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Öğe Evaluation of Sleep Quality and Quality of Life in Female Adolescents with Post-Traumatic Stress Disorder Related to Sexual Abuse(Aves, 2021) Sarigedik, Enes; Yurteri, NihalObjective: This study aims to evaluate the sleep quality of adolescents with PTSD related to sexual abuse and to investigate the relationship between sleep quality, PTSD symptoms, and quality of life. Our study was designed as a cross-sectional study. Materials and Method: Forty adolescents who were diagnosed with PTSD related to sexual abuse and 40 healthy adolescents as a control group were included in the study. Structured interview scale Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA) were applied to children by the clinician. All participants also filled out the Pediatric Quality of Life Inventory (PedsQL), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Insomnia Severity Index (ISI). Results: The analyses of the data revealed that the quality of life scores of the case group was significantly associated with worse results. Sleeplessness index (ISI) and morning sleepiness scores (ESS) were higher in the case group than the control group (P <.001; P <.001) and perceived quality of sleep (PSQI) was determined to be lower (P <.001). A statistically significant relationship between PTSD total score and PSQI (P <.001; r = 0.550), ESS (P <.05; r = 0.369), ISI (P <.001; r = 0.613), and PedsQL (P <.001; r = -0.473) were identified. PSQI, ESS, and ISI were also found to be correlated with each other (PSQI, ESS r = 488; PSQI, ISI r = 0.755; ESS and ISI r = 0.514). Moreover, PSQI scores explain the deterioration in quality of life more significantly than CAPS-CA-TOTAL scores (PSQI P = .008; CAPS P = .572). Conclusion: In cases with PTSD related to sexual abuse, we found that sleep affects the quality of life more than the symptoms of PTSD. Sleep-based approaches in PTSD may affect both quality of life and functionality positively, and PSQI may be used in clinical practice to assess both sleep and quality of life in the follow up of patients with PTSD related to sexual abuse.Öğe Evaluation of the Relationship Between Radial Artery Intima Media Thickness and Complications at the Intervention Site After Radial Angiography(Sage Publications Inc, 2024) Naldemir, Ibrahim Feyyaz; Karaman, Ahmet Kursat; Guclu, Derya; Ay, Esra Koc; Kayapinar, Osman; Kaya, Adnan; Sarigedik, EnesThe present study investigated the relationship between pre-procedural radial intima-media thickness (rIMT) and radial artery thrombosis (RAO) in patients undergoing angiography using a transradial approach (TRA). Patients (n = 90) who underwent cerebral or peripheral arterial angiography using TRA were included in the study. Ultrasonographic evaluation was performed before and 12 h after the procedure. Preoperative rIMT measurement was performed at the distal radial artery. Presence of radial artery occlusion was evaluated by ultrasonography after radial catheterization and revealed occlusive thrombus in the radial artery in 13 patients. rIMT was found to be statistically significantly higher in patients with thrombus (P < .05). When it was evaluated whether there was a correlation between age and rIMT, a positive significant correlation was found (P < .01). Our study suggests that increase of rIMT may be a risk factor for RAO in the intervention area. Before the procedure, ultrasound (US) assessment of the radial artery may be useful in determining the risk of occlusion. Thus, RAO-related technical risk factors (procedure time, number of punctures, sheath thickness, etc.) can be managed more carefully in patients having radial angiography.