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Öğe The Comparison Levels of Feeling Guilty and Embarrassment in the Family Members Nursing Schizophrenia and Chronic Renal Failure Patients, and in Individuals Having No Nursing Role(KARE PUBL, 2015) Ceylan, Burcu; Cilli, Ali SavasObjectives: This work was done in order to compare the levels of feeling guilt and embarrassment in the family members nursing schizoprenia and chronic renal failure patients and in individuals having no nursing role. Methods: 32 family members nursing schizophrenia patients at home, 56 family members nursing real failure-chronic patients, inspection group of 60 healthy individuals who are at the same age and sex with family members, totally 148 individuals have been examined. As data records, demographic information form and guilt-embarrassment scale have been used. Results: Guilt and embarrassment scores of family members offering care to schizophrenia patients at home were 51.4 +/- 6.79, whereas the scores were 44.3 +/- 11.13 for family members offering care to KBY patients at home and 34.9 +/- 0.10 in the control group. The guilt and embarrassment scores of the family members offering care to schizophrenia and KBY patients at home were significant when they were compared with the control group. A significant relationship could not be found between the socio-demographic variables investigated in this study, and the guilt and embarrassment scores. It was found that the level of guilt and embarrassment in family members offering care to schizophrenia patients at home was, independently of demographic variables, higher than that of the family members offering care to KBY patients at home. Conclusion: Guilt and embarrassment scores of family members offering home care to schizophrenia and KBY patients were higher than those of the control group. Moreover, the guilt and embarrassment scores of the family members offering home care to schizophrenia patients were higher than those of the others. It is recommended that nurses and other health personnel working with patients having chronic diseases should be provided with in-service training programs in order to improve their roles as educators, caregivers, counselors and rehabilitation experts and be able to understand the problems and difficulties the patients and their families experience, home care programs should be organized and activities should be held to raise awareness among the public in this regard.Öğe Longitudinal assessment of symptom and subtype categories in obsessive-compulsive disorder(WILEY-LISS, 2007) Besiroglu, Lutfullah; Uguz, Faruk; Ozbebit, Ozgur; Guler, Ozkan; Cilli, Ali Savas; Askin, RustemAlthough it has been postulated that symptom subtypes are potential predictors of treatment response, few data exist on the longitudinal course of symptom and subtype categories in obsessive-compulsive disorder (OCD). Putative subtypes of OCD have gradually gained more recognition, but as yet there is no generally accepted subtype discrimination. Subtypes, it has been suggested, could perhaps be discriminated based on autogenous versus reactive obsessions stemming from different cognitive processes. In this study, our aim was to assess whether symptom and subtype categories change over time. Using the Yale-Brown Obsessive Compulsive Symptom Checklist (Y-BOCS-SC), we assessed 109 patients who met DSM-IV criteria for OCD to establish baseline values, then reassessed 91 (83%) of the initial group after 36 +/- 8.2 months. Upon reassessment, we found significant changes from baseline within aggressive, contamination, religious, symmetry and miscellaneous obsessions and within checking, washing, repeating, counting and ordering compulsion categories. Sexual, hoarding, and somatic obsessions, and hoarding and miscellaneous compulsions, did not change significantly. In accordance with the relevant literature, we also assigned patients to one of three subtypes-autogenous, reactive, or mixed groups. Though some changes in subtype categories were found, no subtype shifts (e.g., autogenous to reactive or reactive to autogenous) were observed during the course of the study. Significantly more patients in the autogenous group did not meet OCD criteria at follow-up than did patients in the other groups. Our results suggest that the discrimination between these two types of obsession might be highly valid, because autogenous and reactive obsessions are quite different, both in the development and maintenance of their cognitive mechanisms, and in their outcome.Öğe One year follow-up of postpartum-onset obsessive-compulsive disorder: A case series(PERGAMON-ELSEVIER SCIENCE LTD, 2008) Uguz, Faruk; Kaya, Nazmiye; Sahingoz, Mine; Cilli, Ali Savas; Akman, Cemal[Abstract not Available]Öğe Postpartum-onset obsessive-compulsive disorder: Incidence, clinical features, and related factors(PHYSICIANS POSTGRADUATE PRESS, 2007) Uguz, Faruk; Akman, Cemal; Kaya, Nazmiye; Cilli, Ali SavasObjective: The aims of this study were to investigate the incidence rate and symptomatology of postpartum-onset obsessive-compulsive disorder (PPOCD), to investigate the factors associated with PPOCD, and to compare clinical characteristics of obsessive-compulsive disorder (OCD) with and without postpartum onset. Method: The study data were collected from 302 women who delivered at a child and maternity hospital in Turkey from August 2005 to November 2005 and a control group of 33 women who were admitted to the psychiatric outpatient clinic of a university hospital during the same time period and who met DSM-IV criteria for OCD. The 2 clinical interviews with women who delivered were performed face-to-face on the first day after childbirth and at 6 weeks postnatally. OCD and comorbid Axis II disorders were diagnosed by means of the Structured Clinical Interview for DSM-IV and the Structured Clinical Interview for DSM-III-R Personality Disorders, respectively. Obsessive-compulsive symptomatology was assessed with the Yale-Brown Obsessive Compulsive Scale. Results: The incidence of PPOCD was 4% at 6 weeks postnatally. The most common obsessions in women with PPOCD were contamination (75%), aggressive (33.3%), and symmetry/exactness (33.3%), and the most common compulsions were cleaning/washing (66.7%) and checking (58.3%). The patients with PPOCD had significantly more frequent aggressive obsessions (p=.039) and less severe obsessive-compulsive symptoms (p=.013) than the OCD patients without postpartum onset. The predictors of PPOCD were avoidant (p=.000) and obsessive-compulsive (p=.004) personality disorders. Conclusions: This study suggests that the puerperium is a risk period in terms of new-onset OCD and that avoidant and obsessive-compulsive personality disorders predict PPOCD.