Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

{"title":"Clinical Outcomes Following Suicide Attempts: In-Hospital Mortality and Discharge Against Medical Advice.","authors":"Hüseyin Döngelli, Melis Kilinç, Seda Misirlioğlu Sücan, Çağatay Çakir, Binnaz Akinci, Ahmet Peker, Mehmet Yavuz","doi":"10.5080/u27830","DOIUrl":"10.5080/u27830","url":null,"abstract":"<p><strong>Objective: </strong>Suicide attempts remain a major public health concern worldwide. This study aimed to analyze factors associated with inhospital mortality and treatment Discontinuation Againts Medical Advice (DAMA) following suicide attempts.</p><p><strong>Methods: </strong>This retrospective, record-based, single-center observational study included adult patients who presented to the emergency department after a suicide attempt between January 2009 and December 2024. Data were obtained from the hospital information system, medical records, and forensic notification files. Factors associated with in-hospital mortality and DAMA were evaluated using logistic regression analyses.</p><p><strong>Results: </strong>A total of 2,909 individuals were included (mean age 30&plusmn;12 years; 64.4% female). Drug ingestion was the most common suicide method (84.2%). In-hospital mortality was observed in 2.2% of cases (n=63), with the highest lethality rate (94.1%) among individuals who attempted suicide by jumping from heights of five floors or higher. In multivariable analysis, older age (OR: 1.04; 95% CI: 1.02&ndash;1.06), male sex (OR: 4.40; 95% CI: 2.29&ndash;8.43), schizophrenia (OR: 3.63; 95% CI: 1.02&ndash;12.88), and alcohol use (OR: 2.38; 95% CI: 1.34&ndash;4.24) were identified as independent predictors of in-hospital mortality. Discontinuation against medical advice (DAMA) occurred in 53.8% of cases (n=1,564) and was significantly associated with younger age, absence of a prior suicide attempt, and fewer psychiatric comorbidities.</p><p><strong>Conclusions: </strong>Suicide attempt aftercare should extend beyond acute medical stabilization and incorporate proactive, individualized strategies aimed at improving patient engagement and mitigating method-specific risks.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"37 ","pages":"114-124"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twelve-Month Use of Mental Health Services: Results from the World Mental Health Türkiye Survey.","authors":"Cengiz Kiliç, Özlem Şeyda Uluğ, Arda Bağcaz, Semra Ulusoy Kaymak, Adam Zhang, Sertaç Ak, Mahir Ulusoy, Songül Kamişli, Özge Karadağ, Emine Eren Koçak, Michael Y Ni, Shiyi Wu, Bedirhan Üstün, William Axinn, Ronald C Kessler","doi":"10.5080/u27931","DOIUrl":"10.5080/u27931","url":null,"abstract":"<p><strong>Objective: </strong>Despite the substantial burden of mental disorders worldwide, treatment gaps remain wide, and pathways to adequate care are poorly understood. To address this gap, the Turkish World Mental Health (WMH) Survey was undertaken to assess prevalence and treatment of mental disorders in T&uuml;rkiye.</p><p><strong>Method: </strong>A nationally representative random household sample of 1,790 adults were interviewed face to face in 2020, using the DSM-5 version of the Composite International Diagnostic Interview (CIDI- 5). Twelve-month prevalence of anxiety, mood, and externalizing disorders were assessed along with disorder-specific treatment, sector of care, minimally adequate treatment (MAT), and socio-demographic correlates.</p><p><strong>Results: </strong>As detailed in a previous report, twelve-month prevalence of any DSM-5 disorder assessed in this study was 23.9%, with anxiety (17.2%) and mood (12.4%) disorders most common. Only 20.9% of individuals with a disorder received any treatment, most from the mental health specialty sector (17.4%). Among treated cases, 31.7% met criteria for MAT, resulting in 6.6% (i. e., 20.9% x 31.7%) of cases receiving MAT. Treatment rates increased with disorder severity, but MAT among the treated did not increase with severity. Being female, and previously married were associated with significantly elevated rates of treatment, while the never married had a significantly reduced rate of treatment.</p><p><strong>Conclusion: </strong>One in five people with mental disorders in T&uuml;rkiye receive some form of treatment; even fewer receive treatment that meets the criteria of being at least minimally adequate. These findings highlight the need to strengthen mental health service coverage, integrate mental health into primary care, and reduce sociodemographic inequalities.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"37 ","pages":"192-204"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Trajectories of Methylphenidate versus Risperidone in Preschool ADHD: A 12-Week Retrospective Study.","authors":"Cihan Aslan","doi":"10.5080/u27993","DOIUrl":"https://doi.org/10.5080/u27993","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to evaluate and compare the 12-week trajectories of symptom change and functional outcomes associated with methylphenidate and risperidone monotherapies in preschool-aged children with ADHD across four sequential evaluation points.