Thought Action Fusion in Obsessive Compulsive Disorder

Thought Action Fusion (TAF) is defined as tought and action percieved as equivalent to each other or as an exaggerated power given to idea. With the usage of “Thought Action Fusion Scale” which is created by Shafran (1996), is began to investigate its role in psychopathologies. Researches about the three-component structure which has TAF-Likelihood-Self, TAF-Likelihood-Others, TAF-Moral, are concentrated especially around the obsessive compulsive disorder (OCD). TAF alleged including a certain level also in the normal population, was seen in the relationship with the inflated responsability in OCD, thought suppression and neutralising, was tried to explain the direction of this relationship in the mediationel model framework. [JCBPR 2013; 2(3.000): 138-146

Psikiyatri Polikliniği: Şizofreni Tedavisi Bağlamında Kesitsel Bir Çalışma

Amaç: Bu çalışmanın amacı; Eğitim ve Araştırma Hastanesi Psikiatri Polikliniğinebaşvuran hastaların sosyodemografik özelliklerini araştırmak ve Şizofreni tanısı alanhastaların tedavi ve takip sonuçlarını değerlendirmektir.Gereç ve Yöntem: Psikiyatri polikliniğine yapılan 2707 başvuru değerlendirildi. Ayrıca şizofreni hastalarına poliklinik şartlarında uygulanan tedaviler incelendi.Bulgular: Araştırma süresince psikiyatri polikliniğine toplam 2707 başvuruyapılmıştır. Çalışmaya alınan hastaların 649’u (%24) şizofreni ve diğer psikotik bozukluklar,506’sı (%18,7) depresif bozukluklar, 389’u (%14,4) anksiyete bozuklukları,117’si (%4,3) bipolar bozukluklar tanısı almıştı. Şizofreni hastalarının 347’si (%62) tekilaç kullanıyordu. Bu hastaların 287’si (%51,3) atipik antipsikotik, 60’ı (%10,7)ise tipikantipsikotik almaktaydı. Hastaların 205’i (%36,6) kombine antipsikotik kullanmaktaydı. Çalışmamızda şizofreni hastalarının %77,5’ine, tek başına veya kombinasyonşeklinde atipik antipsikotik reçetelendiğini saptadık.Sonuç: Psikiyatri poliklinikleri, psikiyatrik tedavinin en önemli çalışma alanlarıdır. Belirgin yeti yıkımına yol açan kronik hastalıkların, hastalığa özelleşmiş rehabilitasyonalanlarında değerlendirilmesi, psikiyatri polikliniklerinin hem hizmet hem de araştırmaalanlarında daha etkin kullanımını sağlayacaktır. Şizofreni tedavisinde, literatüre uygun ancak tedavi protokollerine uymayan sonuçlar saptadık. Şizofreni tedavisinde,ilaç dışı tedavileri de içeren bütüncül tedavi yaklaşımına daha fazla dikkat çekilmelidir.Aim: The aim of this study was to investigate the sociodemographic characteristics of patients who applied to the Psychiatry Outpatient Clinic of Education and Research Hospital and to evaluate the treatment and follow-up results of patients diagnosed with schizophrenia. Material and Methods: 2707 applications whiche were received to the psychiatric outpatient clinic were evaluated . Also the treatments of schizopherina patients in polyclinic were analysed. Results: During the study period, 2707 applications were made to the psychiatry polyclinic. 649 (24%) of the patients were diagnosed with schizophrenia and other psychotic disorders. 506 (18.7%) of the patiens were diagnosed with depressive disorders. 389 (14.4%) of the patients were diagnosed with anxiety disorders and 117 (4.3%) of the patients were diagnosed with bipolar. 347 (62%) of the schizophrenic patients were on a single medication. 287 (51.3%) of these patients were taking atypical antipsychotics and 60 (10.7%) of them were taking typical antipsychotics. 205 (36.6%) of all patients were taking combined antipsychotic medication. We found that 77.5% of patients with schizophrenia were prescribed atypical antipsychotics alone or in combination. Conclusion: Psychiatric polyclinics are the most important fields of study for psychiatric treatment. Evaluation of chronic diseases which cause significant loss of competence in disease specialized rehabilitation units will provide more effective use of psychiatric polyclinics in both service and research areas. For schizophrenia treatment, we found results that were in accordance with the literature but not with the treatment protocols. Holistic treatment approach, including non-pharmacological treatments for schizophrenia should be pushed forward

Psychiatric Polyclinic: A Cross Sectional Study in the Context of Schizophrenia Treatment

