Internet addiction and depression levels in Erciyes University students Objective: The study was carried out to determine Internet addiction and depression levels among university students, the effects of some socio-demographic factors on these levels, and association between Internet addiction and depressive symptom levels. Method: This descriptive study was performed in Schools of Medicine, Engineering, and Economics and Administrative Sciences Erciyes University in 2015. A total of 1288 students were included in the study. Data were collected via socio-demographic questionnaire of 27 questions, Internet Addiction Scale (IAS), and Beck Depression Inventory (BDI). The students were visited in their classrooms and informed about the study by the researchers. The questionnaires and scales were collected after being filled in by the students, under the supervision of the researchers. Results: Mean IAS and BDI scores were calculated as 12.1±9.1 and 27.7±14.7, respectively. Depressive symptoms were found in 26.4% of the students whereas, Internet addiction in 0.2% and limited symptoms of Internet addiction in 7.5%. Mean IAS score was found higher among men, whereas mean BDI score was higher among women. A significant correlation was found between IAS and BDI scores (r=0.325, p<0.001). Conclusion: Approximately 8% of the students are under the risk of Internet addiction. There is a significant association between Internet addiction and depression scores. But, it is not clear which of these two factors affects the other.
{"title":"Internet Addiction and Depression Levels in Erciyes University Students","authors":"O. Günay, A. Öztürk, E. E. Arslantaş, N. Sevinc","doi":"10.5350/DAJPN2018310108","DOIUrl":"https://doi.org/10.5350/DAJPN2018310108","url":null,"abstract":"Internet addiction and depression levels in Erciyes University students Objective: The study was carried out to determine Internet addiction and depression levels among university students, the effects of some socio-demographic factors on these levels, and association between Internet addiction and depressive symptom levels. Method: This descriptive study was performed in Schools of Medicine, Engineering, and Economics and Administrative Sciences Erciyes University in 2015. A total of 1288 students were included in the study. Data were collected via socio-demographic questionnaire of 27 questions, Internet Addiction Scale (IAS), and Beck Depression Inventory (BDI). The students were visited in their classrooms and informed about the study by the researchers. The questionnaires and scales were collected after being filled in by the students, under the supervision of the researchers. Results: Mean IAS and BDI scores were calculated as 12.1±9.1 and 27.7±14.7, respectively. Depressive symptoms were found in 26.4% of the students whereas, Internet addiction in 0.2% and limited symptoms of Internet addiction in 7.5%. Mean IAS score was found higher among men, whereas mean BDI score was higher among women. A significant correlation was found between IAS and BDI scores (r=0.325, p<0.001). Conclusion: Approximately 8% of the students are under the risk of Internet addiction. There is a significant association between Internet addiction and depression scores. But, it is not clear which of these two factors affects the other.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128043439","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}
Bupropion extended-release induced spontaneous orgasms Sexual side effects are common with antidepressant use. Spontaneous orgasms have been previously described with several antidepressants. We report the case of a woman who had spontaneous orgasms after starting 300mg/day bupropion extended-release. Spontaneous orgasms ceased 4 days after stopping the bupropion extended-release. Bupropion extended-release is a norepinephrine-dopamine reuptake inhibitor. Norepinephrineand dopamine-related mechanisms may induce spontaneous orgasms. This unusual side effect should be questioned in patients who receive bupropion, as it may cause embarrassment and noncompliance.
