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Öğe Adult attention deficit and hyperactivity disorder comorbidity in obsessive compulsive disorder(Informa Healthcare, 2012) Bakim, Bahadir; Ertekin, Hulya; Ertekin, Yusuf; Karamustafalioglu, Oguz[Anstract Not Available]Öğe Amlodipine-induced gingival overgrowth(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Ertekin, Yusuf Haydar; Ertekin, Hulya; Uludag, Aysegul; Yakar, Burkay; Tekin, Murat[Anstract Not Available]Öğe An assessment of marital adjustment in patients with rheumatoid arthritis(Medical Association of Zenica-Doboj Canton, 2017) Resorlu, Hatice; Sahin, Basak; Ertekin, Hulya; Bilim, Serhad; Savas, YılmazAim To investigate marital adjustment in patients with rheumatoid arthritis and factors affecting this. Methods A total of 32 patients diagnosed with Steinbrocker class 1-2 rheumatoid arthritis and 32 healthy individuals from a similar age group were included. Sociodemographic characteristics, the Beck Depression Inventory (BDI), short–form 36(SF-36) and the dyadic adjustment scale (DAS) were evaluated in both groups. A visual analogue scale (VAS), the disease activity score 28 (DAS28) and a health assessment questionnaire (HAQ) were also investigated in the patient group. Results Mean ages were 46.5±9.2 years in the patient group and 47.7±8.1 in the control group (p=0.5). No significant difference was determined between the two groups in terms of sociodemographic characteristics. No statistically significant correlation was observed between erythrocyte sedimentation rate (ESR), patient and physician global VAS, DAS28, HAQ and morning stiffness and DAS total score. Comparison of DAS subunits revealed a significant difference in dyadic satisfaction and affectional expression in the patient and control groups (p=0.046 and p=0.037). A statistically significant negative correlation was observed between duration of the disease and marital adjustment (p=0.01;r= -0.58). Conclusion Due to its progressive and prolonged course rheumatoid arthritis can also affect individuals’ social relationships besides restricted daily living activities. Activation of rheumatoid arthritis did not affect marital adjustment in this study, but adjustment decreased with duration of the disease. © 2017, Medical Association of Zenica-Doboj Canton. All rights reserved.Öğe An Evaluation of Sexual Functions and Marital Adjustment in Female Patients with Fibromyalgia Syndrome(Galenos Yayincilik, 2019) Doner, Davut; Resorlu, Hatice; Zateri, Coskun; Sahin, Basak; Ertekin, Hulya; Oymak, SibelObjective: The purpose of this study was to investigate sexual functions and marital adjustment which are neglected issue in married female patients diagnosed with Fibromyalgia syndrome (FMS) and to reveal the factors affecting these. Materials and Methods: Sexually active, 47 married females who diagnosed with FMS and 50 healthy volunteers in a similar age group were included in the study. Beck anxiety inventory, beck depression inventory, female sexual function index (FSFI) and dyadic adjustment scale (DAS) evaluations were also performed for both groups. In the patient group, the severity of pain was evaluated by the visual analogue scale and functional impairment due to the disease was assessed by the fibromyalgia impact questionnaire (FIQ). Results: No significant difference was determined between the two groups in terms of socio-demographic features. FSFI and DAS total scores were significantly lower in the patient group compared to the controls (p<0.001, p=0.028, respectively). Low DAS scores were determined in patients with low FSFI scores (p=0.003, r=+0.043). Neither FSFI nor DAS scores have exhibited correlation with duration of disease and FIQ scores. Depression was correlated with both FSFI and DAS (p<0.001, r=-0.569; p<0.001, r=-0.546, respectively). Conclusion: In this study, sexual functions and marital adjustment were adversely affected in patients with FMS. This effect was found closely related to depression. However, there was no relationship determined between duration of the disease, the severity of pain and the functional impact.Öğe Are psychiatric outpatients assessed for smoking?