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Öğe Amnestic disorder associated with Kluver Bucy Syndrome after HSV encephalitis: A case report(ANP Publishing, 2022) Kara, Neslihan; Sarıgedik, Enes; Ataoğlu, AhmetEncephalitis is an infection of the brain parenchyma and herpesviruses, enterovirular and paramyxoviruses are among the causes of viral encephalitis. Herpes Simplex Virus is one of the most common causes of encephalitis. It usually occurs in elderly and immunocompromised individuals. Herpes Simplex Virus shows rapid onset in the acute phase and has a severe course. It often giving signs of encephalitis such as weakness, sensory abnormalities, aphasia and visual field loss. Herpes Simplex Virus encephalitis causes behavioral, emotional, personality and memory disorders depending on the involvement of inflammatory and necrotic areas, although there are differences in the affected brain regions, the severity of neurological damage and cognitive impairments. In case of suspicion by clinical signs, imaging and cerebrospinal fluid findings, acyclovir treatment should be started and if seizures are present, they should be controlled. Amnestic disorders are a syndrome in which instant memory is preserved, with severe impairment in learning new information and impaired recall of previously learned information. Herpes Simplex Virus encephalitis is among the causes of amnestic disorder. Kluver Bucy Syndrome is a rare syndrome seen in bilateral temporal lobe damage and characterized by visual agnosia, hypersexuality, emotional behavior changes, placidity, hyperorality and hypermetamorphosis. In this case, a 52-year-old female patient who developed Amnestic Disorder accompanied by Kluver Bucy Syndrome after Herpes Simplex Virus encephalitis, which is a rare condition, is presented. © 2022 ANP Publishing. All rights reserved.Öğe Anksiyete, depresyon ve problem çözme becerisi algısı üzerine düzenli sporun etkisi(2010) Canan, Fatih; Ataoğlu, AhmetAmaç: Bu çalışmada, düzenli egzersiz yapan sporcuların anksiyete, depresyon ve problem çözme becerisi algısı düzeyleri incelenerek bu değişkenlerin düzenli spor yapmayan bireylere göre farklı olup olmadığının saptanması amaçlanmıştır. Yöntem: Tüm katılımcılar 18-35 yaşları arasındaydı. Katılımcılar, düzenli olarak spor yapan (haftada en az 5 saat) 69 sporcu (35 takım sporcusu, 34 bireysel sporcu) ve düzenli olarak spor yapmayan 26 kontrol olmak üzere iki grupta değerlendirildi. Tüm katılımcılara Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Problem Çözme Envanteri (PÇE) ve sosyodemografik verilerin değerlendirildiği bir anket uygulandı. Bulgular: Tüm sporcuların BAÖ skorları, kontrollere göre istatistiksel olarak anlamlı düzeyde düşük bulundu. Bireysel sporcular ve kontrollere göre, takım sporcularının BDE ve PÇE skorları istatistiksel olarak anlamlı düzeyde daha düşüktü. Tartışma: Bulgularımıza göre düzenli olarak spor yapmanın anksiyete üzerine olumlu etkisi bulunmaktadır. Düzenli olarak özellikle takım sporları yapmanın ise depresyon ve problem çözme becerisi üzerine olumlu etkisi olduğu söylenebilir.Öğe The assessment of MMPI in panic somatisation disorders: A comparative study(2010) Koçer, Emel; Özçetin, Adnan; İçmeli, Celalettin; Ataoğlu, AhmetAim: We aimed to investigate the relationship between anxiety disorders and somatisation disorders described in ICD-10 within the title of neurotic disorders, and the personality characteristics related to both groups Method: Fifty-eight individuals who were either have DSM-IV panic disorder (PD) and or somatisation disorder (SD) completed the Minnesota Multiple Personality Inventory (MMPI). Intergroup differences of MMPI scores and personality disorders were analyzed. Result: The scores obtained from the clinical subscales of PD (n:28) and SD patients (n:30), and in the MMPI test were similar in comparison. The differences between the MMPI scores of PD and SD patients were statistically significant regarding the passive-aggressive personality disorder, avoidant