ISSN 1302-0099 | e-ISSN 2146-7153
TURKISH JOURNAL CLINICAL PSYCHIATRY - Turkish J Clin Psy: 11 (4)
Volume: 11  Issue: 4 - 2008
RESEARCH ARTICLE
1. The Relationship of Menopausal Symptomatology with Anxiety and Depression Levels and Social Supports
Tunay Karlıdere, Aytekin Özşahin
Pages 159 - 166
Objective: In literature the differences of menopausal symptomatology and psychiatric morbidity during menopause, and the importance of the relation between social support and menopause are the value of interest. In this study it was aimed to assess the relation of menopausal symptomatology with anxiety and depression levels and social support. Method: Seventy six surgical and 133 natural menopausal women who attended to the menopause unit of GATA Psychiatry Department were included in the study. Main measurements of this study were sociodemographic questionnaire, 21 items Beck Depression Inventory, Spielberger's State and Trait Anxiety inventory, and Family and Friend support scale. Results: The state anxiety was found within normal range, trait anxiety level was high and depressive symptom severity was moderate for both groups but no differences were found between the groups. Perceived social support of both groups was found as sufficient. Both the frequencies and severities of menopausal symptoms were not different between the groups. In the correlation analyses a positive correlation was found between menopausal symptom severities and severity of depressive symptoms and levels of trait anxiety for both of the groups. Conclusion: This study suggested that escalations in the severities of menopausal symtoms might increase the severity of depressive symptoms and levels of anxiety for both surgical and natural menopausal women. Therefore, for the etiological treatment plan of menopausal women, it would be better to determine that the psychological symptoms are driven from a psychiatric diagnosis or belong to menopause itself.

2. Burnout in Mental Health Professionals
Müge Oğuzberk, Arzu Aydın
Pages 167 - 179
Objective: Empirical evidence has shown that burnout has consequences including anxiety, depression, lowered self-esteem and substance abuse, and for the workplace, in the form of lowered productivity, absenteeism and turnover. The present study aims to determine the burnout levels of mental health professionals. Method: Data was obtained from psychiatrists (32), psychologist (30) and nurses (75) in various hospitals in Turkey. The sample consisted of 31 males and 106 females. Burnout was measured using the Maslach Burnout Inventory This is a 22 item measure containing three subscales: emotional exhaustion, depersonalization and personal accomplishment. Following sociodemographic variables such as age, sex, marital status, social and physical conditions in particular work places, and work schedule were also examined in this study. Beyond descriptive statistics, one-way ANOVAs were computed in this study. Results: As compared to psychologist total burnout scores were higher both psychiatrists and nurses. No statistically significant score differences have been found between groups identified by ages and genders. Marital status, working hours a day, number of patients, and physical conditions in hospitals were significantly related to Emotional Exhaustion but not to the other burnout subscales. Socioeconomic status was significantly related to Depersonalization. Number of duty and relationships with co-workers were significantly related both Emotional Exhaustion and Depersonalization subscales. Appreciation from administers was significantly related to Personal Accomplishment and Emotional Exhaustion subscales. Conclusion: Improving social and physical conditions in particular work places would be effective for prevention of burnout in the mental health professionals.

3. The Effects of Problem Solving Skills of Development Program on Quality of Life in Schizophrenia
Şenay Akpınar, Meral Kelleci
Pages 180 - 190
Objective: This research was done experimentally to determine the effects of Problem Solving Skills of Development Program for the individuals with schizophrenic disorder on their quality of life. Method: The sample of the study was 30 patients (1 5 experimental, 15 control group) who have similar charasteristics in terms of sex, age and disorder; and also accepted to involve in this research. Data was gathered through Personal Information Questionary and Quality of Life Scale (WFIOQOL-BRIEF-TR). Experimental group was exposed to problem solving program average one hour a day of the week, for six weeks. After this process and three months later, both groups were given the WHO- QOL-BRIEF-TR. To analysis data chi square test, Friedman Test, Mann-Whitney U Test and Wilcoxon Test were applied. Results: For the experiment group patients, WFIOQOL-BRIEF-TR mental, environmental and general health field scores, there was a significant increase (p<0.05), yet no meaningful change in the social, psysi- cal and cultural fields. Flowever, there was not a significant difference in the scores of control group patients before and after the application (of the program) (p>0.05). Conclusions: With this Problem Solving Skills of Development Program applied for six weeks, it was determined that their life quality levels increased. Therefore we can say that Problem Solving Skills of Development Program can be applied to the schizophrenic patients who take an ambulatory treatment to increase these patients' quality of life.

REVIEW
4. New Generation Antipsychotics and Sexual Dysfunction
Murat Kuloğlu, Okan Ekinci
Pages 191 - 199
New generation antipsychotics are currently replacing traditional antipsychotics as first line therapy for the treatment of schizophrenia. Clinical reports indicate that newer antipsychotics are associated with a lower incidence of sexual side effects than classical antipsychotics and even that there may also be important differences between them in this regard. Although increased prolactin levels caused by antipsychotic agents are believed to play a major role with regard to sexual side effects, the underlying mechanism of antipsychotic agent- induced sexual dysfunction remains poorly understood. Although sexual dysfunction is frequently related to the hyperprolactinemia that can be induced by dopamineblocking properties of these agents, but may also be related to the serotonergic, cholinergic, adrenergic and other different mechanisms. Sexual side effects are rarely reported by the patients and are underdiagnosed by attending clinicians. These side effects can be an important source of distress to patients, adversely affects treatment compliance and may also be a psychosocial distressing factor for the patients. On the other hand, the sexual function effects of antipsychotics, particularly new generation agents, has not been extensively examined in the past years. Clinicians should be aware of the development of sexual dysfunction associated with antipsychotic treatment as well as of other side effects in patients with schizophrenia. This review aims to examine the latest evidence regarding the sexual function effects of new generation antipsychotic medications, especially effects on prolactin levels, in patients with schizophrenia.

CASE REPORT
5. Cyclic Vomiting Syndrome Treated with Antipsychotic and Antibiotic: A Case Report
Ayşegül Yolga Tahiroğlu, Gonca Gül Çelik, Ayşe Avcı, Faruk İncecik
Pages 200 - 207
Cyclic vomiting syndrome (CVS) is a periodic syndrome characterized by recurrent vomiting attacks and normal intervals. A boy is presented at the age of 12 who had CVS and his vomiting attacks were triggered by stress and infection diseases, in this study. The aims of the study are to draw attention on different etiology of CVS and to discuss of different treatment applications through this case report. In his treatment, olanzapine 5 mg/day was given because of the antiemetic and anxiolytic effects. His symptoms were significantly improved through 6 mounts with this treatment but there wasn't fully remission. Because of recurrent upper respiratory system infections, prophylactic penicillin treatment was started additionally. Fully remission was seen under this combination treatment through 18 moths. CVS is common among children but etiology and maintenance treatments of CVC have not been defined enough, yet. Traditional applications include symptomatic treatments during attacks. There is limited knowledge about preventive treatment of vomiting attacks. There are a few data about maintenance treatment with antipsychotic and antibiotic on CVS. Antipsychotic and antibiotic treatments especially in the cases whose symptoms triggered by infection diseases may be good alternatives on preventive treatment of CVS cases. Clinical studies are need about effectiveness and tolerability of different antipsychotic and antibiotic drugs.

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