Esin Erdogan - Academia.edu (original) (raw)

Papers by Esin Erdogan

Perspectives in Psychiatric Care

PURPOSE This study evaluates the effect of a 10-week psychoeducation program (PP) on disease burd... more PURPOSE This study evaluates the effect of a 10-week psychoeducation program (PP) on disease burden, depression, and anxiety levels in relatives of psychotic patients. DESIGN AND METHODS The participants were 43 relatives of patients attending a community mental health center. The Zarit Caregiver Burden Scale (ZCBS), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were used to collect psychometric data. FINDINGS Administering the PP to caregivers significantly reduced their ZCBS, BAI, and BDI scores. PRACTICE IMPLICATIONS We recommend integrating the PP into treatment and rehabilitation programs within the scope of psychiatric-care services.

Meandros Medical and Dental Journal

Amaç: Bu çalışmanın amacı, COVID-19 pandemisi sırasında acil hastaları tedavi eden bir diş hekiml... more Amaç: Bu çalışmanın amacı, COVID-19 pandemisi sırasında acil hastaları tedavi eden bir diş hekimliği acil üniversite kliniğindeki Diş Sağlığı Çalışanlarının (DSÇ) ruh sağlığı durumunu değerlendirmektir. Gereç ve Yöntemler: Bir üniversitenin acil diş kliniğinde pandemi sırasında aktif olarak çalışan DSÇ'lerden 115 katılımcı seçildi. Katılımcıların depresyon, anksiyete ve stres düzeyleri Depresyon-Anksiyete-Stres Ölçeği ile, uykusuzluk düzeyleri ise uykusuzluk şiddet indeksi ile değerlendirildi. Bağımsız sürekli ve bağımlı değişkenler Objective: This study aimed to evaluate the mental health status of Dental Health Care Workers (DHCWs) in a dental emergency university clinic treating urgent patients during the pandemic. Materials and Methods: A hundred fifteen participants were selected from DHCWs who actively worked during the pandemic in a Dental Emergency Clinic of a university. Depression, anxiety and stress levels of participants were measured with the Depression-Anxiety-Stress Scale and their insomnia levels were assessed with the Insomnia Severity Index. Correlations between independent continuous and dependent variables tested with Spearman test. Mann-Whitney U and Kruskal-Wallis tests were used used to evaluate possible effects of independent variables. The psychological data of the aerosol-generating treatment group were compared to the rest of the participants using Mann-Whitney U tests. In all tests α=0.05 significance level was set. Results: The rates of DHCWs scored above the cutoff points were 54% for depression, 40% for anxiety, 36% for stress and 40% for insomnia. Feeling negative emotions before the pandemic significantly interacted with all psychometric measurements. Younger age, feeling anxious about changing working conditions and/or obtaining personal protective equipment was correlated positively with stress points (p=0.035, p=0.008, p=0.007, respectively). A significant percentage of DHCWs presented high scores on depression, anxiety, stress and insomnia in this study. Conclusion: The authorities and healthcare executives must show programmed leadership and support for DHCWs during the COVID-19 outbreak. The integration of programs developed to mitigate stress among DHCWs recommended during the COVID-19 pandemic.

WOS: 000414861000024Use of long-acting antipsychotics in schizophrenia provides advantages in ach... more WOS: 000414861000024Use of long-acting antipsychotics in schizophrenia provides advantages in achievement of compliance to treatment and maintenance of treatment. There is limited information on use of Paliperidone Palmitate (PP) during period of pregnancy and puerperality. Here, it was reported that two cases with schizophrenia who used PP during period of pregnancy, at the term, had healthy and vaginal delivery and then continued to use PP for a while including period of puerperium. The assessment of infant development included pediatric and psychiatric examination, physical and neurobehavioral development measurements at 2, 6, 12, 18 and 24 months of age. In our cases, no specific risks for the mothers and their children can be attributed to the use of PP during monitoring period. A clear plan for a woman and her supports (partner and family as appropriate) for postpartum care is essential for ongoing monitoring and care. Although it was not reported that fetus exposed to antipsy...

Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2020

Paliperidone palmitate (PP) is a long-acting antipsychotic administered intramuscularly once a mo... more Paliperidone palmitate (PP) is a long-acting antipsychotic administered intramuscularly once a month in the acute and maintenance treatments of schizophrenia. It has been reported to be successful especially in patients with poor oral drug compliance. The most common side effects are dizziness, sleepiness, anxiety, injection site reactions, and extrapyramidal system symptoms. The aim of this study is to draw attention to a rare side effect of PP and contribute to the literature by presenting a case of high fever and high liver function tests after application of the first dose.

The Aging Male, 2021

Abstract Objective We investigate the relationship between sarcopenia components and depression i... more Abstract Objective We investigate the relationship between sarcopenia components and depression in geriatric outpatients, considering the effects of potential confounding factors. Methods Adults ≥60 years of age were selected from outpatient clinics. Muscle strength was assessed using handgrip strength (HGS) measured using a hydraulic hand dynamometer and chair stand test (CSST). Physical performance was evaluated by usual gait speed (UGS), nutritional status, and frailty were screened by mini-nutritional assessment (MNA) questionnaire and FRAIL scale. Depression was diagnosed through a psychiatric interview and the administration of the Geriatric Depression Scale (GDS). Results Participants with depression were similar to participants without depression regarding age (p = .055), education (p = .095), frailty (p = .857), and HGS scores (p = .053). The group with depression had longer CSST duration (p = .023), slower UGS (p = .027), and more malnutrition (p = .001). Multivariate regression analysis revealed that only the malnutrition was independently associated factor with depression after adjusting for confounding factors. Conclusions Depression is associated with malnutrition and some components of sarcopenia in geriatric outpatients. Our results revealed that sarcopenia might be associated with depression through malnutrition. If malnutrition lasts for a long time, sarcopenia may become evident in the later stages of depression.

SANAMED, 2020

Introduction: The aim of this study is to investigate the relationship between clinical features,... more Introduction: The aim of this study is to investigate the relationship between clinical features, sleep quality, fatigue and mental symptoms in epileptic patients. Material and Methods: This cross-sectional study was conducted at epilepsy outpatient clinic of Bozyaka Training and Research Hospital. 81 patients who were followed up for the diagnosis of epilepsy were included in the study. The patients were administered a sociodemographic data form, Pittsburgh Sleep Quality Index, Beck Depression Inventory, Fatigue Severity Scale. Results: The median age of the patients included in the study was 37.42 (51.9%) were women and 39 (48.1%) were men with an education period of 8 years. There was no previous family history of psychiatric illness. Seizure control was achieved in 34 (42%) patients. 53 (65.4%) patients were observed for focal type, 28 (34.6%) patients were for generalized type seizures. The median duration of epilepsy was 13 years. The median Beck Depression Inventory score of ...

Postgraduate Medicine, 2021

ABSTRACT Objectives Numerous vaccination studies are conducted to protect against COVID-19 infect... more ABSTRACT Objectives Numerous vaccination studies are conducted to protect against COVID-19 infection, and preclinical and clinical studies are still ongoing worldwide. During this extraordinary period, the necessity to perform COVID-19 vaccine studies and immunization programs together has emerged. Vaccine Adverse Effects (VAEs) need to be documented quickly. We aimed to determine the VAEs and to compare the frequency of VAEs between groups according to sociodemographic characteristics after the inactivated vaccine (CoronaVac) was administered to healthcare workers (HCWs) in Turkey. Methods An online questionnaire was delivered to 4040 volunteer HCWs across the whole country who were vaccinated with CoronaVac. Sociodemographic characteristics, medical history, history of COVID-19 infection, and VAEs occurring after the first and second doses of the inactivated vaccine were evaluated. Results The most common local and systemic VAEs after first and second doses of the COVID-19 vaccine were reported as, pain at the injection site (37.9%; 37.6%), headache (21.5%; 16.8%), fatigue (18%; 15%), drowsiness (9.6%; 8.2%), back pain (8.8%; 8.2%), nausea (6.3%; 4.8%), and joint pain (4.7%; 4.7%). Individuals with a history of allergies (generalized or vaccine-related) and females had a higher rate of VAE. Participants aged 60 and over reported less frequent VAEs. Conclusion It is extremely important to identify and document the VAEs occurring in the early postvaccination period in different groups of the community. These initial findings may provide reassurance to healthcare providers and vaccine recipients and promote confidence in the safety of this inactive COVID-19 vaccine, however longitudinal follow-up studies are recommended.

