Düşünen Adam: The Journal of Psychiatry and Neurological Sciences最新文献

{"title":"Psychotropic medication use in children and adolescents: review of outpatient treatments","authors":"M. Usta, Yusuf Yasin Gumus, Armagan Aral, G. N. Say, K. Karabekiroğlu","doi":"10.5350/DAJPN2018310107","DOIUrl":"https://doi.org/10.5350/DAJPN2018310107","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134184262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of body mass index on the sexual functions of morbidly obese female patients","authors":"L. Erbay, M. Ozlu, I. Sahin, B. Evren, C. Kayaalp, R. Karlıdağ","doi":"10.5350/DAJPN2017300408","DOIUrl":"https://doi.org/10.5350/DAJPN2017300408","url":null,"abstract":"The effect of body mass index on the sexual functions of morbidly obese female patients Objective: The aim of this study is to investigate whether morbidly obese female patients are suffering sexual dysfunction, in addition to analyzing the effect of body mass index (BMI) on sexual functions. Method: A total of 72 morbidly obese women admitted to the Endocrinology Department, whose BMI scores were 40 or over, and 28 healthy women age-matched with the morbidly obese group, whose BMI scores were under 30 were included in this study. Considering the effects on sexual functioning, the patients and the control group were evaluated by a psychiatric specialist. women with a psychiatric disorder according to DSM-5, taking medicines that could affect sexual functions, and those with a chronic physical or any neurological disease or being pregnant or breastfeeding were excluded from the study. A sociodemographic data form and the Arizona Sexual Experiences Scale (ASEX) were administered to both the treatment and control group. Results: Statistical analyses revealed that morbidly obese female patients more frequently suffered from sexual dysfunction compared to the control group. The Arizona Sexual Experiences Scale (ASEX) and all subscale scores except the sexual satisfaction rate were significantly higher in morbidly obese female patients than in the control group. There was no correlation found between the BMI and sexual function in the analyses conducted. Conclusion: In our study, morbidly obese female patients were found to show more impairments in all areas of sexual functions except sexual satisfaction rate when compared to the control group. Previous studies have suggested that obesity is the cause of sexual dysfunction in men; however, the same relationship could not be demonstrated in women. In a limited study of female patients, conflicting results were attributed to the inability to control variables. The fact that variables such as depression, anxiety, and chronic physical illness, which may affect sexual function, had been assessed in our study is important for accurately interpreting the findings. The data in our study reveals the importance of investigating sexual functions in morbidly obese female patients.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131693448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of computer-based rehabilitation on the cognitive functions of epilepsy patients","authors":"S. Icellioglu, Ayhan Bingol, E. Kurt, S. Yeni","doi":"10.5350/DAJPN2017300410","DOIUrl":"https://doi.org/10.5350/DAJPN2017300410","url":null,"abstract":"Objective: The aim of this study was to examine the effects of computerized cognitive rehabilitation programs conducted with the purpose of slowing down cognitive losses and developing coping strategies in patients diagnosed with cryptogenic and symptomatic focal epilepsy, with participants’ cognitive functions being evaluated through neuropsychological tests prior to and after rehabilitation. \u0000 \u0000Methods: Of 32 patients who were receiving treatment at the Istanbul University, Cerrahpasa Faculty of Medicine Hospital, Department of Neurology Epilepsy Clinic, 9 patients who met the inclusion criteria underwent an 8-consecutive-week computer-assisted cognitive rehabilitation program conducted by a psychologist once a week. The effectiveness of the program was tested with a comprehensive neuropsychological assessment both before the rehabilitation program and 3 months after its completion. \u0000 \u0000Results: Test scores of patients before and after the rehabilitation were found as follows: Stroop-1 12.22±2.72; 11.55±4.36, Stroop-2 14.55±4.95; 15.55±9.20, Stroop-3 34.11±15.59; 26.44±12.25, Spatial Recall Test-1 14.22±5.99; 15.88±6.79, Spatial Recall Test-2 4.22±2.94; 6.88±2.93, Selective Reminding Test-1 55.88±11.95; 56.0±7.0, Selective Reminding Test-2 8.77±3.83; 8.77±2.72, Digit Symbol Substitution Test 38.33±19.31; 37.66±24.35, Lexical Verbal Fluency Test 25.77±11.3; 33.66±14.47, Semantic Verbal Fluency Test 15.77±4.52; 17.88±5.88. The pre- and post-rehabilitation scores of Stroop-3, Spatial Recall Test (SRT)-2 and Lexical Verbal Fluency tests were significantly different (p","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121335245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship of the type of alleged crime with self-esteem and depressive symptoms in juvenile delinquents -","authors":"S. Hesapçıoğlu","doi":"10.5350/dajpn2017300407","DOIUrl":"https://doi.org/10.5350/dajpn2017300407","url":null,"abstract":"Objective: Stemmed from the idea of “there is no juvenile delinquent, but rather there are juveniles draged to crime”; the children and adolescents who have been referred to Mus State Hospital Child and Adolescent Psychiatric outpatient clinic with different alleged crime types were examined retrospectively, in terms of depression, self-esteem, and various socio-demographic factors. \u0000 \u0000Methods: The study was conducted retrospectively on