Turk Psikiyatri Dergisi最新文献

{"title":"The Use of Pesticides in Suicide Attempts in the Eastern Mediterranean Region of Turkey.","authors":"Ersin Nazlican,&nbsp;Burak Mete,&nbsp;Nezihat Rana Dişel,&nbsp;Lut Tamam","doi":"10.5080/u26347","DOIUrl":"https://doi.org/10.5080/u26347","url":null,"abstract":"<p><strong>Objective: </strong>In parallel with common usage areas, pesticide poisonings are encountered in the community due to reasons such as no wearing of protective clothing and masks during use, unintentional consumption and suicide-intended intake. In this study was aimed to examine the cases who applied to the emergency department with pesticide poisoning and share of suicide cases.</p><p><strong>Method: </strong>This study is a retrospective record study based on the files of 234 patients who reported to the emergency department for pesticide and rodenticide poisoning between 2014 and 2018. The patients were compared in terms of sociodemographic, substance type, prognosis, and accident/suicide status. Chi-square test, Binary logistic regression analysis were used in the analysis of the data.</p><p><strong>Results: </strong>Organophosphates was the most common substance recorded as a cause of poisoning, while rat poison placed second. 38% of the acute poisoning cases were suicide attempts. Poisoning among men was found to be prominently due to accident whiles among women suicidal poisoning was more prominent. While the mortality rate is 4.7% in all acute intoxication cases, the mortality rate in poisonings with suicidal purposes is 5.6%. Patients with psychiatric diseases have a 28-fold higher risk of intoxication of attempting suicide. The most common comorbid psychiatric disorders in acute pesticide poisoning are anxiety and depression.</p><p><strong>Conclusion: </strong>A major proportion of pesticide poisoning cases is suicide attempts. Suicide attempt is at the forefront in women and death rates are higher in people with psychiatric illness. It may be advisable to avoid the easy accessibility of pesticides.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"33 4","pages":"248-254"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10532681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Depression As The First Symptom Of Frontal Lobe Grade 2 Malignant Glioma.","authors":"Şerif Bora Nazlı,&nbsp;Muhammet Sevindik","doi":"10.5080/u25957","DOIUrl":"https://doi.org/10.5080/u25957","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Dear Editor, Next to focal neurological symptoms, epileptic seizures and head aches, brain tumors can less frequently bring about cognitive changes, slowed speech, difficulty sustaining mental functioning and psychiatric symptoms of personality changes and. loss of interest in daily activities, these symptoms may be evaluated as anxiety or depression. Depression is known to be a complication of brain tumours and may sometimes be seen after the presentation of neurological symptoms linked to brain tumours, and sometimes after tumor treatment (Oğuz et al. 2005, Litofsky et al. 2004, Moise and Madhusoodanan 2006, Oreskovic M et al. 2007, Rooney A et al. 2010). The dorsolateral prefrontal, orbitofrontal and medial frontal circuits constitute the three subcortical neuronal circuits in the frontal cortex. The dorsolateral prefrontal circuit is associated with planning and operational functions and lesions on it may give rise to apathy, abulia, perseveration, personality changes and planning disorder. Lesions involving the orbitofrontal circuit, which is associated with response suppression and disinhibition, may involve emotional lability and memory problems. Whereas lesions affecting the right orbitofrontal circuit give rise to elevated mood, lesions on the left orbitofrontal circuit lead to depressed mood. In cases with medial frontal circuit involvement, akinetic mutism may result from lesions in the superior medial region and anteroretrograde amnesia and confabulation are observed with lesions in the inferior medial region (Tosun et al. 2016, Chirchiglia 2018). A diagnosis of psychiatric disorder may be given during the first examination of patieants with primary brain tumours, especially if localized in the frontal lobe. Thorough history taking and physical examination are necessary for early