Turk Psikiyatri Dergisi = Turkish Journal Of Psychiatry[JOURNAL]
Sun
200 papers
Comparison of Clinical Characteristics, Gender Perceptions, and Rape-Related Beliefs of People Assessed for Criminal Liability for Rape Against Children and Adults.
Cesur E, Yilmaz G, Taşdemir İ … +2 more , Sancak B, Cansunar FN
Turk Psikiyatri Derg · 2024 · PMID 38556933 · Full text
OBJECTIVE: This study aimed to compare the criminal, sociodemographic and clinical characteristics, paraphilic behaviors, sexual attitudes, gender perceptions, and rape-related beliefs of people assessed for criminal lia...
OBJECTIVE: This study aimed to compare the criminal, sociodemographic and clinical characteristics, paraphilic behaviors, sexual attitudes, gender perceptions, and rape-related beliefs of people assessed for criminal liability for rape against adults and children. METHOD: The study compared 40 people investigated for criminal liability for rape against an adult (RAA) with 40 individuals investigated for criminal liability for crime of rape against a child (RAC), and 43 age, sex and education matched individuals without any sexual crime history using the Structured Clinical Interview form for DSM-5 disorders, Hendrick Brief Sexual Attitude Scale, Gender Perception Scale, Illinois Rape Myth Acceptance Scale, and Barratt Impulsiveness Scale-11. RESULTS: All participants were male. There was no difference between the groups in terms of lifelong or existing psychiatric diseases. All participants had full criminal responsibility during the crime. No participant in any group was diagnosed with a paraphilic disorder. It was determined that people in both RAC and RAA groups tended to use sexuality as a tool, paid less attention to birth control methods, had a far less egalitarian perception of gender, and their myths about rape were significantly higher compared to the control group. The control group was much more impulsive than the sex offenders. CONCLUSION: Our results show that the act of sexual assault should not be explained only by impulsivity or psychiatric disorders, and that gender perception and sexual myths may also be influential. The fact that all individuals had full criminal responsibility emphasizes the need for more research on the social and cultural origins of sexual violence.
Online Group Psychotherapy to Increase Self-acceptance and Reduce Shame Among Transgender Migrants: An Observational Report.
Özgen MH, Vos CM, Yağmur Ö … +1 more , Sevelius J
Turk Psikiyatri Derg · 2024 · PMID 38556932 · Full text
OBJECTIVE: Transgender and gender diverse (TGD) people experience higher levels of stigma, discrimination, and interpersonal violence due to their gender identity and/or expression, particularly TGD people with a migrati...
OBJECTIVE: Transgender and gender diverse (TGD) people experience higher levels of stigma, discrimination, and interpersonal violence due to their gender identity and/or expression, particularly TGD people with a migration background. This study aimed to conduct and evaluate group psychotherapy for TGD migrants to provide opportunities for exploring and developing interpersonal skills and relationships. METHOD: The group therapy included five individuals who identified as TGD and originated from the Middle East. The TGD group therapy consisted of 12 weekly sessions of 90 minutes each and was facilitated by a psychiatrist. All sessions were conducted online and in Turkish. The sessions were guided by the group process and discussions. RESULTS: After completing 12 group therapy sessions, members of the group reported benefiting from observing and emulating others who shared their problem constellation. Through the interpersonal skills that they built up throughout the sessions, they became more open to share their feelings experiencing fewer social barriers, and reduced anxiety. CONCLUSION: This observational study indicates the significance of offering group-based psychotherapy to enhance affirmation and social connection within gender minority groups and emphasizes the need to empirically evaluate the effectiveness of group psychotherapy with TGD individuals, with special attention to the unique needs of TGD migrants.
Serum HMGB1 and Beclin 1 Levels in Patients with a Diagnosis of Schizophrenia.
Yildiz S, Kiliçaslan AK, Emir BS … +2 more , Uğur K, Kiliç F
Turk Psikiyatri Derg · 2024 · PMID 38556931 · Full text
OBJECTIVE: It is known that inflammation plays a role in the etiopathogenesis of schizophrenia. In this study, we examined high mobility group box 1 protein (HMGB1) and Beclin 1 levels and their relationship with clinica...
