Turk Psikiyatri Dergisi = Turkish Journal Of Psychiatry[JOURNAL]
Sun
200 papers
Assesment of Clinical Reasoning in Psychiatric Education: Development of Multiple-Choice Questions with Automatic Item Generation in Turkish.
Emekli E, Emekli E, Kiyak YS … +3 more , Alici YH, Coşkun Ö, Budakoğlu Iİ
Turk Psikiyatri Derg · 2025 · PMID 41070498 · Full text
OBJECTIVE: This study aims to evaluate the suitability of the automatic item generation (AIG) for producing Turkish case-based multiplechoice questions (MCQs) in psychiatry. METHOD: The study was planned as a descriptive...
OBJECTIVE: This study aims to evaluate the suitability of the automatic item generation (AIG) for producing Turkish case-based multiplechoice questions (MCQs) in psychiatry. METHOD: The study was planned as a descriptive study. In the first stage, topics were determined and a cognitive model was created by subject matter experts. In the second stage, a question template was created, variables were determined, the format of answer options was organized, and two equivalent templates of question content with different combinations were created. In the final stage, questions were generated using Python-based software based on these models. Following the question generation, random samples were selected and evaluated by experienced educators using a structured form. RESULTS: A total of 1189 questions were generated, with 11 questions sampled for each diagnosis. In the evaluation conducted by experts, six of the questions were deemed appropriate for each parameter, while minor corrections were suggested for five questions. It was stated that all the questions assess clinical reasoning skills rather than factual recall. CONCLUSION: The template-based AIG method allows for the rapid and effective production of high-quality questions needed in medical education. The study demonstrated that AIG in the Turkish language for generating MCQs that assess clinical reasoning is applicable in the field of psychiatry. This method enables the production of a large number of questions in a short time, enriched with various combinations. Keyword: Automated item generation, clinical reasoning, medical education, multiple choice question, psychiatry education.
Theory of Mind, Attachment and Metacognitive Functions in Depression.
Demiray KE, Yaman GB
Turk Psikiyatri Derg · 2025 · PMID 41070497 · Full text
OBJECTIVE: Theory of mind (ToM) is a foundational ability for social functioning and interpersonal relationships. This study aims to examine theory of mind components in major depressive disorder and its relationship wit...
OBJECTIVE: Theory of mind (ToM) is a foundational ability for social functioning and interpersonal relationships. This study aims to examine theory of mind components in major depressive disorder and its relationship with metacognitive functions and attachment styles. METHOD: The study enrolled 64 patients with major depressive disorder and 64 healthy controls. The control group was selected to match the patient group regarding age, gender, marital status, and educational level. Every participant completed the sociodemographic data form, the Hinting Test, the Reading the Mind in the Eyes Test, the Adult Attachment Style Scale, and the Metacognition Questionnaire. The severity of depression symptoms was evaluated using Hamilton Depression Rating Scale-17. RESULTS: The average overall score of the metacognition questionnaire was substantially greater in the patient group (p<0.001) compared to the control group. The average score for the Hinting Task was substantially lower in the patients compared to the control group (p<0.001). The severity of depressive symptoms showed a strong negative correlation with the Hinting Task score (r=-0.759; p<0.001), and a moderate negative correlation with the Reading the Mind in the Eyes Test score (r=-0.589; p<0.001). CONCLUSION: This study showed that depressed individuals have impairments in reading the minds of others’ around them and in their metacognitive functions. The findings above highlight the need to integrate techniques centered on enhancing fundamental theory of mind reasoning into current therapy interventions in order to enhance the comprehension and interpretation of social information among individuals experiencing depression.
The Scope Of Authorıty For Securıty Personnel In Addıctıon Rehabılıtatıon Centers: An Ongoıng Issue.
Danişman M, Ispir GZ, Katar KS … +1 more , Hasanli ZU
Turk Psikiyatri Derg · 2025 · PMID 41070496 · Full text
Based on our experiences over the past years, individuals who either apply for outpatient services or are receiving inpatient treatment at Alcohol and Substance Abuse Treatment Centers (AMATEM) may attempt to bring in na...