personality disorder, borderline personality disorder and obsessive-compulsive personality disorder scores. The mean values of the study conducted in a Turkish population sample were used as cut-points, the results were greater than normal in the psychastenia and depression subtest scores in group PD, and in deny subtest in group SD (p<0.01). Conclusion: The findings were compatible with those in the literature. All of these personality disorders above-mentioned and found high in PD with an exception of the borderline personality disorder share high comorbidity with neuroticism. However, comparative studies following treatment are required whether these characteristics are related to the personality structure or the nature of PD.Öğe The association between Internet addiction and dissociation among Turkish college students(W B Saunders Co-Elsevier Inc, 2012) Canan, Fatih; Ataoğlu, Ahmet; Özçetin, Adnan; İçmeli, CelalettinPurpose: This study aimed to investigate Internet use patterns and Internet addiction among young adult university students and to examine the correlation between excessive Internet use and dissociative symptoms. Methods: The study was conducted among 1034 students, aged between 18 and 27 years. Internet Addiction Scale, Dissociative Experiences Scale, and a sociodemographic query form were used in the collection of data. Pearson correlation analysis, the t test, and chi(2) test were used for data analysis. Results: According to the Internet Addiction Scale, 9.7% of the study sample was addicted to the Internet. The Pearson correlation analysis results revealed a significant positive correlation between dissociative experiences and Internet addiction (r = 0.220; P < .001) and weekly Internet use (r = 0.227; P < .001). Levels of Internet addiction were significantly higher among male students than female students (P <.001). The Internet use pattern also differed significantly between sexes. Conclusions: According to the results of this study, Internet addiction is a relatively frequent phenomenon among young adult college students in Turkey. Excessive Internet use is associated with higher levels of dissociative symptoms. (C) 2012 Elsevier Inc. All rights reserved.Öğe THE ASSOCIATION BETWEEN INTERNET ADDICTION, DISSOCIATION, AND SOCIO-DEMOGRAPHIC FEATURES AMONG COLLEGE STUDENTS(Elsevier France-Editions Scientifiques Medicales Elsevier, 2011) Canan, Fatih; Ataoğlu, Ahmet…Öğe Bir üniversite hastanesinde yatan hastalar için istenen psikiyatri konsültasyonlarının değerlendirilmesi(2008) Canan, Fatih; Koçer, Emel; İçmeli, Celalettin; Özçetin, Adnan; Ataoğlu, AhmetAmaç: Bu araştırmanın amacı, Düzce Üniversitesi Tıp Fakültesi Hastanesi’nde yatan hastalardan 4 aylık süre boyunca istenen psikiyatri konsültasyonlarının niteliğinin, hasta tutumunun, hekim-hasta ilişkisinin ve yatan hastalarda psikiyatrik morbidite oranının değerlendirilmesidir. Yöntem: 01/12/2006 ve 31/03/2007 tarihleri arasında, Düzce Üniversitesi Tıp Fakültesi Hastanesi’nde yatarak tedavi gören ve psikiyatri konsültasyonu istenen 18 yaş ve üstü hastaların psikiyatrik değerlendirmeleri, yapılandırılmış bir forma kaydedilmiştir. Tanısal değerlendirme, DSM-IV-TR tanı kriterlerine göre yapılmıştır. Bulgular: İncelemeye alınan 66 hastanın 39’u (%59.1) kadın, 27’si (%40.9) erkekti. 4 aylık süre içerisinde yatan, 18 yaş üstü hastaların %2.8’i için psikiyatri konsültasyonu istenmiştir. En sık psikiyatri konsültasyonu isteyen bölümler; iç hastalıkları (%24.2), göğüs hastalıkları (%15.2) ve beyin cerrahisidir (% 13.6). Konsültasyon istemlerinin büyük kısmı; ajitasyon (%27.3), depresif bulgular (%16.7) ve konversif yakınmalar (%16.7) nedeniyledir. Konsültasyon sonrası en sık konulan tanılar; major depresyon (%19.7) ve yaygın anksiyete bozukluğudur (%16.6). Konsültasyon istenen hastaların %24.2’sinde DSM-IV-TR tanı kriterlerine göre herhangi bir ruhsal hastalık saptanmamıştır. Sonuç: Bulgulara göre, hekim-hasta iletişiminin geliştirilmesi gereklilik arz etmektedir. Diğer kliniklerle psikiyatri kliniğinin uyumlu işbirliği ve düzenli fikir alışverişi de hastaların ruhsal iyi olma hali açısından çok önemlidir.