1. | Editörden Page 106 Abstract | |
RESEARCH ARTICLE | |
2. | RELATİONSHİP BETWEEN FAMILY FUNCTIONS, DEPRESSION AND ANXIETY SCORES Vildan Şahin, Oğuz Tekin Pages 109 - 118 Objective: The aim of this study was to investigate the relation between depression, anxiety scores and family functions such as problem solving, communication, roles, affective responsiveness, affective involvement, behaviour control and general functions are examined to evaluate family structure. Material and Method: Research groups were formed from 71 volunteer patients with 18 years or over and mentally normal who admitted Ankara Training and Research Hospital Family medicine outpatient clinics between May 2012 and May 2013. Prospective, observational and analytic methods were used. Demographic information form which include age, gender, marital status, educational status. Mc Master Family Assessment Device, Beck Depression Scale, Beck Anxiety scale were applied to the group. Factor scores were compared by taking averages. Analysis was carried out using the SPSS statistics program. Results: The results of the study showed us patients with high depression scores show significantly worse family functions. Especially on problem solving, communication, affective responsiveness and general functions. Anxiety scores were non effective on family functions. Educational status were positive correlation between General Function and roles. But in roles patients who graduated from highschool was better than academics. Behaviour control was better in men than women. Conclusions: This study shows that depression is related with unhealthy family functioning among participants. We should be aware of this effect and give importance to relations of the patients with their family. |
3. | The Validity of Schizophrenia Subtypes: a Comperative Study Nalan Kara, Mehmet Hakan Türkçapar Pages 119 - 128 Objectives: In this study, through subtyping a group of schizophrenic patients according to DSM-IV diagnostic criteria, it is planned to find out whether these subtypes have different sociodemographic and clinical features and if so, what are these differences. Method: The study was conducted with 78 patients diagnosed as schizophrenia according to DSM-IV criteria. The sociodemographic and cllinical features of patients were assessed retrospectively. The three subtypes of schizophrenia (paranoid, disorganized and undifferentiated types) diagnosed in patients of research group were compared with each other in terms of sociodemographic and clinical features. Results: The patients with paranoid subtype were found significantly different from disorganized group with higher rates of marriage history, higher income levels, lower suicide rates, the tendency to be born in autumn-winter, later age of disease onset and more life events in the first psychotic episode. The undifferentiated type of schizophrenia was found similar to paranoid subtype in marriage rates and suicide history, but different from paranoid subtype in income levels, age of disease onset and reactivity to life events. Conclusion: The patients of paranoid, disorganized and undifferentiated type of schizophrenia seem to be different from each other in sociodemographic and clinical features. According to these results, in our sample, subtyping of schizophrenia in terms of present subtypes seems valid and useful in classification of the disorder. In future, the prospectively designed studies with larger samples may produce more significant results which show the validity of subtyping schizophrenia. |
CASE REPORT | |
4. | Dissociative fugue in an adolescent: A case report M. Kenan Duymaz, Işık Karakaya Pages 129 - 133 Dissociative fugue, which is one of the least known mental disorders, is an intriguing disorder with extraordinary clinical signs. Dissociative fugue is chacterized by sudden, unexpected travel away from home or one’s customary place of work, accompanied by an ability to recall one’s past and confusion about personal identitiy or the assumption of a new identity according to DSM-IV. In this report, we aimed to present a 15-years old adolescent with dissociative disorder. She developed acute stress disorder after being assaulted and extorted her belongings. During treatment of acute stress disorder, she made a long-distance travel to another city, wrote different names to her exam papers in the school, and narrated imaginary stories. |
5. | Genital Self Mutilation in Schizophrenia: A Case Report Barış Sancak, Ürün Özer, Handan Metin, Güliz Özgen, Şakir Özen Pages 134 - 137 Self-mutilation is described as someone’s self harm without conscious suicidal intention. Self-mutilation prevalence in schizophrenia stated as 15-20%. Significant amount of body tissue harming acts are named as major self-mutilation. There are many examples of major self-mutilation like self-inoculation, self-castration, self-limb amputation and self-major surgery. A psychotic illness was documented in 75.6% of major self-mutilation cases, and 83.2% were diagnosed with one of schizophrenia spectrum and other psychotic disorders. Herein, we would like to report a 26 year old male patient who was diagnosed with schizophrenia 7 years ago, and amputated one of his testicles and put cherry seeds in his scrotum according to his somatic delusions 3 years ago. Patient was operated after this incident, and hospitalized in our psychiatry clinic three times in last 3 years. In this last time, patient was referred to us by urology department because of his beliefs about his testicles were melting and he wanted to get them enlarged. Patient was hospitalized and observed for almost 2 months and treated with clozapine 600 mg/day and amisupride 800 mg/day. He was discharged from our clinic as his psychotic symptoms declined. Major self-mutilation can be seen as a symptom in psychotic patients and cause irreversible injuries. With proper intervention, the harm can be minimized. Therefore we should examine and inspect self-mutilation closely in psychotic patients, especially in cases with somatic and mystic delusions. |