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Duloxetine use can result in retrograde ejaculation 度洛西汀可导致逆行射精
Pub Date : 2018-09-27 DOI: 10.5350/dajpn2018310314
O. Eğilmez, M. Orum
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引用次数: 2
A modern danger for adolescents: from online flirtation to sexual abuse 青少年面临的现代危险:从网上调情到性虐待
Pub Date : 2018-09-27 DOI: 10.5350/dajpn2018310307
Nilufer Kocturk, Fadime Yuksel
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引用次数: 6
The relationship between life satisfaction, attachment styles, and psychological resilience in university students 大学生生活满意度、依恋类型与心理弹性的关系
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310305
Z. Temiz, I. Comert
The relationship between life satisfaction, attachment styles, and psychological resilience in university students Objective: The main aim of the current research is to investigate the relationship of attachment styles to life satisfaction and psychological resilience of university students. Another aim of the present study is to see whether life satisfaction scores differ by the subjects’ level of psychological resilience. Method: The current work is a descriptive study using the relational screaning model. The study sample consisted of 425 university students, 302 of whom (71.1%) were female and the remaining 123 (29.9%) male. Convenience sampling was used in selecting the sample. The sample group was composed of undergraduate, master’s, and doctoral students. Data was collected through Experiences in Close Relationships Scale II (ECRS-II) for attachment styles, the Satisfaction with Life Scale (SCLS) for life satisfaction, and the Resilience Scale for Adults (RSA) for psychological resilience. Results: Research findings concerning attachment styles of university students indicated that 49.4% of the sample displayed an avoidant and 48.9% an anxious attachment pattern. Individuals taking a score below the median in both anxious and avoidant dimensions of attachment, which constituted 31.7% of the study population, were defined as being securely attached. Study findings showed that the anxiety and avoidance sub-dimensions of attachment negatively predicted the total score of satisfaction with life. An increase in anxious and avoidant attachment scores was associated with lower levels of life satisfaction. Multiple regression analysis revealed that the anxious and avoidant attachment styles did not predict psychological resilience. In addition, satisfaction with life scores of university students varied according to levels of psychological resilience. Individuals who had a high level of psychological resilience were found to have increased satisfaction with life compared to those who had a low level of psychological resilience. Discussion: There are many studies indicating attachment styles to be the main determinant of subjective well-being. Study findings show that secure attachment affects satisfaction with life, which is one of the elements of subjective wellbeing and positive development. It is seen that the ability of university students to adapt to stressful and difficult conditions and to cope with unfavorable situations is associated with their satisfaction with life. Thus, psychotherapeutic interventions focused on improvement of attachment relations and enhancement of psychological resilience may increase the overall satisfaction with life.
