Turk Psikiyatri Dergisi = Turkish Journal Of Psychiatry[JOURNAL]
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200 papers
Validity and Reliability of the Turkish version of the Affiliated Stigma Scalefor Caregivers of Dementia.
Kurşun DÇ, Duman ME, Gün ZT
Turk Psikiyatri Derg · 2024 · PMID 39783806 · Full text
OBJECTIVE: The aim of this study was to adapt the "Affiliated Stigma Scale" to Turkish for caregivers of people with dementia and determine its psychometric properties. The scale measures the affiliated stigma experience...
OBJECTIVE: The aim of this study was to adapt the "Affiliated Stigma Scale" to Turkish for caregivers of people with dementia and determine its psychometric properties. The scale measures the affiliated stigma experienced by caregivers of people with dementia. METHOD: We assessed the psychometric properties of Affiliated Stigma Scale in 218 adults who were primary caregivers for their relatives with dementia. Sociodemographic data was collected and the Affiliated Stigma Scale, the Caregiver Burden Inventory, and the Beck Depression Inventory were administered. RESULTS: The Confirmatory Factor Analysis results did not support the three-factor structure of the original scale, Exploratory Factor Analysis (EFA) was performed. EFA, revealed that the Turkish form of the Affiliated Stigma Scale has a four-factor structure as "other related/ cognition", "emotion", "self-related", and "behavior" with a total of 20 items. The variance explained by four factors constitutes 65.34% of the total variance. It was positively correlated with depression and caregiver burden scores. The internal consistency coefficients of the scale range was between 0.82 and 0.86 and was 0.91 for the total scale. CONCLUSION: The Affiliated Stigma Scale is a valid and reliable measurement tool in Turkey for the caregivers of people with dementia in assessing affiliated stigma.
Validity and Reliability of the Turkish Version of the Behavioral and Psychological Symptoms of Dementia Knowledge Scale (BPSD-T): A Psychometric Evaluation Among Caregivers.
Uysal HA, Güllüoğlu H, Poyraz T … +3 more , Başaran S, Var L, Eşkut N
Turk Psikiyatri Derg · 2024 · PMID 39783805 · Full text
OBJECTIVE: This study aimed to validate the Turkish version of the Behavioral and Psychological Symptoms of Dementia Knowledge Scale (BPSD-T) among caregivers. The goal was to assess the scale's psychometric properties,...
OBJECTIVE: This study aimed to validate the Turkish version of the Behavioral and Psychological Symptoms of Dementia Knowledge Scale (BPSD-T) among caregivers. The goal was to assess the scale's psychometric properties, ensuring it accurately measures caregivers' knowledge of dementia-related behavioral and psychological symptoms in a Turkish context. METHODS: In this cross-sectional study, the data were collected from 212 caregivers providing home-based care to dementia patients across Turkey. Participants completed a 12-item Behavioral and Psychological Symptoms of Dementia (BPSD) knowledge questionnaire along with a sociodemographic form. To examine the factor structure of the scale, both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted. Sample adequacy for EFA was assessed using the Kaiser- Meyer-Olkin (KMO) measure and Bartlett's test of sphericity. For CFA, model fit was evaluated using fit indices such as χ2/df, Goodness of Fit Index (GFI), Comparative Fit Index (CFI), Normed Fit Index (NFI), and Root Mean Square Error of Approximation (RMSEA). The internal consistency of the scale was assessed with Cronbach's alpha coefficient. RESULTS: The findings showed that the BPSD-T has strong internal consistency (Cronbach's alpha=0.85) and a robust factor structure. Factor loadings ranged from 0.396 to 0.744, supporting the construct validity of the scale. Item-total correlations ranged from 0.437 to 0.711, with the item "BPSD are the major source of caregiving burden" having the highest correlation (r=0.711). The results indicate that the BPSD-T is a reliable instrument for assessing caregivers' knowledge of behavioral and psychological symptoms associated with dementia. CONCLUSION: The BPSD-T provides an effective means of identifying knowledge gaps among caregivers in Turkey and serves as a valuable tool for developing training programs aimed at improving the management of BPSD. This study contributes to the literature by validating the scale in a non-Western context, suggesting that enhancing caregivers' knowledge of BPSD can have positive impacts on clinical management and patient care. In this regard, the implementation of the BPSD-T may support the more effective management of behavioral and psychological symptoms in dementia patients.
