Capgras syndrome after use of synthetic cannabinoids: an adolescent case Anxiety, agitation, irritability, confusion, hallucinations and delusions are among common psychoactive effects of synthetic cannabinoids, which are referred as “bonsai” and “jamaica” in Turkey. Cases of psychotic disorder induced by synthetic cannabinoid use are becoming increasingly more reported. Capgras syndrome is a psychotic disorder characterized by a delusion that a specific person or object has been replaced by an identical one. It has been reported to occur rarely in pure form, but generally accompanying schizophrenia or organic psychosis. Herein we aim to report an adolescent case presenting with Capgras syndrome developed after use of synthetic cannabinoids and to draw attention to psychotic symptoms and to this uncommon psychotic syndrome which may occur after synthetic cannabinoid use. Seventeen years old male, who reported using “bonzai” for about 10 days, was brought to the emergency room by his family. Capgras syndrome, defined with delusion that his mother and father have been changed and replaced by others, has been detected. In adolescents who admit with psychotic symptoms, synthetic cannabinoid use should be considered and detailed history should be taken, even laboratory tests were negative. Adolescents, as a vulnerable population, should be informed about negative effects of synthetic cannabinoids which are easily accessible and distributed as “herbal”, “natural” and “legal”, as well as their parents and institutions such as schools which may guide them. Thus, it might be possible to prevent psychotic disorders which will be induced by this substances.
{"title":"Capgras Syndrome After Use of Synthetic Cannabinoids: an Adolescent Case","authors":"Ü. Özer, V. Çeri, C. Evren","doi":"10.5350/DAJPN2016290410","DOIUrl":"https://doi.org/10.5350/DAJPN2016290410","url":null,"abstract":"Capgras syndrome after use of synthetic cannabinoids: an adolescent case Anxiety, agitation, irritability, confusion, hallucinations and delusions are among common psychoactive effects of synthetic cannabinoids, which are referred as “bonsai” and “jamaica” in Turkey. Cases of psychotic disorder induced by synthetic cannabinoid use are becoming increasingly more reported. Capgras syndrome is a psychotic disorder characterized by a delusion that a specific person or object has been replaced by an identical one. It has been reported to occur rarely in pure form, but generally accompanying schizophrenia or organic psychosis. Herein we aim to report an adolescent case presenting with Capgras syndrome developed after use of synthetic cannabinoids and to draw attention to psychotic symptoms and to this uncommon psychotic syndrome which may occur after synthetic cannabinoid use. Seventeen years old male, who reported using “bonzai” for about 10 days, was brought to the emergency room by his family. Capgras syndrome, defined with delusion that his mother and father have been changed and replaced by others, has been detected. In adolescents who admit with psychotic symptoms, synthetic cannabinoid use should be considered and detailed history should be taken, even laboratory tests were negative. Adolescents, as a vulnerable population, should be informed about negative effects of synthetic cannabinoids which are easily accessible and distributed as “herbal”, “natural” and “legal”, as well as their parents and institutions such as schools which may guide them. Thus, it might be possible to prevent psychotic disorders which will be induced by this substances.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132509291","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}
Address reprint requests to / Yazışma adresi: Filiz Izci, Istanbul Bilim University, Faculty of Medicine, Department of Psychiatry, Abide-i Hurriyet Caddesi, No: 164, Sisli/Istanbul, Turkey Phone / Telefon: +90-212-224-4954 E-mail address / Elektronik posta adresi: filizizci@yahoo.com Date of receipt / Geliş tarihi: May 20, 2016 / 20 Mayıs 2016 Date of the first revision letter / İlk düzeltme öneri tarihi: June 19, 2016 / 19 Haziran 2016 Date of acceptance / Kabul tarihi: July 24, 2016 / 24 Temmuz 2016