{"title":"Bupropion Extended-Release Induced Spontaneous Orgasms","authors":"M. Orum, O. Eğilmez, Aysun Kalenderoglu","doi":"10.5350/DAJPN2018310112","DOIUrl":"https://doi.org/10.5350/DAJPN2018310112","url":null,"abstract":"Bupropion extended-release induced spontaneous orgasms Sexual side effects are common with antidepressant use. Spontaneous orgasms have been previously described with several antidepressants. We report the case of a woman who had spontaneous orgasms after starting 300mg/day bupropion extended-release. Spontaneous orgasms ceased 4 days after stopping the bupropion extended-release. Bupropion extended-release is a norepinephrine-dopamine reuptake inhibitor. Norepinephrineand dopamine-related mechanisms may induce spontaneous orgasms. This unusual side effect should be questioned in patients who receive bupropion, as it may cause embarrassment and noncompliance.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123337486","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}
Ozlem Surel Karabilgin Ozturkcu, O. Sertoz, Gulsum Berna Gokengin, Hadi Sağin, O. Gulbahar, M. Çiçeklioğlu
Is it possible to decrease the burnout level of hospital office staff by communication skills training using therapy techniques? Objective: Aim of the present study is to evaluate the effectiveness of Basic Communication and Coping with Difficult Situations Skills Training, which includes two different therapy techniques, on the burnout level and job satisfaction of hospital office staff. Method: Communication Skills Training was applied to hospital office staff (n=54). Psychodrama and cognitive-behavioral therapy techniques were used and practiced to evaluate basic communication skills, anger management, conflict management, and coping with stress issues. The participants filled in a Personal Information Form, Pre-Test/Post-Test Form, Maslach Burnout Inventory (MBI), Minnesota Satisfaction Questionnaire (MSQ), and Training Program Evaluation Form. Results: On the MBI, depersonalization scores significantly decreased after training, and personal accomplishment scores increased significantly, whereas emotional exhaustion scores were not affected. However, the emotional exhaustion scores of staff members with a duration of employment of over ten years were significantly higher than those of staff members with a duration of employment of less than ten years. Participants with a job tenure of over ten years showed a decrease regarding the change in the scores of emotional exhaustion after the training, whereas participants with a tenure of less than ten years showed a slight increase. Preand post-training subscale scores of MSQ did not differ significantly. However, the participants with a duration of service of over ten years showed an increase after training in Overall Job Satisfaction and Intrinsic Job Satisfaction subscales. Participants declared overall satisfaction with the training and asked for continuation of the program. Conclusion: We can say that communication skills training using therapy techniques can decrease burnout symptoms related to increasing length of employment and have a positive impact on job satisfaction.
{"title":"Is it possible to decrease the burnout level of hospital office staff by communication skills training using therapy techniques","authors":"Ozlem Surel Karabilgin Ozturkcu, O. Sertoz, Gulsum Berna Gokengin, Hadi Sağin, O. Gulbahar, M. Çiçeklioğlu","doi":"10.5350/dajpn2018310106","DOIUrl":"https://doi.org/10.5350/dajpn2018310106","url":null,"abstract":"Is it possible to decrease the burnout level of hospital office staff by communication skills training using therapy techniques? Objective: Aim of the present study is to evaluate the effectiveness of Basic Communication and Coping with Difficult Situations Skills Training, which includes two different therapy techniques, on the burnout level and job satisfaction of hospital office staff. Method: Communication Skills Training was applied to hospital office staff (n=54). Psychodrama and cognitive-behavioral therapy techniques were used and practiced to evaluate basic communication skills, anger management, conflict management, and coping with stress issues. The participants filled in a Personal Information Form, Pre-Test/Post-Test Form, Maslach Burnout Inventory (MBI), Minnesota Satisfaction Questionnaire (MSQ), and Training Program Evaluation Form. Results: On the MBI, depersonalization scores significantly decreased after training, and personal accomplishment scores increased significantly, whereas emotional exhaustion scores were not affected. However, the emotional exhaustion scores of staff members with a duration of employment of over ten years were significantly higher than those of staff members with a duration of employment of less than ten years. Participants with a job tenure of over ten years showed a decrease regarding the change in the scores of emotional exhaustion after the training, whereas participants with a tenure of less than ten years showed a slight increase. Preand post-training subscale scores of MSQ did not differ significantly. However, the participants with a duration of service of over ten years showed an increase after training in Overall Job Satisfaction and Intrinsic Job Satisfaction subscales. Participants declared overall satisfaction with the training and asked for continuation of the program. Conclusion: We can say that communication skills training using therapy techniques can decrease burnout symptoms related to increasing length of employment and have a positive impact on job satisfaction.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"11 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125696008","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}
