Nalan kalkan oguzhanoglu - Academia.edu (original) (raw)
Papers by Nalan kalkan oguzhanoglu
Anadolu psikiyatri dergisi, 2013
Anadolu Psikiyatri Dergisi, 2007
... Gülfizar S. VARMA,1 Figen Ç. ATEŞCİ,2 Nalan K. OĞUZHANOĞLU3 _____ ... 2. Kaplan HI, Sadock BJ... more ... Gülfizar S. VARMA,1 Figen Ç. ATEŞCİ,2 Nalan K. OĞUZHANOĞLU3 _____ ... 2. Kaplan HI, Sadock BJ. Klinik Psikiyatri. E Abay (çev. ...
Australian & New Zealand Journal of Psychiatry, 2005
Türkiye Klinikleri Journal of Case Reports, 1993
The purpose of this study is to determine sociodemographic factors, diagnosis and treatment maint... more The purpose of this study is to determine sociodemographic factors, diagnosis and treatment maintenance rate and process after first admittance of outpatients in the psychiatry polyclinic of Fırat University. Polyclinical records of 948 outpatients who were admitted between September 1990 and february 1992, were evaluated retrospectively. Of 948, 541 patients applied willingly. Most of patients were older than 30 (46.73%). 58.01% were women, 58.01% were married, 32.48% had primary or high school degree education and 84.91% were from east-southeast anatolia region. 616 patients (64.97%) did not come after first admittance. Internal clinics takes first place in requiring psychiatric consultation (10.75 %). On the basis of DSM-IIIR diagnosis criteria, anxiety disorders ha ve been diagnosed on 176 patients (18.56%); somatoform disorders on 143(15.08%); mood disorders on 110(11.60%). 131 patients were valuated to have childhood mental disorders. Psychotic and anxiety disorders group pati...
Journal of Clinical Psychiatry, 2020
Objective: Violence continues to be an important public problem and has negative effects on menta... more Objective: Violence continues to be an important public problem and has negative effects on mental health. In this study, it was aimed to determine the recognition of violence by psychiatric outpatients, the prevalence of violence against psychiatric outpatients and how they are affected by violence. Method: The study included 199 patients who admitted to the general psychiatry outpatient clinic and accepted to participate in the study. The sociodemographic features and detailed assessments of patients on violence were examined with the questionnaire prepared by reviewing the literature on violence. Results: 78.9% of females and 75.5% of males participated in the study recognized violence physically. Both female and male patients mentioned that "disobedience / irritating behavior" was the most common cause of violence and, "education" was the most obvious factor that can prevent violence. It was found that 56% of the patients (56.8% of females and 55.9% of males) were subjected to violence and, females were subjected to sexual violence more frequently than males. There was no significant difference between patients subjected to violence and those who were not in terms of gender, educational status, occupation, and psychiatric diagnosis. The social functionality, personal and social performances of the patients who were subjected to violence were lower than those who were not subjected to violence. Discussion: Violence is a common problem among psychiatric outpatients. Because violence is associated with psychiatric disorders and disrupts functionality, clinicians should routinely screen violence during psychiatric evaluation.
Archives of Neuropsychiatry, 2020
Introduction Relapse is one of the most common problems in the addiction treatment. The aim of th... more Introduction Relapse is one of the most common problems in the addiction treatment. The aim of this study was to increase the remission rates, reduce relapse rates and investigate the effect of psychodrama on depression, anxiety and locus of control after treatment in a group of inpatients diagnosed with opioid use disorder (OUD). Method The study was started with 13 inpatients diagnosed with OUD and completed with six members. In addition to psychoeducation, the psychodrama study of 13 sessions lasted. The control group consisted of six individuals with the same diagnosis and characteristics, who had only undergone psychoeducation. Hamilton Depression-Anxiety and Rotter Locus of Control Scales were applied to the participants before and after the group. Results Anxiety rates decreased in both groups according to pre-test and post-test results. In the outpatient part of the study, five patients in the patient group remained in treatment and clean at the end of the fifth month and four at the end of the sixth month. In the control group only two people could remain in treatment and clean at the end of the sixth month. The most effective psychodrama techniques were empty chair, doubling and mirroring. Discussion Both psychodrama techniques and SAMBA program are applications that reduce anxiety levels of patients. It was concluded that psychodrama applications aimed at increasing the internal control belief may be beneficial in terms of increasing the motivation of the patients and coping with relapse.