大学生生活满意度、依恋类型与心理弹性的关系研究目的:探讨依恋类型与大学生生活满意度、心理弹性的关系。本研究的另一个目的是观察生活满意度得分是否因受试者的心理弹性水平而不同。方法:采用关系筛选模型进行描述性研究。研究样本由425名大学生组成,其中女性302人(71.1%),男性123人(29.9%)。选取样本时采用方便抽样。样本组由本科生、硕士生和博士生组成。采用亲密关系体验量表(ECRS-II)、生活满意度量表(SCLS)和成人心理弹性量表(RSA)收集依恋类型数据。结果:大学生依恋类型调查结果显示,49.4%的大学生依恋类型为回避型,48.9%的大学生依恋类型为焦虑型。在依恋的焦虑和回避维度上得分低于中位数的个体,占研究人群的31.7%,被定义为安全型依恋。研究发现,依恋的焦虑子维度和回避子维度负向预测生活满意度总分。焦虑型和回避型依恋得分的增加与生活满意度的降低有关。多元回归分析显示,焦虑型和回避型依恋类型对心理弹性没有预测作用。此外,大学生的生活满意度得分随心理弹性水平而变化。研究发现,与心理弹性水平较低的人相比,心理弹性水平较高的人对生活的满意度更高。讨论:有许多研究表明依恋类型是主观幸福感的主要决定因素。研究发现,安全依恋会影响生活满意度,而生活满意度是主观幸福感和积极发展的要素之一。可以看出,大学生适应压力和困难条件以及应对不利情况的能力与他们对生活的满意度有关。因此,以改善依恋关系和增强心理弹性为重点的心理治疗干预可以提高整体生活满意度。
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引用次数: 17
Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder 适应障碍患者自杀企图与合成大麻素的关系
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310303
Taner Öznur, Havva Öznur, A. Bolu, Serdar Atik, A. Akgun, Şahin Kaymak, C. Çelik, K. N. Özmenler, Ö. Uzun
Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder Objective: Although it has been known that adult patients with an adjustment disorder diagnosis do not have suicidal behavior similar to adolescents, the validity of this assertion in particular groups is unknown. This study was designed to determine the prevalence and risk factors associated with suicide in patients with adjustment disorder that resulted in suicide among young men performing compulsory military service. Method: Of 202 young men with a diagnosis of adjustment disorder, 125 (61.9%) were admitted with adjustment problems and 77 (38.1%) with suicide attempt. Demographic characteristics, substance abuse, psychiatric disorders, suicide attempts, family history of suicide, self-mutilation, and physical and sexual trauma histories of both groups were compared. Results: Of the patients who attempted suicide, 83.1% (n=64) selected methods unlikely to fail including f irearms, hanging, jumping, cutting tools, and burning. Signif icant differences were found between the two groups (those who attempted suicide versus those who did not) in terms of SC use and self mutilation history. In addition, the use of synthetic cannabinoids was associated with past suicide attempts. But, it is difficult to generalize the results of the study to all patients with adjustment disorder. Conclusion: These findings may help to predict suicidal behavior in young men showing symptoms of adjustment disorder.
目的:虽然已经知道适应障碍诊断的成年患者没有类似于青少年的自杀行为,但这一断言在特定群体中的有效性尚不清楚。本研究的目的是确定在服兵役的年轻男性中,因适应障碍而导致自杀的患病率及其与自杀相关的危险因素。方法:202例确诊为适应障碍的青年男性中,125例(61.9%)存在适应问题,77例(38.1%)有自杀企图。比较两组的人口学特征、药物滥用、精神障碍、自杀企图、自杀家族史、自残史以及身体和性创伤史。结果:在企图自杀的患者中,83.1% (n=64)选择了不太可能失败的方法,包括枪支、上吊、跳楼、刀具和焚烧。两组(自杀未遂组与未自杀组)在SC使用和自残史方面存在显著差异。此外,合成大麻素的使用与过去的自杀企图有关。但是,很难将研究结果推广到所有的适应障碍患者。结论:这些发现可能有助于预测有适应障碍症状的年轻男性的自杀行为。
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引用次数: 2
Can aripiprazole cause Parkinsonism? Two cases with aripiprazole-induced Parkinsonism 阿立哌唑能引起帕金森病吗?阿立哌唑致帕金森病2例
Pub Date : 2018-09-27 DOI: 10.5350/dajpn2018310313
Hulya Ulugut Erkoyun
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引用次数: 1
Neutropenia related to sertraline treatment: a case report 舍曲林治疗所致中性粒细胞减少1例
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310312
Rukiye Ay
Neutropenia related to sertraline treatment: a case report Sertraline is a selective serotonin reuptake inhibitor (SSRI) with antidepressant and anxiolytic properties. Hematological adverse effects related to sertraline are rare. Drug-induced neutropenia is a rare but fatal condition. Patients may present with non-specific symptoms like fever, shivering, sore throat, or muscle and joint pain. Even though the condition is hard to diagnose, an early detection is essential. In this article, we present a male patient with neutropenia related to sertraline treatment.
