Investigation of depressive symptoms and related variables with depressive symptoms in alcohol and substance abusers Objective: It is aimed to evaluate the bonding and personality traits which are thought to affect the level of depressive symptoms in alcohol and substance abusers. Methods: The study sample consists of 289 patients diagnosed with alcohol and substance dependence, that have been followed up at inpatient or outpatient units of Ege University, The Institute on Drug Abuse, Toxicology and Pharmaceutical Science and Ege University, Department of Psychiatry Alcohol/Drug Dependency Unit. In the study, sociodemographic data form, Beck Depression Inventory (BDI), the Temperament and Character Inventory (TCI), Experiences in Close Relationships Inventory (ECRI) were applied by means of face to face interviews. Results: The mean age of the patients in the study was 32.5±11.0 years. It was found that 76.8% of the patients had high levels of depressive symptoms (BDI>17). It was determined that there was a significant difference between the level of avoidant attachment scores and depressive symptoms scores of the patients. In the evaluation of TCI scores according to BDI cut-off scores, it was found that depressive patients (BDI>17) have significant differences on the harm avoidance, cooperate and self-transcendence scores than those non-depressive patients (BDI<17). Conclusion: Our study showed that certain personality and bonding characteristics of the patient affected the depressive symptoms levels.
{"title":"Investigation of Depressive Symptoms and Related Variables with Depressive Symptoms in Alcohol and Substance Abusers","authors":"G. Keskin, A. Gumus","doi":"10.5350/DAJPN2017300206","DOIUrl":"https://doi.org/10.5350/DAJPN2017300206","url":null,"abstract":"Investigation of depressive symptoms and related variables with depressive symptoms in alcohol and substance abusers Objective: It is aimed to evaluate the bonding and personality traits which are thought to affect the level of depressive symptoms in alcohol and substance abusers. Methods: The study sample consists of 289 patients diagnosed with alcohol and substance dependence, that have been followed up at inpatient or outpatient units of Ege University, The Institute on Drug Abuse, Toxicology and Pharmaceutical Science and Ege University, Department of Psychiatry Alcohol/Drug Dependency Unit. In the study, sociodemographic data form, Beck Depression Inventory (BDI), the Temperament and Character Inventory (TCI), Experiences in Close Relationships Inventory (ECRI) were applied by means of face to face interviews. Results: The mean age of the patients in the study was 32.5±11.0 years. It was found that 76.8% of the patients had high levels of depressive symptoms (BDI>17). It was determined that there was a significant difference between the level of avoidant attachment scores and depressive symptoms scores of the patients. In the evaluation of TCI scores according to BDI cut-off scores, it was found that depressive patients (BDI>17) have significant differences on the harm avoidance, cooperate and self-transcendence scores than those non-depressive patients (BDI<17). Conclusion: Our study showed that certain personality and bonding characteristics of the patient affected the depressive symptoms levels.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116621961","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 irrational beliefs and the psychological symptoms of the sexual abuse victims Objective: Sexual revictimization (SR) is one of the important results of childhood sexual abuse, and an important issue that should be investigated and prevented. Evaluating irrational beliefs and the psychological symptoms of sexually revictimized adolescents would be useful in determination of the victims and in preventing the SR. This descriptive study examined irrational beliefs and psychological symptoms of the adolescents who have been exposed to SR, one-time sexual abuse (SA) and those who have not been exposed to SA. Methods: Participants were 210 adolescent girls who are aged between 15-18. The data was collected via the Brief Symptom Inventory and the Irrational Belief Scale-Adolescent Form, and a one-way ANOVA was utilized for data analysis. Results: No significant difference has been determined in the mean irrational belief scores of the adolescents with respect to sexual abuse victimization. However, it was found that the psychological symptoms—such as depression, negative self-perception, somatization, hostility—of the adolescents exposed to SR are higher than the comparison group and the ones who have been exposed to one-time SA. The anxiety symptom scores of the adolescents who have been exposed to SR was significantly higher than the adolescents in the comparison group, and was similar with with the adolescents in SA group. It was determined that the group who have been exposed to one time SA, have higher mean scores of anxiety, depression, negative self-perception and somatization than the comparison group. Conclusion: Different psychological problems can be seen in adolescents who have been exposed to SR and one-time SA. It is believed that taking into account of such differences may be helpful in the process of the treatment of victims.
