Bakirkoy Training and Research Hospital for Psychiatry

İstanbul, Turkey

Bakirkoy Training and Research Hospital for Psychiatry

İstanbul, Turkey
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Dalbudak E.,Ankara University | Evren C.,Bakirkoy Training and Research Hospital for Psychiatry
Comprehensive Psychiatry | Year: 2014

Aim The aim of this study was to investigate the relationship of Internet addiction (IA) with Attention Deficit Hyperactivity Disorder (ADHD) symptoms while controlling the effect of personality traits, depression and anxiety symptoms in Turkish university students. Methods A total of 271 university students participated in the present study. The students were assessed through the Internet Addiction Scale (IAS), the Wender Utah Rating Short Scale (WURS-25), the Turkish version of the Adult ADHD Self-Report Scale (ASRS), the Eysenck Personality Questionnaire Revised Abbreviated Form (EPQR-A), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). Results According to IAS, participants were separated into three groups, namely, moderate/high, mild and without IA groups. The rates of groups were 19.9% (n = 54), 38.7% (n = 105) and 41.3% (n = 112), respectively. Correlation analyses revealed that the severity of IAS is positively correlated with WURS-25, ASRS (total, inattention and hyperactivity/impulsivity subscales), neuroticism personality trait, depression and anxiety scores, whereas it is negatively correlated with extraversion personality trait. Hierarchical regression analysis indicated that depression and anxiety symptoms, introversion and neuroticism personality traits and the severity of ADHD symptoms (particularly hyperactivity/impulsivity symptoms) are the predictors for IAS score, respectively. Conclusions The severity of ADHD symptoms has predicted the severity of IA even after controlling the effect of personality traits, depression and anxiety symptoms among Turkish university students. University students with severe ADHD symptoms, particularly hyperactivity/impulsivity symptoms may be considered as a risk group for IA. © 2014 Elsevier Inc.


Dalbudak E.,Ankara University | Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Aldemir S.,Ankara University | Evren B.,Baltalimani State Hospital for Muskuloskeletal Disorders
Psychiatry Research | Year: 2014

The aim of this study was to investigate the relationship of Internet addiction (IA) risk with the severity of borderline personality features, childhood traumas, dissociative experiences, depression and anxiety symptoms among Turkish university students. A total of 271 Turkish university students participated in this study. The students were assessed through the Internet Addiction Scale (IAS), the Borderline Personality Inventory (BPI), the Dissociative Experiences Scale (DES), the Childhood Trauma Questionnaire (CTQ-28), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The rates of students were 19.9% (n=54) in the high IA risk group, 38.7% (n=105) in the mild IA risk group and 41.3% (n=112) in the group without IA risk. Correlation analyses revealed that the severity of IA risk was related with BPI, DES, emotional abuse, CTQ-28, depression and anxiety scores. Univariate covariance analysis (ANCOVA) indicated that the severity of borderline personality features, emotional abuse, depression and anxiety symptoms were the predictors of IAS score, while gender had no effect on IAS score. Among childhood trauma types, emotional abuse seems to be the main predictor of IA risk severity. Borderline personality features predicted the severity of IA risk together with emotional abuse, depression and anxiety symptoms among Turkish university students. © 2014 Elsevier Ireland Ltd.


Dalbudak E.,Ankara University | Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Topcu M.,Ankara University | Aldemir S.,Ankara University | And 4 more authors.
Psychiatry Research | Year: 2013

The previous studies have found a relationship between IA and both impulsivity and psychopathology when they were considered separately. The aim of this study was to investigate the relationship of Internet addiction (IA) with impulsivity and severity of psychopathology among Turkish university students. We also wanted to control the effect of impulsivity dimensions on the relationship between IA and psychopathology. A total of 319 university students from two universities in Ankara participated to the study. Students were assessed through the Internet Addiction Scale (IAS), the Symptom Checklist-Revised (SCL-90-R) and the Barratt Impulsiveness Scale-11 (BIS-11). Correlational analyses revealed that severity of IA was related to both SCL-90-R and BIS-11 scores. Among SCL-90-R subscales, severity of obsessive-compulsive symptoms (OCS) was the only predictor for IAS score. Hierarchical regression analysis indicated that interpersonal sensitivity, additional to attentional and motor impulsiveness, was the predictor of IAS score. Although severity of IA is associated with wide range of psychopathology, particularly OCS, interpersonal sensitivity seems to be the main dimension that predict severity of IAS additional to impulsiveness (attentional and motor). Impulsivity seems to be an important construct when considering IA and its treatment among Turkish university students. © 2013 Elsevier Ireland Ltd.


