{"title":"Duloxetine use can result in retrograde ejaculation","authors":"O. Eğilmez, M. Orum","doi":"10.5350/dajpn2018310314","DOIUrl":"https://doi.org/10.5350/dajpn2018310314","url":null,"abstract":"","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81169756","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":"A modern danger for adolescents: from online flirtation to sexual abuse","authors":"Nilufer Kocturk, Fadime Yuksel","doi":"10.5350/dajpn2018310307","DOIUrl":"https://doi.org/10.5350/dajpn2018310307","url":null,"abstract":"","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75745042","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}
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.
{"title":"The relationship between life satisfaction, attachment styles, and psychological resilience in university students","authors":"Z. Temiz, I. Comert","doi":"10.5350/DAJPN2018310305","DOIUrl":"https://doi.org/10.5350/DAJPN2018310305","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82074075","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}
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.
{"title":"Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder","authors":"Taner Öznur, Havva Öznur, A. Bolu, Serdar Atik, A. Akgun, Şahin Kaymak, C. Çelik, K. N. Özmenler, Ö. Uzun","doi":"10.5350/DAJPN2018310303","DOIUrl":"https://doi.org/10.5350/DAJPN2018310303","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85510316","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":"Can aripiprazole cause Parkinsonism? Two cases with aripiprazole-induced Parkinsonism","authors":"Hulya Ulugut Erkoyun","doi":"10.5350/dajpn2018310313","DOIUrl":"https://doi.org/10.5350/dajpn2018310313","url":null,"abstract":"","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79548409","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}
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.
{"title":"Neutropenia related to sertraline treatment: a case report","authors":"Rukiye Ay","doi":"10.5350/DAJPN2018310312","DOIUrl":"https://doi.org/10.5350/DAJPN2018310312","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75911402","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}
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.
{"title":"Coexistence of autism and eating disorder: a case report","authors":"Seda Aybuke Sari","doi":"10.5350/DAJPN2018310308","DOIUrl":"https://doi.org/10.5350/DAJPN2018310308","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75229318","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}
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.
{"title":"Does a history of surgically repaired intracranial aneurysm interfere with electroconvulsive therapy?","authors":"I. Karakaya, K. Başar, O. Aki, S. Özer","doi":"10.5350/DAJPN2018310310","DOIUrl":"https://doi.org/10.5350/DAJPN2018310310","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86757721","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}
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.
{"title":"The relationship between self-harming behavior, suicide attempt history and defense mechanisms in patients with opioid-use disorder","authors":"Sema Baykara, K. Alban","doi":"10.5350/DAJPN2018310304","DOIUrl":"https://doi.org/10.5350/DAJPN2018310304","url":null,"abstract":"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.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84898771","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":"Brain tumors and atypical psychiatric symptoms: two case presentations","authors":"Mustafa Akan, L. Erbay, M. Erbay, S. Unal","doi":"10.5350/dajpn2018310315","DOIUrl":"https://doi.org/10.5350/dajpn2018310315","url":null,"abstract":"","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75083707","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}