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Beliefs of Medical Faculty Students Toward Mental Illnesses and Impacts of Visiting Community Mental Health Centre on This Beliefs 医学生对精神疾病的信念及访问社区精神卫生中心对其的影响
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00021
Gamze Yüksel, M. Yıldız, B. Coskun
How to cite this article: Yuksel G, Yildiz M, Coskun B. Medical faculty students’ beliefs toward mental illness and the impact of visiting a community mental health center on these beliefs. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2019;32:152-60. Medical faculty students’ beliefs toward mental illness and the impact of visiting a community mental health center on these beliefs
Yuksel G, Yildiz M, Coskun B.医学院学生对精神疾病的信念以及访问社区精神卫生中心对这些信念的影响。Dusunen Adam精神病学和神经科学杂志2019;32:152-60。医学院学生对精神疾病的信念及访问社区精神卫生中心对这些信念的影响
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引用次数: 0
Methylphenidate and indomethacin - induced visual hallucination: a case report 哌甲酯与吲哚美辛致视幻觉1例
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00054
Kemal Utku Yazici
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引用次数: 0
Late-onset clozapine-induced neutropenia treated with lithium 锂治疗迟发性氯氮平所致中性粒细胞减少症
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00011
Pelin Tas Durmus
Clozapine is a second-generation antipsychotic drug, proven to be effective in treatment-resistant schizophrenia. Among patients using clozapine; the incidence of neutropenia is approximately 3% and the incidence of agranulocytosis is approximately 1%. This side effect is diminishing after 18 weeks of drug initiation. Here, we present a case of clozapine-induced neutropenia in a schizophrenic patient seen after 7 years of clozapine use and its treatment with lithium supplementation.
氯氮平是第二代抗精神病药物,被证明对难治性精神分裂症有效。使用氯氮平的患者中;中性粒细胞减少症的发生率约为3%,粒细胞缺乏症的发生率约为1%。这种副作用在用药18周后逐渐减少。在这里,我们报告了一例氯氮平引起的中性粒细胞减少症,这是一名精神分裂症患者在使用氯氮平7年后出现的,并辅以锂补充剂治疗。
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引用次数: 2
Prepartum Relapses or Treatment Resistance: A Case of Unipolar Mania 预备复发或治疗抵抗:一例单极躁狂
Pub Date : 2019-01-01 DOI: 10.14744/DAJPNS.2019.00022
E. Yıldızhan, A. Özdemir, Hafize Miray Aytac, N. Tomruk
Because of treatment resistance and risks to be considered in the choice of treatment, peripartum psychotic and manic episodes constitute treatment challenges. For perinatal psychosis, there is also the consideration of a substantial subgroup showing the phenomenon of relapse, defined as the recurrence of symptoms after a brief period of symptom reduction. We report prepartum relapses of psychotic manic episodes in a 30-year-old female patient with a 15-year history of bipolar disorder. After 4-month medication-free period due to pregnancy, the patient, who had been in remission for 8 years with a combination of risperidone, valproic acid, and lithium, suffered multiple relapses that could not managed with electroconvulsive therapy and antipsychotic medication. Later, her symptoms only managed with lithium addition to her treatment. In this report, we discuss the treatment of bipolar disorder in pregnancy in the context of prepartum relapse and treatment resistance.
