1
|
Israel R, Organista D, Hitzemann G, Bez Y, Coffey BJ. New Onset Psychosis Complicated by Akathisia and Catatonia in the Context of Recent Immigration. J Child Adolesc Psychopharmacol 2024; 34:110-114. [PMID: 38483959 DOI: 10.1089/cap.2024.29256.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Affiliation(s)
- Ron Israel
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Daniel Organista
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Gabrielle Hitzemann
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| |
Collapse
|
2
|
Brown K, Bez Y, Truong K, Saaraswat M, Coffey BJ. Understanding and Managing New Onset Homicidal Ideation in an Adolescent with Depression. J Child Adolesc Psychopharmacol 2023; 33:393-397. [PMID: 37966361 DOI: 10.1089/cap.2023.29250.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Affiliation(s)
- Keneil Brown
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Kathy Truong
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Manya Saaraswat
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| |
Collapse
|
3
|
Zaydlin M, Bernal JA, Bez Y, Coffey BJ. Improved Treatment Outcome with Haloperidol Decanoate and Amantadine in an Adolescent with Schizoaffective Disorder. J Child Adolesc Psychopharmacol 2023; 33:337-341. [PMID: 37861989 DOI: 10.1089/cap.2023.29247.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
Affiliation(s)
- Michelle Zaydlin
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Julia A Bernal
- University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| |
Collapse
|
4
|
Oldak SE, Parrish MS, Cruz A, Bez Y, Jerath A, Coffey BJ. Cannibalistic Ideation in a 14-Year-Old Girl: Psychosis or Trauma? J Child Adolesc Psychopharmacol 2023; 33:255-258. [PMID: 37590019 DOI: 10.1089/cap.2023.29244.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Affiliation(s)
- Sean E Oldak
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| | - Manasi S Parrish
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| | - Alyssa Cruz
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| | - Aarti Jerath
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA
| |
Collapse
|
5
|
Zaydlin M, Cruz A, Bez Y, Coffey BJ. A Targeted Combined Pharmacotherapy Approach for Aggressive Behavior in a Child with Autism Spectrum Disorder. J Child Adolesc Psychopharmacol 2023; 33:195-199. [PMID: 37339440 DOI: 10.1089/cap.2023.29241.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/22/2023]
Affiliation(s)
- Michelle Zaydlin
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Alyssa Cruz
- University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| |
Collapse
|
6
|
Oldak SE, Bernal JA, Bez Y, Coffey BJ. Rational Psychopharmacological and Psychotherapeutic Treatment of a 14-Year-Old Female with Functional Neurological Symptoms Disorder and Depression. J Child Adolesc Psychopharmacol 2023; 33:158-161. [PMID: 37204276 DOI: 10.1089/cap.2023.29239.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Affiliation(s)
- Sean E Oldak
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry and Behavioral Sciences, Jackson Health System, Miami, Florida, USA
| | - Julia A Bernal
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry and Behavioral Sciences, Jackson Health System, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry and Behavioral Sciences, Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry and Behavioral Sciences, Jackson Health System, Miami, Florida, USA
| |
Collapse
|
7
|
Zaydlin M, Gershman M, Coppa A, Leuchter JD, Bez Y, Coffey BJ. Navigating Pharmacological Treatment in an Adolescent with New Onset Psychosis: Clinical, Pharmacological, and Cultural Challenges. J Child Adolesc Psychopharmacol 2023; 33:118-122. [PMID: 37074328 DOI: 10.1089/cap.2023.29237.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
Affiliation(s)
- Michelle Zaydlin
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Melanie Gershman
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Alexandra Coppa
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Jessica D Leuchter
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| |
Collapse
|
8
|
Valerstain D, Zaydlin M, Bez Y, Coffey BJ. Clonazepam Treatment of Adolescent Catatonia in A Setting of Lorazepam-Related Hypotension. J Child Adolesc Psychopharmacol 2023; 33:34-37. [PMID: 36799960 DOI: 10.1089/cap.2022.29233.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Affiliation(s)
- Dennis Valerstain
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Michelle Zaydlin
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| |
Collapse
|
9
|
Zaydlin M, Cara VM, Bez Y, Coffey BJ. Difficult-to-Treat Aggression in a Child with Autism Spectrum Disorder: Did We Miss Something? Bipolar Disorder As a Comorbid Psychiatric Condition in Autism Spectrum Disorder. J Child Adolesc Psychopharmacol 2022; 32:500-504. [PMID: 36383098 DOI: 10.1089/cap.2022.29228.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Michelle Zaydlin
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Valentina Metsavaht Cara
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Health System, Miami, Florida, USA
| |
Collapse
|
10
|
Bez Y, Kompella S, Summerson A, Coffey BJ. Management of COVID-19 Infection-Associated Flare in an Adolescent with Pediatric Acute Neuropsychiatric Syndrome and Obsessive-Compulsive Disorder. J Child Adolesc Psychopharmacol 2022; 32:368-371. [PMID: 35960228 DOI: 10.1089/cap.2022.29224.bjc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Sindhura Kompella
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Acelyne Summerson
- Department of Psychiatry, HCA Aventura Hospital and Medical Center, Aventura, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| |
Collapse
|
11
|
Bez Y, Kompella S, Gallucci F, Awerbuch A, Coffey BJ. Clinical Use of Clozapine Serum Level and Management of Adverse Effects in an Adolescent with Difficult to Treat Schizophrenia. J Child Adolesc Psychopharmacol 2021; 31:699-703. [PMID: 34958240 DOI: 10.1089/cap.2021.29213.bjc] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Yasin Bez
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Sindhura Kompella
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Felicia Gallucci
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Adam Awerbuch
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA.,Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| |
Collapse
|
12
|
Bez Y, Coffey BJ. Fluoxetine-Induced Serum Sickness-Like Reaction in an Adolescent with Obsessive Compulsive Disorder and Diabetes. J Child Adolesc Psychopharmacol 2021; 31:646-649. [PMID: 34784233 DOI: 10.1089/cap.2021.29211.bjc] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Yasin Bez
- Department of Psychiatry, Jackson Behavioral Health Hospital, Miami, Florida, USA
| | - Barbara J Coffey
- Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
| |
Collapse
|
13
|
Bez Y, Uysal C, Bulut M, Kaya M, Goruk N, Demir S, Sir A. Customary practices, domestic violence, and psychosomatic pain among adolescent mothers in Turkey. East Mediterr Health J 2018; 24:994-1001. [PMID: 30582142 DOI: 10.26719/2018.24.10.994] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2016] [Accepted: 08/03/2017] [Indexed: 11/09/2022]
Abstract
Background Adolescent motherhood is present in many societies worldwide, including Turkey. Aims We aimed to determine the demographical and cultural characteristics of adolescent mothers, lifetime domestic violence and history of miscarriage, and whether they suffer from any kind of medically unexplained (psychosomatic) pain in a study in south-eastern Turkey. Methods We included 501 mothers in this case-control study. The study group comprised 228 mothers who gave their first deliveries at or before 19 years of age, and the control group consisted of 273 mothers who first delivered after 19 years of age. The case-control study was conducted between February and April 2013 in Diyarbakir, Turkey. Results Adolescent mothers marry more frequently with their relatives. They have a higher prevalence of culture-bound customary applications such as bride price. They are less likely to be asked for their consent to marry and tend to have more children. They are more frequently victims of domestic violence and more often report medically unexplained psychosomatic pain. Conclusions Adolescent motherhood is still a public health problem that seems to be related to certain culture-bound customary practices, continuing domestic violence across generations, increased number of children, and more prevalent psychosomatic pain.