Pamukkale Medical Journal, 2020
Özet Amaç: Şiddet toplumun genelinde olduğu gibi sağlık çalışanları için de önemli bir sorundur. ... more Özet Amaç: Şiddet toplumun genelinde olduğu gibi sağlık çalışanları için de önemli bir sorundur. Bu çalışmada sağlık çalışanlarının şiddet algısının, şiddete maruz kalma sıklıklarının ve şiddetten etkilenme durumlarının değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Denizli ili merkez sağlık kuruluşlarında görev yapan ve çalışmaya katılmayı kabul eden 965 kişi çalışmaya dahil edilmiştir. Araştırmacılar tarafından literatüre dayanarak oluşturulan anket ile şiddetin tanımı, şiddetin olası nedenleri, şiddetin haklı nedenleri, şiddeti önleyebilecek etkenler, şiddete maruz kalma ve şiddetten etkilenme durumları değerlendirilmiştir. Sonuçlar meslek ve cinsiyet dağılımlarına göre incelenmiştir. Bulgular: Şiddet tüm meslek gruplarında ve her iki cinsiyette en sık fiziksel ve cinsel olarak tanımlanmıştır. Sağlık çalışanlarının %39,5'inin mesleki yaşantısında en az bir kez şiddete maruz kaldığı saptanmıştır. Şiddetin herhangi bir türüne maruz kalanlarla kalmayanlar arasında meslek dağılımları açısından anlamlı farklılık saptanmıştır. Sonuç: Çalışma sağlık çalışanlarına yönelik şiddetin fazlalığını, olumsuz etkilenme durumlarını ortaya koymuştur. Bunun yanında şiddeti tanıma ve önleyici tedbirlerle ilgili sağlık çalışanlarının farkındalıklarını da göstermiştir. Şiddeti önleyebilmek için şiddetin tanınması yanında risk faktörlerinin belirlenmesi ve önleyici etmenlere ilişkin daha fazla çalışma yapılması gerekmektedir.
Journal of Palliative Care, 2007
1. J Palliat Care. 2007 Winter;23(4):286-90. Effect of locus of control on acceptability of eutha... more 1. J Palliat Care. 2007 Winter;23(4):286-90. Effect of locus of control on acceptability of euthanasia among medical students and residents in Denizli, Turkey. Boz B, Acar K, Ergin A, Kurtulus A, Ergin N, Oguzhanoglu N. Pamukkale ...
Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2010
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2018
A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-... more A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-control psychological autopsy study Objective: Aim of this study was an evaluation of the completed suicide rate as well as exploring what associated psychological and social factors might have increased the risk of death from suicide. Method: The study examines all adult suicide cases in the Province of Denizli that occurred between January 2009 and December 2010. In addition to examining the judicial files, interviews were conducted with the suicide victims' relatives to elaborate the cases and evaluate the risk factors for suicide. For 19 of 53 suicide victims (35.9%), no interviews were conducted; telephone interviews were carried out with relatives of 27 of the victims (50.9%), and face-to-face interviews were held with relatives of 7 of the subjects (13.2%). Healthy controls were randomly chosen from the registers of 14 Denizli primary healthcare centers. The 31 control individuals were from a similar geographic area and social backgrounds as the case group. Results: Of the cases, 13.2% (n=7) were female, while 86.8% (n=46) were male. The mean age was 41.57±15.33 years. The total mean age of the control group was 42.84±16.98 years (p=0.725). The results of this study showed that a history of psychiatric disorder, prior suicide attempts, a history of alcohol abuse, stressful life events, and lack of social support/interaction were associated with suicide. Conclusion: Clinical and psychosocial factors such as a history of psychiatric disorder, unemployment, and financial or relationship problems increase the risk of suicide.
Turkiye Klinikleri Journal of Psychiatry Special Topics, 2010
Acta orthopaedica et traumatologica turcica, 2015
The aim of this study was to compare patients who were injured by punching glass with patients wh... more The aim of this study was to compare patients who were injured by punching glass with patients who were injured accidentally, according to demographical, clinical, and psychological parameters. The Hand Injury Severity Score (HISS), the Duruöz Hand Index, the Quick Disabilities of the Arm, Shoulder and Hand scale (Q-DASH), the Impact of Event Scale-Revised (IES-R), the Adult Attention-Deficiency/Hyperactivity Scale (A-ADHS), the Borderline Personality Inventory (BPI), and the Beck Depression Inventory (BDI) were used for evaluating severity of the injury, functionality, impact of the injury on the patient, attention deficiency, patterns of borderline personality symptoms, and level of depression, respectively. Patients who were injured by punching glass were significantly younger and more likely to injure their dominant hand. The severity of injury and all psychological scales were significantly higher in patients who were injured by punching glass. Hand therapy specialists should b...