Öğe The Role of Metacognition in the Emergence of Anger and Aggression in Patients with Alcohol Use Disorder(Duzce Univ, Fac Medicine, 2023) Kara, Neslihan; Sarigedik, Enes; Ataoglu, AhmetObjective: In this study, we aimed to investigate metacognitive functions, anger and aggression and the relationship in patients with alcohol dependence. It is to have information about which metacognitive beliefs plays a role in the emergence of anger and aggression in people with alcohol dependence.Method: The patient group diagnosed with Alcohol Use Disorder (AUD) according to DSM-5 (n = 72) and the control group without any psychiatric diagnosis (n = 71) were included in the study. Sociodemographic data form, Alcohol Use Disorders Identification Test (AUDIT), Metacognition Questionnaire (MCQ-30), Trait Anger and Anger Expression Scale (STAXI) and Buss-Perry's Aggression Questionnaire (AQ) were used.Results: In the AUD group, the MCQ-30 total, STAXI trait anger, anger out and anger in, and AQ total scores were found to be significantly higher than the control group (p<0,001, p<0,001, p=0,001, p=0,001 and p<0,001, respectively). When comparing the correlation coefficients of MCQ-30 and other scales between the groups, a difference was found between the AUD group, trait anger and physical aggression (z=2,035; p=0,042 and z=2,120; p=0,034, respectively). As a result of the regression analysis performed in our study, it was found that the need to control thoughts is the most metacognitive beliefs that predicts aggression in people with AUD(beta=0.567,t(66)= 4,034, p<0.001,pr2=0.20).Conclusion: Metacognitive beliefs are highly affected in people with AUD and they cause more anger and aggression. The need to control thoughts plays an important role in the emergence of anger.Öğe Skin Picking Successfully Treated With Atomoxetine in Comorbid Skin Picking and Attention-Deficit/Hyperactivity Disorder: A Case Report(Lippincott Williams & Wilkins, 2020) Yurteri, Nihal; Sarigedik, EnesSkin picking disorder (SPD: also known as neurotic excoriation, psychogenic excoriation, or dermatillomania) is classified in the obsessive-compulsive and related disorders category in theDiagnostic and Statistical Manual of Mental Disorders,Fifth Edition, and characterized by unintentional, repetitive skin picking behaviors. Atomoxetine is a selective noradrenaline reuptake inhibitor used in the treatment of attention-deficit/hyperactivity disorder (ADHD). In this case report, we present a 9-year-old girl with the comorbid diagnosis of ADHD and SPD treated successfully with atomoxetine. To our knowledge, this is the first report of skin picking treated with atomoxetine in a patient with ADHD. We discussed possible explanations of mechanisms. Further studies are required on the effectiveness of atomoxetine for the treatment of SPD in the presence and absence of comorbid ADHD.Öğe Sleep habits of children diagnosed with attention/ deficit/ hyperactivity disorder and effects of treatment on sleep related parameters(Elsevier, 2020) Yektas, Cigdem; Tufan, Ali Evren; Sarigedik, EnesThis study aimed to evaluate the baseline sleep habits of children with ADHD and the effects of treatment with methylphenidate (MPH) and atomoxetine (ATX) on sleep parameters. Treatment naive children with clinically normal intelligence diagnosed with ADHD were enrolled in the study. Children were treated naturalistically with MPH and ATX. Treatments were started at 0.5 mg/ kg/ day and titrated weekly to a maximum of 1.2 mg/ kg/ day. The daily equivalent dose was calculated according to clinician toolkits of Utah Academy of Child and Adolescent Psychiatry. DSM-IV Based Screening and Assessment Scale for Disruptive Behavior Disorders- Parent form (DBSASDBD) and Clinical Global Impression Scale were used to assess ADHD symptoms and Children's Sleep Habits Questionnaire (CSHQ)- Short Form was used to assess the sleep habits and problems before and after the treatment. Both MPH and ATX reduced symptom severity of ADHD in all domains and also reduced total CSHQ scores with similar effect sizes. (0.7 for MPH vs. 0.8 for ATX). The rate of clinically significant sleep problems at baseline was 93.5 %. At the end-point, 83.9 % of the sample still displayed clinically significant sleep problems while none of the children were judged to have moderate-severe sleep problems. Our results suggest that both ATX and MPH may selectively improve different sleep domains in children with ADHD. Studies using standardized dosing schemes for longer durations and evaluating sleep with objective measurements may clarify the differential effects of treatments on sleep among children with ADHD.