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The effect of self-efficacy and coping strategies on treatment motivation of individuals in the substance addiction group work process 自我效能感和应对策略对物质成瘾群体工作中个体治疗动机的影响
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00005
Tugba Gorgulu
Correspondence: Tugba Gorgulu, 1Visit.Asst.Prof., University of Rochester, Department of Psychiatry, 2Dr.Ogr.U., Istinye University, Department of Social Work, Istanbul Turkey Phone: +90 850 283 60 00 E-mail: Tugba_Gorgulu@URMC.Rochester.edu Received: June 11, 2018; Revised: July 05, 2018; Accepted: September 26, 2018 ABSTRACT Objective: Substance use behavior is increasing in Turkey, as is the importance of substance use treatment and rehabilitation programs. Substance users’ compliance and treatment motivation are crucial for the effectiveness of treatment and rehabilitation programs. Accordingly, the purpose of this study is to examine the relationship between psychosocial variables and treatment motivation and to determine the effects of psychosocial variables, self-efficacy, and coping strategies on treatment motivation. Method: The study was conducted among 336 substance users taking part in a Cigarette, Alcohol and Drug Addiction Treatment Program (SAMBA) group program. Results: A significant difference in treatment motivation was found according to the individual’s age, educational status, and income level, duration of substance use and number of substances used, family problems, and psychiatric comorbidity. In addition, the most important predictive variables for treatment motivation are the individual’s income level, the presence of children, family problems, and coping strategies. Conclusion: Cognitive and behavioral studies should be undertaken to strengthen social support mechanisms, to increase the supportive participation of family members, and to develop coping strategies as well as motivational techniques in order to increase the individuals’ compliance and motivation.
通信:Tugba Gorgulu, 1访问,助理,教授。美国罗彻斯特大学精神病学研究中心;电话:+90 850 283 6000 E-mail: Tugba_Gorgulu@URMC.Rochester.edu收稿日期:2018年6月11日;修订日期:2018年7月05日;摘要目的:在土耳其,药物使用行为正在增加,药物使用治疗和康复计划的重要性也在增加。药物使用者的依从性和治疗动机对治疗和康复计划的有效性至关重要。因此,本研究的目的是检验心理社会变量与治疗动机之间的关系,并确定心理社会变量、自我效能感和应对策略对治疗动机的影响。方法:对336名参加烟酒药物成瘾治疗方案(SAMBA)小组方案的物质使用者进行研究。结果:个体的年龄、受教育程度、收入水平、药物使用持续时间和药物使用次数、家庭问题、精神合并症等因素对治疗动机存在显著差异。此外,治疗动机最重要的预测变量是个人的收入水平、孩子的存在、家庭问题和应对策略。结论:通过认知和行为研究,加强社会支持机制,提高家庭成员的支持参与,制定应对策略和激励技术,以提高个体的依从性和动机。
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引用次数: 8
Quetiapıne-Induced Peripheral Edema: Case Series Quetiapıne-Induced外周水肿:病例系列
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00023
A. Polat
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引用次数: 1
Problematic smartphone use and mental health problems: current state of research and future directions 有问题的智能手机使用和心理健康问题:研究现状和未来方向
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00001
J. Elhai, J. Levine, B. Hall
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引用次数: 32
ARID1B gene mutation in a patient with Coffin-Siris syndrome and Autism Spectrum Disorder Coffin-Siris综合征和自闭症谱系障碍患者的ARID1B基因突变
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00051
Nur Seda Gulcu, A. Karayağmurlu
Various factors may contribute to the emergence of Autism Spectrum Disorder (ASD). Genetic factors are particularly prominent in the etiology of ASD, and genetic syndromes may frequently accompany the disorder. Coffin-Siris syndrome is a genetic condition characterized by mental retardation, coarse facial appearance, hirsutism/hypertrichosis or skin with sparse hair, distal phalanx aplasia or hypoplasia, and fifth-finger and nail abnormalities. This genetic syndrome is accompanied by numerous different cardiac, genitourinary, gastrointestinal, ophthalmological, and craniofacial systemic abnormalities. ARID1B gene mutation is thought to be involved both in Coffin-Siris syndrome and in the etiology of autism. Although common genetic factors are involved in the etiologies of both diseases, our review of the literature revealed only one case report demonstrating an association between Coffin-Siris syndrome and ASD. This report describes a male patient aged 2 years and 10 months with ARID1B mutation showing Coffin-Siris syndrome and ASD comorbidity. It may be beneficial for clinicians to remember the coexistence of genetic syndromes in patients diagnosed with ASD and to request consultations from relevant departments for early diagnosis and treatment.
