Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

Objective: Access to psychiatry services in Kashmir is challenging because of active enduring conflict, insecurity and a fundamental role played by the traditional health workers. We aimed to assess the main pathways to mental health services in Kashmir, India.

Methods: This cross-sectional hospital-based study was performed from March 2012 to June 2017 in the outpatient psychiatry department at a psychiatric disease hospital in Kashmir. A convenience sampling method was used to select newly referred patients to the services. A survey was developed to collect information on demographic data and the main pathways for patients when seeking care for mental disorders.

Results: A total of 518 patients were interviewed. About half of the respondents (48.8 %) attended clinical consultation from a general pathway like a physician or a neurologist, while 31.8% were visiting a psychiatrist for a significant psychiatric disorder. For some patients (17.8%), their initial pathway to mental health services is traditional healers.

Conclusion: The current study revealed different pathways to seeking psychiatric care in Kashmir India. Further studies are needed to address the treatment gap and ways to improve access to mental health services for the Kashmir population.

Objective: The content shared on social media may cause secondary traumatic stress (STS) symptoms. The aim of this study is to evaluate the severity of social media related STS and the associated factors in university students who were not directly affected by the February 2023 earthquakes.

Method: In total, 436 university students completed an online survey including the Secondary Traumatic Stress Scale for Social Media Users (STSS-SM), the Bergen Social Media Addiction Scale (BSMAS), the Depression Anxiety Stress Scales (DASS-42), and demographic information and questions regarding social media use preferences after the earthquake.

Results: A large portion of the participants (79.1%) reported that they followed the news about the February 2023 earthquakes on social media instead of other media tools. STS associated with social media addiction, depression, anxiety and stress levels (r=0.475 p<0.001; r=0.543 p<0.001; r=0.583 p<0.001; r=0.591 p<0.001). Multiple linear regression analysis revealed that, female gender, social media addiction and anxiety levels predicted STS and explained 43.3% of the total variance. STS symptoms were higher in those who followed the earthquake-related news on social media (t=3.534 p<0.001) and in those who reported that Twitter was their preferred social media platform to access information regarding the earthquake (40.8%; (t=6.376 p=0.002)).

Conclusion: Social media has been widely used for news gathering following the February 2023 earthquakes. The results of this study reveal that STS in social media users is affected by gender, social media addiction, depression, anxiety, stress levels and social media platform preference.

Objectives: Personality traits and early maladaptive schemas (EMSs) play an active role in the emergence, maintenance, and treatment of depressive mood. Studies draw attention to the close relationship between temperament and character traits, EMSs, and depression. The first aim of this study is to examine the relationships between temperament, character traits, and EMSs. Secondly, we were interested to observe whether or not these variables explained depressive symptoms. Lastly, based on the previous findings and the idea that the development of EMSs is affected by temperament traits, the mediating role of EMSs in the relationship between harm avoidance and depressive symptoms was investigated.

Method: Personal Information Form, Temperament and Character Inventory, Young Schema Questionnaire Short Form-3, and Beck Depression Inventory were applied to 205 undergraduate students (68% women).

Results: Results showed the significant correlations among harm avoidance temperament trait, self-directedness, cooperativeness character traits, and with most of the EMSs. The disconnection schema domain, harm avoidance, and self-directedness personality traits predicted depressive symptoms. Moreover, controlling the gender effect, disconnection and unrelenting standards mediated the relationship between harm avoidance and depressive symptoms.

Conclusion: The findings supported the idea suggested by the schema theory that the temperament traits affect EMSs. We believe that these findings can support studies towards depression-prevention as well as the treatment of depressive individuals. Even without interfering with temperament characteristics of individuals, depressive symptoms might be reduced by working only with some of the EMSs.

Objectives: To evaluate the oral health status and denture treatment needs of a group of outpatients with schizophrenia.

