Objective: Studies have shown a relationship between the development of alcohol use disorder (AUD) and the existence of childhood traumas (CT). In this study, in order to gain a better understanding of the association between CT and AUD,... more
Objective: Studies have shown a relationship between the development of alcohol use disorder (AUD) and the existence of childhood traumas (CT). In this study, in order to gain a better understanding of the association between CT and AUD, the relationship between CT and AUD was analyzed. Further, it was investigated whether Early Maladaptive Schemas (EMS) play a mediating role in the relationship between emotional abuse (EA) and AUD. Methods: The participants were consecutively admitted male alcohol-dependent inpatients (n=220) and healthy controls (n=108). The participants were investigated with the Childhood Trauma Questionnaire (CTQ-28), Young Schema Questionnaire-Short Form (YSQ-SF) and Michigan Alcoholism Screening Test (MAST). Mediation ana-lyses were conducted in order to evaluate the mediating effect of EMS between the relationship of AUD and CT. Results: The difference between CT total score and the EA score between the control group and the AUD group were statistically significant. An analysis of different types of traumas in the correlation with AUD revealed EA as the main predictor of AUD both directly and through its mediating effect with the EMS. In addition, it was determined that in the relationship between EA and AUD, EMS such as Enmeshment, Emotional Inhibition, Dependence and Insufficient Self-Control had mediating effect. Discussion: CT, especially EA are quite common in male inpatients with AUD and the negative effects of EA may play an important role in the development of AUD by causing EMS. Our findings imply that those with EA history in childhood may be particularly vulnerable to the development of AUD in adulthood. Therefore, in the prevention of the development and in the treatment of AUD, it may be useful to take into consideration EA experiences, to screen EMS that may mediate such relationship through scales and to conduct interventions in this regard.
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This study aimed to evaluate the relationship of attention-deficit/hyperactivity disorder (ADHD) symptoms with dissociative experiences, and the mediator role of childhood traumas on this relationship, while controlling the effect of... more
This study aimed to evaluate the relationship of attention-deficit/hyperactivity disorder (ADHD) symptoms with dissociative experiences, and the mediator role of childhood traumas on this relationship, while controlling the effect of depression in alcohol use disorder (AUD). It was a hospital-based, cross-sectional study. One hundred and ninety inpatients with AUD were evaluated with the Beck Depression Inventory, the Adult ADHD Self-Report Scale (ASRS), Childhood Trauma Qestionnaire, and Dissociative Experiences Scale (DES). One-way ANOVA, Chi-squared test, and hierarchical linear regression model were performed. The ratio of those who receive 10 points or less from DES was 26.8%, those who receive points between 11 and 30 was 45.3%, and those who receive more than 30 points was 27.9%. The latter group that was considered as a group with high risk of dissociative disorder had higher scores from depression, childhood trauma, and ADHD scores than the other groups. Rate of those with ...
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ObjectiveTurkish version of the UPPS Impulsive Behavior Scale was previously validated in a sample of psychiatric inpatients. The aim of the present study was to evaluate psychometric properties of the sensation seeking subscale of this... more
ObjectiveTurkish version of the UPPS Impulsive Behavior Scale was previously validated in a sample of psychiatric inpatients. The aim of the present study was to evaluate psychometric properties of the sensation seeking subscale of this scale in a sample of inpatients with alcohol use disorder.MethodParticipants (n = 190) were evaluated with the sensation seeking subscale of UPPS Impulsive Behavior Scale.ResultsSensation seeking subscale had two factors, which together accounted for 63.80% of total variance. As similar with original subscale internal consistency for the sensation seeking (coefficient α=0.859), factor 1 (α=0.862) and factor 2 (α=0.755) examined by Cronbach's alpa, were high. Factor 1 (r = 0.894) and factor 2 (r = 0.863) were highly correlated with total score, whereas moderately correlated (r = 0.544) with each other. Test-retest correlation for sensation seeking (n = 120) was mild (r = 0.460). Test-retest correlation for factor 1 was moderate (r = 0.518) and for...