(Duzce Univ, 2017) Ertekin, Hulya; Aydin, Memduha; Arslan, Mehmet; Ertekin, Yusuf Haydar; Eren, IbrahimObjectives: The presence of psychiatric disorder is not obstacle for the treatment to quit smoking; however this treatment is not preferred among primary purposes in these patients. We aimed to investigate use of tobacco, whether asked their smoking habit by a psychiatrist, the request of patients who smoke to quit smoking, whether they can get help from the psychiatric outpatient clinic of knowledge about smoking cessation and Addiction and Treatment of Smoking training of the psychiatrists effects on query of smoking status. Methods: This study was conducted at Outpatient Clinic of the Beyhekim Department of Psychiatry at Konya Education and Research Hospital between June and July 2013. Five-item questionnaire was administered to all participants after the examination in the first phase.. The outpatient clinic doctors were not informed about the questionnaire during examination because of alteration their interrogation of smoking. In September 2013, Addiction and Treatment of Smoking training were given to the psychiatrists doctors working in this study. In the second phase of this study, same questionnaire was administrated to patients of these trained doctors.. Results: 51.1% of participants were smokers. In the first phase of the study, doctors from the 18.3% (n=40) and 53.5% (n = 95) in the second phase had questioned smoking of patients. After training seminar the rate to question of doctors had significantly increased (p<0.001). % 37.9 of participants (n=69) wanted to quit smoking. % 46.9 of participants (n=186) knew that they can get help from the psychiatric outpatient clinic for smoking cessation. Conclusion: Chance to get rid of smoking addiction should be offered to patients in psychiatric outpatient clinics. Working to increase the knowledge of psychiatrics on this subject should be made.Öğe Can obsessive compulsive disorder be detected in adolescent population with three-point scanning?(Aves Press Ltd, 2013) Akpinar, Abdullah; Alpak, Gokay; Cevik, Mehmet; Bakim, Bahadir; Goksan, Burcu; Yumrukcal, Huseyin; Ertekin, HulyaObsessive compulsive disorder (OCD) has been reported in adolescent population commonly. Adolescents with OCD seek for treatment usually when their functionality has been destroyed significantly. Therefore scanning OCD in adolescent population is very important. In this study, we aimed to evaluate the sensitivity, specifity, and predictability of the self reported three points scanning which can be fulfilled easily and fast The study sample comprises of a total 177 high school first class students whose ages are between 14-17 years old The results of OCD module of Structured Clinical Interview for DSM-IV Axis I and the estimated results of three item Obsessive Compulsive scale derived from self reported Child Adolescent Behavior Assessment Scale have been compared. The OCD prevalence (at the moment) was 2.8% when calculated for structured interview. Potential OCD was 46% when calculated for Obsessive Compulsive Scale scanning The sensitivity of three item CABAS-OCS was 60%, its specifity was 54%, positive predictive value 4%, and negative predictive value was 97%. Eventually, the sensitivity and specifity of the detection method of OCD by using three item scanning were intermediate Its discrimination of non-OCD adolescents was satisfactory. Despite that positive prediction power was low and so this method should be redeveloped.Öğe Clozapine and Aripiprazole-Induced Stuttering: A Case Report of Turner Syndrome with Schizophrenia(Kure Iletisim Grubu A S, 2016) Ertekin, Hulya; Ertekin, Yusuf Haydar; Sahin, Basak; Yayla, Sinan; Turkyilmaz, Ersin; Kara, MedineTurner Syndrome (TS) is the most common chromosomal anomaly in women. Its psychiatric manifestations have not been clearly defined. Occurrence of schizophrenia is higher in patients with TS than in the normal population. The literature has reported instances associating stuttering as a side effect of antipsychotic drugs, particularly clozapine-induced stuttering. We found only one case report describing aripiprazole-associated stuttering. In the present case report, we present a female patient with TS-diagnosed schizophrenia who had been treated with aripiprazole because she developed stuttering during treatment with clozapine and then developed dose-dependent stuttering with aripiprazole.