ScopeMed - RSShttp://www.scopemed.orgScopeMed RSSen-us Copyright © 2011 ScopeMed All rights reserved. ScopeMedhttp://www.scopemed.org/img/logo-scopemed-ttk.gifhttp://www.scopemed.org 2016-05-28T09-01-20Z Validation study of the Turkish version of the Craving Typology Questionnaire (CTQ) in male alcohol-dependent patients http://www.scopemed.org/?mno=209472 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Cuneyt Evren, Gokhan Umut, Ruken Agachanli, Bilge Evren, Muge Bozkurt, Yesim Can.
Objective: Alcohol craving is considered as a core symptom of alcohol use disorder and a strong predictor of relapse in alcohol-dependent adults. The Craving Typology Questionnaire (CTQ) allows dimensional self-rating assessment of craving according to a three pathway psychobiological model for craving (Reward, Relief and Obsessive craving) suggested by Verheul et al. (1999). The aim of the present study was to evaluate psychometric properties of the Turkish version of the CTQ in a sample of in- and outpatients with alcohol use disorder (AUD). Method: Participants included 157 inpatients and outpatients with AUD. Participants were evaluated with the CTQ and the Obsessive–Compulsive Drinking Scale (OCDS), which includes items to evaluate both total craving and its obsessive and compulsive components. Results: The Obsessive, Relief and Reward craving components accounted for 27.91%, 8.17% and 7.23% of total variance respectively. Items 7 and 8 were included in Obsessive craving and item 10 was included in Relief craving instead of Reward craving. Obsessive craving have a Cronbach's α of 0.87, whereas Relief craving have 0.64 and Reward craving have 0.42. Items were moderately correlated with their subscales. All types of craving were moderately correlated with OCDS and Obsessive dimension of OCDS, whereas they were mildely correlated with Compulsion dimension of OCDS. Conclusion: These findings support the Turkish version of the CTQ as reliable and valid instrument that measures three dimension of craving among patients with AUD.
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Mon, 18 Apr 2016 07:01:46 GMT -08:00 http://www.scopemed.org/?mno=209472
Functioning and quality of life in bipolar disorder http://www.scopemed.org/?mno=223776 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Omer Aydemir.
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Thu, 31 Mar 2016 06:22:10 GMT -08:00 http://www.scopemed.org/?mno=223776
The effect of delusion and hallucination types on treatment response in schizophrenia and schizoaffective disorder http://www.scopemed.org/?mno=176715 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Esin Evren Kilicaslan, Guler Acar, Sevgin Eksioglu, Sermin Kesebir, Ertan Tezcan.
Objective: While there are numerous studies investigating what kind of variables, including socio-demographic and cultural ones, affect the delusion types, not many studies can be found that investigate the impact of delusion types on treatment response. Our study aimed at researching the effect of delusion and hallucination types on treatment response in inpatients admitted with a diagnosis of schizophrenia or schizoaffective disorder. Method: The patient group included 116 consecutive inpatients diagnosed with schizophrenia and schizoaffective disorder according to DSM-IV-TR in a clinical interview. Delusions types were determined using the classification system developed by Gross and colleagues. The hallucinations were recorded as auditory, visual and auditory-visual. Response to treatment was assessed according to the difference in the Positive and Negative Syndrome Scale (PANSS) scores at admission and discharge and the duration of hospitalization. Results: Studying the effect of delusion types on response to treatment, it has been found that for patients with religious and grandiose delusions, statistically the duration of hospitalization is significantly longer than for other patients. On the other hand, in patients with a delusion of being bewitched, the difference between their PANSS scores at admission and discharge was lower. The types of hallucination did not affect the difference in PANSS scores nor the duration of treatment. However, in case of visual hallucinations, PANSS scores for psychotic exacerbation were higher. Conclusion: This study shows the association of negative treatment response with delusions of grandiosity and being bewitched and religious delusions. It can be said that delusion types in the schizophrenia spectrum may affect the duration of hospitalization and treatment response.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=176715
Development of a Problematic Mobile Phone Use Scale for university students: validity and reliability study http://www.scopemed.org/?mno=177938 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Mustafa Pamuk, Abdullah Atli.
Objective: This study aims to develop a Problematic Mobile Phone Use Scale (PMPUS) to determine the problematic mobile phone use by university students. Method: Study participants for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were 725 university students, for test-retest 126 university students. The psychometric characteristics of the scale were investigated using test-retest, internal consistency (Cronbach’s alpha), item analysis, EFA, CFA, and criterion-related validity methods. Results: According to results obtained from exploratory factor analysis, it was determined that PMPUS had four subdimensions. Confirmatory factor analysis confirmed this four-subdimension structure. Reliability data for the PMPUS found Cronbach’s Alpha coefficients of 0.92 for EFA and 0.93 for CFA, respectively. Test-retest coefficient for PMPUS was 0.85. Furthermore, a positive, high correlation (r=0.75) was found between PMPUS and Mobile Phone Problem Use Scale (MPPUS). Subscales of PMPUS also showed the required values for validity and reliability. Conclusion: According to the results, PMPUS is a reliable and valid scale with 26 items in four subdimensions.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=177938
Tardive dyskinesia in mentally retarded patients under long-term antipsychotic treatment http://www.scopemed.org/?mno=178576 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Aylin Can, Ahmet Nalbant, Huseyin Sehit Burhan, Alparslan Cansiz, Kaasim Fatih Yavuz, Mehtap Arslan Delice, Erhan Kurt.
Objective: Tardive dyskinesia (TD) is an iatrogenic movement disorder, developing due to prolonged use of dopamine receptor blocking agents, that may affect various parts of the body. In a number of studies, prevalence rates between 5 and 30% have been reported. This study aims to research TD in patients with mental retardation who have been hospitalized for a long time and medicated regularly. Method: Included in this study were 40 patients with a diagnosis of mental retardation comorbid with schzophrenia or other psychotic disorders according to DSM-IV TR that had been hospitalized in the chronic patients’ ward of Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery for a long period. Duration and type of antipsychotics both at the time of interview and over the preceding years were recorded. Dyskinesia was assessed using the Abnormal Involuntary Movements Scale (AIMS). We also used the Simpson–Angus Rating Scale (SAS) for Parkinsonism. Akathisia was measured using the Barnes Akathisia Rating Scale (BARS). Results: According to AIMS scores, 9 participants (22.5%) received a diagnosis of TD. There was no significant correlation between the type and duration of ongoing or the longest used treatment and the prevalence of TD. There was a statistically significant correlation between the participants’ age and TD (p=0.009). There were no gender differences for TD Conclusion: We found that long-term use of antipsychotics is unrelated with TD, while age is an important risk factor for TD. It can be said that switching from first generation to second generation antipsychotics does not reduce the prevalence of TD.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=178576
Tactile hallucination and delusion following acute stroke: a case report http://www.scopemed.org/?mno=180916 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Erhan Akinci, Fatih Oncu, Baris Topcular.
Although many psychiatric disorders, especially depression, may be seen after stroke, development of psychosis is rare. Post-stroke psychiatric disorders are associated with the affected brain regions and may appear with different symptoms. Although psychotic symptoms have been reported in association with strokes in different brain areas, temporoparietooccipital lesions have a higher possibility of leading to the development of secondary psychosis than those in other brain areas. This article aims to present a case of tactile hallucination and delusion in a previously healthy man that developed after ischemic stroke with right temporoparietooccipital involvement.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=180916
Psychometric properties of the Inventory of Interpersonal Problems Circumplex Scales short form: a reliability and validity study http://www.scopemed.org/?mno=183911 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Miray Akyunus, Tulin Gencoz.