多种因素可能导致自闭症谱系障碍(ASD)的出现。遗传因素在ASD的病因学中尤为突出,遗传综合征可能经常伴随这种疾病。Coffin-Siris综合征是一种遗传性疾病,其特征为智力迟钝、面部粗糙、多毛或皮肤毛发稀疏、远端指骨发育不全或发育不全、五指和指甲异常。这种遗传综合征伴有许多不同的心脏、泌尿生殖系统、胃肠道、眼科和颅面系统异常。ARID1B基因突变被认为与Coffin-Siris综合征和自闭症的病因学有关。虽然这两种疾病的病因都涉及共同的遗传因素,但我们对文献的回顾显示,只有一个病例报告表明Coffin-Siris综合征与ASD之间存在关联。本报告描述了一例2岁零10个月的男性ARID1B突变患者,表现为Coffin-Siris综合征和ASD合并症。因此,临床医生应牢记ASD患者存在遗传综合征,并向相关部门咨询,尽早诊断和治疗。
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引用次数: 3
Is it importance to take co-occurrence of obesity and cigarette smoking into account in brain imaging studies in major depressive disorder? 在重度抑郁症的脑成像研究中考虑肥胖和吸烟的共同发生是否重要?
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00018
D. Delibaş, P. Zorlu, Emel Pasa Baskin, E. Bora, Z. Adıbelli, N. Zorlu
How to cite this article: Delibas DH, Kurtgoz Zorlu P, Pasa Baskin E, Bora E, Adibelli ZH, Zorlu N. Is it important to take the co-occurrence of obesity and cigarette smoking into account in brain imaging studies in major depressive disorder? Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2019;32:121-8. Is it important to take the co-occurrence of obesity and cigarette smoking into account in brain imaging studies in major depressive disorder?
Delibas DH, Kurtgoz Zorlu P, Pasa Baskin E, Bora E, Adibelli ZH, Zorlu N.在重度抑郁症的脑成像研究中考虑肥胖和吸烟的共同发生是否重要?Dusunen Adam精神病学和神经科学杂志2019;32:21 1-8。在重度抑郁症的脑成像研究中考虑肥胖和吸烟的共同发生是否重要?
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引用次数: 1
Psychotic depression after obesity surgery and recovery with vitamin B12 replacement 肥胖手术后的精神病性抑郁和维生素B12替代的恢复
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00009
Kubra Sozer
While obesity surgery can improve obesity and its complications, it may decrease the absorption of some foods in the stomach. It is known that from the first day after gastric bypass operation, the blood level of B12 start to decrease. However, the change of B12 levels can be measurable after 6 months. B12 deficiency may cause several psychiatric and neurological disorders or aggravate psychiatric symptoms. In this case report, we present a patient who had been in remission before gastric surgery but developed major depression with psychotic features and to describe the course of treatment.