Öğe Correlation between vaspin and PANSS scores in schizophrenia patients with obesity(Sage Publications Inc, 2020) Ertekin, Hulya; Uysal, Sema; Aydin, Memduha; Ilhan, Bilge; Ertekin, Yusuf HaydarObjective: Metabolic abnormalities such as diabetes, dyslipidemia, abdominal obesity, metabolic syndrome, and abnormal levels of plasma adipokines have been observed in patients with schizophrenia. This study aimed to investigate the differences and correlations of plasma vaspin levels with metabolic parameters in patients with schizophrenia and to compare with healthy controls. Method: We measured plasma levels of vaspin and metabolic parameters of 100 patients with schizophrenia and 95 healthy controls. Patients with schizophrenia were evaluated with the Positive and Negative Syndrome Scale (PANSS) and The Global Assessment of Functioning. Results: Mean levels of body mass index, waist circumference, triglyceride, and low-density lipoprotein cholesterol of the patients were statistically higher than those of the healthy controls (p = 0.002, p < 0.001, p = 0.03, and p = 0.002, respectively). Plasma levels of vaspin were 0.96 +/- 0.73 ng/ml in patients with schizophrenia and 0.29 +/- 0.15 ng/ml in the healthy controls (p < 0.001). Plasma vaspin levels were statistically higher in patients with schizophrenia than healthy controls both in groups with and without metabolic syndrome and obesity (p < 0.001). Plasma vaspin levels showed a positive correlation with triglyceride in patients with schizophrenia (r = 0.26, p = 0.007). There were positive correlations between vaspin and PANSS scores in schizophrenia patients with obesity (PANSS Positive: r = 0.42, p = 0.01; PANSS Negative: r = 0.42, p = 0.01; PANSS General: r = 0.43, p = 0.01; PANSS Total: r = 0.47, p = 0.006). Conclusions: Our study showed a significant relationship and positive correlation between vaspin and PANSS scores in schizophrenia patients with obesity. Vaspin may play an important role in the metabolic processes of patients with schizophrenia.Öğe Depression and anxiety disorder comorbidity in patients with obstructive sleep apnea syndrome (OSAS)(Informa Healthcare, 2012) Bakim, Bahadir; Ertekin, Hulya; Karamustafalioglu, Oguz; Tekin, Atilla; Yavuz, Burcu Gokasan; Yayla, Sinan[Anstract Not Available]Öğe Evaluation of affective temperament and anxiety-depression levels of patients with polycystic ovary syndrome(Elsevier Science Bv, 2015) Asik, Mehmet; Altinbas, Kursat; Eroglu, Mustafa; Karaahmet, Elif; Erbag, Gokhan; Ertekin, Hulya; Sen, HacerBackground: Women with polycystic ovary syndrome (PCOS) are reported to experience depressive episodes at a higher rate than healthy controls (HC). Affective temperament features are psychiatric markers that may help to predict and identify vulnerability to depression in women with PCOS. Our aim was to evaluate the affective temperaments of women with PCOS and to investigate the association with depression and anxiety levels and laboratory variables in comparison with HC. Methods: The study included 71 women with PCOS and 50 HC. Hormonal evaluations were performed for women with PCOS. Physical examination, clinical history, Hospital Anxiety and Depression Scale (DADS) and TEMPS -A were performed for all subjecLs. Differences between groups were evaluated using Student's [-tests and Mann Whitney U tests. Correlations and logistic regression tests were performed. Results: All temperament subtype scores, except hyperthyrnic, and DADS anxiety, depression, and total scores were significantly higher in patients with PCOS compared to HC. A statistically significant positive correlation was found between EMI and irritable temperament, and insulin and DADS depression scores in patients with PCOS. Additionally, hirsutism score and menstrual irregularity were correlated with DADS depression, anxiety and total scores in PCOS patients. In logistic regression analysis, depression was not affected by PCOS, hirsutism score or menstrual irregularity. However, DADS anxiety score was associated with hirsutism score. Conclusions: Our study is the first to evaluate the affective temperament features of women with PCOS. Consequently, establishing affective temperament properties for women with PCOS may help clinicians predict those patients with PCOS who are at risk for depressive and anxiety disorders. (C) 2015 Elsevier B.V. All rights reserved.