Öğe Çalışan ve çalışmayan kadınların benlik saygılarının karşılaştırılması(2007) İçmeli, Celalettin; Ataoğlu, Ahmet; Canan, Fatih; Gökdoğan, Abdi; Özçetin, AdnanBu araştırma, çalışma yaşamının kadınların benlik saygısını ne ölçüde etkilediğini belirlemek amacıyla planlanmıştır. Bu amaçla, araştırma Düzce il merkezinde çalışan 100 kadın ve çalışmayan (ev hanımı) 100 kadın üzerinde karşılaştırmalı ve tanımlayıcı olarak gerçekleştirilmiştir. Çalışma kapsamına alınan kadınları fiziksel ve psiko-sosyal yönden değerlendirmek üzere, bir görüşme formu ve benlik saygılarını ölçmek için Coopersmith Benlik Saygısı Envanteri kullanılmıştır. Uygulama sonunda elde edilen veriler yüzdelik (%), ki-kare, kolmogorov-simimov testi ve t testi kullanılarak istatistiksel yönden değerlendirilmiştir. Çalışan kadınların çoğunluğunu, üniversite ya da lise mezunu, çekirdek ailede yetişen, anne ve babasının okur-yazarlık düzeyi yüksek olan, yükseköğrenim görmüş eşlerle evli ve genelde iki çocuk sahibi olan, ailede birlikte karar verme eğiliminde ve çalışmaktan memnun olan kadınlar oluşturmuştur. Sonuçta, çalışan kadınların Benlik Saygısı puan ortalamalarının (75.68 14.35), çalışmayan kadınların ki ne (68.32 15.68) göre istatistiksel olarak anlamlı olacak şekilde yüksek olduğu tespit edilmiştir (p 0.001). Bu sonuca göre, kadınlara her alanda erkeklerle eşit eğitim ve iş olanaklarının tanınması, iş ve aile yaşamında destek sağlanması önerilmiştir.Öğe Childhood trauma and dissociation in women with pseudoseizure-type conversion disorder(Taylor & Francis As, 2009) Özçetin, Adnan; Belli, Hasan; Ertem, Ümit; Bahçebaşı, Talat; Ataoğlu, Ahmet; Canan, FatihBackground: Conversion disorder is thought to be associated with psychological factors because of the presence of conflict and other stressors prior to the condition. Aim: The aim of this study is to compare adult patients with pseudoseizure-type conversion disorder with healthy control group in terms of childhood trauma, dissociative disorder and family history of psychiatric disorders. Method : 56 female patients were admitted to the general psychiatry hospital outpatient clinic between January and July 2005. All patients had a negative experience about their families just before having the conversion. Diagnosis was made according to the DSM-IV criteria. A control group consisting of similar patient demographics of the disease group has been selected. Socio-demographic information forms, the Childhood Trauma Questionnaire (CTQ) and Dissociation Questionnaire (DIS-Q), were completed on the patients. Results: CTQ total (t = 12.12, P < 0.001) and subscales, emotional abuse and emotional neglect (EA-EN) (t = 12.74, P < 0.001), physical abuse (PA) (t = 10.05, P < 0.001), and sexual abuse (SA) (t = 7.69, P < 0.001) were significantly high in the conversion group. DIS-Q mean points were statistically higher in the conversion group (t = 11.05, P < 0.001). Conclusions: The findings suggest that pseudoseizures (conversion disorder) should be included within dissociative disorders in DSM system as in ICD. It is usually uncommon for the patient to tell about childhood trauma without being specially questioned about this issue. Thus, it would be helpful to uncover these experiences by using related scales in conversion disorder patients.Öğe A comparison of personality characteristics between patients with cancer and the control group(Duzce University Medical School, 2019) Özçetin, Adnan; Kılıç, Osman; Ataoğlu, Ahmet; Ölmez, Safiye Bahar; Hisarvant, ArzuAim: It is known that personality can affect most of the issues related to physical and mental health. It is thought that some personality features carry importance as a factor in cancer development, and therefore, the theory of a cancer-prone personality continues to attract researchers’ attention. The aim of this study is to investigate and compare the differences in personality characteristics