Behcet Coşar | Gazi University (original) (raw)

Papers by Behcet Coşar

Research paper thumbnail of Yeni Bir Yaklaşım Olarak Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme ve Şema Terapinin Birlikte Kullanımı

Türkiye Kinikleri Özel Sayı, 2024

Duygusal işleme, beyindeki belirli devreler ve yapılar aracılığıyla gerçekleşir. Bu farklılık ned... more Duygusal işleme, beyindeki belirli devreler ve yapılar aracılığıyla gerçekleşir. Bu farklılık nedeniyle
psikoterapinin daha bütünleştirici modellerine ihtiyaç duyulmaktadır. Hem Şema Terapi (ŞT) hem
de Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (Eye Movement Desensization and Processing,
EMDR) kendi başlarına oldukça güçlü ve etkili psikoterapi modelleridir. ŞT ve EMDR, şimdiki zamandaki
olayların bu kadar rahatsız edici olmasının nedenlerinden birinin, sıklıkla önceki, hala acı veren
anıları harekete geçirmesi olduğunu varsayar. Ancak bu ilişkiyi gösterme noktasında farklı tekniklerden
yararlanırlar. Dolayısıyla beraber kullanımlarında daha da etkili olacakları düşünülmektedir. Bu makalede
genel olarak her iki terapi modelinin genel özelliklerinden bahsedilecek, ardından da birlikte kullanımın
faydalarına değinilecektir

Research paper thumbnail of Stressful life events, psychiatric comorbidities and serum neuromediator levels in patients with chronic spontaneous urticaria treated with omalizumab

Allergologia et immunopathologia, May 1, 2024

Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events... more Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events and exhibit psychiatric comorbidities. Emotional stress can cause or exacerbate urticaria symptoms by causing mast cell degranulation via neuromediators. Objectives: To investigate the frequency of stressful life events and compare psychiatric comorbidities and serum neuromediator levels in patients with CSU who responded to omalizumab with healthy controls. Methods: In this cross-sectional study, we included 42 patients with CSU who received at least 6 months of omalizumab treatment and a control group of 42 healthy controls. Stressful life events were evaluated with the Life Events Checklist for DSM-5 (LEC-5). The Depression Anxiety Stress Scale-42 (DASS-42) was used to evaluate depression, anxiety and stress levels. Serum nerve growth factor (NGF), calcitonin gene-related peptide (CGRP) and substance P (SP) levels were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: Twenty-six (62%) patients reported at least one stressful life event a median of 3.5 months before the onset of CSU. There were no significant differences in all three variables in the DASS subscales between the patient and control groups. Serum NGF levels were found to be significantly lower in patients with CSU (p<0.001), whereas CGRP levels were found to be significantly higher (p<0.001). There was no significant difference for SP. Conclusions: The psychological status of patients with CSU who benefited from omalizumab was similar to that of healthy controls. Omalizumab may affect stress-related neuromediator levels.

Research paper thumbnail of Stressful life events, psychiatric comorbidities and serum neuromediator levels in patients with chronic spontaneous urticaria treated with omalizumab

Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events... more Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events and exhibit psychiatric comorbidities. Emotional stress can cause or exacerbate urticaria symptoms by causing mast cell degranulation via neuromediators. Objectives: To investigate the frequency of stressful life events and compare psychiatric comorbidities and serum neuromediator levels in patients with CSU who responded to omalizumab with healthy controls. Methods: In this cross-sectional study, we included 42 patients with CSU who received at least 6 months of omalizumab treatment and a control group of 42 healthy controls. Stressful life events were evaluated with the Life Events Checklist for DSM-5 (LEC-5). The Depression Anxiety Stress Scale-42 (DASS-42) was used to evaluate depression, anxiety and stress levels. Serum nerve growth factor (NGF), calcitonin gene-related peptide (CGRP) and substance P (SP) levels were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: Twenty-six (62%) patients reported at least one stressful life event a median of 3.5 months before the onset of CSU. There were no significant differences in all three variables in the DASS subscales between the patient and control groups. Serum NGF levels were found to be significantly lower in patients with CSU (p<0.001), whereas CGRP levels were found to be significantly higher (p<0.001). There was no significant difference for SP. Conclusions: The psychological status of patients with CSU who benefited from omalizumab was similar to that of healthy controls. Omalizumab may affect stress-related neuromediator levels.

Research paper thumbnail of Relationship of Cryptocurrencies with Gambling and Addiction Kripto Paraların Kumar ve Bağımlılık ile İlişkisi

Cryptocurrencies has been considered as both an investment tool and a great invention that will r... more Cryptocurrencies has been considered as both an investment tool and a great invention that will replace money and change the world order. Although crypto currency trading has been investigated in many aspects, the psychological dimension that directly affects investors has often been ignored. Control of cryptocurrency trading is in the hands of investors rather than a central authority or institution. Thus, the value of cryptocurrencies changes with the reactions of investors. This situation suggests that psychological factors may be more prominent in cryptocurrency trading. Cryptocurrency trading has many similarities with gambling and betting, such as risk taking, getting quick returns, extreme gains or losses. Some significant components of behavioral addiction are also seen in individuals who spend so much time with cryptocurrency trading. The purpose of this article is to provide a better understanding of the psychological effects of cryptocuurency trading, which has entered our lives over a relatively brief period of time and reached millions of investors.

