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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 Inappropriate treatment of a woman with vaginismus and social and psychiatric consequences in a traditional culture(Routledge Journals, Taylor & Francis Ltd, 2009) Yasan, Aziz; Essizoglu, Altan; Yildirim, Ejder AkgunVaginismus is the most commonly diagnosed sexual dysfunction among Turkish women seeking sex therapy. Herein, we report a woman with vaginismus who was referred to our clinic after unsuccessful medical interventions for vaginismus. Additionally, she was physically and emotionally abused by her husband and parents in-law. Based on DSM-IV, she was diagnosed with vaginismus, posttraumatic stress disorder and major depressive disorder. Sex therapy for this patient lasted for nine weeks, after that time she was able to penetrate her vagina with two of her fingers. In traditional culture, women with vaginismus are susceptible to social pressures, traumatic experiences and loss of social status as a result of sexual dysfunction.Öğe Marital Satisfaction, Sexual Problems, and the Possible Difficulties on Sex Therapy in Traditional Islamic Culture(Routledge Journals, Taylor & Francis Ltd, 2009) Yasan, Aziz; Gurgen, FarukWe plan to investigate the level of marital satisfaction, the prevalence of sexual problems, and related issues in couples who were referred to an outpatient clinic of psychiatry for their sexual problems. All were living according to traditional Islamic culture. Twenty-five (80.64%) of the couples attended the clinic for not being able to have any sexual intercourse. Overall, 25.8% of the women, and 3.2% of the men had been married without their consent; those marriages were arranged and mediated by matchmakers. Vaginismus (58.06%) was the most common diagnosis among women and premature ejaculation (38.70%) among men. We found that marital satisfaction was affected by the mode of marriage.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 Predictor Factors Associated with Premarital Sexual Behaviors Among University Students in an Islamic Culture(Routledge Journals, Taylor & Francis Ltd, 2009) Yasan, Aziz; Essizoglu, Altan; Yildirim, Ejder AkgunWe examined premarital sexual behaviors among Turkish university students and the predictor factors for these behaviors. The study included 638 eligible students ( 256 women and 382 men). Masturbation was reported by 53.3% of the participants, and sexual intercourse experience was reported by 26.3%. Men, heterosexual orientation, and non-religious/liberal religiosity were predictor factors for masturbation and premarital sexual intercourse/foreplay experience. Men having more sexual experiences than women may indicate gender double standards, while heterosexual orientation as a predictor of sexual behaviors could relate to homophobia, still prominent in Turkey. These findings highlight Islam's restrictive attitude towards sexuality despite continued Western influences.Öğe Prevalence of unwanted sexual intercourse: reasons, short term consequences in a group married women(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2015) Yasan, Aziz; Tamam, Lut; Selcuk Bardakci, HilalObjective: The aim of this study was to examine the prevalence of unwanted sexual intercourse, its reasons, some short term consequences and related sexual function disorder in a group of married women. Methods: Sixty three married women who have been working as research fellow in a university have participated in the study. A study form including sociodemographic features and information relevant to unwanted sexual experiences of cases were completed by participants. Arizona Sexual Experiences Scale were given to collect information about sexual life and experiences of subjects. Results: More than half of the cases revealed that they had unwanted sexual intercourse during their lifetime. The most common reasons for unwanted sexual intercourse were using sex as a way of showing their love and satisfying a need to be sensual. According to Arizona Sexual Experience Scale, women those have unwanted sexual intercourse had significantly lower sexual desire, arousal, orgasm and sexual satisfaction subscale as compared to women those did not have unwanted sexual intercourse. Discussion: This study has shown that all unwanted sexual intercourse may not be considered as traumatic and for some women it might be considered as positive sexual experience. However, in some cases it may lead to negative psychological consequences and sexual dysfunction. Thus, further studies are warranted to determine the factors leading an unwanted sexual course to be considered as a positive or negative experience. In psychiatric practice, evaluating unwanted sexual course might help psychiatrists to find out a precipitating factor for a sexual dysfunction and some psychiatric syndromes.