Collapse
Affiliation(s)
- Yasin Bez
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, United States of America
| | - Cem Uysal
- Department of Forensic Medicine, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Mahmut Bulut
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Mehmet Kaya
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Neval Goruk
- Department of Obstetrics and Gynecology, Memorial Diyarbakır Hospital, Diyarbakır, Turkey
| | - Suleyman Demir
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Aytekin Sir
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey
| |
Collapse
|
14
|
Affiliation(s)
- Yasin Bez
- Dicle University School of Medicine Department of Psychiatry, Diyarbakir-Turkey
| | - Mustafa Ari
- Mustafa Kemal University School of Medicine, Department of Psychiatry, Antakya-Turkey
| | - Oktay Hasan Ozturk
- Mustafa Kemal University School of Medicine, Department of Biochemistry, Antakya-Turkey
| | - Suleyman Oktar
- Mustafa Kemal University School of Medicine, Department of Pharmacology, Antakya-Turkey
| | - Yesim Can
- Mustafa Kemal University School of Medicine, Department of Biochemistry, Antakya-Turkey
| |
Collapse
|
15
|
Bez Y, Ari M, Ozturk OH, Oktar S, Can Y, Sogut S. Plasma Nesfatin-1 Level May Be Associated with Disease Severity in Patients with Panic Disorder. ACTA ACUST UNITED AC 2016. [DOI: 10.1080/10177833.2010.11790674] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Yasin Bez
- Dicle University Faculty of Medicine, Department of Psychiatry, Diyarbakir-Turkey
| | - Mustafa Ari
- Mustafa Kemal University Faculty of Medicine, Department of Psychiatry, Antakya-Turkey
| | - Oktay Hasan Ozturk
- Mustafa Kemal University Faculty of Medicine, Department of Biochemistry, Antakya-Turkey
| | - Suleyman Oktar
- Mustafa Kemal University Faculty of Medicine, Department of Pharmacology, Antakya-Turkey
| | - Yesim Can
- Mustafa Kemal University Faculty of Medicine, Department of Biochemistry, Antakya-Turkey
| | - Sadik Sogut
- Mustafa Kemal University Faculty of Medicine, Department of Biochemistry, Antakya-Turkey
| |
Collapse
|
16
|
Demir S, Bulut M, Atli A, Kaplan İ, Kaya MC, Bez Y, Özdemir PG, Sır A. Decreased Prolidase Activity in Patients with Posttraumatic Stress Disorder. Psychiatry Investig 2016; 13:420-6. [PMID: 27482243 PMCID: PMC4965652 DOI: 10.4306/pi.2016.13.4.420] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Revised: 09/06/2015] [Accepted: 09/17/2015] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Many neurochemical systems have been implicated in the development of Posttraumatic Stress Disorder (PTSD). The prolidase enzyme is a cytosolic exopeptidase that detaches proline or hydroxyproline from the carboxyl terminal position of dipeptides. Prolidase has important biological effects, and to date, its role in the etiology of PTSD has not been studied. In the present study, we aimed to evaluate prolidase activity in patients with PTSD. METHODS The study group consisted of patients who were diagnosed with PTSD after the earthquake that occurred in the province of Van in Turkey in 2011 (n=25); the first control group consisted of patients who experienced the earthquake but did not show PTSD symptoms (n=26) and the second control group consisted of patients who have never been exposed to a traumatic event (n=25). Prolidase activities in the patients and the control groups were determined by the ELISA method using commercial kits. RESULTS Prolidase activity in the patient group was significantly lower when compared to the control groups. Prolidase activity was also significantly lower in the traumatized healthy subjects compared to the other healthy group (p<0.01). CONCLUSION The findings of the present study suggest that the decrease in prolidase activity may have neuroprotective effects in patients with PTSD.
Collapse
Affiliation(s)
- Süleyman Demir
- Department of Psychiatry, Dicle University, Diyarbakir, Turkey
| | - Mahmut Bulut
- Department of Psychiatry, Dicle University, Diyarbakir, Turkey
| | - Abdullah Atli
- Department of Psychiatry, Dicle University, Diyarbakir, Turkey
| | - İbrahim Kaplan
- Department of Biochemistry, Dicle University, Diyarbakir, Turkey
| | | | - Yasin Bez
- Department of Psychiatry, Marmara University, Istanbul, Turkey
| | | | - Aytekin Sır
- Department of Psychiatry, Dicle University, Diyarbakir, Turkey
| |
Collapse
|
17
|
Atli A, Bulut M, Bez Y, Kaplan İ, Özdemir PG, Uysal C, Selçuk H, Sir A. Altered lipid peroxidation markers are related to post-traumatic stress disorder (PTSD) and not trauma itself in earthquake survivors. Eur Arch Psychiatry Clin Neurosci 2016; 266:329-36. [PMID: 26324882 DOI: 10.1007/s00406-015-0638-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Accepted: 08/20/2015] [Indexed: 01/06/2023]
Abstract
The traumatic life events, including earthquakes, war, and interpersonal conflicts, cause a cascade of psychological and biological changes known as post-traumatic stress disorder (PTSD). Malondialdehyde (MDA) is a reliable marker of lipid peroxidation, and paraoxonase is a known antioxidant enzyme. The aims of this study were to investigate the relationship between earthquake trauma, PTSD effects on oxidative stress and the levels of serum paraoxonase 1 (PON1) enzyme activity, and levels of serum MDA. The study was carried out on three groups called: the PTSD group, the traumatized with earthquake exercise group, and healthy control group, which contained 32, 31, and 38 individuals, respectively. Serum MDA levels and PON1 enzyme activities from all participants were measured, and the results were compared across all groups. There were no significant differences between the PTSD patients and non-PTSD earthquake survivors in terms of the study variables. The mean PON1 enzyme activity from PTSD patients was significantly lower, while the mean MDA level was significantly higher than that of the healthy control group (p < 0.01 for both measurements). Similarly, earthquake survivors who did not develop PTSD showed higher MDA levels and lower PON1 activity when compared to healthy controls. However, the differences between these groups did not reach a statistically significant level. Increased MDA level and decreased PON1 activity measured in PTSD patients after earthquake and may suggest increased oxidative stress in these patients. The nonsignificant trends that are observed in lipid peroxidation markers of earthquake survivors may indicate higher impact of PTSD development on these markers than trauma itself. For example, PTSD diagnosis seems to add to the effect of trauma on serum MDA levels and PON1 enzyme activity. Thus, serum MDA levels and PON1 enzyme activity may serve as biochemical markers of PTSD diagnosis.