diagnosis. The case reported here concerns a 29-year-old university graduate female patient, living with her partner and children, who consulted the clinic with complaints of tendency to frequent crying, anhedonia, having difficulty with speech fluency, forgetfulness and distractedness that had presented suddenly, 2 months previously, without any causative stressor. In her mental status examination, she appeared having normal self-care with appearance at her actual age. She was fully conscious and oriented, not willing to cooperate with the interview, had distinct difficulty in maintaining attention and with fluency of speech. Her mood was depressive. She described loss of appetite, fatigue and energy loss. Her difficulty in paying attention was pronounced. She did not have a history of psychotropic medication use or family history of psychiatric disease. She did not smoke or use alcohol or substance. After evaluating the clinical interview, a preliminary diagnosis of major depressive disorder was considered on the basis of the DSM-5 criteria. Routine blood tests were requested. Given the continuation of her complaints, the difficulty with fluent speech","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"33 2","pages":"143-145"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40177546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DSM-5 TÜRKÇE ÇEVİRİYE BİR KISMİ ELEŞTİRİ.","authors":"Osman Özdemir","doi":"10.5080/u26540","DOIUrl":"https://doi.org/10.5080/u26540","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Sayın Editör, Bu yazıda amaç Türkçe DSM-5 için daha akıcı ve anlaşılabilir ortak bir dil oluşturma çabasıdır. Yöntem: DSM-5'in ya da DSM'nin 5. baskısının Türkçe ve İngilizce baskıları karşılaştırılmıştır. Bu yazıda ana bölüm 2'ye kadar olan kısım incelenmiştir. Kurum eleştirisi: DSM-5 Türkçe çevirisinin eleştirilebilecek noktalarının olması özel bir yayıncılık tarafından çevrilmesinin etkisi olabilir. Bir kişinin özel çabasının üzerinde bir organizasyon gerektirdiği düşünülmektedir. Çeviriyi Türkiye Psikiyatri Derneği görev grupları ve çalışma birimleri yapabilir veya en azından çeviriye dahil edilebilirdi\" şeklinde yazmak daha uygun olabilir. Hâkim dil eleştirisi: Çeviride hâkim olan Türkçenin tıbbi Türkçe mi yoksa edebi Türkçe mi eski Türkçe veya Osmanlıca Türkçesinin mi modern Türkçenin mi hâkim olduğu anlaşılamamaktadır. Aslında bu sorunun cevabı bellidir. DSM- 5 medikal model eksenli bir kitaptır (American Psychiatric Association 2013) ve çevirisinin de tıbbi eksenli olması beklenir. DSM-5 İngilizce ön sözünde biyolojik, psikodinamik, bilişsel, davranışsal, kişiler arası gibi farklı alanlarda çalışan klinisyenler ve araştırmacılar için çeşitlilik gösteren resmi bir dil kullanıldığı ifade edilmektedir. İşte Türkçe çevirinin ortak resmi bir dil yerine kaynağı belirsiz tek bir görüşü temsil ettiği düşünülmektedir. DSM-5 TÜRKÇE ÇEVİRİYE BİR KISMİ ELEŞTİRİ Muhatap eleştirisi: DSM-5 kitabının muhatapları bellidir. DSM-5'in İngilizce ön sözünde kitabın klinisyenler, eğiticiler ve araştırmacılar için bu alanda bir başvuru kaynağı olduğu ifade edilmektedir. Türkiye için başta psikiyatri uzmanları olmak üzere bu alanda çalışan diğer meslek gruplarıdır. Fakat DSM-5'in Türkçe çevirisinin kullanılan dil açısından hangi meslek grubuna hitap ettiği net olarak anlaşılamamaktadır. Profesyonel çalışanlardan ziyade edebiyata ya da eski Türkçeye meraklı bir grubu hedef aldığı izlenimi oluşmaktadır. Başlık eleştirisi: Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı Amerikan Psikiyatri Birliği 2013. Burada istatistik kavramı sayımsal olarak çevrilmiş. Dilde akıcılık ve uyum göz önünde bulundurulduğunda güzel görünse de anlamın oturmadığı söylenebilir. Kitabın uzun halinin başlığı da kısa hali gibi \"DSM-5 Tanı Ölçütleri Başvuru El Kitabı\" olabilirdi. Ön söz eleştirisi: Kitaba bir Türkçe çeviri ön sözü eklenebilirdi. Ön sözde öncelikle editörün DSM-5 hakkındaki genel görüşleri veya DSM-5 anlayışı değerlendirilebilirdi. Sonra Türkçe çeviri çalışmalarından bahsedilebilirdi. Nasıl bir yöntem uygulandığı, anahtar veya tartışmalı kelimelerin yerine hangi Türkçe kelimelerin neden tercih edildiği anlatılabilirdi. Eksik yerler: İngilizce baskıda bulunan DSM-5 görev timinin (Task Force) başkan ve başkan yardımcısının isimlerini