Anadolu Psikiyatri Dergisi
Giriş ve amaç: Empati, “kendini başkasının yerine koyma” olarak tanımlanmaktadır. Daha geniş anla... more Giriş ve amaç: Empati, “kendini başkasının yerine koyma” olarak tanımlanmaktadır. Daha geniş anlamda, “kişinin olaylara karşısındakinin bakış açısı ile bakması, o kişinin duygu ve düşüncelerini doğru olarak anlaması ve iletmesi süreci”dir. Empati, iletişimin önemli bir bileşenidir ve uygun eğitimle geliştirilebilir. Çalışmamızın amacı, dönem 1, 2, 3 ve 6 öğrencilerinin, sosyodemografik özelliklere ve dönemlere göre, hekimlikte iletişime yönelik tutumlarının ve empatik yanıt verme becerilerinin değerlendirilmesidir. Gereç ve yöntem: Araştırma 2007-2008 eğitim öğretim yılında, Pamukkale Üniversitesi Tıp Fakültesi’nde uygulanan iletişim becerileri ders programına dahil olan dönem 1, 2, 3 ve 6 öğrencileri (s=108) arasında yapılmış kesitsel bir çalışmadır. Öğrencilere, sosyodemografik özelliklerini, toplam sekiz maddeden oluşan bir özbildirim ölçeği olan Hekimlikte İletişime Yönelik Tutum Aracı’nı (HİYTA) ve günlük hayatta karşılaşılabilecek altı farklı ruhsal sorun karşısında empatik ya...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2005
To investigate the applicability of psychodrama orientated group work among the elderly living in... more To investigate the applicability of psychodrama orientated group work among the elderly living in nursing homes, and effect of this group work on coping with psychological and behavioral problems. Eleven male volunteers were chosen for the group. None of them had any negative features on communicating with others or had somatic or serious psychological problems. Eighteen psychodrama orientated group work sessions were held. Each was 2.5 to 3 hours long and took place only once a week. The staff of the nursing home became involved in the process after the twelfth session. Therapists registered their observations at every meeting. To evaluate the anxiety-depression levels the Geriatric Depression Scale and Hamilton Anxiety Rating Scale were used. Due to a late warm up among the members in this group, dramatization took place in later sessions. During the study, an increase in the members' spontaneity, creativity and empathy and consequently an improvement in communicating with and...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2003
The reliability and validity of the Cornell Scale for Depression in Dementia were investigated in... more The reliability and validity of the Cornell Scale for Depression in Dementia were investigated in a Turkish population over 60 years of age. Forty-six male and 34 female demented elderly people classified as demented according to DSM-IV criteria were included in the study. The Structured Clinical Interview for DSM-IV Clinical Version (SCID-I) was completed for all subjects to establish the diagnosis of major depression. The Cornell Scale for Depression in Dementia (CSDD), Geriatric Depression Scale (GDS), Mini Mental State Examination (MMSE) and Global Deterioration Scale (GDS) were used. A high test-retest correlation level (r: 0.93) was obtained for the total scores of the scale. The scale also showed high internal consistency (a: 0.86). The validity analysis of the scale resulted in a significant difference (p<0.001) between the total scores of the group with dementia and depression and the group with dementia but without depression. Two items (9-19) showed a low correlation (...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2003
Anorexia nervosa in an eating disorder that primarily affects female adolescents and is more comm... more Anorexia nervosa in an eating disorder that primarily affects female adolescents and is more commonly seen in westernized countries. Although it is a sociocultural problem of developed societies, nowadays it is also increasing rapidly in developing cultures such as Turkey. Difficulties in the treatment of anorexia nervosa have directed clinicians to understand the disorder better. Although it is well known that various factors play a role in the etiology of anorexia nervosa, psychodynamic factors also have considerable importance. In addition, social and familial interactions contribute to the development of anorexia nervosa. In the light of these facts, treatment with psychotherapy and pharmacotherapy might be used to cure this disorder. In this article, the definitive features and process of anorexia nervosa along with its psychodynamics were discussed on the basis of a case. In the treatment of the patient, psychodrama techniques with drugs were thought to be useful. The patient ...