Anatolian Journal of Psychiatry, 2017

Objective: The present study aimed to examine retinal nerve fiber layer (RNFL) and ganglion cell ... more Objective: The present study aimed to examine retinal nerve fiber layer (RNFL) and ganglion cell inner plexiform layer (GCIPL) thicknesses in schizophrenia patients according to the control group and in schizophrenia patients with good and poor insight. Methods: Sixty-three patients with schizophrenia recruited from the outpatient clinic of psychiatry and 39 healthy controls were included in the study. Patients were separated to two groups: good insight (n=31) and poor insight (n=32) schizophrenia. Group with schizophrenia were evaluated by using Positive and Negative Symptoms Scale (PANSS), Scale to Assess Unawareness of Mental Disorder. Changes in RNFL and GCIPL of all participants were analyzed with spectral optical coherence tomography (OCT). Results: Schizophrenia patients with good and poor insight were similar according to mean age of onset for illness, mean duration of illness, mean number of hospitalizations and mean daily used antipsychotic doses equivalent to chlorpromazine. There was no difference between the schizophrenia patients and the control group in terms of age and gender. In patients with schizophrenia all quadrants of RNFL, superior temporal (ST), superior (S), and inferior (I) quadrants of GCIPL were thinner than the controls. Inferior, inferior nasal quadrants of GCIPL and all quadrants of RNFL except nasal quadrant in schizophrenia patients with poor insight was found to be thinner than the schizophrenia patients with good insight and controls. Discussion: OCT can be used to detect neurodegeneration in schizophrenic patients. It can be argued that the GCIP layer may be a more sensitive biomarker than other retinal layers, requiring further investigation in this area.

Journal of Contemporary Medicine, 2020

Introduction: Psychiatry and neurology are concerned with central nervous system dysfunctions; th... more Introduction: Psychiatry and neurology are concerned with central nervous system dysfunctions; therefore, a common approach to said diseases is required. The aim of this study was to investigate the characteristics of psychiatric consultations, diagnostic congruence rates of psychiatric disorders, and the diagnostic accuracy between psychiatrist and neurologists in a neurology clinic of a training hospital. Material and Method: Psychiatric consultations requested between 01.01.2017 and 01.07.2019 were evaluated retrospectively. The accuracy rate between the final psychiatric diagnosis made by the consulting psychiatrist and the initial psychiatric diagnosis made by the neurologist as well as the diagnostic congruence rate between two departments were examined. Results: The most common reasons for consultation were agitation (36.5%), depressive symptoms (23.9%), and history of psychiatric treatment (18.9%), respectively. The most common diagnoses made by psychiatrists were depressive disorders (29.7%), anxiety disorders (18.9%), and cognitive disorders (11.7%). Accurate diagnosis rates were found to be high for psychotic disorders (100%), bipolar disorder (90.9%), alcohol/substance use disorders (A/SUD) (83.3%) and cognitive disorders (73.7%), and low for somatization disorders (50%).and anxiety disorders (29.2%). The diagnostic congruence between the two physicians was high (kappa=0.62) for A/ SUD and moderate for cognitive and depressive disorders (kappa=0.57, kappa=0.42). Discussion and Conclusion: This study showed that A/SUD is well recognized by neurologists, but anxiety disorder and somatization disorder, which are commonly seen in inpatients, are poorly recognized. Due to the limited number of studies in this field, our study is valuable in emphasizing the importance of recognizing psychiatric comorbidities in the neurological patient population.

