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    Bipolar spektrumu tanı ölçeği Türkçe Formu’nun güvenilirlik ve geçerlilik çalışması
    (TURKIYE SINIR VE RUH SAGLIGI DERNEGI, 2019) İnce, Bahri; Cansız, Alparslan; Ulusoy, Sevinç; Yavuz, Kasım Fatih; Kurt, Erhan; Altınbaş, Kürşat
    Objective: The purpose of this study is to evaluate the reliability and validity of the Turkish Version of the Bipolar Spectrum Diagnostic Scale (BSDS). Method: The study was carried out with 130 patients diagnosed with bipolar I disorder, 15 patients diagnosed with bipolar II disorder, and 38 patients diagnosed with major depressive disorder attending the outpatient psychiatry departments of the Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Mental Health and Neurological Diseases. The Mood Disorder Questionnaire (MDQ) was used for convergent validity. The internal consistency coefficient, item-total score correlation coefficients, test-retest correlation coefficient, confirmatory factor analysis, correlation with concurrent scale, and ROC curve were statistically calculated. Results: Confirmatory factor analysis indicated that the 20-item version did not show adequate goodness-of-fit. The item 4 with a relatively low regression weight was removed from the model. For the 19-item revised and corrected model, the observed goodness-of-fit indexes were RMSEA = 0.040, CFI = 0.900, GFI = 0.890, IFI = 0.900 and chi(2)/df = 1.230. The internal consistency Cronbach's alpha coefficient was 0.831. The correlation coefficient between the Turkish version of the BSDS and the MDQ was 0.54. The cutoff point of the scale calculated by the ROC analysis was 12 with a sensitivity of 78.6% and a specificity of 86.8%. Conclusion: The Turkish Version of the BSDS, has been shown to be reliable and valid tool for screening bipolar disorder after removal of the item 4 of the original version of the scale.
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    Evaluation of mortality causes among patients with bipolar disorder in a specialized mood clinic
    (KLINIK PSIKIYATRI DERGISI, 2018) Cansız, Alparslan; İnce, Bahri; Altınbaş, Kürşat; Kurt, Erhan
    Objective: Despite the increase in new treatment options, bipolar disorder is still a leading cause of morbidity and mortality. Researches in developed countries have shown that general medical causes and suicide play an important role in premature death of patients with bipolar disorder. In the current study, we aimed to assess the causes of death in patients with bipolar disorder in our country. Method: One thousand and three hundred patients with bipolar disorder who were followed up and treated at Rasit Tahsin Duygudurum Center were included in this study. Sociodemographic and clinical characteristics of 23 patients who lost their lives during 14 years were recorded with Mood Disorders Patient Registration Form (SKIP-TURK). The causes of death of the patients were obtained from hospital medical records and medical records obtained from their relatives. Results: Fifty six point five percent of the patiens who lost their lives were female and 43.4% of them were male. The mean life span of the patients was 51.1 +/- 12.5 years (min=27 max=68). The most common cause of death in patients was cardiovascular causes (34.7%). This was followed by respiratory system diseases (21.7%) and suicide (13.4%). Discussion: We have concluded that the causes of death in patients with bipolar disorder in our country are similar to those of previous studies in other societies. This article may guide the comprehensive studies that will be designed in the future to determine the causes of death in patients with bipolar disorder in our country.
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    Oral Health among Patients with Bipolar Disorder
    (QUINTESSENCE PUBLISHING CO INC, 2018) Oflezer, Özlem Gürbüz; Altınbaş, Kürşat; Delice, Mehtap; Oflezer, Ceyhan; Kurt, Erhan
    Purpose: To compare the oral health of patients with bipolar disorder (BD) with a control group of subjects. Materials and Methods: The study sample comprised 242 patients with BD and a mean age of 35.8 years. The control group comprised 187 subjects and a mean age of 37.3 years. Oral health was assessed through clinical examination by the Decayed, Missing, and Filled Teeth (DMFT) Index, the Community Periodontal Index (CPI), and the Simplified Oral Hygiene Index (OHI-S). Results: Patients with BD had higher caries prevalence, poorer periodontal health, and poorer oral hygiene than control group subjects. The average DMFT index score was 10.0 (SD = 5.7) in the BD group and 8.1 (SD = 5.2) in the control group (p = 0.002). The mean value of decayed teeth in patients with BD (4.5) was significantly higher than that of the control group (2.3) (p < 0.001). Periodontal diseases were significantly more prevalent among patients with BD (p < 0.001), particularly regarding shallow and deep pockets (47.1% vs. 16.6%). Oral dryness (xerostomia) and severe tooth wear were also more prevalent among patients with BD (p < 0.001). Statistically significant risk factors for higher DMFT scores were: older age and having BD; CPI scores of 3 or 4; having BD, male gender, older age, and lower educational level. Conclusion: Poorer oral health among patients with BD is represented mostly as caries and advanced periodontal disease. The results of this study highlight the necessity to intensify preventive dentistry in this vulnerable population.