OBJECTIVE: It is known that inflammation plays a role in the etiopathogenesis of schizophrenia. In this study, we examined high mobility group box 1 protein (HMGB1) and Beclin 1 levels and their relationship with clinical variables in patients with schizophrenia. METHOD: Forty-three patients with schizophrenia and 43 healthy controls were included in this study. The patients were administered sociodemographic data form, the Positive Negative Symptoms Assessment Scale (PANSS) and the Clinical Global Impressions (CGI) scale. After the scales were filled, venous blood samples were taken from both the patient and control groups to measure serum HMGB1 and Beclin 1 levels. Serum samples obtained at the end of centrifugation were measured by Enzyme-Linked ImmunoSorbent Assay (ELISA) method. RESULTS: The mean serum HMGB1 levels were significantly increased and the mean serum Beclin 1 levels were significantly decreased in the schizophrenia group compared to the control group. In addition, a negative correlation was found between HMGB1 and Beclin 1 levels. CONCLUSION: In conclusion, current research shows that HMGB1 is increased and Beclin 1 is decreased in patients with schizophrenia, and these findings may contribute to the role of autophagy in the pathogenesis of schizophrenia.
M. Orhan Öztürk Interview - Highlights.
Kayatekin MS
Turk Psikiyatri Derg · 2023 · PMID 38173331 · Full text
Orhan Öztürk has created a "revolution" in Turkish psychiatry Needless to say, prominent figures were with him during this journey, Leyla Zileli, Doğan Karan and many others, but it was Orhan Bey who became the intellect...
Orhan Öztürk has created a "revolution" in Turkish psychiatry Needless to say, prominent figures were with him during this journey, Leyla Zileli, Doğan Karan and many others, but it was Orhan Bey who became the intellectual and organizational leader. This interview attempts to provide a critical and analytical perspective on Orhan Öztürk as a figure of central importance in the recent history of psychiatry. It aims to interpret and enrich historical knowledge while "placing Orhan Öztürk in history." In this interview conducted with Orhan Bey in January 2023, I focused on several topics, which is presented as subsections in the conversation.
12 Psychiatrists who Shaped Psychiatry in Turkey in the Republic's First Century.
Can KC, Erkoç Ş, Gözütok TT … +6 more , Kayir A, Kiliç C, Tükel MR, Uluğ BD, Yazici MK, Yücel B
Turk Psikiyatri Derg · 2023 · PMID 38173330 · Full text
Who are the influential figures that molded Turkish Psychiatry into what it is today? This review introduces 12 psychiatrists who shaped psychiatry in Turkey during the first century of the Republic. The article presents...
Who are the influential figures that molded Turkish Psychiatry into what it is today? This review introduces 12 psychiatrists who shaped psychiatry in Turkey during the first century of the Republic. The article presents Rasit Tahsin, the first neuropsychiatrist who establish an academic psychiatry department in Turkey; Mazhar Osman, who had so much influence that his name became a phrase to describe the mentally ill, and still lives on with the institutions he built; Ihsan Sukru, the founder of neuropathology in Turkey, a historical figure in viral encephalitis research; Fahrettin Kerim Gokay, famous for his political career and his fight against alcohol and tobacco; Rasim Adasal, a Cretian who is a cornerstone in Ankara psychiatry and a well-known figure in Turkish society life; Abdulkadir Ozbek, who introduced psychodrama to Anatolia-his 'earth'; Leyla Zileli, who disseminated psychoanalysis from Ankara to Turkey; Orhan Ozturk, a founding figure for the Journal, the Association, and Hacettepe; Ayhan Songar, a prominent figure in society and also in state bureaucracy; Ozcan Koknel, the amiable face of psychiatry in society and a respected voice; Oğuz Arkonaç, a vigorous advocate for the establishment of contemporary psychiatry with DSM III in Bakırköy and then in Turkey; and Gunsel Koptagel-Ilal, who progressed the work in the psychosomatics as one of Turkey's first female psychiatry academics. As with any list, we acknowledge that absolute consensus is not possible; we are preparing a more extensive selection to be published as a book next year. We present our selection to your liking, hoping that one or more of our colleagues reading this article will be included in the selection for the next century, reflecting our collective conscious creation of psychiatry in Turkey. Keywords: Neuropsychiatry, History, Medicine, Turkey, Psychoanalysis, Psychosomatics.
