.
      Objective: The aim of this study is to identify problematic internet use in university students and relations between problematic internet use and emotional intelligence and some sociodemographic characteristics. Methods: Four hundred and thirty-two students participated to the study and data were collected by using questionnaire for sociodemographic characteristics, Online Cognition Scale and Emotional Intelligence Scale. Descriptive statistics, t-test, Pearson Correlation Analysis and Stepwise Hierarchical Regression Analysis were employed to evaluate the data. Results: Results indicated that problematic internet use rate is 15.9%, there is negative correlation between Online Cognition Scale and Emotional Intelligence Scale, and gender (being male), departments of students, using internet for social interaction and emotional intelligence are predictors of problematic internet use. Conclusion: Students are thought to be a risk group for problematic internet use, further studies are needed and precautions should be improved.

      PubDate: Sat, 27 Sep 2014 12:47:25 GMT
       
  • A case with late onset stealing and hoarding

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Buket Belkız Güngör, Almıla İkra Akgül, Ersin Budak, İbrahim Taymur, Rüstem Aşkın, Asuman Ali.
      Anahtar sözcükler: A late-onset of stealing and hoarding behaviors with initial diagnoses of kleptomania and hoarding, was diagnosed as behavioral variant frontotemporal dementia based on International Frontotemporal Dementia Consensus Criteria, discussed in the frame of this case.

      PubDate: Sat, 27 Sep 2014 12:45:12 GMT
       
  • Comparing the effects of rocuronium-sugammadex and succinylcholine on
           recovery during electroconvulsive therapy

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Ersin Köksal, Yasemin Burcu Üstün, Cengiz Kaya, Ahmet Rıfat Şahin, Ali Haydar Şahinoğlu.
      Objective: We aimed to compare the effects of rocuronium-sugammadex and succinylcholine on the recovery and side effects during the electro-convulsive therapy (ECT). Methods: Patients who received at least six sessions ECT are involved into this study. For general anesthesia, following 1 mg/kg propofol, rocuronium or succinylcholine were applied. After ECT process, succinylcholine group was left to recovery on its own, but rocuronium group was received 4 mg/kg sugammadeks. Heart rate, mean blood pressure, oxygen saturation, spontaneous breathing time, time of opening eyes, time of obeying the instructions, motor seizure duration, side effects, timing of T1 0% and 90%, Modified Aldrete Scores (MAS) and timing of MAS 9 were recorded. Results: When the groups were compared, time of T1 being 0% in succinylcholine group was meaningfully shorter. Time of T1 being 90% was shorter in rocuronium-sugammadex group. Motor seizure duration was longer in the rocuronium-sugammadex group. After ECT process MAS was found lower in the rocuronium-sugammadex group, timing of MAS 9 was shorter in rocuronium-sugammadex group. Opening eyes, obeying the instructions and spontaneous breathing time were shorter in rocuronium-sugammadex group. Conclusion: Use of rocuronium-sugammadex combination provides sufficient muscle relaxation and early recovery during ECT. Rocuronium-sugammadex can be used as an alternative to succinylcholine in ECT.

      PubDate: Sat, 27 Sep 2014 12:42:27 GMT
       
  • Long-term effects of a rehabilitation program on the clinical outcomes,
           social functionality, and life quality of schizophrenic patients-a
           follow-up study