between patients with different types of cancer and healthy control group. Material and Methods: A total of 193 participants, patients with different types of cancer (n=100) and healthy individuals as the control group (n=93), were included in this study. Hacettepe Personality Inventory (HPI) was used to obtain the data related with personality traits. Results: The mean score of self-realization (SR) and emotional stability (ES), which are personal adaptation subscales of the HPI, was found to be significantly lower in cancer group compared to control group (p=0.016 and p=0.009). As a result of further analyses performed according to cancer types, it was found that both SR and ES scores in head-neck cancer group were lower than both control group and other subgroups of cancer types (p=0.004 and p=0.001). Conclusion: The results of this study revealed that there are differences between cancer and control groups in terms of personality characteristics. Overall, it was thought that the personality characteristics that are unique to patients with head-neck cancers may be the reactions that appear as a result of the development of head-neck cancer rather than a significant factor in cancer development. © 2019, Duzce University Medical School. All rights reserved.Öğe A comparison of plasma nitrite, nitrate and asymmetric dimethylarginine levels in major depression patients before and after escitalopram treatment(Nobelmedicus, 2018) Hisarvant, Arzu; Ataoğlu, Ahmet; Özçetin, Adnan; Kılıç, Osman; Ölmez, Safiye Bahar; Kuduban, Ali KemalObjective: Asymmetric dimethyl arginine (ADMA) function, which is an intracellular repressor of nitric oxide (NO) and NO, examined and revealed in many mental disorders. In this study, we compared the simultaneous levels of plasma nitrite (NO2), nitrate (NO3) and ADMA before and after escitalopram treatment at Major Depression Disorder (MDD) patients and healthy controls. Material and Method: 40 patients with MDD according to DSM-IV-R and 40 heathy controls was included in this study. The Montgomery-Åsberg Depression Rating Scale was used to determine the severity of illness. Plasma NO2, NO3 and ADMA levels were measured in the MDD and the control groups. Results: Pretreatment plasma NO2, NO3 and ADMA levels in MDD group were significantly lower (but ADMA levels were higher) than in the control group. After the treatment NO levels of MDD group were close to control group, ADMA levels were statistically lower than the control group. Conclusion: Our study can contribute to the understanding of the role of NO and ADMA and relationship between complicated neurotransmitter systems at MDD etiopathogenesis. © 2018, Nobelmedicus. All rights reserved.Öğe A COMPARISON OF PLASMA NITRITE, NTTRATE AND ASYMMETRIC DIMETHYL ARGININE LEVELS MAJOR DEPRESSION PATIENTS BEFORE AND AFTER ESCITALOPRAM TREATMENT(Nobel Ilac, 2018) Hisarvant, Arzu; Ataoğlu, Ahmet; Özçetin, Adnan; Kılıç, Osman; Ölmez, Safiye Bahar; Kuduban, Ali KemalObjective: Asymmetric dimethyl arginine (ADMA) f unction, which is an intracellular repressor of nitric oxide (NO) and NO, examined and revealed in many mental disorders. In this study, we compared the simultaneous levels of plasma nitrite (NO), nitrate (NO3) and ADMA before and after escitalopram treatment at Major Depression Disorder (MDD) patients and healthy controls. Material and Method: 40 patients with MDD according to DSM-IV-IR and 40 heathy controls was included in this study. The Montgomery-Asberg Depression Rating Scale was used to determine the severity of illness. Plasma NO2, NO3 and ADMA levels were measured in the MDD and the control groups. Results: Pretreatment plasma NO2, NO3 and ADMA levels in MDD group were significantly lower (but ADMA levels were higher) than in the control group. After the treatment NO levels of MDD group were close to control group. ADMA levels were statistically lower than the control group. Conclusion: Our study can contribute to the understanding of the role of NO and ADMA and relationship between complicated neurotransmitter systems at MDD etiopathogenesis.