A Brief History of Psychiatry in the 100th Anniversary of the Republic of Türkiye.
Can KC, Gözütok TT, Erkoç Ş
Turk Psikiyatri Derg · 2023 · PMID 38173329 · Full text
In this review, we aimed to outline the scientific advances and service capacity in Turkish psychiatry within the century-long history of the Republic. We propose that the history of Turkish Psychiatry also sheds light o...
In this review, we aimed to outline the scientific advances and service capacity in Turkish psychiatry within the century-long history of the Republic. We propose that the history of Turkish Psychiatry also sheds light on the history of our country. We have reviewed significant milestones in Turkish Psychiatry; the establishment of psychiatric hospitals, the development of formal psychiatry training, academic and scientific proceedings and the founding of professional organizations in the Republic era. We aimed to offer insights into the role of psychiatry in the modernization of our country, as well as to establish a foundation for future improvements by evaluating the progress made in the field of mental health services. The story that began with 20 neuropsychiatrists and 300 psychiatric beds in one mental hospital has now reached over 4000 psychiatrists and twenty-thousand psychiatric beds. Psychiatry in Türkiye continues its historical evolution with expansion in size and advancements in quality. Keywords: History of Psychiatry in Türkiye, History of the Republic of Türkiye, History of Medicine.
The Effect of Inhibition of Perisynaptic Astrocyte Glycogen Utilization on Depression-Like Behavior.
Erk EE, Demir BN, Kurşun HK … +3 more , Özkan MY, Dalkara T, Koçak EE
Turk Psikiyatri Derg · 2023 · PMID 38173328 · Full text
OBJECTIVE: Under physiological conditions, astrocytes produce lactate to meet the increased synaptic energy demand due to neuronal activity. In the light of the findings showing that this process is disrupted in the path...
OBJECTIVE: Under physiological conditions, astrocytes produce lactate to meet the increased synaptic energy demand due to neuronal activity. In the light of the findings showing that this process is disrupted in the pathophysiology of major depression, the aim of this study is to investigate the effect of pharmacological inhibition of perisynaptic astrocyte glycogen utilization on anxiety-like behavior and depression-like behavior in female and male mice. METHODS: In this study, DAB (1,4-dideoxy-1,4-imino-D-arabinitol), which is an inhibitor of glycogen breaking enzyme glycogen phosphorylase, was intrahippocampally administered to 15 female and 14 male Swiss albino mice, while 15 female and 12 male Swiss albino mice received intrahippocampal saline injections. Three and five days after the injections, the anxiety-like and depression-like behaviors of the mice were assessed by locomotor activity, open-field test, light-dark box test, tail suspension test and sucrose preference test. RESULTS: Three days after injection, neither depression-like nor anxietylike significant behavioral changes were detected in the male experimental group mice compared to the control group; but an increase in locomotor activity (p=0.05) and time spent in the open-field (p=0.01) were observed on the fifth day. In evaluations of the female experimental group mice on the third and fifth days, depression-like and anxiety-like behaviors were found similar to the control group, as seen in the male mice. The only significant difference in the experimental group female mice was found in the sucrose preference test, which revealed an increased tendency to prefer sucrose (p=0.003) compared to the control group. CONCLUSION: The inhibition of glycogen use in the hippocampus by DAB did not affect anxiety-like and depression-like behaviors 3 and 5 days after injection in both female and male mice. The increase in the time spent in the open-field by male experimental group mice was associated not with anxiety, but with increase in the locomotor activity. The fact that no significant difference was observed in the light-dark box test, which is another test used to evaluate anxiety, supported this opinion. The increase seen in the sucrose preference test in female experimental group mice was not interpreted as an increase in hedonic behavior because prevention of glycogen breakdown in the hypothalamus might have homeostatically increased sugar-craving and therefore resulted in an increase in sucrose preference. Different set of tests better targeting the energy and glucose metabolism and applied at farther time points than surgery are recommended for future studies.
Oral Health Status of Outpatients with Schizophrenia in Ankara, Türkiye: A Descriptive Study.
Karaman E, Yazici AR, Doğan BG … +4 more , Gökalp S, Eni N, Etçi Ş, Yazici MK
Turk Psikiyatri Derg · 2023 · PMID 38173327 · Full text
OBJECTIVES: To evaluate the oral health status and denture treatment needs of a group of outpatients with schizophrenia. METHODS: One hundred and eighty-eight patients diagnosed with schizophrenia were evaluated. Socio-d...