Based on our experiences over the past years, individuals who either apply for outpatient services or are receiving inpatient treatment at Alcohol and Substance Abuse Treatment Centers (AMATEM) may attempt to bring in narcotic drugs or substances for purposes such as drug use or drug trafficking to these clinics (Ögel 2010).
Discrimination of Speech Content in Unipolar Depression and Bipolar Mania: A Computer-Based Analysis with "General Inquirer".
Esen AT, Mete AL, Çapraz N … +1 more , Erol A
Turk Psikiyatri Derg · 2025 · PMID 41070495 · Full text
OBJECTIVE: Speech disorders in mental illnesses are usually chronic and associated with poorer outcome. Recently, different types of speech features in mental illnesses can be examined by computer technology. The aim of...
OBJECTIVE: Speech disorders in mental illnesses are usually chronic and associated with poorer outcome. Recently, different types of speech features in mental illnesses can be examined by computer technology. The aim of our study is to examine the content of speech in depression and mania and to investigate the themes that differentiate the diagnostic groups. METHOD: 30 patients diagnosed with depression, 30 patients diagnosed with bipolar disorder manic episode and 30 healthy control were included in the study. All participants were performed with the Structured Clinical Interview for DSM-IV Axis I Disorders. The participants were asked to speak free for ten minutes and then their speech content was analyzed with the “General Inquirer” computer program. This program analyzes the participants’ use of a total of 4919 words in the Harvard Psychosocial Dictionary, which are categorized in 83 themes on topics related to psychosocial, emotion, behavior, thought, natural and cultural environment. RESULTS: The diagnostic groups were identified by speech content categories with an accuracy rate of 81%. Patients in mania and depression groups were clustered in the same direction in discriminant analysis by the themes of speech content. ‘’self’’ and ‘’academic’’ themes were the most discriminative categories between the patient and control groups. CONCLUSION: The content of speech in mania and depression is different from individuals without mental disorders and that computer-assisted analysis tools can distinguish diagnostic groups from each other and from healthy group. Future studies in which structural, vocal and content features of speech are evaluated together and used more advanced computer technologies will contribute to the literature.
The Changes in ICD-11 Related to Sexual Health and Dysfunction and Their Implication for Clinical Practice.
Başar K
Turk Psikiyatri Derg · 2025 · PMID 41070494 · Full text
The classification of sexual health-related conditions was reformulated in 11th revision of International Classification of Diseases (ICD-11) following current evidence, best practice, and taking human rights into consid...
The classification of sexual health-related conditions was reformulated in 11th revision of International Classification of Diseases (ICD-11) following current evidence, best practice, and taking human rights into consideration, which is expected to reflect and provide guidance for more integrative clinical approaches. Overcoming the artificial, yet historical, distinction between "organic" and "non-organic" conditions, sexual dysfunctions classified in the "Mental and Behavioral Disorders" and "Disorders of Genitourinary System" in ICD-10 were listed in a new chapter called "Conditions Related to Sexual Health." In practice, this approach has been consistently recommended. However, diagnostical clasification was not congruent with the recommendation. Dysfunctions, defined with a non-normative but individual-based threshold, are categorized according to different stages of the sexual response cycle, similar to ICD-10 and Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5). However, similarities and distinctions in the clinical presentation of the dysfunction in men and women were also considered, resulting in differences from the DSM-5 approach. Gender Incongruence is classified in this newly formed "Conditions Related to Sexual Health" chapter, not with mental disorders as in the earlier version, reflecting the current non-pathologizing understanding of gender diversity. Furthermore, the criteria for these conditions were revised to embrace the variability in the experience of gender identity. In addition, the residuals of sexual orientation-related diagnostic categories were removed. Paraphilic disorders categories replaced "Disorders of sexual preference" in ICD-10, with significant modifications in conceptualization and classification.
Remıssıon And Follow-Up In Bıpolar Depressıon Wıth Accelerated Intermıttent Theta Burst Stımulatıon Protocol.