Collapse
Affiliation(s)
- Abdullah Atli
- Department of Psychiatry, Dicle University, 21280, Diyarbakir, Turkey.
| | - Mahmut Bulut
- Department of Psychiatry, Dicle University, 21280, Diyarbakir, Turkey
| | - Yasin Bez
- Department of Psychiatry, Marmara University, Istanbul, Turkey
| | - İbrahim Kaplan
- Department of Biochemistry, Dicle University, Diyarbakir, Turkey
| | | | - Cem Uysal
- Department of Forensic Medicine, Dicle University, Diyarbakir, Turkey
| | - Hilal Selçuk
- Department of Psychiatry, Selhaddin Eyyubi State Hospital, Diyarbakir, Turkey
| | - Aytekin Sir
- Department of Psychiatry, Dicle University, 21280, Diyarbakir, Turkey
| |
Collapse
|
18
|
Bulut M, Kaya MC, Bez Y, Güneş M, Atli A, Demir S, Okan İbiloğlu A, Uysal C, Sır A. Erken Yaşta Evlenen Kadınlarda Somatik Belirtiler ve İlişkili Faktörler: Toplum Tabanlı Kesitsel Bir Çalışma. Mustafa Kemal Üniv Tıp Derg 2016. [DOI: 10.17944/mkutfd.60279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
19
|
Yilmaz O, Ates M, Semiz M, Tutuncu R, Bez Y, Algul A, Balibey H, Basoglu C, Ebrinc S, Cetin M. Childhood traumas in patients with bipolar disorder: association with alexithymia and dissociative experiences. Anadolu Psikiyatri Derg 2016. [DOI: 10.5455/apd.188358] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
20
|
Hargarter L, Cherubin P, Bergmans P, Keim S, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Schreiner A. Intramuscular long-acting paliperidone palmitate in acute patients with schizophrenia unsuccessfully treated with oral antipsychotics. Prog Neuropsychopharmacol Biol Psychiatry 2015; 58:1-7. [PMID: 25448776 DOI: 10.1016/j.pnpbp.2014.11.006] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Revised: 10/28/2014] [Accepted: 11/10/2014] [Indexed: 11/26/2022]
Abstract
In this prospective multicentre, open-label, 6-month study (Paliperidone Palmitate Flexible Dosing in Schizophrenia [PALMFlexS]), tolerability, safety and treatment response with paliperidone palmitate (PP) were explored in patients with acute symptoms of schizophrenia following switching from previously unsuccessful treatment with oral antipsychotics. This pragmatic study was conducted in a large, more representative sample of the general schizophrenia population compared to randomized controlled pivotal trials, to specifically mimic real-world clinical situations. After initiation on Day 1 and Day 8, patients received PP once monthly at flexible doses (50-150mgeq.) intramuscularly. The primary efficacy outcome was defined as the percentage of patients achieving ≥30% improvement in PANSS total score from baseline (BL) to last-observation-carried-forward (LOCF) endpoint (EP). Safety and tolerability assessments included Extrapyramidal Symptom Rating Scale (ESRS) total score and treatment-emergent adverse events (TEAEs). Overall, 212 patients received PP at least once after switching from oral antipsychotics, primarily due to lack of efficacy (45.8%). Significant improvements from BL in mean (SD) PANSS total score were observed from Day 8 onwards (BL to LOCF EP: -31.0 [29.0]; p<0.0001). At endpoint, two-thirds (66.7%) and 43.5% of patients achieved a ≥30% and ≥50% improvement in mean PANSS total score, respectively. PP was associated with significant improvements across secondary measures of symptom severity, subjective well-being, medication satisfaction, illness-related disorders of activity and participation, and patient functioning (p<0.0001; BL to LOCF EP). PP was generally well tolerated, with significant reductions in ESRS total score (p<0.0001) and mainly mild-to-moderate TEAEs. TEAEs reported in ≥5% of patients were injection-site pain (13.7%), insomnia (10.8%), psychotic disorder (10.4%), headache and anxiety (both 6.1%). The PALMFlexS study findings provide valuable pragmatic clinical data on PP treatment in patients with acute schizophrenia previously unsuccessfully treated with oral antipsychotics.
Collapse
Affiliation(s)
- Ludger Hargarter
- Medical & Scientific Affairs, Janssen Cilag EMEA, Neuss, Germany.
| | - Pierre Cherubin
- Medical Affairs, Janssen Cilag EMEA, Issy-les-Moulineaux, France
| | - Paul Bergmans
- Biometrics and Reporting, Janssen Cilag Benelux, Tilburg, The Netherlands
| | - Sofia Keim
- Global Clinical Operations EMEA MAO, Janssen Cilag, Barcarena, Portugal
| | - Elmars Rancans
- Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia
| | - Yasin Bez
- Dicle University Medical Faculty, Diyarbakir, Turkey
| | - Eduard Parellada
- Barcelona Clinic Schizophrenia Unit (BCSU), Hospital Clínic de Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain
| | | | - Pierre Vidailhet
- Centre Hospitalier Régional Universitaire de Strasbourg, Strasbourg, France
| | | |
Collapse
|
21
|
Alpak G, Unal A, Bulbul F, Sagaltici E, Bez Y, Altindag A, Dalkilic A, Savas HA. Post-traumatic stress disorder among Syrian refugees in Turkey: a cross-sectional study. Int J Psychiatry Clin Pract 2015; 19:45-50. [PMID: 25195765 DOI: 10.3109/13651501.2014.961930] [Citation(s) in RCA: 201] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Refugees have had major challenges to meet their health care needs throughout history especially in war zones and natural disaster times. The health care needs of Syrian refugees have been becoming an increasingly important issue. We aimed to examine the prevalence of post-traumatic stress disorder (PTSD) and explore its relation with various socioeconomic variables among Syrian refugees, who sought asylum in Turkey. METHODS This cross-sectional study was conducted in a tent city. Sample size calculation yielded 352 and the participants of the study were determined randomly. Experienced and native Arabic speaking, psychiatrist evaluated the participants. RESULTS The frequency of PTSD was 33.5%. Through the binary logistic regression analysis, we calculated that the probability of having PTSD among Syrian refugees in our sample was 71%, if they had the following features: with female gender; being diagnosed with psychiatric disorder in the past; having a family history of psychiatric disorder; and experiencing 2 or more traumas. CONCLUSIONS The findings of our study suggest that PTSD among Syrian refugees in Turkey might be an important mental health issue in refugee camps especially among female refugees, who were exposed to 2 or more traumatic events and had a personal or family history of psychiatric disorder.