Research paper thumbnail of Diagnostic Transitions from Primary Psychiatric Disorders to Underlying Medical Conditions: A 5-Year Retrospective Survey from a University Hospital Sample

Background: Undiagnosed underlying medical conditions can cause many patients to be followed, for... more Background: Undiagnosed underlying medical conditions can cause many patients to be followed, for years, by a diagnosis of a primary psychiatric disorder and to receive inappropriate treatment. The aim of this study was to determine the prevalence of patients initially diagnosed with a primary psychiatric disorder but whose symptoms were later attributed to medical conditions. These patients' initial and final diagnoses were also examined. Methods: The records of 1843 patients hospitalized in Gazi University Faculty of Medicine Psychiatric Inpatient Clinic between 2015 and 2020 were examined in this retrospective and descriptive study. Thirteen patients were excluded from the study due to insufficient data. Descriptive statistics were performed on the data of 30 patients diagnosed with an underlying medical condition. Results: In follow-up, 49 patients' diagnoses changed. 19 patients had a diagnosis unrelated to an underlying medical condition, and 30 had a diagnosis related to an underlying medical condition. Five (16.7%) of the patients, previously known to have psychiatric disorders, were found to have Alzheimer's disease. Brain space-occupying lesions, frontotemporal dementia, epilepsy, Parkinson's disease, and Arnold-Chiari malformation followed Alzheimer's disease at 6.7% (n = 2). The mean time until the diagnosis of the patients was revised was 4.95 years (standard deviation [SD] = 7.78). It was observed that psychotropic medications (90%) were used more than non-psychotropic drugs until the diagnosis was revised. Conclusion: During the diagnostic process, we believe that clinicians should be aware of potential underlying medical conditions and that the multidisciplinary work of psychiatry and neurology is also crucial.

Research paper thumbnail of Turkish Adaptation, Validity, and Reliability Study of Shitsu-Taikan-Sho (Alexisomia) Scale

Background: The Shitsu-Taikan-Sho (Alexisomia) Scale is a self-report scale for measuring alexiso... more Background: The Shitsu-Taikan-Sho (Alexisomia) Scale is a self-report scale for measuring alexisomia,
defined as the difficulty in awareness and expression of somatic emotions or feelings. The scale is
available in Japanese and Finnish versions. This research aims to examine the psychometric properties
of the Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale.
Methods: The study sample consists of 320 patients who applied to the outpatient clinic of consultationliaison psychiatry. Participants completed the Sociodemographic Information Form, the Turkish version
of the Shitsu-Taikan-Sho (Alexisomia) Scale, and the Toronto Alexithymia Scale. Internal consistency
and test–retest reliability were used for reliability analyses. Exploratory factor analysis, confirmatory
factor analysis, and co-validity analyses were used for validity analyses.
Results: According to the exploratory factor analysis results, a 3-factor, 18-item model for the
Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale explained 48.3% of the variance (Kaiser–
Meyer–Olkin=0.866; χ2=1535.3, P < .001). Confirmatory factor analysis results indicated a good
fit (χ2=234.893; SD=132; χ2
/SD=1.779; CFI=0.927; GFI=0.923; RMSEA=0.049). In the co-validity
analysis, a significant correlation was found between Toronto Alexithymia Scale-20 and Turkish version
of the Shitsu-Taikan-Sho (Alexisomia) Scale (r=0.556, P < .001). Cronbach’s alpha coefficient was
0.825 for the total score, 0.711 for lack of health management based on bodily emotions, 0.794 for
difficulty in describing bodily emotions, and 0.775 for over adaptation. The interclass correlation
coefficient between the 2 measures of Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale was
0.883 (P < .001).
Conclusion: The Turkish adaptation of the Shitsu-Taikan-Sho (Alexisomia) Scale demonstrated adequate
psychometric properties. It is an appropriate scale for evaluating the concept of alexisomia in the
population of consultation-liaison psychiatry

