Turk Psikiyatri Dergisi最新文献

{"title":"Turkish Adaptation Study of the Perceived Devaluation Discrimination Scale.","authors":"Kutay Saçak, Deniz Canel Çinarbaş","doi":"10.5080/u25057","DOIUrl":"10.5080/u25057","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to adapt Perceived Devaluation- Discrimination (PDD) scale for Turkish language and culture.</p><p><strong>Method: </strong>Participants from clinical and community populations were included in the study. The community sample consisted of 145 healthy individuals from the general community and the clinical sample consisted of 85 individuals with chronic psychiatric disorders. Psychometric properties of the Turkish version of PDD were assessed in the general community and clinical samples. Exploratory factor analysis, confirmatory factor analysis, internal consistency analysis, convergent and discriminant validity analyses were conducted.</p><p><strong>Results: </strong>As a result of exploratory factor analysis, a two-factor structure for PDD emerged in both the general community and clinical samples. Confirmatory factor analysis also supported the two-factor structure in both samples. These factors were named as Perceived Discrimination and Negative Evaluation and Perceived Acceptance and Non-negative Evaluation subscales. Cronbach's alpha values for PDD were 0.76 in the general community sample and 0.79 in the clinical sample. Alpha values of PDD subscales ranged between 0.72 and 0.77 in both samples. While convergent and discriminant validity tests provided partial support for construct validity of PDD in the general community sample, the convergent validity tests conducted with the clinical sample provided evidence for validity of PDD.</p><p><strong>Conclusion: </strong>Based on the results of the present study, it has been demonstrated that the Turkish version of PDD is reliable and valid and can be used with community and clinical samples to measure perceived devaluation and discrimination.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 3","pages":"183-191"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39518931","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":"[Correlates of Quality of Life in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder: A Study From Southwestern Nigeria].","authors":"Dominic Ukpong,&nbsp;Olanrewaju Ibıgbamı","doi":"10.5080/u25125","DOIUrl":"https://doi.org/10.5080/u25125","url":null,"abstract":"<p><strong>Objective: </strong>Quality of life and its correlates were studied in two groups of family caregivers of patients with major mental disorders-Schizophrenia (SZ) and Bipolar Affective Disorder (BPAD).</p><p><strong>Method: </strong>Family caregivers of SZ and BPAD patients were consecutively recruited to the study (n=100 for each group). Caregivers were screened for quality of life (QOL) measures, caregiver burden, symptoms of anxiety and depression, using the World Health Organization Quality of Life Scale (WHOQOL-BREF), the Pai and Kapur Family Burden Interview Schedule (FBIS) and the Hospital Anxiety and Depression Inventory (HADS) respectively.</p><p><strong>Results: </strong>When compared to the caregivers of the BPAD patients, the caregivers of the SZ patients had lower QOL scores in two out of the 4 WHOQOL-BREF domains (physical and psychological domains) (p=0.001), and higher overall total caregiver burden (p=0.001). On the other hand, caregivers of the BPAD patients had higher levels of depressive symptoms (p=0.001). Increased depressive symptoms were associated with lower QOL for both groups, comprising all WHOQOLBREF domains for BPAD and 3 domains for SZ caregivers. Higher caregiver burden was associated with lower QOL for both groups.</p><p><strong>Conclusion: </strong>There is a need for intervention and caregiver support for the relatives of patients with bipolar disorder and schizophrenia.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 1","pages":"26-32"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39047678","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":"[Psychometric Evaluation of the Implicit Positive and Negative Affect Test in Turkish Samples].","authors":"Mehmet Peker,&nbsp;Gülgün Meşe,&nbsp;Nevra Cem Ersoy","doi":"10.5080/u23558","DOIUrl":"https://doi.org/10.5080/u23558","url":null,"abstract":"<p><strong>Objective: </strong>Implicit affect is a concept distinct from explicit affect as it describes the affect processed by the individual at a preconscious level. The aim of this research is to evaluate the psychometric properties of the Turkish form of the Implicit Positive and Negative Affect Test (IPANAT-TR), originally developed by Quirin et al. (2009a) to measure affect indirectly.