{"title":"Methylphenidate induced intraocular pressure increase","authors":"F. İzci, Evrim Gode Oguten","doi":"10.5350/DAJPN2016290413","DOIUrl":"https://doi.org/10.5350/DAJPN2016290413","url":null,"abstract":"Address reprint requests to / Yazışma adresi: Filiz Izci, Istanbul Bilim University, Faculty of Medicine, Department of Psychiatry, Abide-i Hurriyet Caddesi, No: 164, Sisli/Istanbul, Turkey Phone / Telefon: +90-212-224-4954 E-mail address / Elektronik posta adresi: filizizci@yahoo.com Date of receipt / Geliş tarihi: May 20, 2016 / 20 Mayıs 2016 Date of the first revision letter / İlk düzeltme öneri tarihi: June 19, 2016 / 19 Haziran 2016 Date of acceptance / Kabul tarihi: July 24, 2016 / 24 Temmuz 2016","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121747044","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: This study was aimed to determine the prevalence and predictors of mild cognitive impairments (MCIs) in Malaysia. Method: This is a cross-sectional community-based study among elderlies aged 60 years and above in the four states of Malaysia - Perak, Kelantan, Selangor and Johor. A multi-stage stratified random sampling method was used for the data collection. Mini Mental State Examination score ?22 was used to diagnosed MCI and analyzed by using multivariate logistic regression. Results: A total of 2112 participants were recruited into this study. Mean age of the participants was 69.2±18.8 years, and 51.4% of them were females. The ethnic distribution was 63.4% Malaysian, 31.4% Chinese, 5.0% Indians, and 0.2% others. The overall prevalence of MCI was 68% (n=1436/2112). In multivariate logistic regression analysis, participant who were older (OR 1.02, 95% CI 1.00-1.04), did not receive formal education (OR 6.85, 95% CI 4.58-10.25), had primary education (OR 2.35 95% CI 1.84-3.00), were lonely (OR 1.18 95% CI 1.05-1.32), and had low level of life satisfaction (OR 1.68 95% CI 1.02-2.67), had significant positive correlations with MCI. Conclusion: MCI is present in seven out of ten elderly Malaysians. Aging population, presence of low education level, loneliness and low life satisfaction level seem to facilitate development of MCI.
目的:本研究旨在确定轻度认知障碍(MCIs)在马来西亚的患病率和预测因素。方法:这是一项横断面社区研究，在马来西亚四个州-霹雳州，吉兰丹州，雪兰莪州和柔佛州的60岁及以上老年人中进行。数据采集采用多阶段分层随机抽样方法。采用Mini Mental State Examination总分?22分诊断轻度认知障碍，采用多因素logistic回归分析。结果:本研究共招募了2112名参与者。参与者平均年龄为69.2±18.8岁，女性占51.4%。种族分布为马来西亚人63.4%，华人31.4%，印度人5.0%，其他0.2%。MCI的总患病率为68% (n=1436/2112)。在多因素logistic回归分析中，年龄较大(OR 1.02, 95% CI 1.00-1.04)、未接受正规教育(OR 6.85, 95% CI 4.58-10.25)、初等教育(OR 2.35 95% CI 1.84-3.00)、孤独(OR 1.18 95% CI 1.05-1.32)、生活满意度较低(OR 1.68 95% CI 1.02-2.67)的参与者与MCI有显著正相关。结论:十分之七的马来西亚老年人患有轻度认知障碍。人口老龄化、受教育程度低、孤独感和生活满意度低似乎有助于MCI的发展。
{"title":"Prevalence and factors associated with mild cognitive impairment on screening in older Malaysians","authors":"K. Khairiah, C. Mooi, T. Hamid","doi":"10.5350/DAJPN2016290401","DOIUrl":"https://doi.org/10.5350/DAJPN2016290401","url":null,"abstract":"Objective: This study was aimed to determine the prevalence and predictors of mild cognitive impairments (MCIs) in Malaysia. Method: This is a cross-sectional community-based study among elderlies aged 60 years and above in the four states of Malaysia - Perak, Kelantan, Selangor and Johor. A multi-stage stratified random sampling method was used for the data collection. Mini Mental State Examination score ?22 was used to diagnosed MCI and analyzed by using multivariate logistic regression. Results: A total of 2112 participants were recruited into this study. Mean age of the participants was 69.2±18.8 years, and 51.4% of them were females. The ethnic distribution was 63.4% Malaysian, 31.4% Chinese, 5.0% Indians, and 0.2% others. The overall prevalence of MCI was 68% (n=1436/2112). In multivariate logistic regression analysis, participant who were older (OR 1.02, 95% CI 1.00-1.04), did not receive formal education (OR 6.85, 95% CI 4.58-10.25), had primary education (OR 2.35 95% CI 1.84-3.00), were lonely (OR 1.18 95% CI 1.05-1.32), and had low level of life satisfaction (OR 1.68 95% CI 1.02-2.67), had significant positive correlations with MCI. Conclusion: MCI is present in seven out of ten elderly Malaysians. Aging population, presence of low education level, loneliness and low life satisfaction level seem to facilitate development of MCI.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126434220","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: Mental contamination is defined as feelings of internal dirtiness in absence of actual contact with a dirty physical object or a person. Mental contamination is considered to play an important role in maintenance and persistence of obsessive compulsive disorder (OCD). This study aimed to examine psychometric properties of the Turkish version of two objective measures of mental contamination: Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale (VOCI-MC) and Thought-Action Fusion-Contamination Scale (TAF-CS). Method: The participants were 255 university students (183 females and 70 males) with the age range of 18-28 years. The participants were asked to fill out the questionnaire set consisted of VOCI-MC, TAF-CS, Thought-Action Fusion