OBJECTIVES: To evaluate the oral health status and denture treatment needs of a group of outpatients with schizophrenia. METHODS: One hundred and eighty-eight patients diagnosed with schizophrenia were evaluated. Socio-demographic characteristics, eating habits, alcohol consumption, smoking status, oral hygiene attitudes, medical status, medications and the data related to dental visit were obtained via structured questionnaire of 45 questions. Medication information were confirmed from hospital records. The DMFT score (the Total of decayed, missing and filled teeth), denture status, Community Periodontal Index of Treatment (CPITN) and attachment loss were recorded in accordance with the criteria defined by the WHO. RESULTS: The mean DMFT score was 11.1±8.6. Total number of teeth decreased, while the number of decayed teeth and DMFT scores increased with age (p<0.001). There was no relationship between the anticholinergic effects of antipsychotics and the teeth count, number of decayed, filled and missing teeth, and the DMFT scores. The CPITN assessment revealed that 71.6% of the patients had healthy periodontium, 7.4% exhibited gingival bleeding upon probing, and 21% had dental calculus. Psychotropic medication and tooth brushing habits were associated with CPITN scores. Male sex was associated with higher frequency of denture need (p<0.001), while no association was observed with the education level and antipsychotic use (p>0.001). CONCLUSION: Physicians and dentists have to work in coordination to maintain good oral health of patients with schizophrenia. Patients should be encouraged for regular dental check-ups and dentist should take utmost care of the oral hygiene maintenance.
Turkish Adaptation, Validity and Reliability Study of the Bush Francis Catatonia Rating and KANNER Scales.
Erdoğan İM, Aytulun A, Avanoğlu KB … +6 more , Türkoğlu Ö, Erdoğan NO, Gürel ŞC, Karahan S, Yazici MK, Yağcioğlu AEA
Turk Psikiyatri Derg · 2023 · PMID 38173326 · Full text
OBJECTIVE: Catatonia is a common syndrome which can be lifethreatening due to its complications. The aims of the study were to translate the Bush Francis Catatonia Rating Scale (BFCRS) and the KANNER Scale into Turkish,...
OBJECTIVE: Catatonia is a common syndrome which can be lifethreatening due to its complications. The aims of the study were to translate the Bush Francis Catatonia Rating Scale (BFCRS) and the KANNER Scale into Turkish, conduct the validity and reliability analyses and to compare the two scales. METHOD: During the study period extending over 20 consecutive months, the Turkish versions of the scales were administered to 84 patients who were hospitalized in the psychiatry ward or who were admitted to the hospitalization list. The clinical and sociodemographic characteristics of all patients were evaluated. The scales were administered to the patients by two raters, one of whom was permanently involved. RESULTS: Convergent and criterion validities revealed a high correlation between the screening instruments of both scales and between the BFCRS total score and 2nd and 3rd part scores of the KANNER Scale. BFCRS total score of ≥6, KANNER Scale 2nd part score of ≥15, or 3rd part score of ≥1 can be used with high accuracy in diagnosing catatonia according to DSM-5. Internal consistency for both scales was found to be high (Cronbach's alpha 0.902 for BFCRS and 0.9, 0.891, 0.806 for KANNER Scale subsections). Inter-rater reliability was also high for most of the scale items (mean Kappa coefficient: 0.885 for BFCRS and 0.904 for KANNER Scale). CONCLUSION: In conclusion, the Turkish adaptations of both scales were found to be valid and reliable, showing strong psychometric properties. This study is the first validity and reliability study for the KANNER Scale.
A Real Environment Based Virtual Reality Psychosocial Treatment May Help Patients with Schizophrenia to Increase Social Functioning: A Preliminary Study.
Hoşgelen EI, Kartelli F, Berger M … +6 more , Erinç S, Yerlikaya D, Özbek Y, Yener G, Akdede BB, Alptekin K
Turk Psikiyatri Derg · 2023 · PMID 38173325 · Full text
UNLABELLED: disorders. The aim of the study is to investigate the impact of the VR Psychosocial Treatment Program (PTP) on psychosocial functioning and symptoms in people with schizophrenia. METHOD: Seven schizophrenia p...
