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Öğe Childhood traumatic events and dissociation in university students(Taylor & Francis Ltd, 2009) Aydin, Yunus Emre; Altindag, Abdurrahman; Ozkan, MustafaObjective. The purpose of this study was to determine the frequency of childhood traumatic events, to investigate its relationship with dissociation and other psychiatric symptoms and to examine the potential effect of family functioning on dissociative symptoms and general psychopathology in a Turkish university student sample. Methods. All participant completed Brief Physical and Sexual Abuse Questionnaire, Symptom Checklist-90-Revised (SCL-90-R), Dissociative Experiences Scale (DES) and Family Assessment Device (FAD). Results. The most frequent childhood trauma type was separation from caretaker (46.1%). Witnessing violence (33.1%), harsh punishment (21.2%) and substance abuse in family (10.5%) followed. Sexual abuse of incest type was seen in 6.3%. Students who reported childhood traumatic events had higher DES and SCL-90-R scores compared to those who did not. There were fair relationships between SCL-90-R and FAD scores. Conclusion. A history of childhood traumatic events may be related to increased level of dissociation and general psychopathology in university students. Other pathogenic family factors also may contribute to the development of psychiatric symptoms.Öğe Double Standard for Traditional Value of Virginity and Premarital Sexuality in Turkey: A University Students Case(Routledge Journals, Taylor & Francis Ltd, 2011) Essizoglu, Altan; Yasan, Aziz; Yildirim, Ejder Akgun; Gurgen, Faruk; Ozkan, MustafaThis study investigates the prevalence of myths regarding virginity and the hymen and their associations with sexuality prior to marriage. This study was conducted with 534 single, heterosexual male and female students from various faculties of Dicle University in Turkey. The findings demonstrated that the rates of masturbation (11.1%) and premarital sexual intercourse (4.3%) were much lower in women than in men (87.7% and 44.2% respectively) who were traditionally expected to maintain their virginity until marriage. A higher degree of commitment to religious faith was associated with a lower rate of masturbation and sexual contact experience. Also, the myth that the hymen symbolized virginity was slightly more prevalent among male students (74.2% vs. 72.1%). Female virginity was significantly more important among male students (76.7%) than females (11.1%), and male students more frequently (30.1% vs. 11.1%) stated that othe blood-stained bed sheeto should be displayed to the family on the day of marriage. Although some myths about virginity were frequently reported by females, less significance was attributed to virginity by females than by males. In conclusion, the traditional social structure that incites sexual double standards still prevails over the sexual attitudes and behaviors of university students in Turkey.Öğe Effects of an antistigma program on medical students' attitudes towards people with schizophrenia(Wiley, 2006) Altindag, Abdurrahman; Yanik, Medaim; Ucok, Alp; Alptekin, Koksal; Ozkan, MustafaPeople with schizophrenia are amongst the most stigmatized of those with mental illnesses. The purpose of this study was to examine whether an antistigma program which consists of education, contact, and viewing a film that depicts an individual with schizophrenia, can change attitudes towards people with schizophrenia. The antistigma program was carried out with first-year medical students (n = 25). Students' attitudes towards people with schizophrenia were assessed before and after the program. In parallel, a control group of first-year medical students were questioned (n = 35). Assessment was repeated after 1 month. Favorable attitudinal changes were observed in terms of 'belief about the etiology of schizophrenia', 'social distance to people with schizophrenia', and 'care and management of people with schizophrenia'. In contrast, no significant change was observed in the control group. Attitude changes tended to decrease at the 1-month follow up. These results suggest that attitudes towards schizophrenia could be changed favorably with this program. To sustain changed attitudes towards people with schizophrenia, antistigma programs should be offered on a regular basis.Öğe Evaluation of serum inflammatory markers in treatment-resistant manic patients and adequate responder manic patients(Elsevier Ireland Ltd, 2019) Bulut, Mahmut; Cati, Songul; Gunes, Mehmet; Kaya, Mehmet Cemal; Kaplan, Ibrahim; Ozkan, MustafaMania is accompanied with immune activation as indicated by increased pro-inflammatory cytokines, acute phase proteins; and carcinoembryonic antigen (CEA) is known to accompany signs of immune-inflammatory responses in bipolar disorder (BD) and medical disorders. In this study, it was aimed to compare high sensitivity C-reactive protein (hsCRP), CEA levels and white blood cells (WBCs) counts in the treatment-resistant BD (Group 3), the treatment-responsive BD patients (Group 2), and the healthy control group (Group 1). The socio-demographic data form, the Young Mania Rating Scale (YMRS), the Hamilton Depression Rating Scale (HDRS), and the Clinical Global Impression Severity of Illness (CGI-S) Scale were applied to the patients. In Group 3, the WBCs counts, and CEA levels were significantly higher than the other two groups. There was a positive correlation between WBCs counts and YMRS and CGI-S scores in all manic patients. There was a positive correlation between CEA levels and YMRS, HDRS and CGI-S in manic patients. This study shows that there is an activation of the immune-inflammatory response system in treatment resistant manic patients; and, WBCs counts and CEA levels are associated with severity of disease in manic patients.