Objective: Considering the lack of an instrument in Turkish to measure individuals’ interpersonal difficulties, our aim was to adapt a short version of the Inventory of Interpersonal Problems Circumplex Scales (IIP-C) for Turkish culture, and we studied the psychometric properties of the scale. Method: Our study included 1298 adult participants from the normal population (411 females and 887 males) between the ages of 18 and 68. In order to establish reliability and validity of the Turkish version of the IIP-C, internal consistency, test-retest reliability, split-half reliability coefficients, and concurrent and criterion validity studies were conducted. The validity study analyzed correlations with the Positive and Negative Affect Schedule, the Brief Symptom Inventory, the Multidimensional Scale of Perceived Social Support and the Basic Personality Traits Inventory. Results: The results of the study indicated good internal consistency, test-retest and split-half reliability coefficients of the IIP-C, assessing overall level of interpersonal difficulty and distress due to various interpersonal problems. Moreover, findings supported concurrent and criterion validity of the inventory, in addition to the two-factor structures consistent with the original inventory. Conclusion: The psychometric properties of IIP-C seem to be acceptable; therefore, the instrument can be utilized for research and clinical purposes in Turkey.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=183911
Alleviation of alopecia after switching from escitalopram to duloxetine: a case report http://www.scopemed.org/?mno=183883 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Sibel Kocbiyik, Sedat Batmaz, Levent Turhan, Ozgur Ahmet Yuncu, Ali Caykoylu.
Many psychotropic drugs, including SSRIs, lithium, carbamazepine, valproate, vigabatrin, antipsychotics, benzodiazepines, and tricyclic antidepressants have been implicated in cases with alopecia. Drugs may cause a variety of dermatological side effects, ranging from mild hair loss to total alopecia, from hypertrichosis to hirsutism. In this paper, we present a case where alopecia emerged due to escitalopram, and where this side effect was alleviated after switching to duloxetine; we also review the literature for antidepressant-related alopecia.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=183883
Manifestation of Hashimoto’s encephalopathy with psychotic signs: a case presentation http://www.scopemed.org/?mno=189097 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Aysin Kisabay, Kuzeymen Balikci, Serpil Sari, Deniz Selcuki.
Hashimoto’s encephalopathy (HE) is a rare autoimmune disease with unclear pathophysiology, developing on the basis of Hashimoto’s thyroiditis (HT), associated with antithyroid antibodies, that presents with autoimmune, neuroendocrine, and neuropsychiatric findings. The disease is characterized by generalized or focal slowing in the EEG, elevated antithyroid antibody titration in the serum, elevated cerebrospinal fluid protein level, and the presence of antithyroid antibodies. HE is known as an autoimmune disorder of the central nervous system. With this feature, it is differentiated from cognitive alterations observed in hypothyroidism or hyperthyroidism. The response to treatment with corticosteroids in line with the autoimmune nature of HE supports this diagnosis. This report shows a case presenting with neuropsychiatric symptoms, elevated antithyroid antibody titration in the serum, and complete response to steroid therapy. A clear indicator for the diagnosis of HE has not yet been found. Therefore, other potential causes need to be considered in the differential diagnosis of this clinical picture until they can be excluded after investigations. With this case report, we want to emphasize that in differential diagnosis of patients presenting with a variety of neuropsychiatric symptoms, Hashimoto’s encephalopathy – though being seen quite rarely – should not be disregarded, given the dramatic improvement of patients receiving a correct diagnosis and appropriate treatment.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=189097
Treatment augmentation effects of EMDR intervention after traumatic experiences in patients with major depression: a case series http://www.scopemed.org/?mno=191616 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Murat Semiz, Serdar Atik, Murat Erdem.
Depression is a frequent disorder that may have a recurring and chronic course with a potentially serious impact on morbidity and mortality. While around half of the patients show an inadequate response to initial antidepressant therapy, as many as 20% of patients with chronic depression do not benefit from any other alternative drugs. In this case series, three patients diagnosed with depression were treated with Eye Movement Desensitization and Reprocessing (EMDR). Three women (aged 28-44 years) diagnosed with depression were admitted to EMDR therapy. All patients actually underwent antidepressant treatment. Two patients received 150mg/day venlafaxine and mirtazapine, one patient 300mg/day bupropion and 30mg/day mirtazapine. Six to eight sessions of EMDR were applied to the patients. Before and after treatment, patients completed Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and State-Trait Anxiety Inventory (STAI). After treatment, there was a statistically significant reduction in patient-reported BDI, BAI, and STAI scores. EMDR therapy augmentation was effective in the treatment of patients with depression.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=191616
Reproductive and sexual functions in bipolar patients: data from a specialized mood disorder clinic http://www.scopemed.org/?mno=196046 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ebru Aldemir, Fisun Akdeniz, Serhan Isikli, Nesli Keskinoz Bilen, Simavi Vahip.
Objective: The objective of this study is to investigate the reproductive characteristics and sexual functions in bipolar patients monitored in a specialized mood disorder clinic, identify their potential relationship with the use of psychotropics, and investigate gender differences. Method: The study included 193 patients (100 men, 93 women) with a DSM-IV diagnosis of bipolar disorder being followed at Ege University Affective Disorders Outpatient Unit. Reproductive characteristics of the patients were examined at the evaluation. Sexual dysfunctions were evaluated using the International Index of Erectile Function in men and Arizona Sexual Experience Scale in women. Results: There was no significant difference between men and women regarding age, duration of marriage, duration of illness, duration of mood stabilizer and antipsychotic drugs use and dosage of antipsychotic drugs. Age at pubarche in men was 13.8±1.2 years, age at menarche in women was 13.2±1.3 years. Current menstrual cycle irregularities were found in 15.1% (n=14) of women. Prevalence of lifetime menstrual irregularities was 38.7% (n=36). 60.4% (n=67) of patients having an active sexual life were using an effective contraception method. 31.7% (n=26) of female patients had sexual dysfunction whilst 52% (n=39) of male patients had erectile dysfunction. In both men and women, no significant difference was found between groups using mood stabilizers and antipsychotic drugs in terms of sexual dysfunction. There was no correlation between sexual function scores and usage and duration of mood stabilizers and antipsychotic drugs in either sex. Conclusions: This cross-sectional study with a relatively large bipolar sample group concluded that the patients’ reproductive and sexual functions were not as much affected by bipolar disorder and psychotropic drug use as had been assumed. However, these results should be supported with prospective and controlled trials.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=196046
Relation of the Nine Types of Temperament Model with personality disorders http://www.scopemed.org/?mno=196361 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Enver Demirel Yilmaz, Ali Gorkem Gencer, Ozge Unal, Mehmet Palanci, Mehmet Kandemir, Ziya Selcuk, Omer Aydemir.
Objective: Aim of this study is to determine the correspondence between personality categories and the types making up the Nine Types of Temperament Model (NTTM) –a new temperament model which evaluates personality disorders within the context of temperament traits and maladaptive personality features- and conceptualization of NTTM types. Method: The sample group is composed of 117 participants with a personality disorder. SCID II and Nine Types of Temperament Scale (NTTS) were applied to participants. Results: According to the findings, all NTTM types have shown significant correlation with at least one personality disorder. According to the regression analysis results, it was determined that the NTTM types were explained by personality disorders at a rate of 19-41%. Conclusions: In this study, it is found that knowing the temperament features that form the basis of an individual’s personality structure is helpful to diagnose and to determine the tendency to develop personality disorders that are pathological responses to personality characteristics. In addition, this study brings up questions such as whether the individual differences between patients with the same personality disorders can be evaluated on the basis of temperament and whether it is possible to determine therapy and treatment approaches according to an individual’s temperament type.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=196361
Review of the diagnosis and treatment of pregnant psychiatric inpatients http://www.scopemed.org/?mno=202588 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Kader Semra Karatas, Julide Guler, Aytul Hariri, Feride Ezgi Buyuksahin Unal.