Y. Balcioglu, Mucahid Erdogan, C. Dayan, H. D. Ataklı
{"title":"Creutzfeldt-Jacob Disease with presence of psychomotor agitation","authors":"Y. Balcioglu, Mucahid Erdogan, C. Dayan, H. D. Ataklı","doi":"10.5350/dajpn2018310113","DOIUrl":"https://doi.org/10.5350/dajpn2018310113","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129794841","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}
Objective: Invalidating Environment Scale (ICES) was developed by Mountford et al. (1) in order to retrospectively assess the childhood experiences of invalidation. As it is known that there is not such a tool that assesses the invalidating environment in Turkish sample, the current study aimed to examine the psychometric properties of the scale and to adopt it to Turkish language. Method: The scale was first translated into Turkish and after that, back translation was made into the original language which is English. 303 university students participated in the study. Along with the ICES, EMBU (Egna Minnen Barndoms Uppfostran; My memories of upbringing) and Rosenberg Self Esteem Scale were also administered. Results: According to the results of the explanatory factor analysis both mother and father forms of the scale are found to support one factor structure just as in the original scale. When the results of the confirmatory factor analysis were examined, it was seen that the obtained values were acceptable for both forms. It was found that ICES mother form has positive and low associations with EMBU mother over protection and Rosenberg Self esteem scales, while it has also positive and moderate association with EMBU mother rejection subscale. On the other hand ICES mother form was found to be negatively and highly associated with EMBU mother warmth subscale. When it comes to ICES father form, the same correlations with the mother form were found. According to the results of the current study Chronbach’s alpha coefficients of ICES for mother and father forms were found as .84 and .87 respectively. Conclusion: The findings of the current study show that Turkish version of the Invalidating Environment Scale has acceptable levels of reliability and validity.
{"title":"The reliability and validity of the Invalidating Childhood Environment Scale (ICES) – Turkish Version","authors":"E. Alpay, Zumrut Bellur, Arzu Aydın","doi":"10.5350/dajpn2018310104","DOIUrl":"https://doi.org/10.5350/dajpn2018310104","url":null,"abstract":"Objective: Invalidating Environment Scale (ICES) was developed by Mountford et al. (1) in order to retrospectively assess the childhood experiences of invalidation. As it is known that there is not such a tool that assesses the invalidating environment in Turkish sample, the current study aimed to examine the psychometric properties of the scale and to adopt it to Turkish language. Method: The scale was first translated into Turkish and after that, back translation was made into the original language which is English. 303 university students participated in the study. Along with the ICES, EMBU (Egna Minnen Barndoms Uppfostran; My memories of upbringing) and Rosenberg Self Esteem Scale were also administered. Results: According to the results of the explanatory factor analysis both mother and father forms of the scale are found to support one factor structure just as in the original scale. When the results of the confirmatory factor analysis were examined, it was seen that the obtained values were acceptable for both forms. It was found that ICES mother form has positive and low associations with EMBU mother over protection and Rosenberg Self esteem scales, while it has also positive and moderate association with EMBU mother rejection subscale. On the other hand ICES mother form was found to be negatively and highly associated with EMBU mother warmth subscale. When it comes to ICES father form, the same correlations with the mother form were found. According to the results of the current study Chronbach’s alpha coefficients of ICES for mother and father forms were found as .84 and .87 respectively. Conclusion: The findings of the current study show that Turkish version of the Invalidating Environment Scale has acceptable levels of reliability and validity.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115424598","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}
Distinguishing circumscribed behavior in an adolescent with Asperger syndrome from a pedophilic act: a case report Several case reports in the literature mention sexual offenses committed by patients with Asperger syndrome. There are no clear data in the literature to distinguish circumscribed behavior from actions resulting from sexual arousal. In this case, we had to assess the criminal responsibility of an adolescent girl diagnosed with Asperger syndrome according to DSM-IV who had been charged with possession of child pornography and sharing this material on social media. This case is a reminder that circumscribed behavior in Asperger syndrome may cause forensic incidents or misunderstandings. When evaluating sexual offenses, it is critical to receive a detailed history of sexual development, the motives of actions, and socialsexual knowledge in order to distinguish circumscribed behavior from sexually deviant behaviors.