Amaç: Bu çalışmanın amacı; Eğitim ve Araştırma Hastanesi Psikiatri Polikliniğinebaşvuran hastaların sosyodemografik özelliklerini araştırmak ve Şizofreni tanısı alanhastaların tedavi ve takip sonuçlarını değerlendirmektir.Gereç ve Yöntem: Psikiyatri polikliniğine yapılan 2707 başvuru değerlendirildi. Ayrıca şizofreni hastalarına poliklinik şartlarında uygulanan tedaviler incelendi.Bulgular: Araştırma süresince psikiyatri polikliniğine toplam 2707 başvuruyapılmıştır. Çalışmaya alınan hastaların 649’u (%24) şizofreni ve diğer psikotik bozukluklar,506’sı (%18,7) depresif bozukluklar, 389’u (%14,4) anksiyete bozuklukları,117’si (%4,3) bipolar bozukluklar tanısı almıştı. Şizofreni hastalarının 347’si (%62) tekilaç kullanıyordu. Bu hastaların 287’si (%51,3) atipik antipsikotik, 60’ı (%10,7)ise tipikantipsikotik almaktaydı. Hastaların 205’i (%36,6) kombine antipsikotik kullanmaktaydı. Çalışmamızda şizofreni hastalarının %77,5’ine, tek başına veya kombinasyonşeklinde atipik antipsikotik reçetelendiğini saptadık.Sonuç: Psikiyatri poliklinikleri, psikiyatrik tedavinin en önemli çalışma alanlarıdır. Belirgin yeti yıkımına yol açan kronik hastalıkların, hastalığa özelleşmiş rehabilitasyonalanlarında değerlendirilmesi, psikiyatri polikliniklerinin hem hizmet hem de araştırmaalanlarında daha etkin kullanımını sağlayacaktır. Şizofreni tedavisinde, literatüre uygun ancak tedavi protokollerine uymayan sonuçlar saptadık. Şizofreni tedavisinde,ilaç dışı tedavileri de içeren bütüncül tedavi yaklaşımına daha fazla dikkat çekilmelidir.Aim: The aim of this study was to investigate the sociodemographic characteristics of patients who applied to the Psychiatry Outpatient Clinic of Education and Research Hospital and to evaluate the treatment and follow-up results of patients diagnosed with schizophrenia. Material and Methods: 2707 applications whiche were received to the psychiatric outpatient clinic were evaluated . Also the treatments of schizopherina patients in polyclinic were analysed. Results: During the study period, 2707 applications were made to the psychiatry polyclinic. 649 (24%) of the patients were diagnosed with schizophrenia and other psychotic disorders. 506 (18.7%) of the patiens were diagnosed with depressive disorders. 389 (14.4%) of the patients were diagnosed with anxiety disorders and 117 (4.3%) of the patients were diagnosed with bipolar. 347 (62%) of the schizophrenic patients were on a single medication. 287 (51.3%) of these patients were taking atypical antipsychotics and 60 (10.7%) of them were taking typical antipsychotics. 205 (36.6%) of all patients were taking combined antipsychotic medication. We found that 77.5% of patients with schizophrenia were prescribed atypical antipsychotics alone or in combination. Conclusion: Psychiatric polyclinics are the most important fields of study for psychiatric treatment. Evaluation of chronic diseases which cause significant loss of competence in disease specialized rehabilitation units will provide more effective use of psychiatric polyclinics in both service and research areas. For schizophrenia treatment, we found results that were in accordance with the literature but not with the treatment protocols. Holistic treatment approach, including non-pharmacological treatments for schizophrenia should be pushed forward

A Pharmacotherapy and ECT resistant OCD patient’s Cognitive Behavioral Therapy

Introduction: Obsessive Compulsive Disorder (OCD) is a common disease causing to significant deterioration in the person’s social and occupational functions. In this case report cognitive behavioral therapy’s (CBT) location in treatmentresistant patients is discussed from pharmacotherapy and electroconvulsive therapy (ECT) resistant an OCD patient. Case: Patient was 46 years old, male. Patient had recourse to with complaints that loved ones arrive per accident or sexual thoughts about inappropriate people that led to the unintentional and occurred to distress so repetitive behaviors to get rid of that woes. He hospitalized for treatment because of to intensify his symptoms in spite of treatment in the last 6 months. In the first 6 months of entering to clinic pharmacotherapy and 3 times a week in 20 ECT session was completed but he didn’t answer to these treatments. Thereupon CBT was started to patient. Therapy process started with evaluation and cross-sectional case formulation, afterward psychoeducation that contains OCD and OCD’s CBT model was done, the patient’s symptoms and the findings are evaluated in that context. Then CBT rationale that perform to the patient had been transferred. Patient’s coping methods with his current shortage and its results had been analyzed. Cognitive reconfiguration techniques related his current comments had been practised. Rationale of exposure and response prevention (ERP) therapies were transferred. Hypothesized about each situation before ERP therapy and these hypothesis had been looked over with patient after ERP therapy. Results: Cognitive Behavioral Therapy is an effective treatment for treatment-resistant patients with drug and ECT. [JCBPR 2013; 2(3.000): 173-181