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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=202588
Evaluation of depression and social anxiety symptoms in obese children http://www.scopemed.org/?mno=203136 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Esra Akyuz Ozkan, Ali Irfan Gul, Zeynep Tuba Ozdemir, Hasim Husrevsahi, Zehra Yildirim, Esra Domur, Ummugulsum Aliye Gecit.
Objective: The present study aimed to assess depression and social anxiety symptoms in obese children. Methods: The Children’s Depression Inventory (CDI) and the Social Anxiety Scale for Children - Revised (SASC-R) were administered to 80 obese children and 82 controls. Results: The obese group consisted of 42 male and 38 female children, mean age 12.48±2.70 years (range 7-17 years), mean body mass index (BMI) was 27.47±3.72 kg/m2; controls were 43 male, 39 female children, mean age 12.93±2.32 years (range 9-17 years), mean BMI was 16.92±5.17 kg/m2. Mean social anxiety scores were higher in the obese group than in the control group. Mean depression scores were significantly higher in the obese group than in the control group. The mean depression scores were higher in obese females compared to control females as well as in males. The mean social anxiety scores were higher in obese females than in controls as well as in males. There was no correlation between BMI and depression and social anxiety scores in obese males and females. Among obese childeren 21.5% and among the control group 14.3% had a value of CDI above the cut-off point, and this was statistically significant. Among obese childeren 15.2% of females and 10.4% of males had a value above the cut-off point, but the difference between sexes was not statistically significant. Discussion: Depression and social anxiety symptoms were more common in obese children and did not relate to the degree of obesity. The prevention of childhood obesity is important in both sexes for reducing the risk of psychological disorder in adulthood.
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Thu, 31 Mar 2016 06:00:53 GMT -08:00 http://www.scopemed.org/?mno=203136
A Frontal Lobe Syndrome Case Unresponsive to Schizophrenia Treatment http://www.scopemed.org/?mno=210546 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gökhan Evcili, Muhammed Nur Öğün, Uygar Utku.

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Fri, 25 Mar 2016 10:01:58 GMT -08:00 http://www.scopemed.org/?mno=210546
Psychosis Related With Hashimoto Thyroiditis: A case report http://www.scopemed.org/?mno=191240 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ruken Ağaçhanlı, Özlem Devrim Balaban, Menekşe Sıla Yazar, Nezih Eradamlar.
Hashimoto's thyroiditis is an autoimmune disease characterized with inflammation of the thyroid gland. Psychiatric symptoms are frequently seen with Hashimoto's thyroiditis. Major depression is the most common affective disorder with a prevalence of %33-43. Psychotic disorders can be seen in the rate of %5. In this case report; a patient, recently diagnosed with hypothyroidism and involved into a psychotic process due to his hypothyroidism, is discussed. The patient's refusal of oral intake and lack of parenteral preparation of thyroxine in our country were the factors that made the treatment more complicated. The aim of this case report is to emphasize the importance of the routine laboratory examinations especially during the first admittion to the hospital. And we want to underline the difficulty of thyroid replacement therapy of patients who do not or can not get oral medication due to lack of preparation of parenteral thyroxine in our country.
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Fri, 25 Mar 2016 10:00:09 GMT -08:00 http://www.scopemed.org/?mno=191240
A Difficult Intensive Care Follow Up; A Thirteen Years Old Suicide By Hanging http://www.scopemed.org/?mno=195632 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
İsa Yıldız, Esma Söylemez, Hüsna Karadayı, Mansur Kürşad Erkuran, Hakan Bayır, Hamit Yoldaş.
Suicide among young population, which increased day by day is a global challenge. The factors that problems within the family, drug addiction increase the risk of suicide besides internal and external pressures, increase in childhood depression can lead to the selection of rare methods such as hanging with rope in young age. This situation can return to intensive care by increasing the suicide rate in younger age. Psychosocial support is very important in this age group. In this report, thirteen years old girl was found hanging by suicide after resuscitation attempts were monitored in an intensive care will be discussed.
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Fri, 25 Mar 2016 09:57:04 GMT -08:00 http://www.scopemed.org/?mno=195632
Lafora Disease Presenting Wıth Acute Anxiety: A Case Report http://www.scopemed.org/?mno=194082 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Esra Ozdemir Demirci.
Psychiatric disorders are seen more frequently in patients with epilepsy than in the general population. Personality changes, psychosis, obsessive-compulsive symptoms and mood or anxiety disorders can occur in association with epilepsy. Anxiety disorders and depression are most common psychiatric disorders in patients with epilepsy. Lafora disease (LD) is a treatment resistant epilepsy with onset in the teenage years, followed by progressively worsening myoclonus, seizures, visual hallucinations and cognitive decline, leading to a vegetative state in status myoclonicus and death. Different neuropsychiatric symptoms can be seen in patients with LD during the course of the disease. There are as yet no reports on how often patients with epilepsy, such as LD, presented with psychiatric symptoms to clinics at the first onset of the disease. No case of LD presenting with an anxiety disorder before seizures was found in the literature. Herein the case of a 14-year-old female adolescent who presented with acute severe anxiety before seizures began will be discussed.
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Fri, 25 Mar 2016 09:55:18 GMT -08:00 http://www.scopemed.org/?mno=194082
Aripiprazole Augmentation Of Clomipramine Therapy In Treatment-Resistant Obsessive-Compulsive Disorder: Case Series http://www.scopemed.org/?mno=189945 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Filiz İzci, Murat Yalçın, Sümeyye Yasemin Kurtuluş Çallı, Yağmur Sever, Rabia Bilici.
Obsessive-compulsive disorder (OCD) is a chronic disorder characterised by recurrent intrusive thoughts and repetitive rituals, causing significant distress and functional loss. Studies show evidence about serotonergic and dopaminergic mechanisms in neuropathogenesis of OCD. Selective serotonin re-uptake inhibitors (SSRI) are considered first line treatment in OCDs but treatment resistance may occur in 40-60% of cases treated with SSRIs. Augmentation of antidepressants with atypical antipsychotics is an important treatment option in treatment-resistant patients with OCD. In this article, we aimed to present five OCD cases with treatment-resistance in which we obtained good outcomes, with addition of aripiprazole 10-30 mg per day to clomipramine therapy.
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Fri, 25 Mar 2016 09:53:21 GMT -08:00 http://www.scopemed.org/?mno=189945
Venlafaxine Induced Hair Loss: A Case Report http://www.scopemed.org/?mno=195769 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Esra Yancar Demir.
Objective:, Hairloss side-effect due to SNRIs are limited to case reports. Case: E is a 33 years old. Since her twenties, she suffers from symptoms of depression and anxiety like anhedonia, insomnia once or twice a year. This time she had been suffering from depressive mood, unwillingness, pessimism, aggresiveness for 4 months and she appealed to our clinic as she felt that her symptoms were worsening. She was diognosed as major depression reccurrent type according to DSM-4 and venlafaxine 75 mg/day treatment was started. At the first she was continued with same treatment. At the end of second month she reported witht he complaint of hair-loss. Her laborotuary findings including thyroid function tests, vitamin B-12 and D were all normal. As the organic reasons that might have caused the problem were sidelined, it was thought that venlafaxine might be the cause and it was discontinued .At the first month control after discontinuation hairloss had clearly been decreased . Conclusion: Clinicians should be aware that hairloss dueto venlafaxine,even rare, might be seen and such a complaint of a patient using venlafaxine shouldn’t be over looked
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Fri, 25 Mar 2016 09:50:48 GMT -08:00 http://www.scopemed.org/?mno=195769
Psychometric Properties of the Turkish Version of the Adult ADHD Self-Report Scale (ASRS-v1.1) in a Sample of Inpatients with Alcohol Use Disorder http://www.scopemed.org/?mno=207107 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Cuneyt Evren, Gokhan Umut, Muge Bozkurt, Gulsen Teksin-Unal, Ruken Agachanli, Bilge Evren.