Öğe Influence of Childhood Traumas on Hopelessness, Smoking and Alcohol Use; A Study to Evaluate Last Year University Students(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2007) Ozen, Sakir; Antar, Saliha; Ozkan, MustafaIn this study we aimed to determine the effect of childhood traumas on hopelessness, smoking and alcohol use in university students and to study the relationships between their sex and familial characteristics. We applied Hopelessness Scale (HS), The Boratav Depression Screening Scale (BORDEPTA), Social Comparison Scale (SCS), The Childhood Trauma Questionnaire (CTQ) and Personnel Information Form, respectively to 1.026 students (male: 605, female: 421) in last year of various faculties of Dicle University. Mean age of students was 23.2 +/- 2.1; 47 % of their mothers and 13 % of their fathers were illiterate. Mean scores of scales were: CTQ=71.5 +/- 19.9; HS=5.9 +/- 4.6; BORDEPTA=7.3 +/- 4.7; SCS=80 +/- 16.1. Mean score of BORDEPTA scales were higher in females, but mean scores of other scales were higher in males. The rate of every day smokers was 33 % and the rate of alcohol use several times a week was 4 %. Scores of CTQ, HS and BORDEPTA were higher in smokers than non-smokers (r=0.075, p=0.008; r=0.105, p<0.001; r=0.132, p<0.001; respectively); however only BORDEPTA scores were higher in alcohol user students than others (r=0.066, p=0.017). In Stepwise linear regression analysis, the most descriptive variabl of CTQ-total scores was high HS scores in male students and high BORDEPTA scores in females. Emotional, physical and sexual traumas in childhood maintain their negative effects on last year university students who are about to into life struggle actively. Such experience lead to hopelessness for the future, depressive temperament, negative self perception and inclination to smoking in these students.Öğe Level Of Belief In Sexual Myths Women With Infertility Treatment(Klinik Psikiyatri Dergisi, 2017) Ekmen, Betul Uyar; Ozkan, Mustafa; Gul, TalipObjective: Infertility is defined as failure of fetation in a couple at reproductive age with regular sexual intercourse at least for one year without any contraception method being used. Sexual myths are thoughts which people think they are true. Sexual myths are mostly exaggerated and false beliefs which have no scientific background. Lack of sexual knowledge and education, when combined with society's strict behaviour, taboos and restrictions about sexuality can lead to several sexual problems and sexual dysfunctions. The purpose of this study was to determine sexual myth belief level in infertile women. Method: Our study included 100 primer infertile and 78 fertile women. Participants had answered the questions of sociodemographic data form, Arizona Sexual Experience Scale -Woman form and sexual myths evaluation form. Results: The levels of belief on 9 sexual myths in 30 were significantly higher in infertile women compared to fertile women. We found that living in countryside, education, family type, blind date marriage, infertility and treatment duration have augmented belief on sexual myths. Conclusion: Belief on sexual myths has been found significantly higher in infertile women compared to fertile women. Especially low education has been found associated with higher belief levels for infertile women. It is important to get sexual education from right sources in the right time which is essential for a better sexual life and reduction in sexual myth belief levels.Öğe Mental health aspects of Turkish women from polygamous versus monogamous families(Sage Publications Ltd, 2006) Ozkan, Mustafa; Altindag, Abdurrahman; Oto, Remzi; Sentunali, EsinBackground: Polygamy is illegal in Turkey, but is common among rural villagers in the southeastern region. Polygamous marriage may have a negative effect on the wives involved. Aim: The purpose of this study was to determine the extent of the relationship between psychiatric disorder and polygamous marriage. Method: The mental status of 42 senior and 46 junior wives from polygamous marriages and 50 wives from monogamous marriages was evaluated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and Somatoform Dissociation Questionnaire (SDQ). Results: There was a statistically significant difference among senior, junior and monogamous wives in terms of the prevalence of somatization disorder. The prevalence of somatization disorder was the highest in polygamous senior wives. The mean total SDQ scores differed significantly among the three groups. It was the highest in senior wives. Conclusions: It is clear that the participants from polygamous families, especially senior wives, reported more psychological distress. It is essential to increase awareness of the significance of polygamous family structures among psychiatrists and other therapists.