Turkish validity and reliability of the smartphone overuse screening questionnaire

This study aims to examine Turkish validity and reliability of the Smartphone Overuse Screening Questionnaire. The study group consisted of 400 students enrolled in different departments of a public university. The Smartphone Addiction Scale-Short Version and the Young’s Internet Addiction Test-Short Form were used for criterion validity. For the internal consistency of the scale, the Cronbach’s alpha was calculated. Five items were removed from the questionnaire due to high covariance error in the items loaded into different factors. The new 23-item scale consisted of 6 factors with acceptable goodness-of-fit values. (χ2/df = 2.83, root mean square error of approximation = 0.06, Comparative Fit Index = 0.90, Goodness of Fit Index = 0.87, Incremental Fit Index = 0.90). For the total score of the scale, the Cronbach’s alpha was 0.93 and test– retest reliability coefficient was.79. (p <.001). The total item correlation was found to be between.386 and.768. The Turkish Smartphone Overuse Screening Questionnaire showed a positive correlation with both the Young’s Internet Addiction Test-Short Form and the Smartphone Addiction Scale-Short Version. The results indicate that the Smartphone Overuse Screening Questionnaire can be used as a valid and reliable scale by both researchers and practitioners while examining problematic smartphone use

Tardive dyskinesia after short term atypical or antipsychotic drug use

The essential features of neuroleptic-induced tardive dyskinesia (TD) are abnormal, involuntary movements of the tongue, jaw, trunk or extremities that develop in association with the use of antipsychotic medication. Although the exact pathogenesis of TD is unclear, there is some evidence that points to dopamine supersensitivity in the nigro-striatal pathway due to the antispsychotics could contribute to these dyskinetic movements. Risk of TD is higher in elderly people who were treated with high potency D2 receptor antagonist conventional antipsychotics. Research criteria for neuroleptic-induced tardive dyskinesia states that there has been an exposure to antipsychotic medication for at least 3 months (1 month if 60 years and older). Here we present four cases of TD in which TD developed earlier than this period or with the use of atypical antipsychotics. ÖZET: Geç diskinezi (GD) uzun süreli antipsikotik kullan›m›na ba¤l› olarak dil, a¤›z, gövde, kol ve bacaklarda ortaya ç›kan, istemsiz hareketlerle karakterize bir hareket bozuklu¤udur. Nedeni kesin olarak bilinmemekle birlikte GD’nin, nigrostriatal yolakta antipsikotik ilaçlar›n neden oldu¤u dopamin afl›r› duyarl›l›¤›yla ilgili oldu- ¤u düflünülmektedir. Yafll› hastalarda ve yüksek potensli D2 reseptör antagonisti klasik antipsikotik kullan›m›nda GD geliflim riski daha fazlad›r. GD tan› kriterlerinde en az 3 ay (60 yafl ve üstünde 1 ay) antipsikotik ilaç kullan›m› gerekmektedir. Bu yaz›da, daha k›sa süreli antipsikotik ilaç kullan›m›yla ya da atipik antipsikotik ilaç kullan›m›yla GD geliflen 4 olgu sunulmaktad›r

The efficacy of cognitive behavioral group therapy in women with obesity antidepressant treatment

Objective: We aimed to investigate the effects of a structured cognitive behavioral group therapy (CBGT) on weight loss, depression, anxiety, body image and self-esteem levels in women with obesity treatment and to show that cognitive behavioral therapy may also be effective in the treatment of obese women receiving antidepressant medication in our study. Methods: Fourteen sessions of CBGT were administered to 28 obese female patients who met inclusion criteria. Measurement and clinical scale application were made before and after the therapy. Six months after the therapy, the patients were asked about their weight by phone call. Sociodemographic Information Form, body mass index (BMI) monitoring, DSM-IV based Structured Clinical Interview, State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Short Form-36 (SF-36), and Symptom Check List-90 (SCL-90) were applied to the cases. Results: A statistically significant decrease in patients' weight and body mass index were found after 14 sessions of therapy (p<0,001). Statistically significant difference were found about the BDI (p=0,009), TAI (p=0,020), SCL-90 (p=0,001), SF-36 physical function (p=0.035), SF-36 general health (p=0.004), SF-36 social function (p=0.034) scores between the beginning and the end of the therapy. There was no statistically significant difference between the measurements of BMIs at the end of therapy and at the end of therapy. Conclusion: We can say that the method we applied with the findings obtained works. According to this, CBGT is a suitable treatment method for obese people in controlling BMI, providing psychological well-being and improving quality of life