虽然减肥手术可以改善肥胖及其并发症,但它可能会减少胃对某些食物的吸收。据了解,从胃旁路手术后的第一天开始,血液中B12水平开始下降。然而,6个月后B12水平的变化是可以测量的。B12缺乏可能导致多种精神和神经紊乱或加重精神症状。在这个病例报告中,我们提出了一个病人,他在胃手术前已经缓解,但发展为具有精神病特征的严重抑郁症,并描述了治疗过程。
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引用次数: 2
Pathological Gambling In A Patient With Parkinson’s Disease And Valproate Response 帕金森氏病患者的病理性赌博和丙戊酸反应
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00053
Y. Değirmenci, H. Keçeci
Sodium valproate is a well-known antiepileptic agent with multiple mechanism of action such as sodium channel blockage, gamma-aminobutyric acid activity induction. Despite its’ well-described anxiolytic and mood stabilization effects, its’ mechanism of action on pathological gambling is not clear. However, it has been reported as an effective treatment option on pathological gambling in patients without Parkinson’s disease (PD). We presented a young man with the diagnosis of PD suffering from pathological gambling as an impulse ACCEPTED MANUSCRIPT 2019 control disorder due to anti-pakinsonian drugs, who did not respond to drug adjustments, but showed a complete improvement with sodium valproate, without any worsening in PD symptoms. Key-words: Parkinson’s disease, impulse control disorders, pathological gambling, sodium valproate. BIR PARKINSON HASTASINDA PATOLOJIK KUMAR OYNAMA VE SODYUM VALPROAT CEVABI ÖZET Sodyum valproat, sodyum kanal blokajı, gama-aminobütirik asit aktivitesi indüksiyonu gibi çoklu etki mekanizması olan iyi bilinen bir antiepileptic ajandır. İyi tanımlanmış anksiyolitik ve duygudurum düzenleyici etkisine rağmen, patolojik kumar oynama üzerindeki etki mekanizması açık değildir. Bununla birlikte, Parkinson hastalığı (PH) olmayan hastalardaki patolojik kumar oynama üzerinde etkin bir tedavi seçeneğ olarak bildirilmiştir. Biz PH tanısı almış, anti-parkinson ilaçlara bağlı bir dürtü kontrol bozukluğu olarak patolojik kumar oynamadan yakınan, ilaç ayarlamalarına cevap vermeyen fakat sodium valproat ile; PH semptomlarında herhangi bir kötüleşme olmaksızın tam düzelme gösteren genç bir erkek hastayı sunduk. Anahtar Kelimeler: Parkinson hastalığı, dürtü kontrol bozukluğu, patolojik kumar oynama, sodium valproate. INTRODUCTION Idiopathic Parkinson’ s disease (IPD) is a chronic, neurodegenerative, progressive disorder due to the dysfunction of dopaminergic transmission in basal ganglia, and characterized with cardinal motor symptoms including bradykinesia, rest tremor, rigidity, and postural instability, as well as the non-motor symptoms such as hyposmia, mood disorders, cognitive, autonomic dysfunction, sleep problems, and many others. As the disease progresses, patients are prone to expose dopaminergic therapy induced complications including motor fluctuations, levodopa-induced dyskinesia, and impulse control disorders (ICDs) (1). Impulse control disorders are a number of repetitive and reward-based behaviours, which are reported to occur in a prevalence of 8.1 % and 35 % among patients with PD (2). Hypersexuality, compulsive shopping, binge eating and pathological gambling are known as the major ICDs, however hobbyism, punding, hoarding, and dopamine dysregulation syndrome are also classified in the broad spectrum of ICDs, which are common in patients with PD, in the course of the disease (3). The pathophysiology of ICDs is thought to be associated with the use of antiparkinsonian dopaminergic drugs, affecting the mesocorticolimbic d