{"title":"Distinguishing circumscribed behavior in an adolescent with Asperger syndrome from a pedophilic act: a case report","authors":"Armagan Aral, G. N. Say, M. Usta","doi":"10.5350/dajpn2018310111","DOIUrl":"https://doi.org/10.5350/dajpn2018310111","url":null,"abstract":"Distinguishing circumscribed behavior in an adolescent with Asperger syndrome from a pedophilic act: a case report Several case reports in the literature mention sexual offenses committed by patients with Asperger syndrome. There are no clear data in the literature to distinguish circumscribed behavior from actions resulting from sexual arousal. In this case, we had to assess the criminal responsibility of an adolescent girl diagnosed with Asperger syndrome according to DSM-IV who had been charged with possession of child pornography and sharing this material on social media. This case is a reminder that circumscribed behavior in Asperger syndrome may cause forensic incidents or misunderstandings. When evaluating sexual offenses, it is critical to receive a detailed history of sexual development, the motives of actions, and socialsexual knowledge in order to distinguish circumscribed behavior from sexually deviant behaviors.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123779045","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}
Canan Kuygun Karcı, F. Toros, A. Tahiroglu, Ozge Metin
Effects of methylphenidate treatment on quality of life in adolescents Objective: Attention-deficit hyperactivity disorder (ADHD) is one of the most common childhood mental disorders. Improvement in quality of life is observed with the treatment of ADHD which is a chronic disorder that disrupts the quality of life. In this study, it was aimed to investigate the changes in symptoms of anxiety and depression associated with ADHD and quality of life of adolescents after methylphenidate treatment. Method: Fifty patients between 13-18 years old, who admitted to Mersin University Medical Faculty Hospital Pediatric and Adolescent Psychiatry Outpatient Clinics; were diagnosed with ADHD; received methylphenidate treatment for the first time; and continued with the treatment for three months; were included in the study. Pretreatment and 3rd month results of Children’s Depression Inventory (CDI), StateTrait Anxiety Inventory for Children (STAI-CH), and adolescent and parent forms of Pediatric Quality of Life InventoryTM 4.0 (PedsQLTM 4.0) were assessed by retrospectively screening of patient charts. Results: After methylphenidate treatment, quality of life scores were improved, except for physical functioning. Quality of life scores were higher in adolescent reports, compared to parents. Male adolescents scored their quality of life more positively than girls before and after the treatment. In addition, anxiety symptoms improved after methylphenidate treatment. Conclusion: It is important to determine the changes in quality of life with the treatment of ADHD in terms of emphasizing the importance of ADHD treatment, evaluating treatment outcomes, and establishing effective and sophisticated treatment plans.