children and adolescents who were referred to Mus State Hospital between February 2012 and February 2013 for the purpose of forensic psychiatric examination to assess their criminal responsibility regarding the alleged crimes. The children formed three groups of alleged crime types; theft, malicious wounding and terrorist propaganda. Child Depression Inventory (CDI) and Coopersmith Self-Esteem Scale (CSEI) scores were compared. \u0000 \u0000Results: There was a difference between the CDI and CSEI scores of the groups. In post hoc comparisons, the CDI score of the alleged malicious wounding group was lower than the other two groups. CSEI score was significantly higher than the alleged theft group, and almost significantly higher than the alleged terrorist propaganda group. \u0000 \u0000Discussion: It is observed that there is a difference in terms of CDI and CSEI scores between the groups of alleged crime type. In particular, the CDI scores of the alleged malicious wounding group were lower and their self-esteem was higher than the other two groups. This finding suggests that diverse etiologies may have been effective in directing different crime types in juvenile delinquency.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125857943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic confounding: is it absence epilepsy or ADHD?","authors":"Serkan Gunes","doi":"10.5350/dajpn2017300414","DOIUrl":"https://doi.org/10.5350/dajpn2017300414","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114230022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ECT practices in a psychiatry clinic at a training and research hospital","authors":"M. Eroğlu, S. Kiraz, A. Yaşar, Tuğrul Doğan","doi":"10.5350/DAJPN2017300406","DOIUrl":"https://doi.org/10.5350/DAJPN2017300406","url":null,"abstract":"ECT practices in a psychiatry clinic at a training and research hospital Objective: Electroconvulsive therapy (ECT) is an effective method of somatic therapy used in the treatment of many psychiatric disorders. Studies conducted in Turkey indicate that the frequency of ECT use varies over quite a wide range (2.2-16.3%). This study aims to investigate the diagnostic distributions in patients who were treated with ECT at a psychiatric clinic of a training and research hospital. Method: The health records of inpatients treated in our clinic between the dates of Jan 1, 2007 and June 30, 2016 were evaluated retrospectively. Results: A total of 174 patients underwent ECT within the specified time period. Of the total patients, 65.5% were female (n=114) and 34.5% were male (n=60). The average total number of ECT sessions was 7.7±4.4. The average number of ECT sessions in women was 7.2±1.9, while the average number in men was 8.6±7.1 (p=0.044). The diagnostic distributions of ECT patients were unipolar depression (63.8%), bipolar depression (18.4%), psychosis (14.9%) and bipolar mania (2.9%). Conclusion: The frequency of ECT practice in our clinic was 6.13%. Our study showed that although ECT is known as an effective and reliable method, it is not applied in our clinic at the frequency that we expected. We believe that shedding light on the effectiveness of the ECT mechanism will render it less enigmatic and increase the scope and frequency of its use.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122665399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Type II Citrullinemia Misdiagnosed as Conversion Disorder","authors":"Seda Aybuke Sari, E. Özatalay","doi":"10.5350/DAJPN2017300411","DOIUrl":"https://doi.org/10.5350/DAJPN2017300411","url":null,"abstract":"A case of type II citrullinemia misdiagnosed as conversion disorder Conversion disorder (CD) is a psychiatric disorder which can mimic organic disorders due to symptom similarities. It is characterized by the presence of one or more neurologic or vegetative symptoms that are usually triggered by stress. Therefore, medical diseases, neurological and psychiatric disorders should be considered in the differential diagnosis. We describe a case of a 12 year-old girl with type II citrullinemia that has been initially misdiagnosed as CD because of family attitude, secondary gains, and presence of symptoms such as clouding of consciousness and irritability. She has had no abnormal organic findings in previous exams. Metabolic disorders should also be considered in differential diagnosis of CD, even though they may be seen rarely.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128045723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of pain symptoms experienced in major depressive disorder and anxiety disorder","authors":"Ramazan Koksal, Eda Aslan, M. Yazıcı","doi":"10.5350/DAJPN2017300401","DOIUrl":"https://doi.org/10.5350/DAJPN2017300401","url":null,"abstract":"Objective: Ever since the important role serotonin plays in the mechanism of pain emergence became known, there has been a heightened interest in examining the pain that accompanies psychiatric disorders. However, the relationship between pain and psychiatric disorders remains unclear. In this study, we aimed to obtain information about the frequency and characteristics of pain seen in patients diagnosed with major depressive disorder (MDD) and anxiety disorder (AD). \u0000 \u0000Method: The Hamilton Rating Scale for Depression (HAM-D), the Hamilton Anxiety Rating Scale (HAM-A), and the “Brief Pain Inventory” (BPI) were administered to 94 patients diagnosed with MDD and 94 patients diagnosed with AD, respectively. Comparisons between the diagnosed groups, pain characteristics and socio-demographic variables were examined using the Chi-square and Mann-Whitney U tests in the statistical software package SPSS 11.0. Spearman’s rho test was