Objective: To determine the prevalence of impulse control disorders (ICDs) among medical students... more Objective: To determine the prevalence of impulse control disorders (ICDs) among medical students and evaluate the related sociodemographic and clinical features. Methods: A total of 277 students in the fourth and fifth year of medical school were included in the study. The study was conducted between September 2011 and June 2012 in Cukurova University Medical School, Adana, Turkey. A demographic data form has been completed. The Structured Clinical Interview for DSM-IV (SCID-I) was used to determine axis I psychiatric disorders. The prevalence rates of ICDs were investigated by using the modified version of the Minnesota Impulse Disorders Interview. All patients completed Barratt Impulsiveness Scale Version 11 (BIS-11) and Symptom Check List-90. Results: The lifetime prevalence of at least one ICD in our sample was 11.2% (n=31). When the participants with the diagnosis of ICDs not otherwise specified were excluded the prevalence rate decreased to 7.9%. The most common ICD was inter...
Farklı bir bilinçlilik durumu olarak tanımlanabilecek uyku, insan vücudunun normal ve sağlıklı iş... more Farklı bir bilinçlilik durumu olarak tanımlanabilecek uyku, insan vücudunun normal ve sağlıklı işlemesi için gereklidir. İşlevsellikte bozulmaya ve yaşam kalitesinde düşmeye yol açtığı bilinen uyku sorunları başka bir bedensel ya da ruhsal hastalığın bir belirtisi olarak ortaya çıkabileceği gibi başlı başına bir hastalık olarak da görülebilir. Bu yazıda uyku bozukluklarının yeni sınıflandırma sistemleri ve güncel tedavi algoritmaları ışığında gözden geçirilmesi amaçlanmıştır.Sleep can be defined as a different state of consciousness and is necessary for the normal and healthy functioning of the human body. Sleep disturbances are known to cause loss in functionality and decrease in quality of life and can occur primarily or due to another physical illness or mental disorder. The aim of this article is to overview the sleep disorders in the light of recent classification systems and treatment algorithms
Bipolar bozuklukta hastalığın kendisiyle, kullanılan ilaçlarla, ek tıbbi durumlarla ilişkili olar... more Bipolar bozuklukta hastalığın kendisiyle, kullanılan ilaçlarla, ek tıbbi durumlarla ilişkili olarak ortaya çıkan ya da birincil olarak görülen uyku bozuklukları, yineleme ve depreşmelere yol açmakta, artmış tedavi direnci ile ilişkilendirilmektedir. Bipolar bozuklukta uyku kalitesi ötimik dönemler de dahil hastalığın her döneminde etkilenmiştir. Bipolar bozuklukta yapılan uyku çalışmalarında, diğer ruhsal bozukluklarda olduğu gibi özgül bir bulgu saptanmamıştır. Bipolar hastalarda uyku bozuklukları kötü hastalık gidişi, azalmış işlevsellik ve yaşam kalitesi ile ilişkilendirilmiştirSleep disorders can be seen in bipolar disorder primarily or due to bipolar disorder itself, medications used in treatment, comorbid medical illnesses. They cause relapses and recurrences and also are related with treatment resistance. Sleep quality is affected in bipolar disorder even in euthymic episodes. There are no specific findings in sleep studies in bipolar disorder as in other psychiatric disorder...
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occurs after mild traumatic brain injury. It has been known that these symptoms recover fully within 3-6 months almost in 90% of patients. Although its etiology is still controversial, biological, psychological and social factors may account for the development and continuation of the symptoms. Diagnosis is based on the subjective complaints. To find out an objective method for definite diagnosis, trials searching for both neuroimaging and specific serum biomarkers stil continue. The treatment of the syndrome is mainly of palliative nature. Information, education, reassurance and multifaceted rehabilitation programmes can be beneficial. There are promising trials reporting the effectiveness of cognitive behavioral therapy in the treatment of postconcussional syndrome. [Archives Medical Review Journal 2013; 22(1.000): 96-109]
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occurs after mild traumatic brain injury. It has been known that these symptoms recover fully within 3-6 months almost in 90% of patients. Although its etiology is still controversial, biological, psychological and social factors may account for the development and continuation of the symptoms. Diagnosis is based on the subjective complaints. To find out an objective method for definite diagnosis, trials searching for both neuroimaging and specific serum biomarkers stil continue. The treatment of the syndrome is mainly of palliative nature. Information, education, reassurance and multifaceted rehabilitation programmes can be beneficial. There are promising trials reporting the effectiveness of cognitive behavioral therapy in the treatment of postconcussional syndrome.