</p><p><strong>Method: </strong>The study data comprised of psychology and sociology students from Ege University, and full-time and part-time employees from public and private organizations in Izmir. A pilot study was carried out with a group of 57 undergraduate students in order to select the artificial words to be used in the scale. Subsequently the scale was sent to a total of 938 participants, comprising 569 students and 369 employees. Test-retest reliability was assessed with 46 participants after a one-week interval and with 55 participants after a four-week interval.</p><p><strong>Results: </strong>The principal components analysis showed a clear twofactor structure for the IPANAT-TR. The internal consistency scores were 0.92 for Implicit Positive Affect (IPA) and 0.85 for Implicit Negative Affect (INA). The one-week and four-week interval test retest reliability estimates varied between 0.51 and 0.75. The construct validity assessments showed that the expected relationships between the IPANAT-TR and tested constructs were mostly confirmed. The results of measurement invariance analysis showed that the IPANAT-TR has full measurement invariance across employee and student samples.</p><p><strong>Conclusion: </strong>The results of the reliability, validity and measurement invariance analyses carried out in the current study demonstrated that the IPANAT-TR is a reliable and valid measurement instrument to assess implicit affect.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 1","pages":"43-50"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39114039","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":"[A Forensic Psychiatric Perspective on the Draft Mental Health Act of Turkey in Light of Similar Laws and Practice in a Foreign Jurisdiction].","authors":"Sertaç Ak,&nbsp;Rasim Arıkan","doi":"10.5080/u25472","DOIUrl":"https://doi.org/10.5080/u25472","url":null,"abstract":"<p><strong>Objective: </strong>Designated Acts for issues related to mental health are in force in many countries throughout the world. A mental health act is also expected to be approved in Turkey soon. Under the leadership of the Psychiatric Association of Turkey, non-governmental organizations operating in the field of mental health has contributed to the emergence of a comprehensive draft. The current draft, after extensive discussion and reiterations for almost a decade, was brought to a state close to its final form and accepted as a draft bill, ready to be legislated in the Turkish Grand National Assembly. This review will discuss the potential impact of the law in matters involving Forensic Psychiatry, and present our recommendations.</p><p><strong>Method: </strong>Current draft, which has not yet been finalized, was compared to similar statutes in Massachusetts, USA, and potential benefits and pitfalls were discussed in light of experience with these laws in this jurisdiction.</p><p><strong>Results: </strong>The draft introduces several new concepts and practices which have never existed in Turkey before. It also attempts to organize some of the existing de facto clinical practices in a uniform manner. As a whole, it appears to be in compliance with human rights and related international treaties. However, it is likely that some of the sections might have compliance issues in daily practice.</p><p><strong>Conclusion: </strong>In this review, we aimed to draw attention to a number of issues, based on our experience in Massachusetts, USA, where similar laws have been in force for a very long time. Rather than literally comparing the statutes in both jurisdictions, we attempted to emphasize positive aspects as well as likely problems that we might encounter should Turkish draft be legislated in the present form.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 1","pages":"51-55"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39114040","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":"Retinal Scan with Optical Coherence Tomography in Adult Attention Deficit Hyperactivity Disorder.","authors":"Münevver Tünel,&nbsp;Nedime Şahinoğlu Keşkek","doi":"10.5080/u25584","DOIUrl":"https://doi.org/10.5080/u25584","url":null,"abstract":"<p><strong>Objective: </strong>In this study, the retinal nerve fiber layer (RNFL) thicknesses were compared between adult attention deficit hyperactivity disorder (ADHD) cases and healthy controls.