Methods: One hundred and eighty-eight patients diagnosed with schizophrenia were evaluated. Socio-demographic characteristics, eating habits, alcohol consumption, smoking status, oral hygiene attitudes, medical status, medications and the data related to dental visit were obtained via structured questionnaire of 45 questions. Medication information were confirmed from hospital records. The DMFT score (the Total of decayed, missing and filled teeth), denture status, Community Periodontal Index of Treatment (CPITN) and attachment loss were recorded in accordance with the criteria defined by the WHO.

Results: The mean DMFT score was 11.1±8.6. Total number of teeth decreased, while the number of decayed teeth and DMFT scores increased with age (p<0.001). There was no relationship between the anticholinergic effects of antipsychotics and the teeth count, number of decayed, filled and missing teeth, and the DMFT scores. The CPITN assessment revealed that 71.6% of the patients had healthy periodontium, 7.4% exhibited gingival bleeding upon probing, and 21% had dental calculus. Psychotropic medication and tooth brushing habits were associated with CPITN scores. Male sex was associated with higher frequency of denture need (p<0.001), while no association was observed with the education level and antipsychotic use (p>0.001).

Conclusion: Physicians and dentists have to work in coordination to maintain good oral health of patients with schizophrenia. Patients should be encouraged for regular dental check-ups and dentist should take utmost care of the oral hygiene maintenance.

Who are the influential figures that molded Turkish Psychiatry into what it is today? This review introduces 12 psychiatrists who shaped psychiatry in Turkey during the first century of the Republic. The article presents Rasit Tahsin, the first neuropsychiatrist who establish an academic psychiatry department in Turkey; Mazhar Osman, who had so much influence that his name became a phrase to describe the mentally ill, and still lives on with the institutions he built; Ihsan Sukru, the founder of neuropathology in Turkey, a historical figure in viral encephalitis research; Fahrettin Kerim Gokay, famous for his political career and his fight against alcohol and tobacco; Rasim Adasal, a Cretian who is a cornerstone in Ankara psychiatry and a well-known figure in Turkish society life; Abdulkadir Ozbek, who introduced psychodrama to Anatolia-his 'earth'; Leyla Zileli, who disseminated psychoanalysis from Ankara to Turkey; Orhan Ozturk, a founding figure for the Journal, the Association, and Hacettepe; Ayhan Songar, a prominent figure in society and also in state bureaucracy; Ozcan Koknel, the amiable face of psychiatry in society and a respected voice; Oğuz Arkonaç, a vigorous advocate for the establishment of contemporary psychiatry with DSM III in Bakırköy and then in Turkey; and Gunsel Koptagel-Ilal, who progressed the work in the psychosomatics as one of Turkey's first female psychiatry academics. As with any list, we acknowledge that absolute consensus is not possible; we are preparing a more extensive selection to be published as a book next year. We present our selection to your liking, hoping that one or more of our colleagues reading this article will be included in the selection for the next century, reflecting our collective conscious creation of psychiatry in Turkey. Keywords: Neuropsychiatry, History, Medicine, Turkey, Psychoanalysis, Psychosomatics.

Objective: Maternal attachment representations and children's attachment to their mothers have been shown to be related while this association varies according to socioeconomic risk factors that these mother-child dyads are experiencing. In this regard, this study aims to investigate the intergenerational transmission of attachment between highly disadvantaged incarcerated mothers and their co-residing children and the mediating role of maternal sensitivity in the relationship between maternal and children's attachment representations.

Method: The study sample consists of 84 incarcerated mothers and their co-residing children. The maternal attachment was evaluated using the Doll Story Completion Task. Children's attachment and maternal sensitivity were assessed based on a 45-minute semi-structured mother-child interaction observation and rated through structured coding instruments.

Results: Hierarchical regression analyses revealed that mothers' anxious and avoidant attachment positively predicted children's disorganized attachment behaviors. Moreover, analyses showed that maternal sensitivity did not mediate the relationship between maternal and child attachment representations.