WOS: 000437950000017Purpose: The aim of this study was to assess sleep characteristics and sleep ... more WOS: 000437950000017Purpose: The aim of this study was to assess sleep characteristics and sleep disorders in bipolar euthymic patients who declared to have sleep problems when asked. Material and Methods: A total of 57 outpatients aged 18-65 who said "no" to "Are you generally satisfied with your sleep pattern? Have you been satisfied with your sleep pattern for last one year?" questions (at least one of them) and / or said "yes" to "Is there a problem with your sleep according to others' observations" question and have been followed in Bipolar Disorder Unit of Department of Psychiatry, Cukurova University Medical School were included in the study. A data form for socio-demographic features and another form for clinical characteristics of bipolar disorder have been completed. The general features of sleep were investigated by General Sleep Questionnaire (GSQ). All patients completed Epworth Sleepiness Scale (ESS). Results: The patients ha...
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Ozet Bipolar bozukluk ile birlikte anksiyete bozukluklarinin sik goruldugu ve en sik gorulen anks... more Ozet Bipolar bozukluk ile birlikte anksiyete bozukluklarinin sik goruldugu ve en sik gorulen anksiyete bozuklugunun obsesif kompulsif bozukluk oldugu bilinmektedir. Bu birlikteligin etyolojisinde genetik yatkinligin yanisira basta serotonerjik sistem olmak uzere cesitli norotransmitter sistemlerin ve bazi ikincil haberci sistemlerin rol oynadigi dusunulmektedir. Bipolar bozukluk, obsesif kompulsif bozukluk klinik gorunumunde degisikliklere yol acmakta ve daha kotu hastalik gidisi ile iliskilendi- rilmektedir. Bu birlikteligin taninmasi, hastalara dogru tani konmasi ve uygun tedavi yaklasimlari- nin belirlenmesinde onemlidir. Anahtar sozcukler: Bipolar bozukluk, obsesif kompulsif bozukluk, tedavi yaklasimlari. Abstract The comorbidity of bipolar disorder and anxiety disorders is a well known concept. Obsessive- compulsive disorder is the most commonly seen comorbid anxiety disorder in bipolar patients. Some genetic variants, neurotransmitters especially serotonergic systems and secon...
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occur after mild traumatic brain injury. These symptoms usually recover fully within 3-6 months almost in 90% of patients. Persistent post-concussion symptoms could occur in 10% of patients. Diagnosis is based on the subjective complaints and the treatment of the syndrome is mainly of palliative nature. The patient should be educated about the nature and outcome of the syndrome and reassured that almost all symptoms recover fully within 3-6 months. Multifaceted rehabilitation programs and cognitive behavioral therapy could be beneficial. Pharmacotherapy and somatic therapy are other options for persistent symptoms.
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Sleep can be defined as a different state of consciousness and is necessary for the normal and he... more Sleep can be defined as a different state of consciousness and is necessary for the normal and healthy functioning of the human body. Sleep disturbances are known to cause loss in functionality and decrease in quality of life and can occur primarily or due to another physical illness or mental disorder. The aim of this article is to overview the sleep disorders in the light of recent classification systems and treatment algorithms.