舍曲林是一种选择性血清素再摄取抑制剂(SSRI),具有抗抑郁和抗焦虑特性。与舍曲林有关的血液学不良反应是罕见的。药物性中性粒细胞减少症是一种罕见但致命的疾病。患者可能出现非特异性症状,如发烧、发抖、喉咙痛或肌肉和关节痛。尽管这种情况很难诊断,但早期发现是至关重要的。在这篇文章中,我们提出了一个与舍曲林治疗有关的中性粒细胞减少症的男性患者。
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引用次数: 3
Coexistence of autism and eating disorder: a case report 自闭症与饮食失调共存1例
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310308
Seda Aybuke Sari
Coexistence of autism and eating disorder: a case report A case of autism who lost 18kg within one and a half months with vomiting episodes following binge eating attacks and refused to eat solid foods within the last ten days is presented in this study. As solid food intake was completely stopped and fluids were vomited out, it was decided to hospitalize the patient who was admitted to the psychiatry clinic with a diagnosis of feeding or eating disorders not elsewhere classif ied (FED-NEC). Intravenous hydration and 15mg/day olanzapine were initiated. Studies on children with autism spectrum disorders (ASD) showed that these children had atypical eating patterns and rituals compared to a healthy control group.
本研究报告了一例自闭症患者,在暴食发作后一个半月内体重减轻了18公斤,并伴有呕吐,十天内拒绝进食固体食物。由于固体食物的摄入完全停止,液体被呕吐出来,因此决定将这位被诊断为进食或饮食失调(FED-NEC)的患者送入精神病学诊所。开始静脉补水和15mg/天奥氮平。对自闭症谱系障碍(ASD)儿童的研究表明,与健康对照组相比,这些儿童有非典型的饮食模式和仪式。
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引用次数: 1
Does a history of surgically repaired intracranial aneurysm interfere with electroconvulsive therapy? 手术修复颅内动脉瘤的病史会影响电休克治疗吗?
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310310
I. Karakaya, K. Başar, O. Aki, S. Özer
Does a history of surgically repaired intracranial aneurysm interfere with electroconvulsive therapy? Electroconvulsive therapy (ECT) is a comparably safe treatment option frequently administered for treatment-refractory mental disorders. It has no absolute contraindication; however, careful attention should be given when ECT is applied to patients with comorbid conditions. Intracranial aneurysms are among the comorbidities that increase certain risks associated with ECT. Increase in cerebral blood flow during ECT may be associated with increased risk of rupture of an aneurysm and bleeding from vascular malformation. In the literature, there is a limited number of case reports on ECT administration in patients with surgically repaired cerebral aneurysm. In this case report, application of ECT in a 53-year-old female patient diagnosed with treatment-refractory major depressive disorder and with a history of surgical repair for intracranial aneurysm is presented. In addition, special considerations and precautions about ECT application for patients with repaired intracranial aneurysms are reviewed.