Alexithymia, Anger, Sensitivity to Mild Bodily Sensations and Personality Characteristics of Restless Legs Syndrome Patients: A Case-control Study.
Alkaş D, Yaman GB, Ünlü MD … +2 more , Işcan G, Eren İ
Turk Psikiyatri Derg · 2024 · PMID 39783804 · Full text
OBJECTIVE: This study aims to asess alexithymia, anger and its expression, sensitivity to bodily sensations, personality, and their relationship with the severity of the disease in patients with Restless Legs Syndrome. M...
OBJECTIVE: This study aims to asess alexithymia, anger and its expression, sensitivity to bodily sensations, personality, and their relationship with the severity of the disease in patients with Restless Legs Syndrome. METHOD: The study included 63 patients diagnosed with Restless Legs Syndrome and 63 age, gender and education matched controls. All participants were given, Toronto Alexithymia Scale, Somatosensory Amplification Scale, The State Trait Anger Scale and Temperament and Character Inventory. The severity of Restless Legs Syndrome was evaluated using the Restless Legs Syndrome Severity Rating Scale. RESULTS: The trait anger score (p=0,001), sensitivity to bodily sensations (p<0,001), and the total score of alexithymia (p<0,001) were significantly higher in the patient group Reward dependence in patient group was significantly higher (p=0,008). Restless Legs Syndrome severity positively correlated with trait anger level (r=0,360; p=0,015) and alexithymia total score (r=0,373; p=0,003). Restless Legs Syndrome severity negatively correlated with self-directedness (r=-0,323; p=0,010). CONCLUSION: We demonstrated that alexithymia, sensitivity to body sensations, and anger was high in restless leg syndrome in Restless Legs Syndrome. Restless Legs Syndrome is linked to physical and mental symptoms and certain personality traits.
Secondary Traumatic Stress Symptoms in Social Media Users after the February 6, Kahramanmaraş Türkiye Earthquakes: The Relationship Social Media Addiction, Depression, Anxiety and Stress Symptom Levels.
Gökçen O, Karataş KS, Akkuş M … +3 more , Dönmez F, Aydoğan Ç, Aydoğan E
Turk Psikiyatri Derg · 2024 · PMID 39783803 · Full text
OBJECTIVE: The content shared on social media may cause secondary traumatic stress (STS) symptoms. The aim of this study is to evaluate the severity of social media related STS and the associated factors in university st...
OBJECTIVE: The content shared on social media may cause secondary traumatic stress (STS) symptoms. The aim of this study is to evaluate the severity of social media related STS and the associated factors in university students who were not directly affected by the February 2023 earthquakes. METHOD: In total, 436 university students completed an online survey including the Secondary Traumatic Stress Scale for Social Media Users (STSS-SM), the Bergen Social Media Addiction Scale (BSMAS), the Depression Anxiety Stress Scales (DASS-42), and demographic information and questions regarding social media use preferences after the earthquake. RESULTS: A large portion of the participants (79.1%) reported that they followed the news about the February 2023 earthquakes on social media instead of other media tools. STS associated with social media addiction, depression, anxiety and stress levels (r=0.475 p<0.001; r=0.543 p<0.001; r=0.583 p<0.001; r=0.591 p<0.001). Multiple linear regression analysis revealed that, female gender, social media addiction and anxiety levels predicted STS and explained 43.3% of the total variance. STS symptoms were higher in those who followed the earthquake-related news on social media (t=3.534 p<0.001) and in those who reported that Twitter was their preferred social media platform to access information regarding the earthquake (40.8%; (t=6.376 p=0.002)). CONCLUSION: Social media has been widely used for news gathering following the February 2023 earthquakes. The results of this study reveal that STS in social media users is affected by gender, social media addiction, depression, anxiety, stress levels and social media platform preference.