Psychiatry Research, 2009
Schizophrenia patients with obsessive-compulsive disorder (OCD) may be a subgroup of schizophreni... more Schizophrenia patients with obsessive-compulsive disorder (OCD) may be a subgroup of schizophrenia, and OCD patients with poor insight may show psychotic-like symptoms. The aim of this work is to compare the neuropsychological performance of those patients with schizophrenic patients who do not have OCD symptoms and with OCD patients who have good insight. The sample consisted of 89 patients (16 OCD-schizophrenic patients, 30 non-OCD schizophrenic patients, 30 OCD patients with good insight, 13 OCD patients with poor insight). Neuropsychological evaluation included executive functions, verbal and visual memory and attention tasks. While schizophrenic patients with OCD did not differ from the non-OCD schizophrenia and OCD with poor insight groups on long-term visual and verbal memory performance, they showed poorer performance than the OCD group on long-term visual and verbal memory tests. Considering executive function, the OCD group with poor insight performed significantly worse than their counterparts with good insight, and the latter group performed better than the schizophrenia patients. The results of this study suggest that the neuropsychological performance of schizophrenia patients with OCD did not differ from that of non-OCD schizophrenic patients, and that OCD patients with poor insight were more likely to share similar cognitive characteristics with the schizophrenia groups. Our results also provide neuropsychological support for the hypothesis that OCD and schizophrenia may be a spectrum disorders.
Nöro Psikiyatri Arşivi, 2014
Pediatrics International, 2009
Background: Thalassemia major (TM) is a chronic disease with adverse emotional effects on both th... more Background: Thalassemia major (TM) is a chronic disease with adverse emotional effects on both the child and the family. The aim of this study was to investigate the psychiatric state and behavioral problems of children with TM. Methods: Twenty children diagnosed with TM and 34 healthy children were enrolled in this study carried out by the Pamukkale University Faculty of Medicine, Department of Pediatrics. Mothers of the children of both the groups were handed a child behavior checklist for 4-18-year-old children and adolescents as well as a short questionnaire requesting demographic information. Results: The psychiatric diagnosis was significantly higher in the children with TM (55.0%) as compared to the control group (14.7%). The thalassemic children showed an anxiety disorder frequency of 30.0% and a depressive disorder frequency of 15.0%. T scores of the indicators of internalizing problems, externalizing problems, attention problems and social problems contained in the child behavior checklist were shown to be higher in children with TM than in the control group. The TM group demonstrated significantly higher problems in peer relationships and educational success in comparison with the controls. Conclusion: Children with TM are posed with an increased risk of psychopathology.
Journal of Mood Disorders, 2012
Depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki i... more Depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki ilişki Amaç: Bu çalışmada, depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki ilişkinin araştırılması amaçlandı. Yöntem: Çalışmaya DSM-IV tanı ölçütlerine göre major depresif bozukluk tanısı konulan ve antidepresan ilaç kullanımı olmayan 30 hasta katıldı. Depresyon şiddetinin belirlenmesinde Hamilton Depresyon Değerlendirme Ölçeği (HAM-D17) kullanıldı. Serum BDNF düzeyleri ELİSA yöntemi ile belirlendi. Bilişsel işlevlerin değerlendirilmesinde; Sayı dizileri testi, Stroop testi, Sözel bellek süreçleri testi ve Wechsler-görsel bellek alt testleri uygulandı. Bulgular: Hastaların HAM-D17 puan ortalaması 17.09±4.96 olarak tespit edildi. Serum BDNF düzeyleri ortalama 1453.42±144.51 pg/ml, serum sabah kortizol düzeyleri 11.54±4.57µg/dL olarak belirlendi. HAM-D17 puanları ile BDNF düzeyleri arasında ilişki saptanmadı. Serum BDNF düzeyleri ile kortizol düzeyleri ve nöropsikolojik test puanları arasında ilişki saptanmadı. Serum kortizol düzeyleri ile Stroop testi süre farkı arasında pozitif ilişki tespit edildi (rs=0.396 p=0.017). Serum kortizol düzeyleri ile diğer nöropsikolojik test puanları arasında ilişki saptanmadı. Sonuç: Çalışmamızda depresyonu olan hastalarda BDNF düzeyleri ile dikkat ve bellek performansları arasında ilişki bulunmamıştır. Sabah bazal kortizol düzeylerinin yüksek olması dikkati olumsuz yönde etkilemektedir. Serum BDNF düzeyleri ile sabah ölçülen kortizol düzeyleri arasında ilişki saptanmamıştır.
