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Öğe Acil ünitesine intihar girişimi nedeniyle başvuran olguların değerlendirilmesi: Şanlıurfa örneklemi(Turkish Association for Psychopharmacology, 2014) Atlı, Abdullah; Uysal, Cem; Kaya, Mehmet Cemal; Bulut, Mahmut; Güneş, Mehmet; Karababa, İbrahim Fatih; Bez, Yasin; Beşaltı, Sever; Sır, AytekinAmaç: İntihar, istemli olarak kişinin yaşamına son vermesidir. Dünya Sağlık Örgütüne göre her yıl bir milyondan fazla insan intihar etmektedir ve dünyada yaşanan ölümlerin %2’si intihar nedeniyledir. Ülkemizde 2011 yılı istatistiklerine göre 2677 kişi intihar etmiştir ve kaba intihar hızı %3.62 olarak bulunmuştur. Bu çalışmada amacımız Şanlıurfa ilinde intihar girişimi nedeni ile acil servise başvuran hastaların özelliklerini ortaya koymaktır. Yöntem: Çalışmamız geriye dönük bir çalışma olup, Şanlıurfa ilindeki Balıklıgöl Devlet Hastanesi acil servisine intihar girişimi nedeniyle başvuran bireyler çalışmaya dâhil edildi. Bireylerin tıbbi kayıtlarındaki bazı klinik ve fenomenolojik özellikleri incelenmiştir. Bulgular: 2011 yılı içinde hastane acil servisine 227 kişinin intihar girişimi nedeni ile başvurduğu anlaşılmıştır. Başvuranların 177’si (%78) kadın, 78’i (%22) erkekti. Hastaların %57’si 15-24 yaş aralığındaydı ve %51’i evliydi. En sık intihar şeklinin yüksek doz ilaç alma olduğu tespit edilmiştir. İntihar girişimlerinin yaklaşık yarısının (%49.8) 16-24 saatleri arası gerçekleştirildiği görülmüştür. En sık intihar nedeni ise aile içi sorunlar olarak bildirilmişti (%37.9). Sonuç: Araştırmamızdaki acil servise intihar girişimi nedeni ile yapılan başvuruların yarısından fazlasının evli ve 15-24 yaş aralığında olması bu bölgede aile içi sorunların intihar girişimleri için önemli bir risk etmeni olduğunu düşündürmektedir. En sık intihar nedeni olarak aile içi sorunların bildirilmiş olması bu düşünceyi destekler niteliktedir. İntihar girişimleri açısından depresyon, borderline kişilik özellikleri, fiziksel-cinsel travma, impulsivite gibi psikiyatrik rahatsızlıklarla beraber aile içi sorunlar ve eşler arası geçimsizlik gibi sosyal etmenler önemli yer tutmaktadır. Sonuç olarak; çalışmamızın verileri bir bütün olarak incelendiğinde ve Türkiye’nin diğer bölgelerinde yapılan benzer çalışmalarla karşılaştırıldığında; evli olmak, genç olmak, eğitim düzeyinin düşük olması ve aile içi sorunlar ile intihar girişimleri arasında ilişki bulunmaktadır. Yetkili kurumların bazı önlemler almasının intihar girişimlerini azaltmada etkili olabileceği düşünülmektedir.Öğe Aggression during Early Childhood: Associated Factors in a Clinical Sample(Marmara Univ, Fac Medicine, 2011) Ekinci, Ozalp; Topcuoglu, Volkan; Bez, Yasin; Sabuncuoglu, Osman; Berkem, MeralObjective: Early onset aggression is a public health problem. We aimed to investigate the associated factors of aggressive behaviours in preschool children. Patients and Methods: Seventy two children (aged between 1 and 6) with primary complaints of severe aggressive behaviours by their parents and 72 healthy controls were included in the study. A semi-structured inquiry-form on demographic features, personal and psychiatric characteristics of parents and mother-child relationship patterns were given to the mothers. The Aberrant Behaviour Checklist (ABC) and Beck Depression Inventory (BDI) were given to the mothers. Results: Parental education levels were lower in the patient group. Parents' problematic experiences with anger, mothers' feelings of insufficiency in parenting and marital quarreling were found to be higher in the patient group. The frequency of depressive and/or anxiety symptoms during pregnancy and the postnatal period as well as mothers' current BDI scores were higher in the patient group. According to a logistic regression analysis, the ABC hyperactivity score, mothers' feelings of insufficiency in parenting and fathers' problematic experiences with anger were found to be associated with aggressive behaviours in the patients. Conclusion: Aggression in preschool children is associated with multiple factors. The examination of parental characteristics appears to be especially important in the evaluation of affected children.