Towards a New Era in Science, Education, and Clinical Practice: The Promise of Artificial Intelligence in Psychiatry.
Bağcaz A
Turk Psikiyatri Derg · 2024 · PMID 39783802 · Full text
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The use of Artificial Intelligence in Psychotherapy: Practical and Ethical Aspects.
Özden HC
Turk Psikiyatri Derg · 2024 Oct · PMID 39399811 · Full text
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Is Artificial Intelligence hallucinating?
Özer M
Turk Psikiyatri Derg · 2024 Oct · PMID 39398861 · Full text
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Lithium in the Treatment of Premenstrual Dysphoric Disorder: A Case Report.
Güllülü RA, Muştucu A, Akkaya C
Turk Psikiyatri Derg · 2024 Sep · PMID 39297265 · Full text
Premenstrual dysphoric disorder (PDD) is characterized by mental, physical and cognitive symptoms that occurs in the late luteal phase of the menstrual cycle and regresses in the week following menstruation. In PDD, sero...
Premenstrual dysphoric disorder (PDD) is characterized by mental, physical and cognitive symptoms that occurs in the late luteal phase of the menstrual cycle and regresses in the week following menstruation. In PDD, serotonin reuptake inhibitors and combined contraceptives are the primary pharmacologic treatments. In cases where there is a personal or family history of bipolar disorder (BD), the use of antidepressants may pose a risk of inducing manic episodes. The frequent coexistence of BD and PDD, the fact that both diseases are cyclic in nature and that common mechanisms such as hormonal changes play a role in their aetiologies, suggest that lithium might be efficacious in the treatment of PDD. Here, we present a case who didn't have a BD but a family history of BD and was treated with lithium monotherapy for PDD with a successful outcome. In cases where first- and second-line therapies cannot be used or no response is obtained in PDD patients, pharmacological agents that have demonstrated efficacy in preventing mood episodes among first-degree relatives, may present a viable solution. Keywords: Antidepressive Agents, Drug Therapy, Lithium, Premenstrual Dysphoric Disorder, Premenstrual Syndrome.
THE THEORY OF MIND AND PSYCHOTIC SYMPTOMS PHENOMENOLOGY IN SUBSTANCE-INDUCED PSYCHOTIC DISORDER AND SCHIZOPHRENIA.
Küçük E, Uysal F, Balaban ÖD … +2 more , Tüzün Mutluer B, Erkıran M
Turk Psikiyatri Derg · 2024 Sep · PMID 39297260 · Full text
OBJECTIVE: The study aimed to determine clinical indicators that could be used to differentiate between patients diagnosed with substance-induced psychotic disorder (SIPD) and patients diagnosed with schizophrenia by com...
OBJECTIVE: The study aimed to determine clinical indicators that could be used to differentiate between patients diagnosed with substance-induced psychotic disorder (SIPD) and patients diagnosed with schizophrenia by comparing their psychotic symptoms and theory of mind (ToM). METHODS: The study included 43 male patients diagnosed with schizophrenia according to DSM-5 criteria and 43 male patients diagnosed with SIPD. The patients were administered the Sociodemographic and Clinical Data Form, Scale for the Assessment of Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms (SANS), Psychotic Symptom Evaluation Scale (PSYRATS), and Reading the Mind in the Eyes Test (RMET). RESULTS: In patients diagnosed with schizophrenia, the scores on SAPS subscales for structural thought disorder and bizarre behavior, as well as SANS total scores, were significantly higher compared to patients diagnosed with SIPD (z=2.679, p=0.007; z=2.984, p=0.003; z=6.916, p<0.001). The scores for recognizing negative and neutral expressions on the RMET were significantly higher in patients with SIPD than in patients with schizophrenia (z=3.540; p<0.001; z=4.404, p<0.001). It was found that as the scores on the SANS total and Affect Blunting or Flattening subscale, as well as the scores on the SAPS Bizarre Behavior subscale decrease, the probability of having SIPD increases. CONCLUSION: In patients diagnosed with SIPD, there are fewer disorganized and negative symptoms compared to patients diagnosed with schizophrenia. Patients with SIPD can recognize negative and neutral expressions better than patients with schizophrenia. When making a differential diagnosis between SIPD and schizophrenia, as blunting in affect, total negative symptoms, and severity of bizarre behavior decrease, the probability of being diagnosed with SIPD increases relative to the probability of being diagnosed with schizophrenia.