taşıyan (Preface) Ön söz bölümü Türkçeye çevrilmemiştir. Ayrıca DSM-5'in hazırlanma süreçlerini anlatan (Introduction) Giriş bölümü de Türkçe baskıda bulunmamaktadır. Türkçe çeviri bu noktada eksik veya ihmal edilmiş şekilde tanımlanabilir.","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"33 3","pages":"220-222"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33477703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of the New Type Coronavirus Outbreak on Quality of Life and Suicidal Thoughts in Psychiatric Patients.","authors":"Muhammed Hakan Aksu,&nbsp;Bahadır Geniş,&nbsp;Çiğdem Geniş,&nbsp;Behcet Coşar","doi":"10.5080/u26525","DOIUrl":"https://doi.org/10.5080/u26525","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to investigate the effect of perceptions on the COVID-19 pandemic on the quality of life and suicidal ideation in both healthy controls and individuals with psychiatric disorders.</p><p><strong>Method: </strong>The study was conducted on 4 different groups with 83 depressive disorders, 90 anxiety disorders and 61 schizophrenia patients who have been followed in Gazi University Medical Faculty Hospital Mental Health and Diseases outpatient clinic since before the COVID-19 pandemic period and another group of 93 healthy volunteers. Participants were evaluated with Sociodemographic Data Form, Suicide Probability Scale (SPS), SF-36 Quality of Life Scale (SF- 36), Perception of COVID-19 Scale (P-COVID-19), and Perception of Causes of COVID-19 Scale (PCa-COVID-19).</p><p><strong>Results: </strong>The perception on the danger and contaigiousness of P-COVID-19 scored lowest in the schizophrenia group, compared to other groups and PCa-COVID-19's Conspiracy and Belief subdimension scores were highest. In all groups, a significant negative correlation was found between the P-COVID-19's dangerousness subdimension score and the SF-36 scale's Mental Health sub-dimension. Again, in all groups, significant positive correlations were found between the Dangerousness sub-dimension score of P-COVID-19 and the anger/impulsivity, hopelessness/loneliness and suicidal thoughts sub-dimensions of the SPS.</p><p><strong>Conclusion: </strong>The negative effects of perceptions associated with COVID-19 on mental health were observed both in groups with a psychiatric disorder and in healthy controls. The higher number of participants and longitudinal research will provide a better understanding of the effects of perceptions associated with COVID-19 and will guide the necessary treatment interventions.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"33 3","pages":"149-157"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33478245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of the Telemental Health Services During the COVID-19 Pandemic: A Systematic Review.","authors":"Naureen Akber Ali,&nbsp;Adeel Khoja,&nbsp;Fizzah Kazim","doi":"10.5080/u26021","DOIUrl":"https://doi.org/10.5080/u26021","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic has directed the use of telemedicine and digital mental health services to meet the needs of people in order to maintain physical distancing by preventing person to person contact. The aim of this review is to highlight the role of telemental health services during the COVID-19 pandemic.</p><p><strong>Method: </strong>An electronic search was carried out between January 01, 2020 and October 31, 2020 to explore the utilization of telehealth services for mental health problems among adults during the COVID-19 pandemic. The primary source of literature was the structured search of major electronic databases from the MEDLINE (PubMed), CINAHL Plus, Science Direct and the Web of Science. We included nine published studies meeting the the eligibility criteria.</p><p><strong>Results: </strong>The role of telehealth identified in this review mainly focused on the applicability of this modality for assessing and managing various mental health problems in these unprecedented times. It also pointed out that the provision of telemental health support reduced the burden of mental health diseases and promoted the wellbeing of the individual. Further, it was witnessed that patients preferred remote consultation as compared to face-to-face visits in order to avoid contracting the virus and found online mental health interventions and psychological counseling very helpful to cope up with the current crisis.