Scale (TAFS), Disgust Scale-Revised, Trait Anger Expression Inventory and Obsessive Compulsive Inventory-Revised (OCI-R). Results: Reliability analyses indicated that internal consistency of VOCI-MC and TAF-CS were 0.93 and 0.92, and test-retest reliabilities were 0.79 and 0.61, respectively. Consistent with the original study, the results of explanatory and confirmatory factor analysis indicated that both scales had one factor structure. Convergent and divergent validity analyses revealed that both scales were positively correlated with OCI-R total scores and its subscales as well as TAF total score and its subscales; but this relationship was significantly less strong for Trait Anger and Disgust Sensitivity. While VOCI-MC significantly predicted OCD symptomatology, TAF-CS had no predictive power in this regard. Conclusions: The results support that psychometric properties of the Turkish versions of the scales meet acceptable standards for validity and reliability, and therefore can be used among Turkish population.
{"title":"The relationship between obsessive compulsive disorder and mental contamination (MC): psychometric properties of Vancouver Obsessive Compulsive Inventory-MC Scale and Thought-Action Fusion-Contamination Scale -","authors":"Mujgan Inozu, Ilgun Bilekli, Fulya Ozcanli Ulukut","doi":"10.5350/DAJPN2016290405","DOIUrl":"https://doi.org/10.5350/DAJPN2016290405","url":null,"abstract":"Objective: Mental contamination is defined as feelings of internal dirtiness in absence of actual contact with a dirty physical object or a person. Mental contamination is considered to play an important role in maintenance and persistence of obsessive compulsive disorder (OCD). This study aimed to examine psychometric properties of the Turkish version of two objective measures of mental contamination: Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale (VOCI-MC) and Thought-Action Fusion-Contamination Scale (TAF-CS). \u0000Method: The participants were 255 university students (183 females and 70 males) with the age range of 18-28 years. The participants were asked to fill out the questionnaire set consisted of VOCI-MC, TAF-CS, Thought-Action Fusion Scale (TAFS), Disgust Scale-Revised, Trait Anger Expression Inventory and Obsessive Compulsive Inventory-Revised (OCI-R). \u0000Results: Reliability analyses indicated that internal consistency of VOCI-MC and TAF-CS were 0.93 and 0.92, and test-retest reliabilities were 0.79 and 0.61, respectively. Consistent with the original study, the results of explanatory and confirmatory factor analysis indicated that both scales had one factor structure. Convergent and divergent validity analyses revealed that both scales were positively correlated with OCI-R total scores and its subscales as well as TAF total score and its subscales; but this relationship was significantly less strong for Trait Anger and Disgust Sensitivity. While VOCI-MC significantly predicted OCD symptomatology, TAF-CS had no predictive power in this regard. \u0000Conclusions: The results support that psychometric properties of the Turkish versions of the scales meet acceptable standards for validity and reliability, and therefore can be used among Turkish population.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130163189","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":"The Assessment of the Relationship between Problematic Internet Use and Parent-Adolescent Relationship Quality, Loneliness, Anger, and Problem Solving Skills","authors":"Gulen Say, A. Batıgün","doi":"10.5350/DAJPN2016290404","DOIUrl":"https://doi.org/10.5350/DAJPN2016290404","url":null,"abstract":"","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126260770","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}
Memduha Aydin, H. Ertekin, T. Etli, Hatice Yardi̇m Özayhan, I. Eren
Objective: In this study, we aimed to investigate the role of psychotherapy in healing and protection of mental health in integrated psychiatry and general medicine practice. Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between dates May 2013 and July 2013. Data were collected by using 5-item questionnaires prepared separately for patients and doctors from internal medicine and surgical disciplines. Results: The sample is consisting of 173 patients admitted to psychiatric outpatient clinic, 28 doctors from surgical and 89 doctors from internal medicine disciplines. Patients at psychiatric outpatient clinic believed that psychotherapy was an effective method for the treatment of psychiatric disorders, and knew that psychiatrists could apply psychotherapy, but thought that there was no sufficient time at outpatient clinics. No difference was determined between the doctors from internal medicine and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (p=0.115). Doctors from internal medine disciplines had a higher proportion of belief that psychotherapy was as effective as medication treatments (p=0.038). No difference was determined between doctors from internal medicine and surgical disciplines in the belief that psychiatrists could provide psychotherapy service. Belief of applicability of psychotherapy at the outpatient clinic settings was higher among doctors from internal medicine than those from the surgical disciplines (p=0.038). Conclusion: This study enabled us to assess the attitudes towards “psychotherapy†among patients and doctors from internal medicine and surgical disciplines.
{"title":"Psychotherapy perspective of physicians and psychiatric patients","authors":"Memduha Aydin, H. Ertekin, T. Etli, Hatice Yardi̇m Özayhan, I. Eren","doi":"10.5350/DAJPN2016290403","DOIUrl":"https://doi.org/10.5350/DAJPN2016290403","url":null,"abstract":"Objective: In this study, we aimed to investigate the role of psychotherapy in healing and protection of mental health in integrated psychiatry and general medicine practice. \u0000Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between dates May 2013 and July 2013. Data were collected by using 5-item questionnaires prepared separately for patients and doctors from internal medicine and surgical disciplines. \u0000Results: The sample is consisting of 173 patients admitted to psychiatric outpatient clinic, 28 doctors from surgical and 89 doctors from internal medicine disciplines. Patients at psychiatric outpatient clinic believed that psychotherapy was an effective method for the treatment of psychiatric disorders, and knew that psychiatrists could apply psychotherapy, but thought that there was no sufficient time at outpatient clinics. No difference was determined between the doctors from internal medicine and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (p=0.115). Doctors from internal medine disciplines had a higher proportion of belief that psychotherapy was as effective as medication treatments (p=0.038). No difference was determined between doctors from internal medicine and surgical disciplines in the belief that psychiatrists could provide psychotherapy service. Belief of applicability of psychotherapy at the outpatient clinic settings was higher among doctors from internal medicine than those from the surgical disciplines (p=0.038). \u0000Conclusion: This study enabled us to assess the attitudes towards “psychotherapy†among patients and doctors from internal medicine and surgical disciplines.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125708084","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}
Evaluation of EMDR therapy efficacy in treatment of phantom limb pain Objective: The aim of this study was to determine the effectiveness of Eye Movements of Desensitization and Reprocessing (EMDR) therapy in the treatment of the phantom limp pain. Method: Participants of this study consist of amputation applied 14 inpatients in the Orthopaedics and Traumatology Department of Gülhane Military Hospital. Amputation was applied to four patients with diabetic foot and ten patients with trauma. Five patients had three sessions , eight patients had five sessions and two patients had six sessions of EMDR applications. The treatment was ended when patients expressed that they were not in pain. Following amputation, McGill Melzack Pain Questionnaire, State Anxiety Inventory (STAI-I), the Beck Depression Inventory (BDI) and the Symptom Checklist (SCL-90-R) were applied at the end of the first week before EMDR applications and just after the EMDR applications. These tests were given to the patients who were invited to control again after one month and three months. The SCL-90-R was applied again in the third month control. Results: It was seen that phantom pain significantly decreased before the treatment, among shortly after, one month and 3 months later controls. Conclusion: In this study, EMDR therapy has been found to provide a significant improvement over the phantom pain. Based on the findings, EMDR therapy has been shown effective with early application on