Objective: The Adult attention deficit hyperactivity disorder (ADHD) Self-Report Scale (ASRS) allows dimensional self-rating assessment of ADHD according to DSM-IV. Turkish version of the scale was validated in university students. The aim of the present study was to evaluate psychometric properties of the Turkish version of the ASRS in a sample of inpatients with alcohol use disorder (AUD). Method: Participants included 190 inpatients with AUD. Participants were evaluated with the ASRS and the Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale (Adult ADHD Scale). Results: The ASRS-18 (18 item version) was found to be psychometrically sound adult ADHD screening measure with high convergent validity when compared with Adult ADHD Scale (r=0.738; 0.694 for inattentive-IN subscale and 0.690 for hyperactive/impulsive-HI subscale) and to have a Cronbach's α of 0.863 (0.822 for IN subscale and 0.775 for HI subscale). Two components accounted for 31.13% and 9.27% of total variance respectively for the ASRS-18. Subscales were highly correlated with total ASRS-18 score (n=190, r=0.887, r=0.886 respectively) and moderately correlated with each other (r=0.571). Test-retest correlation was moderate (n=120, r=0.677) for IN subscale whereas test-retest correlation was high for HI subscale (r=0.774) and for ASRS-18 (r=0.765). The ASRS-18 had sensitivity and specificity scores of 0.81 and 0.75, respectively, when using the optimal cut-off score of 30. Additionally, the ASRS-18 showed good discriminant validity as it significantly differentiated alcohol dependent inpatients with a risk of ADHD from those without. The ASRS-6 (6 item version) showed similar psychometric properties as ASRS-18, although sensitivity score (0.75) was lower than ASRS-18, whereas specificity score (0.79) was similar with ASRS-18, when using the optimal cut-off score of 10 is taken for ASRS-6. Conclusion: These findings support the Turkish version of the ASRS (both 18 item and 6 item versions) as reliable and valid adult ADHD screening instrument that measures two dimension construct among inpatients with AUD.
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Fri, 25 Mar 2016 09:47:18 GMT -08:00 http://www.scopemed.org/?mno=207107
An Investigation of The Relationship Between Adolescents’ Subjective Well-Being and Perceived Parental Attitudes http://www.scopemed.org/?mno=183300 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Tuğba Sarı, İsa Özkan.
ABSTRACT Does the subjective well-being of adolescents differ with respect to parental attitudes as theoretical literature explains? Purpose: This study aims to investigate the relationship between parental attitude and subjective well-being among adolescents. Methods: The target population of the study has been composed of the students of secondary schools in Safranbolu District of Karabuk in 2013-2014 school year. Research sample has been formed with 659 students from randomly selected three different secondary schools. "PersonalInformation Form", "Parental Attitude Scale" and "Subjective Well-Being Scales for Adolescents" have been used for data collection. Mann-Whitney U Test and Kruskal Wallis H Test with Bonferroni correction have been used in data analysis. Results: A meaningful difference between parental attitude and subjective well-being level that adolescents have perceived has been found (p>0,05). The level of subjective well-being of adolescents who perceive their parents as democratic and tolerant is higher than the adolescents who perceive their parents as careless and authoritative. Conclusion and discussion: In the light of the foregoing findings, it has been concluded that positive attitude and support of parents enhance the level of subjective well-being of adolescents. The results have been discussed in consideration of findings and related theoretical background and some suggestions for practitioner and educators are given. Key Words: Adolescent, parental attitude, and subjective well-being
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Fri, 25 Mar 2016 09:45:14 GMT -08:00 http://www.scopemed.org/?mno=183300
Relationship Between Clinical Characteristics and Empathic Responding in Patients With Major Depressive Disorder http://www.scopemed.org/?mno=192020 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Okan Ekinci, Aslı Ekinci.
Aim To our knowledge, there is no study specifically examined the relation between clinical features and empathic responding in patients with MDD. Our aim was to examine cognitive and affective empathic responding of patients with major depressive disorder and to explore the possible relations between the clinical features and empathy. Methods The sociodemographic and clinical properties of 83 patients with major depression were recorded. Beck Depression Inventory (BDI) was used to assess severity of depression. Hopelessness level was measured by Beck Hopelessness Scale ( BHS). Patients’ empathic ability was evaluated by using Interpersonal Reactivity Index (IRI) and results were compared with 85 healthy controls. We used Pearson correlation and general linear model analysis to evaluate the manner in which the variables contributed to IRI scores. Results Perspective Taking (IRI-PT), Empathic concern (IRI-EC) and Fantasy (IRI-FS) subscores were all substantially lower in subjects with depression than in healthy comparison subjects while Personal Distress (IRI-PD) subscore was higher than in healthy subjects. There were significant effects of gender on the scores of IRI-EC and IRI-FS. Lower IRI-FS and IRI- PD scores were found to be significantly related to high suicide risk in depression. Conclusion Based on our results, patients with major depressive disorder have significantly impaired empathy measures compared to normal population. Our findings also suggest a close relationship among suicidality and empathy in patients with MDD. Keywords: major depressive disorder, empathy, suicide, hopelessness, gender
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Fri, 25 Mar 2016 09:40:39 GMT -08:00 http://www.scopemed.org/?mno=192020
Quality of Life and Psychopathology among Parents of Children with Atopic Dermatitis http://www.scopemed.org/?mno=188204 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Şeref Şimşek, Tuba Tuncel, Tuğba Yüksel, Ayşen Çetemen, M. Fuat Gürkan.
Objective: The mothers of children diagnosed with atopic dermatitis (AD) may be impacted in many different ways. The aim of the present study was to compare quality of life, anxiety, depression, and alexithymia symptoms between mothers of children diagnosed with AD and mothers of healthy children. Method: The study included mothers of 34 children who were diagnosed with atopic dermatitis between June 2012 and July 2013 and mothers of 35 healthy children. In the study, “short form 36” (SF 36) was used to evaluate quality of life, while the Toronto alexithymia scale (TAS) was used to evaluate alexithymia level, the state-trait anxiety inventory (STAI) was used to evaluate anxiety symptoms, and the Beck Depression Scale (BDS) was used to evaluate depression symptoms. Results: There was no statistically significant difference between the mothers of AD patients and control subjects in terms of quality of life, anxiety, depression, and alexithymia. In addition, there was no significant difference in disease severity or symptoms scale scores between the two groups. Conclusions: These results may suggest that mother's mental health is not affected in the early stage of the disease. In later stages of the disease, mothers of children with AD may become psychologically affected. Long-term follow up studies are required to clarify this distinction.
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Fri, 25 Mar 2016 09:38:31 GMT -08:00 http://www.scopemed.org/?mno=188204
Premature and Normal Menopause: An Evaluation in Terms of Stress, Marital Adjustment and Sex Roles http://www.scopemed.org/?mno=179763 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Meral Önder, Ayşegül Durak Batıgün.
Introduction: Middle age period brings about particular difficulties for some adults, because of the physiological and psychological changes. The physiological changes occuring in this period is called andropause for males and menopause for females. While it starts about 40-50 years of age in general, it might be at an earlier stage of life for some women which is called premature menopause, indicating the climacterium. Aim: The main aim of this srudy is to compare two groups of women with premature menopause and normal menopause in terms of stress reactions, ways of coping, marital adjustment, and sex roles. Method: Data were collected from a total of 224 women, 82 of which had premature menopause (under age 40), and 142 had normal menopause (above age 40). The participants were given Demographic Information Form, Stress Reactions Scale, Ways of Coping Inventory, Marital Adjustment Scale, and Bem Sex Roles Inventory to obtain data. Results: The t-test analysis has revealed that the premature menopause group had higher scores in stress reactions, lower scores in self confident and optimistic ways of coping with stres, and lower scores in marital adjustment, compared to the normal menopause group. The predictive variables for both groups were found to be “degree of agreement in marriage”, “helpless style”, and “searching for social support” by regression analysis. The “masculine sex role” was the predictor of only the premature menopause group. Discussion: The results were discussed within the framework of the related literature, and the implications were presented for the mental health practices.