Collapse
Affiliation(s)
- Gokay Alpak
- Department of Psychiatry, Faculty of Medicine, Gaziantep University , Gaziantep , Turkey
| | | | | | | | | | | | | | | |
Collapse
|
22
|
Demir S, Bulut M, Kaya M, Sevim B, Demirpence O, Ibiloglu A, Gunes M, Atli A, Bez Y. Increased High Mobility Group Box1 (HMGB1) level in major depressive disorder. ACTA ACUST UNITED AC 2015. [DOI: 10.5455/jmood.20150929074204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
23
|
Abstract
Pulmonary tuberculosis (PT) has been previously related with various psychosocial adverse consequences including stigmatization and social isolation.Social anxiety is a psychiatric condition that may be associated with social isolation and fear of social exclusion.To date no study has investigated social anxiety and its impact on quality of life (QoL) among patients with PT. Therefore, we aimed to determine the severity of social anxiety in a group of patients with PT.Among patients who were recently discharged from hospital with the diagnosis of PT 94 patients and 99 healthy control subjects who had similar demographical features have been included in the study. A psychiatrist interviewed all participants and a semistructured interview form, which was prepared by the authors, Liebowitz Social Anxiety Scale (LSAS), and Short Form-36 were administered to them.Patients with PT showed higher levels of performance avoidance and social avoidance than healthy control subjects. They reported lower QoL scores across all dimensions. Among patients women showed higher levels of LSAS subscale scores and total score. Fear of social exclusion was predicted by perceived illness severity and emotional role difficulty. On the other hand, perceived illness severity was predicted by fear of exclusion and sedimentation level.PT patients seem to experience higher levels of social anxiety and associated fear of social exclusion that add to their worse QoL during the earlier months of their disease. Among them fear of social exclusion is related with perceived illness severity.
Collapse
Affiliation(s)
- Erkan Kibrisli
- From the Department of Family Medicine (EK, AY, HA), School of Medicine, Dicle University, Diyarbakir; Department of Psychiatry (YB), School of Medicine, Marmara University, Istanbul; and Department of Chest Diseases (MT, HK, ACT, OA), School of Medicine, Dicle University, Diyarbakir, Turkey
| | | | | | | | | | | | | | | |
Collapse
|
24
|
Alpak G, Coskun E, Erbagci I, Bez Y, Okumus S, Oren B, Gurler B. Effects of corrective surgery on social phobia, psychological distress, disease-related disability and quality of life in adult strabismus patients. Br J Ophthalmol 2014; 98:876-9. [PMID: 24627249 DOI: 10.1136/bjophthalmol-2014-304888] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Corrective surgery is done for ocular alignment and disrupted facial expression in some cases of adult strabismus patients. The effects of corrective surgery on the presence of social phobia (SP) diagnosis, the severity of social anxiety symptoms, the disease-related disability and the quality of life (QoL) among strabismus patients have not been thoroughly studied yet. METHODS The study sample was composed of patients who had undergone corrective surgery for strabismus. Preoperative and postoperative evaluations made by using standardised measures of social phobia diagnosis (DSM-IV-TR) and severity (Liebowitz Social Anxiety Scale (LSAS)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), disability (Sheehan Disability Scale) and quality of life (short form-36). RESULTS Preoperatively, SP diagnosis was detected in 17 of 31 (54.8%) patients, whereas postoperatively 6 of 31 (19.4%) patients had SP (p=0.001). Participants showed a significant decrease in all subscale scores and total score of both LSAS and HADS compared with their preoperative scores. Significant improvements were observed in QoL and disability scores as well. CONCLUSIONS Adult strabismus patients seem to gain benefits from corrective surgery not only for their ocular misalignment but also for social anxiety levels that may be associated with improvements in their QoL and disability levels.
Collapse
|
25
|
Yüksel H, Türkcü FM, Ahin M, Cinar Y, Cingü AK, Ozkurt Z, Bez Y, Caça H. Vision-related quality of life in patients after ocular penetrating injuries. Arq Bras Oftalmol 2014; 77:95-8. [PMID: 25076473 DOI: 10.5935/0004-2749.20140024] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 01/03/2014] [Indexed: 11/20/2022] Open
Abstract
PURPOSE To measure and investigate visual functioning and health-related quality of life (QOL) in patients after ocular penetrating injuries (OPI). METHODS Fifty-four adult patients with OPI and 26 healthy control subjects were enrolled in the study. The National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) and the 36-Item Short Form Health Survey (SF 36) were administered. Sociodemographic and clinical data also were collected. The primary outcome measures were comparisons and multivariate analysis among groups for the NEI VFQ-25 and SF 36 subscale scores. RESULTS All NEI VFQ-25 scores, except general health, were significantly lower in the OPI group than those in the control group. All SF 36 scores were significantly lower in the OPI group than in the control group. The NEI VFQ-25 subscale item scores showed no significant differences with respect to age, educational level, or visual acuity in the injured eye. The SF 36 subscale item scores revealed no significant differences according to gender or educational level. CONCLUSIONS Patients with OPI have increased psychological symptoms and lower levels of QOL than healthy control subjects have. Deteriorations in QOL should be kept in mind when managing patients with OPI.
Collapse
Affiliation(s)
- Harun Yüksel
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Fatih M Türkcü
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Muhammed Ahin
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Yasin Cinar
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Abdullah K Cingü
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Zeynep Ozkurt
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Yasin Bez
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakir, Brazil
| | - Hsan Caça
- Department of Ophthalmology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| |
Collapse
|
26
|
Tanrıverdi MH, Palancı Y, Yılmaz A, Penbegül N, Bez Y, Dağgülli M. Effects of enuresis nocturna on parents of affected children: case-control study. Pediatr Int 2014; 56:254-7. [PMID: 24467519 DOI: 10.1111/ped.12242] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Revised: 09/23/2013] [Accepted: 10/08/2013] [Indexed: 11/26/2022]
Abstract
BACKGROUND Enuresis nocturna (EN) is a chronic medical disorder that may cause a parent to question their parenting ability and contribute to an inability to perform the parental role. The aim of the study was to investigate the effects of EN on the relationship between parents, and the effect of mood changes in the couples on the children. METHODS Forty children with EN (group 1) were enrolled in the study, and 44 consecutive healthy children (group 2) were randomly selected from the same school. The clinical diagnosis for the patient group was based on a careful history. Spielberg's State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Dyadic Adjustment Scale (DAS) were applied to all parents, and the answers were recorded. RESULTS STAI scores differed between the mothers in the two groups in terms of trait anxiety, while significant differences between the fathers in terms of both state and trait anxiety were observed. The BDI scores were similar between the two groups. The scores of dyadic consensus were lower in the mothers, while the affectional expression scores were lower in the EN study group fathers compared with controls. The total DAS scores were significantly lower in the parents of the children with EN. CONCLUSION The parents of children with EN seem to experience increased levels of anxiety. Their desire to continue the marital relationship, the overall quality of their marital relationship and their comfort as a family may also be negatively affected by having a child with EN.
