J Clin Psy: 4 (3)

ISSN 1302-0099 | e-ISSN 2146-7153

Cilt : 23 Say� : 4 Y�l : 2020

Son Say� Yay�mlanm�� Say�lar Bask�daki Makaleler En �ok �ndirilen Makaleler

J Clin Psy: 4 (3)

Cilt: 4 Say�: 3 - 2001

�zetleri Gizle \| << Geri
ARA�T�RMA MAKALESI
1.	Kronik Obstr�ktif Akci�er Hastal�� ve Depresyon Chronic Obstructive Pulmonary Disease and Depression Fevzi ATACANLI, Nesrin D�LBAZ Sayfalar 147 - 153 S�re�en ve hastan�n ya�am kalitesini olumsuz etkileyen kronik obstr�ktif akci�er hastal�� (KOAH) s�kl�kla, ba�ta depresyon olmak �zere �e�itli psikiyatrik bozukluklara neden olmaktad�r. Bu �al��man�n amac�, hastaneye KOAH nedeniyle yat�r�lan hastalarda depresyon s�kl��n� ara�t�rmakt�r. Ayr�ca bu hastalarda; ya�, cinsiyet, medeni durum, sosyoekonomik d�zey, e�itim durumu, yerle�im yeri, sistemik hastal�k �yk�s�, sigara al��kanl�� ve steroid kullan�m� ile depresyon ili�kisi de incelenmi�tir. �al��maya Atat�rk G��s Hastal�klar� ve G��s Cerrahisi Merkezi'nde Ocak-�ubat 2000 d�neminde KOAH tan�s� ile yatmakta olan ve rastgele se�ilmi� 100 hasta al�nm��t�r. Hastalardan FEV1 (1. saniyedeki zorlu ekspirasyon vol�m�) de�eri %75'in alt�nda olmak, okur-yazar olmak ve psikiyatrik hastal�� olmamak �l��tlerini kar��layanlar �al��maya al�nm��lard�r. Depresyon tamlan Prime MD ile konmu�tur ve depresyonun �iddetini �l�mek amac�yla Beck depresyon envanteri (BDE) ile hastane anksiyete ve depresyon �l�e�i (HAD�) kullan�lm��t�r. Verilerin istatistiksel analizleri; ki kare, Fisher'in exact ki kare, ba��ms�z t, Spearman korelasyon ve Mann-Whitney U testleri kullan�larak yap�lm��t�r ve p<0.05 de�eri anlaml� kabul edilmi�tir Chronic obstructive pulmonary disease (COPD) is a chronic debilitating, organic disease that might cause frequently some psychiatric disturbances, especially depression. The purpose of this study is to determine the frequency of depression in hospitalized COPD patients. In addition, the association of depression and age, sex, marital status, socioeconomical level, education profile, occupation, history of systemic disease, smoking and steroid treatment were also analysed. This study was performed at Atat�rk Chest Disease and Chest Surgery Center during January- February 2000 and 100 COPD hospitalized patients were randomly selected and enrolled into this study. To be included in the study patients should fulfil the criteria of FEV1 were less than %75. The patients should be literate to fill out the inventories. The patients included in the study should not have psychiatric disease history. The diagnosis based on Prime MD. In order to measure the level of depression. Beck depression inventory (BDI) and hospital anxiety and depression scale were filled out by the patients. The statistical analyses of data were performed with; chi-square, Fisher's exact chi-square, free t test, Spearman correlation and mann-whitney U test. p<0.05 was accepted as statistically significant. Makale �zeti \| Tam Metin PDF

2.	inme Sonras� Duygudurum Bozukluktan Mood Disorders in Stroke Patients G�ksel BAYAM, Nesrin D�LBAZ, Elvan �zalp, Hatice G�Z Sayfalar 154 - 165 Bu �al��man�n amac� inme sonras� depresyon prevelans�n�n belirlenmesi ve prevelans ile lezyon yerle�im yerinin ili�kisini saptamakt�. Mini mental durum muayenesi puanlar� 17nin �zerinde olan 50 inme hastas� �al��ma kapsam�na al�nd�. DSM-IV tan� �l��tlerine g�re %I4 hastada genel t�bbi duruma ba�l� duygudurum bozuklu�u, depresif �zellikli, %36 hastada genel t�bbi duruma ba�l� major depresif epizod benzeri duygudurum bozuklu�u, %2 hastada genel t�bbi duruma ba�l� duygudurum bozuklu�u manik �zellikli ve %I2 hastada depresif �zellikler g�steren uyum bozuklu�u tan�s� konmu�tur. Sol hemisfer, subkortikal ve frontal yerle�im ile major depresyon s�kl�� aras�nda anlaml� bir ili�ki bulunmu�tur. The aim of this study is to determine the prevelance of poststroke depression and evaluate the relationship of the lesion localization and prevelance of poststroke depression. 50 patients who had acute stroke and whose mini mental state examination scores higher than 17 were included in the study. %I4 of the patients were diagnosed as mood disorder due to general medical condi-tion with depressive features, %36 mood disorder due to general medical condition with major depressive-like episode, %2 mood disorder due to general medical condition with manic features and %12 adjustment disorder with depressed mood due to DSM- IV criteria. We found left hemispheric lesions, subcortical and frontal lesions were significantly associated with an increased frequency of major depression Makale �zeti \| Tam Metin PDF