由于治疗抵抗和风险,在选择治疗时要考虑,围产期精神病和躁狂发作构成治疗挑战。对于围产期精神病,也考虑到有大量亚组显示复发现象,定义为症状短暂减轻后症状复发。我们报告精神病性躁狂发作的准备复发在一个30岁的女性患者与15年的双相情感障碍的历史。患者因妊娠停药4个月后,经利培酮、丙戊酸和锂联合治疗缓解期8年的患者出现多次复发,电惊厥治疗和抗精神病药物治疗均无效。后来,她的症状只有在加锂治疗后才得以缓解。在本报告中,我们讨论了治疗双相情感障碍在妊娠前期复发和治疗抵抗的背景下。
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引用次数: 0
Flakka induced homicidal behaviour in adolescent case Flakka诱发青少年杀人行为
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00026
Ömer Kardaş
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引用次数: 0
Validity and reliability of the Turkish version of the Recovery Assessment Scale 土耳其语版康复评定量表的效度和信度
Pub Date : 2019-01-01 DOI: 10.14744/dajpns.2019.00045
C. Guler, A. Gurkan
Correspondence: Cansu Guler, Ege University, Nursing Faculty, Department of Mental Health and Psychiatric Nursing, Izmir Turkey Phone: +90 506 823 83 16 E-mail: janskynju@gmail.com Received: April 25, 2019; Revised: May 23, 2019; Accepted: October 02, 2019 ABSTRACT Objective: Globally, the field of mental health services has begun to evolve towards an improvement-focused approach. A valid and reliable measurement tool is needed to evaluate the subjective recovery process and to improve recovery-focused care. The purpose of this study was to assess the validity and reliability of the Turkish version of the Recovery Assessment Scale. Method: The present work was planned as a methodological study. The survey included 180 individuals with chronic mental illness registered in two Community Mental Health Centers. Content validity, construct validity, and criteria validity were used to assess validity, while internal consistency and stability across time were examined to test reliability. Results: The content validity index value of the scale was found to be over 0.80. Consequently, confirmatory factor analysis established that the Turkish form of the scale included 5 factors and 24 items, similar to the original version. Examination of criterion-related validity found an excellent positive significant correlation between the Recovery Assessment Scale and the Psychological Well-Being Scale (r=0.864, p<0.01). Cronbach’s alpha value of the scale was 0.90 and the test-retest reliability value was 0.96. Conclusion: As a result of the validity and reliability analyses, it was determined that the Turkish version of the Recovery Assessment Scale was a valid and reliable scale for evaluating the recovery of individuals diagnosed with mental illness. It may be advisable to test the scale in larger sample groups.
通信:Cansu Guler,埃格大学,护理学院,心理健康和精神科护理系,土耳其伊兹密尔电话:+90 506 823 83 16 E-mail: janskynju@gmail.com收到:2019年4月25日;修订日期:2019年5月23日;摘要目的:在全球范围内,精神卫生服务领域已经开始朝着以改进为中心的方向发展。需要一种有效和可靠的测量工具来评估主观恢复过程并改善以恢复为重点的护理。本研究的目的是评估土耳其版康复评估量表的效度和信度。方法:本研究为方法学研究。该调查包括180名在两个社区精神卫生中心登记的慢性精神疾病患者。采用内容效度、结构效度和标准效度来评估效度,通过内部一致性和时间稳定性来检验信度。结果:量表的内容效度指标值在0.80以上。因此,验证性因子分析确定土耳其语版量表包括5个因素和24个项目,与原始版本相似。标准相关效度检验发现,康复评定量表与心理健康量表呈极显著正相关(r=0.864, p<0.01)。量表的Cronbach’s alpha值为0.90,重测信度值为0.96。结论:通过效度和信度分析,确定土耳其版《康复评定量表》是一份有效、可靠的评估精神疾病诊断个体康复的量表。在较大的样本组中测试量表可能是明智的。
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引用次数: 1
Prevalence of peer bullying in secondary education and its relation with high school entrance scores 中等教育中同伴欺凌的发生率及其与高中入学成绩的关系
Pub Date : 2018-12-26 DOI: 10.5350/DAJPN2018310403
S. Hesapçıoğlu, Mustafa Kemal Tural
Prevalence of peer bullying in secondary education and its relation with high school entrance scores Objective: In this study, our aims are to investigate the prevalence of bullying and the relationship between high school entrance exam scores and the bullying cycle and to examine the risk factors of peer bullying in high schools. Method: High schools in one province were divided into three groups based on the entrance scores of their students (from a nationwide exam), and from each group, schools and classes were selected using simple random sampling. The data analyzed were obtained by administration of the Peer Bullying Questionnaire to 1,375 selected students. Results: The prevalence of bullying, victimization, and students’ participation in the bullying cycle were found to be 30.5%, 27.9%, and 42.0%, respectively. A statistically significant relationship between the bullying cycle status and school groups was observed. The risk factors of entering into the bullying cycle were identified as being a student of a school with a low entrance score, being male, being a student in lower grade levels, and being a student in a class with a low female-over-male ratio. Conclusion: The results of this study support the hypothesis that students in schools requiring a lower entrance score are more likely to be in the bullying cycle. This result may be useful in targeting bullying interventions more effectively.