Research paper thumbnail of Bir Başka Açıdan Rinoplasti

Bu calismada Ekim 1994 Temmuz-1995 tarihleri arasinda klinigimizde rinoplasti yapilan 39'u (%... more Bu calismada Ekim 1994 Temmuz-1995 tarihleri arasinda klinigimizde rinoplasti yapilan 39'u (%74) kadin, 14'u (%26) erkek, toplam 53 hastanin sosyokulturel ve psikolojik alt yapilari incelendi. Yas ortalamasi 26 /17-42) olarak saptandi. Operasyon oncesinde hastaya Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi ve Minnesota Cokyonlu Kisilik Envanteri (MMPI) adli psikolojik testler uygulandi. Operasyondan 3 ay sonra hastanin adresine Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi yollandi, ayrica sonuctan memnun olup olmadigi soruldu. Testlerin sonuclari ayni psikiyatrist ve psikolog tarafindan kor olarak degerlendirildi. Degerlendirmede 23(%44) hastada MMPI profilleri patolojik sinirlarda saptandi. Bu 23 hastanin 17'sinde Ege gucunde dusukluk mevcuttu. MMPI sonuclarina gore rinoplasti hastalari enerji duzeyi yuksek, disa donuk, kuskucu, elestiriye duyarli olaraktanimlandilar.Operasyon sonucundan memnun kalmayan hasta sayisi, MMPI profilleri patolojik sinirlarda olan hastalarda norml profil verenlere gore iki kat fazlaydi. Preop ve postop donemde uygulanan Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi normal sinirlardaydi. Hastalarin sosyokulturel altyapilari ve MMPI ile cizilen profilleri goz onune alindiginda, bu insanlari rinoplastiye iten etkenlerin psikiyatrik ve sosyolojik nedenler oldugu soylenebilir.

Research paper thumbnail of Relationship between perceived social support and clinical variables in infertile couples

Çukurova Üniversitesi Tıp Fakültesi dergisi, 2012

In this study it was aimed to assess and evaluate the impact of the levels of perceived social su... more In this study it was aimed to assess and evaluate the impact of the levels of perceived social support in infertile couples on stress related with infertility and marital adjustment. The study included 104 couples with primary or secondary infertility and 44 healthy couples with children for the control group. Control group was given the Hospital Anxiety Depression Scale (HADS), Dyadic Adjustment Scale (DAS) and Multidimensional Scale of Perceived Social Support (MSPSS). Infertile group was given HADS, DAS, MSPSS and also Fertility Problem Inventory. Women in infertile couples reported greater psychological symptoms and more decreased marital adjustment than men in infertile couples; but the couples did not show any significant difference with those in control groups regarding these parameters. It was determined that, in general, while marital adjustment in infertile couples increases, depression and anxiety levels decrease. It was also observed that perceieved social support from the family has a positive effect on the marital adjustment. The perceived social support level in men in infertil couples is lower than women in the same group, and this outcome is also related with the increasing anxiety in men. These results showed that psychosocial problems in infertile couples should be evaluated with specific scales. Psychosocial support which will be given to infertile couples and motivating social support systems while providing this service would have positive effects especially on men.

Research paper thumbnail of Alkol Bağımlılığı Hastalarında Taburculuk Sonrası İlk Altı Ay İçindeki Tekrar Yatış Oranları ve Nedenleri

PubMed Central, 2021

Introduction:Readmission rate is an important criterion that evaluates the quality of treatment a... more Introduction:Readmission rate is an important criterion that evaluates the quality of treatment and care. In this study, it was aimed to determine the rates of readmission and variables predicting readmission in patients with alcohol addiction.Methods:The study sample consisted of 264 alcohol addiction patients with recurrent admissions between 2005–2017 at the Gazi University Hospital Alcohol and Drug Addiction Clinic. In the study, ICD-10 diagnostic classification was used. The differences between the medical comorbidity and psychiatric comorbidity of the patients during the first and second admissions were analyzed.Results:The average age of the study sample was 51.45±12.04 and 89% (n=235) were male. In the second admission, the comorbid headaches (p=0.001), psychotic symptoms (p=0.013), anxiety disorder (p=0.003) and substance addiction (p=0.027) were significantly higher, and the length of hospital stay was shorter. In the first six months, 24.2% (n=64) of the sample was hospitalized again. While the comorbidity of anxiety disorder increased the risk of readmission within six months 2.2-fold (OR=2.240; p=0.031), the short duration of hospitalization (less than 35 days) increased the risk of readmission 2-fold (OR=0.492; p=0.026).Discussion:Patients with a short hospital stay have an increased risk of readmission within the first 6 months after discharge. Policies that reduce the length of hospital stay in health services should be reviewed. However, it is noteworthy that in the second admission of patients with alcohol dependence, the diagnosis of drug addiction is added. To prevent this, issues related to substance abuse prevention should be addressed during the treatment stages of alcohol dependence.

Research paper thumbnail of COVID-19 Pandemisi ve Ruh Beden İlişkisi

Turkiye Klinikleri COVID - 19, 2020

Research paper thumbnail of Increased frequency of sister chromatid exchanges in peripheral lymphocytes of alcoholics and cigarette smokers

Cell Biology International, Feb 1, 2005

... be a highly sensitive parameter for evaluating human exposure to mutagenic and/or carcinogeni... more ... be a highly sensitive parameter for evaluating human exposure to mutagenic and/or carcinogenic agents ( [Perry and Evans, 1975] and ... Personality Questionnaire was applied to evaluate novelty seeking, harm avoidance and reward dependence ( [Cloninger, 1987] , [Cloninger ...