Öğe Deprem sonucu gelişen travma sonrası stres bozukluğu ile kişilik bozuklukları arasında ilişki(2008) Özçetin, Adnan; Maraş, Abdullah; Ataoğlu, Ahmet; İçmeli, CelalettinGiriş ve Amaç: Travma sonrası stres bozukluğu (TSSB) maruz kalınan travma ile ilişkilidir, ancak tek belirleyici travma değildir. Kişilik bozuklukları ile TSSB arasındaki ilişki tartışılmaktadır. Biz kişilik bozukluğu olanlarda TSSB’nin daha kolay geliştiğini ileri sürerek bu çalışmayı planladık. Gereç ve Yöntem: Çalışmamızı 17 Ağustos ve 12 Kasım 1999’da iki şiddetli deprem yaşayan Düzce’de yaptık. Travma birimine yönlendirilen 18 yaş üstü 109 hastadan klinisyen tarafından travma sonrası stres bozukluğu ölçeği (CAPS) ile TSSB tanısı konan 62 hasta çalışmaya alındı. Bunlara SCID-II, yaşam olaylarının etkisi ölçeği (IES) ve sosyodemografik bilgi formu uygulandı. Bulgular: Hastaların 35’inde (%56,5) kişiliği bozukluğu bulundu., kalan 27 hastada (%43,5) kişilik bozukluğu yoktu. 62 hastanın 54‘ü kadındı. Diğer sosyodemoğrafik değişkenler açısından iki grup arasında istatistiksel fark yoktu, sadece sosyal güvence oranı kişilik bozukluğu olmayanlarda daha yüksekti(MWU:312500, z:-2.303, p:0.021 ). Kişilik bozukluğu olan 35 hastada toplam 52 adet kişilik bozukluğu tanısı kondu. Bunların %84,7’sini kaçıngan, obsesif-kompulsif, bağımlı ve paranoid kişilik bozuklukları oluşturuyordu. Kişilik bozukluğu olan ve olmayan iki grup arasında CAPS alt ölçekleri ve IES alt ölçekleri puanları açısından istatistiksel anlamlı fark yoktu. Sonuç: Bulgularımız bize kişilik bozukluğunun TSSB şiddeti üzerinde belirleyici olmadığını, ancak TSSB’nin ortaya çıkışını belirleyen önemli bir faktör olduğunu düşündürmektedir.Öğe Diyaliz uygulanan hastalarda yaşam kalitesi ve psikiyatrik belirti dağılımı(2009) Özçetin, Adnan; Bahçebaşı, Bicik Zerrin; Bahçebaşı, Talat; Cinemre, Hakan; Ataoğlu, AhmetAmaç: Son dönem böbrek yetmezliği (SDBY), hastalarda birçok psikososyal sorunlara neden olmakta ve yaşam kalitesini düşürmektedir. Biz çalışmamızda diyaliz hastalarının yaşam kalitesi ve psikiyatrik belirti dağılımını belir-lemeyi amaçladık. Yöntem: Çalışmamıza nefroloji ünitesi tarafından izlenen 54 hemodiyaliz (HD) ve 13 sürekli ayaktan periton diyalizi (SAPD) uygulanan toplam 67 hastayı aldık. Hastalara sosyodemografik bilgi formu, Short Form-36 (SF-36) Yaşam Kalitesi Ölçeği, Hastane Anksiyete ve Depresyon Ölçeği (HAD), Kısa Semptom Envante-ri (KSE) uygulandı. İstatistiksel analizde nonparametrik testlerden Mann Whitney-U uygulandı. Sonuçlar: Hasta-ların 31’i erkek, 36’sı kadındı. HD hastalarının yaş ortalaması 53.5517.26 yıl, SAPD grubunun ise 47.8313.76 idi. SF-36 alt ölçeklerinden hiçbirisinde HD ve SAPD grupları arasında fark yoktu. Psikiyatrik belirti dağılımını ölçen KSE alt ölçeklerinden ise, HD grubunda daha kötü olmak üzere somatizasyon (p0.027) ve depresyonda (p0.045) istatistiksel olarak anlamlı fark vardı. HAD anksiyete ve depresyon puanı eşik üstü olan hastaların yaşam kalitesi (SF-36) alt ölçeklerinin (anksiyete grubunda emosyonel rol alt ölçeği hariç p0.186) tümü ve KSE alt ölçek puanları daha kötüydü ve istatistiksel olarak anlamlı fark vardı. Tartışma: Diyaliz uygulanan SDBY’li hastaların biyolojik değerlendirilmesine koşut olarak psikiyatrik yönden de değerlendirilmesi önemli görülmektedir. Hem yaşam kalitesi, hem de psikiyatrik belirti dağılımı yönünden kötüleşmeye neden olabilen depresyon ve/veya anksiyete kısa sürede ve kolayca uygulanabilen ölçeklerle tanınabilir. Bu sayede hastalara gerekli psikiyatrik destek sağlanarak yaşam kalitelerinin artırılabilmesinin yanı sıra, psikiyatrik belirtiler de daha kolay tanınıp gerekli önlemler alınabilir. Bu grup hastalarda psikiyatrik değerlendirme ve destek ihmal edilmeyecek kadar önemli görülmektedir. Bu sayede bakım verenlerin de tükenme sendromuna girmesi engellenebilir.