{"title":"The irrational beliefs and the psychological symptoms of the sexual abuse victims","authors":"Nilufer Kocturk, F. Bilge","doi":"10.5350/DAJPN2017300205","DOIUrl":"https://doi.org/10.5350/DAJPN2017300205","url":null,"abstract":"The irrational beliefs and the psychological symptoms of the sexual abuse victims Objective: Sexual revictimization (SR) is one of the important results of childhood sexual abuse, and an important issue that should be investigated and prevented. Evaluating irrational beliefs and the psychological symptoms of sexually revictimized adolescents would be useful in determination of the victims and in preventing the SR. This descriptive study examined irrational beliefs and psychological symptoms of the adolescents who have been exposed to SR, one-time sexual abuse (SA) and those who have not been exposed to SA. Methods: Participants were 210 adolescent girls who are aged between 15-18. The data was collected via the Brief Symptom Inventory and the Irrational Belief Scale-Adolescent Form, and a one-way ANOVA was utilized for data analysis. Results: No significant difference has been determined in the mean irrational belief scores of the adolescents with respect to sexual abuse victimization. However, it was found that the psychological symptoms—such as depression, negative self-perception, somatization, hostility—of the adolescents exposed to SR are higher than the comparison group and the ones who have been exposed to one-time SA. The anxiety symptom scores of the adolescents who have been exposed to SR was significantly higher than the adolescents in the comparison group, and was similar with with the adolescents in SA group. It was determined that the group who have been exposed to one time SA, have higher mean scores of anxiety, depression, negative self-perception and somatization than the comparison group. Conclusion: Different psychological problems can be seen in adolescents who have been exposed to SR and one-time SA. It is believed that taking into account of such differences may be helpful in the process of the treatment of victims.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128714657","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 aim of this study was to investigate childhood trauma (CT) and dissociative symptoms in patients with fibromyalgia and evaluate the relationship of these characteristics with pain intensity. Methods: Forty patients followed up with fibromyalgia diagnosis in the physical therapy and rehabilitation outpatient clinic; and as a control group, 38 healthy individuals who have similar age, gender, and educational status, were included in the study. A sociodemographic and clinical data form, Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ) and Visual Analogue Scale (VAS) were administered to participants. Results: Emotional abuse, physical neglect, physical abuse, CTQ total, SDQ and DES scores were found to be significantly higher in the fibromyalgia group than the control group. Only the difference for SDQ scores remained significant when a comparison made between groups by controlling depression levels. Somatoform dissociation scores were found to be a significant predictor of pain intensity in patients with fibromyalgia. Conclusion: Somatoform dissociative symptoms are found to be higher in patients with fibromyalgia than the control group. These symptoms may contribute to development and exacerbation of pain in fibromyalgia. Taking the dissociative symptoms into account have an important role in the treatment of patients with fibromyalgia who have a frequent history of CT, so the treatment of these patients should be carried out in cooperation with psychiatrists.