Collapse
|
27
|
Atli A, Boysan M, Çetinkaya N, Bulut M, Bez Y. Latent class analysis of obsessive-compulsive symptoms in a clinical sample. Compr Psychiatry 2014; 55:604-12. [PMID: 24262128 DOI: 10.1016/j.comppsych.2013.08.029] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Revised: 06/13/2013] [Accepted: 08/04/2013] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Obsessive-compulsive disorder (OCD) is probably a heterogeneous condition. To date, research investigating the symptom structure of OCD has generally focused on variable-classification approaches, primarily factor analysis. Our aim was to use the latent class analysis, an advanced individual-classification method, in order to define homogeneous sub-groups based on the Yale-Brown Obsessive-Compulsive Scale Check List (Y-BOCS CL) assessments within 193 outpatients with OCD. METHOD Latent class analysis of 13 obsessive-compulsive symptom-clusters measured by the Yale-Brown Obsessive-Compulsive Scale Check List was performed. Associations of demographic and clinical features with latent class membership were tested by using logistic regression models. Differences in severity of obsessive-compulsive symptoms, obsessive beliefs, and depressive symptomotology between latent classes were evaluated with the chi-square likelihood test. RESULTS Latent class analysis models of best fit yielded 3 latent classes: "autogenous obsessions", "reactive obsessive-compulsive", and "reactive obsessions". Outpatients in reactive obsessive-compulsive group reported significantly higher scores on the Y-BOCS global, obsessions, and compulsions scales than outpatients in other two sub-groups. Participants in reactive obsessive-compulsive group were predominantly female, single, and had a history of family psychopathology; whereas autogenous and reactive obsessions groups were predominantly male. There were no differences in severity of depression and obsessive belief domains. CONCLUSIONS The results provide support for the validity of autogenous/reactive distinction for OCD. These three classes may have important implications for research and clinical purposes.
Collapse
Affiliation(s)
- Abdullah Atli
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakir 21280, Turkey.
| | - Murat Boysan
- Department of Psychology, Faculty of Arts, Yuzuncu Yil University, Van 65200, Turkey
| | - Nuralay Çetinkaya
- Department of Psychiatry, Gebze Fatih State Hospital, Kocaeli 41400, Turkey
| | - Mahmut Bulut
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakir 21280, Turkey
| | - Yasin Bez
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakir 21280, Turkey
| |
Collapse
|
28
|
Penbegul N, Bozkurt Y, Yildirim K, Sancaktutar AA, Soylemez H, Atar M, Bez Y. Multiple surgeries due to pneumaturia, cystolithiasis and neurogenic bladder in a case with Munchausen syndrome. Urol J 2014; 11:1331-1334. [PMID: 24595947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/27/2011] [Revised: 02/24/2012] [Accepted: 03/12/2012] [Indexed: 06/03/2023]
Affiliation(s)
- Necmettin Penbegul
- Department of Urology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey.
| | - Yasar Bozkurt
- Department of Urology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
| | - Kadir Yildirim
- Department of Urology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
| | | | - Haluk Soylemez
- Department of Urology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
| | - Murat Atar
- Department of Urology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
| | - Yasin Bez
- Department of Psychiatry, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
| |
Collapse
|
29
|
Hargarter L, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Schreiner A. EPA-1547 - Once monthly paliperidone palmitate – tolerability and treatment response in recently diagnosed versus chronic non-acute schizophrenia patients switched from previously unsuccessful treatment with oral antipsychotics. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78711-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
|
30
|
Hargarter L, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Schreiner A. EPA-1546 - Paliperidone palmitate in non-acute but symptomatic patients with schizophrenia previously unsuccessfully treated with oral aripiprazole. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78710-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
31
|
Schreiner A, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Hargarter L. EPA-1550 - Paliperidone palmitate in acute patients with schizophrenia: treatment response, safety and tolerability ? a prospective flexible-dose study in patients previously unsuccessfully treated with oral antipsychotics. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78714-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
|
32
|
Schreiner A, Hargarter L, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P. EPA-1551 - Paliperidone palmitate – impact on negative, disorganized and depressive symptoms, subjective well-being and patient satisfaction in patients with schizophrenia previously unsuccessfully treated with oral antipsychotics. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78715-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
|
33
|
Hargarter L, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Schreiner A. EPA-1548 - Flexibly dosed paliperidone palmitate in non-acute patients with schizophrenia switched from previously unsuccessful monotherapy with oral atypical antipsychotics. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78712-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
34
|
Özler A, Evsen MS, Em P, Turgut A, Başaranoğlu S, Bez Y, Yalınkaya A, Gül T. Long-term changes in sexual functions following complicated pregnancies and deliveries. J Clin Exp Invest 2013. [DOI: 10.5799/ahinjs.01.2013.04.0319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
35
|
Sariyildiz MA, Batmaz I, Bozkurt M, Bez Y, Cetincakmak MG, Yazmalar L, Ucar D, Celepkolu T. Sleep quality in rheumatoid arthritis: relationship between the disease severity, depression, functional status and the quality of life. J Clin Med Res 2013; 6:44-52. [PMID: 24400031 PMCID: PMC3881989 DOI: 10.4021/jocmr1648w] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2013] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND The aim of this study was to evaluate sleep quality and the related variables in patients with rheumatoid arthritis (RA). METHODS Ninety-four patients diagnosed with RA and fifty two healthy controls were enrolled in the study. Disease activity was assessed through the Disease Activity Score (DAS) 28 scale. All patients were assessed using the Rheumatoid Arthritis Quality of Life and Health Assessment Questionnaire scales, together with the Beck Depression Inventory. Radiological damage was calculated with the modified Larsen method. The Pittsburgh Sleep Quality Index (PSQI) was used for the evaluation of the sleep disturbance. RESULTS The patients with RA had significantly higher scores in the subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance domains and the total PSQI score compared to the healthy control group. According to the results of Spearman's analysis, there was a significantly correlation between the age, disease activity, CRP, pain, fatigue, depression, functional disability, quality of life, radiological damage, menopause status, duration of morning stiffness, ESR levels and the sleep disturbance. The logistic regression analysis indicated that depression and DAS 28 scores were predictors for poor sleep quality. CONCLUSION The sleep quality is disturbed in patients with RA. The poor sleep quality is especially associated with the disease activity and depression.