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Introduction: The relationship between substance use disorders and aggression is complex and not only limited to direct effect of the drugs. Aggression increases the likelihood of substance abuse and is suggested to be a long term... more
Introduction: The relationship between substance use disorders and aggression is complex and not only limited to direct effect of the drugs. Aggression increases the likelihood of substance abuse and is suggested to be a long term individual characteristic which is probably in association with personality traits preexisting before the substance use. Aims/Objectives: The aim of this study was to evaluate the relationship of personality dimensions with aggression among heroin dependent inpatients and to control the effect of psychiatric symptom severity on this relationship. Methods: Participants were consecutively admitted male heroine (n=78) dependent inpatients. Patients were investigated with the Buss–Perry Aggression Questionnaire (BPAQ), the Temperament and Character Inventory (TCI) and the Symptom Checklist-Revised (SCL-90-R). Results: Character dimensions self-directedness (SD) and cooperativeness (C) were negatively and self-transcendence (ST) and severity of psychiatric symptoms were positively correlated with severity of aggression and its dimensions. Low SD and C, which are indicative of a personality disorder, were predictors of aggression. Other predictors for aggression in heroin dependents were higher persistence (P) and ST. Severity of psychiatric symptoms predicted aggression together with low C, and high P. Conclusions: Aggression was more closely related with character dimensions rather than temperament dimensions. Nevertheless, low C and high P predicted the severity of aggression even when the severity of psychopathology was controlled. The careful evaluation of patients for the comorbid psychiatric disorders such as depression, anxiety and personality disorders are needed to handle aggression in heroin dependents which may be related with poor treatment outcome.
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Aims. Aim of this study was to evaluate whether impulsivity was able to discriminate relapsed male heroin dependents from those who were still in buprenorphine maintenance treatment at 12-month follow-up, while checking the effects of... more
Aims. Aim of this study was to evaluate whether impulsivity was able to discriminate relapsed male heroin dependents from those who were still in buprenorphine maintenance treatment at 12-month follow-up, while checking the effects of depression, and state and trait anxieties. Methods. Of 78 consecutively admitted male heroin dependents, 52 were examined during a face-to-face interview 12 months after discharge from hospital. Patients were investigated by applying the Barratt Impulsiveness Scale, version 11 (BIS-11), Beck Depression Inventory (BDI) and State and Trait Anxiety Inventory (STAI) at the end of 12 months. Results. Of 52 heroin-dependent inpatients, 23 (44.2%) were considered as having relapsed into heroin use during the previous twelve months, whereas 29 (55.8%) were still in the maintenance treatment. Demographic variables did not differ between the two groups. Mean scores on the impulsivity subscales (motor, attentional and non-planning) and total BIS-11 were higher in...
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Marriage is defined as a legal union of two different people. This union affects the individual's life in many different ways. For this reason, it is crucial to examine the institution of marriage from both theoretical and therapeutic... more
Marriage is defined as a legal union of two different people. This union affects the individual's life in many different ways. For this reason, it is crucial to examine the institution of marriage from both theoretical and therapeutic objectives. This study aims to measure the validity and reliability of Turkish Version of Golombok-Rust Inventory of Marital State – GRIMS (Golombok-Rust Evlilik Durumu Envanteri – GREDE). In the scope of the study, 133 married couple are included in the sample who are married for 12.59 years on average and who have an approximate income of 2818.71 Turkish Liras. The average age of the sample is 39.60 for men whereas it is 36.82 for women. The results show that item-total score correlation varies between 0.251 and 0.654 for married men, 0.237 and 0.647 for married women and 0.235 and 0.587 in total. Also, since the data is fit for factor analysis, (KMO= 0.86; X2 = 1799.785; p= 0.00), principal components analysis is applied and it is found that the Inventory is a single factoral model as it originally was, it explains the 25.2% of the variance, and the values of item-weight vary between .29 and .66. In consequence, it is found that the Turkish version of GRIMS, which was developed to measure the quality and level of satisfaction that married and co-residing couples, is satisfactory, has high validity and reliability, and has valid factor structure for both men and women.