Objective: To determine the prevalence of impulse control disorders (ICDs) among medical students... more Objective: To determine the prevalence of impulse control disorders (ICDs) among medical students and evaluate the related sociodemographic and clinical features. Methods: A total of 277 students in the fourth and fifth year of medical school were included in the study. The study was conducted between September 2011 and June 2012 in Cukurova University Medical School, Adana, Turkey. A demographic data form has been completed. The Structured Clinical Interview for DSM-IV (SCID-I) was used to determine axis I psychiatric disorders. The prevalence rates of ICDs were investigated by using the modified version of the Minnesota Impulse Disorders Interview. All patients completed Barratt Impulsiveness Scale Version 11 (BIS-11) and Symptom Check List-90. Results: The lifetime prevalence of at least one ICD in our sample was 11.2% (n=31). When the participants with the diagnosis of ICDs not otherwise specified were excluded the prevalence rate decreased to 7.9%. The most common ICD was inter...
Farklı bir bilinçlilik durumu olarak tanımlanabilecek uyku, insan vücudunun normal ve sağlıklı iş... more Farklı bir bilinçlilik durumu olarak tanımlanabilecek uyku, insan vücudunun normal ve sağlıklı işlemesi için gereklidir. İşlevsellikte bozulmaya ve yaşam kalitesinde düşmeye yol açtığı bilinen uyku sorunları başka bir bedensel ya da ruhsal hastalığın bir belirtisi olarak ortaya çıkabileceği gibi başlı başına bir hastalık olarak da görülebilir. Bu yazıda uyku bozukluklarının yeni sınıflandırma sistemleri ve güncel tedavi algoritmaları ışığında gözden geçirilmesi amaçlanmıştır.Sleep can be defined as a different state of consciousness and is necessary for the normal and healthy functioning of the human body. Sleep disturbances are known to cause loss in functionality and decrease in quality of life and can occur primarily or due to another physical illness or mental disorder. The aim of this article is to overview the sleep disorders in the light of recent classification systems and treatment algorithms
Bipolar bozuklukta hastalığın kendisiyle, kullanılan ilaçlarla, ek tıbbi durumlarla ilişkili olar... more Bipolar bozuklukta hastalığın kendisiyle, kullanılan ilaçlarla, ek tıbbi durumlarla ilişkili olarak ortaya çıkan ya da birincil olarak görülen uyku bozuklukları, yineleme ve depreşmelere yol açmakta, artmış tedavi direnci ile ilişkilendirilmektedir. Bipolar bozuklukta uyku kalitesi ötimik dönemler de dahil hastalığın her döneminde etkilenmiştir. Bipolar bozuklukta yapılan uyku çalışmalarında, diğer ruhsal bozukluklarda olduğu gibi özgül bir bulgu saptanmamıştır. Bipolar hastalarda uyku bozuklukları kötü hastalık gidişi, azalmış işlevsellik ve yaşam kalitesi ile ilişkilendirilmiştirSleep disorders can be seen in bipolar disorder primarily or due to bipolar disorder itself, medications used in treatment, comorbid medical illnesses. They cause relapses and recurrences and also are related with treatment resistance. Sleep quality is affected in bipolar disorder even in euthymic episodes. There are no specific findings in sleep studies in bipolar disorder as in other psychiatric disorder...
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occurs after mild traumatic brain injury. It has been known that these symptoms recover fully within 3-6 months almost in 90% of patients. Although its etiology is still controversial, biological, psychological and social factors may account for the development and continuation of the symptoms. Diagnosis is based on the subjective complaints. To find out an objective method for definite diagnosis, trials searching for both neuroimaging and specific serum biomarkers stil continue. The treatment of the syndrome is mainly of palliative nature. Information, education, reassurance and multifaceted rehabilitation programmes can be beneficial. There are promising trials reporting the effectiveness of cognitive behavioral therapy in the treatment of postconcussional syndrome. [Archives Medical Review Journal 2013; 22(1.000): 96-109]
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occurs after mild traumatic brain injury. It has been known that these symptoms recover fully within 3-6 months almost in 90% of patients. Although its etiology is still controversial, biological, psychological and social factors may account for the development and continuation of the symptoms. Diagnosis is based on the subjective complaints. To find out an objective method for definite diagnosis, trials searching for both neuroimaging and specific serum biomarkers stil continue. The treatment of the syndrome is mainly of palliative nature. Information, education, reassurance and multifaceted rehabilitation programmes can be beneficial. There are promising trials reporting the effectiveness of cognitive behavioral therapy in the treatment of postconcussional syndrome.