{"title":"Effects of methylphenidate treatment on quality of life in adolescents","authors":"Canan Kuygun Karcı, F. Toros, A. Tahiroglu, Ozge Metin","doi":"10.5350/dajpn2018310101","DOIUrl":"https://doi.org/10.5350/dajpn2018310101","url":null,"abstract":"Effects of methylphenidate treatment on quality of life in adolescents Objective: Attention-deficit hyperactivity disorder (ADHD) is one of the most common childhood mental disorders. Improvement in quality of life is observed with the treatment of ADHD which is a chronic disorder that disrupts the quality of life. In this study, it was aimed to investigate the changes in symptoms of anxiety and depression associated with ADHD and quality of life of adolescents after methylphenidate treatment. Method: Fifty patients between 13-18 years old, who admitted to Mersin University Medical Faculty Hospital Pediatric and Adolescent Psychiatry Outpatient Clinics; were diagnosed with ADHD; received methylphenidate treatment for the first time; and continued with the treatment for three months; were included in the study. Pretreatment and 3rd month results of Children’s Depression Inventory (CDI), StateTrait Anxiety Inventory for Children (STAI-CH), and adolescent and parent forms of Pediatric Quality of Life InventoryTM 4.0 (PedsQLTM 4.0) were assessed by retrospectively screening of patient charts. Results: After methylphenidate treatment, quality of life scores were improved, except for physical functioning. Quality of life scores were higher in adolescent reports, compared to parents. Male adolescents scored their quality of life more positively than girls before and after the treatment. In addition, anxiety symptoms improved after methylphenidate treatment. Conclusion: It is important to determine the changes in quality of life with the treatment of ADHD in terms of emphasizing the importance of ADHD treatment, evaluating treatment outcomes, and establishing effective and sophisticated treatment plans.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131214805","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}
Objective: The literature review shows that alexithymia, anger and anger expression styles have been important variables in predicting psychological symptoms. Furthermore, alexithymic characteristics may cause various difficulties in anger and expression of it. From this point of view, the aim of this study was to investigate the extent to which the alexithymia, anger and anger expression styles predicted psychological symptoms in the university sample. Method: In the present study, to assess whether the participants have alexithymic characteristics 20-item “Toronto Alexithymia Scale (TAS-20)â€; to assess anger and anger expression styles of participants “State-Trait Anger Expression Inventory†(STAXI); and to screen psychological symptoms of participants “Brief Symptom Inventory (BSI)†with Demographic Information Form were implemented to the participants which were composed of 434 students (224 women, 190 men) from different departmens of Hacettepe University. After the correlation analysis to evaluate the relationships between all variables of the study, the hierarchical regression analysis was conducted to investigate how much alexithymia, anger and anger expression styles predicted psychological symptoms. Results: According to the regression analysis, it was concluded that alexithymia, the trait anger and anger-in positively predicted psychological symptoms. Conclusion: The present study points out that alexithymic characteristics, anger and anger expression styles explain psychological symptoms. Additionally, it emphasizes that the benefit of addressing alexithymic characteristics, the frequency of anger experience and the healthy ways of anger expression simultaneously and as a whole in psychotherapies aiming to reduce psychological symptoms even if they do not require a diagnosis.
{"title":"ALEXITHYMIA, ANGER AND ANGER EXPRESSION STYLES AS PREDICTORS OF PSYCHOLOGICAL SYMPTOMS -","authors":"Bükre Kahramanol, Ãhsan DaÃ","doi":"10.5350/DAJPN2018310103","DOIUrl":"https://doi.org/10.5350/DAJPN2018310103","url":null,"abstract":"Objective: The literature review shows that alexithymia, anger and anger expression styles have been important variables in predicting psychological symptoms. Furthermore, alexithymic characteristics may cause various difficulties in anger and expression of it. From this point of view, the aim of this study was to investigate the extent to which the alexithymia, anger and anger expression styles predicted psychological symptoms in the university sample. \u0000Method: In the present study, to assess whether the participants have alexithymic characteristics 20-item “Toronto Alexithymia Scale (TAS-20)â€; to assess anger and anger expression styles of participants “State-Trait Anger Expression Inventory†(STAXI); and to screen psychological symptoms of participants “Brief Symptom Inventory (BSI)†with Demographic Information Form were implemented to the participants which were composed of 434 students (224 women, 190 