{"title":"The Relationship of Childhood Trauma, Dissociative Experiences and Depression with Pain in Female Patients with Fibromyalgia: A Cross- Sectional Study","authors":"H. Karaş, E. Yıldırım, S. Kucukgoncu, U. Yakut","doi":"10.5350/DAJPN2017300202","DOIUrl":"https://doi.org/10.5350/DAJPN2017300202","url":null,"abstract":"Objective: The aim of this study was to investigate childhood trauma (CT) and dissociative symptoms in patients with fibromyalgia and evaluate the relationship of these characteristics with pain intensity. \u0000Methods: Forty patients followed up with fibromyalgia diagnosis in the physical therapy and rehabilitation outpatient clinic; and as a control group, 38 healthy individuals who have similar age, gender, and educational status, were included in the study. A sociodemographic and clinical data form, Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ) and Visual Analogue Scale (VAS) were administered to participants. \u0000Results: Emotional abuse, physical neglect, physical abuse, CTQ total, SDQ and DES scores were found to be significantly higher in the fibromyalgia group than the control group. Only the difference for SDQ scores remained significant when a comparison made between groups by controlling depression levels. Somatoform dissociation scores were found to be a significant predictor of pain intensity in patients with fibromyalgia. \u0000Conclusion: Somatoform dissociative symptoms are found to be higher in patients with fibromyalgia than the control group. These symptoms may contribute to development and exacerbation of pain in fibromyalgia. Taking the dissociative symptoms into account have an important role in the treatment of patients with fibromyalgia who have a frequent history of CT, so the treatment of these patients should be carried out in cooperation with psychiatrists.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133565429","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":"Internet addiction among students","authors":"A. Momčilović, O. Iskrenovic-Momcilovic","doi":"10.5350/DAJPN2017300211","DOIUrl":"https://doi.org/10.5350/DAJPN2017300211","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131921038","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}
Pub Date : 2017-06-15DOI: 10.5350/DAJPN20173002001
C. Evren, M. Bozkurt
{"title":"Impulsivity and opioid use disorder","authors":"C. Evren, M. Bozkurt","doi":"10.5350/DAJPN20173002001","DOIUrl":"https://doi.org/10.5350/DAJPN20173002001","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128406433","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":"Electroencephalographic Complexity and Decreased Randomness in Drug-Naive Obsessive-Compulsive Patients","authors":"O. Tan, S. Aydın","doi":"10.5350/DAJPN2017300204","DOIUrl":"https://doi.org/10.5350/DAJPN2017300204","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130074944","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}
A. Yaşar, Dilara Usta, M. Eroğlu, Önder Kavakçı, A. E. Abamor, Ecem Tavacioglu
Rapid efficacy of the eye movement desensitization and reprocessing in treatment of persistent complex bereavement disorder: report of two cases Grief occurs following the loss of a beloved one and it is a normal experience. However, prolonged (>6 months) grief can serve as a ground for a pathological situation. According to DSM-5, persistent complex bereavement disorder (PCBD) is diagnosed if the grief period exceeds twelve months. If this grief experience accompanies a traumatic event, DSM-5 Appendix recommends including Traumatic Death Specifier. In the process of PCBD, there can be several symptoms such as decreased functionality, sleep disorders, depressed mood, guilt feelings, somatic disorders and denial of the death. Eye movement desensitization and reprocessing (EMDR) is one of the treatment methods for PCBD. In this study, two cases diagnosed with PCDB and recovered apparently with a time-limited EMDR treatment are presented.
{"title":"Rapid efficacy of the eye movement desensitization and reprocessing in treatment of persistent complex bereavement disorder:report of two cases","authors":"A. Yaşar, Dilara Usta, M. Eroğlu, Önder Kavakçı, A. E. Abamor, Ecem Tavacioglu","doi":"10.5350/DAJPN2017300210","DOIUrl":"https://doi.org/10.5350/DAJPN2017300210","url":null,"abstract":"Rapid efficacy of the eye movement desensitization and reprocessing in treatment of persistent complex bereavement disorder: report of two cases Grief occurs following the loss of a beloved one and it is a normal experience. However, prolonged (>6 months) grief can serve as a ground for a pathological situation. According to DSM-5, persistent complex bereavement disorder (PCBD) is diagnosed if the grief period exceeds twelve months. If this grief experience accompanies a traumatic event, DSM-5 Appendix recommends including Traumatic Death Specifier. In the process of PCBD, there can be several symptoms such as decreased functionality, sleep disorders, depressed mood, guilt feelings, somatic disorders and denial of the death. Eye movement desensitization and reprocessing (EMDR) is one of the treatment methods for PCBD. In this study, two cases diagnosed with PCDB and recovered apparently with a time-limited EMDR treatment are presented.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127571507","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 factors such as family problems, growing up in a disintegrated family, personality disorders in parents, physical and mental deficiencies, alcohol and substance abuse, previous history of sexual abuse, and lack of social support may increase the risk of being exposed to sexual abuse. According to the previous studies, it is known that about one third of children who are subjected to abuse may become abusers in the future. In such a condition, a dilemma of abuse-abuser has been experienced. Importantly, additional medical mistakes and lack of experience make legal evaluation processes more complex. A pediatric patient who was abused by her babysitter and had a history of abuse in her adolescence is discussed in this case report. Early recognition of sexual abuse, treatment of developing psychiatric disorders and a follow up program are necessary in order to minimize the vicious cycle of abused-abuser.