Research paper thumbnail of The relationship between dyadic adjustment with demographic and clinical variables in infertile couples

Çukurova Üniversitesi Tıp Fakültesi dergisi, 2012

Research paper thumbnail of Psikoz ve Şiddet

Türkiye Klinikleri Psikiyatri Hemşireliği - Özel Konular, 2017

Research paper thumbnail of A Multidisciplinary Internship Example in Geriatrics

Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2014

Research paper thumbnail of Lackof Association Between TaqIA RFLP of the Dopamine D2 Receptor Gene and Alcoholism in Type II Turkish Alcoholics

Genes & Genomics, Jun 1, 2004

Research paper thumbnail of Reliable biomarkers for decreased spatial navigation in the Young People with Obesity: Increased serum CRP and QUIN levels

Research Square (Research Square), Sep 29, 2022

Background: Obesity is increasing morbidity and mortality. Obesity and cognitive impairment resea... more Background: Obesity is increasing morbidity and mortality. Obesity and cognitive impairment research have focused on the negative consequences of obesity-related medical diseases on cognition. This study aimed to examine the effect of obesity on spatial navigation, and the relationship between changes in tryptophan kynurenine metabolites and spatial navigation in the people with obesity between 18 and 35 years of age. Methods: In 29 adults with obesity and 25 normal weight adults, we examined plasma levels of CRP, leptin, kynurenine (KYN), tryptophan (TRP), kynurenic acid (KYNA), 3-hydroxykynurenine (3-HK), and quinolinic acid (QUIN), as well as the TRP/KYN, KYNA/3-HK, and KYNA/QUIN ratios. Body and abdominal fat composition (AFC) were also examined. The EAT-26 was used to assess eating attitudes. We used Montreal cognitive assessment (MOCA), Reaction Time (RT), Rey-Osterrieth Complex Figure Test (RCFT), and Virtual-Reality-Based Route-Learning Test with subtests Route repetition task (RPT), Route retraction task (RRT), Directional-approach task (DAT) to measure cognitive abilities. Results: In participants with obesity, the EAT-26 score was higher (p= 0.006), but the MOCA total score (p=0.03) and RCFT copy subscale score (p=0.03), as well as the RPT (p< 0,001), RRT p= 0,004), and DAT (p< 0,001) percentage of correct answers, was lower than normal-weight participants. The QUIN was found to be a negative predictor of RRT (

Research paper thumbnail of Psychiatric Misdiagnosis in Frontotemporal Dementia

European Psychiatry, Jun 1, 2022

The results of web-based,showed that using online CBT approach can greatly reduce stress and anxi... more The results of web-based,showed that using online CBT approach can greatly reduce stress and anxiety,due to increased use of the internet, non-collaborative, cheap and private treatment of web-based interventions, this method can be used as a way along with other treatments to reduce these negative reactions. Conclusions: According to the present study CBT methods, application and Internet-based interventions can be used as appropriate counseling methods in reducing stress, anxiety and improving pregnancy outcomes in infertile patients. This information can be used as a proper source to select appropriate counseling methods for health care providers, midwives, and treatment staff involved in infertility patients.

Research paper thumbnail of Mianserin-Induced Peripheral Edema and Review of the Literature

Psychiatric Annals

Peripheral edema is characterized by interstitial fluid accumulation in the extravascular compart... more Peripheral edema is characterized by interstitial fluid accumulation in the extravascular compartment. Use of psychotropic drugs can cause edema either directly or by causing systemic disease. We present a case of bilateral ankle edema reaching up to the middle of both legs in a 50-year-old female patient, which is considered to be a result of the use of mianserin 10 mg/day. Dramatic regression was observed in the patient's edema 15 days after the cessation of mianserin. This is the second case in the literature that demonstrated peripheral edema associated with mianserin. Clinicians need to know about the management of edema and edema associated with the use of antidepressants. [ Psychiatr Ann . 2022;52(5):213–216.]

Research paper thumbnail of A Case of Psychosis with Catatonic Features Triggered by Human Chorionic Gonadotropin After Anabolic Steroid Abuse

Research paper thumbnail of COVID-19 Pandemisi ve Yoğun Bakımda Psikiyatri

Research paper thumbnail of Yeni Bir Yaklaşım Olarak Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme ve Şema Terapinin Birlikte Kullanımı

Türkiye Kinikleri Özel Sayı, 2024

Duygusal işleme, beyindeki belirli devreler ve yapılar aracılığıyla gerçekleşir. Bu farklılık ned... more Duygusal işleme, beyindeki belirli devreler ve yapılar aracılığıyla gerçekleşir. Bu farklılık nedeniyle
psikoterapinin daha bütünleştirici modellerine ihtiyaç duyulmaktadır. Hem Şema Terapi (ŞT) hem
de Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (Eye Movement Desensization and Processing,
EMDR) kendi başlarına oldukça güçlü ve etkili psikoterapi modelleridir. ŞT ve EMDR, şimdiki zamandaki
olayların bu kadar rahatsız edici olmasının nedenlerinden birinin, sıklıkla önceki, hala acı veren
anıları harekete geçirmesi olduğunu varsayar. Ancak bu ilişkiyi gösterme noktasında farklı tekniklerden
yararlanırlar. Dolayısıyla beraber kullanımlarında daha da etkili olacakları düşünülmektedir. Bu makalede
genel olarak her iki terapi modelinin genel özelliklerinden bahsedilecek, ardından da birlikte kullanımın
faydalarına değinilecektir