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Fri, 25 Mar 2016 09:33:08 GMT -08:00 http://www.scopemed.org/?mno=179763
The Relationship Between Temperament and Character Traits and Anger and Anger Response Styles in Late Adolescence http://www.scopemed.org/?mno=181837 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Nalan Aslan, Haluk Arkar.
Objective: The aim of this study is to define relationship between temperament and character and anger and anger response styles in undergraduates who are late adolescent. Method: 227 volunteer participant who are 18-25 ages old, joined in research. Temperament and Character Inventory (TCI), State Trait Anger Expression Inventory (STAXI) and Personal Information Form that was prepared by researcher, were used. Results: According to the results, there are relationships between temperament and character and anger and anger response styles. While positive correlation was found between trait anger and novelty seeking and harm avoidance, negative correlation was found between trait anger and reward dependence, self directedness and cooperativeness. A positive correlation was found between anger- in and harm avoidance, a negative correlation was found between anger- in and reward dependence, self directedness and cooperativeness. A positive correlation was found between anger- out and novelty seeking while a negative correlation was found between reward dependence, self directedness and cooperativeness. Finally a positive correlation was found between anger control and reward dependence, self directedness and cooperativeness, a negative correlation was found between anger control and novelty seeking. In addition to this results, some variables havei mpact on temperaments and anger styles. Conclusion: On one hand our research is important because of the paralel results with other researches that highlight this relationship, on the other hand it is important because of giving some results that weren’t showed before. In order to have more detailed results, it requires more research that are made with young adolescents.
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Fri, 25 Mar 2016 09:29:49 GMT -08:00 http://www.scopemed.org/?mno=181837
Çanakkale Devlet Hastanesi Psikiyatri Polikliniğine Başvuran Yaşlı Hastalarda Psikiyatrik Hastalıklar ve Demografik Özellikler http://www.scopemed.org/?mno=206826 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Hülya Ertekin, Yusuf Haydar Ertekin, Başak Şahin, Ayşegül Uludağ, Esra Kolat.
Introduction: The population of Turkey is ageing rapidly, similar to the rest of the world. As the elderly population increases, there will be an increasing demand on health services, resulting in rapidly rising medical, psychiatric and social health care problems. The purpose of the present study is to determine the distribution of psychiatric illness, including gender-based differences, demographic characteristics and prevalence within all elderly age groups, among patients visiting the general psychiatry outpatient Methods: This was a retrospective study using data in the patient registry system from the elderly patients who visited the general psychiatry outpatient clinic between September 2013 and February 2014. Patients were ≥65 years of age. Results: Of the 1044 patients who visited the general psychiatry outpatient clinic during the 6-month period, 15% (n = 158) were aged ≥65 years; 62% of the 158 patients included in the study were female and 38% were male. Depression was present in 41% patients; 21% had generalised anxiety disorder; 8% had adjustment disorder and 7% were schizophrenic.GAD was statistically significant higher in females and adjustment disorder was statistically significant higher in males. Conclusion: To know the diagnoses commonly in elderly patients, to identify differences among genders, evaluation of demographic finding is very important for the development of new diagnostic and treatment strategies for patients in this age group.
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Fri, 25 Mar 2016 09:26:37 GMT -08:00 http://www.scopemed.org/?mno=206826
Tardive Dyskinesia in Long Term Hospitalized Patients With Schizophrenia http://www.scopemed.org/?mno=209703 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ahmet Nalbant, Aylin Can, Huseyin Sehid Burhan, Alparslan Cansiz, Kaasım Fatih Yavuz, Mehtap Arslan Delice, Erhan Kurt.
Objective: Tardive dyskinesia (TD) is a group of delayed-onset iatrogenic movement disorders which is caused by dopamine receptor-blocking agents. The most blamed risk factors for TD are age, female gender, first generation antipsychotics and duration of treatment. TD prevalence is estimated to be 20-50% of all patients treated with neuroleptics. TD prevalence rates in Turkey are still not well known. This study aims to research the prevalence rate of tardive dyskinesia in long-term hospitalized patients with schizophrenia. Method: We recorded age, gender, duration and type (first/second generation or mix) of medication both at the time of interview and over preceding years. Dyskinesia was assessed using the Abnormal Involuntary Movements Scale (AIMS). We also used the Simpson–Angus Rating Scale for tardive parkinsonism. Akathisia was measured using the Barnes Akathisia Rating Scale (BARS). Results: Mean duration of the longest used antipsychotic was 206.63 months. Probable tardive dyskinesia was found in 18 (22.5%) of patients. None of the patients had tardive akathisia. Relation between type of the longest used treatment and prevalence of TD wasn’t found statistically significant. Relation between type of the ongoing treatment and prevalence of TD wasn’t found statistically significant either. There was a statistically significant relation between the mean age and TD. Discussion: Despite very long duration of antipsychotic use, 22.5% rate of prevalence is still lower than expected. One explanation may be the patiens’ direct and close observations by the medical staff and rapid intervention to any situations under institutional circumstances. Another finding is that we couldn’t find any statistical difference between first or second generation antipsychotic use and TD prevalence.
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Wed, 23 Mar 2016 07:45:02 GMT -08:00 http://www.scopemed.org/?mno=209703
Pharmacological treatment options for alcohol use disorder http://www.scopemed.org/?mno=213775 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Cuneyt Evren, Muge Bozkurt.

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Wed, 30 Dec 2015 01:03:06 GMT -08:00 http://www.scopemed.org/?mno=213775
Asperger’s Syndrome in adulthood: a case report http://www.scopemed.org/?mno=168516 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ferdi Kosger, Sinem Sevil, Zafer Subasi, Cem Kaptanoglu.
Asperger’s Syndrome (AS) is characterized by social deficits, communication difficulties, and stereotypical behaviors. Unlike autism, delays in language and cognitive development are not seen in Asperger’s syndrome. AS is typically diagnosed in childhood, although some cases may be diagnosed in adulthood. Due to the clinical features of AS, diagnostically it can be confused with schizophrenia, anxiety disorders, obsessive-compulsive disorder, and personality disorders; hence, diagnosis of AS may be missed, especially in adulthood. This case is presented to emphasize the importance of adult AS, given that it is generally diagnosed in childhood, which leads to difficulties in diagnosis and differential diagnosis in adulthood if the condition has not been diagnosed in childhood.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=168516
Comparison of sociodemographic and clinical characteristics of bipolar type 1 patients on single or double mood stabilizers treatment http://www.scopemed.org/?mno=171473 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Filiz Dere Yilmaz, Kaasim Fatih Yavuz, Kursat Altinbas, Dilek Yesilbas Lordoglu, Erhan Kurt.
Objective: Purpose of the current study is to compare the demographic and clinical characteristics, prognoses and episode characteristics between patients on a single mood stabilizer treatment and those on double mood stabilizer treatment. Methods: The follow-up files of 167 patients who met DSM-IV-TR criteria for bipolar-I disorder were examined retrospectively. Patients were divided into two groups, with 136 patients on a single mood stabilizer and 31 patients on double mood stabilizer treatment. Sociodemographic and clinical characteristics of the groups were evaluated. The data derived from the study were analyzed with SPSS (Statistical Package for Social Sciences) for Windows 17.0. The data were evaluated with chi-square and t test. Results: The number of women was significantly higher in the single mood stabilizer group. The total number of episodes and hospitalizations were higher in patients on double mood stabilizer treatment compared to the single mood stabilizer group. When comparing within the single medication group, the total number of episodes and hospitalizations in patients using Lithium were significantly lower than in patients on valproat. Conclusion: Patients medicated with double mood stabilizer may be more difficult to treat and have a poorer prognosis than patients medicated with a single mood stabilizer. The number of female patients was greater in the single mood stabilizer group, which may indicate a generally more positive outcome in women. However, this research was cross-sectional and had a relatively low sample size, making it rather difficult to come to a more definite conclusion. Therefore, follow-up studies with a greater number of patients on a single mood stabilizer over an extended period of time are required.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=171473
Prevalence of tobacco, alcohol and substance use among Eskisehir Osmangazi University students http://www.scopemed.org/?mno=179649 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ali Dayi, Gulcan Gulec, Fezan Mutlu.