Non-suicidal Self Injury: Relationship with Attachment, Childhood Trauma and Dissociation.
Eren Sarıkaya BD, Ermiş Ç, Baykara HB … +1 more , Demirgören BS
Turk Psikiyatri Derg · 2024 Sep · PMID 39297252 · Full text
OBJECTIVE: This study aimed to investigate the relationship between non-suicidal self injury (NSSI), dissociative experiences, types of childhood traumas, and attachment styles in adolescents. METHOD: Adolescents aged 14...
OBJECTIVE: This study aimed to investigate the relationship between non-suicidal self injury (NSSI), dissociative experiences, types of childhood traumas, and attachment styles in adolescents. METHOD: Adolescents aged 14-18 with a diagnosis of NSSI and a psychiatric disorder (NSSI, n=40), a clinical comparison group which have any psychiatric disorder without NSSI (CCG, n=40) and a healthy control group (HC, n=40) were included. The diagnosis of NSSI were confirmed with the research criteria of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition. All participants were evaluated using the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version. Childhood Trauma Questionnaire (CTQ), the short form of the Inventory of Parent and Peer Attachment (IPPA), and the Adolescent Dissociative Experiences Scale (ADES) were used. RESULTS: The dissociation scores were higher in the NSSI group compared to the CCG group (4.8±2.0 and 2.9±2.2, p<0.001). NSSI group also had higher trauma levels but the difference was not statistically significant (48.0±14.2 and 41.4±5.0, p=0.062). Similarly, the NSSI group yielded higher scores of CTQ (48.0±14.2 and 33.8±6.8, p<0.001) and ADES (4.8±2.0 and 1.8±1.6, p<0.001) compared to HC group. Also, compared to the HC group, the NSSI group had more impaired attachment to father (42.0±19.7 vs. 53.0±21.7, p=0.056) and more frequently reported physical and emotional abuse. Finally, there were negative correlations between attachment levels to mother and CTQ total scores (r=-0.70, p<0.001) and between father attachment subscale and ADES scores (r=-0.33, p=0.047). CONCLUSION: Our study supports the notion that dissociation, trauma and insecure attachment are more common in individuals with NSSI. Psychotherapeutic approaches based on current findings will provide more benefits to patients.
Examining Social Anxiety Symptoms with Early Maladaptive Schemas: The Mediating Role of Mindfulness and Self-Compassion.
Aydoğdu BE, Yılmaz Samancı AE
Turk Psikiyatri Derg · 2024 Sep · PMID 39297251 · Full text
OBJECTIVE: This study aims to determine early maladaptive schema domains that significantly predict social anxiety symptoms in university students and to examine whether mindfulness and self-compassion play mediating rol...
OBJECTIVE: This study aims to determine early maladaptive schema domains that significantly predict social anxiety symptoms in university students and to examine whether mindfulness and self-compassion play mediating roles in the correlation of these schema domains with social anxiety symptoms. METHOD: 440 students from various departments of universities participated in the study. Liebowitz Social Anxiety Scale, Young Schema QuestionnaireShort Form 3, Five Facets Mindfulness Questionnaire, and Self-Compassion Scale were used to evaluate social anxiety, early maladaptive schema domains, mindfulness, and self-compassion, respectively. RESULTS: The hierarchical regression analyses demonstrated that maladaptive schemas in the domains of disconnection, impaired autonomy, and unrelenting standards significantly predicted the increase in social anxiety symptoms. It was found that the level of mindfulness mediated the correlations between these three schema domains and social anxiety symptoms. Moreover, self-compassion mediated the correlations between the schema domains of impaired autonomy and unrelenting standards and social anxiety symptoms. CONCLUSION: Findings indicate the importance of both specific schema domains and the level of mindfulness and self-compassion in explaining social anxiety symptoms in university students. The results' possible causes and clinical implications were discussed in light of the current literature.