Conclusion: Findings partially supported the discussion emphasizing that attachment transmission, as well as the mediating role of maternal sensitivity on this transmission, appeared to be weaker for disadvantaged mother-child dyads. Implications for future intervention programs aiming to support the attachment security and reduce the disorganization of children co-residing with their incarcerated mothers are discussed.

Objective: This study aimed to conduct the validity and reliability study of the Turkish version of the Gaming Disorder Scale for Parents (GADIS-P).

Methods: In this methodological study, the study sample consisted of 345 parents who had children within the age range of 10-17 years who played digital games. The study data were collected through the Gaming Disorder Scale for Parents, the Scale for Determining Parents' Perceptions of Computer Game Addiction, and the Digital Parenting Attitude Scale. The Cronbach's alpha analysis for reliability, item total correlation analysis, confirmatory and exploratory factor analysis for construct validity, and clustering analysis for identifying gaming disorder according to the scale scores were used.

Results: It was determined that the content validity index of the scale was 0.97, that item loads varied between 0.617 and 0.863 according to exploratory factor analysis, and that the scale had good fit indices in the confirmatory factor analysis. The Cronbach's reliability coefficient of the scale was found to be α=0.907, and the item total correlations were determined to be adequate. The criterion validity analysis found a positive and strong correlation with the Scale for Identifying Parents' Perceptions Regarding Digital Game Addiction (r=0.717 p0.001). As a result of the clustering analysis, it was determined that the cut-off value was found as >9 points for "Cognitive Behavioral Symptoms" subscale and as >6 points for "Negative Consequences" subscale.

Conclusion: The results obtained show that the Turkish version of the Gaming Disorder Scale for Parents is a valid and reliable measurement tool.

The first episode of psychotic disorders often occurs in adolescence. Depressive symptoms are the most common symptoms in the prodromal period and the symptoms in this period are not specific to psychosis. Adolescence is a risky period in terms of suicidal behaviors. The risk of self-harm is further increased in the prodromal period and in the psychotic episode. Homicides in psychosis constitute a small part of all homicidal cases and homicidal thoughts have been associated with command hallucinations and delusions. In this article, an adolescent girl with psychosis who had intense homicidal and suicidal thoughts and self-harming behaviors will be presented, and homicidal thoughts in psychosis will be discussed. The symptoms of the case decreased with risperidone, and she started to socialize with the support of her teacher, who visited her house for lectures. The medical, legal, and social aspects of suicides and homicides in psychosis are discussed. Keywords: Adolescent, psychosis, homicidal, suicidal.

disorders. The aim of the study is to investigate the impact of the VR Psychosocial Treatment Program (PTP) on psychosocial functioning and symptoms in people with schizophrenia.

Method: Seven schizophrenia patients who have been admitted to the Schizophrenia Outpatient Unit of Dokuz Eylül University School of Medicine and met the diagnosis of schizophrenia according to DSM-V diagnostic criteria were included in the study. Psychosocial functionality level was assessed by PSP (Personal and Social Performance Scale), positive and negative symptom severity with PANSS (Positive and Negative Syndrome Scale), and social skills with SSC (Social Skills Checklist). VRPTP was continued for a total of 10 sessions and twice a week during five weeks. In this study, a real-environment-based VR-PTP for schizophrenia patients was developed. In the sessions, there were different realenvironment- based VR contents including social interaction components such as cafe, market, bazaar, public transportation.

Results: There was a statistically significant difference between the PSP scores before and after the VR application (p=0.018). None of the patients reported motion sickness during VR sessions due to the immersive nature of VR. There was no significant difference between pre and post VR PANSS total and subscale scores.

Conclusion: In this preliminary study, we discovered that realenvironment- based VR-PTP is effective for improving the social skills of patients with schizophrenia. Cognitive enhancement programs and psychosocial functionality therapies may be carried out using virtual reality in the near future. VR can assist patients in coping with their symptoms and day-to-day challenges.