Collapse
Affiliation(s)
- Mustafa Akif Sariyildiz
- Department of Physical Medicine and Rehabilitation, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Ibrahim Batmaz
- Department of Physical Medicine and Rehabilitation, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Mehtap Bozkurt
- Department of Physical Medicine and Rehabilitation, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Yasin Bez
- Department of Psychiatry, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | | | - Levent Yazmalar
- Department of Physical Medicine and Rehabilitation, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Demet Ucar
- Department of Physical Medicine and Rehabilitation, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Tahsin Celepkolu
- Department of Family Physician, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| |
Collapse
|
36
|
Schreiner A, Bergmans P, Cherubin P, Rancans E, Bez Y, Parellada E, Carpiniello B, Vidailhet P, Hargater L. Palmitate de palipéridone à doses flexibles – Réponse thérapeutique, tolérance et sécurité d’emploi: une étude prospective chez des patients en période d’exacerbation aiguë d’un trouble schizophrénique après échec d’un traitement par antipsychotiques oraux. Eur Psychiatry 2013. [DOI: 10.1016/j.eurpsy.2013.09.285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
ObjectifsÉvaluer la tolérance, la sécurité d’emploi et l’efficacité de doses flexibles de PP chez des patients adultes en période d’exacerbation aiguë d’une schizophrénie, après échec d’un traitement par antipsychotiques oraux.MéthodesÉtude internationale, prospective, ouverte, de six mois.Critères d’évaluationPositive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S), événements indésirables (EI), changement de poids.RésultatsDeux cent douze patients (population en intention de traiter) : âge moyen 36,4 ± 12,1 ans, 59,0 % d’hommes, 85,4 % souffrant de schizophrénie paranoïde ont été inclus. La principale raison de la substitution d’un antipsychotique oral par le PP était un manque d’efficacité (45,8 %). 70,3 % des patients ont terminé l’étude de six mois. Les raisons les plus fréquentes d’arrêt précoce ont été : le choix du patient (9,4 %), des EI (9,0 %), les perdus de vue (4,7 %), le manque d’efficacité (2,8 %). Le score total moyen à la PANSS initiale (98,5 ± 20,1) a diminué, et ce dès j8, pour atteindre 67,4 ± 24,0 à la fin de l’étude (diminution de −31,0 ± 29,0, p < 0,0001). 66,7 % des patients ont eu une amélioration de plus de 30 % du score PANSS total et le pourcentage de patients jugés manifestement malades ou pire (CGI-S) a diminué de 75,1 % à 20,5 %. Les EIs (≥ 5 % patients) : douleur au site d’injection (13,7 %), insomnie (10,8 %), trouble psychotique (10,4 %), céphalées (6,1 %) et anxiété (6,1 %). Le changement moyen de poids a été de 2,6 ± 5,6 kg (IC 95 % [1,8; 3,4]).ConclusionsCes résultats confirment que le PP à doses flexibles est bien toléré et permet une réponse clinique précoce et cliniquement significative chez des patients en période d’exacerbation aiguë de leur trouble schizophrénique, après échec d’un traitement par antipsychotiques oraux.
Collapse
|
37
|
Bez Y, Yesilova Y, Arı M, Kaya MC, Alpak G, Bulut M. Predictive value of obsessive compulsive symptoms involving the skin on quality of life in patients with acne vulgaris. Acta Derm Venereol 2013; 93:679-83. [PMID: 23572177 DOI: 10.2340/00015555-1598] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Acne is one of the most common dermatological diseases, and obsessive compulsive disorder is among the most frequent psychiatric conditions seen in dermatology clinics. Comorbidity of these conditions may therefore be expected. The aim of this study was to measure obsessive compulsive symptoms and quality of life in patients with acne vulgaris, compare them with those of healthy control subjects, and determine whether there is any predictive value of obsessive compulsive symptoms for quality of life in patients with acne. Obsessive compulsive symptoms and quality of life measurements of 146 patients with acne vulgaris and 94 healthy control subjects were made using the Maudsley Obsessive Compulsive Questionnaire and Short Form-36 in a cross-sectional design. Patients with acne vulgaris had lower scores for physical functioning, physical role dysfunction, general health perception, vitality, and emotional role dysfunction. They also had higher scores for checking, slowness, and rumination. The only predictor of physical functioning and vitality dimensions of health-related quality of life in these patients was rumination score. Obsessive compulsive symptoms in patients with acne vulgaris are higher than in controls, and this may correlate with both disease severity and quality of life for patients.
Collapse
Affiliation(s)
- Yasin Bez
- Department of Psychiatry, Dicle University College (School) Medicine, Dicle, Turkey
| | | | | | | | | | | |
Collapse
|
38
|
Abstract
PURPOSE To evaluate vision-related quality of life in patients with chronic central serous chorioretinopathy (CSCR). DESIGN Prospective, cross-sectional study. METHODS The interviewer-administered National Eye Institute visual function questionnaire (NEI-VFQ-25) was used in 30 adult consecutive patients with chronic CSCR patients. The controls were 30 gender- and age-matched people with normal visual function who came from the same socioeconomic and educational background as the participants. RESULTS Patients with CSCR had statistically significant lower scores than controls for all the subscales, except for general health. In the study group, all subscale scores of vision-related quality of life, except general health, showed statistically significant negative correlations with the visual acuity. CONCLUSIONS People with CSCR have worse vision-related quality of life than people without the condition.
Collapse
Affiliation(s)
- Fatih Mehmet Türkcü
- Dicle University Faculty of Medicine, Department of Ophthalmology , Diyarbakir , Turkey and
| | | | | | | | | | | | | |
Collapse
|
39
|
Bulut M, Selek S, Bez Y, Karababa IF, Kaya MC, Gunes M, Emhan A, Aksoy N, Sir A. Reduced PON1 enzymatic activity and increased lipid hydroperoxide levels that point out oxidative stress in generalized anxiety disorder. J Affect Disord 2013; 150:829-33. [PMID: 23706841 DOI: 10.1016/j.jad.2013.03.011] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Revised: 03/12/2013] [Accepted: 03/13/2013] [Indexed: 01/22/2023]
Abstract
In recent years, there has been an increasing focus on generalized anxiety disorder (GAD) which is one of the most prevalent mental disorders in general population. Psychological, genetic, neurobiological, and neurochemical factors are believed to play role in the etiopathogenesis of GAD. The role of oxidative stress, as a neurochemical cause, in various anxiety disorders has been studied in recent years; however, it has not been thoroughly studied in GAD, yet. In this paper, we aimed to evaluate the serum levels of lipid hydroperoxide (LOOH), paraoxonase, and arylesterase in GAD patients without any co-morbid psychiatric disorders and investigate their diagnostic performance. Blood samples were collected from 40 GAD patients and 40 healthy control subjects to measure their serum LOOH levels, arylesterase and paraoxonase activities. Obtained results have been compared between groups and receiver operating characteristic (ROC) curve has been drawn for diagnostic performance of measured biochemical markers. Positive and negative predictive values have been estimated where appropriate. Mean LOOH level of the GAD patients was significantly higher than that of control subjects (t=-5.49, p<0.001), whereas, mean paraoxonase activity was lower in these patients (t=3.056, p=0.03). GAD could be predicted for LOOH level over 7.740 μmol/l with 92.5% positive predictive value and 92% negative predictive value. Increased LOOH level and decreased paraoxonase activity of GAD patients may suggest increased lipid peroxidation and oxidative stress in these patients. LOOH levels may be a state marker for diagnosing GAD.