Klingsor Syndrome: Genital Self-Mutilation in a Psychotic Patient.
Çiçek S, Şentürk E, Coşar B
Turk Psikiyatri Derg · 2024 · PMID 39224998 · Full text
Self-mutilation attempts are common in psychiatric practice. One form of self-harm, genital self-mutilation (GSM), is less common but may have severe consequences. GSM acts can occur in different diagnoses such as person...
Self-mutilation attempts are common in psychiatric practice. One form of self-harm, genital self-mutilation (GSM), is less common but may have severe consequences. GSM acts can occur in different diagnoses such as personality disorders, substance abuse disorders, obsessive-compulsive disorders, and psychotic disorders. When GSM is performed due to psychotic symptoms, the clinical picture is called Klingsor Syndrome. GSM is often associated with severe psychosis and often accompanied by religious delusions. In our article, we discussed a case of schizophrenia with penile autoamputation due to religious delusions. A 28-year-old male patient was admitted to our hospital after penile autoamputation. After surgical interventions, the patient's follow-up continued in our clinic. The patient had auditory hallucinations, delusions of persecution, and sinfulness. His symptoms improved after antipsychotic treatment. It is important to identify the risk factors of Klingsor Syndrome, which is a rare but serious condition, and to intervene early in these patients. Keywords: Self-mutilation, Psychosis, Self-injurious Behavior.
Loss of Consciousness After Naltrexone Implantation: A Case Report.
Doğan O
Turk Psikiyatri Derg · 2024 · PMID 39224997 · Full text
Naltrexone is an μ opioid receptor antagonist that is used in alcohol and opiate use disorder. Naltrexone does not constitute tolerance and dependence, and cessation of the drug does not cause withdrawal symptoms. Sustai...
Naltrexone is an μ opioid receptor antagonist that is used in alcohol and opiate use disorder. Naltrexone does not constitute tolerance and dependence, and cessation of the drug does not cause withdrawal symptoms. Sustained release form of naltrexone has been developed due to patient compliance issues. There is currently only one sustainedrelease form available in Turkey, which is inserted subcutaneously. In this case report, we present, a probable serious side effect of sustained release naltrexone implant. A 36 years old male with alcohol use disorder, developed a sudden clouding of consciousness one hour after the naltrexone implant application followed by anterograde amnesia in the next 8-10 hours. We were not able to detect any medical or neurological reasons for the altered mental status but after the removal of the naltrexone implant, the symptoms improved. To the best of our knowledge, this is the first case to report clouding of consciousness and anterograde amnesia after naltrexone implantation. Keywords: Naltrexone Implant, Side Effect, Alcohol Use Disorder, Lethargy, Consciousness.
The Role of Cannabis in the Development of Psychosis.
Türkoğlu Ö, Ertuğrul A
Turk Psikiyatri Derg · 2024 · PMID 39224996 · Full text
Cannabis is known to cause psychotic disorders, and the increasing use of cannabis constitutes an important health problem. Growing evidence that cannabis causes the development of psychosis has led to an increase in the...
