Case Report: Cognitive Behavioral Therapy Of A Patient With Pathological Gambling

Pathological gambling is a mental disorder characterized by continuous and repetitive gambling behavior and it might cause significant losses in social, professional and family life. There may also be some personal and social results of it such as suicide attempts, loss of job, marital problems, and troubles in family life, legal difficulties and criminal behavior. Co-occurring mental disorders might influence treatment outcomes of pathological gambling behavior. There are some reports suggesting that especially higher depression levels may increase the likelihood of gambling behavior and it has also been stressed that identification and early treatment of co-occurring depression in treatment process should improve the results and reduce relapse rates. There is not an standardized treatment modality for the treatment of the disorder. It is known that in the treatment of this condition, which results in personal and social failure, psychological intervention may have positive results both in the short and long term. As pathological gambling is not a homogenous disorder, individual planning is essential for the evaluation and therapy. Rational Emotive Behavior Therapy seems to be efficient in the treatment of pathological gambling especially in coping with emotional problems and feeling of discomfort through making up a holistic cognitive, emotional, and behavioral model. In this report, the effectiveness of Rational Emotive Behavior Therapy that accompanied a drug therapy is discussed in a case of a pathological gambling with comorbid depression

Clinical Characteristics of Patients with Antisocial Personality Disorder According to the Crime Types

We aimed to evaluate the relation between the crimes committed, and the childhood behavioral problems, current clinical characteristics and anger levels of patients with antisocial personality disorder (ASPD). One hundred and fifty-three patients with ASPD were enrolled. The diagnosis was made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria. DSM-IV conduct disorder criteria and life history inventory was used to assess childhood characteristics. The State-Trait Anger Scale (STAS) was used to assess experience, expression, and control of anger. The main differences between crime groups were as follows: A head trauma history was more frequent in ASPD patients who had a crime history of physical assault. Loss of a parent in childhood was more frequent in individuals who committed burglary. Divorce or separation of the parents in childhood was more frequent in those who committed murder. The usage of weapons in fight during childhood was significantly higher in those who committed murder and aggravated assault. According to STAS scores, the anger control scores were significantly lower in those who committed murder. Childhood and behavioral characteristics of ASPD patients is not homogenous. There is a need for further studies to demonstrate these differences and make a new classification for ASPD. [JCBPR 2016; 5(1.000): 13-21

The reliability and validity of Turkish version of the Night Eating Questionnaire in psychiatric outpatient population

WOS: 000340477600008Objective: The purpose of this study was to evaluate the reliability and validity of Turkish Version of the Night Eating Questionnaire (NEQ) in psychiatric out-patient population as a measure of severity of the night eating syndrome (NES). Methods: We examined the factor structure, internal consistency and validity of the NEQ in Turkish. First, we translated NEQ into Turkish and than back-translation into English; correction and semantic adaptation and assessment of the understanding of the questionnaire. We made the diagnosis of NES according to psychiatric examination. We administered the NEQ in 433 patients and the re-test in 141 participants two weeks later. Result: The instrument showed satisfactory internal consistency with an overall Cronbach a of 0.69. Intradass correlation for the test re-test total score was 0.96. The ninety seven patients had NES with psychiatric examination. The area under ROC curve defined as 0,904. For cuff-of point of 18 in NEQ both sensitivity and spesificity were as 90.7% and 73.8%. The confirmatory factor analysis of the NEQ yielded a similar four factor solution as the original scale. Conclusions: We found that Turkish version of NEQ is valid and has good diagnostical performance, and high internal consistency

The reliability and validity of Turkish version of the Night Eating Questionnaire in psychiatric outpatient population

WOS: 000340477600008Objective: The purpose of this study was to evaluate the reliability and validity of Turkish Version of the Night Eating Questionnaire (NEQ) in psychiatric out-patient population as a measure of severity of the night eating syndrome (NES). Methods: We examined the factor structure, internal consistency and validity of the NEQ in Turkish. First, we translated NEQ into Turkish and than back-translation into English; correction and semantic adaptation and assessment of the understanding of the questionnaire. We made the diagnosis of NES according to psychiatric examination. We administered the NEQ in 433 patients and the re-test in 141 participants two weeks later. Result: The instrument showed satisfactory internal consistency with an overall Cronbach a of 0.69. Intradass correlation for the test re-test total score was 0.96. The ninety seven patients had NES with psychiatric examination. The area under ROC curve defined as 0,904. For cuff-of point of 18 in NEQ both sensitivity and spesificity were as 90.7% and 73.8%. The confirmatory factor analysis of the NEQ yielded a similar four factor solution as the original scale. Conclusions: We found that Turkish version of NEQ is valid and has good diagnostical performance, and high internal consistency

Early Maladaptive Schemas and Core Beliefs in Antisocial Personality Disorder

According to cognitive theories of personality disorders, antisocial personality disorder (ASPD) is based upon a distinct set of cognitive-behavioral representations. The aim of this study is to examine this supposition by comparing the early maladaptive schemas (EMSs) and core beliefs of young antisocial men with those of a set of socio-demographically matched, psychiatrically healthy individuals. We used the Schema Questionnaire (SQ-SF) and the Social Comparison Scale (SCS) to identify and evaluate subjects' EMSs and core beliefs. Thirty-eight antisocial individuals and 24 healthy control subjects participated in the study. Results of the SCS indicated that antisocial patients see themselves as unlovable, lonely, and rejected. Results of the SQ-SF indicated that antisocial patients had significantly elevated and clinically relevant scores in comparison to controls in the following areas: emotional deprivation, entitlement/grandiosity, mistrust/abuse, vulnerability to harm and illness, and social isolation. In general, the results of the present study tentatively indicate that while ASPD individuals demonstrate a common profile of core beliefs, these are not unique to individuals diagnosed with ASPD. The implications of these findings are discussed for cognitive behavioral theory, and treatment of ASPD

The reliability and validity of Turkish version of the Night Eating Questionnaire in psychiatric outpatient population

Objective: The purpose of this study was to evaluate the reliability and validity of Turkish Version of the Night Eating Questionnaire (NEQ) in psychiatric out-patient population as a measure of severity of the night eating syndrome (NES). Methods: We examined the factor structure, internal consistency and validity of the NEQ in Turkish. First, we translated NEQ into Turkish and than back-translation into English; correction and semantic adaptation and assessment of the understanding of the questionnaire. We made the diagnosis of NES according to psychiatric examination. We administered the NEQ in 433 patients and the re-test in 141 participants two weeks later. Result: The instrument showed satisfactory internal consistency with an overall Cronbach a of 0.69. Intradass correlation for the test re-test total score was 0.96. The ninety seven patients had NES with psychiatric examination. The area under ROC curve defined as 0,904. For cuff-of point of 18 in NEQ both sensitivity and spesificity were as 90.7% and 73.8%. The confirmatory factor analysis of the NEQ yielded a similar four factor solution as the original scale. Conclusions: We found that Turkish version of NEQ is valid and has good diagnostical performance, and high internal consistency