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Background: We evaluated the use of dexmedetomidine to facilitate the weaning of delirious postoperative patients from mechanical ventilation.Methods: We included 72 consecutive patients who underwent elective cardiac surgery in this... more
Background: We evaluated the use of dexmedetomidine to facilitate the weaning of delirious postoperative patients from mechanical ventilation.Methods: We included 72 consecutive patients who underwent elective cardiac surgery in this prospective observational study. Each patient had failed at least 1 trial of continuous positive airway pressure (CPAP) and had agitation. Patients were assessed with the Richmond Agitation-Sedation Scale (RASS) and the Confusion Assessment Method for the Intensive Care Unit (CAMICU) 12 to 18 hours after their admission to the ICU. Midazolam and fentanyl were then given to all patients according to the sedation protocol. At 36 hours in the ICU, patients who had agitation and an inability to wean were randomly divided into 2 groups: group M, 34 patients who continued to follow the routine sedative protocol; and group D, 38 patients who were given dexmedetomidine. Arterial blood gas measurements, hemodynamic parameters, and time to extubation were recorde...
Research Interests: Psychometrics, Medicine, Delirium, Humans, Hemodynamics, and 15 moreFemale, Male, Anesthesia, Sedation, Intensive Care Unit, Middle Aged, Dexmedetomidine, Mechanical Ventilation, Intensive Care Units, Fentanyl, Midazolam, Continuous Positive Airway Pressure, health status indicators, Cardiovascular medicine and haematology, and Respiration Artificial
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Research Interests: Psychology and Adam
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Objective: Aim of this study was to determine the gender differences according to psychological and behavioral variables among 10th grade students in Istanbul/Turkey. Methods: Cross-sectional online self-report survey conducted in 45... more
Objective: Aim of this study was to determine the gender differences according to psychological and behavioral variables among 10th grade students in Istanbul/Turkey. Methods: Cross-sectional online self-report survey conducted in 45 schools from the 15 districts in Istanbul. The questionnaire included sections about demographic data and school life. Also depression, anxiety, anger, sensation seeking, assertivity and impulsivity subscales of Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on the 4957 subjects. Results: Rate of males was 52.7% (n=2614). Mean age, sensation seeking and impulsivity scores were higher in males, whereas depression, anxiety, anger and lack of assertivity scores were higher in females. Rates of poor school success, disciplinary punishment, absenteeism, truancy before age of 13, physical harm from a friend, physical fight in last year, to bear arms and problem with the law were higher in males, whereas having suicidal ideation or attempt were higher in females. In logistic regression model, school related problems (poor school success, absenteeism and truancy before age of 13), delinquent behavior (physical fight in last year, to bear arms and physical harm from a friend), sensation seeking, and lower depression, anxiety, anger, impulsivity, lack of assertivity, and suicidal ideation differentiated males from females. Discussion: The findings suggest that females have higher psychological problems such as anger, depression and anxiety, which may also be related with suicidal thoughts, whereas males have higher school related and behavioral problems.
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Non-suicidal self-harm behavior (SHB), which is a pervasive and dangerous problem, is frequent among adolescents and it is important to evaluate the associated psychological and social factors to better understand its nature and to plan... more
Non-suicidal self-harm behavior (SHB), which is a pervasive and dangerous problem, is frequent among adolescents and it is important to evaluate the associated psychological and social factors to better understand its nature and to plan treatment programs. Aim of the present study is to determine the prevalence of SHB and the associated variables such as substance use, psychological, behavioral and social factors among 10th-grade students in Istanbul/Turkey. Cross-sectional online self-report survey conducted in 45 schools from the 15 districts in Istanbul/Turkey. A representative sample of 4957 10th-grade students was studied between October 2012 and December 2012. SHB within the previous year were reported by 14.4% of the students (n = 713). Lifetime suicidal thoughts or behavior, tobacco, alcohol and/or drug use, symptoms of depression, anxiety and impulsive, delinquent and aggressive behaviors were also associated with SHB in Turkish 10th-grade students. The findings of the present study may be relevant in prevention and management of SHB as well as important problems among students, such as substance use, impulsive, delinquent, aggressive and suicidal behavior.