Medical Journal of Bakirkoy, 2020

Objective: The aim of this study was to examine psychiatric disorders after burn trauma and burn-... more Objective: The aim of this study was to examine psychiatric disorders after burn trauma and burn-related features in adults. Method: The records of the cases who were hospitalized in the burn center between January 2015 and January 2019 and for whom psychiatric consultation was requested were retrospectively reviewed. Sociodemographic characteristics, burn-related features, psychiatric diagnoses, and treatments of the patients were examined. Results: The mean rate of psychiatric consultations requested in a burn center within a four-year period was 34.05% and 49 (28.5%) of these consulted cases had a work-related accident. Mean hospitalization time was 37.2±24 days and the most common burn type was a fire/flame injury. In the majority of the study sample (63.4%) the total body surface area burnt was more than 20%. Nineteen (11%) cases had a history of psychiatric disorder. The most common psychiatric diagnosis before burn injury was alcohol-drug addiction (n=14, 73.7%). The most common diagnosis after psychiatric consultation was adjustment disorder (31.9%). Among psychotropic drugs the initial treatment was started most frequently treatment with benzodiazepines (30.8%) and antipsychotics (58.1%). In 33 deceased cases, the most common psychiatric diagnosis was delirium with a rate of 42.4%. Conclusion: The incidence of psychiatric disorders before and after burn injury was found to be high in the individuals. Conditions with a high risk of morbidity and mortality, such as delirium, should be diagnosed and treated priorly. Due to the early and long-term effects of burn trauma, a multidisciplinary approach should be developed and psychiatrists should be included in the management of treatment.

Journal of Clinical Psychiatry, 2020

Investigation of childhood traumas in inpatient adults with major depression and with or without ... more Investigation of childhood traumas in inpatient adults with major depression and with or without attention deficit hyperactivity disorder comorbidity Yatarak tedavi gören major depresyon ve dikkat eksikliği hiperaktivite bozukluğu eş tanısı olan ve olmayan erişkinlerde çocukluk çağı travmalarının incelenmesi SUMMARY Objective: Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders of childhood and a significant number of symptoms continue in adulthood. Depression is very common in the daily practice of psychiatrists whereas patients with ADHD comorbidity could not be considered by the clinicians. One of the less studied aspects of adult ADHD is its association with childhood traumas. The aim of this study was to compare adults with major depression (MD) with or without ADHD comorbidity (MD-ADHD) in terms of childhood traumas and the severity of psychopathology. Method: 33 inpatients with MD-ADHD and 30 inpatients with MD were included in the study. The diagnoses were made according to DSM-V criteria, and sociodemographic evaluation scale, Wender Utah Rating Scale (WURS), Adult Attention Deficit Hyperactivity Disorder Scale (A-ADHDS), Hamilton Depression Scale (HDS), Childhood Trauma Questionnaire (CTQ), and Personal Social Performance Scale (PSPS) were applied to the patients. Results: The mean HDS scores of MD-ADHD patients during hospitalization were higher (p=0.007), total CTQ scores were higher (p=0.006), and mean PSPS scores were lower than the MD group (p=0.012). The mean scores of emotional abuse, physical neglect, and physical abuse were higher in MD-ADHD patients (p=0.013; p=0.017; p=0.016; respectively). All trauma scores except emotional neglect and sexual abuse were higher in combined type ADHD than the other two groups. Discussion: Depression patients with comorbid ADHD had more severe depression level and lower functionality compared to those with depression alone. It is important to investigate the history of childhood traumas in adults with depression and ADHD comorbidity.

Indian Journal of Psychiatry, 2019

Background: In the presence of attention deficit hyperactivity disorder (ADHD) together with addi... more Background: In the presence of attention deficit hyperactivity disorder (ADHD) together with additional psychiatric diseases, the treatment process and prognosis of both ADHD and psychiatric comorbidity are adversely affected. Aims: The aim of this study is to compare the characteristics concerning suicidal behavior of the patients diagnosed with major depressive disorder either having (ADHD+) or not having (ADHD−) adult ADHD comorbidity and their responses to depression treatment. Materials and Methods: Ninety-six inpatients were included in the study. Sociodemographic data form, the Hamilton Depression Rating Scale (HDRS), the Wender Utah Rating Scale (WURS), the Adult ADD/ADHD DSM IV-Based Diagnostic Screening and Rating Scale, and the Personal and Social Performance Scale (PSP) were applied to the cases. Results: HDRS scores were found to be significantly high (P < 0.000) in the ADHD+ group during admission and discharge. However, there was no difference found in terms of PSP scores (P = 0.46) during discharge. In the ADHD+ group, the depressive episode started at an earlier age (P < 0.011). The idea of suicide (P < 0.018) and suicidal attempts (P < 0.022) was found to be higher in this group compared to the ADHD− group. ADHD+ patients had more suicidal attempts requiring more medical intervention (P < 0.001). Conclusion: Depression starts at an early age in individuals with comorbid ADHD diagnosis, and the progress of the depression treatment changes negatively. This patient group is at greater risk in terms of suicidal behavior. Therefore, it should be considered by the clinicians that ADHD can associate with depression while making the follow-up plans for the cases diagnosed with depression.