Sivlim S, Özden HC, Yağcioğlu AEA … +1 more , Gürel ŞC
Turk Psikiyatri Derg · 2025 · PMID 41070493 · Full text
Transcranial Magnetic Stimulation (TMS) is used in the treatment of many mental illnesses, as well as for research in mental illnesses (Altınbaş et al. 2007, Yıldız et al. 2015). Intermittent Theta Burst Stimulation (iTB...
Transcranial Magnetic Stimulation (TMS) is used in the treatment of many mental illnesses, as well as for research in mental illnesses (Altınbaş et al. 2007, Yıldız et al. 2015). Intermittent Theta Burst Stimulation (iTBS) is a treatment protocol that is applied with 10 - 20 Hz and has a similar effect to Repetitive Transcranial Magnetic Stimulation (rTMS) (Blumberger et al. 2018). The FDA approved the standard iTBS protocol in 2018 to treat treatment-resistant depression.
The Relationship Between Post-earthquake Trauma Levels and Sleep Quality in University Students: A Cross-Sectional Study.
Aylaz R, Balkaya F, Uncu F
Turk Psikiyatri Derg · 2025 · PMID 41070492 · Full text
OBJECTIVE: This study aimed to examine the relationship between the level of trauma experienced after the earthquake and sleep. METHOD: In this cross-sectional study, data were collected from 773 nursing students studyin...
OBJECTIVE: This study aimed to examine the relationship between the level of trauma experienced after the earthquake and sleep. METHOD: In this cross-sectional study, data were collected from 773 nursing students studying at two state universities located at the earthquake-affected provinces. Post-Earthquake Trauma Level Determination Scale, and Pittsburgh Sleep Quality Index were used in the study. RESULTS: The average score on the Post-Earthquake Trauma Level Determination Scale was 56,81±17,68 for female students and 50.84±16.98 for male students (p<0.001). The students who had a history of a psychiatric disorder, whose houses were severely damaged and whose relatives were trapped under rubble were more affected by the earthquake (p<0.001). It was found that the students with low income, heavily damaged residences, and whose relatives were trapped under rubble had worse sleep quality (p<0.001). A weak positive correlation was determined between the Post-Earthquake Trauma Level Determination Scale and the Pittsburgh Sleep Quality Index (r=0.444, p<0.001). CONCLUSION: In this study, it was revealed that female students, who were trapped under the rubble and whose houses were heavily damaged, were greatly affected by the earthquake. These students should be identified by school administrations and receive psychological support. Their trauma levels and sleep qualities should also be assessed following the earthquake. Keywords: Earthquakes, Trauma, Sleep, Students.
Examining the Role of Type D Personality Traits in Predicting Depression and Anxiety Symptoms in Postpartum Women.
Köktaş NÇ, Taşdemir G
Turk Psikiyatri Derg · 2025 · PMID 41070491 · Full text
OBJECTIVE: This study aimed to examine the role of type D personality traits in predicting depression and anxiety symptoms in women in the postpartum period. METHOD: The study is correlational and case-controlled. The sa...
OBJECTIVE: This study aimed to examine the role of type D personality traits in predicting depression and anxiety symptoms in women in the postpartum period. METHOD: The study is correlational and case-controlled. The sample consisted of 319 women in the postpartum period living in a province in western Türkiye. Type D Personality Scale (DS14), Edinburgh Postpartum Depression Scale (EPDS), and State-Trait Anxiety Inventory (STAI) were administered. Data were collected via Google Forms between January and February 2022. RESULTS: 62.4% of women in the postpartum period had type D personality characteristics. Postpartum depression and state-trait anxiety levels of women with type D personality were significantly higher (p<0.05). Additionally, the negative affect subscale of the Type D Personality Scale was the most significantly associated variable with postpartum depression (β=0.548, p<0.05) and state-trait anxiety (β=0.709, p<0.05). CONCLUSION: Personality traits can play an important role in the emergence of depression, anxiety and stress. Improving the coping and interpersonal skills of women with type D personality traits can help them to manage pregnancy, birth and motherhood related mental problems.
Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients.
Kiliç C, Türkoğlu Ö, Avanoğlu KB … +3 more , Grubu PÇ, Yağcioğlu EA, Uluğ BD
Turk Psikiyatri Derg · 2025 · PMID 41070490 · Full text
OBJECTIVE: Both general medical and mental health services were disrupted during the pandemic. It is unclear how these disruptions played out for people with various mental health diagnoses. We compared change in mental...
OBJECTIVE: Both general medical and mental health services were disrupted during the pandemic. It is unclear how these disruptions played out for people with various mental health diagnoses. We compared change in mental health status and use of mental health services between four psychiatric groups: schizophrenia spectrum disorders, bipolar disorder, unipolar depression, and anxiety/obsessive- compulsive disorder (OCD). METHOD: Using a semi-structured interview, 492 outpatients with psychiatric disorders who had used psychiatric services at a university hospital before the pandemic were assessed on the phone during the pandemic. RESULTS: About half of the sample reported a need for contact with mental health services during the pandemic, half of whom actually used services. Need for contact was much lower in the schizophrenia group than other diagnostic groups, whereas actual use of services was lower in the unipolar depression and anxiety/OCD groups. CONCLUSIONS: Patients with severe mental disorders, such as schizophrenia or bipolar disorders, may not be in a more disadvantageous position in terms of psychiatric service use during the pandemic. The pandemic response structure of mental health services should be modified to fit the needs of anxiety/depression spectrum patients.
Neuroleptic Malignant Syndrome with Low-dose Quetiapine After Venlafaxine Withdrawal: A Case Report.
Özden HC, Gürel ŞC
Turk Psikiyatri Derg · 2025 · PMID 41070489 · Full text
Neuroleptic Malignant Syndrome (NMS) is an idiosyncratic and potentially life-threatening drug reaction. Although uncommon, NMS cases induced by oral quetiapine have been reported. Most reports have predisposing risk fac...
Neuroleptic Malignant Syndrome (NMS) is an idiosyncratic and potentially life-threatening drug reaction. Although uncommon, NMS cases induced by oral quetiapine have been reported. Most reports have predisposing risk factors such as an organic brain disorder, concomitant use of other antipsychotics or lithium, overdose or rapid titration. NMS with low doses of quetiapine is a much rarer clinical picture. Venlafaxine is commonly associated with withdrawal upon discontinuation sometimes as soon as the next day. In this case report, a 40-year-old man treated with venlafaxine for generalized anxiety disorder with symptoms of full-blown NMS after venlafaxine withdrawal, induced by low-dose quetiapine (50 mg), is presented. In accordance with the previous reports, we speculate that venlafaxine withdrawal was a predisposing factor in our case however we also discussed other possible risk factors for NMS. Acknowledging the risk of NMS, even with low doses of quetiapine in patients devoid of known risk factors, is of paramount importance for prompt diagnosis and mitigating morbidity and mortality. To our knowledge, this is the first case of NMS with such a low dose of quetiapine without any other known risk factors or substances.
A Case of Pseudotumor Cerebri Associated with Lithium Use.
Türkoğlu Ö, Güneş HN, Yağcioğlu AEA
Turk Psikiyatri Derg · 2025 · PMID 41070488 · Full text
Pseudotumor cerebri (PC), also known as idiopathic intracranial hypertension, is characterized by increased intracranial pressure in the presence of normal brain imaging and cerebrospinal fluid analysis. Papilledema, hea...