Anadolu psikiyatri dergisi, 2013
Anadolu Psikiyatri Dergisi, 2007
... Gülfizar S. VARMA,1 Figen Ç. ATEŞCİ,2 Nalan K. OĞUZHANOĞLU3 _____ ... 2. Kaplan HI, Sadock BJ... more ... Gülfizar S. VARMA,1 Figen Ç. ATEŞCİ,2 Nalan K. OĞUZHANOĞLU3 _____ ... 2. Kaplan HI, Sadock BJ. Klinik Psikiyatri. E Abay (çev. ...
Australian & New Zealand Journal of Psychiatry, 2005
Türkiye Klinikleri Journal of Case Reports, 1993
The purpose of this study is to determine sociodemographic factors, diagnosis and treatment maint... more The purpose of this study is to determine sociodemographic factors, diagnosis and treatment maintenance rate and process after first admittance of outpatients in the psychiatry polyclinic of Fırat University. Polyclinical records of 948 outpatients who were admitted between September 1990 and february 1992, were evaluated retrospectively. Of 948, 541 patients applied willingly. Most of patients were older than 30 (46.73%). 58.01% were women, 58.01% were married, 32.48% had primary or high school degree education and 84.91% were from east-southeast anatolia region. 616 patients (64.97%) did not come after first admittance. Internal clinics takes first place in requiring psychiatric consultation (10.75 %). On the basis of DSM-IIIR diagnosis criteria, anxiety disorders ha ve been diagnosed on 176 patients (18.56%); somatoform disorders on 143(15.08%); mood disorders on 110(11.60%). 131 patients were valuated to have childhood mental disorders. Psychotic and anxiety disorders group pati...
Journal of Clinical Psychiatry, 2020
Objective: Violence continues to be an important public problem and has negative effects on menta... more Objective: Violence continues to be an important public problem and has negative effects on mental health. In this study, it was aimed to determine the recognition of violence by psychiatric outpatients, the prevalence of violence against psychiatric outpatients and how they are affected by violence. Method: The study included 199 patients who admitted to the general psychiatry outpatient clinic and accepted to participate in the study. The sociodemographic features and detailed assessments of patients on violence were examined with the questionnaire prepared by reviewing the literature on violence. Results: 78.9% of females and 75.5% of males participated in the study recognized violence physically. Both female and male patients mentioned that "disobedience / irritating behavior" was the most common cause of violence and, "education" was the most obvious factor that can prevent violence. It was found that 56% of the patients (56.8% of females and 55.9% of males) were subjected to violence and, females were subjected to sexual violence more frequently than males. There was no significant difference between patients subjected to violence and those who were not in terms of gender, educational status, occupation, and psychiatric diagnosis. The social functionality, personal and social performances of the patients who were subjected to violence were lower than those who were not subjected to violence. Discussion: Violence is a common problem among psychiatric outpatients. Because violence is associated with psychiatric disorders and disrupts functionality, clinicians should routinely screen violence during psychiatric evaluation.
Archives of Neuropsychiatry, 2020
Introduction Relapse is one of the most common problems in the addiction treatment. The aim of th... more Introduction Relapse is one of the most common problems in the addiction treatment. The aim of this study was to increase the remission rates, reduce relapse rates and investigate the effect of psychodrama on depression, anxiety and locus of control after treatment in a group of inpatients diagnosed with opioid use disorder (OUD). Method The study was started with 13 inpatients diagnosed with OUD and completed with six members. In addition to psychoeducation, the psychodrama study of 13 sessions lasted. The control group consisted of six individuals with the same diagnosis and characteristics, who had only undergone psychoeducation. Hamilton Depression-Anxiety and Rotter Locus of Control Scales were applied to the participants before and after the group. Results Anxiety rates decreased in both groups according to pre-test and post-test results. In the outpatient part of the study, five patients in the patient group remained in treatment and clean at the end of the fifth month and four at the end of the sixth month. In the control group only two people could remain in treatment and clean at the end of the sixth month. The most effective psychodrama techniques were empty chair, doubling and mirroring. Discussion Both psychodrama techniques and SAMBA program are applications that reduce anxiety levels of patients. It was concluded that psychodrama applications aimed at increasing the internal control belief may be beneficial in terms of increasing the motivation of the patients and coping with relapse.