{"title":"Abused-Abuser Dilemma in Sexual Abuse and Forensic Evaluation: a Case Report","authors":"M. Kutuk, G. Guler, A. Tufan, Satı Sanberk","doi":"10.5350/DAJPN2017300208","DOIUrl":"https://doi.org/10.5350/DAJPN2017300208","url":null,"abstract":"The factors such as family problems, growing up in a disintegrated family, personality disorders in parents, physical and mental deficiencies, alcohol and substance abuse, previous history of sexual abuse, and lack of social support may increase the risk of being exposed to sexual abuse. According to the previous studies, it is known that about one third of children who are subjected to abuse may become abusers in the future. In such a condition, a dilemma of abuse-abuser has been experienced. Importantly, additional medical mistakes and lack of experience make legal evaluation processes more complex. A pediatric patient who was abused by her babysitter and had a history of abuse in her adolescence is discussed in this case report. Early recognition of sexual abuse, treatment of developing psychiatric disorders and a follow up program are necessary in order to minimize the vicious cycle of abused-abuser.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123906102","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}
A Case of anxiety disorder acquired subsequent to hot water epilepsy Hot water epilepsy is a rarely seen type of reflex epilepsy. It is induced by the contact of very hot water to head while having a shower. Complex partial or generalized tonic-clonic seizures can be seen. Anxiety disorder is one of the most frequent psychiatric comorbidities that accompany epilepsy. It may negatively impact the quality of life and treatment compliance of epilepsy patients. In this article, a case that developed anxiety disorder subsequent to generalized tonic-clonic seizure, induced by hot water contact, was discussed. Increasing the awareness of the association of epilepsy and anxiety disorder is aimed.
{"title":"A Case of anxiety disorder acquired subsequent to hot water epilepsy","authors":"Rukiye Ay","doi":"10.5350/DAJPN2017300212","DOIUrl":"https://doi.org/10.5350/DAJPN2017300212","url":null,"abstract":"A Case of anxiety disorder acquired subsequent to hot water epilepsy Hot water epilepsy is a rarely seen type of reflex epilepsy. It is induced by the contact of very hot water to head while having a shower. Complex partial or generalized tonic-clonic seizures can be seen. Anxiety disorder is one of the most frequent psychiatric comorbidities that accompany epilepsy. It may negatively impact the quality of life and treatment compliance of epilepsy patients. In this article, a case that developed anxiety disorder subsequent to generalized tonic-clonic seizure, induced by hot water contact, was discussed. Increasing the awareness of the association of epilepsy and anxiety disorder is aimed.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127313527","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}
Yuksel Sumeyra Karagoz, Zeynep Kotan, H. Kumbasar, T. Erturk, S. Bostancı, C. Erdem
A case of delusional parasitosis dealt within the scope of consultation liaison psychiatry Delusional parasitosis is a rare disorder characterized by delayed admission to psychiatry clinic. This leads to time lags in diagnosis and treatment. Here we describe a woman diagnosed as organic delusional parasitosis secondary to her comorbid diabetes mellitus, hypertension and hypothyroidism. Treatment with low dose risperidone was found to be effective in a short span of time. This case is noteworthy as it emphasizes the importance of consultation-liaison psychiatry in the management of delusional parasitosis.
{"title":"A case of delusional parasitosis dealt within the scope of consultation liaison psychiatry","authors":"Yuksel Sumeyra Karagoz, Zeynep Kotan, H. Kumbasar, T. Erturk, S. Bostancı, C. Erdem","doi":"10.5350/DAJPN2017300209","DOIUrl":"https://doi.org/10.5350/DAJPN2017300209","url":null,"abstract":"A case of delusional parasitosis dealt within the scope of consultation liaison psychiatry Delusional parasitosis is a rare disorder characterized by delayed admission to psychiatry clinic. This leads to time lags in diagnosis and treatment. Here we describe a woman diagnosed as organic delusional parasitosis secondary to her comorbid diabetes mellitus, hypertension and hypothyroidism. Treatment with low dose risperidone was found to be effective in a short span of time. This case is noteworthy as it emphasizes the importance of consultation-liaison psychiatry in the management of delusional parasitosis.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128873245","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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