Collapse
Affiliation(s)
- Mahmut Bulut
- Dicle University, Department of Psychiatry, Diyarbakir, Turkey
| | | | | | | | | | | | | | | | | |
Collapse
|
40
|
Kaya MC, Bez Y, Karababa IF, Emhan A, Aksoy N, Bulut M, Guneş M, Atli A, Selek S. Decreased serum sulphydryl levels as a sign of increased oxidative stress in generalized anxiety disorder. Psychiatry Investig 2013; 10:281-5. [PMID: 24302952 PMCID: PMC3843021 DOI: 10.4306/pi.2013.10.3.281] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2012] [Revised: 01/03/2013] [Accepted: 01/07/2013] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE In recent years, many published studies have focused on the relationship between oxidative stress and psychiatric disorders. However, studies in generalized anxiety disorder (GAD) are few despite relatively high prevalence rates. In an attempt to fill this gap in the literature we aimed to measure serum levels of free sulphydryl, an important member of antioxidant defense mechanisms, of the patients with GAD. METHODS A total of 35 (23 female, 12 male) GAD patients without any other co-morbid medical or psychiatric disorder and 35 (23 female, 12 male) healthy controls have been included in the study. Disease severity of the patients were quantified by using the Hamilton Anxiety Rating Scale (HAM-A). Serum free sulphydryl group levels of patients and healthy controls were measured in an appropriate way. RESULTS Mean level of serum sulphydryl groups was significantly lower in the patient group. There was a negative correlation between their level and the disease duration. However, they did not show any significant correlation with the disease severity. CONCLUSION Decreased serum sulphydryl level observed in pure GAD patients suggests an increased oxidative stress in these patients. Well designed future researches are needed to replicate our findings and to test the implications of the present study.
Collapse
Affiliation(s)
- Mehmet Cemal Kaya
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Yasin Bez
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | | | - Ali Emhan
- Department of Psychiatry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Nurten Aksoy
- Department of Biochemistry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Mahmut Bulut
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Guneş
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Abdullah Atli
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Salih Selek
- Department of Psychiatry, Istanbul Medeniyet University School of Medicine, Istanbul, Turkey
| |
Collapse
|
41
|
Şahin A, Bez Y, Kaya MC, Türkcü FM, Şahin M, Yüksel H. Psychological Distress and Poor Quality of Life in Patients with Central Serous Chorioretinopathy. Semin Ophthalmol 2013; 29:73-6. [DOI: 10.3109/08820538.2013.793728] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
42
|
Batmaz I, Sariyildiz M, Dilek B, Bez Y, Karakoç M, Cevik R. AB0903 Sleep quality and associated factors in ankylosing spondylitis: Relation with disease parameters, psychological status and quality of life. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
43
|
Tan P, Evsen MS, Soydinç HE, Sak ME, Ozler A, Turgut A, Bez Y, Gül T. Increased psychological trauma and decreased desire to have children after a complicated pregnancy. J Turk Ger Gynecol Assoc 2013; 14:11-4. [PMID: 24592063 DOI: 10.5152/jtgga.2013.03] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2012] [Accepted: 01/15/2013] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Information about fertility desire and psychological sequelae after high-risk pregnancies are scarce in the literature. The aim of the present study is to investigate the psychological effects of high-risk pregnancies. MATERIAL AND METHODS The patients who had a history of severe preeclampsia, eclampsia or major hemorrhage during the peripartum period were enrolled as the study group and compared with the control subjects with respect to fear about new pregnancy, anxiety/ depression and post-traumatic stress disorder (PTSD) scores. The study was carried out by submitting a questionnaire form to the participants. Numbers of planned children before and after the last delivery were evaluated in both groups. RESULTS Fear about a new pregnancy was found to be significantly higher in the study group compared with the controls. There were no statistically significant difference between the two groups in terms of anxiety and depression. In terms of re-experience and avoidance in PTSD was significantly higher in the study group, however no significant difference was found for hyper-arousal. CONCLUSION Fear regarding new pregnancy is high and planning more children is decreased after high-risk pregnancies and PTSD symptom scores were higher after high-risk pregnancies.
Collapse
Affiliation(s)
- Pınar Tan
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Mehmet Sıddık Evsen
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Hatice Ender Soydinç
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Muhammet Erdal Sak
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Ali Ozler
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Abdulkadir Turgut
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Yasin Bez
- Department of Psychiatry, School of Medicine, Dicle University, Diyarbakır, Turkey
| | - Talip Gül
- Department of Obstetrics and Gynecology, School of Medicine, Dicle University, Diyarbakır, Turkey
| |
Collapse
|
44
|
Kaya MC, Bulut M, Bez Y. Add-on treatment of aripiprazole in an adult onychophagia patient. J Clin Exp Invest 2012. [DOI: 10.5799/ahinjs.01.2012.04.0220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
45
|
Batmaz İ, Sarıyıldız MA, Dilek B, Bez Y, Karakoç M, Çevik R. Sleep quality and associated factors in ankylosing spondylitis: relationship with disease parameters, psychological status and quality of life. Rheumatol Int 2012; 33:1039-45. [PMID: 22940709 DOI: 10.1007/s00296-012-2513-2] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Accepted: 08/23/2012] [Indexed: 12/18/2022]
Abstract
The aim of this study is to investigate sleep quality in patients with ankylosing spondylitis (AS) and to evaluate the relationship of the disease parameters with sleep disturbance. Eighty AS patients (60 males and 20 females) fulfilling the modified New York criteria, and 52 age- and gender-matched controls (33 males and 19 females) were enrolled in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Pain was measured by visual analogue scale. The disease activity and functional status were assessed by the Bath AS disease Activity Index and the Bath AS Functional Index. The Bath AS Metrology Index was used to evaluate mobility restrictions, and the Bath AS Radiology Index was employed to evaluate the radiological damage. The psychological status and quality of life were assessed with the hospital anxiety-depression scale and AS quality of life scale. The patients with AS had significantly more unfavourable scores in the subjective sleep quality, habitual sleep efficiency domains (p < 0.001) and the total PSQI score (p < 0.05). Poor sleep quality (total PSQI score) was positively correlated with increased pain, poor quality of life, higher depressed mood, higher disease activity and mobility restrictions. Pain was also an independent contributor to poorer sleep quality (p = 0.002). The sleep quality is disturbed in patients with AS. The lower quality of sleep is greatly associated with the pain, disease activity, depression, quality of life and increased limitation of mobility.