Cannabis is known to cause psychotic disorders, and the increasing use of cannabis constitutes an important health problem. Growing evidence that cannabis causes the development of psychosis has led to an increase in the number of studies in this field. This review aims to clarify the role of cannabis use in the development of psychosis, discuss the current literature about the underlying neurobiological mechanisms. For this purpose PubMed was searched for the keywords "cannabis use, psychosis, schizophrenia, endocannabinoid system, pathophysiology, neurobiology"; the articles published in the last 10 years were reviewed. Epidemiological studies showed that cannabis use starting at an earlier age is associated with an increased risk of psychosis, this risk is more pronounced in people with genetic predisposition and increases with heavy and high potency cannabis use. Studies showed that the endocannabinoid system, which plays a role in nervous system development and functions as a homeostatic regulator in physiological processes, is affected by cannabis use during critical periods of development like adolescence; cannabis use affects physiological processes such as synaptic pruning due to the effects of this system on neurotransmitters like glutamate and dopamine leading to long-term behavioral and psychological consequences. Additionally, evidence that dysfunctions in the endocannabinoid system play a role in the etiology of schizophrenia suggests that cannabis affects the disease process by worsening existing dysfunctions in this system. Understanding the relationship between cannabis use and the development of psychosis and underlying neurobiological mechanisms will help to identify new treatment targets, and develop appropriate preventive approaches. Keywords: Cannabis Abuse, Psychotic Disorders, Schizophrenia, Endocannabinoids, Neurobiology.
Reliability and Validity of Turkish version of DSM-5 Substance Use Scale.
Alçi D, Sarikavak T, Evren C … +4 more , Karabulut V, Çetin T, Aydemir Ö, Grubu DÇ
Turk Psikiyatri Derg · 2024 · PMID 39224995 · Full text
OBJECTIVE: This study aims to evaluate the severity of substance use disorders according to the DSM-5 criteria and to show the reliability and validity of the Turkish version of the DSM-5 Substance Use Scale that improve...
OBJECTIVE: This study aims to evaluate the severity of substance use disorders according to the DSM-5 criteria and to show the reliability and validity of the Turkish version of the DSM-5 Substance Use Scale that improved to learn what kind of substances are used. METHODS: In this study,54 in or out-patients who met the criteria for any substance use disorder according to DSM-5 and who are receiving treatment in Psychiatry Department of Celal Bayar University Faculty of Medicine and AMATEM department of Bakırköy Prof. Dr. Mahzar Osman Mental Health and Neurology Training and Research Hospital, were included. One hundred volunteers without any mental or physical disease were also recruited as the control group. Beside the DSM-5 Level 2 substance use scale, Addiction Profile İndex was used for concurrent validity. Internal consistency coefficient and item-total correlation analysis were performed for reliability analysis. ROC Analysis was used in the validity analysis. RESULTS: Mean age was 26.97±10.20 years in the study group and 39% of the sample (n=60) were female. 5.6% (n=3) of the patient group were female and 94.4% (n=51) were male. In the control group, 57% (n=57) were female and 43% (n=43) were male. Of the patients diagnosed with substance use disorder (n=54), 88.7% had opiate use disorder, 5.6% had polysubstance use disorder, 5.6% had other (unknown) substance (synthetic cannabinoid) use disorder and 1.8% of patients have cannabis use disorder. The internal consistency of the substance use scale was 0.80 and itemtotal correlation coefficients were between 0,196- 0,643 (p<0.0001). Coefficient of correlation analysis with API was calculated as r=0.806 (p<0.0001). CONCLUSION: The results showed that DSM-5 Substance Use Scale is a valid and reliable questionnaire that can be used to measure the progress of different dimensions of alcohol and substance use.
The Effect of Aging on Face-Name Recognition: An fMRI Study.
Uslu Ö, Eroğlu S, Oğuz K … +5 more , Haznedaroğlu DI, Erata MC, Erdoğan Y, Kan ÖY, Gönül AS
Turk Psikiyatri Derg · 2024 · PMID 39224994 · Full text
OBJECTIVE: The aim of this study is to detect functional changes in the brain during the memory task with aging and the association between functional changes and memory performance. METHOD: The study consisted of Young...