Pamukkale Medical Journal, 2020
Özet Amaç: Şiddet toplumun genelinde olduğu gibi sağlık çalışanları için de önemli bir sorundur. ... more Özet Amaç: Şiddet toplumun genelinde olduğu gibi sağlık çalışanları için de önemli bir sorundur. Bu çalışmada sağlık çalışanlarının şiddet algısının, şiddete maruz kalma sıklıklarının ve şiddetten etkilenme durumlarının değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Denizli ili merkez sağlık kuruluşlarında görev yapan ve çalışmaya katılmayı kabul eden 965 kişi çalışmaya dahil edilmiştir. Araştırmacılar tarafından literatüre dayanarak oluşturulan anket ile şiddetin tanımı, şiddetin olası nedenleri, şiddetin haklı nedenleri, şiddeti önleyebilecek etkenler, şiddete maruz kalma ve şiddetten etkilenme durumları değerlendirilmiştir. Sonuçlar meslek ve cinsiyet dağılımlarına göre incelenmiştir. Bulgular: Şiddet tüm meslek gruplarında ve her iki cinsiyette en sık fiziksel ve cinsel olarak tanımlanmıştır. Sağlık çalışanlarının %39,5'inin mesleki yaşantısında en az bir kez şiddete maruz kaldığı saptanmıştır. Şiddetin herhangi bir türüne maruz kalanlarla kalmayanlar arasında meslek dağılımları açısından anlamlı farklılık saptanmıştır. Sonuç: Çalışma sağlık çalışanlarına yönelik şiddetin fazlalığını, olumsuz etkilenme durumlarını ortaya koymuştur. Bunun yanında şiddeti tanıma ve önleyici tedbirlerle ilgili sağlık çalışanlarının farkındalıklarını da göstermiştir. Şiddeti önleyebilmek için şiddetin tanınması yanında risk faktörlerinin belirlenmesi ve önleyici etmenlere ilişkin daha fazla çalışma yapılması gerekmektedir.
Journal of Palliative Care, 2007
1. J Palliat Care. 2007 Winter;23(4):286-90. Effect of locus of control on acceptability of eutha... more 1. J Palliat Care. 2007 Winter;23(4):286-90. Effect of locus of control on acceptability of euthanasia among medical students and residents in Denizli, Turkey. Boz B, Acar K, Ergin A, Kurtulus A, Ergin N, Oguzhanoglu N. Pamukkale ...
Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2010
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2018
A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-... more A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-control psychological autopsy study Objective: Aim of this study was an evaluation of the completed suicide rate as well as exploring what associated psychological and social factors might have increased the risk of death from suicide. Method: The study examines all adult suicide cases in the Province of Denizli that occurred between January 2009 and December 2010. In addition to examining the judicial files, interviews were conducted with the suicide victims' relatives to elaborate the cases and evaluate the risk factors for suicide. For 19 of 53 suicide victims (35.9%), no interviews were conducted; telephone interviews were carried out with relatives of 27 of the victims (50.9%), and face-to-face interviews were held with relatives of 7 of the subjects (13.2%). Healthy controls were randomly chosen from the registers of 14 Denizli primary healthcare centers. The 31 control individuals were from a similar geographic area and social backgrounds as the case group. Results: Of the cases, 13.2% (n=7) were female, while 86.8% (n=46) were male. The mean age was 41.57±15.33 years. The total mean age of the control group was 42.84±16.98 years (p=0.725). The results of this study showed that a history of psychiatric disorder, prior suicide attempts, a history of alcohol abuse, stressful life events, and lack of social support/interaction were associated with suicide. Conclusion: Clinical and psychosocial factors such as a history of psychiatric disorder, unemployment, and financial or relationship problems increase the risk of suicide.
Turkiye Klinikleri Journal of Psychiatry Special Topics, 2010
Acta orthopaedica et traumatologica turcica, 2015
The aim of this study was to compare patients who were injured by punching glass with patients wh... more The aim of this study was to compare patients who were injured by punching glass with patients who were injured accidentally, according to demographical, clinical, and psychological parameters. The Hand Injury Severity Score (HISS), the Duruöz Hand Index, the Quick Disabilities of the Arm, Shoulder and Hand scale (Q-DASH), the Impact of Event Scale-Revised (IES-R), the Adult Attention-Deficiency/Hyperactivity Scale (A-ADHS), the Borderline Personality Inventory (BPI), and the Beck Depression Inventory (BDI) were used for evaluating severity of the injury, functionality, impact of the injury on the patient, attention deficiency, patterns of borderline personality symptoms, and level of depression, respectively. Patients who were injured by punching glass were significantly younger and more likely to injure their dominant hand. The severity of injury and all psychological scales were significantly higher in patients who were injured by punching glass. Hand therapy specialists should b...