UNLABELLED: disorders. The aim of the study is to investigate the impact of the VR Psychosocial Treatment Program (PTP) on psychosocial functioning and symptoms in people with schizophrenia. METHOD: Seven schizophrenia patients who have been admitted to the Schizophrenia Outpatient Unit of Dokuz Eylül University School of Medicine and met the diagnosis of schizophrenia according to DSM-V diagnostic criteria were included in the study. Psychosocial functionality level was assessed by PSP (Personal and Social Performance Scale), positive and negative symptom severity with PANSS (Positive and Negative Syndrome Scale), and social skills with SSC (Social Skills Checklist). VRPTP was continued for a total of 10 sessions and twice a week during five weeks. In this study, a real-environment-based VR-PTP for schizophrenia patients was developed. In the sessions, there were different realenvironment- based VR contents including social interaction components such as cafe, market, bazaar, public transportation. RESULTS: There was a statistically significant difference between the PSP scores before and after the VR application (p=0.018). None of the patients reported motion sickness during VR sessions due to the immersive nature of VR. There was no significant difference between pre and post VR PANSS total and subscale scores. CONCLUSION: In this preliminary study, we discovered that realenvironment- based VR-PTP is effective for improving the social skills of patients with schizophrenia. Cognitive enhancement programs and psychosocial functionality therapies may be carried out using virtual reality in the near future. VR can assist patients in coping with their symptoms and day-to-day challenges.
The Impact of theCovid-19 Pandemic on the Admission of Psychiatric Patients in Emergency Department During the Early Pandemic Period.
Muştucu A, Güllülü RA, Mete M … +1 more , Sarandöl A
Turk Psikiyatri Derg · 2023 · PMID 38173324 · Full text
OBJECTIVE: The COVID-19 pandemic and its restrictions cause increasing mental health problems in both the general population and psychiatric patients. In this study, it was aimed to compare the number and characteristics...
OBJECTIVE: The COVID-19 pandemic and its restrictions cause increasing mental health problems in both the general population and psychiatric patients. In this study, it was aimed to compare the number and characteristics of emergency psychiatric consultations in the earlypandemic period and in the same period of 2019, in order to understand how the COVID-19 pandemic affects psychiatric emergencies and the health care seeking behavior of people with psychiatric disorders. METHOD: A retrospective cross-sectional study was designed in which patients who applied to Emergency Department of Bursa Uludağ University and were consulted to psychiatry between 11 March 2019 - 1 September 2019 and 11 March 2020 - 1 September 2020 were included. Sociodemographic characteristics of the patients, psychiatric diagnoses, hospitalizations, psychotropic drug use and treatment compliance, frequency of admission, indications for hospitalization/ referral and suicide attempts were compared. RESULTS: It was observed that the ratio of psychiatric admissions to the emergency department to all emergency department admissions was significantly higher in the early-pandemic period than in the prepandemic period. In the early-pandemic period, emergency department admissions due to depression disorders were found to be significantly lower; schizophrenia and other psychotic disorders, and psychotropic drug side effects were found to be significantly higher than in the prepandemic period. CONCLUSION: In this study, it was shown that the COVID-19 pandemic may have a negative impact on psychiatric patients. Prompt implementation of measures to deal with the psychiatric effects of the pandemic, using online health services, developing coping strategies and identifying early signs of psychiatric illness exacerbations can reduce the negative effects of this stressful period on vulnerable individuals.
A New Attachment Assessment Tool: Attachment-Based Mental Representation Scale (ABMRS).
Özsoy EV, Şahin NH
Turk Psikiyatri Derg · 2023 · PMID 38173323 · Full text
OBJECTIVE: The goal of this study is to develop a new assessment tool to measure attachment. METHOD: The study consisted of six stages. Initially, in order to develo an itm pool, the current attachment literature and mea...