Research paper thumbnail of Stressful life events, psychiatric comorbidities and serum neuromediator levels in patients with chronic spontaneous urticaria treated with omalizumab

Allergologia et immunopathologia, May 1, 2024

Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events... more Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events and exhibit psychiatric comorbidities. Emotional stress can cause or exacerbate urticaria symptoms by causing mast cell degranulation via neuromediators. Objectives: To investigate the frequency of stressful life events and compare psychiatric comorbidities and serum neuromediator levels in patients with CSU who responded to omalizumab with healthy controls. Methods: In this cross-sectional study, we included 42 patients with CSU who received at least 6 months of omalizumab treatment and a control group of 42 healthy controls. Stressful life events were evaluated with the Life Events Checklist for DSM-5 (LEC-5). The Depression Anxiety Stress Scale-42 (DASS-42) was used to evaluate depression, anxiety and stress levels. Serum nerve growth factor (NGF), calcitonin gene-related peptide (CGRP) and substance P (SP) levels were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: Twenty-six (62%) patients reported at least one stressful life event a median of 3.5 months before the onset of CSU. There were no significant differences in all three variables in the DASS subscales between the patient and control groups. Serum NGF levels were found to be significantly lower in patients with CSU (p<0.001), whereas CGRP levels were found to be significantly higher (p<0.001). There was no significant difference for SP. Conclusions: The psychological status of patients with CSU who benefited from omalizumab was similar to that of healthy controls. Omalizumab may affect stress-related neuromediator levels.

Research paper thumbnail of Stressful life events, psychiatric comorbidities and serum neuromediator levels in patients with chronic spontaneous urticaria treated with omalizumab

Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events... more Introduction: Many chronic spontaneous urticaria (CSU) patients have highly stressful life events and exhibit psychiatric comorbidities. Emotional stress can cause or exacerbate urticaria symptoms by causing mast cell degranulation via neuromediators. Objectives: To investigate the frequency of stressful life events and compare psychiatric comorbidities and serum neuromediator levels in patients with CSU who responded to omalizumab with healthy controls. Methods: In this cross-sectional study, we included 42 patients with CSU who received at least 6 months of omalizumab treatment and a control group of 42 healthy controls. Stressful life events were evaluated with the Life Events Checklist for DSM-5 (LEC-5). The Depression Anxiety Stress Scale-42 (DASS-42) was used to evaluate depression, anxiety and stress levels. Serum nerve growth factor (NGF), calcitonin gene-related peptide (CGRP) and substance P (SP) levels were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: Twenty-six (62%) patients reported at least one stressful life event a median of 3.5 months before the onset of CSU. There were no significant differences in all three variables in the DASS subscales between the patient and control groups. Serum NGF levels were found to be significantly lower in patients with CSU (p<0.001), whereas CGRP levels were found to be significantly higher (p<0.001). There was no significant difference for SP. Conclusions: The psychological status of patients with CSU who benefited from omalizumab was similar to that of healthy controls. Omalizumab may affect stress-related neuromediator levels.

Research paper thumbnail of Relationship of Cryptocurrencies with Gambling and Addiction Kripto Paraların Kumar ve Bağımlılık ile İlişkisi

Cryptocurrencies has been considered as both an investment tool and a great invention that will r... more Cryptocurrencies has been considered as both an investment tool and a great invention that will replace money and change the world order. Although crypto currency trading has been investigated in many aspects, the psychological dimension that directly affects investors has often been ignored. Control of cryptocurrency trading is in the hands of investors rather than a central authority or institution. Thus, the value of cryptocurrencies changes with the reactions of investors. This situation suggests that psychological factors may be more prominent in cryptocurrency trading. Cryptocurrency trading has many similarities with gambling and betting, such as risk taking, getting quick returns, extreme gains or losses. Some significant components of behavioral addiction are also seen in individuals who spend so much time with cryptocurrency trading. The purpose of this article is to provide a better understanding of the psychological effects of cryptocuurency trading, which has entered our lives over a relatively brief period of time and reached millions of investors.