Öğe Akkiz prematür ejakülasyon hastalarında ailesel işlevlerdeki değişiklikler(Dicle Üniversitesi Tıp Fakültesi, 2011) Arı, Mustafa; Bez, Yasin; Kaya, Yusuf; Kıvrak, YükselAmaç: Bu çalışmada akkiz prematür ejakülasyonu (PE) olan bireylerde ailesel işlevlerdeki değişikliklerin araştırılması amaçlandı. Gereç ve yöntem: Çalışmamızda PE grubu Mustafa Kemal Üniversitesi Tıp Fakültesi Araştırma Hastanesi Üroloji polikliniğine başvuran hastalardan seçildi. Kontrol grubu ise sağlıklı gönüllüler arasından seçildi. Üroloji polikliniğinde hastalar ejakülasyon süresine göre incelendi. Bir dönem herhangi bir şikayeti olmadığı halde bir süredir ejakülasyon süresi bir dakikadan kısa olan ve bundan şikayeti olan bireylerde PE olduğu kabul edildi. Toplam 30 katılımcı PE grubu olarak, 30 sağlıklı gönüllü de kontrol grubu olarak çalışmaya dahil edildi. Daha sonra bu katılımcılar psikiyatr tarafından değerlendirildi. Tüm katılımcılara Beck Ansiyete Ölçeği ve Aile Değerlendirme Ölçeği uygulandı. Bulgular: PE grubunda anksiyete düzeyi kontrol grubundan daha yüksekti (p=0.001). Aile değerlendirme ölçeğinde PE grubunda problem çözme (p=0.001), iletişim (p=0.022), duygusal cevap verebilme (p=0.011), davranış kontrolü (p=0.032), gereken ilgiyi gösterme (p=0.011) alt ölçeklerinde puanlar kontrol grubuna göre anlamlı olarak daha yüksekti. Genel fonksiyonlar (p=0.217) ve roller (p=0.133) açısından anlamlı farklılığa rastlanmadı (p>0.05). Sonuç: PE hastalarında ailesel işlevlerde bozulma olduğu söylenebilir, dolayısıyla bu hastaların tedavisinde ailesel işlevlere yönelik yaklaşımlar fayda sağlayabilir.Öğe Altered lipid peroxidation markers are related to post-traumatic stress disorder (PTSD) and not trauma itself in earthquake survivors(Springer Heidelberg, 2016) Atli, Abdullah; Bulut, Mahmut; Bez, Yasin; Kaplan, Ibrahim; Ozdemir, Pinar Guzel; Uysal, Cem; Selcuk, HilalThe traumatic life events, including earthquakes, war, and interpersonal conflicts, cause a cascade of psychological and biological changes known as post-traumatic stress disorder (PTSD). Malondialdehyde (MDA) is a reliable marker of lipid peroxidation, and paraoxonase is a known antioxidant enzyme. The aims of this study were to investigate the relationship between earthquake trauma, PTSD effects on oxidative stress and the levels of serum paraoxonase 1 (PON1) enzyme activity, and levels of serum MDA. The study was carried out on three groups called: the PTSD group, the traumatized with earthquake exercise group, and healthy control group, which contained 32, 31, and 38 individuals, respectively. Serum MDA levels and PON1 enzyme activities from all participants were measured, and the results were compared across all groups. There were no significant differences between the PTSD patients and non-PTSD earthquake survivors in terms of the study variables. The mean PON1 enzyme activity from PTSD patients was significantly lower, while the mean MDA level was significantly higher than that of the healthy control group (p < 0.01 for both measurements). Similarly, earthquake survivors who did not develop PTSD showed higher MDA levels and lower PON1 activity when compared to healthy controls. However, the differences between these groups did not reach a statistically significant level. Increased MDA level and decreased PON1 activity measured in PTSD patients after earthquake and may suggest increased oxidative stress in these patients. The nonsignificant trends that are observed in lipid peroxidation markers of earthquake survivors may indicate higher impact of PTSD development on these markers than trauma itself. For example, PTSD diagnosis seems to add to the effect of trauma on serum MDA levels and PON1 enzyme activity. Thus, serum MDA levels and PON1 enzyme activity may serve as biochemical markers of PTSD diagnosis.