</p><p><strong>Method: </strong>The study included adults diagnosed with ADHD based on the DSM-5 criteria and age and gender matched healthy controls. Spectral area optical coherence tomography (OCT) was performed on the 52 eyes of 26 participants with ADHD and the 52 eyes of the 26 healthy control individuals.</p><p><strong>Results: </strong>Comparing the data on the 52 eyes of 26 ADHD participants and the 52 eyes of 26 healthy control participants indicated that the central macular thickness (CMT) and the RNFL thicknesses, the ganglion cell complex (GCC), the mean inner macular ring (MIRAVG) and the mean outer macular ring (MOR-AVG) thicknesses were significantly lower in the ADHD group.</p><p><strong>Conclusion: </strong>This is the first study in the literature on the RNFL thickness in adult ADHD patients. Our findings demonstrated that RNFL thickness is lower in ADHD cases as the unmyelinated axons are reduced in ADHD. Hence, the quantitative and reproducible nature of Spectral Domain-OCT thickness measurements can be used as biomarkers to monitor disease progression in ADHD cases.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 3","pages":"176-182"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39855507","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":"[Maintenance Electroconvulsive Therapy for Agitation and Self Injurious Behaviors in Autism Spectrum Disorder].","authors":"Öznur Adıgüzel Akman,&nbsp;Sibel Kahraman Girgeç,&nbsp;Samet Çelik,&nbsp;Vildan Çakır Kardeş,&nbsp;Nuray Atasoy","doi":"10.5080/u23768","DOIUrl":"https://doi.org/10.5080/u23768","url":null,"abstract":"<p><p>Self-injurious behaviors (SIBs) in autism spectrum disorder (ASD) are destructive symptoms that can lead to dangerous injuries and life-threatening risks. Agitation and SIBs may not respond to psychopharmacological and behavioral interventions. There are reports in the literature on improvement after electroconvulsive therapy (ECT) in cases not responding pharmacotherapy. However, data on the efficacy of the therapy on the benefiting patients, the course of the treatment and on the use of maintenance ECT (m-ECT) are very limited. This report presents the clinical features and the course of m-ECT on two cases under follow up for pharmacotherapy resistant ASD with significant agitation, mood disorder and SIBs that could cause severe head traumas. The initial stage of therapy consisted of 7 sessions of ECT patients showed improvement after the 5th session. m-ECT were started since the agitation repeated one week after discharge despite ongoing pharmacotherapy. In the first case, m-ECT was continued once every two weeks for a total of 46 sessions; and in the second case a total of 18 weekly sessions were conducted. No significant side effects or complications were observed and the general state of well-being was preserved. Our paper is among the few that reported succesful treatment of agitation with m-ECT. m-ECT should be considered in treatment resistant cases.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 1","pages":"65-69"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39114043","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":"Is Olfactory Reference Syndrome a Diagnostic Entity Under Obsessive-Compulsive and Related Disorders?: A Case Report.","authors":"Diren Bezek Özsoy,&nbsp;Erhan Ertekin,&nbsp;Raşit Tükel","doi":"10.5080/u25129","DOIUrl":"https://doi.org/10.5080/u25129","url":null,"abstract":"<p><p>Olfactory reference syndrome (ORS) is a rare psychiatric condition involving embarrassment and distress due to persistent mental preoccupation with the idea of emitting body odours foul and offensive enough to disturb others. This disorder is often accompanied by shame, embarrassment, significant distress, avoidance behavior, social phobia and social isolation. The patients may worry that they spread odours originating from their mouth, sweat, genital areas or the gut. This belief may lead the patients to misinterpret the behaviours of others, they may frequently smell themselves, shower and change clothing during the day. There are differences of opinion whether ORS should be considered as a delusional disorder or appear in under the rubric of obsessive-compulsive related disorders. One of the reasons that create this uncertainty is the variation in the response to different treatments. The treatment strategies generally include the use of antipsychotics, the antidepressants, they are preferentially used in combination. In this report we aimed to discuss the case of a 33-year old male patient whose first complaints had been diagnosed 14 years prior, with a diagnosis of OCD with low insight. Shortly after improvement of the OCD symptoms he developed ORS symptoms. We aimed here to discuss the place of ORS in the diagnostic systems with reference to this case.