Objective: This study aimed at researching the prevalence of tobacco, alcohol, and substance use and its relation with sociodemographic variables in Eskisehir Osmangazi University students. Method: The study population consisted of 17676 students at Eskisehir Osmangazi University faculties and colleges. A total of 3141 students (17.76%) were reached using a cross-sectional layer method. The study was evaluated including 3114 people. A survey form was used to obtain the data. Results: The prevalence of Eskisehir Osmangazi University students’ lifelong cigarette use is 40.2%. It was determined that the prevalence of lifelong alcohol use is 60.8%, the prevalence of lifelong substance use except for tobacco and alcohol is 11.0%. This study found that tobacco, alcohol, and substance use are higher in males, in students living on their own, those having negative ideas about themselves and their future, those who are seeking excitement, and those with problems of anger control. In addition, it was determined that tobacco, alcohol, and substance use are higher in students whose family members and especially whose close environment use cigarettes, alcohol, and substances. Conclusion: These risk factors need to be taken into account in the preparation of prevention programs. These programs are must be implemented among the youth before coming to university.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=179649
Hydroxychloraquine-induced acute psychotic disorder in a female patient with rheumatoid arthritis: a case report http://www.scopemed.org/?mno=175247 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ebru Altintas.
Chloroquine and its derivative hydroxychloroquine (HCQ) have been used for acute and prophilactic treatment of malaria for most of the last century. HCQ has anti-inflammatory, antilipidemic and antithrombotic effects and in recent years has become an important drug for treating rheumatoid arthritis (RA). In the literature, antimalarial-induced psychosis has been reported in a small number of cases; however, we did not find any case related with HCQ-induced psychosis in rheumatoid arthritis. We want to report a 73-year-old female RA patient without a previous history of psychosis who developed psychosis after use of HCQ. HCQ is being increasingly prescribed in autoimmune diseases. Clinicians need to be aware of psychosis as a rare but debilitating side effect.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=175247
Development of The Addiction Profile Index Internet Addiction Form (APIINT): validity and reliability http://www.scopemed.org/?mno=177410 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Kultegin Ogel, Figen Karadag, Defne Satgan, Ceren Koc.
Objective: To adapt the Addiction Profile Index (API) for internet use and addiction in order to develop an internet addiction questionnaire better suited to the definition of addiction to be used for clinical purposes. Method: The questions of the API were adapted to measure the use of the internet. After pilot application and feedback, a new scale of 18 items was developed. Included in the study were 103 randomly selected first-year students of a private high school and the entire first year cohort of a medical faculty (n=51). The Internet Addiction Scale developed by Nichols and adapted to Turkish by Canan was used for the validation of the questionnaire. The questionnaire was reapplied to the subjects fifteen days later. Results: Cronbach’s ? coefficient for the total APIINT was 0.88, and retest correlation was 0.85. Three factors were obtained using explanatory factor analysis that represented 57.03% of the total variance. A correlation coefficient of 0.81 was found between APIINT and Internet Addiction Scale. The area under the ROC curve was 0.97.With a total APIINT cut-off score of 2, both the scale’s sensitivity and specificity were 0.90, respectively. A screening form consisting of 2 questions with a cut-off score 3.5 had a sensitivity of 0.72 and its specificity was 0.83. Conclusion: The results show that the APIINT is a valid and reliable questionnaire that can be used for high school and university students.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=177410
Relation of anxiety and depressive symptoms with perceived social support according to gender within infertile couples http://www.scopemed.org/?mno=177685 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Secil Aldemir, Ayla Eser, Nilgun Ozturk Turhan, Ercan Dalbudak, Merve Topcu.
Objective: Evaluation of infertile couples’ emotional symptoms and perceived social supports according to gender differences. Method: Hospital Anxiety and Depression Scale (HADS) and Multidimensional Scale of Perceived Social Support (MSPSS) were administered to 66 primarily infertile couples that did not have psychiatric Axis-I disorders according to DSM-IV. Results: According to the scale’s average points, the samples’ depressive symptom levels did not indicate clinical depression; rather, anxiety levels were in normal ranges. Comparing participants’ anxiety according to gender, female participants were more anxious than male participants. Couples reported less anxiety and depression as long as they perceived higher social support. It was found that the combined infertility group, in which both women and men have problems to conceive, had more perceived social support from significant other and friends than in the female-originated infertility group. Also, results revealed that the male-originated infertility group reported more perceived social support from significant other compared to the female-originated infertility group. Conclusion: Social support and emotional stress of females in infertile couples are more than males’, and perceived sufficient social support decreases couples’ emotional symptoms.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=177685
Quality of life and sleep in children diagnosed with duchenne muscular dystrophy and their mothers’ level of anxiety: a case-control study http://www.scopemed.org/?mno=178779 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gonca Ozyurt, Erhan Bayram, Pakize Karaoglu, Semra Hiz Kurul, Uluc Yis.
Objective: Duchenne Muscular Dystrophy (DMD) is the most severe form among a variety of muscular dystrophies. While studies into the etiology and pathophysiology of DMD have progressed fast, there still is no therapy for the disease. The presence of a severe chronic disease such as DMD can seriously affect patients as well as caregivers. In this study, we planned to compare quality of life and sleep between cases diagnosed as DMD and healthy controls while at the same time assessing the levels of anxiety in the patients’ mothers. Method: In this study, 17 cases with a diagnosis of DMD and 20 healthy controls were enrolled. All the patients and controls were male. The social status of patients and controls was assessed with a sociodemographic data form. To evaluate the children’s quality of life, the Pediatric Quality of Life Inventory (PedsQL) was completed by children and parents. The Pittsburgh Sleep Quality Index (PSQI) is a self-reported questionnaire used to evaluate the quality of sleep in children. We measured the mothers’ anxiety with the State-Trait Anxiety Inventory (STAI) - state anxiety and trait anxiety forms. Mann-Whitney U test and chi square test were used for statistical analysis. Results: A statistically significant difference was found in comparing both parents’ and children’s PedsQL forms between patients and controls. The quality of sleep also differed significantly between cases and controls. In the STAI state and trait anxiety forms, no significant difference was found between the anxiety levels of patients’ mothers and the control persons’ mothers. Conclusion: As key result of our study, we found that there are more problems in the DMD patients’ sleep, and the quality of life is lower than in the healthy controls. Problems in motor functionality may affect emotional and social functionality and possibly the quality of children’s sleep.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=178779
Venlafaxine-induced acute dystonia: a case report http://www.scopemed.org/?mno=179456 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ipek Sonmez, Ferdi Kosger.
Although mechanisms underlying neuroleptic-induced extrapyramidal symptoms have been well researched, extrapyramidal symptoms associated with antidepressants are understudied. Research conducted to date is more concerned with selective serotonin reuptake inhibitors. Recognized risk factors for extrapyramidal symptoms associated with antidepressants are advancing age, female sex, and pharmacokinetic interaction of concurrently used drugs with CYP2D6 inhibition effect. This case is presented to emphasize that the occurrence of extrapyramidal symptoms, which are clinically important side effects requiring intervention, may be related with venlafaxine, a serotonin noradrenaline reuptake inhibitor.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=179456
Assessment for sexual abuse in a case presenting with genital herpes http://www.scopemed.org/?mno=180122 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gonca Ozyurt, Baris Guller, Burak Baykara, Ozlem Gencer, Aylin Ozbek.