Research paper thumbnail of Diagnostic Transitions from Primary Psychiatric Disorders to Underlying Medical Conditions: A 5-Year Retrospective Survey from a University Hospital Sample

Background: Undiagnosed underlying medical conditions can cause many patients to be followed, for... more Background: Undiagnosed underlying medical conditions can cause many patients to be followed, for years, by a diagnosis of a primary psychiatric disorder and to receive inappropriate treatment. The aim of this study was to determine the prevalence of patients initially diagnosed with a primary psychiatric disorder but whose symptoms were later attributed to medical conditions. These patients' initial and final diagnoses were also examined. Methods: The records of 1843 patients hospitalized in Gazi University Faculty of Medicine Psychiatric Inpatient Clinic between 2015 and 2020 were examined in this retrospective and descriptive study. Thirteen patients were excluded from the study due to insufficient data. Descriptive statistics were performed on the data of 30 patients diagnosed with an underlying medical condition. Results: In follow-up, 49 patients' diagnoses changed. 19 patients had a diagnosis unrelated to an underlying medical condition, and 30 had a diagnosis related to an underlying medical condition. Five (16.7%) of the patients, previously known to have psychiatric disorders, were found to have Alzheimer's disease. Brain space-occupying lesions, frontotemporal dementia, epilepsy, Parkinson's disease, and Arnold-Chiari malformation followed Alzheimer's disease at 6.7% (n = 2). The mean time until the diagnosis of the patients was revised was 4.95 years (standard deviation [SD] = 7.78). It was observed that psychotropic medications (90%) were used more than non-psychotropic drugs until the diagnosis was revised. Conclusion: During the diagnostic process, we believe that clinicians should be aware of potential underlying medical conditions and that the multidisciplinary work of psychiatry and neurology is also crucial.

Research paper thumbnail of Turkish Adaptation, Validity, and Reliability Study of Shitsu-Taikan-Sho (Alexisomia) Scale

Background: The Shitsu-Taikan-Sho (Alexisomia) Scale is a self-report scale for measuring alexiso... more Background: The Shitsu-Taikan-Sho (Alexisomia) Scale is a self-report scale for measuring alexisomia,
defined as the difficulty in awareness and expression of somatic emotions or feelings. The scale is
available in Japanese and Finnish versions. This research aims to examine the psychometric properties
of the Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale.
Methods: The study sample consists of 320 patients who applied to the outpatient clinic of consultationliaison psychiatry. Participants completed the Sociodemographic Information Form, the Turkish version
of the Shitsu-Taikan-Sho (Alexisomia) Scale, and the Toronto Alexithymia Scale. Internal consistency
and test–retest reliability were used for reliability analyses. Exploratory factor analysis, confirmatory
factor analysis, and co-validity analyses were used for validity analyses.
Results: According to the exploratory factor analysis results, a 3-factor, 18-item model for the
Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale explained 48.3% of the variance (Kaiser–
Meyer–Olkin=0.866; χ2=1535.3, P < .001). Confirmatory factor analysis results indicated a good
fit (χ2=234.893; SD=132; χ2
/SD=1.779; CFI=0.927; GFI=0.923; RMSEA=0.049). In the co-validity
analysis, a significant correlation was found between Toronto Alexithymia Scale-20 and Turkish version
of the Shitsu-Taikan-Sho (Alexisomia) Scale (r=0.556, P < .001). Cronbach’s alpha coefficient was
0.825 for the total score, 0.711 for lack of health management based on bodily emotions, 0.794 for
difficulty in describing bodily emotions, and 0.775 for over adaptation. The interclass correlation
coefficient between the 2 measures of Turkish version of the Shitsu-Taikan-Sho (Alexisomia) Scale was
0.883 (P < .001).
Conclusion: The Turkish adaptation of the Shitsu-Taikan-Sho (Alexisomia) Scale demonstrated adequate
psychometric properties. It is an appropriate scale for evaluating the concept of alexisomia in the
population of consultation-liaison psychiatry

Research paper thumbnail of Bir Başka Açıdan Rinoplasti

Bu calismada Ekim 1994 Temmuz-1995 tarihleri arasinda klinigimizde rinoplasti yapilan 39'u (%... more Bu calismada Ekim 1994 Temmuz-1995 tarihleri arasinda klinigimizde rinoplasti yapilan 39'u (%74) kadin, 14'u (%26) erkek, toplam 53 hastanin sosyokulturel ve psikolojik alt yapilari incelendi. Yas ortalamasi 26 /17-42) olarak saptandi. Operasyon oncesinde hastaya Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi ve Minnesota Cokyonlu Kisilik Envanteri (MMPI) adli psikolojik testler uygulandi. Operasyondan 3 ay sonra hastanin adresine Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi yollandi, ayrica sonuctan memnun olup olmadigi soruldu. Testlerin sonuclari ayni psikiyatrist ve psikolog tarafindan kor olarak degerlendirildi. Degerlendirmede 23(%44) hastada MMPI profilleri patolojik sinirlarda saptandi. Bu 23 hastanin 17'sinde Ege gucunde dusukluk mevcuttu. MMPI sonuclarina gore rinoplasti hastalari enerji duzeyi yuksek, disa donuk, kuskucu, elestiriye duyarli olaraktanimlandilar.Operasyon sonucundan memnun kalmayan hasta sayisi, MMPI profilleri patolojik sinirlarda olan hastalarda norml profil verenlere gore iki kat fazlaydi. Preop ve postop donemde uygulanan Rosenberg Benlik Saygisi Olcegi, Beden Imgesi Olcegi normal sinirlardaydi. Hastalarin sosyokulturel altyapilari ve MMPI ile cizilen profilleri goz onune alindiginda, bu insanlari rinoplastiye iten etkenlerin psikiyatrik ve sosyolojik nedenler oldugu soylenebilir.