DERLEME
3.	Neuropsychiatric and Pathophysiological Results of Acute Stroke Akut �nme Sonras� Geli�en Patofizyolojik ve N�ropsikiyatrik Sonu�lar Nesrin D�LBAZ Sayfalar 166 - 174 Serebrovask�ler hastal�k ya�l� populasyonda ya�am� en s�k tehdit eden hastal�klardan biridir. Serebrovask�ler lezyonlardan sonra �ok say�da duygusal ve davran��sal bozukluklar olu�maktad�r. Bu yaz�da serebrovask�ler hastal�klar�n tan�m�, s�n�fland�r�lmas� ve akut inme sonras� geli�en serebral ve iskemik patofizyolojik sonu�lar g�zden ge�irilerek, depresyon, anksiyete, mani, duygusal oynama, psikoz gibi s�k g�r�len psikiyatrik komplikasyonlar� tart��lm��t�r. Cerebrovascular disease is one of the most common life-threatening problems among the elderly population. Numerous emotional and behavioral disorders occur following cerebrovascular diseases. In this review the definition, the classification and the cerebral and systemic pathophysiological results of cerebrovascular disease reviewed and the most frequent psychiatric complications such as depression, anxiety, mania, emotional lability and psychosis discussed. Makale �zeti \| Tam Metin PDF

4.	HIV Enfeksiyonu ve AIDS'in Psikiyatrik Y�nleri Psychiatric Aspects of HIV Infection and AIDS Can C�M�LL�, Burak BAYKARA Sayfalar 175 - 181 HF/ enfeksiyonu ve AIDS'in psikiyatrik y�nlerini konu edinen bu yaz�da HIV bula�ma riskini artt�ran psikiyatrik bozukluklar, AIDS'in psikolojik �zellikleri, HFV enfeksiyonuna ili�kin psikoim- m�nolojik ara�t�rmalar, HIV enfeksiyonuna e�lik eden psikiyatrik bozukluklar ele al�nm��; HIV enfeksiyonu olan hastalarda psiko- farmakoterapi ve psikoterapinin temel ilkeleri g�zden ge�irilmi�tir. Ayr�ca AIDS korkusu ve sa�l�k �al��anlar�n�n AIDS'e ili�kin sorunlar� tan�mlanm��t�r. In this article on psychiatric aspects of HIV infection and AIDS, psychiatric disorders which increase the risk of HIV infection, psychological characteristics of AIDS, psychoimmunological research on HIV infection, psychiatric disorders which accompany HIV infection, basic principles of psychopharmacotherapy and psychotherapy in HIV (+) patients were reviewed and psychological phenomena related with AIDS such as fear of AIDS and psychological problems of caregivers were described. Makale �zeti \| Tam Metin PDF

5.	Cerrahide Anksiyete Anxiety in Surgery Can C�M�LL� Sayfalar 182 - 186 Genel hastane populasyonunda anksiyete belirtileri prevalans� X10-30 aras�ndad�r. Bu yaz�da cerrahi hastalar�nda anksiyetenin �nemi ve psikolojik anlam�, cerrahide g�r�len anksiyete bozukluklar� ve pre-operatif ve post-operatif anksiyete kavramlar�n�n k�sa bir �zeti yap�lmaya ve �nemli ara�t�r�c�lar�n g�r��lerine yer verilmeye �al��lm��t�r. The prevalance of anxiety symptoms in the general hospital population is 10-30%. The aim of this article is to make a brief summary of the importance and the psychological meaning of anxiety in surgical patients and also the types of anxiety disorders, pre-operative and post-operative anxiety and review the theoretical approaches of some authors. Makale �zeti \| Tam Metin PDF