Pseudotumor cerebri (PC), also known as idiopathic intracranial hypertension, is characterized by increased intracranial pressure in the presence of normal brain imaging and cerebrospinal fluid analysis. Papilledema, headache and visual loss are frequently observed clinical signs and symptoms. Although the pathogenesis of pseudotumor cerebri is not known exactly, different risk factors have been identified. Drugs such as growth hormone, tetracycline and retinoic acid have been reported to be associated with PC. Additionally, in the literature, there are case reports indicating the development of PC associated with lithium use. The aim of this case report is to discuss a 26-year-old patient who was started on lithium with a diagnosis of bipolar disorder and presented to the emergency service with complaints of headache and visual loss 4 months after the initiation of treatment and was diagnosed with PC associated with lithium use. It is important to be aware of the risk of PC development in patients treated with lithium and to rapidly evaluate patients in this respect in case of clinical symptoms such as headache and vision problems because of the risk of permanent vision loss. Keywords: Intracranial Hypertension, Lithium, Papilledema, Pseudotumor Cerebri.
The Mediating Role of Social Comparison Between Parental Self-Efficacy and Sharenting.
Bayraktar F, Çelik D
Turk Psikiyatri Derg · 2025 · PMID 41070487 · Full text
OBJECTIVE: The aim of this study was to examine the relationship of sharenting with variables that are theoretically related with the concept. Sharenting includes the basic motivation to share parental practices with oth...
OBJECTIVE: The aim of this study was to examine the relationship of sharenting with variables that are theoretically related with the concept. Sharenting includes the basic motivation to share parental practices with others and can be associated with social comparison and parental self-efficacy. In this context, we hypothesized that the social comparison could be a mediating variable between parental self-efficacy and sharing. METHOD: The participants were 558 parents (456 mothers 81.7% and 102 fathers 18.3%) from Türkiye and Northern Cyprus. The age range was 19 to 53 (M=33.59, SD=5.98). Sharenting Questionnaire, Parental Social Comparison Orientation Measure and The Self-Efficacy for Parenting Tasks Index were used as measurement tools. The data was collected online by using convenience sampling method. RESULTS: In two separate Hierarchical Regression Analyses (HRA) parental social comparison predicted sharenting and perceived parental emotional availability predicted parental social comparison significantly. Mediation analysis indicated that parental social comparison mediated between parental emotional availability and sharenting. CONCLUSION: Sharenting can be used to strengthen the parent-child relationship. Our research indicated that the parents who compare themselves with other parents were less available emotionally in their relationship with their children.
Prevalence of Depressive Symptoms and Related Factors in Türkiye: Results of the 2016 and 2019 Turkish Health Survey.
Aydin K, Yildiz NG, Aydin HZ … +4 more , Karaboğa HA, Güloğlu FK, Phiri YVA, Yildiz H
Turk Psikiyatri Derg · 2025 · PMID 41070486 · Full text
OBJECTIVE: We investigated the prevalence and distribution of depressive symptoms in individuals aged 15 and older, as well as the relationship between depressive symptoms and sociodemographic characteristics, chronic di...
OBJECTIVE: We investigated the prevalence and distribution of depressive symptoms in individuals aged 15 and older, as well as the relationship between depressive symptoms and sociodemographic characteristics, chronic diseases, health status and health behaviors. METHOD: The analysis of data collected from the Türkiye Health Surveys conducted by Turkish Statistical Institute (TURKSAT) in 2016 and 2019 involved using the Chi-Square independence test. Effect sizes were evaluated using Phi or Cramer's V coefficients. Patient Health Questionnaire-8 (PHQ-8) module was used to scan the depressive symptoms. RESULTS: The adult population's point of prevalence of depressive symptoms was 4.7%±0.24 in males and 8%±0.19 in females, with a population total of 6.3%±0.21. The yearly prevalence of depressive symptoms was 6.1%±0.45 in males, 13.2%±0.53 in females and a population total of 10%±0.49. Age, gender, income, education, social support, health status, disability, and chronic illnesses were found to be significant predictors of the incidence of depressive symptoms (p<0,05). The results indicated that the rate of people with depression getting help from psychologists, psychotherapists, and psychiatrists was low. CONCLUSION: Age, gender, income, education, marital status, self-rated health status, social support, number of chronic illnesses, and disability were the most important risk factors for depressive episodes. In addition to such self-reported research completed before the pandemic and Kahramanmaraş earthquakes in Türkiye, further studies based on structured diagnostic interviews are required.
