Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

Objective: This study aimed to examine the role of type D personality traits in predicting depression and anxiety symptoms in women in the postpartum period.

Method: The study is correlational and case-controlled. The sample consisted of 319 women in the postpartum period living in a province in western Türkiye. Type D Personality Scale (DS14), Edinburgh Postpartum Depression Scale (EPDS), and State-Trait Anxiety Inventory (STAI) were administered. Data were collected via Google Forms between January and February 2022.

Results: 62.4% of women in the postpartum period had type D personality characteristics. Postpartum depression and state-trait anxiety levels of women with type D personality were significantly higher (p<0.05). Additionally, the negative affect subscale of the Type D Personality Scale was the most significantly associated variable with postpartum depression (β=0.548, p<0.05) and state-trait anxiety (β=0.709, p<0.05).

Conclusion: Personality traits can play an important role in the emergence of depression, anxiety and stress. Improving the coping and interpersonal skills of women with type D personality traits can help them to manage pregnancy, birth and motherhood related mental problems.

Based on our experiences over the past years, individuals who either apply for outpatient services or are receiving inpatient treatment at Alcohol and Substance Abuse Treatment Centers (AMATEM) may attempt to bring in narcotic drugs or substances for purposes such as drug use or drug trafficking to these clinics (Ögel 2010).

Objective: This study aimed to evaluate the long-term follow-up data and risks associated with untreated depression and antidepressant use in pregnancy.

Method: Patients who received consultation at the Clinical Pharmacology and Toxicology Unit at the Izmir Ataturk Research and Training Hospital for concerns related to use of medication during pregnancy between 2016 and 2020 were included in the study. During the initial interviews with the patients, data were collected regarding maternal characteristics and drug exposures. In follow-up calls after delivery, detailed information about pregnancy and birth outcomes was gathered.

Results: Among 2323 pregnant women who sought consultation due to drug use during pregnancy, 17% were receiving antidepressant treatment (398/2323). In follow-up calls, 290 women were reached. In women who had received no therapy during pregnancy (n=240), rates of gestational diabetes (p=0.02), pregnancy depression (p=0.01), postpartum depression (p<0.0001), and decreased breast milk (p=0.02) were significantly higher compared to women who continued treatment (n=50).

Conclusion: In pregnant individuals with an ongoing antidepressant use, the benefits and risks of antidepressant continuation should be weighed carefully.

Objective: This study aimed to analyze the potential mediating influence of primary emotional systems and rumination on the relationship between resilience and perceived stress.

Method: A sample of 503 undergraduate students completed a selfreport battery including the Perceived Stress Scale (PSS), the Brief Resilience Scale (BRS), the Ruminative Responses Scale–Brief Form (RRS-BF), and the Affective Neuroscience Personality Scale (ANPS). Common method bias was assessed and found not to be a significant concern. Hypothesized relationships and indirect effects were tested using path analysis and mediation analysis (bootstrapping), with model fit assessed via CFI, TLI, RMSEA, and BIC indices.

Results: The final model, controlling for gender and age, demonstrated good fit (χ²/df = 2.91, RMSEA = 0.068, TLI = 0.963, CFI = 0.998). Resilience was negatively associated with the FEAR, SADNESS, and ANGER systems, brooding, and perceived stress (all p<0.001). FEAR and SADNESS were positively associated with brooding and perceived stress. Brooding was positively associated with perceived stress. Bootstrap analyses confirmed significant indirect effects of resilience on perceived stress through FEAR, SADNESS, ANGER, and brooding (β= -0.253, p = 0.011).

Conclusion: Resilience capacity may influence stress evaluation through its relationship with primary emotional systems and rumination. These findings suggest that interactions between subcortical emotional mechanisms and cortical processes play a role in stress perception. Further research should investigate negative primary emotional systems as potential neuromodulation targets in stress processing Keywords: Affective.

Objective: Food neophobia is an aversion or reluctance to eat new or unfamiliar foods. The aim of this study was to establish the Turkish validity and reliability of the Food Neophobia Scale, which is used to measure the fear of trying new foods, in the adolescent age group.

Method: The study was conducted with high school students in the province of Rize during the 2023-2024 academic year. The sample of the study was comprised of 466 students in 13-18 age range. Data were collected using a questionnaire containing demographic characteristics and the Food Neophobia Scale. To assess the validity and reliability of the scale, Exploratory Factor Analysis, Confirmatory Factor Analysis, and Cronbach’s alpha internal consistency coefficient were used.