OBJECTIVE: The goal of this study is to develop a new assessment tool to measure attachment. METHOD: The study consisted of six stages. Initially, in order to develo an itm pool, the current attachment literature and measuring tools were examined. The clarity of the items and the face validity were evaluated with a group of 20 'judges'. The draft scale was given to 307 individuals, using the Brief Symptom Inventory as a criterion measure. Selection of the items was completed with factor analyses, and the resulting 33 item scale was named, "Attachment-Based Mental Representation Scale" (ABMRS). Later, with a sample of 407 individuals, the reliability and validity analyses of this 33item scale were conducted, using different criteria measures namely, Experiences in Close Relationships Inventory, The Parental Bonding Instrument, UCLA Loneliness Scale, Stress Audit Scale. Then, the test-retest reliability was investigated with a new sample of 60 individuals. With the addition of 7 more items, the Scale was administred to 283 people to investigate the psychometric properties. Lastly, the new 40-item Scale, with the items written in a mixed order, was applied to a different sample of 264 participants, and exploratory and confirmatory factor analyses were conducted. RESULTS: The scale has a six-dimensional structure, and it has been observed that the reliability coefficients of the dimensions vary between 0.72 and 0.86. These sub-dimensions can be grouped together and evaluated as "Secure Attachment" and "Insecure Attachment". CONCLUSION: It can be argued that the ABMRS validly and reliably measures the attachment phenomenon with various dimensions for Turkish culture.
A Great Teacher: M. Orhan Öztürk.
Uluşahin A
Turk Psikiyatri Derg · 2023 · PMID 38173322 · Full text
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Suicidal and Homicidal Thoughts as Psychotic Symptoms in an Adolescent: A Case Report.
Ersöz Alan B, Okumuş HG
Turk Psikiyatri Derg · 2023 · PMID 37724647 · Full text
The first episode of psychotic disorders often occurs in adolescence. Depressive symptoms are the most common symptoms in the prodromal period and the symptoms in this period are not specific to psychosis. Adolescence is...
The first episode of psychotic disorders often occurs in adolescence. Depressive symptoms are the most common symptoms in the prodromal period and the symptoms in this period are not specific to psychosis. Adolescence is a risky period in terms of suicidal behaviors. The risk of self-harm is further increased in the prodromal period and in the psychotic episode. Homicides in psychosis constitute a small part of all homicidal cases and homicidal thoughts have been associated with command hallucinations and delusions. In this article, an adolescent girl with psychosis who had intense homicidal and suicidal thoughts and self-harming behaviors will be presented, and homicidal thoughts in psychosis will be discussed. The symptoms of the case decreased with risperidone, and she started to socialize with the support of her teacher, who visited her house for lectures. The medical, legal, and social aspects of suicides and homicides in psychosis are discussed. Keywords: Adolescent, psychosis, homicidal, suicidal.
A Review of Studies on the Covid-19 Pandemic and the Psychological Effects of Related Measures on Children, Youth and Parents.
Altin B, Erden G
Turk Psikiyatri Derg · 2023 · PMID 37724646 · Full text
Pandemics are social events that affect individuals' lives in many ways and have a significant impact on the mental health of masses. Pandemics and measures taken to combat these epidemics affect children and young peopl...
Pandemics are social events that affect individuals' lives in many ways and have a significant impact on the mental health of masses. Pandemics and measures taken to combat these epidemics affect children and young people as well as adults. The purpose of the current review is to compile studies that have been conducted on the psychological effects of the COVID-19 pandemic and related measures on children, youth, and parents, and use the findings to shed light on future studies. In this review, 35 studies that were determined as a result of a comprehensive search in relevant literature were examined. It was observed that the aforementioned studies noted that the COVID-19 global pandemic and the measures taken to combat the epidemic (e.g., quarantine, lockdown, and school closures) had negative psychological effects on children, young people, and parents. Problems observed in children and young people, such as the fear of catching or transmitting the virus, getting bored, not being able to communicate enough with friends and teachers, and problems observed in parents, such as the troubles of negative repercussions of working at home or unemployment and difficulties in communicating with children with the closure of schools, are only a few to name these negative effects. The reviewed studies were discussed taking their limitations into account. Recommendations were made for future studies and intervention programs to be planned for community mental health. Keywords: COVID-19, children and youth, parents, pandemic, quarantine.
Primary and Secondary Capacities in the Context of Positive Psychotherapy in Individuals with Antisocial Personality Disorder: The Relationship with Criminal Behaviors and Anger.
Maden Ö, Sinici E, Uzun Ö
Turk Psikiyatri Derg · 2023 · PMID 37724645 · Full text
OBJECTIVE: The aim of this study was to evaluate the development of primary (PCs) and secondary capacities (SCs) in individuals diagnosed with antisocial personality disorder (ASPD) and the effects of these capacities on...