OBJECTIVE: The aim of this study is to detect functional changes in the brain during the memory task with aging and the association between functional changes and memory performance. METHOD: The study consisted of Young Adult Group (YAG, n=20) aged 20 to 25 and Late Adult Group (LAG, n=18) aged 60 to 70. Individuals with Montreal Cognitive Assessment (MoCA) scores above 21 and no family history of Alzheimer's Disease were included in the study. Functional Magnetic Resonance Imaging (fMRI) scanning was performed on all participants during a memory task including encoding (face and name), face and name recognition sub-tasks. RESULTS: Results indicated that LAG showed increased activity during face recognition task in left posterior cingulate cortex, left superior frontal cortex, left fusiform face area and another increased activity was found out during name recognition task in left superior frontal cortex, right prefrontal cortex, left anterior + posterior cingulate cortex. The accuracy of face recognition and name recognition memory tests were significantly lower in LAG (respectively, p=0.026; p=0.001). CONCLUSION: These results indicated that advanced age were associated with more widespread activation in brain during memory task. Thus with aging, individuals require more neuronal and cognitive resources during memory processing.
Examining the Relationship Between Behçet's Disease and Depression, Anxiety, and Sexual Dysfunctions.
Avci İK, Sarandöl A
Turk Psikiyatri Derg · 2024 · PMID 39224993 · Full text
OBJECTIVE: People with Behçet's Disease, as many individuals with chronic diseases, often face depression, anxiety, poor quality of life and sexual problems. In this study, it was aimed to evaluate depression, anxiety, a...
OBJECTIVE: People with Behçet's Disease, as many individuals with chronic diseases, often face depression, anxiety, poor quality of life and sexual problems. In this study, it was aimed to evaluate depression, anxiety, and sexual dysfuntions in people with Behcet's Disease. METHOD: A total of 100 participants, 50 patients (29 female) and 50 healthy volunteers (28 female), participated in the study. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Female Sexual Function Index (FSFI), and International Index of Erectile Function (IIEF) were administered to the participants. RESULTS: Depression and sexual dysfunctions were significantly related with Behçet's Disease. In our study, all female participants with Behçet's Disease had problems in sexual functions. Erectile dysfunction was more frequent in participants with Behcet's. The results also showed that there is a significant relationship between depression and orgasmic function (p=0.004), sexual desire (p=0.028), sexual satisfaction (p=0.023), and general satisfaction (p=0.028). There was a significant difference between people with Behçet's Disease (10.54±6.45) and healthy group (7.36 ±6.13) in depression scores (p=0.009). Patients with systemic involvement and those with mucocutaneous involvement were found to be similar in terms of BDI and BAI scores (p>0.05). CONCLUSION: Behçet's Disease was found to be a risk factor for depression and sexual dysfunctions.
Evaluation of Catatonia with Different Assessment Scales in Psychiatry and Neurology.
Erdoğan İM, Aytulun A, Avanoğlu KB … +7 more , Türkoğlu Ö, Erdoğan NO, Gürel ŞC, Karahan S, Carroll BT, Yazici MK, Yağcioğlu AEA
Turk Psikiyatri Derg · 2024 · PMID 39224992 · Full text
OBJECTIVE: Catatonia is a syndrome that can be missed in clinical settings. Diagnosis of catatonia is important because the condition can be reversible and is associated with severe complications. This study aims to scre...
OBJECTIVE: Catatonia is a syndrome that can be missed in clinical settings. Diagnosis of catatonia is important because the condition can be reversible and is associated with severe complications. This study aims to screen patients with catatonia admitted to a university hospital's psychiatry and neurology services, examine their characteristics, and compare the coverage of different catatonia scales. METHOD: During a consecutive 20 months study period, the Turkish adaptations of the Bush-Francis Catatonia Rating and the KANNER scales were administered in psychiatry and neurology inpatient units and patients on the waiting list for psychiatric hospitalization. The participants were also evaluated with DSM-5 criteria. In addition, the sociodemographic and clinical characteristics of the patients in the psychiatric group were compared. RESULTS: A total of 214 patients were evaluated. Twenty-eight (13.1%) screened positive for catatonia, and 23 (82.1%) were diagnosed with catatonia according to DSM-5 criteria. KANNER and Bush- Francis identified the same patients as having catatonia. In addition to schizophrenia and mood disorders; neurodevelopmental disorder, encephalitis, postpartum psychosis, obsessive-compulsive disorder, delirium, cerebrovascular disease, functional neurological symptom disorder have also been found to be associated with catatonia. The most common complication was urinary tract infection. Life-threatening complications were also observed. CONCLUSION: Overlooking catatonia may have dire consequences. Adhering solely to the DSM-5 criteria may miss some patients with catatonia. Widely and efficiently using standardized catatonia scales can improve detection capacity and enhance the management of morbidity and mortality.