Öğe Increased Pathological Worry Levels in Patients with Alopecia Areata(Derman Medical Publ, 2017) Sahin, Basak; Soydas, Esra Akyol; Oguz, Sevilay; Isik, Selda; Ertekin, HulyaAim: Alopecia Areata (AA) is a type of hair loss that has been considered to have associations with various psychiatric disorders. In this study, we aimed to compare pathological worry levels between patients with AA and healthy controls (HC). Material and Method: Sixty-three patients with AA and 90 HCs were included in the present study after applying inclusion and exclusion criteria. The socio-demographic characteristics, some clinical characteristics, and the scores from the Penn State Worry Questionnaire (PSWQ) were compared between groups. Results: The demographic characteristics were found to be similar between groups except for gender. The family history of AA was significantly higher in the AA group. The mean score of PSWQ in the AA group was 44.02 +/- 11.59, compared to 39.71 +/- 7.77 in the HC group. The mean score of PSWQ was significantly higher in the AA group (t=-3.27, p= 0.001). Discussion: The present study is the first to compare pathological worry between patients with AA and HCs. We suggest that pathological worry should be more thoroughly investigated in patients with AA to improve their quality of life. Also, this can be an effective approach to targeting the patients who may develop anxiety disorder.Öğe Metabolic syndrome and vaspin in patients with bipolar disorder(Elsevier Taiwan, 2018) Ertekin, Hulya; Sahin, Basak; Caliskan, Ali Metehan; Inanli, Ikbal; Ertekin, Yusuf HaydarMetabolic disorders and abnormal levels of circulating adipokines have been reported in patients with bipolar disorder (BD). The aim of this study was to investigate the differences in the correlations of vaspin plasma levels and metabolic parameters between two groups: patients with BD and mentally healthy persons. We measured plasma levels of vaspin, metabolic parameters, and metabolic syndrome (MS) in 101 patients with BD and 90 healthy control (HC) subjects. Patients with BD were evaluated with the Young Mania Rating Scale (YMRS) to assess manic symptoms and the Hamilton Depression Scale (HDS) to assess depressive symptoms. The Global Assessment of Functioning (GAF) was used to evaluate the general functions of the patients. Body mass index (BMI), weight, waist circumference (WC), fasting glucose, and triglyceride levels of the study group were statistically higher than those of the healthy controls (p = 0.001, p < 0.001, p < 0.001, p = 0.027, and p = 0.001 respectively). Plasma levels of vaspin were 0.978 ng/ml in patients with BD and 0.292 in the HC group (p < 0.001). Our study revealed associations between metabolic parameters/metabolic syndrome and vaspin plasma concentrations in patients with BD. Vaspin can play a specific role in the pathogenesis of metabolic disorders in these subjects and can be a specific indicator substance in BD. Copyright (C) 2018, Kaohsiung Medical University. Published by Elsevier Taiwan LLC.Öğe Psychiatric Comorbidity in Patients with Conversion Disorder and Prevalence of Dissociative Symptoms(Routledge Journals, Taylor & Francis Ltd, 2015) Yayla, Sinan; Bakim, Bahadir; Tankaya, Onur; Ozer, Omer Akil; Karamustafalioglu, Oguz; Ertekin, Hulya; Tekin, AtillaThe 1st objective of the current study was to investigate the frequency and types of dissociative symptoms in patients with conversion disorder (CD). The 2nd objective of the current study was to determine psychiatric comorbidity in patients with and without dissociative symptoms. A total of 54 consecutive consenting patients primarily diagnosed with CD according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria who were admitted to the psychiatric emergency outpatient clinic of Sisli Etfal Research and Teaching Hospital (Istanbul, Turkey) were included in the study. The Structured Clinical Interview for DSM-IV Axis I Disorders, Structured Interview for DSM-IV Dissociative Disorders, and Dissociative Experiences Scale were administered. Study groups consisted of 20 patients with a dissociative disorder and 34 patients without a diagnosis of any