Öğe Anxiety, depression, sexual dysfunction and quality of life in prostate cancer based on stage of the disease(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2013) Kaya, Mehmet Cemal; Bez, Yasin; Demir, Aslan; Bulut, Mahmut; Topcuoglu, Volkan; Kuscu, Mehmet Kemal; Turkeri, Niyazi LeventBackground: Prostate cancer is common in men and in many studies quality of life, mental health problems and sexual dysfunction were examined in this population. However, there are relatively few studies examining the impact of the disease according to the stages. In this study we aimed to compare the levels of anxiety, depression, quality of life and sexual dysfunction of the prostate cancer patients according to their stages. Method: 80 patients with prostate cancer who applied to urology outpatient clinic were enrolled to the study. Patients were divided into three groups according to their stages; localized/organ-confined, local spread and metastatic spread. Short Form 36 (SF-36), Hospital Anxiety and Depression Scale (HAD) and the Arizona Sexual Experience Scale (ASEX) were performed. Results: According to the stage of prostate cancer, physical functioning subscale of quality of life was significantly lower in patients with metastatic prostate cancer than in patients with organ-confined prostate cancer (F=4.53, p=0.014). There were no associations between anxiety and depression scores and the stage of prostate cancer. Sexual desire was better in organ-confined prostate cancer patients compared to metastatic prostate cancer patients (F=5.32, p=0.007). Conclusion: The patients with prostate cancer might have different levels of physical functioning and sexual aversion problems at different stages of the disease. The clinicians should consider these two issues during follow-up of these patients.Öğe The association of music preferences and depressive symptoms in high school students: A community-based study from Istanbul(Sage Publications Inc, 2013) Ekinci, Ozalp; Bez, Yasin; Sabuncuoglu, Osman; Berkem, Meral; Akin, Elif; Imren, Sebla GokceWe investigated the association of music preferences with depressive symptoms among high school students in Istanbul; 10th-, 11th- and 12th-grade students (N = 1226) were chosen for the study. The Children's Depression Inventory (CDI) and a detailed, semi-structured, self-report inquiry assessing music preferences and various psychosocial variables were administered to the students. Adolescents reporting heavy metal music and arabesque music in their playlists had significantly higher CDI total scores compared to adolescents who did not report these genres in their playlists. The percentage of students with problematic parent relations was highest for those with preferences for heavy metal music. Alcohol use was highest among students with preferences for dance/hip-hop music, followed by those with preferences for heavy metal. Negative thoughts and feelings when listening to music were related to higher CDI scores regardless of the favourite music genre. Future studies are needed to clarify the relationship between music preferences and specific psychopathologies in adolescents.Öğe Attention Deficit Hyperactivity Disorder and Social Anxiety in Istanbul Heavy Metal Bar Patrons(Galenos Publ House, 2011) Ekinci, Ozalp; Bez, Yasin; Topcuoglu, Volkan; Nurmedow, SerdarObjective: We aimed to examine the heavy metal bar patrons in Istanbul by means of self-reported questionnaires for psychiatric disorder symptoms. Material and Methods: Seventy-one volunteers from 4 popular heavy metal bars were included to the study. The Beck Depression Inventory, the Liebowitz Social Anxiety Scale (LSAS), the Adult Attention Deficit Disorder/Attention Deficit and Hyperactivity Disorder (ADD/ADHD) Scale and the Michigan Alcoholism Screening Test (MAST) were administered to the participants. Results: One fourth of the participants (25.4%) were under high risk for a depressive episode (BDI > 17), 22 (32.3%) reported significant social anxiety (LSAS > 30), and 41(57.7%) showed moderate ADHD symptoms (Adult ADD/ADHD scale: 20-59). According to BDI score participants who were under the risk for depression showed higher scores in Adult ADD/ADHD scale scores than that of participants who were not under a risk for depression (p=0.001 for attention deficit; p=0.003 for hyperactivity; p=0.002 for impulsivity; p=0.001 for total score). In the study group, ADD/ADHD scale attention deficit score was positively correlated with the total fear, total avoidence and the total scores of LSAS (r=.359 p < 0.01; r=.332 p < 0.01; r=.358 p < 0.01, respectively). Conclusion: Heavy metal bar patrons appear to be a particular social group with an increased risk of psychopathology.