</p><p><strong>Method: </strong>This naturalistic, non-randomized retrospective chart review, in which treatment allocation was based on routine clinical practice, analyzed clinical data from 38 drug-na&iuml;ve male preschool children (aged 52&ndash;72 months) who completed a 12-week monotherapy regimen (methylphenidate, n=20; risperidone, n=18). Treatment outcomes were assessed at baseline (T0), week 3 (T1), week 6 (T2), and week 12 (T3) using the Conners&rsquo; Parent Rating Scale-Revised Short Form (CPRSR: S) and the Strengths and Difficulties Questionnaire (SDQ).</p><p><strong>Results: </strong>Two-way repeated measures ANOVAs indicated no statistically significant Time &times; Group interactions for any CPRS-R:S subscales (p &gt;0.05), with both monotherapies showing a parallel, significant reduction in core ADHD symptoms that stabilized after week 6 (T0 &gt; T1 &gt; T2=T3). In contrast, significant Time &times; Group interactions were observed across multiple SDQ dimensions (p &lt;0.05). In the methylphenidate group, significant reductions in global behavioral difficulties were observed by week 3, whereas the risperidone group showed a more gradual trajectory, with improvement in conduct problems becoming evident after week 6 and improvement in emotional symptoms becoming evident at week 12.</p><p><strong>Conclusion: </strong>Both methylphenidate and risperidone monotherapies were associated with substantial reductions in core diagnostic ADHD symptoms over 12 weeks in preschool children. However, they demonstrated distinct trajectories across broader functional domains: functional improvement emerged earlier in children receiving methylphenidate, whereas children receiving risperidone showed a more gradual and time-dependent pattern of behavioral improvement.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"37 ","pages":"248-257"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121331","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":"Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients.","authors":"Cengiz Kılıç, Özge Türkoğlu, Kezban Burcu Avanoğlu, Elif Anıl Yağcıoğlu, Berna Uluğ","doi":"10.5080/u27455","DOIUrl":"10.5080/u27455","url":null,"abstract":"<p><strong>Objective: </strong>Both general medical and mental health services were disrupted during the pandemic. It is unclear how these disruptions played out for people with various mental health diagnoses. We compared change in mental health status and use of mental health services between four psychiatric groups: schizophrenia spectrum disorders, bipolar disorder, unipolar depression, and anxiety/obsessive-compulsive disorder (OCD).</p><p><strong>Method: </strong>Using a semi-structured interview, 492 outpatients with psychiatric disorders who had used psychiatric services at a university hospital before the pandemic were assessed on the phone during the pandemic.</p><p><strong>Results: </strong>About half of the sample reported a need for contact with mental health services during the pandemic, half of whom actually used services. Need for contact was much lower in the schizophrenia group than other diagnostic groups, whereas actual use of services was lower in the unipolar depression and anxiety/OCD groups.</p><p><strong>Conclusions: </strong>Patients with severe mental disorders, such as schizophrenia or bipolar disorders, may not be in a more disadvantageous position in terms of psychiatric service use during the pandemic. The pandemic response structure of mental health services should be modified to fit the needs of anxiety/depression spectrum patients.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Changes in ICD-11 Related to Sexual Health and Dysfunction and Their Implication for Clinical Practice.","authors":"Koray Başar","doi":"10.5080/u27559","DOIUrl":"10.5080/u27559","url":null,"abstract":"<p><p>The classification of sexual health-related conditions was reformulated in 11th revision of International Classification of Diseases (ICD-11) following current evidence, best practice, and taking human rights into consideration, which is expected to reflect and provide guidance for more integrative clinical approaches. Overcoming the artificial, yet historical, distinction between \"organic\" and \"non-organic\" conditions, sexual dysfunctions classified in the \"Mental and Behavioral Disorders\" and \"Disorders of Genitourinary System\" in ICD-10 were listed in a new chapter called \"Conditions Related to Sexual Health.