Anadolu Psikiyatri Dergisi
Giriş ve amaç: Empati, “kendini başkasının yerine koyma” olarak tanımlanmaktadır. Daha geniş anla... more Giriş ve amaç: Empati, “kendini başkasının yerine koyma” olarak tanımlanmaktadır. Daha geniş anlamda, “kişinin olaylara karşısındakinin bakış açısı ile bakması, o kişinin duygu ve düşüncelerini doğru olarak anlaması ve iletmesi süreci”dir. Empati, iletişimin önemli bir bileşenidir ve uygun eğitimle geliştirilebilir. Çalışmamızın amacı, dönem 1, 2, 3 ve 6 öğrencilerinin, sosyodemografik özelliklere ve dönemlere göre, hekimlikte iletişime yönelik tutumlarının ve empatik yanıt verme becerilerinin değerlendirilmesidir. Gereç ve yöntem: Araştırma 2007-2008 eğitim öğretim yılında, Pamukkale Üniversitesi Tıp Fakültesi’nde uygulanan iletişim becerileri ders programına dahil olan dönem 1, 2, 3 ve 6 öğrencileri (s=108) arasında yapılmış kesitsel bir çalışmadır. Öğrencilere, sosyodemografik özelliklerini, toplam sekiz maddeden oluşan bir özbildirim ölçeği olan Hekimlikte İletişime Yönelik Tutum Aracı’nı (HİYTA) ve günlük hayatta karşılaşılabilecek altı farklı ruhsal sorun karşısında empatik ya...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2005
To investigate the applicability of psychodrama orientated group work among the elderly living in... more To investigate the applicability of psychodrama orientated group work among the elderly living in nursing homes, and effect of this group work on coping with psychological and behavioral problems. Eleven male volunteers were chosen for the group. None of them had any negative features on communicating with others or had somatic or serious psychological problems. Eighteen psychodrama orientated group work sessions were held. Each was 2.5 to 3 hours long and took place only once a week. The staff of the nursing home became involved in the process after the twelfth session. Therapists registered their observations at every meeting. To evaluate the anxiety-depression levels the Geriatric Depression Scale and Hamilton Anxiety Rating Scale were used. Due to a late warm up among the members in this group, dramatization took place in later sessions. During the study, an increase in the members' spontaneity, creativity and empathy and consequently an improvement in communicating with and...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2003
The reliability and validity of the Cornell Scale for Depression in Dementia were investigated in... more The reliability and validity of the Cornell Scale for Depression in Dementia were investigated in a Turkish population over 60 years of age. Forty-six male and 34 female demented elderly people classified as demented according to DSM-IV criteria were included in the study. The Structured Clinical Interview for DSM-IV Clinical Version (SCID-I) was completed for all subjects to establish the diagnosis of major depression. The Cornell Scale for Depression in Dementia (CSDD), Geriatric Depression Scale (GDS), Mini Mental State Examination (MMSE) and Global Deterioration Scale (GDS) were used. A high test-retest correlation level (r: 0.93) was obtained for the total scores of the scale. The scale also showed high internal consistency (a: 0.86). The validity analysis of the scale resulted in a significant difference (p<0.001) between the total scores of the group with dementia and depression and the group with dementia but without depression. Two items (9-19) showed a low correlation (...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2003
Anorexia nervosa in an eating disorder that primarily affects female adolescents and is more comm... more Anorexia nervosa in an eating disorder that primarily affects female adolescents and is more commonly seen in westernized countries. Although it is a sociocultural problem of developed societies, nowadays it is also increasing rapidly in developing cultures such as Turkey. Difficulties in the treatment of anorexia nervosa have directed clinicians to understand the disorder better. Although it is well known that various factors play a role in the etiology of anorexia nervosa, psychodynamic factors also have considerable importance. In addition, social and familial interactions contribute to the development of anorexia nervosa. In the light of these facts, treatment with psychotherapy and pharmacotherapy might be used to cure this disorder. In this article, the definitive features and process of anorexia nervosa along with its psychodynamics were discussed on the basis of a case. In the treatment of the patient, psychodrama techniques with drugs were thought to be useful. The patient ...