Child sexual abuse is defined as the use of a child by an adult or a significantly older person for the purpose of sexual stimulation. Sexual relations within the family (incest) “particularly involving children” is prohibited in all faiths and societies; hence, incestuous child sexual abuse is the form of abuse most difficult to determine. Prepubertal genital herpes is a presentation that definitely needs to be assessed as a potential indication for sexual abuse. Even though in adults transmission is often by sexual route, it has been pointed out that especially in cases below the age of 5 years, anogenital herpes can be transmitted by non-sexual mechanisms. As paths for a possible non-sexual transmission of genital herpes, autoinoculation, finger contact by an adult changing nappies leading to infection, hand contact between children, or transmission via infected objects (plate, fork, garments, etc.) have been reported. Guidelines helping in the assessment of sexual abuse are insufficient regarding the question how the issue should be confronted in pediatric cases of genital herpes. More evidence is required to solve this problem. In our presentation, we discuss the process of assessment for sexual abuse in the case of a girl aged 2 years 3 months presenting to the emergency department with anogenital herpes.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=180122
Psychological symptoms related with violence and its relationship with internalizing and externalizing problems among 10th grade students in Istanbul http://www.scopemed.org/?mno=180203 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Cuneyt Evren, Ercan Dalbudak, Bilge Evren, Muge Bozkurt, Arzu Ciftci Demirci, Gokhan Umut, Yesim Can.
Objective: Aim of this study was to evaluate the associations of gender, self-destructive behavior (self-harming behaviors - [SHB] and suicidal ideation/attempts - [SI/A]), lifetime substance use (tobacco, alcohol and any drug) and psychological variables (depression, anxiety, anger and impulsivity) with having psychological symptoms after experiencing or witnessing any violence, serious assault or battery event among 10th grade students in Istanbul/Turkey. Methods: Online self-report survey was conducted based on 4957 10th grade students selected according to multi-stage sampling in 45 schools from 15 districts of Istanbul. Results: Risks of assault from a peer, physical fight within last year, bearing arms, disciplinary punishment and problems with the law were higher in the group with psychological symptoms (GPS). Together with SHB and SI/A, lifetime tobacco and any drug use, male gender, depression, anxiety, and anger predicted the GPS. Conclusion: The findings suggest that with a single and simple question, high risk group of GPS can be determined, followed and offered proper help for both internalizing problems and externalizing behaviors, whether or not they are consequences of the victimization.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=180203
Possible predictors of hospitalization for adolescents with conduct disorder seen in psychiatric emergency service http://www.scopemed.org/?mno=180578 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Caner Mutlu, Melike Ozdemir, Ozgur Yorbik, Ali Guven Kilicoglu.
Objective: The aim was to investigate predictors of hospitalization of adolescents with conduct disorder (CD) seen in emergency service of a mental health hospital. Method: Patients were evaluated retrospectively by age, gender, school status, family structure, presenting symptoms and their duration, comorbid psychiatric diagnoses, prior emergency service or outpatient clinic use, prior psychiatric hospitalization and family history of any mental disorder, according to first presentation during a 6-month period. Results: Mean age was 15.69±1.26 (12-17) years. Of the total of 144 patients, 61.8% (n=89) were female and 50 (34.7%) were hospitalized. Adolescents admitted to the inpatient unit presented significantly more often with suicidal ideation, had longer symptom duration, and were more likely to have a comorbid psychiatric disorder and a family history of a psychiatric disorder compared to those not admitted. In multivariate logistic regression analysis, suicidal ideation, having a comorbid psychiatric disorder, and having family history of a mental disorder predicted admission to the psychiatric inpatient unit. Conclusion: Clinicians in emergency settings should be aware of the prediction of hospitalization in adolescents with CD who have suicidal ideation, a comorbid psychiatric disorder and family history of a mental disorder. Suicide attempt seems to have an indirect effect, rather than a direct effect, on the prediction of hospitalization in youths with CD.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=180578
Factors related to methylphenidate response in children with attention deficit/ hyperactivity disorder: a retrospective study http://www.scopemed.org/?mno=183734 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gokce Nur Say, Koray Karabekiroglu, Murat Yuce.
Objective: We aimed to explore the predictive value of clinical features and self-concept on methylphenidate (MPH) response in children with attention deficit/hyperactivity disorder (ADHD). Methods: The study had a naturalistic design where the results were analyzed retrospectively. ADHD and comorbidity were diagnosed by Schedule for Affective Disorders and Schizophrenia for School-Age Children Present Lifetime Version (K-SADS-PL). At the baseline assessment, parents completed Turgay DSM-IV Disruptive Disorders Rating Scale (T-DSM-IV-S) and Child Behavior Check List (CBCL); teachers were given T-DSM-IV-S, CBCL. The children completed Piers-Harris Children’s Self-Concept Scale (PHSCS), Children’s Depression Inventory (CDI), and Screen for Child Anxiety Related Emotional Disorders (SCARED). Following 4-8 weeks of MPH treatment, the parents completed T-DSM-IV-S and the clinician completed Clinical Global Impression-Improvement scale (CGI-I). This study included 54 children (18 girls, 36 boys; mean age 9.32±0.21 years old). The sample was divided in “good responders” (GR) and “poor responders” (PR) regarding the response criteria defined by authors. Results: The PR group had significantly higher rates of anxiety disorders, higher internalizing scores and lower PHSCS scores compared to GR. Comorbid anxiety disorders, elimination disorders and negative self-concept were found to predict poor MPH response by multiple regression analysis. Conclusions: The results point to the need for additional interventions in the presence of comorbid anxiety, incontinence or poor self-concept in children with ADHD.
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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=183734
Suicide attempt with mad honey: case report http://www.scopemed.org/?mno=199620 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Erhan Akinci.

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Wed, 30 Dec 2015 00:55:56 GMT -08:00 http://www.scopemed.org/?mno=199620
Revisiting allostatis and allostatic load in bipolar disorder http://www.scopemed.org/?mno=203380 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Aysegul Ozerdem.

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Wed, 30 Sep 2015 06:44:44 GMT -08:00 http://www.scopemed.org/?mno=203380
Prospective teachers’ mental health and their help-seeking behaviours http://www.scopemed.org/?mno=156246 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ersin Uzman, Bulent Baki Telef.
Objective: Although the teaching profession is stressful and despite the known impact of teachers’ mental health on students during teaching, prospective teachers’ mental health is neglected in training and selection. However, knowledge about teacher candidates’ mental health during their training process and about their help-seeking behavior can contribute to improving their mental health. Therefore, this study aims at determining the mental state of teacher candidates and elucidating help-seeking behaviors that may be useful for overcoming mental problems. Method: Our sample consisted of 724 prospective teachers studying at the Faculty of Education of Canakkale Onsekiz Mart University in Canakkale; 501 (69.2%) were women, 223 (30.8%) were men. Data were collected using the Brief Symptom Inventory (BSI) and a Sociodemographic Data Form prepared by the researchers. Results: At the end of the study, in 40.6% of the prospective teachers a high severity of distress was detected. The most commonly determined mental symptoms were depression and hostility. The teaching candidates had mostly referred to informal sources, but 39.2% had not sought any help. For mental symptoms, they had mostly sought help informally from their mother or father and siblings, and formally from psychologists or psychiatrists. As factors inhibiting help-seeking, assumed inability of understanding, lack of faith in the possibility of help, and fear of being judged by peers, hesitation to accept help and lack of knowledge about where to look were related to mental symptoms. Conclusions: The study shows the necessity to pay attention to prospective teachers’ mental health, promote formal sources, emphasize the role of informal sources like father and siblings, and overcome obstacles in the way of seeking help. It appears that, in the context of prophylactic mental health services, the development of psychological support may be useful in order to increase prospective teachers’ mental health.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=156246
A case with status epilepticus and cardiac arrest after bupropion overdose http://www.scopemed.org/?mno=157711 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ferda Ilgen Uslu, Nazan Simsek Erdem, Selahattin Yagan.