{"title":"Evaluation of EMDR Therapy Efficacy in Treatment of Phantom Limb Pain","authors":"Ebru Sinici","doi":"10.5350/DAJPN2016290406","DOIUrl":"https://doi.org/10.5350/DAJPN2016290406","url":null,"abstract":"Evaluation of EMDR therapy efficacy in treatment of phantom limb pain Objective: The aim of this study was to determine the effectiveness of Eye Movements of Desensitization and Reprocessing (EMDR) therapy in the treatment of the phantom limp pain. Method: Participants of this study consist of amputation applied 14 inpatients in the Orthopaedics and Traumatology Department of Gülhane Military Hospital. Amputation was applied to four patients with diabetic foot and ten patients with trauma. Five patients had three sessions , eight patients had five sessions and two patients had six sessions of EMDR applications. The treatment was ended when patients expressed that they were not in pain. Following amputation, McGill Melzack Pain Questionnaire, State Anxiety Inventory (STAI-I), the Beck Depression Inventory (BDI) and the Symptom Checklist (SCL-90-R) were applied at the end of the first week before EMDR applications and just after the EMDR applications. These tests were given to the patients who were invited to control again after one month and three months. The SCL-90-R was applied again in the third month control. Results: It was seen that phantom pain significantly decreased before the treatment, among shortly after, one month and 3 months later controls. Conclusion: In this study, EMDR therapy has been found to provide a significant improvement over the phantom pain. Based on the findings, EMDR therapy has been shown effective with early application on","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123475176","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}
S. Korkmaz, Tuba Korucu, S. Yıldız, Şüheda Kaya, F. İzci, M. Atmaca
Objective: Objective of the present study is to determine prevalence of domestic violence among married female patients who have applied to our psychiatry outpatient clinic, and to investigate the relationship between exposure to violence and levels of anxiety and depression. Method: One hundred consecutive married female patients were included into the study. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and a sociodemographic and clinical data form designed by the authors were applied to each case. Furthermore, all participants were asked to complete a questionnaire including questions such as whether there was violence (economic, physical, sexual and psychological) at home; if present, what its frequency and duration is; and whether the partners were subject to violence during their childhood. Results: It was determined that 76% of the patients were subjected to at least one type of violence during marriage, 68% were exposed to verbal, 45% were exposed to physical, 39% were exposed to economic, and 11% were subject to sexual violence. As level of education was increased, the rate of being a victim of physical violence was increased directly. Of females who were the victims of physical violence (n=18), 40% reported that they inflicted violence to their children, and 15 of these patients (33%) said that they attempted a suicide during their marriage. Conclusion: In the present study, it is determined that domestic violence is correlated with increases in anxiety and depression scores. Independently from violence type, it is determined that domestic violence causes increased number of suicide attempts.
{"title":"Frequency of domestic violence in psychiatric patients and related factors","authors":"S. Korkmaz, Tuba Korucu, S. Yıldız, Şüheda Kaya, F. İzci, M. Atmaca","doi":"10.5350/DAJPN2016290407","DOIUrl":"https://doi.org/10.5350/DAJPN2016290407","url":null,"abstract":"Objective: Objective of the present study is to determine prevalence of domestic violence among married female patients who have applied to our psychiatry outpatient clinic, and to investigate the relationship between exposure to violence and levels of anxiety and depression. \u0000Method: One hundred consecutive married female patients were included into the study. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and a sociodemographic and clinical data form designed by the authors were applied to each case. Furthermore, all participants were asked to complete a questionnaire including questions such as whether there was violence (economic, physical, sexual and psychological) at home; if present, what its frequency and duration is; and whether the partners were subject to violence during their childhood. \u0000Results: It was determined that 76% of the patients were subjected to at least one type of violence during marriage, 68% were exposed to verbal, 45% were exposed to physical, 39% were exposed to economic, and 11% were subject to sexual violence. As level of education was increased, the rate of being a victim of physical violence was increased directly. Of females who were the victims of physical violence (n=18), 40% reported that they inflicted violence to their children, and 15 of these patients (33%) said that they attempted a suicide during their marriage. \u0000Conclusion: In the present study, it is determined that domestic violence is correlated with increases in anxiety and depression scores. Independently from violence type, it is determined that domestic violence causes increased number of suicide attempts.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122522817","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}