Background: Previous studies reported that there is a significant association between attention deficit hyperactivity disorder (ADHD) in childhood and borderline personality disorder (BPD) in adulthood.Aim: The aim of this study is to investigate the relationship of borderline personality features (BPF) and ADHD symptoms while controlling the effect of childhood traumas, symptoms of depression and anxiety in adulthood on this relationship in Turkish university students.Methods: A total of 271 Turkish university students participated in this study. The students were assessed through the Turkish version of the Borderline Personality Inventory (BPI), the Adult ADHD Self-Report Scale (ASRS), the Childhood Trauma Questionnaire (CTQ-28), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI).Results: Correlation analyses have revealed that severity of BPF is related with adult ADHD symptoms, emotional, physical abuse and depression scores. Hierarchical regression analysis has indicated that depressive symptoms, emotional and physical abuse and the severity of ADHD symptoms are the predictors for severity of BPF.Conclusions: Findings of the present study suggests that clinicians must carefully evaluate these variables and the relationship between them to understand BPF and ADHD symptoms in university students better. Together with depressive symptoms, emotional and physical abuse may play a mediator role on this relationship. Further studies are needed to evaluate causal relationship between these variables in both clinical and non-clinical populations. © 2014 Informa Healthcare.


Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Dalbudak E.,Ankara University | Evren B.,Baltalimani State Hospital for Muskuloskeletal Disorders | Can Y.,Bakirkoy Training and Research Hospital for Psychiatry | Umut G.,Bakirkoy Training and Research Hospital for Psychiatry
Comprehensive Psychiatry | Year: 2014

Aim The aim of this study was to determine the severity of attention deficit hyperactivity symptoms (ADHS) and related psychological and behavioral variables among 10th grade students in Istanbul/Turkey.Methods Cross-sectional online self-report survey conducted in 45 schools in 15 districts Istanbul. The questionnaire included sections about demographic data and use of substances including tobacco, alcohol and drugs. Also ADHS, depression, anxiety, anger and sensation seeking subscales of Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on the 4938 subjects.Results Mean ADHS score was higher in females and among those with a lifetime use of tobacco, alcohol and drug, and having self-harming behavior and suicidal thoughts. ADHS score was correlated with depression, anxiety, anger and sensation seeking scores. In univariate covariance analysis (ANCOVA); depression, anxiety, anger, sensation seeking, lifetime alcohol use and suicidal thoughts predicted the severity of ADHS.Conclusions The findings suggest that, since ADHS is associated with depression, anxiety, anger, sensation seeking, lifetime alcohol use and suicidal thoughts among 10th grade students, clinicians should screen suicidality and comorbid psychiatric symptoms routinely in adolescents with ADHS. © 2014 Elsevier Inc. All rights reserved.


Dalbudak E.,Fatih University | Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Aldemir S.,Fatih University | Coskun K.S.,Afyon Kocatepe University | And 2 more authors.
Psychiatry Research | Year: 2013

The aims of the present study were to investigate the relationship of social anxiety symptoms with alexithymia and personality dimensions in university students and to control the effects of depression and anxiety on this relationship. A total of 319 university students (85 males and 234 females) from two different universities in Ankara were investigated with the Liebowitz Social Anxiety Scale (LSAS), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Toronto Alexithymia Scale (TAS-20) and the Temperament and Character Inventory (TCI). We found that subscales of the LSAS (fear or anxiety and avoidance) were positively correlated with depression and alexithymia and "difficulty in identifying feelings" (DIF) and "difficulty in describing feelings" (DDF) subscales of the TAS-20. Harm avoidance (HA) showed positive correlations with subscales of the LSAS, whereas self-directedness (SD) showed negative correlations with these subscales. High TAS-20 DDFand HA and low SD predicted fear or anxiety LSAS subscale scores, whereas high TAS-20 DDF, HA and depression scores were predictors for LSAS avoidance subscale scores. Although our sample is not representative of the whole Turkish university student population, we conclude that both fear or anxiety and avoidance were mainly interrelated with DDF and HA, although the causal relationship is not clear. © 2012 Elsevier Ireland Ltd.


Dalbudak E.,Fatih University | Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Aldemir S.,Fatih University | Coskun K.S.,Afyon Kocatepe University | And 2 more authors.
Cyberpsychology, Behavior, and Social Networking | Year: 2013

The aim of the study was to investigate the relationship of Internet addiction (IA) severity with alexithymia, temperament, and character dimensions of personality in university students while controlling for the effect of depression and anxiety. A total of 319 university students from two conservative universities in Ankara volunteered for the study. Students were investigated using the Toronto Alexithymia Scale-20, the Temperament and Character Inventory, the Internet Addiction Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory. Of the university students enrolled in the study, 12.2 percent (n=39) were categorized into the moderate/high IA group (IA 7.2 percent, high risk 5.0 percent), 25.7 percent (n=82) were categorized into the mild IA group, and 62.1 percent (n=198) were categorized into the group without IA. Results revealed that the rate of moderate/high IA group membership was higher in men (20.0 percent) than women (9.4 percent). Alexithymia, depression, anxiety, and novelty seeking (NS) scores were higher; whereas self-directedness (SD) and cooperativeness (C) scores were lower in the moderate/high IA group. The severity of IA was positively correlated with alexithymia, whereas it was negatively correlated with SD. The "difficulty in identifying feelings" and "difficulty in describing feelings" factors of alexithymia, the low C and high NS dimensions of personality were associated with the severity of IA. The direction of this relationship between alexithymia and IA, and the factors that may mediate this relationship are unclear. Nevertheless, university students exhibiting high alexithymia and NS scores, along with low character scores (SD and C) should be closely monitored for IA. © Copyright 2013, Mary Ann Liebert, Inc.