</p><p><strong>Conclusion: </strong>The current COVID-19 lockdown has changed the management of the mental health problems of patients. The use of this innovative modality prevents transmission of infection and provides timely treatment to the community members most in need.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 4","pages":"275-282"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39769911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: CONVERGENCES AND DIVERGENCES IN THE ICD-11 VS. DSM-5 CLASSIFICATION OF MOOD DISORDERS.","authors":"Arcangelo DI Cerbo","doi":"10.5080/u26899","DOIUrl":"https://doi.org/10.5080/u26899","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Dear Editor, The chapter on mental, behavioural and neurodevelopmental disorders of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11) has been now finalized. Reporting of health statistics by Member States to the World Health Organization (WHO) using the new diagnostic system will begin in 2022. The section on mood disorders of the ICD-11 is overall consistent with the corresponding section of the ICD-10. However, the definitions of a depressive and a manic episode have been slightly changed, making them consistent with the DSM-5 (see below), and an independent category of bipolar II disorder has been introduced. A significant effort has been made by the WHO and the American Psychiatric Association to harmonize the diagnostic systems they produce (the ICD-11 and the DSM-5). Indeed, the organizational framework (\"metastructure\") is now the same in the two systems. Nonetheless, several intentional differences between the two classifications remain, or have emerged as a consequence of changes made in the DSM- 5. Here we briefly summarize the convergences and the divergences between the ICD-11 and the DSM-5 regarding the section on mood disorders (see Table 1). A major convergence between the two diagnostic systems regards the minimum number of symptoms required for the diagnosis of major depression (\"depressive episode\" in the ICD-11). In the ICD-11, contrary to the ICD-10, the threshold for the diagnosis of depression is the same as in the DSM: at least five depressive symptoms. However, the ICD-11 requires at least five symptoms out of a list of ten (instead of nine as in the DSM-5). The additional symptom is \"hopelessness\", which has been found to outperform more than half of DSM symptoms in differentiating depressed from non-depressed people (McGlinchey et al. 2006). Table 1. Some Main Differences Between ICD-10, ICD-11 and DSM-5 Concerning the Diagnosis Of Mood Disorders ICD-10 ICD-11 DSM-5 Threshold for diagnosis of depressive episode At least four out of ten symptoms, two of which must be depressed mood, loss of interest and enjoyment, or increased fatigability At least five out of ten symptoms, one of which must be depressed mood or diminished interest or pleasure At least five out of nine symptoms, one of which must be depressed mood or diminished interest or pleasure The threshold for the diagnosis of depression is higher if the person is bereaved Not made explicit Yes No Antidepressant-related mania qualifies as a manic episode No Yes Yes Mixed episode is a separate diagnostic entity Yes Yes No Dysthymia is a separate diagnostic entity Yes Yes No Bipolar II disorder is a separate diagnostic entity No Yes Yes \"Qualifiers\" (\"specifiers\") for the diagnoses of mood disorders are provided No Yes Yes CONVERGENCES AND DIVERGENCES IN THE ICD-11 VS. DSM-5 CLASSIFICATION OF MOOD DISORDERS 294 The ICD-11 is also following the DSM-5 in requiring the presence of increased activity or a subject","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 4","pages":"293-295"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39769915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Nicotine Use Disorder with Neurexin 3 Gene Polymorphisms.","authors":"Gülcan Güleç,&nbsp;Didem Turgut Coşan,&nbsp;Fezan Mutlu Şahin,&nbsp;İbrahim Uğur Çaliş,&nbsp;Melis Danişman Sonkurt,&nbsp;Ferdi Köşger,&nbsp;Altan Eşsizoğlu","doi":"10.5080/u25686","DOIUrl":"https://doi.org/10.5080/u25686","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to investigate the Neurexin 3 gene (NRXN3) polymorphisms in the rs 221473, rs 221497, rs1004212 and rs11624704 regions in relation to nicotine use disorder (NUD) in the Turkish population.