Hashimoto’s encephalopathy (HE) is a syndrome which represents itself with diverse neuropsychiatric symptoms and high titers of antithyroid antibodies, the syndrome has no specific radiological or EEG findings, and it can be dramatically resolved with corticosteroid treatment. HE can show different clinical findings such as, confusion, stupor, coma, stroke like episodes, epileptic seizures, myoclonus, behavioral changes, hallucinations and delusions. The cause of HE has been proposed to be autoimmune because of it’s association with other immunologic disorders, female predominance, inflammatory findings in cerebrospinal fluid and response to treatment with streoids. Because the disease has a wide range of symptom scala and has no specific radiological findings and also has no proven pathogenetic mechanism that can explain the occurence of the disease it is thought that the diagnosis of the syndrome can be delayed or the disease can be misdiagnosed. This knowledge is thought to be crucial as we know that corticosteroid treatment can lead to quick and dramatic response when the syndrome is diagnosed early. In this case report, a patient who applied to our clinic with findings of cognitive and psychotic disturbances and was followed up with the HE diognosis is presented.
{"title":"A Case of Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis (Hashimoto’s Encephalopathy)","authors":"M. Tatlı","doi":"10.5350/DAJPN2016290412","DOIUrl":"https://doi.org/10.5350/DAJPN2016290412","url":null,"abstract":"Hashimoto’s encephalopathy (HE) is a syndrome which represents itself with diverse neuropsychiatric symptoms and high titers of antithyroid antibodies, the syndrome has no specific radiological or EEG findings, and it can be dramatically resolved with corticosteroid treatment. HE can show different clinical findings such as, confusion, stupor, coma, stroke like episodes, epileptic seizures, myoclonus, behavioral changes, hallucinations and delusions. The cause of HE has been proposed to be autoimmune because of it’s association with other immunologic disorders, female predominance, inflammatory findings in cerebrospinal fluid and response to treatment with streoids. Because the disease has a wide range of symptom scala and has no specific radiological findings and also has no proven pathogenetic mechanism that can explain the occurence of the disease it is thought that the diagnosis of the syndrome can be delayed or the disease can be misdiagnosed. This knowledge is thought to be crucial as we know that corticosteroid treatment can lead to quick and dramatic response when the syndrome is diagnosed early. In this case report, a patient who applied to our clinic with findings of cognitive and psychotic disturbances and was followed up with the HE diognosis is presented.","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126691279","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}
Address reprint requests to / Yazışma adresi: Musa Sahpolat, Kilis State Hospital, Department of Psychiatry, Asit Mah., Hastane Sok., No: 31, Merkez/Kilis, Turkey Phone / Telefon: +90-348-822-1111/1280 E-mail address / Elektronik posta adresi: drmsahpolat@hotmail.com Date of receipt / Geliş tarihi: March 7, 2016 / 7 Mart 2016 Date of the first revision letter / İlk düzeltme öneri tarihi: March 28, 2016 / 28 Mart 2016 Kabul tarihi / Date of acceptance: April 18, 2016 / 18 Nisan 2016
{"title":"Antidepressant treatment with low dose modafinil","authors":"M. Şahpolat","doi":"10.5350/DAJPN2016290313","DOIUrl":"https://doi.org/10.5350/DAJPN2016290313","url":null,"abstract":"Address reprint requests to / Yazışma adresi: Musa Sahpolat, Kilis State Hospital, Department of Psychiatry, Asit Mah., Hastane Sok., No: 31, Merkez/Kilis, Turkey Phone / Telefon: +90-348-822-1111/1280 E-mail address / Elektronik posta adresi: drmsahpolat@hotmail.com Date of receipt / Geliş tarihi: March 7, 2016 / 7 Mart 2016 Date of the first revision letter / İlk düzeltme öneri tarihi: March 28, 2016 / 28 Mart 2016 Kabul tarihi / Date of acceptance: April 18, 2016 / 18 Nisan 2016","PeriodicalId":136580,"journal":{"name":"Düşünen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125062838","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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