Öğe Quality of life, depression and anxiety in young male patients with silicosis due to denim sandblasting(Turkish Assoc Tuberculosis & Thorax, 2011) Yildiz, Tekin; Essizoglu, Altan; Onal, Suna; Ates, Gungor; Akyildiz, Levent; Yasan, Aziz; Ozmen, Cihan AkgulThe aim of this study was to estimate the quality of life, depression and anxiety in patients with silicosis due to denim sandblasting. This study was conducted on 50 young male patients with silicosis and 30 controls. A socio-demographic data form, Short Form-36 (SF-36), the Beck depression inventory (BDI) and the Beck anxiety inventory (BAI) were used to determine quality of life, depression and anxiety. The mean scores of SF-36, BDI and BAI were higher in the patients than in the controls. Correlation analysis revealed a strong negative correlation between all scales of SF-36 and BDI scores. Additionally, there was strong negative correlation between five scales of SF-36 and BAI scores. We suggest that silicosis might be detrimental to the quality of life and increase depression and anxiety in patients with silicosis due to denim sandblasting.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 Sexual aversion and sexual desire disorder which trigger panic attacks: A case report(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2009) Yasan, Aziz; Tamam, LutThe studies investigating the relationship between panic disorder and sexual dysfunction are relatively limited, and the findings reported are controversial. In this study, a case applying to our clinic due to sexual aversion and lack of sexual desire triggered by panic attacks was evaluated in the light of literature data. The treatment was conducted for seven months on a weekly-interview basis. In the treatment, an approach involving the combination of sexual dysfunction therapy and agoraphobia treatment was adopted. During sexual intercourse, additional antianxiety drugs were included. In case of association of sexual functional disorder and panic attack, sexual dysfunction poses some challenges due to panic attack expectation. In addition, in the event of the association of these two disorders, only sexual functional therapy cannot be achieved, and therefore drug therapy may be required. (Anatolian Journal of Psychiatry 2009; 10: 159-162)Öğe Smoking attitudes and some related factors in Diyarbakir city center(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2008) Yasan, Aziz; Guergen, Faruk; Oezkan, Mustafa; Oto, RemziObjective: The aim of this study was to investigate relationship among smoking attitudes, psychiatric symptoms and 16 ages below trauma in Diyarbakir city center. Methods: The research was conducted at March-April 2006 among 599 adults who live in 50 different districts of Diyarbakir. The respondents were interviewed face to face at their homes. In this cross-sectional study we administered a questionnaire in order to determine sociodemographic, smoking, 16 ages below trauma and psychiatric symptoms. Results: We determined that from 599 persons joined to our study 50.9% of the persons are at least I smoking a daily. Rate of smoking was Female 36.7% and male 65.2%. Average age for smoking cigarette for the first time was 16.4 +/- 2.2 years. The highest prevalence for smoking cigarette regularly was found in the 25-34 age groups. Sixteen age years below trauma rate was higher in smokers (60.3%) than nonsmokers (47.3%). According to SCL-90-R, anxiety, obsession, depression, psychosis, phobia and global mean scores were higher smokers than nonsmokers. Discussion: In our research we found associate with smoking use, psychiatric symptoms and 16 ages below trauma.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.Öğe Sociodemographic and clinical features of patients with bipolar I disorder in Turkey-HOME study(Kure Iletisim Grubu A S, 2012) Akkaya, Cengiz; Altin, Murat; Kora, Kaan; Karamustafalioglu, Nesrin; Yasan, Aziz; Tomruk, Nesrin; Kurt, ErhanSociodemographic and clinical features of patients with bipolar I disorder in Turkey-HOME study Objective: The present study aimed to investigate the sociodemographic and clinical characteristics and compare the interregional differences in bipolar patients, who presented with manic episodes and were admitted to various psychiatry centers in 7 different regions of Turkey. Method: This observational study was conducted on 584 patients with manic episodes at 53 centers in 7 regions in Turkey during 2 years. Sociodemographic and clinical findings of patients with DSM-IV diagnosis of bipolar I disorder were collected to investigate the interregional differences. Results: The mean age, age at first hospital admission, and duration of bipolar disorder of 584 