Öğe The effect of escitalopram on platelet activity(Pergamon-Elsevier Science Ltd, 2011) Canan, Fatih; Ataoğlu, Ahmet…Öğe Effect of escitalopram treatment on white blood cells in patients with major depression(Elsevier Science Bv, 2009) Canan, Fatih; Ataoğlu, Ahmet; Özçetin, Adnan…Öğe The effect of osteoporosis on self-report sleep quality in postmenopausal women(Wiley-Blackwell, 2011) Yazıcı, Selma; Canan, Fatih; Baki, Ali Erdem; Erkan, Melih Engin; Ataoğlu, Safinaz; Ataoğlu, AhmetWe aimed to show the effect of osteoporosis on sleep quality in 59 postmenopausal women. The participants' bone-mineral density levels were measured by dual-energy X-ray absorptiometry (DEXA). According to their DEXA results, participants were divided into two groups as osteoporotics and controls. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality. Fourteen osteoporotic women (43.8%) and four controls (14.8%) were "poor" sleepers (p < 0.05). Postmenopausal women with osteoporosis scored greater on the "sleep latency" and "sleep duration" components of PSQI than controls. According to the findings of our study, osteoporosis is a risk factor for poor sleep quality in postmenopausal women.Öğe The effect of traumatic experiences on self-esteem(Duzce University Medical School, 2019) Ataoğlu, Büşra Bahar; Ataoğlu, Ahmet; Ankaralı, HandanAim: The aim of this study was to investigate effect of trauma on self-esteem and relationship between self-esteem and psychiatric symptoms, by comparing severity of trauma experienced by psychiatric patient group and healthy control group without psychiatric disease. Material and Methods: The study included 100 patients with depression, anxiety disorders, somatoform disorders, obsessive-compulsive disorders, posttraumatic stress disorder and no psychotic disorder, and 100 healthy control groups, applying to Duzce University Faculty of Medicine Department of Psychiatry. Socio-demographic characteristics of the patient and control groups were recorded. The severity of trauma perception was evaluated with Visual Analogue Scale (VAS). Traumatic Experiences Checklist (TEC) for determining experienced trauma, Post-Traumatic Cognitive Inventory (PTCI) for determining cognitive status, Rosenberg Self-Esteem Scale (RSES) for self-esteem, and Symptom Checklist-90 Revised (SCL-90R) for determining psychological symptoms were used. Results: Both the self and parental education levels of patient group was lower than control group, while VAS was found higher. In terms of RSES, self-esteem, parental interest and relationship with father were found lower in the patient group than the control group, while sensitivity to criticism, depressive mood, dreaminess, psychosomatic symptoms, feeling threat in interpersonal relationships and psychological isolation were found high. Both TEC and PTCI scores and all symptoms in SCL-90R were higher in the patient group. Conclusion: In the patient group trauma scores were higher and self-esteem were lower than the control group. Trauma and low self-esteem caused to be higher psychiatric symptoms in the patient group. © 2019, Duzce University Medical School. All rights reserved.Öğe Effects of depression and anxiety on quality of life of patients with rheumatoid arthritis, knee osteoarthritis and fibromyalgia syndrome(Univ West Indies Faculty Medical Sciences, 2007) Özçetin, Adnan; Ataoğlu, Safinaz; Koçer, Emel; Yazıcı, Selma; Yıldız, Özcan; Ataoğlu, Ahmet; İçmeli, CelalettinObjective: To measure the effects of depression and anxiety on quality of life (QoL) in patients with rheumatoid arthritis (RA), knee osteoarthritis (OA) andfibromyalgia syndrome (FMS). Methods: One hundred and fifty-four patients with RA, knee OA, and FMS who presented to the physical medicine and rehabilitation department were studied For evaluation of the patients, Beck depression scale, Beck anxiety scale, and Short Form-36 were used. Results: Twenty-two per cent ofpatients (n = 34) were diagnosed with of RA, 52.6% (n = 81) knee OA and 25.3% (n = 39) FMS. Except for the subscales, of physical and emotional role, there were statistically significant differences among