Öğe Bir Üniversite Hastanesinde Görevli Sağlık Çalışanlarının Aile İçi Şiddete Maruziyetleri(2014) Sivri, Süleyman; Korkmaz, Mustafa; Bozkurt, İsmail; Bez, Yasin; Uysal, Cem; Kır, Muhammed ZiyaAMAÇ: Şiddet hayatın her alanında ve dünyanın hemen her bölgesinde görülebilen önemli bir toplum sağlığı sorunudur. Bu çalışmanın amacı Güneydoğu Anadoluda ki en büyük Eğitim ve Araştırma Hastanelerinden biri olan Dicle Üniversitesi Tıp Fakültesinde görev yapmakta olan sağlık çalışanlarının aile içi şiddete maruz kalıp kalmadıklarını değerlendirmektir. YÖNTEMLER: Çalışmamız bir anket çalışması olup 2013 yılında Dicle Üniversitesi Tıp Fakültesi Hastanelerinde gönüllük esasına bağlı olarak akademik personel, asistan doktor, hemşire, ebe, sağlık teknisyeni ve laborant olan sağlık çalışanlarından 371 kişiye uygulandı. BULGULAR: Çalışmamıza katılan gönüllülerin 203 (%54,7) tanesi erkek olup 168 (%45,3) tanesi kadındı. Olgular yaş aralıklarına göre değerlendirildiğinde 18 30 yaş aralığında 188 olgu, 31 4 yaş aralığında 119 olgu, 41 50 yaş aralığında 37 olgu, 51 60 yaş aralığında 21 olgu ve 61 yaş ve üzerinde ise toplam 6 olgu bulunmakta idi. Olgularımızın 63ünün (%17) aile içi şiddete maruz kaldığını tespit ettik. Çalışmamızda hekimler arasında fiziksel ve psikolojik şiddetin daha fazla olduğu, cinsel ve ekonomik şiddetin ise daha fazla hemşireler ve diğer sağlık çalışanları içerisinde daha fazla olduğu tespit edilmiştir. SONUÇ: Hastalarında şiddet unsuru gördüğü anda hemen tanımlayacak ve gerekli destekleri sağlayacak olan sağlık çalışanlarının kendileri de şiddete maruz kalabilmektedirler. Sağlık çalışanı da toplumun bir bireyidir ancak insanlara yardım eli uzatacak kişilerin bunları kendi üzerinde yaşaması çalışmamızda bulmayı umut etmediğimiz ancak ortaya çıkan bir sonuçtur.Öğe Bir üniversite hastanesine başvuran hastaların memnuniyet düzeyleri(Dicle Üniversitesi Tıp Fakültesi, 2010) Emhan, Abdurrahim; Bez, YasinAmaç: Bu çalışmada bir üniversite hastanesinde yatarak veya ayaktan tedavi gören hastaların memnuniyet düzeylerinin çeşitli yönleriyle araştırılması ve ilişkili olabilecek sosyo-demografik değişkenlerin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Yatarak ve ayaktan tedavi gören hastaların memnuniyet derecelerini değerlendirmek için iki farklı anket hazırlanmıştır. Yatarak tedavi gören 379 (%46.2) ve ayaktan tedavi gören 441 (%53.8) hasta ile yüz yüze görüşme yapılarak toplam 820 anket elde edilmiştir. Bulgular: Yatarak tedavi gören hastaların %79.5’i, ayaktan tedavi gören hastaların %76,2’si, genel olarak beklenti düzeylerinde veya beklentilerinin üzerinde bir hizmet aldıklarını bildirmişlerdir. Çalışmamıza katılan yatan ve ayaktan hastaların memnuniyet düzeyleri karşılaştırıldığında yatan hastalar; doktor ilgisi, laboratuar ve radyoloji hizmet kalitesi ve hasta güvenliği açısından ayaktan hastalara göre daha fazla memnuniyet bildirmişlerdir. Genel temizlik konusunda ise, ayaktan tedavi görenlerin memnuniyet düzeyleri, yatarak tedavi görenlere göre daha yüksek olduğu görülmüştür. Yatarak tedavi gören hastalarda ise, ileri yaş grubundakiler, laboratuar ve radyoloji hizmet kalitesi, genel temizlik, yemek kalitesi ve klinik temizliği konularında genç yaştakilere göre daha fazla memnuniyet bildirmişlerdir. Okur-yazar veya ilköğretim mezunları, doktorun verdiği bilgiden, danışmanlık hizmetlerinden, genel temizlik ve poliklinik hizmet kalitesi açısından lise veya üniversite mezunlarına göre daha fazla memnuniyet bildirmişlerdir. Hastaların yaklaşık yarısı (%48) düşük sosyo-ekonomik düzeye sahip olmakla birlikte bazı açılardan sosyo-ekonomik düzeyi yüksek olan hastalara göre daha az memnuniyet bildirmişlerdir. Sonuç: Yatarak ve ayaktan tedavi gören hasta grupları çeşitli memnuniyet değişkenleri açısından farklılıklar göstermişlerdir. Sosyo-ekonomik düzey ile hasta memnuniyeti arasında doğrusal bir ilişkisi olduğu görülmüştür.