目的:本研究的目的是调查高中校园霸凌的发生率、中考成绩与霸凌周期的关系,并探讨高中校园霸凌的危险因素。方法:将一个省的高中根据学生的入学成绩(来自全国考试)分为三组,采用简单随机抽样的方法从每组中选择学校和班级。分析的数据是通过对1375名学生进行同伴欺凌问卷调查获得的。结果:霸凌、受害和学生参与霸凌循环的发生率分别为30.5%、27.9%和42.0%。霸凌循环状态与学校群体之间存在显著的统计学关系。进入欺凌循环的危险因素被确定为入学分数较低的学校的学生、男性、年级较低的学生和男女比例较低的班级的学生。结论:本研究的结果支持了入学分数要求较低的学校的学生更容易陷入欺凌循环的假设。这一结果可能有助于更有效地针对欺凌行为进行干预。
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引用次数: 4
An approach to conversion disorder with comorbid major depression using pharmacotherapy and psychodrama techniques: a case report 利用药物治疗和心理剧技术治疗转化障碍伴重性抑郁症:1例报告
Pub Date : 2018-12-26 DOI: 10.5350/DAJPN2018310412
Ozlem Kazan Kizilkurt, Suzan Mert Akgul, F. İzci
An approach to conversion disorder with comorbid major depression using pharmacotherapy and psychodrama techniques: a case report Conversion disorder (CD) is a psychiatric disorder commonly seen in clinical and emergency psychiatry departments; it may occur with psychological factors and lead to changes in motor and sensory functioning in a way that suggests a physical disorder. Multiple mental illnesses such as depressive disorder can accompany CD. In addition to antidepressant or antipsychotic drug treatments, psychotherapy techniques can be applied in the treatment of CD. In this report, we aim to present a case of major depressive disorder with accompanying CD where we intervened applying drug therapy together with psychodrama techniques, a type of psychotherapy that is not frequently used in CD.
转化障碍(CD)是一种常见于临床和急诊精神科的精神障碍;它可能与心理因素一起发生,并导致运动和感觉功能的变化,这表明存在身体障碍。多种精神疾病如抑郁症可伴随乳糜泻。除了抗抑郁或抗精神病药物治疗外,心理治疗技术可用于乳糜泻的治疗。在本报告中,我们的目标是介绍一个伴有乳糜泻的重度抑郁症病例,我们将药物治疗与心理剧技术结合起来进行干预,这是一种不常用于乳糜泻的心理治疗。
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引用次数: 0
Sexual abuse and exploitation of an adolescent girl with gender dysphoria and congenital adrenal hyperplasia 对一名患有性别焦虑和先天性肾上腺增生的青春期女孩进行性虐待和剥削
Pub Date : 2018-12-26 DOI: 10.5350/dajpn2018310409
Hakan Ogutlu, İbrahim Tiryaki, I. S. Esin, O. Dursun
Sexual abuse and exploitation of an adolescent girl with gender dysphoria and congenital adrenal hyperplasia Gender dysphoria is a psychosexual disorder characterized by powerful cross-gender identification and a continuous dissatisfaction with one’s biological gender role. Congenital Adrenal Hyperplasia (CAH) is a sexual developmental disorder resulting from congenital deficiency and functional impairment of enzymes enabling cortisol synthesis. Gender dysphoria may be developed in 5.2% of CAH patients. In our case, sexual abuse and exploitation of an adolescent girl with gender dysphoria and CAH will be discussed. The 17-year-old girl was admitted to our clinic with complaints of increasing sexual desire for girls, dissatisfaction with being a girl, desire to be male, self-harming, and overstepping personal borders. She sexually touched girls against their will, tried to kiss them, desired to have sex with them, and when they rejected sexual intercourse, she threatened them with a knife when her demands were not met; she attacked the officials at the institution and cut her own arm. In her medical history, a diagnosis of 46XX simple virilizing CAH had been made on the basis of labioscrotal fusion and the presence of a single urogenital opening at 1 month. At the age of 1.5 years, the patient was operated to be raised as a girl and surgical reconstruction was completed. As a result of inadequate parental care, she had been taken into institutional care at the age of 4. We learned that the patient who was in the institution until the age of 17 was frequently running away from the institution and once had been exposed to sexual abuse. We also learned that she had threatened a girl in her last institution and sexually abused her for 3 months. Gender dysphoria and personality disorder traits were detected in the patient. Genetic and environmental causes may lead to gender dysphoria. As in our case, interest in same-sex partners and forced sexual contact are problems that may occur in gender dysphoria. It should be emphasized that in individuals with genetic or environmental risk factors of gender dysphoria, the risk of developing gender dysphoria and the risk of sexual abuse need to be considered.