Bupropion is an atypical antidepressant used for the treatment of severe depression and smoking cessation. Hallucinations, agitation, and seizures are the commonest central nervous system effects after a bupropion overdose. Cardiac manifestations are uncommon. We present a 19-year-old female who presented to the emergency department with asymmetric tonic seizures and then went into cardiac arrest. She was intubated and mechanically ventilated and then admitted to intensive care unit. Brain computerized tomography and magnetic resonance imaging scans were normal at admission. Clinical features resolved completely with symptomatic treatment. She had no previous history of epilepsy, head trauma, infection, family history, and no risk factors for developing epilepsy. There was no history of alcohol abuse, suicide attempt, or depression. She only was a heavy smoker. When she completely regained consciousness, she said to have ingested 15 tablets of bupropion XL (4.5g), which belonged to her mother, with the intention of suicide. Overdose of bupropion may become more common with increasing therapeutic use and may cause life-threatening conditions. Patients receiving high doses of bupropion should be closely monitored cardiologically and neurologically. Patients should receive cardiac monitoring until the accompanying tachycardia has abated and any QRS or QTc interval prolongation has been excluded.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=157711
Shared obsessive-compulsive disorder: a case report http://www.scopemed.org/?mno=161355 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Abdullah Akpinar, Bilal Tanritanir, Hasan Balaban, Arif Demirdas, Kadir Demirci.
Shared obsessions and compulsions are a very rare disorder known to be represented by very few case reports in the literature. We report a case of two sisters displaying similar obsessions and compulsions. Knowledge about clinical features, treatments and prognosis in shared obsessive-compulsive disorder is limited to a few cases. New cases need to be reported in order to provide new information and experience about the shared disorder.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=161355
Motherhood as a “profession”: post-career motherhood experiences of women from the upper-middle class in Turkey http://www.scopemed.org/?mno=164092 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Oguzhan Zahmacioglu, Hakan Atalay, Naz Berfu Akbas.
Objective: The aim of this study was to understand the complicated relationship between women’s identities as working women and as mothers through the first-hand reflections of mothers who had voluntarily decided to leave work after giving birth. Method: Narrative analysis, a qualitative design was used. In-depth interviews were conducted with 13 women. Results: Getting used to the dynamics of home after a fast-paced working life, evolution of one’s expectations about life, the pursuit of being a “good” mother, child-related ideals, self-esteem, and relationships with family and friends were the primary themes uncovered. Conclusion: The women’s high levels of education and training, in combination with some of their beliefs, may, sometimes paradoxically, prevent them from seeking help when needed. As an extension of their previous identity, these mothers tended to view their babies subconsciously as a “project,” and symbolic reflections of this perception were represented in their language. Perfectionist ideals and disposing of comprehensive information about child rearing may alter the natural notion of motherhood in these educated women. Therefore, these cases should be addressed not only from the perspective of women’s wellbeing but also from that of their children’s mental development, as these women’s life decisions significantly affect their performance as mothers.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=164092
Attention deficit and hyperactivity symptoms in a group of university students and relations with temperament and character profiles http://www.scopemed.org/?mno=165285 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Naz Berfu Akbas, Emine Z. Kilic, Oguzhan Zahmacioglu, Hakan Atalay, Zeynep Goktuna.
Objective: In a subgroup of adult patients with a childhood diagnosis of attention deficit and hyperactivity disorder (ADHD), the symptoms decrease but persist at sub-threshold levels, although not fulfilling DSM 5 criteria for ADHD. Diagnostic difficulties, chronicity of the situation and psychiatric comorbidities also increase the risk of personality disorders in this group of patients. The aim of this study is to evaluate the relations between this subgroup of ADHD and personality characteristics in a population who did not attend a clinic for psychiatric problems. Method: Hundred and twenty two of students from different faculties of a university are included in the study. Turgay’s Adult ADHD Rating Scale is used to evaluate ADHD symptoms and Cloninger’s Character and Temperament Inventory (TCI) is used to evaluate personality characteristics. Results: Moderate levels of ADHD symptoms were present in 14.7% of cases. This group also showed statistically lower scores in cooperativeness and self-directedness in TCI with respect to students who showed low levels of ADHD symptomatology. There were also statistically significant correlations between TCI subgroups and ADHD symptoms. Conclusion: ADHD symptoms should be investigated particularly, as they are temperamental traits for the development of personality characteristics.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=165285
Psychiatric aspects of adult-onset hallervorden-spatz syndrome: a report of two cases http://www.scopemed.org/?mno=165995 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Emel Koyuncu Kutuk, Hasan Kaya, Neslihan Akkisi Kumsar, Ozlem Bolat Kaya, Nesrin Dilbaz.
Hallervorden-Spatz Syndrome (HSS) is a rare, familial, progressive, and ultimately fatal disorder characterized by extrapyramidal rigidity, dysarthria, pyramidal tract involvement, and dementia, with pathological evidence of iron deposition in the globus pallidus and substantia nigra. The diagnosis is usually made using magnetic resonance imaging (MRI), where bilateral high signal intensity in the globus pallidus surrounded by low signal intensity areas is found. This is called an “eye-of-the-tiger” appearance and is considered specific to this disorder. Psychiatric aspects of this syndrome are common and include cognitive decline, personality changes with impulsivity and violent outbursts, depression and emotional lability. Here we report two cases of Hallervorden-Spatz Syndrome with psychiatric presentation.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=165995
Validity and reliability study for the Turkish adaptation of the Hypersensitive Narcissism Scale (HSNS) http://www.scopemed.org/?mno=172953 2016-05-28T09-01-20Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Begum Zubeyde Sengul, Elif Unal, Seray Akca, Fazilet Canbolat, Merve Denizci, Gulbahar Bastug.
Objective: The condition of narcissism is divided into grandiose (overt) and hypersensitive (covert) narcissism. These two states are different in terms of etiological and behavioral dimensions. Correct assessment is important for determining the treatment. The Narcissistic Personality Inventory (NPI) does not predict covert narcissism, whereas the Hypersensitive Narcissism Scale (HSNS) does. The aim of this study is to assess the psychometric properties of the Turkish version of the HSNS. Method: Participants of the study were 300 university students. The HSNS, the NPI and the Basic Personality Traits Inventory (BPTI) were administered as the primary outcome measure. Results: Factor analysis revealed that the item content of the newly created eight-item Turkish version of the HSNS reflected one factor identified as hypersensitivity. Moreover, the reliability analysis demonstrated that the eight-item Turkish version of the HSNS was a reliable scale. On the other hand, no significant relationships were found between age, gender, and educational levels of the participants and their scores on the Turkish version of the HSNS. A near-zero correlation between the Turkish version of the HSNS and the NPI was demonstrated. Finally, there were significant negative correlations between the HSNS and the BPTI’s subscales of extraversion and agreeableness, and significant positive correlations between the HSNS and the BPTI’s subscales of neuroticism and negative valence. Conclusion: The current study revealed that the reliability and validity of eight-item Turkish version of the HSNS were adequate, and it provided some evidence to demonstrate the existence of selected personality features that may be useful in differentiating hypersensitive narcissism from grandiose narcissism.
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Wed, 30 Sep 2015 06:21:15 GMT -08:00 http://www.scopemed.org/?mno=172953