Öğe Büro çalışanlarında pazartesi kaygısı(2011) Emhan, Abdurrahim; Bez, Yasin; Özen, Şakir; Arı, MustafaAmaç: Bu araştırmada, büro çalışanlarının pazartesi ve perşembe günlerine ait durumluk ve sürekli kaygı düzeylerinin karşılaştırılması amaçlandı. Yöntem: Pazartesi sabahı 230 vergi dairesi çalışanına sosyodemografik bilgi formu, Durumluk Kaygı Envanteri (DKE), Sürekli Kaygı Envanteri (SKE) ve Beck Depresyon Envanteri (BDE) dağıtıldı. Toplam 144 kişiden güvenilir bilgi elde edildi. Bu 144 kişiye, perşembe sabahı (3 gün sonra) kaygı ölçekleri yeniden dağıtıldı, 61 kişiden güvenilir ve eksiksiz bilgi elde edildi. Bulgular: 61 kişinin DKE puanı pazartesi sabahı 44.4±10.2 iken, perşembe sabahı 42.2±9.9 olarak bulundu (t=2.226, p=0.030). SKE puanının ise pazartesi günü 44.7±8.8, perşembe günü 43.0±8.2 olduğu tespit edildi (t=2.123, p=0.038). Pazartesi günkü BDE puanı 14.4±10.5 bulundu. Hem pazartesi hem de perşembe günü memurların SKE puanı ortalaması, yöneticilerinkinden daha yüksekti. Benzer şekilde, memurların pazartesi günkü BDE puanları da, yöneticilerinkinden daha yüksekti. SKE puanı ortalamaları pazartesi günü, orta yaştaki memurlarda gençlerden ve kadınlarda erkeklerden daha yüksekti. Ayrıca, lise mezunlarının SKE ve DKE puanlarının üniversite mezunlarınkinden daha yüksek olduğu görüldü. Sonuç: Pazartesi günü kısmen yüksek olan kaygı; kadın olma, orta yaş üstünde olma, uzun süre aynı işte çalışma, düşük eğitim seviyesi ve yönetilen olma değişkenleri ile ilişkili bulundu.Öğe Customary practices, domestic violence, and psychosomatic pain among adolescent mothers in Turkey(World Health Organization, 2018) Bez, Yasin; Uysal, Cem; Bulut, Mahmut; Kaya, Mehmet; Görük, Neval; Demir, Süleyman; Sır, AytekinBackground: Adolescent motherhood is present in many societies worldwide, including Turkey. Aims: We aimed to determine the demographical and cultural characteristics of adolescent mothers, lifetime domestic violence and history of miscarriage, and whether they suffer from any kind of medically unexplained (psychosomatic) pain in a study in south-eastern Turkey. Methods: We included 501 mothers in this case–control study. The study group comprised 228 mothers who gave their first deliveries at or before 19 years of age, and the control group consisted of 273 mothers who first delivered after 19 years of age. The case–control study was conducted between February and April 2013 in Diyarbakir, Turkey. Results: Adolescent mothers marry more frequently with their relatives. They have a higher prevalence of culture-bound customary applications such as bride price. They are less likely to be asked for their consent to marry and tend to have more children. They are more frequently victims of domestic violence and more often report medically unexplained psychosomatic pain. Conclusions: Adolescent motherhood is still a public health problem that seems to be related to certain culture-bound customary practices, continuing domestic violence across generations, increased number of children, and more prevalent psychosomatic pain.Öğe Decreased Prolidase Activity in Patients with Posttraumatic Stress Disorder(Korean Neuropsychiatric Assoc, 2016) Demir, Suleyman; Bulut, Mahmut; Atli, Abdullah; Kaplan, Ibrahim; Kaya, Mehmet Cemal; Bez, Yasin; Ozdemir, Pinar GuzelObjective Many neurochemical systems have been implicated in the development of Posttraumatic Stress Disorder (PTSD). The prolidase enzyme is a cytosolic exopeptidase that detaches proline or hydroxyproline from the carboxyl terminal position of dipeptides. Prolidase has important biological effects, and to date, its role in the etiology of PTSD has not been studied. In the present study, we aimed to evaluate prolidase activity in patients with PTSD. Methods The study group consisted of patients who were diagnosed with PTSD after the earthquake that occurred in the province of Van in Turkey in 2011 (n=25); the first control group consisted of