patients were 33.9 +/- 11.2, 26.1 +/- 8.6, and 8.6 +/- 8.2 years, respectively. In the psychiatric history the most frequently encountered episode was manic type and among manic episodes the most common type was mania with psychotic features. At baseline, the mean Clinical Global Impression and Young Mania Rating Scale scores were 4.87 +/- 0.9 and 33.2 +/- 9.3, respectively. While age at first hospital admission, the ratios of typical antipsychotic, lithium, anticonvulsant, and anticholinergic/antihistaminic uses at treatment history, duration and the dose of drugs used in the treatment of current episode demonstrated interregional differences, no significant difference was found among the patients in terms of sociodemographic features. Conclusion: The present study is the first and only large scale study up to date performed within this context in Turkey. We think that knowing regional variations will help to understand treatment needs of bipolar patients.Öğe Treatment of Lifelong Vaginismus in Traditional Islamic Couples: A Prospective Study(Oxford Univ Press, 2009) Yasan, Aziz; Akdeniz, NurtenAs sexual values and the meaning of sexuality are culturally dependent, the efficacy of sex therapy models may not necessarily be similar across cultures. The aim was to address two questions; the first was to identify whether a group of patients with lifelong vaginismus living in traditional Islamic culture benefited from the sex therapy. The second question addressed was how Muslim culture affects sex therapy in the treatment of vaginismus. Data were obtained from all patients with lifelong vaginismus who attended an outpatient clinic in the course of 1 year. Forty-four couples were investigated in the initial session. Thirty-six couples who completed the treatment were assessed after 3 months. In the final evaluation, pleasurable full vaginal penetration after active penile insertion was accepted as a successful outcome treatment for the present study. In the study, 36 patients who had completed treatment were determined, 29 of whom had successful outcome of treatment, while eight dropped out. The model building process variable resulted in married by matchmaker without consent (OR = 0.060, CI = 0.046-0.771, P = 0.031) and not allowing pelvic examination (OR = 0.124, CI = 0.016-0.941, P = 0.044) as negative predictors for successful outcome of treatment. Sex therapy is a feasible method of treatment for vaginismus within the cultural environment investigated, although some modifications may be needed in some setting such as for those married by matchmaker without their consent. Yasan A, and Akdeniz N. Treatment of lifelong vaginismus in traditional Islamic couples: A prospective study. J Sex Med **;**:**-**.Öğe Venlafaxine Addiction without a History of Alcohol and Substance Abuse: A Case Report(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2012) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Karabulut, Evindar; Gurgen, FarukVenlafaxine addiction without a history of alcohol and substance abuse: a case report In this paper, the aim was to present a patient who had no history of drug or alcohol abuse but was prescribed venlafaxine because of her complaints of headache and increased its dosage by herself on the pretext of a decrease in efficiency. A 35 year-old female patient complaining of headache was prescribed 75 mg/day venlafaxine by a psychiatrist, and the dosage was increased to 225 mg/day by the same doctor, and then the drug dosage was increased to 2100 mg/day by the patient herself. The patient was hospitalized and venlafaxine dosage was gradually decreased and stopped in 10 weeks. This case shows that antidepressant dependence may develop in patients without a history of drug or alcohol abuse.Öğe Venlafaxine dependency: A case report(Kure Iletisim Grubu A S, 2009) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Karabulut, Evindar; Gurgen, FarukIn this case report, the aim was to present a patient who is complaining of headache and started to venlafaxine and increased the dosage of this drug with a reason of decreasing its efficiency. A 35 year-old woman patient who applied to the doctor complaining of headache is started to 75 mg/day venlafaxine by psychiatrist, the dosage was increased to 225 mg/day by the same doctor and then the drug dosage was increased to 2100 mg/day by client self-decision. The venlafaxine dosage of patient, who was investigated by hospitalization with the diagnosis of venlafaxine addiction along 10 weeks, was gradually decreased and stopped. However, this detoxification period was hardly carried out due to limited mental capacity of the patient. This case shows that the antidepressant addiction is able to develop in patients who have not drug and alcohol usage history.