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Mehtap Arslan, Ayla Yazıcı, Tülay Yılmaz, Sibel Coşkun, Erhan Kurt.
      Objective: Schizophrenia is a severe brain disease which leads to progressive clinical, cognitive, social, and vocational deterioration. The results of a meta-analysis of studies from more than 100 years showed that the progress and outcomes of schizophrenia remain poor. However, evidence-based strategies combining pharmacological and psychosocial treatments have obtained promising results and increased expectations regarding the outcome of schizophrenia. This study examined the effects of a multimodal, psychosocial intervention program for schizophrenic patients at the end of the program and three years later. Methods: The study involved 60 patients between 18 and 65 years old who had been diagnosed with schizophrenia but had not participated in a multimodal, psychosocial intervention program. At the beginning of, end of, and three years after the six-month program, all patients were assessed with the Bakırköy Rehabilitation Form for Patient with Chronic Mental Illness, Positive and Negative Syndrome Scale, Morisky’s Questions-Self-Report Measure of Adherence, Quality of Life Scale, Insight into the Three Components of the Evaluation Scale, Social Functioning Scale, and Disability Assessment Schedule. The three sets of measurements were compared to each other. Findings: In the end-of-program and third-year measurements, the severity of the symptoms had statistically and significantly decreased compared to measurements made before the program. As well, the frequency of hospitalizations decreased, while adherence to treatment, insight level, social functionality, and quality of life increased. Discussion: The structured psychosocial interventions used throughout the program were found to increase patients’ insight level and adherence to treatment, which resulted in decreased severity of symptoms and frequency of hospitalizations. Recovery from negative symptoms, which the literature shows to be the most important causes of decreased social and professional functionality, could explain the increase in the scale scores measuring social functionality and quality of life. Likely also contributing to this result was the intense use of techniques in such areas as independent living skills, interpersonal relations, daily life activities, and social affairs and behaviors. Results: The results of this study are important. They show that the applied program is effective and that its positive effects lasted three years after it ended. This program can serve as a model for the community mental health centers opening during the transition to and establishment of a community-based psychiatric system in Turkey.

      PubDate: Sat, 27 Sep 2014 12:38:08 GMT
       
  • Investigation of mindfulness and affecting factors of mindfulness among
           substance users and non users

    • Abstract: Publication year: 2014
      Source:Anatolian Journal of Psychiatry
      Kültegin Ögel, Nuray Sarp, Defne Tamar Gürol, Eda Ermağan.
      Objective: The aim of this study is to investigate the factors which affect the mindfulness and trying to determine the role of mindfulness on addiction. In this regard, the aim is to review the use of practicing mindfulness based therapies in the treatment. Methods: One hundred ninety one patients who have been taking treatment in Alcohol and Substance Addiction/Abuse Research and Treatment Center were included in the substance users group. A total of one hundred people, comprised of seventy five teachers and twenty five bank clerks, were included in the non-users group. Mindful Attention Awareness Scale (MAAS), General Health Questionnaire (GHQ), White Bear Suppression Inventory (WBSI), Meta-cognitions questionnaire (MCQ-30), The Emotion Regulation Questionnaire (ERQ), MMPI Impulsivity Scale (IMP), SCID-I, Structured Clinical Interview for DSM-IV Axis I Disorders were administered to the participants. Results: There were no significant differences of mindfulness levels between the addicted and non-addicted groups. When two groups were compared, statistically significant differences of IMP, WBSI, MCQ-30, ERQ suppression subscale and GHQ levels were observed. Lower levels of mindfulness were observed on users who did not receive any treatment in the past and users of non-alcoholic substances. Conclusion: In light of the results of this study, it was determined that albeit the significant differences between the levels of factors which are known to affect mindfulness, including metacognition, repression, impulsivity and physical problems, between groups, there was insignificant difference of mindfulness level observed in both the addicted and non-addicted groups, and this observation was deemed a trace of MAAS scale failing to properly measure the Mindfulness level. The signi-ficantly different levels of factors which affect the mindfulness observed in the addicted group indicate that the Mindfulness therapy might be beneficial in addiction.

      PubDate: Tue, 16 Sep 2014 22:56:22 GMT
       
  • Validity and reliability of the Turkish Version of the Vaginal Penetration
           Cognition Questionnaire (VCPQ) in a sample of women with vaginismus and
           dyspareunia

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      PubDate: Fri, 11 Jul 2014 13:42:21 GMT
       
  • Social functionality and internalized stigmatization levels of forensic
           psychiatry patients

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

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

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

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

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

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

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

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

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

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

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

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

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


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

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


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

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

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

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

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

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


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      PubDate: Mon, 10 Mar 2014 09:34:18 GMT
       
 
 
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