WOS: 000437950000017Purpose: The aim of this study was to assess sleep characteristics and sleep ... more WOS: 000437950000017Purpose: The aim of this study was to assess sleep characteristics and sleep disorders in bipolar euthymic patients who declared to have sleep problems when asked. Material and Methods: A total of 57 outpatients aged 18-65 who said "no" to "Are you generally satisfied with your sleep pattern? Have you been satisfied with your sleep pattern for last one year?" questions (at least one of them) and / or said "yes" to "Is there a problem with your sleep according to others' observations" question and have been followed in Bipolar Disorder Unit of Department of Psychiatry, Cukurova University Medical School were included in the study. A data form for socio-demographic features and another form for clinical characteristics of bipolar disorder have been completed. The general features of sleep were investigated by General Sleep Questionnaire (GSQ). All patients completed Epworth Sleepiness Scale (ESS). Results: The patients ha...
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Ozet Bipolar bozukluk ile birlikte anksiyete bozukluklarinin sik goruldugu ve en sik gorulen anks... more Ozet Bipolar bozukluk ile birlikte anksiyete bozukluklarinin sik goruldugu ve en sik gorulen anksiyete bozuklugunun obsesif kompulsif bozukluk oldugu bilinmektedir. Bu birlikteligin etyolojisinde genetik yatkinligin yanisira basta serotonerjik sistem olmak uzere cesitli norotransmitter sistemlerin ve bazi ikincil haberci sistemlerin rol oynadigi dusunulmektedir. Bipolar bozukluk, obsesif kompulsif bozukluk klinik gorunumunde degisikliklere yol acmakta ve daha kotu hastalik gidisi ile iliskilendi- rilmektedir. Bu birlikteligin taninmasi, hastalara dogru tani konmasi ve uygun tedavi yaklasimlari- nin belirlenmesinde onemlidir. Anahtar sozcukler: Bipolar bozukluk, obsesif kompulsif bozukluk, tedavi yaklasimlari. Abstract The comorbidity of bipolar disorder and anxiety disorders is a well known concept. Obsessive- compulsive disorder is the most commonly seen comorbid anxiety disorder in bipolar patients. Some genetic variants, neurotransmitters especially serotonergic systems and secon...
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, beha... more Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occur after mild traumatic brain injury. These symptoms usually recover fully within 3-6 months almost in 90% of patients. Persistent post-concussion symptoms could occur in 10% of patients. Diagnosis is based on the subjective complaints and the treatment of the syndrome is mainly of palliative nature. The patient should be educated about the nature and outcome of the syndrome and reassured that almost all symptoms recover fully within 3-6 months. Multifaceted rehabilitation programs and cognitive behavioral therapy could be beneficial. Pharmacotherapy and somatic therapy are other options for persistent symptoms.
Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatr... more Multiple sclerosis is a chronic demyelinating disease of a central nervous system. Neuropsychiatric symptoms are common in multiple sclerosis and bipolar disorder is one of the most common psychiatric disorders that coexist with multiple sclerosis. Manic episodes may be the first presenting symptom of multiple sclerosis as comorbid pathology or as an adverse effect of pharmacotherapies used in multiple sclerosis. The comorbidity of bipolar disorder and multiple sclerosis is well-proven but its etiology is not known and investigated accurately. Recent studies support a common genetic susceptibility. Management of bipolar disorder in multiple sclerosis is based on evidence provided by case reports and treatment should be individualized. In this report, the association between bipolar disorder and multiple sclerosis, epidemiology, ethiology and treatment is discussed through a case had diagnosed as multiple sclerosis and had a manic episode with psychotic features.
Sleep can be defined as a different state of consciousness and is necessary for the normal and he... more Sleep can be defined as a different state of consciousness and is necessary for the normal and healthy functioning of the human body. Sleep disturbances are known to cause loss in functionality and decrease in quality of life and can occur primarily or due to another physical illness or mental disorder. The aim of this article is to overview the sleep disorders in the light of recent classification systems and treatment algorithms.
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