Results: The mean age of the students included in the study was 15.4±1.1 years 50.6% were male. The items in the scale used in the study were found to have sufficient correlation and the dataset was suitable for factor analysis (KMO=0.747; Bartlett’s sphericity test, p<0.001). The Confirmatory Factor Analysis revealed that the scale had a good model fit (χ²=3.78, p<0.001). The Cronbach α internal consistency coefficient for the scale integrity was 0.71.

Conclusion: The Turkish Food Neophobia Scale is a valid and reliable measurement tool. The scale can determine food neophobia in adolescents aged 13-18.

Neuroleptic Malignant Syndrome (NMS) is an idiosyncratic and potentially life-threatening drug reaction. Although uncommon, NMS cases induced by oral quetiapine have been reported. Most reports have predisposing risk factors such as an organic brain disorder, concomitant use of other antipsychotics or lithium, overdose or rapid titration. NMS with low doses of quetiapine is a much rarer clinical picture. Venlafaxine is commonly associated with withdrawal upon discontinuation sometimes as soon as the next day. In this case report, a 40-year-old man treated with venlafaxine for generalized anxiety disorder with symptoms of full-blown NMS after venlafaxine withdrawal, induced by low-dose quetiapine (50 mg), is presented. In accordance with the previous reports, we speculate that venlafaxine withdrawal was a predisposing factor in our case however we also discussed other possible risk factors for NMS. Acknowledging the risk of NMS, even with low doses of quetiapine in patients devoid of known risk factors, is of paramount importance for prompt diagnosis and mitigating morbidity and mortality. To our knowledge, this is the first case of NMS with such a low dose of quetiapine without any other known risk factors or substances.

Objective: Disability extends beyond physical limitations, impacting individuals’ mental health and psychosocial adjustment. This study aimed to investigate the underlying cognitive and metacognitive processes contributing to psychopathological symptoms in individuals with physical disabilities.

Method: We included 164 individuals with physical disabilities and 149 healthy controls. Psychopathology was measured using the 21 item Depression, Anxiety, and Stress Scale (DASS21). Cognitive and metacognitive processes were assessed using the Negative Core Beliefs Inventory (NCBI), Cognitive and Behavioural Processes Questionnaire (CBP-Q), and Cognitive Attentional Syndrome 1 Scale (CAS-1).

Results: Comparative analyses showed no significant difference in DASS21 total scores (p>0.05). The CAS-1 total score was significantly lower in individuals with physical disabilities (p<0.05). Moderate, positive, and significant correlations were found between DASS21 and NCBI, CBP-Q, and CAS-1 (p<0.05). Multiple linear regression analysis revealed that NCBI and CAS-1 significantly influenced depression levels (p<0.05), while CBP-Q had no effect (p>0.05).

Conclusion: Psychopathology in individuals with physical disabilities is associated with cognitive and metacognitive processes. Our results could inform the development of psychosocial interventions and improve health policies for this population.

Objective: The aim of this study was to compare cognitive flexibility and executive functions in adolescents diagnosed with social anxiety disorder (SAD) who have autistic traits with those who do not, and to investigate whether there is a significant difference compared to healthy controls.

Method: The study included 36 adolescents diagnosed with SAD and 36 healthy controls. All participants completed the Cognitive Flexibility Scale (CFS), and the Liebowitz Social Anxiety Scale was administered to the SAD group. Neuropsychological tests including the Stroop Test TBAG Form, the Wisconsin Card Sorting Test (WCST), Raven’s Standard Progressive Matrices Test, and Visual-Auditory Digit Span Test-B were applied. Autistic traits were assessed using the Autism Spectrum Quotient-Adolescent’s Version (AQ-Adolescent) and the Childhood Autism Rating Scale.

Results: There was no statistically significant difference in CFS scores between the social anxiety disorder and control groups. The SAD group showed poorer performance in the subdomains of the WCST. Additionally, in all subtestes of the Stroop test, the SAD group took significantly longer to complete the test. The AQ-Adolescent scores were significantly higher in the SAD group compared to the controls. In 25% (n=9) of the cases, autistic traits were above the cutoff. There were no significant difference in neuropsychological test results between the groups who have and do not have autistic traits within the case group. A weak negative correlation was found between the Liebowitz total and avoidance subscale scores and the AQ-imagination and attention to detail scores, while no correlation was found between the Liebowitz dimensions and CFS scores.

Conclusion: This is the among the first studies to examine autistic traits and executive functions among adolescents with SAD. While no difference was found in cognitive flexibility scale scores between the SAD and control groups, the SAD group showed poorer performance in tests measuring other executive functions. However, this difference was not significantly influenced by the presence of autistic traits.