The Effects of Selective Serotonin Reuptake Inhibitors on Impulsivity in Young Adults with Major Depression in the Early Phase of Treatment.
Öğüt Ç, Sezer ÇÇ
Turk Psikiyatri Derg · 2024 · PMID 39224991 · Full text
OBJECTIVE: Whether selective serotonin reuptake inhibitors (SSRI) increase suicide risk, especially in young adults, is still a controversial issue. This study aimed to examine the change in impulsivity characteristics a...
OBJECTIVE: Whether selective serotonin reuptake inhibitors (SSRI) increase suicide risk, especially in young adults, is still a controversial issue. This study aimed to examine the change in impulsivity characteristics and to evaluate the relationship between impulsivity and suicidality in young adults with major depression who were started on SSRIs. METHOD: The study included 50 patients between the ages of 18-24 years with a diagnosis of major depression who were planned to start SSRIs. Participants were evaluated with the Beck Depression Scale, Beck Anxiety Scale, Young Mania Rating Scale, Columbia Suicide Severity Rating Scale, Barratt Impulsivity Scale, Daily Impulsivity Scale (DIS), and Go/ No-Go Task (GNG) before and at the end of the first week of treatment. RESULTS: Seventy percent of the patients (n: 35) completed the assessments at baseline and at the end of the first week. At the end of one-week there was a statistically significant decrease in the DIS (t=2.283, p=0.029) and commission errors in GNG (t=3.19, p=0.003). In addition, 7 out of 11 patients who had suicidal ideation at the first evaluation did not continue to have suicidal ideation at the end of the first week and there was a significant decrease in the severity of suicidal ideation at the end of the follow-up (W:132.0, p<0.001). CONCLUSION: One-week SSRI use in young adults resulted in a decrease in impulsivity in self-report scales assessing state impulsivity and in the GNG. It was observed that the severity of suicidal ideation decreased at the end of the one-week treatment period.
Frequency of Post Traumatic Stress Disorder and Associated Factors Among Survivors of Van Avalanche: 6-Month Follow-up Study.
Kurhan F, Kamiş GZ, Dinç D … +4 more , Tekin İ, Işik M, Alhan C, Ökmen AC
Turk Psikiyatri Derg · 2024 · PMID 39224990 · Full text
OBJECTIVE: We aimed to evaluate the frequency of Post Traumatic Stress Disorder (PTSD), to determine the risk factors, and to monitor the change of symptoms after 6 months among individuals who survived the avalanche dis...
OBJECTIVE: We aimed to evaluate the frequency of Post Traumatic Stress Disorder (PTSD), to determine the risk factors, and to monitor the change of symptoms after 6 months among individuals who survived the avalanche disaster in Van. METHOD: Face-to-face interviews were conducted with 35 people who were rescued from two consecutive avalanche disasters in Van 2 months and 6 months after the avalanche disaster. The socio-demographic and clinical data of the cases were evaluated. The Post Traumatic Stress Disorder Symptom Scale-Self Report version (PSS-SR) and clinical interviews were used for PTSD diagnosis. The level of trauma was assessed by using the Impact of Event Scale (IES). RESULTS: All participants were rescuers who went to the avalanche site for rescue mission. Of the cases, 16 were volunteers from the local community and 19 were professional rescuers. The frequency of PTSD was 71.4% in the early assessment, and 57.1% in the long term. Staying in avalanche for more than 30 minutes, the absence of a history of disaster exposure and being in the group of volunteers were found to increase the risk for PTSD development. CONCLUSION: There is a high risk of developing PTSD as a result of an avalanche. People who will intervene with the disasters should be educated and prepared in terms of preventing negative psychological consequences of the disaster. The relationship between the severity of trauma and PTSD was replicated in our study.
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