patients who experienced the earthquake but did not show PTSD symptoms (n=26) and the second control group consisted of patients who have never been exposed to a traumatic event (n=25). Prolidase activities in the patients and the control groups were determined by the ELISA method using commercial kits. Results Prolidase activity in the patient group was significantly lower when compared to the control groups. Prolidase activity was also significantly lower in the traumatized healthy subjects compared to the other healthy group (p<0.01). Conclusion The findings of the present study suggest that the decrease in prolidase activity may have neuroprotective effects in patients with PTSD.Öğe Decreased Serum Sulphydryl Levels as a Sign of Increased Oxidative Stress in Generalized Anxiety Disorder(Korean Neuropsychiatric Assoc, 2013) Kaya, Mehmet Cemal; Bez, Yasin; Karababa, Ibrahim Fatih; Emhan, Ali; Aksoy, Nurten; Bulut, Mahmut; Gunes, MehmetObjective In recent years, many published studies have focused on the relationship between oxidative stress and psychiatric disorders. However, studies in generalized anxiety disorder (GAD) are few despite relatively high prevalence rates. In an attempt to fill this gap in the literature we aimed to measure serum levels of free sulphydryl, an important member of antioxidant defense mechanisms, of the patients with GAD. Methods A total of 35 (23 female, 12 male) GAD patients without any other co-morbid medical or psychiatric disorder and 35 (23 female, 12 male) healthy controls have been included in the study. Disease severity of the patients were quantified by using the Hamilton Anxiety Rating Scale (HAM-A). Serum free sulphydryl group levels of patients and healthy controls were measured in an appropriate way. Results Mean level of serum sulphydryl groups was significantly lower in the patient group. There was a negative correlation between their level and the disease duration. However, they did not show any significant correlation with the disease severity. Conclusion Decreased serum sulphydryl level observed in pure GAD patients suggests an increased oxidative stress in these patients. Well designed future researches are needed to replicate our findings and to test the implications of the present study.Öğe Depressive and Anxious Temperaments in Patients with Complex Regional Pain Syndrome Secondary to Tendon Injury(Taylor & Francis Ltd, 2014) Batmaz, Ibrahim; Dilek, Banu; Sariyildiz, Mustafa Akif; Erbatur, Serkan; Bez, Yasin; Yazmalar, Levent; Bozkurt, MehtapObjective: To determine the affective temperaments and somatoform amplification of the symptoms and its relation with the complex regional pain syndrome [CRPS] in patients who had tendon injuries of the forearm and hand. Methods: Sixty-seven patients [60 males, 7 females] with a forearm or hand tendon injury were enrolled in the present study. The patients were divided into two groups: CRPS and non-CRPS. The patients' pain levels within the last 48 hours were assessed using the visual analog scale [VAS]. The temperament of the patients was evaluated using the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto questionnaire [TEMPS-A]. Their anxiety levels were evaluated with the help of the State-Trait Anxiety Inventory [STAI]. The depression assessment was performed using the Beck Depression Inventory [BDI]. The Somato sensory Amplification Scale [SSAS] was employed for the evaluation of the somatoform disorders. Results: The mean age of the patients was 26.21 +/- 8.01 years [age range: 18 to 57 years]. Among the patients 24 [35.8%] had developed CRPS. When the patients with and without CRPS were compared in terms of their psychological scores, the STAI-II and BDI scores were observed to be significantly deteriorated in the CRPS group in comparison to the non-CRPS group [p<0.05]. Among the TEMPS-A subtypes, anxious [16.7%] and depressive [41.7%] temperaments were more dominant in the CRPS group and the ratio was significantly more deteriorated than the non-CRPS group [p<0.05]. No significant difference was observed between the groups regarding the SSAS scores [p>0.05]. Conclusion: The present study is the first one evaluating the affective temperaments of CRPS patients with tendon injury, and the main findings point out that depressive and anxious temperaments are the most common dominant affective temperaments among our patients.