The Relationship Between Social Media Use, Intolerance of Uncertainty, and Resilience with Anxiety and Depression Symptoms in Cancer Patients.
Aşut G, Ceran S, Bilgili GÖ
Turk Psikiyatri Derg · 2025 · PMID 41070485 · Full text
OBJECTIVES: The COVID-19 pandemic may be considered as a shared source of uncertainty. Prolonged engagement with social media regarding this uncertainty could present as a risk factor for anxiety. We sought to investigat...
OBJECTIVES: The COVID-19 pandemic may be considered as a shared source of uncertainty. Prolonged engagement with social media regarding this uncertainty could present as a risk factor for anxiety. We sought to investigate the relationship between intolerance of uncertainty, dimensions of resilience, uncertainty source (pandemic)-related social media use, and the risk of anxiety and depression in patients with cancer. METHOD: Patients with solid organ cancer (n=113) completed the sociodemographic data form, the Intolerance to Uncertainty Scale-12 (IUS-12), the Resilience Scale for Adults (RSA) and the Hospital Anxiety and Depression Scale (HADS) between May and August 2020. RESULTS: Depression scores were high at 17.7% of the patients while anxiety scores were high at 49.6%. RSA and its dimensions significantly differ between the Anxiety and Depression groups determined by the HADS. Time spent on social media about the COVID-19 pandemic (SMT) was associated with higher HADS-Anxiety scores (r=0.26, p<0.01), whereas higher resilience was associated with lower HADS- Anxiety (r=-0.42, p<0.01) and HADS-Depression (r=-0.52, p<0.01) scores. In addition to high levels of intolerance of uncertainty, low levels of the social resources were found to be a risk factor for depression, and low levels of self- and future-perception dimensions were found to be a risk factor for anxiety, regardless of the patients' social media use. CONCLUSION: As the factors that fuel uncertainty will always have an affect on cancer patients and cancer care, promoting the patients' resilience resources should be one of the main priorities for cancer patients.
Candidate Genetic Markers for Post Traumatic Stress Disorder Within the Scope of Forensic Psychiatry.
Ak S, Tufan LŞ, Ağaoğlu E … +4 more , Şenel ET, Gürel ŞC, Odabaşi AB, Cantürk G
Turk Psikiyatri Derg · 2025 · PMID 41070484 · Full text
OBJECTIVE: This study was conducted to investigate the role of two candidate polymorphisms to improve the diagnosis of Post-Traumatic Stress Disorder (PTSD) in forensic psychiatry settings. METHODS: Individuals who appli...
OBJECTIVE: This study was conducted to investigate the role of two candidate polymorphisms to improve the diagnosis of Post-Traumatic Stress Disorder (PTSD) in forensic psychiatry settings. METHODS: Individuals who applied to our unit with PTSD symptoms following a traffic accident were included. The control group consisted of people who had experienced a similar accident without any symptoms. Sociodemographic data-form, Hamilton Depression Rating Scale and Anxiety Sensitivity Index-3 (ASI 3) were applied to the patients and controls, and the frequencies of the rs8042149 polymorphic allele of the RORA gene and the rs717947 polymorphic allele (4p15) were investigated. RESULTS: A total of 103 people were included (54 case, 49 control). The rates of polymorphisms were not different between the groups. Higher education levels were associated with lower PTSD incidence while higher scores in the Social Subscale of ASI strongly predicted the occurrence of PTSD. CONCLUSION: The polymorphisms assessed did not help to differentiate the groups in the current sample. The potential of the Social Subscale of ASI-3 in predicting the occurrence of PTSD following a trauma should be evaluated in a longitudinal design.
And What About Secondary Catatonia?
Marques JG
Turk Psikiyatri Derg · 2025 · PMID 41070483 · Full text
I have read an interesting article recently published in your journal regarding the Turkish adaptation, validity and reliability study of the Bush Francis Catatonia Rating scale (BFCRS) and the Katatonia, Autism, Neurops...