dissociative disorder. A total of 37% of patients with CD had any dissociative diagnosis. The prevalence of dissociative disorders was as follows: 18.5% dissociative disorder not otherwise specified, 14.8% dissociative amnesia, and 3.7% depersonalization disorder. Significant differences were found between the study groups with respect to comorbidity of bipolar disorder, past hypomania, and current and past posttraumatic stress disorder (ps = .001, .028, .015, and .028, respectively). Overall comorbidity of bipolar disorder was 27.8%. Psychiatric comorbidity was higher and age at onset was earlier among dissociative patients compared to patients without dissociative symptoms. The increased psychiatric comorbidity and early onset of conversion disorder found in patients with dissociative symptoms suggest that these patients may have had a more severe form of conversion disorder.Öğe Psychiatric Disorders and Demographic Characteristics Among Geriatric Outpatients in Canakkale State Hospital(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2016) Ertekin, Hulya; Ertekin, Yusuf Haydar; Sahin, Basak; Kolat, Esra; Uludag, AysegulObjective: The elderly population in Turkey and in the world is progressively increasing and the increase is expected to be more prominent in the future. As the elderly population grows, there will be an increasing demand on health services, resulting in rapidly rising medical, psychiatric, and social healthcare problems. The aim of the present study is to determine the distribution of psychiatric illness, including gender-based differences, demographic characteristics and prevalence within all elderly age groups, among patients visiting the general psychiatry outpatient clinic. Method: This was a retrospective study using the data of the patient registry system for elderly patients who visited the general psychiatry outpatient clinic between September 2013 and February 2014. Patients were >= 65 years of age. Patients' demographic characteristics and their Axis I diagnoses according to DSM-IV-TR were recorded. Results: Of the 1044 patients who visited the general psychiatry outpatient clinic during the 6-month period, 15% (n=158) were aged >= 65 years; 62% of the 158 patients included in the study were female and 38% were male. Depression was present in 41% of patients; 21% had generalized anxiety disorder (GAD); 8% had adjustment disorder (AD), and 7% had schizophrenia. GAD was statistically significantly higher in females and AD was statistically significantly higher in males. Conclusion: Assessing demographic data including common diagnoses and diagnostic differences between genders in elderly patients is important to improve new diagnosis and treatment strategies.Öğe Psychotherapy Perspective of Physicians and Psychiatric Patients(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2016) Aydin, Memduha; Ertekin, Hulya; Etli, Tahsin; Ozayhan, Hatice Yardim; Eren, IbrahimObjective: In this study, we aimed to investigate the role of psychotherapy in healing and protection of mental health in integrated psychiatry and general medicine practice. Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between dates May 2013 and July 2013. Data were collected by using 5-item questionnaires prepared separately for patients and doctors from internal medicine and surgical disciplines. Results: The sample is consisting of 173 patients admitted to psychiatric outpatient clinic, 28 doctors from surgical and 89 doctors from internal medicine disciplines. Patients at psychiatric outpatient clinic believed that psychotherapy was an effective method for the treatment of psychiatric disorders, and knew that psychiatrists could apply psychotherapy, but thought that there was no sufficient time at outpatient clinics. No difference was determined between the doctors from internal medicine and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (p=0.115). Doctors from internal medine disciplines had a higher proportion of belief that psychotherapy was as effective as medication treatments (p=0.038). No difference was determined between doctors from internal medicine and surgical disciplines in the belief that psychiatrists could provide psychotherapy service. Belief of applicability of psychotherapy at the outpatient clinic settings was higher among doctors from internal medicine than those from the surgical disciplines (p=0.038). Conclusion: This study enabled us to assess the attitudes towards psychotherapy among patients and doctors from internal medicine and surgical disciplines.