Collapse
Affiliation(s)
- İbrahim Batmaz
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University School of Medicine, Diyarbakır, Turkey.
| | | | | | | | | | | |
Collapse
|
46
|
Bakir S, Kinis V, Bez Y, Gun R, Yorgancilar E, Ozbay M, Aguloglu B, Meric F. Mental health and quality of life in patients with chronic otitis media. Eur Arch Otorhinolaryngol 2012; 270:521-6. [PMID: 22566178 DOI: 10.1007/s00405-012-2031-6] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2012] [Accepted: 04/20/2012] [Indexed: 12/01/2022]
Abstract
The present study focused on the comparison of mental health and quality of life (QoL) between chronic otitis media (COM) patients and the hearing population. The patients with chronic otitis media and healthy control group were enrolled in the study. The duration and severity of the auditory impairment were recorded. In addition to hearing loss (HL), the findings of each patient's other ear disorders (ear discharge and tinnitus) were also recorded. In both the groups, psychological symptom profile and health-related QoL were evaluated and compared using a sociodemographic questionnaire, the Symptom Check List 90-Revised Form (SCL-90-R), and the Short Form-36 (SF-36). According to SCL-90-R, somatization (p < 0.001), interpersonal sensitivity (p < 0.001), depression (p < 0.001), phobic anxiety (p < 0.001), and other subscores, and also global severity index score (p < 0.001) were significantly high in patient group when compared to the control group. The patients with COM reported significantly lower levels of QoL in terms of physical role difficulty (p < 0.001), general health perception (p < 0.004), social functioning (p < 0.001), and mental health (p < 0.017) than those of control subjects. Our results indicated that COM patients with mild or moderate HL have poorer life quality and higher psychological problems. Psychological well being should be also considered in assessment of COM patients in addition to the clinical evaluation and audiological tests.
Collapse
Affiliation(s)
- Salih Bakir
- Department of ENT & Head and Neck Surgery, Dicle University Medical College, 21280 Diyarbakir, Turkey.
| | | | | | | | | | | | | | | |
Collapse
|
47
|
Kaya MC, Bez Y, Selek S, Fatih Karababa I, Bulut M, Savaş HA, Çelik H, Herken H. No Effect of Antidepressant Treatment on Elevated Serum Ceruloplasmin Level in Patients with First-Episode Depression: A Longitidunal Study. Arch Med Res 2012; 43:294-7. [DOI: 10.1016/j.arcmed.2012.05.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Accepted: 04/27/2012] [Indexed: 10/28/2022]
|
48
|
Sariyildiz MA, Batmaz I, Dilek B, Inanir A, Bez Y, Tahtasiz M, Em S, Cevik R. Relationship of the sexual functions with the clinical parameters, radiological scores and the quality of life in male patients with ankylosing spondylitis. Rheumatol Int 2012; 33:623-9. [PMID: 22484839 DOI: 10.1007/s00296-012-2432-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2011] [Accepted: 03/24/2012] [Indexed: 11/26/2022]
Abstract
The aim of this study was to explore the impact of ankylosing spondylitis (AS) and the disease-related variables on the patients' sexual function according to the International Index of Erectile Function (IIEF) scoring system. A total of 70 sexually active male AS patients and 60 healthy controls were enrolled in this study. Their demographic data were evaluated, and the pain was assessed according to the visual analogue scale (VAS). Laboratory tests were conducted in order to measure the C-reactive protein (CRP) and erythrocyte sedimentation rates (ESR) of the patients. The disease activity was evaluated using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Functional statement was evaluated with the help of the Bath Ankylosing Spondylitis Functional Index (BASFI) and with the scores obtained from the spinal measurements with the Bath Ankylosing Spondylitis Metrology Index (BASMI). The Bath Ankylosing Spondylitis Radiology Index (BASRI) was used to evaluate the radiological damage. The disease-related quality of life was measured with the Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL). The anxiety and depression level of the patients was revealed through the Hospital Anxiety and Depression Scale (HADS). In comparison with the healthy control group, patients with AS had significantly lower scores in each of the 5 domains of the IIEF (p < 0.0001). The BASDAI, BASFI, BASMI, BASRI, ASQoL, HADS scores and CRP levels were negatively correlated with IIEF (p < 0.05). Orgasmic function and sexual desire scores were significantly lower in patients with peripheral arthritis (p < 0.05). No significant correlation was observed with the disease duration, smoking status, pain (VAS), and ESR levels when the total scores and the scores from the domains of IIEF were compared. The multivariate regression analyses indicated that BASFI and BASMI were independently associated with the sexual function. The sexual function is impaired in male patients with AS. This impairment in the sexual function is especially correlated with the BASFI and BASMI among the clinical and laboratory parameters.
Collapse
|
49
|
Abstract
Varenicline is a relatively novel medication for smoking cessation. Increased neuropsychiatric symptoms have been reported with its use and it is listed among drugs with a black box warning. History of a psychiatric diagnosis is suggested to be a vulnerability factor for the development of some psychiatric side effects with its use. However, empirical evidence to support this point is very limited. Here, we report the case of a bipolar patient who developed a depressive episode with psychotic features immediately after varenicline use. Clinicians should be careful about the varenicline-induced neuropsychiatric effects. Healthcare professionals can provide an important role in helping to prevent and manage worsening psychiatric symptoms.
Collapse
|
50
|
Ari M, Ozturk OH, Bez Y, Arica S, Can Y, Erduran D. Serum adiponectin and resistin levels in patients with obsessive compulsive disorder. J Affect Disord 2012; 136:979-82. [PMID: 22119090 DOI: 10.1016/j.jad.2011.07.029] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2010] [Revised: 07/29/2011] [Accepted: 07/30/2011] [Indexed: 12/17/2022]
Abstract
We aimed to investigate the changes in serum adiponectin and resistin levels in patients with obsessive compulsive disorder and control groups. The serum adiponectin and resistin levels of 29 patients (16 females, 13 males) with obsessive compulsive disorder and weight, age and sex-matched 31 healthy controls (17 females, 14 males) were determined. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was applied to all groups. ELISA method was used to measure adiponectin and resistin levels. The mean adiponectin level was 11.92±2.04 ng/ml and resistin level was 13.23±2.78 ng/ml in obsessive compulsive disorder group, while it was 18.81±5.24 ng/ml and 8.17±2.53 ng/ml in control group. Changes in plasma adiponectin and resistin levels in obsessive compulsive disorder may have implications about possible cardiovascular and metabolic abnormalities seen in obsessive compulsive patients.
Collapse
Affiliation(s)
- Mustafa Ari
- Mustafa Kemal University, Faculty of Medicine, Department of Psychiatry, Mustafa Kemal University Hospital, 31100 Hatay, Turkey.
| | | | | | | | | | | |
Collapse
|