OBJECTIVE: The aim of this study was to evaluate the development of primary (PCs) and secondary capacities (SCs) in individuals diagnosed with antisocial personality disorder (ASPD) and the effects of these capacities on delinquent behaviors and anger levels. METHODS: 101 male patients aged 18 years and over with a diagnosis of ASPD were divided into two groups as those with a criminal ASPD (cASPD) diagnosis (n=37) and those with a non-criminal ASPD (ncASPD) diagnosis (n=64). Participants were evaluated using a sociodemographic form, Wiesbaden's Inventory of Positive Psychotherapy and Family Therapy (WIPPF-2) and State-Trait Anger Expression Inventory (STAXI). Statistical analyses were performed using the SPSS 22.0 program; significance level was taken as p0.05. RESULTS: PCs, SCs and anger control levels of people with ASPD were lower while trait anger, anger expression and anger import were higher than the control group. In cASPD, among the PCs, belief (β=0.796, p=0.032), hope (β=-1.069, p=0.011), relationship (β=-0.980, p=0.007) and sexuality (β=0.937, p=0.021) predicted anger-out, and among the SAs politeness (β=-1.020, p=0.002) and reliability (β=1.140, p=0.001) predicted trait anger level. In ncASPD, patience predicted anger-out (β=-1.752, p=0.001) and anger control (β=1.468, p=0.002); belief (β=1.468, p=0.005) and trust (β=-0.845, p=0.002) predicted anger control. CONCLUSIONS: Positive psychotherapy can be effective in improving PCs and SCs of individuals with ASPD, improving interpersonal relationships, reducing criminal behaviors, anger management and psychotherapeutic treatment of ASPD.
Gaming Disorder Scale for Parents: Reliability and Validity Study of the Turkish Form.
Palanbek Yava SŞ, Baysan C, Baysan Arabaci L
Turk Psikiyatri Derg · 2023 · PMID 37724644 · Full text
OBJECTIVE: This study aimed to conduct the validity and reliability study of the Turkish version of the Gaming Disorder Scale for Parents (GADIS-P). METHODS: In this methodological study, the study sample consisted of 34...
OBJECTIVE: This study aimed to conduct the validity and reliability study of the Turkish version of the Gaming Disorder Scale for Parents (GADIS-P). METHODS: In this methodological study, the study sample consisted of 345 parents who had children within the age range of 10-17 years who played digital games. The study data were collected through the Gaming Disorder Scale for Parents, the Scale for Determining Parents' Perceptions of Computer Game Addiction, and the Digital Parenting Attitude Scale. The Cronbach's alpha analysis for reliability, item total correlation analysis, confirmatory and exploratory factor analysis for construct validity, and clustering analysis for identifying gaming disorder according to the scale scores were used. RESULTS: It was determined that the content validity index of the scale was 0.97, that item loads varied between 0.617 and 0.863 according to exploratory factor analysis, and that the scale had good fit indices in the confirmatory factor analysis. The Cronbach's reliability coefficient of the scale was found to be α=0.907, and the item total correlations were determined to be adequate. The criterion validity analysis found a positive and strong correlation with the Scale for Identifying Parents' Perceptions Regarding Digital Game Addiction (r=0.717 p0.001). As a result of the clustering analysis, it was determined that the cut-off value was found as >9 points for "Cognitive Behavioral Symptoms" subscale and as >6 points for "Negative Consequences" subscale. CONCLUSION: The results obtained show that the Turkish version of the Gaming Disorder Scale for Parents is a valid and reliable measurement tool.
Intergenerational Transmission of Attachment between Incarcerated Mothers and Their Co-residing Children.
Işcanoğlu Z, Uçanok Z
Turk Psikiyatri Derg · 2023 · PMID 37724643 · Full text
OBJECTIVE: Maternal attachment representations and children's attachment to their mothers have been shown to be related while this association varies according to socioeconomic risk factors that these mother-child dyads...