Anatolian Journal of Psychiatry, 2018

Objective: Because of the interrelation between attention deficit hyperactivity disorder (ADHD) a... more Objective: Because of the interrelation between attention deficit hyperactivity disorder (ADHD) and substance use disorders (SUD), clinicians should consider ADHD comorbidity in assessment and treatment phase when evaluating adult substance dependence. It was aimed to compare the adult substance dependent patients with comorbid ADHD (ADHD+) and without comorbid ADHD (ADHD-) in terms of clinical features, psychiatric comorbidity and de-gree of functioning. Methods: 226 patients with substance dependence were included in the study (ADHD-=140, ADHD+=86). Diagnostic interview with SCID-I was performed. Adult ADD/ADHD DSM IV-Based Diagnostic Screening and Rating Scale, Wender Utah Rating Scale, Barratt Impulsivity Scale-11, Personal and Social Perfor-mance Scale were applied. ADHD+ and ADHD- groups were compared in terms of clinical features of substance dependence, psychiatric comorbidity and scale outcomes. Results: The group of ADHD+ was starting using sub-stance at an earlier age. Polysubstance use, number of days of substance use, and legal issues related to the substance were higher than the ADHD- group. ADHD+ group had more stimulant, opiate dependency. Rates of suicidal ideation and attempts, psychiatric comorbidity were higher in ADHD+ group. Personal and social functioning of ADHD+ group was worse. Discussion: ADHD+ group differs from the ADHD- group in terms of the clinical char-acteristics associated with the substance. In adults, there is a need for randomized, longitudinal follow-up studies involving both genders, investigating the effect of ADHD on SUD.

Psychiatry and Clinical Psychopharmacology, 2018

10th International Congress on Psychopharmacology &amp;amp;amp;amp;amp;amp;amp; 6th Inter... more 10th International Congress on Psychopharmacology &amp;amp;amp;amp;amp;amp;amp; 6th International Symposium on Child and Adolescent Psychopharmacology[Abstract:0110] [Addiction]Cessation of cigarette smoking in adolescents: s...

Noro Psikiyatri Arsivi, 2017

Introduction: In contrast to several studies that examined different domains of neurocognitive fu... more Introduction: In contrast to several studies that examined different domains of neurocognitive functions in long-term abstinent cannabis users, there are few studies examined impulsivity in cannabis users with prolonged abstinence. The aim of this study was to test whether impulsivity and sensation seeking traits and impulsive decision-making are transient or enduring in patients with cannabis dependence who were abstinent for at least 1 month. Methods: The study included 30 patients with cannabis dependence (CDP) who had been abstinent for at least 1 month and 30 healthy controls. All the participants were male and the two groups were matched for age and duration of education. Results: As a result of Iowa Gambling Task (IGT) evaluation, there was no significant group (CDP vs. control) by block interaction in IGT performance (p=0.680). CDP showed significantly higher Barratt Impulsiveness Scale-11 (BIS-11) total (p=0.006), BIS-11 non-planning (p=0.006) and Zuckerman Sensation Seeking Scale experience seeking subscale (p=0.001) scores compared with controls. Conclusions: This is the first study to investigate decision-making, selfreport impulsivity and sensation seeking in long-term abstinent CDP. Our findings suggest that both self-report impulsivity and experience seeking may reflect a stable trait in CDP but not deficits on decisionmaking. This suggestion is consistent with the hypothesis that elevated impulsivity and sensation seeking traits may lead to addiction when they occur together rather than alone.