6.	Genel Hastane Uygulamalar�nda Approaches to the Patients with Didem �ZTOP, Atilla SOYKAN Sayfalar 187 - 192 Dahiliye kliniklerinde yatan hastalar�n ruhsal ve duygusal problemleri, ki�ilik �zellikleri, kulland�� savunma mekanizmalar�, ekiple kurdu�u ili�ki hastal��n ortaya ��k��nda, s�rmesinde ve tedavisinde �nemli rol oynamaktad�r. Bu olgu sunumunda gastroenteroloji servisinde yatan duygusal ve ruhsal sorunlar� olan, marital problemler ya�ayan, borderline savunmalar kullanan ve yatt�� servisteki elemanlarla sorunlar ya�ayan bir hasta ele al�nm��t�r. Kons�ltasyon-liyezon psikiyatrisi bu ba�lamda hastay� biyopsikososyal bir model i�inde ele al�p bireysel g�r��meler, psikometrik de�erlendirmeler ve hastan�n durumunun ve uygun yakla��mlar�n tart��ld�� ekip toplant�lar� ile tedavisini d�zenlemi�tir. Patients' psychological and emotional problems, personality style, defense mechanisms and relations with the staff play an important role on the etiology, prognosis and treatment of the medical in-patients. In this case report, an in-patient with emotional, psychological and marital problems who exhibits border-line defenses during her stay in gastroenterolgy service was presented. The patients' borderline defenses have caused some difficulties in the relationship with the staff that initiated psychiatric consultation. In this context, the consultation- liaison psychiatry assessment and interventions, such as individual counseling, psychometric assessment, staff meetings for approaching and dealing with this kind of patient, were discussed. Makale �zeti \| Tam Metin PDF

7.	Kronik Hastal�klar ve Yeti Yitiminde Sistemik Aile Yakla��m� Systemic Family Approach to Chronic Illness and Disability Verda T�zer Sayfalar 193 - 201 Bu yaz�da kronik ve ya�am� tehdit eden durumlarla kar��la�an aileler i�in psikoe�itim, de�erlendirme ve m�dahaleye y�nelik bir aile yakla��m� modeli aktar�lmaya �al��lacakt�r. Bu model ciddi bir hastal��a ailenin uyumunu, ailenin ya�am d�ng�s� ve i�inde bulundu�u geli�imsel s�re�lerden yola ��karak ele alan sistemik g�r�� ile modern t�bb�n ve sa�l�k sisteminin olanaklar�n� bir arada ele almaktad�r. In this article, a family approach model oriented towards families facing chronic and life-threatening conditions which includes psychoeducation, assessment and interventions, will be described. This model integrates the systemic view and capabilities of modern medicine and allied health, to assess the adaptation of a family to serious illness, with a view to life cycles and current developmental phases of the family. Makale �zeti \| Tam Metin PDF

8.	Kons�ltasyon Liyezon Psikiyatrisinde Demans Dementia in Consultation Liaison Psychiatry �i�dem AYDEM�R, Cebrail KISA Sayfalar 203 - 211 Bat� toplumlarmda oldu�u gibi �lkemizde de beklenen ya�am s�resinin uzamas� sonucunda ya�l� populasyonun genel n�fus i�indeki oran� artmaktad�r. Ya�l� populasyonun artmas�yla birlikte ya�l�l�kta g�r�len t�bbi ve psikiyatrik hastal�klar�n da g�r�lme s�kl��nda art�� olmaktad�r. Demans ya�lanma s�recinin do�al ve ka��n�lmaz bir sonucu olmasa da, 65-85 ya�lan aras�nda her be� y�lda bir risk iki kat artmaktad�r. �zellikle herhangi bir nedenle hospitalize edilmi� hasta populasyonunda normal populasyonun alt� kat� bir oranda (%30) demans g�r�lmektedir. Hospitalize edilmi� hastalarda gerek demans tablosunun kendisi gerekse ortam de�i�imi ve medikal hastal��n sonucunda olu�an psikiyatrik problemler nedeni ile kons�ltasyon istenir. Bu b�l�mde demans ve hastanede yatan demansl� hastalar�n problemlerine yakla��m tart��lacakt�r. In Turkey, like other developing countries, as a result of increase in life expectancy; the ratio of elderly in the general population is going up. This population change causes an increase in the prevalance of medical and psychiatric problems of old people. Risk of dementia increases twice each five year after the sixth decade. Dementia is six times more frequent in aged hospitalized people than healthy individuals. In hospitalised patients; psychiatric consultation is required because of dementia itself and psychiatric consequences of dementia in medical conditions and changing enviroment. In this section; dementia and approach to demented patients in medical settings are discussed. Makale �zeti \| Tam Metin PDF

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