1. | Editorial Burhanettin Kaya Page 108 Abstract | |
RESEARCH ARTICLE | |
2. | Internet Addiction Among University Students and Related Sociodemografic Factors Eda Aslan, Aylin Yazıcı doi: 10.5505/kpd.2016.03511 Pages 109 - 117 INTRODUCTION: Üniversite öğrencileri arasında %2 oranında saptadığımız ve aşırı internet kullanımı ile seyreden internet bağımlılığı önemli bir toplum ruh sağlığı problemi olarak dikkat çekmektedir. METHODS: 910 students from main campus of Mersin University were participated in the study, Young's Internet Addiction Test and sociodemographic questionnaire are applied to the students, the groups were classified as internet addiction (IA), risky internet usage (RIU) and average internet usage (AIU) according to the internet addiction test (IAT). Thus, the groups were compared with each other with respect to sociodemographic factors via statistical analysis. RESULTS: In our study, 2% of students were in IA group, 21,9% in RIU and 77,1% in AIU. No significant statistical difference was found between IA and non-IA (RIU + AIU) groups in terms of sociodemographic characteristics (age, sex, marital status, people living together, monthly income and faculty). Students categorized into IA and RIU were found to spend over 40 hours on the internet (p<0,05). The most commonly used internet activities were chatting and social networking for IA; news reading and researching for non-IA group. DISCUSSION AND CONCLUSION: Internet addiction observed among college students at a rate of 2% and characterized by excessive internet usage raises concern as a significant communal mental health problem. |
3. | Evaluation of Clinical and Sociodemographic features of the patients' who had hypomanic/manic switch due to drugs Murat Eren Özen, Mustafa Çelik, Aysun Kalenderoğlu doi: 10.5505/kpd.2016.33042 Pages 118 - 124 INTRODUCTION: The aim of this study was to retrospectively evaluate sociodemographic and clinical features of patients who had hypomanic/manic switch during antidepressant treatment. METHODS: In this study statistical evaluations of retrospective chart reviews of major depression patients who admitted to Private Adana Hospital between December 2012-August 2015, who were above 18 years of age, who met DSM-IV diagnostic criteria for major depressive disorder (HAM-D score ≥32), and who switched to hypomania (YMRS score ≥13) or mania (YMRS score ≥21) during antidepressant treatment were performed. Significance level was defined to be p<0.05. Statistical Package for Social Sciences (SPSS) version 21.0 was used for statistical evaluation of the data. RESULTS: This study included 33 patients (21 females 12 males) who had manic or hypomanic switches during antidepressant treatment for major depression. Mean age of the females was 32,57± 7,06, and males was 28,50±6,84. Mean initial HAM-D score of these major depression patients was detected to be 35.84±5.66. Mean duration of depressive illness was 7.18±4.91 years and percentage of hospitalization for depressive episodes was 1.72±1.68%. Seventeen patients (51.5%) had a family history for bipolar disorder. A stressor was detected in 75.8% of the patients (n=25). Seasonality of the episodes was positive in 45.8% (n=16) of the patients. DISCUSSION AND CONCLUSION: Seventeen patients (51.5%) had previous suicidal attempts. After antidepressant treatment 19 patients had manic (YMRS ≥21), and 14 patients had hypomanic (13≥) episodes. |
4. | The Aggression Level of the Parents of Patients with Substance Use Disorder: The Relationship Between Aggression and the Level of Depression, and Anxiety Suat Ekinci, Merve Yalçınay, Hanife Uğur Kural, Hasan Kandemir doi: 10.5505/kpd.2016.20592 Pages 125 - 129 INTRODUCTION: The aim of this study is to research the aggression level in parents of patients with substance use disorder and to examine the relationship between aggression and the level of depression and anxiety. METHODS: 40 parents of patients with substance use disorder are included in substance use parents group. 40 participants who were equalized with the substance use parents group in terms of age and gender and do not have an Axis I diagnosis are considered as the control group. Parents who accepted to participate to the study and signed informed consent form included in the study. With the aim of collecting the data, a Sociodemographic Data Form, Buss-Perry Aggression Questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory were given to the participants. In order to determine DSM-IV-TR Axis I diagnoses, The Structured Clinical Interview for DSM-IV-TR was used. RESULTS: As we compared two groups in terms of scale scores, it was found that the scores of Buss-Perry Aggression Questionnaire, Beck Anxiety Inventory, and Beck Depression Inventory was higher in substance use parents group than the control group. It was revealed that 18 participants in substance use parents group (45%) had Axis I diagnosis comorbidity. Regarding the relationship between scales, there was a positive relationship between aggression and the level of depression and anxiety. DISCUSSION AND CONCLUSION: In this study, it could be suggested that the aggression level was higher in the families of patients with substance use disorder and that there was a relationship between aggression and the level of depression and anxiety. In substance use parents group, high prevalence of Axis I diagnosis comorbidity was observed. We think that it is essential to handle the aggression problems of parents in the process of treatment of patients with substance use disorder. |