utilized in order to examine correlation. \u0000 \u0000Results: Pain complaints in the MDD group were found in 55.3% (n=52), while this figure was 52.1% (n=49) in the AD group. There was no difference in the frequency of experiencing pain between the two groups (p>0.05). Variations of age, gender, and employment status did not correlate to differences in the presence of pain in MDD (p>0.05). In the AD group however, while there were no differences in age and gender regarding the presence of pain, complaints were more frequent in patients who did not work (p","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116161983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychometric properties of the Turkish version of the Internet Gaming Disorder Scale","authors":"C. Evren, E. Dalbudak, M. Topçu, N. Kutlu, B. Evren","doi":"10.5350/DAJPN2017300405","DOIUrl":"https://doi.org/10.5350/DAJPN2017300405","url":null,"abstract":"The psychometric properties of the Turkish version of the Internet Gaming Disorder Scale Objective: The main aim of the current study was to test the psychometric properties of the Internet Gaming Disorder Scale (IGDS), both the long (27-item) and short (9-item) polytomous versions, which are survey instruments that measure Internet gaming disorder (IGD) on the basis of the 9 criteria from the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Method: Participants were evaluated by applying the 27-item IGDS and the Young’s Internet Addiction TestShort Form (YIAT-SF). The psychometric properties of the IGDS were tested through an online survey completed by volunteers who are university students in Ankara, active Internet game players, as well as individuals who are in the e-mail database of an Istanbul-based company which organizes e-sports tournaments. Results: A single component on the nine-item IGDS reached the criterion of an Eigenvalue greater than one (5.926), and the variance accounted for by this component was 65.85%. Confirmatory factor analyses demonstrated that the structural validity (i.e., the dimensional structure) of the nine-item IGDS was satisfactory. This short version of the scale was also reliable (i.e., internally consistent with Cronbach’s α of 0.931) demonstrating good criterion-related validity, as indicated by positive correlations with time spent playing games, and the YIATSF score. Correlation between the 27-item IGDS and the nine-item IGDS was very high (n=457; r=0.988, p<0.001). Test-retest correlation for both the 27-item IGDS (n=261, r=0.759) and nine-item IGDS (n=261, r=0.756) were high. When the DSM-5 threshold for diagnosis (experiencing 5 or more criteria) was applied, the prevalence of disordered gamers ranged between 3.9% and 9.2%, according to the cutoff point chosen for each item. Conclusion: The results of the validity and reliability testing of the Turkish version of the nine-item IGDS were found to be similar to the findings of the original scale. These findings support the Turkish versions of the nineitem IGDS, which measure a unidimensional construct as being valid and reliable IGD screening instrument in determining IGD which can become problematic among young adults and also for the purposes of early diagnosis and use in other relevant research.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124997047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of risky behaviors and relationship of risky behaviors with substance use among university students","authors":"Demet Atlam, E. Aldemir, A. E. Altıntoprak","doi":"10.5350/DAJPN2017300402","DOIUrl":"https://doi.org/10.5350/DAJPN2017300402","url":null,"abstract":"Prevalence of risky behaviors and relationship of risky behaviors with substance use among university students Objective: This study aims to evaluate the prevalence of risky behaviors, frequently encountered in young adulthood, and the relationship between such behaviors and substance use in the university population. Method: This cross sectional, web-based, self-report study was carried out in a state university with 53,003 students. The power analysis was conducted according to the lowest prevalence (0.01%-0.6%) of substance use in universities in Turkey. A sample of 3,184 people was found to be sufficient for the research. The data of 2,973 individuals who completed the Addiction Profile Index was evaluated. Frequency tests, Pearson chi-square and logistic regression were used in the statistical analysis. Results: As participants 1,629 (54.8%) females and 1,344 (45.2%) males were included in the study. Suicidal plans or attempts and self-harming behaviors were significantly more prevalent among female students; carrying a weapon (penknife/knife/gun), engaging in physical fights, sustaining injuries in physical fights, early sexual relation experiences, condom usage, cigarette, alcohol, energy drink and substance consumption were significantly more prevalent among male students (p<0.001). Frequent suicidal plans or attempts (11.3 times) and early sexual experiences, before the age of 15 (16.6 times) were found to be riskier behaviors with regard to substance use; as the consumption of cigarettes, alcohol and energy drink increased, so did the risk of substance use. Conclusion: Gender is a distinctive characteristic with regard to risky behaviors among young people. The relationship between risky behaviors and substance use suggests that one risky behavior may lead to another. As such, it is necessary to evaluate the substance use among young people with risky behaviors and to examine other risky behaviors which accompany the substance use problems.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128482290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}