men) from different departmens of Hacettepe University. After the correlation analysis to evaluate the relationships between all variables of the study, the hierarchical regression analysis was conducted to investigate how much alexithymia, anger and anger expression styles predicted psychological symptoms. \u0000Results: According to the regression analysis, it was concluded that alexithymia, the trait anger and anger-in positively predicted psychological symptoms. \u0000Conclusion: The present study points out that alexithymic characteristics, anger and anger expression styles explain psychological symptoms. Additionally, it emphasizes that the benefit of addressing alexithymic characteristics, the frequency of anger experience and the healthy ways of anger expression simultaneously and as a whole in psychotherapies aiming to reduce psychological symptoms even if they do not require a diagnosis.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123447952","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}
Improvement of tardive dyskinesia after switching from zuclopenthixol decanoate to paliperidone palmitate: a case report Long-acting injectable (LAI) antipsychotics are an effective option in schizophrenia that increase treatment adherence in potentially non-compliant patients. Tardive dyskinesia is a potentially treatment-resistant movement disorder that can be a problem after long-term antipsychotic use. Atypical antipsychotics with long-acting formulations offer a safer option for acute extrapyramidal side effects, but their effect in tardive dyskinesia is not clear. We report a case of tardive dyskinesia of the perioral area and the tongue after long-term use of zuclopenthixol decanoate, a LAI antipsychotic is a potent dopamine (D2) receptor antagonist. The patient was a 45-year-old Caucasian male with a 25-year history of schizophrenia who was using olanzapine and zuclopenthixol decanoate at the index consultation when the dyskinesia was recognized. Chlorpromazine, haloperidol, olanzapine, and quetiapine were the antipsychotics that had been used for differing periods in addition to zuclopenthixol decanoate over the last six months, before the emergence of tardive dyskinesia. The Abnormal Involuntary Movements Scale was used in scoring the oropharyngeal dyskinesia. Because of the patient’s former non-compliance with oral medication and concerns of treatment adherence, we planned to continue using LAI. After switching to paliperidone palmitate, a second generation LAI with receptor-antagonist effects for dopamine (D2), serotonin (5HT-2), and noradrenaline (NE-alpha2) receptors, we observed the improvement of the tardive dyskinesia.
{"title":"Improvement of Tardive Dyskinesia after Switching from Zuclopenthixol Decanoate to Paliperidone Palmitate: a Case Report","authors":"E. Yıldızhan, F. Ozsoy, B. Yildizhan","doi":"10.5350/DAJPN2018310110","DOIUrl":"https://doi.org/10.5350/DAJPN2018310110","url":null,"abstract":"Improvement of tardive dyskinesia after switching from zuclopenthixol decanoate to paliperidone palmitate: a case report Long-acting injectable (LAI) antipsychotics are an effective option in schizophrenia that increase treatment adherence in potentially non-compliant patients. Tardive dyskinesia is a potentially treatment-resistant movement disorder that can be a problem after long-term antipsychotic use. Atypical antipsychotics with long-acting formulations offer a safer option for acute extrapyramidal side effects, but their effect in tardive dyskinesia is not clear. We report a case of tardive dyskinesia of the perioral area and the tongue after long-term use of zuclopenthixol decanoate, a LAI antipsychotic is a potent dopamine (D2) receptor antagonist. The patient was a 45-year-old Caucasian male with a 25-year history of schizophrenia who was using olanzapine and zuclopenthixol decanoate at the index consultation when the dyskinesia was recognized. Chlorpromazine, haloperidol, olanzapine, and quetiapine were the antipsychotics that had been used for differing periods in addition to zuclopenthixol decanoate over the last six months, before the emergence of tardive dyskinesia. The Abnormal Involuntary Movements Scale was used in scoring the oropharyngeal dyskinesia. Because of the patient’s former non-compliance with oral medication and concerns of treatment adherence, we planned to continue using LAI. After switching to paliperidone palmitate, a second generation LAI with receptor-antagonist effects for dopamine (D2), serotonin (5HT-2), and noradrenaline (NE-alpha2) receptors, we observed the improvement of the tardive dyskinesia.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129581874","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}