Öğe Quality of Life and Depression in Schizophrenia Patients Living in a Nursing Home(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2015) Ertekin, Hulya; Er, Mehmet; Ozayhan, Hatice Yardim; Yayla, Sinan; Akyol, Esra; Sahin, BasakObjective: Nursing homes are seen as alternative housing for patients with schizophrenia. However, it has not yet been established how suitable this accommodation is for schizophrenia patients. First aim of this study is to assess the quality of life and depression level in schizophrenic patients and compare this data with that of patients living with their families. Second aim is to assess factors related to the quality of living and depression state in all participants of this study. Method: This is a cross-sectional study conducted with patients presenting to the Psychotic Disorders Policlinic of the Beyhekim Psychiatric Clinic of Konya Training and Research Hospital consecutively between December 2012 and May 2013 who had received a diagnosis of schizophrenia according to DSM IV-TR. All participants were administered a sociodemographic data form, Brief Psychiatric Rating Scale (BPRS), Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), and Quality of Life Scale for Schizophrenia Patients (QLSSP). Results: CDSS scores were found to be significantly increased in schizophrenic patients living in nursing homes. Their QLSSP scores, including interpersonal relations, occupational role, mental symptoms, personal belongings/activity scores, and total scores were statistically significantly low. A significant negative correlation was observed between negative symptom levels and occupational area, mental findings, and the personal belongings/activity areas of quality of life. Between positive symptom levels and quality of life, only scores in the occupational area showed a significant negative correlation. A significant negative correlation between CSDS and QLS was observed in all areas. Conclusion: Quality of life and depression need to be evaluated in all schizophrenia patients, as they are conditions that significantly affect treatment and prognosis.Öğe The Evaluation of the Nicotine Dependence in Psychiatric Disorders(Duzce Univ, 2018) Ertekin, Hulya; Ertekin, Yusuf HaydarObjective: It has been known that there is a relationship between high nicotine dependence and recurrent major depression. A similar relevance may establish a reference for further investigations evaluating the role of nicotine dependence on various psychiatric disorders. For this purpose, we assessed the frequency of smoking and nicotine dependence, according to psychiatric diagnosis in psychiatric outpatients. Methods: A total of 1036 psychiatric patients were included in this descriptive study. The participants were evaluated according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition) for psychiatric disorders and Fagerstrom Test for Nicotine Dependence (FTND) that was applied to define smoking habits. Results: The overall smoking rate was 40.2% (n=416), while the smoking rate of females and males was 32.6% (n=229) and 56.0% (n=187), respectively (p<0.001). The mean age of onset of smoking, and the mean FTND score were significantly higher in men than women [The mean age of onset of smoking was 19.4 +/- 6.7 years in women, and 16.9 +/- 6.0 years in men (p<0.001). The mean FTND score in women and men were 3.9 +/- 2.7 and 5.1 +/- 2.6 (p<0.001) respectively]. The number of smoking cessation trials, the prevalence of lower FTND scores (<= 7 points), and the smoking cessation request of patients with psychotic disorders were significantly lower than patients with affective disorders and anxiety disorders (respectively p=0.022, p<0,001, p=0,015). The mean FNBT score was higher in psychotic disorder (p<0.001). Conclusion: The higher mean FTND score and the higher prevalence of higher FTND score (>7 points) in psychotic disorder in comparison to affective and anxiety disorders may give insight to the role of nicotine in the pathogenesis of the psychiatric diseases.