Öğe The prevalence of generalized anxiety disorder and comorbidity among psychiatric outpatients(TURKIYE SINIR VE RUH SAGLIGI DERNEGI, 2006) Ozcan, Murat; Uguz, Faruk; Cilli, Ali SavasObjective: In this study, we aimed to investigate the prevalence, association with sociodemographic characteristics, and comorbidity with other anxiety and depressive disorders of generalized anxiety disorder (GAD) among psychiatric outpatients. Method: In the first phase of the study, outpatient psychiatry clinic physician interviewed with consecutive 950 patients who applied to psychiatry outpatient clinic of an university hospital by using GAD module of CIDI (Composite International Diagnostic Interview, version 2.1) during 4-month. Ninety-nine patients with diagnosis of GAD in the first phase were referred to the researcher physician for further evaluation. In the second phase, patients were interviewed by using CIDI anxiety and mood (major depression, dysthymic disorder) disorder modules. By this way, 12-month additional diagnoses were examined, and diagnosis of GAD was confirmed. One patient was excluded, because did not meet the GAD criteria during reexamination by the researcher physician. Results: Ninety-eight patients (10.3%) met DSM-IV criteria for GAD. Eighty-nine (90.8%) of the cases had comorbid any anxiety or depressive disorder. The rates of comorbidity with any of depressive disorders and anxiety disorders were found 84.7% and 56.1%, respectively. The most common comorbid diagnosis was major depression (83.7%). The most common anxiety disorders were social phobia (30.6%), OCD (19.4%) and specific phobia (17.4%). The prevalence of GAD was observed significantly higher in women, married ones, housewives, unworking girls, subjects with history of medical illness and lower educational status. Conclusion: Our results show that among psychiatric outpatients, GAD has high comorbidity rates with depressive and other anxiety disorders, and it is associate with some sociodemographic characteristics such as gender, and marital, working and educational status.Öğe Psychiatric disorders in patients with Behget's disease(TAYLOR & FRANCIS LTD, 2007) Dursun, Recep; Uguz, Faruk; Kaya, Nazmiye; Cilli, Ali Savas; Endogru, HuseyinObjective. In this study, we aimed to investigate current prevalence and related clinical factors of psychiatric disorders in Behcet patients. Methods. Seventy-three outpatients who applied to a Behcet clinic and whose diagnosis was Behcet's disease according to criteria of the International Study Group for Behcet's disease were recruited in this study. Psychiatric diagnoses were assessed with The Structured Clinical Interview for DSM-IV/Clinical Version (SCID-I/CV). Results. Thirty patients (41.1%) reported at least one current psychiatric disorder. Major depression (17.8%) was the most frequent psychiatric disorder. Specific phobia (16.4%), generalized anxiety disorder (15.1%) and social phobia (9.6%) were other frequent disorders. Prevalence rates of any psychiatric and anxiety disorder were significantly higher in females than males. There was no significant relationship between psychiatric morbidity and clinical characteristics of Behcet's disease. Conclusion. Our study suggests that Behcet patients have high prevalence of psychiatric disorders. Therefore, psychiatric evaluation should be performed in all patients with Behcet's disease.Öğe Quality of life in patients with Behcet's disease: the impact of major depression(ELSEVIER SCIENCE INC, 2007) Uguz, Faruk; Dursun, Recep; Kaya, Nazmiye; Cilli, Ali SavasObjective: Behcet's disease (BD) is a multisystemic inflammatory disorder associated with high levels of depressive symptoms and lower quality of life (QoL). In this study, we aimed to investigate the impact of major depression (MD) on the QoL of patients with BD. Method: BD outpatients (n = 25) and psychiatric outpatients (n = 25) with only MD among the Axis I psychiatric disorders, and BD outpatients (n = 25) and healthy controls (n = 25) without any Axis I psychiatric disorder were included in the study. The Structured Clinical Interview for DSM-IV (SCID-I) was used to determine Axis I psychiatric disorders. Depression and QoL levels were assessed with the Beck Depression Inventory (BDI) and the World Health Organization QoL Assessment-Brief (WHOQOL-BREF), respectively. Results: There was no significant difference with regard to demographic characteristics between the groups. Psychiatric and BD patients with MD had significantly lower overall WHOQOL-BREF subscale scores than BD patients without MD and healthy controls. No significant difference was found in terms of QoL between the groups of psychiatric and BD patients with MD, nor between the groups of BD patients without MD and healthy controls. Overall, there was a significantly negative correlation between all WHOQOL-BREF subscale and BDI scores in BD patients. Conclusion: The study suggests that concurrent MD has a negative impact on QoL of BD patients and that QoL is negatively correlated with the severity of depressive symptoms. (c) 2007 Elsevier Inc. All rights reserved.Öğe The relation of left or right visual acuity and psychologic symptoms in strabismic patients(ELSEVIER SCIENCE BV, 2006) Pence, Sadrettin; Cilli, Ali Savas; Ozkagnici, Ahmet[Abstract not Available]