Relationship of functionality with impulsivity and coping strategies in bipolar disorder Objective: In patients with bipolar disorder, functional losses may be observed even during remission of the disease, and psychopathological traits such as impulsivity, subthreshold clinical symptoms, or stigmatization may influence functionality. Coping strategies are defined as a person’s attitudes towards daily life events and their adaptedness. This study aimed to investigate the effects of coping strategies and impulsivity on functionality in bipolar disorder and whether the effect of impulsivity is mediated by dysfunctional coping strategies. Method: This study was conducted with patients suffering from bipolar disorder (n=74) in remission and healthy controls (n=74) matched with the patient group in terms of age, gender and education. Patients were assessed using the Bipolar Disorder Functioning Questionnaire (BDFQ), Coping Strategies Inventory (COPE), Barratt Impulsiveness Scale-11 (BIS-11), Hamilton Depression Rating Scale (HAM-D), Young Mania Rating Scale (YRMS) and Hamilton Anxiety Rating Scale (HAM-A). Results: The functionality score of the bipolar disorder group was significantly lower than in the healthy control group (p=0.027). Moreover, attention (p=0.020) and motor (p=0.006) impulsivity scores were higher and the maladaptive coping strategies score (p=0.032) was lower in the bipolar disorder group. The correlation between the total score of the BIS and the maladaptive coping strategies subscale of the COPE in the bipolar disorder group was statistically significant (r=0.38, p<0.01). Hierarchical multiple regression analysis showed that adaptive coping strategies (B=0.23, p=0.020), attention (B=-0.31, p=0.037), motor (B=0.29, p=0.027) and nonplanning (B=-0.35, p=0.003) impulsivity were the determinants of the functionality in the regression model (F=8.44, p<0.001). Conclusion: The study has detected that functionality is affected negatively by impulsivity and positively by adaptive coping strategies in bipolar disorder, whereas the effect of coping strategies on functionality is not mediated by impulsivity. While there was a correlation between impulsivity and maladaptive coping strategies, there was no mediation between impulsivity and coping strategies, which may suggest that these dimensions are independent from each other. Prospective studies with large sample sizes should investigate the clinical determinants of functional losses in the future.
{"title":"Relationship of Functionality with Impulsivity and Coping Strategies in Bipolar Disorder","authors":"Z. Apaydın, M. Atagün","doi":"10.5350/DAJPN2018310102","DOIUrl":"https://doi.org/10.5350/DAJPN2018310102","url":null,"abstract":"Relationship of functionality with impulsivity and coping strategies in bipolar disorder Objective: In patients with bipolar disorder, functional losses may be observed even during remission of the disease, and psychopathological traits such as impulsivity, subthreshold clinical symptoms, or stigmatization may influence functionality. Coping strategies are defined as a person’s attitudes towards daily life events and their adaptedness. This study aimed to investigate the effects of coping strategies and impulsivity on functionality in bipolar disorder and whether the effect of impulsivity is mediated by dysfunctional coping strategies. Method: This study was conducted with patients suffering from bipolar disorder (n=74) in remission and healthy controls (n=74) matched with the patient group in terms of age, gender and education. Patients were assessed using the Bipolar Disorder Functioning Questionnaire (BDFQ), Coping Strategies Inventory (COPE), Barratt Impulsiveness Scale-11 (BIS-11), Hamilton Depression Rating Scale (HAM-D), Young Mania Rating Scale (YRMS) and Hamilton Anxiety Rating Scale (HAM-A). Results: The functionality score of the bipolar disorder group was significantly lower than in the healthy control group (p=0.027). Moreover, attention (p=0.020) and motor (p=0.006) impulsivity scores were higher and the maladaptive coping strategies score (p=0.032) was lower in the bipolar disorder group. The correlation between the total score of the BIS and the maladaptive coping strategies subscale of the COPE in the bipolar disorder group was statistically significant (r=0.38, p<0.01). Hierarchical multiple regression analysis showed that adaptive coping strategies (B=0.23, p=0.020), attention (B=-0.31, p=0.037), motor (B=0.29, p=0.027) and nonplanning (B=-0.35, p=0.003) impulsivity were the determinants of the functionality in the regression model (F=8.44, p<0.001). Conclusion: The study has detected that functionality is affected negatively by impulsivity and positively by adaptive coping strategies in bipolar disorder, whereas the effect of coping strategies on functionality is not mediated by impulsivity. While there was a correlation between impulsivity and maladaptive coping strategies, there was no mediation between impulsivity and coping strategies, which may suggest that these dimensions are independent from each other. Prospective studies with large sample sizes should investigate the clinical determinants of functional losses in the future.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131012850","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}
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