\" In practice, this approach has been consistently recommended. However, diagnostical clasification was not congruent with the recommendation. Dysfunctions, defined with a non-normative but individual-based threshold, are categorized according to different stages of the sexual response cycle, similar to ICD-10 and Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5). However, similarities and distinctions in the clinical presentation of the dysfunction in men and women were also considered, resulting in differences from the DSM-5 approach. Gender Incongruence is classified in this newly formed \"Conditions Related to Sexual Health\" chapter, not with mental disorders as in the earlier version, reflecting the current non-pathologizing understanding of gender diversity. Furthermore, the criteria for these conditions were revised to embrace the variability in the experience of gender identity. In addition, the residuals of sexual orientation-related diagnostic categories were removed. Paraphilic disorders categories replaced \"Disorders of sexual preference\" in ICD-10, with significant modifications in conceptualization and classification.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Social Comparison Between Parental Self- Efficacy and Sharenting.","authors":"Fatih Bayraktar, Dilek Çelik","doi":"10.5080/u27387","DOIUrl":"10.5080/u27387","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the relationship of sharenting with variables that are theoretically related with the concept. Sharenting includes the basic motivation to share parental practices with others and can be associated with social comparison and parental selfefficacy. In this context, we hypothesized that the social comparison could be a mediating variable between parental self-efficacy and sharing.</p><p><strong>Method: </strong>The participants were 558 parents (456 mothers 81.7% and 102 fathers 18.3%) from Türkiye and Northern Cyprus. The age range was 19 to 53 (M=33.59, SD=5.98). Sharenting Questionnaire, Parental Social Comparison Orientation Measure and The Self-Efficacy for Parenting Tasks Index were used as measurement tools. The data was collected online by using convenience sampling method.</p><p><strong>Results: </strong>In two separate Hierarchical Regression Analyses (HRA) parental social comparison predicted sharenting and perceived parental emotional availability predicted parental social comparison significantly. Mediation analysis indicated that parental social comparison mediated between parental emotional availability and sharenting.</p><p><strong>Conclusion: </strong>Sharenting can be used to strengthen the parent-child relationship. Our research indicated that the parents who compare themselves with other parents were less available emotionally in their relationship with their children.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ukraıne, Crısıs And Mental Health Resources.","authors":"Amnuay Keebayoon, Pathum Sookaromdee, Viroj Wiwanitkit","doi":"10.5080/u27153","DOIUrl":"10.5080/u27153","url":null,"abstract":"<p><p>The current situation in Ukraine once more raised the issue on the management of mental health problems during war. Some experts have already proposed recommendations on this issue with specific reference to the present Ukraine crisis (Shevlin et al. 2022). We write this commentary in regards to this article to share experiences of the Indochina conflict. There has been very few published reports on the availability of mental health services in this conflict. (Jegannathan et al. 2015).</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between the Level of Sexual Desire Reported in the Clinical Interview and Sexual Development Characteristics, Sexual Functions, and Clinical Diagnosis in Women.","authors":"Abdülkadir Sencer Tabakci, Münevver Hacioğlu Yildirim, Ejder Akgün Yildirim, Hasibe Rengin Güvenç, Sevilay Umut Kilinç, Duru Örel","doi":"10.5080/u27375","DOIUrl":"10.5080/u27375","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to understand the significance of reported sexual desire levels during clinical interviews. We investigated the relationship between sexual desire, sexual developmental characteristics, and scale results, and the predictive effect of adequate sexual desire on clinical diagnoses.</p><p><strong>Method: </strong>The medical records of patients who consecutively applied to a Specialized Sexual Dysfunctions (SD) clinic were screened for reported sexual desire. We compared 101 patients who reported adequate sexual desire with 94 patients who reported inadequate desire with an interview. The groups were compared based on their sociodemographic and clinical characteristics, sexual behaviors and the Golombok-Rust Sexual Satisfaction Scale (GRISS).</p><p><strong>Results: </strong>When the group with adequate sexual desire was compared with the group with inadequate sexual desire, significant differences were found between the two groups. The group with inadequate sexual desire was more likely to have had an arranged marriage, to have no source of sexual information, to view masturbation as natural to a lesser extent and as a sin to a greater extent, to have less frequent marital intercourse, to have higher rates of negative experiences related to sexuality, to have higher rates of negative changes in sexual life after having children, to have higher rates of comorbid SD, and to have higher GRISS frequency, satisfaction, avoidance, touching, anorgasmia subscale and total scores. The source of sexual information and negative experience about sexuality predicted a decrease in sexual desire. Those with reduced sexual desire were diagnosed with an SD 8.5 times more often than those with adequate sexual desire.