Medicine Science | International Medical Journal, 2019

Depressive disorders in children and adolescents are caused by various risk factors. It is believ... more Depressive disorders in children and adolescents are caused by various risk factors. It is believed that the mood and temperament characteristics of the parent play a pretty decisive role on the relationship between the child, adolescent and their parents. The aim of this study is to examine the frequency of depression and temperament in parents of children and adolescents with major depression diagnosis. Parents of 102 children and adolescents between the ages of 7-18 with major depressive disorder were included in the study. Child Depression Inventory (CDI), Beck Depression Inventory (BDI), socio-demographic data form, and Temperament Assessment Scale (TEMPS-A) were applied to the children, adolescents and parents respectively. 86 (84.3%) mothers and 16 (15.7%) fathers were included in the study. Of the children and adolescents, 76 (74.5%) were girls and 26 (25.5%) were boys. The mean age of children and adolescents was found to be 14.3±2.3 years. The mean age of parents was found to be 40.3±6.16 years. In all cases, the number of patients with depression in their parents was 55 (53.9%). Depression scale scores were higher in the children of depressed parents (p=.000). Significant positive correlation was found between CDI scores of children and BDI scores of parents and between BDI scores adolescent and BDI scores of parents (consecutively r= 0.700, p= 0.000; r= 0.663, p<0.000). When the BDI score of the adolescents and the parental temperament scores was examined by simple linear regression, the depressive temperament of the parent was found to be effective on the depressive scale score of the adolescents (r2=0.445, p=0.000). Depression is common in parents of children and adolescents with depression. Parental temperament, especially depressive temperament, is effective on child depression. This may be related to the genetic nature of the temperament and the fact that it causes domestic problems. In child and adolescent depression, it is recommended to examine the presence of depression in the parent and to pay attention to the characteristics associated with mood temperament.

Journal of Turgut Ozal Medical Center, 2017

In this article, it is aimed to present a 39-year-old woman with obsessive-compulsive disorder wi... more In this article, it is aimed to present a 39-year-old woman with obsessive-compulsive disorder with excessive water drinking due to compulsions. This clinical condition; called as "compulsive water drinking", "psychogenic polydipsia" and "water intoxication". Psychogenic polydipsia which is characterized by excessive sensation of thirst and compulsive water drinking has been reported in 6-20% of patients in psychiatry clinics and most commonly seen (80%) in patients with diagnosis of schizophrenia. It can also be seen in patients with diagnosis of mental retardation, bipolar disorder, alcohol dependence, eating disorders and organic mental disorder. Cognitive behavioral therapy, drug therapies such as serotonin reuptake inhibitors, atypical antipsychotics and propranolol are the main treatment modalities.

Cukurova Medical Journal, 2017

Öz Use of long-acting antipsychotics in schizophrenia provides advantages in achievement of compl... more Öz Use of long-acting antipsychotics in schizophrenia provides advantages in achievement of compliance to treatment and maintenance of treatment. There is limited information on use of Paliperidone Palmitate (PP) during period of pregnancy and puerperality. Here, it was reported that two cases with schizophrenia who used PP during period of pregnancy, at the term, had healthy and vaginal delivery and then continued to use PP for a while including period of puerperium. The assessment of infant development included pediatric and psychiatric examination, physical and neurobehavioral development measurements at 2, 6, 12, 18 and 24 months of age. In our cases, no specific risks for the mothers and their children can be attributed to the use of PP during monitoring period. A clear plan for a woman and her supports (partner and family as appropriate) for postpartum care is essential for ongoing monitoring and care. Although it was not reported that fetus exposed to antipsychotics had congenital malformation; it should be kept in mind that in the future these children can develop neurodevelopmental and neurobehavioral problems.

Objective: Cost of the mental disorders for the community is high because of their frequency, rec... more Objective: Cost of the mental disorders for the community is high because of their frequency, recurrence or chronical course. Aim of the present study was to evaluate sociodemographic, clinical characteristics and hospitalization cost for one year of the patients in a psychiatric clinic. Materials and Methods: Medical files and hospitalization bills were reviewed retrospectively of the patients treated in during one year. Annual average in-patient cost was calculated by multiplying average cost of hospitalization and average annual number of hospitalization. Results: Mean age of 177 patients was 44.5±12.9 years; 50.3% of the patients were female. Average number of hospitalizations in a psychiatry clinic was 1.69±1.33, average number of hospitalization in one year was 1.18±0.40, and average duration of hospitalization was 24.12±16.33 days. 48.0% of the patients had unipolar depression, 17.5% had bipolar disorder, 17.5% had schizophrenic-psychotic disorder, and 17% had other psychiatr...

Journal of Cognitive-Behavioral Psychotherapy and Research, 2019