Research paper thumbnail of Relationship between perceived social support and clinical variables in infertile couples

Çukurova Üniversitesi Tıp Fakültesi dergisi, 2012

In this study it was aimed to assess and evaluate the impact of the levels of perceived social su... more In this study it was aimed to assess and evaluate the impact of the levels of perceived social support in infertile couples on stress related with infertility and marital adjustment. The study included 104 couples with primary or secondary infertility and 44 healthy couples with children for the control group. Control group was given the Hospital Anxiety Depression Scale (HADS), Dyadic Adjustment Scale (DAS) and Multidimensional Scale of Perceived Social Support (MSPSS). Infertile group was given HADS, DAS, MSPSS and also Fertility Problem Inventory. Women in infertile couples reported greater psychological symptoms and more decreased marital adjustment than men in infertile couples; but the couples did not show any significant difference with those in control groups regarding these parameters. It was determined that, in general, while marital adjustment in infertile couples increases, depression and anxiety levels decrease. It was also observed that perceieved social support from the family has a positive effect on the marital adjustment. The perceived social support level in men in infertil couples is lower than women in the same group, and this outcome is also related with the increasing anxiety in men. These results showed that psychosocial problems in infertile couples should be evaluated with specific scales. Psychosocial support which will be given to infertile couples and motivating social support systems while providing this service would have positive effects especially on men.

Research paper thumbnail of Alkol Bağımlılığı Hastalarında Taburculuk Sonrası İlk Altı Ay İçindeki Tekrar Yatış Oranları ve Nedenleri

PubMed Central, 2021

Introduction:Readmission rate is an important criterion that evaluates the quality of treatment a... more Introduction:Readmission rate is an important criterion that evaluates the quality of treatment and care. In this study, it was aimed to determine the rates of readmission and variables predicting readmission in patients with alcohol addiction.Methods:The study sample consisted of 264 alcohol addiction patients with recurrent admissions between 2005–2017 at the Gazi University Hospital Alcohol and Drug Addiction Clinic. In the study, ICD-10 diagnostic classification was used. The differences between the medical comorbidity and psychiatric comorbidity of the patients during the first and second admissions were analyzed.Results:The average age of the study sample was 51.45±12.04 and 89% (n=235) were male. In the second admission, the comorbid headaches (p=0.001), psychotic symptoms (p=0.013), anxiety disorder (p=0.003) and substance addiction (p=0.027) were significantly higher, and the length of hospital stay was shorter. In the first six months, 24.2% (n=64) of the sample was hospitalized again. While the comorbidity of anxiety disorder increased the risk of readmission within six months 2.2-fold (OR=2.240; p=0.031), the short duration of hospitalization (less than 35 days) increased the risk of readmission 2-fold (OR=0.492; p=0.026).Discussion:Patients with a short hospital stay have an increased risk of readmission within the first 6 months after discharge. Policies that reduce the length of hospital stay in health services should be reviewed. However, it is noteworthy that in the second admission of patients with alcohol dependence, the diagnosis of drug addiction is added. To prevent this, issues related to substance abuse prevention should be addressed during the treatment stages of alcohol dependence.

Research paper thumbnail of COVID-19 Pandemisi ve Ruh Beden İlişkisi

Turkiye Klinikleri COVID - 19, 2020

Research paper thumbnail of Increased frequency of sister chromatid exchanges in peripheral lymphocytes of alcoholics and cigarette smokers

Cell Biology International, Feb 1, 2005

... be a highly sensitive parameter for evaluating human exposure to mutagenic and/or carcinogeni... more ... be a highly sensitive parameter for evaluating human exposure to mutagenic and/or carcinogenic agents ( [Perry and Evans, 1975] and ... Personality Questionnaire was applied to evaluate novelty seeking, harm avoidance and reward dependence ( [Cloninger, 1987] , [Cloninger ...

Research paper thumbnail of The relationship between dyadic adjustment with demographic and clinical variables in infertile couples

Çukurova Üniversitesi Tıp Fakültesi dergisi, 2012

Research paper thumbnail of Psikoz ve Şiddet

Türkiye Klinikleri Psikiyatri Hemşireliği - Özel Konular, 2017

Research paper thumbnail of A Multidisciplinary Internship Example in Geriatrics

Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2014

Research paper thumbnail of Lackof Association Between TaqIA RFLP of the Dopamine D2 Receptor Gene and Alcoholism in Type II Turkish Alcoholics

Genes & Genomics, Jun 1, 2004

Research paper thumbnail of Reliable biomarkers for decreased spatial navigation in the Young People with Obesity: Increased serum CRP and QUIN levels