Öğe Predictive Factors for Acute Stress Disorder and Posttraumatic Stress Disorder after Motor Vehicle Accidents(Karger, 2009) Yasan, Aziz; Guezel, Aslan; Tamam, Yusuf; Ozkan, MustafaBackground: Since traffic accidents are more common in developing countries than in developed countries, we aimed to investigate the association of several factors with the development and persistence of posttraumatic stress disorder (PTSD) after traffic accidents. Sampling and Methods: In the study, 95 participants with injuries from traffic accidents were evaluated at 4 different times: in the beginning, and after 3, 6 and 12 months. Results: During the first evaluation, 41.1% (39) of our participants had acute stress disorder (ASD). It was found that lower perceived social support (OR = 0.0908, 95% Cl = 0.834-0.989, p = 0.027) and higher peritraumatic dissociative experience scores (OR = 1.332, 95% Cl = 1.170-1.516, p < 0.001) were significant predictors of ASD. In the evaluations after 3, 6 and 12 months after the accident, we found PTSD affected 29.8, 23.1 and 17.9% of the participants, respectively. Although limitations at work and in social life after a traffic accident were not related to PTSD at 3 months (OR = 122.43, 95% Cl = 0.000, p = 0.999) or at 6 months (OR = 63.438, 95% Cl = 0.529-76.059, p = 0.089), limitations at work and in social life were predictors of PTSD at 12 months (OR = 155.514, 95% Cl = 2.321-104.22, p = 0.019). Conclusions: The persistence of PTSD at the 12-month evaluation is related to ASD, limitations in work and social life, and lower social support scores. In developing countries like Turkey, long-term PTSD is commonly seen after traffic accidents. Copyright (C) 2009 S. Karger AG, BaselÖğe A Rare Case of First Attack Psychosis and Wilson's Disease(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Ibiloglu, Aslihan Okan; Atli, Abdullah; Asoglu, Mehmet; Ozkan, MustafaWilson disease (WD) is an infrequent genetic disorder of copper metabolism (chromosome 13), with decreased transport of copper by hepatic lysosomes due to mutation in the Wilson disease protein (ATP7B) gene. Hence, accumulating copper is primarily affecting the liver, brain, cornea, and kidneys, after then leading to their symptomatic damages. During early ages, the patients are mostly presymptomatic. The worldwide prevalence was reported to be 1 in 30.000. Psychiatric symptoms are common with Wilson's disease. Pychosis can be an initial manifestation and often leads to an inaccurate diagnosis. As is seen, clinical syndrome may be very complex. Therefore, detecting mental health disorders of secondary origin is very important for the mental health professionals. In conclusion, one must be aware of the possibility of an organic cause in patients who are admitted with psychiatric symptoms, for the first time. On the other hand, medical causes of psychiatric symptoms should always be considered. Here, we report on a case of psychotic disorder due to Wilson's disease, presenting with psychotic symptoms and bizarre behaviour.Öğe Relation between seizure duration, apllied electrical dose and response speed to electroconvulsive therapy for patients with depression: a retrospective study(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2009) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Akkoc, Hasan; Yildirim, Ejder Akguen; Ozkan, MustafaObjective: The aim of this study was to determine the relationship between speed of clinical response and both applied dose to produce seizure and seizure duration in inpatients with depression who underwent electroconvulsive therapy (ECT) in Dicle University Faculty of Medicine Psychiatry Service between 1st June 2006 and 1st June 2008. Methods: The sociodemodemographic and diagnostic features of 48 inpatients who underwent ECT in our clinic between 1st June 2006 and 1st June 2008 were examined retrospectively. In order to establish correlations between applied dose and seizure duration on the one hand and speed of clinical response during ECT treatment on the other, data of 21 inpatients with depression whose cure was completed in spite of adequate clinical response were analyzed using chi-square and Mann Whitney U tests. Results: In our study, 87 (16.3%) of the 533 inpatients were diagnosed with depression, 48 (9.0%) of all inpatients received ECT, 32 (66.7%) of ECT recipients were diagnosed with depression, 21 (65.6%) of those 32 recipients had adequate clinical response and completed the cure. 57.1% of the patients with depression who completed the cure received ECT with the indication of suicide attempt/suicidal ideation. Among patients who had adequate clinical response; our analyses indicated that patients received six and less ECT treatments needed lower dose and had longer seizure duration than patients received seven and more ECT treatment. Conclusion: The results of our study show that beginning from the first ECT treatment the droopiness of the applied dose to produce seizure and the length of seizure duration may predict that patients with depression will have more rapid clinical response during ECT treatment. However, further research which includes more patients is needed about this issue. (Anatolian Journal of Psychiatry 2009; 10: 286-292)Öğe Socio-cultural features and sex profile of the individuals with serious suicide attempts in southeastern Turkey: A one-year survey(Wiley, 2008) Yasan, Aziz; Danis, Raimazan; Tamam, Lut; Ozmen, Sehmus; Ozkan, MustafaOur objective was to elucidate potential causes of higher rates of suicide attempts in females compared to males in southeastern Turkey through a I-year survey. Gender-related differences observed in 96 subjects who attempted suicide by poisoning for the first time were as follows: in comparison to male, females were predominantly within the age interval of 15-24 years, experienced more stressful events in the previous week before suicide attempt, had lower education level, and had a lower rate of employment. One year after the suicide attempt, unfavorable attitude of family, lack of support, persisting unfavorable lifestyle comparable with that prior to the first attempt, and higher rates of domestic violence were more pronounced in females compared to males. These findings might be contributing factors to the higher suicide attempt rates observed in females compared to the males.