Öğe Dicle Üniversitesi hastaneleri özürlü kuruluna başvuran olguların incelenmesi(T. C. Adalet Bakanlığı Adli Tıp Kurumu, 2013) Uysal, Cem; Bulut, Mahmut; Kaya, Mehmet Cemal; Güneş, Mehmet; Bez, Yasin; Zeren, Cem; Taş, Cuma; Uyar, Betül; Karaaslan, Bekir; Gören, SüleymanAmaç: Dünya Sağlık Örgütü (DSÖ) gelişmiş ülkelerde nüfusun %10unu, gelişmekte olan ül- kelerde ise %12sini özürlü bi- reylerin oluşturduğunu kabul etmektedir. Türkiye İstatistik Kurumu (TUİK)nun yapmış ol- duğu 2002 Türkiye Özürlüler Araştırması sonuçlarına göre ülkemizde özürlü olan nüfu- sun toplam nüfus içindeki ora- nı %12,29 idi. Bu çalışmamız da özürlülerle ilgili ülkemiz verile- rine katkıda bulunmak amacıyla yapılmıştır. Yöntemler: Hastanemiz özürlü kuruluna 2011 yılı Ocak - Aralık aylarında başvuran 1805 vakaya ait dosya- lar geriye dönük olarak değer- lendirilmiştir. Bulgular: 1805 vakanın %45,4 ü (820 kişi) kadın %54,6 sı (985 kişi) ise erkekti. En fazla başvuru 228 (%12,6) vaka ile Mart ayında gerçekleşmişti. %50den daha az özrü olduğuna karar verilen 1173 (%65) vaka varken, kalan 541 (%30) vakanın özrünün %50 ve üzerinde olduğu tespit edil- miştir. Verilen özür oranlarının süreleri incelendiği zaman; Tüm başvurular içerisinde 873 olgu- nun (%48,4) sürekli özre sahip olduğu görülmüştür. Sonuç: Özürlülüğe yol açan etmenler minimuma indirilmelidir. Alına- cak tedbirler sadece büyükşe- hir kent merkezinde değil diğer küçük yerleşim bölgelerinde de uygulanmalıdır.Öğe Effective and safe treatment of psychotic depression in an elderly patient with quetiapine and ECT(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2011) Kaya, Mehmet Cemal; Bez, YasinMajor depression with psychotic features (MDP) is the state that major depression is accompanied by delusions and halucinations. Electroconvulsive therapy (ECT) is an important option used in the treatment. Combination of antidepressants and antipsychotics is also adviced as another treatment option. Lack of data about the treatment of MDP with the combination of ECT and an atypical antipsychotic quetiapine is noteworthy to mention. Here, we aimed to report successful and safe treatment of an elderly patient with MDP by the combination of ECT and quetiapine.Öğe Effects of enuresis nocturna on parents of affected children: Case-control study(Wiley, 2014) Tanriverdi, Mehmet Halis; Palanci, Yilmaz; Yilmaz, Ahmet; Penbegül, Necmettin; Bez, Yasin; Daggulli, MansurBackgroundEnuresis nocturna (EN) is a chronic medical disorder that may cause a parent to question their parenting ability and contribute to an inability to perform the parental role. The aim of the study was to investigate the effects of EN on the relationship between parents, and the effect of mood changes in the couples on the children. MethodsForty children with EN (group 1) were enrolled in the study, and 44 consecutive healthy children (group 2) were randomly selected from the same school. The clinical diagnosis for the patient group was based on a careful history. Spielberg's State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Dyadic Adjustment Scale (DAS) were applied to all parents, and the answers were recorded. ResultsSTAI scores differed between the mothers in the two groups in terms of trait anxiety, while significant differences between the fathers in terms of both state and trait anxiety were observed. The BDI scores were similar between the two groups. The scores of dyadic consensus were lower in the mothers, while the affectional expression scores were lower in the EN study group fathers compared with controls. The total DAS scores were significantly lower in the parents of the children with EN. ConclusionThe parents of children with EN seem to experience increased levels of anxiety. Their desire to continue the marital relationship, the overall quality of their marital relationship and their comfort as a family may also be negatively affected by having a child with EN.