</p><p><strong>Method: </strong>Power analysis indicated that the NUD group and the control group of this study should each comprise 200 participants in the 18-65 year age range. The NUD group consisted of individuals without a psychiatric first axis disorder except for NUD, mental retardation, past head trauma or a neurological disorder, who had smoked minimally10 cigarettes per day for at least 1 year. The control group included individuals without a serious chronic physical illness, a previous psychiatric disorder or mental retardation and who responded \"no\" to the question \"have you ever smoked?\" A sociodemographic questionnaire and the Fageström nicotine dependence scale (FNDS) for the NUD group were utilized. Venous blood samples of all participants were taken into tubes containing EDTA (ethylene daimine tetra acetic acid) for DNA extraction. Duplex fluorescence melting curve analysis was used for genotype detection and differentiation.</p><p><strong>Results: </strong>The individuals carrying the AC allele and the AG allele at the rs11624704 and the rs1004212 regions respectively had a high risk of being addicted to cigarettes.</p><p><strong>Conclusion: </strong>This is first study investigating the relationship of the NRXN3 gene and nicotine addiction in the Turkish population. It was observed that the risk of NUD in the Turkish population may be related to the Neurexin gene.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 3","pages":"160-166"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39855505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iconic Memory in Obsessive Compulsive Disorder.","authors":"Mehmet Mart,&nbsp;Selim Tümkaya","doi":"10.5080/u25590","DOIUrl":"https://doi.org/10.5080/u25590","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to investigate whether there is a fast decay in the iconic memory of patients with Obsessive Compulsive Disorder (OCD) compared to healthy individuals by taking into consideration the clinical OCD subtypes.</p><p><strong>Method: </strong>The study included 74 patients diagnosed with OCD on the basis of the DSM 5 criteria and 63 healthy individuals. The OCD patients were grouped as washers, checkers, both washers and checkers, and non-washers and non-checkers. All participants took a partial report test (PRT) to compare iconic memory performance between the healthy control group and the OCD group as a whole and in OCD subgroups.</p><p><strong>Results: </strong>Loss of iconic memory did not differ between OCD group and the controls. The iconic memory scores, expressed as the d' values, at specified time points correlated negatively with age and positively with education duration in all groups. When the subgroup data were analyzed by controlling for age, the d1'value showing formation of iconic information was lower in the washers subgroup in comparison to the checkers subgroup and the nonwashers and non-checkers subgroup. The d7' value was also lower in the washers subgroup than in the the non-washers and non-checkers subgroup and the healthy control group. The iconic decay rate of the washers subgroup between the time points d6' and d7' was significantly higher in comparison to the healthy control group. The scores of OCD patients on the washing subscale of the Maudsley Obsessive Compulsive Inventory (MOCI) showed negative correlations with the iconic memory scores at all time points.</p><p><strong>Conclusion: </strong>This study showed that washer OCD patients may have impaired iconic formation and fast iconic decay, which could significantly affect the amount of information transferred to visual memory.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 3","pages":"167-175"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39855506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mental Health of Healthcare Professionals During the COVID-19 Pandemic.","authors":"Mesut Işik,&nbsp;Umut Kirli,&nbsp;Pınar Güzel Özdemir","doi":"10.5080/u25827","DOIUrl":"https://doi.org/10.5080/u25827","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to investigate the anxiety, depression, insomnia and post traumatic stress disorder (PTSD) symptoms and the assocaited sociodemographic, clinical and professional factors during the COVID-19 pandemic in healthhcare workers.