性别焦虑症是一种性心理障碍,其特征是强烈的跨性别认同和对自己生理性别角色的持续不满。先天性肾上腺增生症(CAH)是一种由先天性皮质醇合成酶缺乏和功能障碍引起的性发育障碍。5.2%的CAH患者可出现性别焦虑。在我们的案例中,将讨论对患有性别不安和CAH的青春期女孩的性虐待和剥削。这名17岁的女孩因对女孩的性欲增加、对身为女孩的不满、渴望成为男性、自残、逾越个人界限而入院。她违背女孩的意愿与她们发生性接触,试图亲吻她们,渴望与她们发生性关系,当她们拒绝性交时,如果她的要求得不到满足,她就用刀威胁她们;她袭击了该机构的工作人员,并割伤了自己的手臂。在她的病史中,基于阴唇融合和1个月时出现单一泌尿生殖器开口,诊断为46XX单纯性男性化CAH。在患者1.5岁时,手术将其作为女孩抚养,并完成手术重建。由于父母照顾不足,她在4岁时被送到机构照料。我们了解到,在该机构待到17岁的病人经常从机构逃跑,曾经遭受过性虐待。我们还了解到她在上一个机构威胁过一个女孩并性虐待了她三个月。患者存在性别焦虑和人格障碍特征。遗传和环境因素可能导致性别焦虑。就像我们的情况一样,对同性伴侣的兴趣和强迫性接触都是性别焦虑症可能出现的问题。需要强调的是,对于存在性别焦虑症遗传或环境风险因素的个体,需要考虑发生性别焦虑症的风险和性虐待的风险。
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引用次数: 0
A case of stuttering due to olanzapine treatment 奥氮平治疗口吃1例
Pub Date : 2018-12-26 DOI: 10.5350/DAJPN2018310410
Ömer Asan, E. T. Yaylacı, I. T. Okay, E. Göka
A case of stuttering due to olanzapine treatment Stuttering is defined as a disturbance in time patterning and fluency of speech inappropriate for an individual’s age. The pathophysiology of stuttering is not fully understood. Some studies show that stuttering is related with an increased number of D2 receptors in the basal ganglia. Otherwise, a 50-200% increase in the level of dopaminergic activity has been found in stuttering cases in comparison to the control group. Stuttering as a side-effect of psychotropic medication is rare. Only a few stuttering cases are reported in the literature as being due to effects of antipsychotics like chlorpromazine, clozapine, olanzapine, risperidone, or trifluoperazine. Olanzapine is also used to treat the symptoms of stuttering via D2 receptor antagonism, and in the literature there are cases treated with the administration of olanzapine. Here we present a case of olanzapine-induced stuttering. The importance of this case is to show that while olanzapine may be used in the treatment of stuttering, it may also be the cause of stuttering as an adverse effect.
口吃被定义为时间模式和语言流畅性的障碍,不适合个人的年龄。口吃的病理生理学尚未完全了解。一些研究表明,口吃与基底神经节中D2受体数量的增加有关。另外,与对照组相比,结巴患者的多巴胺活性水平增加了50-200%。口吃作为精神药物的副作用是罕见的。文献中只有少数口吃病例是由抗精神病药物如氯丙嗪、氯氮平、奥氮平、利培酮或三氟拉嗪引起的。奥氮平也被用于通过D2受体拮抗剂治疗口吃症状,在文献中有使用奥氮平治疗的病例。我们在此报告一例奥氮平引起的口吃。这个案例的重要性在于表明,虽然奥氮平可以用于治疗口吃,但它也可能作为一种不良反应导致口吃。
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引用次数: 1
期刊
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences
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