I have read an interesting article recently published in your journal regarding the Turkish adaptation, validity and reliability study of the Bush Francis Catatonia Rating scale (BFCRS) and the Katatonia, Autism, Neuropsychiatric and Neuromovement Examination Rating (KANNER) Scale (Erdoğan et al. 2023). The article delighted me as catatonia is, in my opinion, the most fascinating syndrome of neuropsychiatry, if not of entire medicine. Catatonia needs further and deeper studies. I feel these scales and others such as Northoff Catatonia Scale (NCS) need to be adapted all around the world. Only then clinicians and researchers will be able to collaborate closer in better and stronger studies.
Relationship Between Emotion Regulation Difficulties and Gambling Tendencies of University Students.
Dağli DA, Köktaş NÇ, Arslantaş H … +1 more , Arabaci LB
Turk Psikiyatri Derg · 2025 · PMID 41070482 · Full text
OBJECTIVE: This study aims to examine the relationship between university students' difficulties regulating emotions and their tendency to gamble. METHOD: The population of this cross-sectional and correlational study co...
OBJECTIVE: This study aims to examine the relationship between university students' difficulties regulating emotions and their tendency to gamble. METHOD: The population of this cross-sectional and correlational study consisted of 69,000 undergraduate level students studying at three state universities in three different provinces in Turkey between February-September 2022. Based on the calculation using the sampling method of the known population, study data were collected face-to-face from 750 students. The data were collected using three tools: a descriptive information form, the South Oaks Gambling Screening Test (SOGS), and the Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Descriptive statistics, Pearson correlation and Multiple Linear Regression analysis were used to analyze the relationship among the scales' mean scores. RESULTS: Of the participating university students, 51.6% were female and 48.4% were male. Of these students, 42% stated that they had gambled at least once in their lives and 25.3% of them were still gambling. The mean DERS score was 38.14±14.37, which indicated a moderate difficulty in emotional regulation, and the mean SOGS score was 5.12±3.18. A positive and significant correlation was found between DERS SOGS (r=0.304, p<0.05). It was determined that university students' tendency to gamble was predicted by the three sub-dimensions of the DERS (Clarity (β=0.258, p=0.001), Purpose (β=0.156, p=0.021) and Non-Acceptance (β=1.768, p=0.001)), being male and gambling status in the family (p<0.05). CONCLUSION: Emotional regulation difficulties in university students may play an important role in their gambling tendencies.
Validity and Reliability of the Affective Lability Scale-18 (ALS-18) Turkish Form in the Non-Clinical Group.
Doğan V, Şenormanci Ö
Turk Psikiyatri Derg · 2025 · PMID 41070481 · Full text
OBJECTIVE: Affective lability, which is an important aspect of mood dysregulation, is seen in many psychiatric conditions. The aim of this study is to examine the psychometric properties of the Affective Lability Scale-1...
OBJECTIVE: Affective lability, which is an important aspect of mood dysregulation, is seen in many psychiatric conditions. The aim of this study is to examine the psychometric properties of the Affective Lability Scale-18 in the Turkish sample of the non-clinical group. METHOD: A total of 615 individuals (312 females and 303 males) who did not have a past or current psychiatric disorder were included in the study. The participants were administered sociodemographic data form, Affective Lability Scale-18, Difficulties in Emotion Regulation Scale, and Beck Depression Inventory. The participants were divided into 4 groups; a pilot group, EFA (exploratory factor analysis) group, CFA (confirmatory factor analysis) group and test-retest group. RESULTS: The factor analysis conducted for the construct validity of the scale, revealed similar results to that of the original scale. The Cronbach's alpha internal consistency coefficient was 0.92 for the EFA group and 0.92 for the CFA group. The test-retest reliability coefficient was 0.82. Difficulties in Emotion Regulation Scale (DERS) and Beck's Depression Inventory (BDI) were used tp measure validity. The correlation between the total scores of participants on the ALS-18 and their scores on the DERS and BDI was determined to be positive and moderate (r=0.38, r=41). CONCLUSION: The Affective Lability Scale-18 in the Turkish sample, three sub-dimensions, anxiety/depression, depression/elevation, anger and the general factor all have sufficient internal consistency and it has been demonstrated that the scale can be applied in our country to evaluate the situations in which affect variability is evaluated.