病历显示,近1年来,患者同时服用左旋多巴(左旋多巴+卡比多巴+enthacapone,©Stalevo) 100 mg / d, 1mg / d,雷沙吉兰1mg / d, 2种不同类型的多巴胺能激动剂(pribedile 50 mg / d, 3次,pripexole 1mg / d)。除此之外,他的病史和家族史没有什么特别之处。他没有医学上的合并症他的神经学检查显示他的左手有明显的静息性震颤,双侧僵硬和运动迟缓,左侧明显,前屈姿势恶化。患者的精神病学评估符合焦虑、精神病和冲动行为,包括不可抗拒的冲动,花光他所有的钱,以及病态赌博。患者病态赌博习惯存在6个月,白天到晚上在网上赌博、赌马、打牌。他开始损失越来越多的钱,导致家庭收入的明显恶化,以及家庭成员之间的关系。由于这些冲动行为是由于多巴胺能治疗不当和过量所致,因此停用普比妥和雷沙吉兰,并在随访中逐渐降低普拉克索剂量至1 mg, 1次/天,并在4周内停用。由于多巴胺能药物管理,强迫性购物、销售家庭用品和过度消费症状得到改善,但病理性赌博却有抵抗力。此外,他的帕金森症状逐渐恶化。因此,将LD联合剂量滴定至125 mg,每天三次,并在夜间引入25 mg喹硫平治疗幻觉和精神病。这些治疗方案的改变导致帕金森病的运动症状和精神病的改善。然而,他仍然在网上赌博,赌赛马,输的钱越来越多。因此,缓释丙戊酸钠(Depakin Chrono BT)每天500 mg用于抵抗病理性赌博行为。在随访的第二周,患者和他的妻子报告患者的赌博冲动开始减少,并在1个月内完全消失。病理性赌博是一种重要的ICD,在PD患者中患病率为3.4- 6.1%,在国际疾病分类-10中被定义为过度的、不受控制的赌博,尽管经济损失和社会问题(7,8)。病理性赌博的病理生理学仍然是一个神话,可能涉及血清素能、多巴胺能和阿片功能障碍。然而,人们对动机、奖励、决策和冲动背后的神经通路越来越感兴趣。其中,中皮质边缘多巴胺系统的失调被认为是PD中其他icd的主要神经生物学因素(9,10)。尽管PD患者的病理性赌博缺乏明确的病因,但报道的最多的病原体是多巴胺能药物,特别是多巴胺能激动剂(11)。然而,短效左旋多巴、单胺氧化酶- b抑制剂、金刚烷胺也被证明是负责任的(10)。作为一种金标准方法,icd对PD患者的一线治疗是停用诱导药物,并强制进行仔细监测,以避免戒断综合征或PD症状恶化。除行为疗法外,对包括病理性赌博在内的ICDS有效的药物包括选择性血清素再摄取抑制剂如氟伏沙明,西酞普兰和情绪稳定剂如卡马西平,锂被认为是有效的,因为它们对去甲肾上腺素能系统或边缘抗引燃作用的影响(12-15)。丙戊酸钠是一种众所周知的抗癫痫药物,具有多种作用机制,包括阻断钠通道,增加抑制性神经递质GABA的释放,阻断t型Ca2+通道(16)。除了抗癫痫作用外,丙戊酸钠还是一种有效的情绪稳定剂,也被证明可以改善非PD患者的病理性赌博(14,16)。根据我们的知识和文献综述,没有关于丙戊酸钠作为PD患者病理性赌博的治疗选择的报道。此外,它还被认为是一种在诱导帕金森病的药物清单中遇到的药物(12)。然而,我们在此报告了一名年轻的PD患者经历病理性赌博,对药物调整无反应,但丙戊酸钠反应良好,完全恢复,PD症状没有任何恶化。 由于这是唯一的病例报告,未来更多PD患者的进一步研究应该有助于阐明丙戊酸钠对PD病理性赌博的影响。知情同意:获得患者的书面同意。同行评审:外部同行评审。利益冲突:作者声明无利益冲突。财务披露:作者未声明任何经济支持。引用1。李建军,刘建军,李建军,李建军,等
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引用次数: 1
Examination of Neutrophil, Platelet, Monocyte-Lymphocyte Ratios in Adolescents with Bipolar Disorder-Manic Episode and Depression 青少年双相情感障碍-躁狂发作和抑郁症患者中性粒细胞、血小板、单核细胞-淋巴细胞比值的检测
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00047
M. Usta
How to cite this article: Usta MB, Aral A, Sahin B, Bozkurt B, Karabekiroglu K. Examination of neutrophil-, platelet-, and monocyte-lymphocyte ratios in adolescents with bipolar disorder-manic episode and depression. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2019;32:328-333. Examination of neutrophil, platelet, and monocytelymphocyte ratios in adolescents with bipolar disorder-manic episode and depression
Usta MB, Aral A, Sahin B, Bozkurt B, Karabekiroglu K.双相情感障碍躁狂发作和抑郁症青少年中性粒细胞、血小板和单核细胞-淋巴细胞比率的检测。Dusunen Adam精神病学和神经科学杂志2019;32:328-333。青少年双相情感障碍-躁狂发作和抑郁症患者中性粒细胞、血小板和单核细胞比例的检测
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引用次数: 5
Otobiyografik Anılar ve Duygular: Şema Modeli Açısından Bir İnceleme
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00019
G. Kaynar
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引用次数: 0
Heightened misuse risk and addictive potential of gabapentinoids: the fate of effective anxiolytics 加巴喷丁类药物的滥用风险和成瘾性:有效抗焦虑药的命运
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00013
C. Evren, V. Karabulut
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引用次数: 0
期刊
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences
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