</p>","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 2","pages":"142-144"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39310698","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: Sertraline-Induced Acute Urinary Retention In A Patient With Adjustment Disorder].","authors":"Adem Sancı,&nbsp;Utku Baklacı,&nbsp;Tuğba Menteşe Babayiğit,&nbsp;Ömer Gülpınar","doi":"10.5080/u25817","DOIUrl":"https://doi.org/10.5080/u25817","url":null,"abstract":"","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 2","pages":"145-147"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39415315","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: Tele-Psychiatry Implementation In A University Hospital During The Covid-19 Pandemic].","authors":"Mustafa Yıldız,&nbsp;Mehmet Buğrahan Gürcan,&nbsp;Duygu Esen,&nbsp;Hilmi Yaşar","doi":"10.5080/u25960","DOIUrl":"https://doi.org/10.5080/u25960","url":null,"abstract":"","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 2","pages":"148-150"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39415316","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: THE IMPACT OF THE COVID-19 PANDEMIC ON SCHIZOPHRENIA PATIENTS.","authors":"Emine Ilgın Hoşgelen, Köksal Alptekin","doi":"10.5080/u26175","DOIUrl":"10.5080/u26175","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Dear Editor, The Covid-19 pandemic affected human life globally, inducing much stress on daily living (Çakıroğlu et al. 2020). Although assessments of general mental health during the Covid-19 pandemic have been widely reported, there is not adequate research on how schizophrenia patients have been affected. According to the World Health Organization (2020), individuals with chronic diseases who do not pay attention to their personal hygiene and the rules of protection from COVID-19 have a higher risk of getting infected than the healthy individuals who observe these measures. It is well known that the risk of Covid-19 infection is raised among schizophrenia patients due to negligence on the requisite control of personal hygiene and health conditions related to smoking and diabetes ( Cohn et al., 2004; Dinan et al., 2004; Krieger et al. 2019). The cognitive impairment in this disorder which reduces the perceptions on the necessity of self protection and the awareness of the risks proposed to underlie this raised risk of COVID-19 positivity (Yao et al. 2020). These patients have difficulty in following the preventive regulations (Palomar-Ciria et al., 2020). Apart from the risk of infection, there is also the risk of pandemic related development of auditory or visual hallucinations and delusional symptoms by acute and chronic psychosis patients during and after the pandemic (Brown et al. 2020, Cowan 2020). Therefore, this survey has been organised to evaluate the reaction developed by schizophrenia patients to the pandemic conditions. The first Covid-19 case was reported in Turkey on 11 March 2020 (Anadolu Agency, 11.03.2020) which was followed by the gradual increase in case numbers. In order to prevent the spread of Covid-19 and maintain the existing public health, the Republic of Turkey Ministry of Health established a 'Scientific Committee'' and prepared effective strategies including social isolation, quarantine, school closures, social distancing and wearing face mask in the community. During this process, the approximately 250 schizophrenia and schizoaffective disorder patients followed up by the Psychosis Outpatient Unit of Dokuz Eylul University Hospital Psychiatry Department (DEUPD) were instructed to visit the outpatient unit only in emergency conditions. It was determined that there were 176 schizophrenia patients whose follow up visit appointments for the period of April 1 - June 22, 2020, scheduled before the announcement of the pandemic, were cancelled. Therefore, the survey reported here was conducted with the schizophrenia patients of the DEUPD online and by telephone connections during 10- 20 May, 2020, the 9th and the 10th weeks of the pandemic. Only 76 (43.19%) of the 176 patients joined the survey, since 4 (2.27%) refused to participate and 96 (54.4%) could not be contacted. The survey aimed to determine the incidence of Covid-19 diagnosis among these schizophrenia patients and their attitude to the preventive measures a","PeriodicalId":47266,"journal":{"name":"Turk Psikiyatri Dergisi","volume":"32 3","pages":"219-221"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39510336","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}