OBJECTIVE: Maternal attachment representations and children's attachment to their mothers have been shown to be related while this association varies according to socioeconomic risk factors that these mother-child dyads are experiencing. In this regard, this study aims to investigate the intergenerational transmission of attachment between highly disadvantaged incarcerated mothers and their co-residing children and the mediating role of maternal sensitivity in the relationship between maternal and children's attachment representations. METHOD: The study sample consists of 84 incarcerated mothers and their co-residing children. The maternal attachment was evaluated using the Doll Story Completion Task. Children's attachment and maternal sensitivity were assessed based on a 45-minute semi-structured mother-child interaction observation and rated through structured coding instruments. RESULTS: Hierarchical regression analyses revealed that mothers' anxious and avoidant attachment positively predicted children's disorganized attachment behaviors. Moreover, analyses showed that maternal sensitivity did not mediate the relationship between maternal and child attachment representations. CONCLUSION: Findings partially supported the discussion emphasizing that attachment transmission, as well as the mediating role of maternal sensitivity on this transmission, appeared to be weaker for disadvantaged mother-child dyads. Implications for future intervention programs aiming to support the attachment security and reduce the disorganization of children co-residing with their incarcerated mothers are discussed.
The Mediating Role of Early Maladaptive Schemas in the Relationship between Temperament and Depressive Symptoms.
Gökdağ C, Yildirim ZE
Turk Psikiyatri Derg · 2023 · PMID 37724642 · Full text
OBJECTIVES: Personality traits and early maladaptive schemas (EMSs) play an active role in the emergence, maintenance, and treatment of depressive mood. Studies draw attention to the close relationship between temperamen...
OBJECTIVES: Personality traits and early maladaptive schemas (EMSs) play an active role in the emergence, maintenance, and treatment of depressive mood. Studies draw attention to the close relationship between temperament and character traits, EMSs, and depression. The first aim of this study is to examine the relationships between temperament, character traits, and EMSs. Secondly, we were interested to observe whether or not these variables explained depressive symptoms. Lastly, based on the previous findings and the idea that the development of EMSs is affected by temperament traits, the mediating role of EMSs in the relationship between harm avoidance and depressive symptoms was investigated. METHOD: Personal Information Form, Temperament and Character Inventory, Young Schema Questionnaire Short Form-3, and Beck Depression Inventory were applied to 205 undergraduate students (68% women). RESULTS: Results showed the significant correlations among harm avoidance temperament trait, self-directedness, cooperativeness character traits, and with most of the EMSs. The disconnection schema domain, harm avoidance, and self-directedness personality traits predicted depressive symptoms. Moreover, controlling the gender effect, disconnection and unrelenting standards mediated the relationship between harm avoidance and depressive symptoms. CONCLUSION: The findings supported the idea suggested by the schema theory that the temperament traits affect EMSs. We believe that these findings can support studies towards depression-prevention as well as the treatment of depressive individuals. Even without interfering with temperament characteristics of individuals, depressive symptoms might be reduced by working only with some of the EMSs.
Using Twitter to Assess Stigma to Schizophrenia and Psychosis: A Qualitative Study.
Bademli K, Kaya Kiliç A, Kayakuş M
Turk Psikiyatri Derg · 2023 · PMID 37724641 · Full text
OBJECTIVE: The aim of the study was to evaluate stigmatizing attitudes towards schizophrenia among Turkish Twitter users. METHODS: In the study designed with the qualitative research method, the tweets containing the key...
OBJECTIVE: The aim of the study was to evaluate stigmatizing attitudes towards schizophrenia among Turkish Twitter users. METHODS: In the study designed with the qualitative research method, the tweets containing the keywords "schizophrenia", "schizophrenic", "psychotic" and "psychosis" in Turkish on Twitter were collected using the Knime program. The main themes and sub-themes were created by content analysis. RESULTS: The studies revealed three major themes: "insult", "negative point of view", and "anti-stigma". While the sub-themes of "swearing" and "mocking" were determined under the main theme of "insult", the sub-theme of "false beliefs" was determined under the theme of "negative point of view", and the sub-themes of "medically appropriate" and "defensive" were determined under the main theme of "antistigma". In the results, it was determined that the word schizophrenia was commonly used to humiliate others and used as a way of addressing with slang words or to mock and that there were stigmatizing statements revealing negative feelings and thoughts in such a way that they would be inconsistent with medical information. CONCLUSION: The results of this study can be used to develop programs to combat stigma against schizophrenia disorder and to determine content.
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