5. | A Retrospective Evaluation of Psychiatric Comorbidity and Substance Use in Forensic Cases Admitted to Emergency Service Onur Durmaz, Erdem Çevik doi: 10.5505/kpd.2016.97268 Pages 130 - 136 INTRODUCTION: Forensic cases are commonly encountered cases with high legal responsibility. In addition to low socio-economic status and level of income, psychiatric diagnoses such as substance and alcohol abuse, personality disorders, some axis 1 disorders have been reported to increase violent behavior. In this retrospective study, we evaluated substance abuse, psychiatric comorbidity, and relationship between type of forensic report and psychiatric diagnoses in forensic cases. METHODS: Data regarding sociodemographic characteristics, forensic circumstances and psychiatric history of forensic cases admitted to Van Military Hospital Department of Emergency between January 2012-April 2014 recruited from hospital database. RESULTS: One hundred and four(23.6%) of the 441 patients had a psychiatric history. There was no significant difference in terms of injury severity score between the group with psychiatric diagnose history and the group with no psychiatric history(p=0.06). Adjustment disorder and B cluster personality disorder were the most prevalent psychiatric diagnoses in study population. Assault(52.9%), intoxication(26%) and firearm/sharp object injuy (17.3%) were the most encountered forensic circumstances in those with psychiatric history as assault and intoxication were found to be significantly higher than other events in this population(p<0.05). Assessment of relationship between type of forensic event and psychiatric diagnoses showed assault, firearm/sharp object injuy, and intoxication were statistically significant in B cluster disorder patients while intoxication was found to be significant in anxiety diagnosed patients(p<0.05). Substance use was determined in fourty-six patients(44.2%) of those with psychiatric history while a significant relationship was found between substance use and firearm/sharp object injuy in this population(p=0.03). DISCUSSION AND CONCLUSION: Detailed evaluation of psychiatric comorbidity and substance use with appropriate psychiatric therapeutic interventions could have a positive impact on management of forensic cases. |
REVIEW | |
6. | A Popular Psychoactive Substance Among Youth; Synthetic Cannabinoid (bonsai): A Review Meryem Karaaziz, Buse Keskindağ doi: 10.5505/kpd.2016.03522 Pages 137 - 144 Addiction refers to not being able to control over desire towards an object or someone even though it has negative impact on one’s health and social life. Nowadays, psychoactive drug use has become very serious issue for people. Since it threatens most of the countries in the world, many researchers have focused on psychoactive drugs. Bonsai is popular substance in this category. This substance is known as bonsai among public which affects health and social life of teenage and young adults negatively. Since it has become a threat for public health, this psychoactive drug has attracted notice significantly in short time. This drug is entitled as “new generation” snythetic cannabinoid and recently, it has been used very frequently in all around the world including Turkey. Findings from various research have indicated that the use of synthetic cannabinoid (bonsai) has increased dramatically among youth in last 10 years. People generally think that synthetic cannabinoid (bonsai) has very similar effect with cannabis (i.e. marijuana). Although they show some similar effects, synthetic cannabinoid (bonsai) is very dangerous since it has chemical additions. It is also known that person who use this drug can develop substance addiction rapidly. This review study has focused on synthetic cannabinoid (bonsai) which is commonly abused by youth. The aim of this study is therefore, to understand the reasons of the increase in the usage; to examine the negative impacts and to consider the prevalence of the synthetic cannabinoid (bonsai). |
CASE REPORT | |
7. | Use of Mirtazapine Treatment in Erectile Dysfunction Associated with Psychogenic Pruritus: A Study of Two Cases Onur Okan Demirci, Hülya Çeçen, Emrah Çinik doi: 10.5505/kpd.2016.69885 Pages 145 - 148 Objectives. There are a lot of reasons that causes pathological pruritus but if attached to the psychological reasons is called psychogenic pruritus. French Psychodermatology Group approves functional itch disorder definition instead of psychogenic pruritus. Erectile dysfunction is classifying under the main title of sexual dysfunctions in Diagnostic Statistical Manual-5. The most common reasons of erectile dysfunction in the world are psychogenic factors. In this article, we aimed to discuss the results of mirtazapine use in two cases who have erectile dysfunction after the occurrence of psychogenic pruritus. Method. Beck anxiety scale, Beck depression scale and Arizona sexual experiences scale were administered to the patients at the beginning of the treatment and the second time at 12th week of the treatment. Results. At the 12th week of the mirtazapine treatment, erectile dysfunctions of both two cases and the scores of all three scales were got better. |
8. | Süregen ağız kokusu: Olfaktör Referans Sendrom olgusu Murat Eren Özen, Murat Aydin doi: 10.5505/kpd.2016.36844 Pages 149 - 151 Subjective halitosis is a chronic disorder and cannot easily be identified or measured by objective methods. The patients complaining with subjective halitosis usually refer to dentists, yet they reject to psychiatric consultations. One of its cause is Olfactory Reference Syndrome (ORS) which can be of anxiety, obsessional or delusional. ORS patients usually refer to others’ behaviors; people’s closing their mouth, coughing and touching their nose, opening window, turning faces to another side to protect themselves all give signs as to emitting malodor which patients misinterpret. This paper reports a 23-old female who suffers from halitosis since 3 years which is diagnosed as ORS and treaed with Clomipramine. |