The Prevalence and Determinants of Mental Health Problems in Lebanon: A Meta-Analytic Study of 3957 Healthcare Workers.
Ghandour M, Gerges NE, Zeaiter N
Turk Psikiyatri Derg · 2025 · PMID 41070480 · Full text
OBJECTIVE: Healthcare workers are continuously exposed to challenging environments, making them liable for poor mental health. The COVID-19 pandemic exacerbated this problem, however available data in Lebanon is scarce....
OBJECTIVE: Healthcare workers are continuously exposed to challenging environments, making them liable for poor mental health. The COVID-19 pandemic exacerbated this problem, however available data in Lebanon is scarce. We conducted this investigation to provide comprehensive evidence on the mental health of Lebanese healthcare workers. METHODS: In this systematic review, we analyzed 3957 workers reported in 15 cross-sectional studies (10 during and five before the pandemic), identified after searching four databases. Examined mental health problems included depression, anxiety, stress, posttraumatic stress disorder (PTSD), and poor sleep quality. STATA software was used to pool the prevalence across studies. Subgroup analyses were performed based on the pandemic status, severity of mental health problems, and healthcare worker type. Gender and marital status were analyzed as potential risk factors. The methodological quality of all included studies was good as per the National Institute of Health risk of bias tool. RESULTS: Anxiety, depression, stress, PTSD, insomnia, and poor sleep quality were reported in 50%, 52%, 50%, 35%, 45%, and 41% of the population, respectively. Most cases had mild anxiety (40%), mild depression (45%), but severe stress (27%). Depression and anxiety were highest among pharmacists (69% and 56%) and nurses (49% and 45%), respectively. Compared to the pre-pandemic period, depression (36% vs. 62%) and anxiety (30% vs. 56%) rates were higher during the pandemic, while stress levels were lower (62% vs. 45%). Both gender and marital status were insignificant predictors of depression, anxiety, stress, or PTSD. CONCLUSIONS: Depression, anxiety, posttraumatic stress, insomnia, and poor sleep quality are experienced by approximately one in every two Lebanese healthcare workers. The rate of depression and anxiety almost doubled during the pandemic with higher rates among pharmacists and nurses than physicians and residents. Both gender and marital status were deemed insignificant predictors of reported mental health problems.
Relationship Between the use of Mobile Applications and Social Functioning in Patients with Schizophrenia.
Hoşgelen EI, Akdede BB, Alptekin K
Turk Psikiyatri Derg · 2025 · PMID 41070479 · Full text
OBJECTIVES: The aim of this study is to examine the prevalence of digital technology tool use in individuals with schizophrenia or schizoaffective disorder in Turkey, as well as evaluating the association between the use...
OBJECTIVES: The aim of this study is to examine the prevalence of digital technology tool use in individuals with schizophrenia or schizoaffective disorder in Turkey, as well as evaluating the association between the use and psychosocial functionality and clinical symptoms. METHOD: Data were collected from 100 patients who were diagnosed with schizophrenia or schizoaffective disorder based on the DSM-5 criteria. The use of technology was evaluated with a questionnaire developed for this study. The level of psychosocial functioning was assessed using the Personal and Social Performance Scale (PSP), and the positive and negative symptom severity was evaluated using the Positive and Negative Syndrome Scale (PANSS). RESULTS: The digital technology users were significantly younger than the non-users. The majority of patients own a mobile phone (86%) and a computer (67%). Furthermore, 61% of patients used mobile applications, with Facebook and WhatsApp being the most popular social media platforms (48%). Patients who used digital technology tools had higher PSP scores. Furthermore, patients who used digital technology tools had significantly lower scores in PANSS negative subscale. There was no difference in PANSS positive subscale scores between digital technology tool users and non-users. CONCLUSION: Patients diagnosed with schizophrenia may benefit from mobile applications and social media tools that can help them participate in daily activities and improve their overall well-being.
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