Research Square (Research Square), Sep 29, 2022

Background: Obesity is increasing morbidity and mortality. Obesity and cognitive impairment resea... more Background: Obesity is increasing morbidity and mortality. Obesity and cognitive impairment research have focused on the negative consequences of obesity-related medical diseases on cognition. This study aimed to examine the effect of obesity on spatial navigation, and the relationship between changes in tryptophan kynurenine metabolites and spatial navigation in the people with obesity between 18 and 35 years of age. Methods: In 29 adults with obesity and 25 normal weight adults, we examined plasma levels of CRP, leptin, kynurenine (KYN), tryptophan (TRP), kynurenic acid (KYNA), 3-hydroxykynurenine (3-HK), and quinolinic acid (QUIN), as well as the TRP/KYN, KYNA/3-HK, and KYNA/QUIN ratios. Body and abdominal fat composition (AFC) were also examined. The EAT-26 was used to assess eating attitudes. We used Montreal cognitive assessment (MOCA), Reaction Time (RT), Rey-Osterrieth Complex Figure Test (RCFT), and Virtual-Reality-Based Route-Learning Test with subtests Route repetition task (RPT), Route retraction task (RRT), Directional-approach task (DAT) to measure cognitive abilities. Results: In participants with obesity, the EAT-26 score was higher (p= 0.006), but the MOCA total score (p=0.03) and RCFT copy subscale score (p=0.03), as well as the RPT (p< 0,001), RRT p= 0,004), and DAT (p< 0,001) percentage of correct answers, was lower than normal-weight participants. The QUIN was found to be a negative predictor of RRT (

Research paper thumbnail of Psychiatric Misdiagnosis in Frontotemporal Dementia

European Psychiatry, Jun 1, 2022

The results of web-based,showed that using online CBT approach can greatly reduce stress and anxi... more The results of web-based,showed that using online CBT approach can greatly reduce stress and anxiety,due to increased use of the internet, non-collaborative, cheap and private treatment of web-based interventions, this method can be used as a way along with other treatments to reduce these negative reactions. Conclusions: According to the present study CBT methods, application and Internet-based interventions can be used as appropriate counseling methods in reducing stress, anxiety and improving pregnancy outcomes in infertile patients. This information can be used as a proper source to select appropriate counseling methods for health care providers, midwives, and treatment staff involved in infertility patients.

Research paper thumbnail of Mianserin-Induced Peripheral Edema and Review of the Literature

Psychiatric Annals

Peripheral edema is characterized by interstitial fluid accumulation in the extravascular compart... more Peripheral edema is characterized by interstitial fluid accumulation in the extravascular compartment. Use of psychotropic drugs can cause edema either directly or by causing systemic disease. We present a case of bilateral ankle edema reaching up to the middle of both legs in a 50-year-old female patient, which is considered to be a result of the use of mianserin 10 mg/day. Dramatic regression was observed in the patient's edema 15 days after the cessation of mianserin. This is the second case in the literature that demonstrated peripheral edema associated with mianserin. Clinicians need to know about the management of edema and edema associated with the use of antidepressants. [ Psychiatr Ann . 2022;52(5):213–216.]

Research paper thumbnail of A Case of Psychosis with Catatonic Features Triggered by Human Chorionic Gonadotropin After Anabolic Steroid Abuse

Research paper thumbnail of COVID-19 Pandemisi ve Yoğun Bakımda Psikiyatri

Research paper thumbnail of COVID-19 Pandemisi ve Ruh Beden İlişkisi COVID-19 Pandemic and the Mind Body Dualism

Türkiye Klinikleri Covid 19 Psikiyatri Özel Sayısı, 2020

COVID-19, şiddetli akut solunum sendromu koronavirüs 2'nin (SARS-CoV-2) neden olduğu bulaşıcı bir... more COVID-19, şiddetli akut solunum sendromu koronavirüs 2'nin (SARS-CoV-2) neden olduğu bulaşıcı bir hastalıktır. Dünyanın dört bir yanında salgın kontrol altına alınmaya ve sonlandırılmaya çalışılırken, sağlık, ekonomik ve sosyal sistemler salgına karşı yeterince yapılandırılamamaktadır. 1 COVID-19 hastalığı sadece fiziksel sağlığı tehdit etmez. Henüz salgının kontrol altına alınmamış olması, hastalığı önleyecek bir aşının geliştirilmemiş olması karşısında kişilerin; beden bütünlüğüne yönelik her türlü tehdit karşısında olduğu gibi kaygı, korku, stres tepkilerini göstermeleri olağandır. Tüm dünyayı etkileyen bu büyüklükteki bulaşıcı bir olaya psikososyal yanıt karmaşıktır; araştırmacılar büyük bir olay karşısında kişile-rin duygusal ve davranışsal tepkilerinin yoğun strese normal ve uyarlanabilir bir cevap olduğu sonucuna varmışlardır. 2 SARS-CoV-2 ile enfekte olmuş kişilerde ölüm korkusu, sağlık kaygısı ve damga-lanmanın doğuracağı dışlanmışlık hissi bireyin ruhsal sağlığını etkiler. COVID-19 olma ihtimaline karşı kişilerin uyguladığı sosyal izolasyon sürecinde yakınlarından ayrı kalma,