</p><p><strong>Method: </strong>A total of 509 participants joined an online survey to complete the data acquisition tools consisting of a Sociodemographic and Clinical Questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Insomnia Severity Index (ISI) and the Post Traumatic Stress Disorder- Short Scale (PTSD-SS).</p><p><strong>Results: </strong>The 509 participants of the study consisted of physicians (69.2%) and nurses (30.8%). On the basis of the scores above the cut-off points of the pscyhometric scales used, the mental symptoms of the participants were ranked as 54.2% on depression, 26.3% on anxiety, 20.8% on insomnia and 8.8% on PTSD. The corresponding scores of the 20-30 year old, the female and the nursing participants were significantly higher as compared to the others (p<0.001, for all). Significant differences were not found in these scores with respect to working or not working directly with COVID-19 patients, or having a family member with or without COVID-19 infection (p>0.05). Having a history of suspected COVID-19 infection was significantly associated with insomnia (p=0.026 and PTSD (p=0.008). Also, the anxiety and PTSD scores of the participants with a history of mental disorder diagnosis were significantly higher in comparison to the others (p<0.001).</p><p><strong>Conclusion: </strong>The results indicated that females, nurses, participants in the 20-30 year age group and with a history of mental disorder diagnosis were in the high risk group for impaired mental health, irrespective of their professional positions. Close monitoring and early intervention are essential for these high-risk individuals.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 4","pages":"225-234"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39858607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Alcohol-Cannabis Use and Stressful Events with the Development of Incident Clinical Psychosis in a Community-Based Prospective Cohort.","authors":"Umut Kirli,&nbsp;Tolga Binbay,&nbsp;Köksal Alptekin,&nbsp;Bülent Kayahan,&nbsp;Hayriye Elbi","doi":"10.5080/u26410","DOIUrl":"https://doi.org/10.5080/u26410","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to evaluate the associations between alcohol-cannabis use and forensic/stressful events with the risk of incident clinical psychosis during follow-up.</p><p><strong>Method: </strong>A community-based sample (n: 2142) was screened for clinical psychosis (schizophrenia and other psychotic disorders, affective disorders with psychotic features) at baseline and follow-up. Thus, incident clinical psychosis cases to develop during follow-up (individuals with no clinical psychosis at the baseline assessment and with clinical psychosis at the follow-up assessment) were detected (n: 27). These cases and the controls who did not report any psychotic symptoms at the follow-up assessment (n: 1691) were compared for exposure to environmental risk factors during follow-up (total n: 1718).</p><p><strong>Results: </strong>Individuals reporting heavy alcohol drinking or cannabis use during follow-up had significantly higher risk of incident clinical psychosis. The monthly frequency of drinking and cannabis use was also associated with the risk. Higher number of stressful life events exposed predicted higher risk of incident clinical psychosis. The risk of incident clinical psychosis was significantly higher in case of coexistence of two risk factors (heavy drinking, cannabis use, ≥3 stressful events), in comparison with the existence of a single risk factor (17.7 vs. 1.6%, p<0.001).</p><p><strong>Conclusion: </strong>Heavy drinking, cannabis use, forensic events and stressful events were associated with the risk of incident clinical psychosis. The coexistence of multiple stressful events and disorders related to abuse of alcohol/cannabis should be considered as a warning for the development of clinical psychosis.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 4","pages":"235-245"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39858608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}