Psychiatry Research, 2009
Schizophrenia patients with obsessive-compulsive disorder (OCD) may be a subgroup of schizophreni... more Schizophrenia patients with obsessive-compulsive disorder (OCD) may be a subgroup of schizophrenia, and OCD patients with poor insight may show psychotic-like symptoms. The aim of this work is to compare the neuropsychological performance of those patients with schizophrenic patients who do not have OCD symptoms and with OCD patients who have good insight. The sample consisted of 89 patients (16 OCD-schizophrenic patients, 30 non-OCD schizophrenic patients, 30 OCD patients with good insight, 13 OCD patients with poor insight). Neuropsychological evaluation included executive functions, verbal and visual memory and attention tasks. While schizophrenic patients with OCD did not differ from the non-OCD schizophrenia and OCD with poor insight groups on long-term visual and verbal memory performance, they showed poorer performance than the OCD group on long-term visual and verbal memory tests. Considering executive function, the OCD group with poor insight performed significantly worse than their counterparts with good insight, and the latter group performed better than the schizophrenia patients. The results of this study suggest that the neuropsychological performance of schizophrenia patients with OCD did not differ from that of non-OCD schizophrenic patients, and that OCD patients with poor insight were more likely to share similar cognitive characteristics with the schizophrenia groups. Our results also provide neuropsychological support for the hypothesis that OCD and schizophrenia may be a spectrum disorders.
Nöro Psikiyatri Arşivi, 2014
Pediatrics International, 2009
Background: Thalassemia major (TM) is a chronic disease with adverse emotional effects on both th... more Background: Thalassemia major (TM) is a chronic disease with adverse emotional effects on both the child and the family. The aim of this study was to investigate the psychiatric state and behavioral problems of children with TM. Methods: Twenty children diagnosed with TM and 34 healthy children were enrolled in this study carried out by the Pamukkale University Faculty of Medicine, Department of Pediatrics. Mothers of the children of both the groups were handed a child behavior checklist for 4-18-year-old children and adolescents as well as a short questionnaire requesting demographic information. Results: The psychiatric diagnosis was significantly higher in the children with TM (55.0%) as compared to the control group (14.7%). The thalassemic children showed an anxiety disorder frequency of 30.0% and a depressive disorder frequency of 15.0%. T scores of the indicators of internalizing problems, externalizing problems, attention problems and social problems contained in the child behavior checklist were shown to be higher in children with TM than in the control group. The TM group demonstrated significantly higher problems in peer relationships and educational success in comparison with the controls. Conclusion: Children with TM are posed with an increased risk of psychopathology.
Journal of Mood Disorders, 2012
Depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki i... more Depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki ilişki Amaç: Bu çalışmada, depresif bozuklukta serum BDNF düzeyleri ile bilişsel işlevler ve kortizol düzeyleri arasındaki ilişkinin araştırılması amaçlandı. Yöntem: Çalışmaya DSM-IV tanı ölçütlerine göre major depresif bozukluk tanısı konulan ve antidepresan ilaç kullanımı olmayan 30 hasta katıldı. Depresyon şiddetinin belirlenmesinde Hamilton Depresyon Değerlendirme Ölçeği (HAM-D17) kullanıldı. Serum BDNF düzeyleri ELİSA yöntemi ile belirlendi. Bilişsel işlevlerin değerlendirilmesinde; Sayı dizileri testi, Stroop testi, Sözel bellek süreçleri testi ve Wechsler-görsel bellek alt testleri uygulandı. Bulgular: Hastaların HAM-D17 puan ortalaması 17.09±4.96 olarak tespit edildi. Serum BDNF düzeyleri ortalama 1453.42±144.51 pg/ml, serum sabah kortizol düzeyleri 11.54±4.57µg/dL olarak belirlendi. HAM-D17 puanları ile BDNF düzeyleri arasında ilişki saptanmadı. Serum BDNF düzeyleri ile kortizol düzeyleri ve nöropsikolojik test puanları arasında ilişki saptanmadı. Serum kortizol düzeyleri ile Stroop testi süre farkı arasında pozitif ilişki tespit edildi (rs=0.396 p=0.017). Serum kortizol düzeyleri ile diğer nöropsikolojik test puanları arasında ilişki saptanmadı. Sonuç: Çalışmamızda depresyonu olan hastalarda BDNF düzeyleri ile dikkat ve bellek performansları arasında ilişki bulunmamıştır. Sabah bazal kortizol düzeylerinin yüksek olması dikkati olumsuz yönde etkilemektedir. Serum BDNF düzeyleri ile sabah ölçülen kortizol düzeyleri arasında ilişki saptanmamıştır.