diagnostic groups in the rest of the SF-36 subscales. In the physical functioning subscale, the highest score was obtained in the fibromyalgia group and the lowest in the RA group (p < 0.001). However in the bodily pain subscale, the lowest score was recorded in the fibromyalgia group (p = 0.019). In all diagnostic groups, the scores of SF-36 subscales were significantly low in patients who scored above the threshold value of Beck depression scale (p < 0.001). A strong negative correlation was detected between scores of Beck anxiety scale and the scores of all SF-36 subscales in patients with RA and knee OA. On the other hand, in patients with FMS, anxiety scores correlated negatively with only physical and somatic function scores of SF-36. Conclusion: Quality of life is significantly low in patients with RA, knee OA and FMS, whose depression and/or anxiety scores are high. Therefore, these patients should be managed using a multidisciplinary approach including psychiatric support.Öğe Evaluation of dexamethasone suppression test in fibromyalgia patients with or without depression(E M H Swiss Medical Publishers Ltd, 2003) Ataoğlu, Safinaz; Özçetin, Adnan; Yıldız, Özcan; Ataoğlu, AhmetObjective: While in most healthy persons dexamethasone administration suppresses cortisol synthesis from the adrenal cortex, such suppression is not usually observed in patients with depression. We set out to investigate whether the dexamethasone suppression test (DST) reveals any neurobiological relationship between fibromyalgia (FM) and depression related to the hypothalamic-pituitary-adrenal (HPA) axis. Method. To discover a relationship between depression and FM we performed the DST in 2 0 FM patients with depression, 26 FM patients without depression and 20 healthy subjects serving as a control group. Results: Compared with the control group the cortisol level was found to be significantly higher in response to the DST in FM patients with depression (p = 0.03; z: -2.165), but not in those without depression (p = 0.15 3 ; z: -1.429). The cortisol level was not found to be statistically significant when patients with FM without depression were compared with the control group (p = 0.249 z: -1.152). In 7 FM patients with depression the DST failed to suppress cortisol; this was statistically significant compared with FM patients without depression (p = 0.014) and the control group (p = 0.008). Among FM patients without depression cortisol was not suppressed in one case. Cortisol was suppressed in all the controls. There was no statistically significant difference in cortisol suppression between FM patients without depression and the control group (p = 1.00). Conclusion: Our findings show that the DST reveals no neurobiological relationship between FM and depression related to the HPA axis.Öğe Evaluation of Psychometric Properties of the Internet Addiction Scale in a Sample of Turkish High School Students(Mary Ann Liebert Inc, 2010) Canan, Fatih; Ataoğlu, Ahmet; Nichols, Laura A.; Yıldırım, Tuba; Öztürk, ÖnderThe Internet Addiction Scale (IAS) is a self-report instrument based on the seven substance dependence criteria of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., American Psychiatric Association, 1994) and two additional criteria recommended by Griffiths. The IAS was administered to 300 high school students along with the Beck Depression Inventory (BDI) and Submissive Acts Scale (SAS). For test-retest reliability, the IAS was administered a second time 7 days after the first administration. An interitem reliability reduced the initial scale from 31 to 27 items (with Cronbach's alpha of 0.94). The factor analysis suggests the existence mainly of one factor in the IAS. Correlation analyses indicated that BDI and SAS were significantly correlated positively with the IAS. One-week test-retest correlation for the IAS was highly significant. According to these results, the psychometric properties of the IAS are promising.
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