Evren C.,Bakirkoy Training and Research Hospital for Psychiatry | Cinar O.,Bakirkoy Training and Research Hospital for Psychiatry | Evren B.,Baltalimani State Hospital for Muskuloskeletal Disorders | Celik S.,Bakirkoy Training and Research Hospital for Psychiatry
Comprehensive Psychiatry | Year: 2012

The aim of this study was to investigate the relationship of self-mutilation (SM) with anger and aggression in male substance-dependent inpatients. Also, we wanted to evaluate the mediator effect of childhood trauma on these relationships while controlling variables such as age, substance of dependence (alcohol/drug), and negative effect. Participants were consecutively admitted 200 male substance-dependent inpatients. Patients were investigated with the Self-mutilative Behaviour Questionnaire, the Childhood Trauma Reports, the Buss-Perry's Aggression Questionnaire, the State-Trait Anger Expression Inventory, the Beck Depression Inventory, and the State-Trait Anxiety Inventory. Rate of being married, current age, and age onset of regular substance use were lower, whereas being unemployed and history of childhood trauma (HCT) were higher in group with SM (n = 124, or 62.0%). Higher mean scale scores were found in SM group. Predictors of SM were being younger, impaired anger control, and physical aggression in logistic regression model. Being younger and the outward expression of anger (anger-out) predicted SM in the subgroup of patients without HCT, whereas being younger, severity of anger, and the inward expression of anger (anger-in) predicted SM in the subgroup of patients with HCT. Thus, to reduce self-mutilative behavior among substance-dependent patients, clinicians must improve anger control, particularly in younger patients. Type of strategy for coping with anger, which must be worked on, may differ in different subgroup patients, that is, focusing anger toward self among those with HCT, whereas anger toward others among those without. © 2012 Elsevier Inc. All rights reserved.


Atagun M.I.,Yildirim Beyazit University | Balaban O.D.,Bakirkoy Training and Research Hospital for Psychiatry | Lordoglu D.Y.,Bakirkoy Training and Research Hospital for Psychiatry | Evren E.C.,Bakirkoy Training and Research Hospital for Psychiatry
Klinik Psikofarmakoloji Bulteni | Year: 2013

Objective: Although many studies have found a negative effect of lithium (Li) on the motor system in bipolar disorder, there is a lack of evidence about the effects of valproate (VP) on motor and sensory speed. We aimed to compare the effects of Li and VP on motor and sensory speed in medication-free bipolar patients (MF) and healthy controls (HCs). Methods: Euthymic patients with bipolar disorder according to the DSM-IV on Li monotherapy (n=22), VP monotherapy (n=21), MF (n=18) and HCs (n=37) were enrolled. The finger-tapping test, Pegboard Test, visual and auditory reaction time tests, Montreal Cognitive Assessment and Edinburgh Handedness Inventory were the measures. Results: The Li group was significantly slower than the HC and MF groups in the right hand trial of the Pegboard Test. The Li group scored significantly lower in the right and left hand trials of the finger-tapping test in comparison to the HC and MF groups. All patient groups (MF, Li and VP) had slower visual reaction time scores than the HC group. The Li and VP groups had significantly slower auditory reaction time scores than the HC group. Conclusion: Lithium may impair sensory and motor speed more than VP. Medication-free patients differed from healthy controls only in the visual reaction time test. Lithium may disturb movement systems by affecting the complex integration of the brain structures serving motor coordination. These results may also suggest that in the euthymic phase of bipolar disorder, disturbance of psychomotor functions may be related to medications.


Yalcin O.,Bakirkoy Training and Research Hospital for Psychiatry
Dusunen Adam | Year: 2015

Primer congenital glaucoma is an uncommon ophthalmological disease manifesting at birth and accounting for 0.01-0.04% of total blindness. Acetozalamide, a carbonic anhydrase inhibitor is one of the options in the medical treatment of glaucoma and acute glaucoma crises. Carbonic anhydrase inhibitors are a class of pharmaceuticals, which are being used as anti-glaucoma and diuretic agent and for their anti-migraine and antiepileptic actions. Carbonic anhydrase inhibitors (topiramate, lacosamide, methazolamide) other than acetozalamide have been associated with psychotic disorders. Psychoticdisorder possibly induced by acetazolamide in a male adolescent with blindness due to congenital glaucoma is going to be presented in this case report.

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