手术修复颅内动脉瘤的病史会影响电休克治疗吗?电休克疗法(ECT)是一种相对安全的治疗选择,经常用于治疗难治性精神障碍。无绝对禁忌症;然而,当ECT应用于有合并症的患者时,应多加注意。颅内动脉瘤是增加ECT相关风险的合并症之一。电痉挛治疗期间脑血流量的增加可能与动脉瘤破裂和血管畸形出血的风险增加有关。在文献中,对手术修复脑动脉瘤患者进行ECT治疗的病例报告数量有限。在本病例报告中,我们介绍了一名53岁女性患者,诊断为难治性重度抑郁症,并有颅内动脉瘤手术修复史。此外,还对颅内动脉瘤修复后应用电痉挛治疗的特殊注意事项进行了综述。
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引用次数: 2
The relationship between self-harming behavior, suicide attempt history and defense mechanisms in patients with opioid-use disorder 阿片类药物使用障碍患者自我伤害行为、自杀企图史与防御机制的关系
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310304
Sema Baykara, K. Alban
The relationship between self-harming behavior, suicide attempt history and defense mechanisms in patients with opioid-use disorder Objective: The aim of this study was to investigate the relationship between defense mechanisms and a history of self-harming behaviors (SHB) and suicide attempts (SA) in patients with opioid-use disorder (OUD). Method: The study group consisted of 100 inpatients diagnosed with OUD. A Sociodemographic and Clinical Data Form, Defense Style Questionnarie-40 (DSQ-40), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were applied to all participants. Results: Subscale scores for passive aggression (p=0.001), somatization (p<0.001), and immature factor (p=0.004) were higher in OUD patients with a SHB history than in those without. The anticipation subscale score was higher in patients with SHB and no relationship was found between other mature defense mechanisms and SHB (p=0.013). There was no significant relationship between SHB and BAI and BDI scores. Passive aggression (p=0.048), somatization (p=0.001), and immature factor (p=0.044) defense mechanism subscale scores were higher in patients with a history of SA. There was no relationship between SA history and mature defense mechanisms in OUD patients. BDI (p=0.05) and BAI (p=0.05) scores were higher in the presence of a SA history. In logistic regression analysis, passive aggression subscale scores and younger age determined the history of SHB in OUD patients. A history of SA was determined by lower age and suppression, dissociation, somatization, BAI, low idealization, projection, devaluation, splitting, and rationalization scores. Conclusion: This study showed that immature defense styles were used more frequently by patients with a history of SHB and SA, and a history of SA was associated with higher anxiety and depression scores; SHB history was used as a kind of coping mechanism and was not associated with anxiety and depression scores in OUD. Association of a history of SHB or SA with the use of immature defense mechanisms may require consideration of the application of therapeutic programs that include a more effective use of mature defenses in addition to specific pharmacotherapies for patients with OUD. Therapeutic success rates could be increased if it is considered during planning pharmacotherapy that a history of SA is related with high anxiety and depression scores.
目的:探讨阿片类药物使用障碍(OUD)患者自我伤害行为、自杀未遂史与防御机制的关系。方法:以100例诊断为OUD的住院患者为研究对象。采用社会人口学和临床数据表、防御风格问卷-40 (DSQ-40)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)对所有参与者进行调查。结果:有SHB病史的OUD患者被动攻击(p=0.001)、躯体化(p<0.001)和不成熟因素(p=0.004)亚量表得分高于无SHB病史的OUD患者。SHB患者的预期亚量表得分较高,其他成熟防御机制与SHB无相关性(p=0.013)。SHB与BAI、BDI评分无显著相关。有SA病史的患者被动攻击(p=0.048)、躯体化(p=0.001)和不成熟因子(p=0.044)防御机制亚量表得分较高。OUD患者SA病史与成熟的防御机制没有关系。有SA病史的患者BDI (p=0.05)和BAI (p=0.05)评分较高。在logistic回归分析中,被动攻击亚量表得分和年龄决定了OUD患者的SHB病史。低年龄和压抑、分离、躯体化、BAI、低理想化、投射、贬值、分裂和合理化得分决定了SA的历史。结论:本研究表明,有SHB和SA病史的患者使用不成熟防御方式的频率更高,且SA病史与焦虑和抑郁评分相关;SHB史被用作一种应对机制,与OUD的焦虑和抑郁评分无关。将SHB或SA病史与不成熟防御机制的使用联系起来,可能需要考虑治疗方案的应用,包括更有效地使用成熟防御机制以及对OUD患者的特定药物治疗。如果在计划药物治疗时考虑到SA病史与高焦虑和抑郁评分有关,则治疗成功率可能会提高。
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引用次数: 2
Brain tumors and atypical psychiatric symptoms: two case presentations 脑肿瘤和非典型精神症状:两例报告
Pub Date : 2018-09-27 DOI: 10.5350/dajpn2018310315
Mustafa Akan, L. Erbay, M. Erbay, S. Unal
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引用次数: 2
期刊
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences
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