Öğe Effects of isotretinoin on obsessive compulsive symptoms, depression, and anxiety in patients with acne vulgaris(Taylor & Francis Ltd, 2012) Yesilova, Yavuz; Bez, Yasin; Ari, Mustafa; Kaya, Mehmet Cemal; Alpak, GokayBackground: Depression, anxiety, and obsessive compulsive symptoms are known to be common among patients with acne vulgaris. In contrast to earlier reports, a number of recent studies suggested isotretinoin to be beneficial for depression and anxiety symptoms in acne patients. Moreover, its effects on obsessive compulsive symptomatology are still widely unknown. Objectives: To examine the effects of isotretinoin treatment on obsessive compulsive symptoms, depression, and anxiety in acne vulgaris patients. Methods: The Hospital Anxiety and Depression Scale, Maudsley Obsessive Compulsive Questionnaire, and Sheehan Disability Scale were administered to 43 patients with acne vulgaris who accepted isotretinoin treatment and agreed to participate in the study. Severity of acne was evaluated with Global Acne Grading System. Thirty-three patients completed 6 months treatment with oral isotretinoin at 0.5-1.0 mg/kg daily doses. Measurements were repeated at the end of 6 months. Results: Depression, anxiety, and obsessive rumination symptoms were significantly improved after isotretinoin treatment. On the other hand, obsessive doubting of acne patients was worse at the end of the treatment. There was no significant change in disease related disability of patients. Conclusion: Besides worsening of obsessive doubting, successful treatment with oral isotretinoin seems to be related with improvement in depression, anxiety, and obsessive rumination symptoms in acne vulgaris patients. These changes were not reflected in the disability level that acne patients have reported.Öğe Effects of Isotretinoin on Social Anxiety and Quality of Life in Patients with Acne Vulgaris: A Prospective Trial(Croation Dermatovenerological Soc, 2012) Yesilova, Yavus; Bez, Yasin; Ari, Mustafa; Turan, EnverSocial anxiety is common in acne patients and the effects of isotretinoin treatment on social anxiety symptoms have not yet been thoroughly investigated. The aim of the study was to assess the effects of isotretinoin treatment on the quality of life and social anxiety symptoms in a group of acne vulgaris patients. The Liebowitz Social Anxiety Scale (LSAS) and Short Form-36 (SF-36) were administered to 39 (24 female and 15 male) patients with acne vulgaris who accepted isotretinoin treatment and agreed to participate in the study. The severity of acne was evaluated using the Global Acne Grading System. Thirty patients completed 6-month treatment with oral isotretinoin at 0.5-1.0 mg/kg daily doses. Measurements were repeated at the end of 6 months. Acne significantly improved over time in the study group. The mean performance avoidance score in LSAS and mean pain and social functioning scores in SF-36 were significantly better at the end of isotretinoin treatment. In conclusion, isotretinoin treatment improves the quality of life and social anxiety symptoms in acne patients.Öğe Electroconvulsive Therapy for Mood Disorders in Pregnancy(Lippincott Williams & Wilkins, 2013) Bulut, Mahmut; Bez, Yasin; Kaya, Mehmet Cemal; Copoglu, Umit Sertan; Bulbul, Feridun; Savas, Haluk AsumanElectroconvulsive therapy (ECT) offers a treatment option for mood disorders during pregnancy. We retrospectively examined 12 pregnant patients who were treated with ECT for their mood disorders. The mean +/- SD age of the patients was 28.1 +/- 4.8 years. The mean +/- SD number of ECTs performed was 9.8 +/- 4.5. The mean T SD Clinical Global Impression score was decreased from 6 to 2.6 +/- 0.7 with ECT. No significant adverse events were observed other than early delivery in one patient and pes ekinovarus deformity in a newborn that was most probably not related to ECT causally. Electroconvulsive therapy seems to be an effective and safe treatment option in pregnant patients with mood disorders.