</p><p><strong>Conclusion: </strong>Our findings showed the importance of sexual desire adequacy reported in the clinical interview in women in evaluating women&rsquo;s sexual health and functions, and the need for sexual health education.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"344-352"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the Turkish Adaptation of the Situational Feature Recognition Test-2 in Schizophrenia Patients.","authors":"Özge Türkoğlu, Hanife Avci, Ayşe Elif Anil Yağcioğlu","doi":"10.5080/u27625","DOIUrl":"10.5080/u27625","url":null,"abstract":"<p><strong>Objective: </strong>Social cognition deficits are well known in schizophrenia patients. This study aims to conduct the validity and reliability study of the Turkish adaptation of the Situational Feature Recognition Test-2 (SFRT-2), which was developed to assess social knowledge, an area of social cognition, in schizophrenia patients.</p><p><strong>Method: </strong>In the study, 100 schizophrenia patients and 60 healthy controls were administered the Reading the Mind in the Eyes Test, the Hinting Task, the Facial Emotion Identification Test, the Facial Emotion Discrimination Test and the SFRT-2. The reliability of the test was analyzed with Intraclass Correlation Coefficient (ICC) and Bland-Altman plots by performing a retest two days later in 16 patients. Divergent validity was examined between the composite scores of the test and other social cognition test scores using the Spearman correlation coefficient. Known-groups validity was evaluated with the Mann-Whitney U test, while discriminant validity was examined using ROC analysis.</p><p><strong>Results: </strong>In the test-retest reliability analyses, the correlations between the pre-test and post-test scores were found to be good and significant for all sub-scores and composite scores (ICC=lowest 0.833-highest 0.941), except for SFRT5 (ICC=0.634). In the divergent validity analyses, positive correlations were found between SFRT-2 hits scores and the Reading the Mind in the Eyes Test (rs=0.338, p&lt;0.001), the Hinting Task (rs=0.225, p=0.001), and the Facial Emotion Identification Test scores (rs=0.270, p&lt;0.001). In contrast, negative correlations were found between SFRT-2 false positive scores and the Reading the Mind in the Eyes Test (rs=-0.157, p=0.026) and the Hinting Task scores (rs=- 0.194, p=0.006). In ROC analysis, the area under the curve was 0.744 (95% CI 0.665-0.823, p&lt;0.001) with 81.0% sensitivity and 61.67% specificity.</p><p><strong>Conclusion: </strong>The Turkish adaptation of the SFRT-2 has been shown to be a reliable and valid instrument for assessing social knowledge deficits in schizophrenia patients.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the Turkish version of the Five Item Social Frailty Scale.","authors":"Nermin Karakurt, Esra Çataltepe, Eda Çeker, Ayşe Fadiloğlu, Fatih Güngör, Hacer Doğan Varan","doi":"10.5080/u27767","DOIUrl":"10.5080/u27767","url":null,"abstract":"<p><strong>Objective: </strong>Social frailty, defined by reduced social participation, isolation, and loss of self-sufficiency, represents a critical dimension of overall frailty in older adults. This study aimed to translate the five item social frailty scale (SFS) into Turkish and evaluate its psychometric properties among community-dwelling older adults.</p><p><strong>Method: </strong>A total of 308 participants aged &ge;65 years were included. Individuals with dementia, active malignancy, infection, or difficulty communicating in Turkish were excluded. All participants underwent comprehensive geriatric assessment, including evaluation of demographics and comorbidities. The SFS was translated using a standardized forward&ndash;backward procedure and pretested in 15 participants. Internal consistency, factor structure, inter-rater, and intra-rater reliability were assessed. Construct validity was examined via correlations between SFS scores and geriatric assessment measures.</p><p><strong>Results: </strong>The mean age was 74.8&plusmn;6.2 years, with 49% female. Social frailty distribution was 46.4% robust, 34.1% pre-frail, and 19.5% frail. Social frailty was less common among women, married individuals, and those engaging in regular physical activity. Social frailty scale scores correlated positively with depression and clinical frailty and negatively with cognitive function and daily activities (p&lt;0.001). Inter- and intrarater reliability were excellent (&kappa;=0.85&ndash;0.90, p&lt;0.001). Cronbach&rsquo;s &alpha; was 0.655. Principal component analysis (PCA) supported a unidimensional structure explaining 33.5% of the total variance.</p><p><strong>Conclusion: </strong>The Turkish SFS is a valid and reliable instrument for assessing social frailty in older adults and can be confidently applied in clinical and research settings.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"659-665"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}