Browsing by Author "Taskin E.O."

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    Public attitudes to schizophrenia in rural Turkey
    (2003) Taskin E.O.; Seyfe Sen F.; Aydemir O.; Demet M.M.; Ozmen E.; Icelli I.
    Background. The aim of this study was to determine the public's attitudes and their correlates towards patients with schizophrenia in rural areas. Methods. The study was carried out in a village near Manisa City, Turkey. Two hundred and eight subjects completed the public survey form which consists of ten items screening demographic and health status and 32 items rating attitudes towards schizophrenia. Results. Half of the subjects stated that persons with schizophrenia are aggressive and that they should not be free in the community. More than half of the subjects stated that they would be irritated about having a neighbour with schizophrenia (61.5%), that they would not rent their home to a person with schizophrenia (58.2%), that they do not want to work with a person with schizophrenia (61.1%), and that they would not get married to a person with schizophrenia (85.6%). Conclusions. The public in rural areas sufficiently recognises schizophrenia but has a tendency to stigmatise schizophrenic patients. Their attitudes are generally negative and rejective. They do not want close contact with schizophrenic patients. Interpretation of schizophrenia as a mental illness leads to more negative attitudes and increases the social distance.
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    Sexual dysfunction in female subjects with fibromyalgia
    (Lippincott Williams and Wilkins, 2005) Tikiz C.; Muezzinoglu T.; Pirildar T.; Taskin E.O.; Firat A.; Tuzun C.
    Purpose: We investigated sexual function in females with fibromyalgia (FM) and evaluate whether coexistent major depression (MD) has an additional negative effect on sexual function. Materials and Methods: A total of 100 female subjects were enrolled in the study, including 40 with FM only, 27 with FM plus MD and 33 healthy volunteers as a control group. The diagnosis of MD was made according to Structured Clinical Interview for Diagnostic and Statistical Manual-IV interview and the Hamilton Depression Rate Scale was used to grade depression. Widespread pain and quality of life were assessed with the Lattinen Pain Scale and Fibromyalgia Impact Questionnaire, respectively. The Female Sexual Function Index (FSFI) was used to assess sexual dysfunction. Results: All subjects were comparable in age, occupation and education. Mean FSFI total score ± SD was significantly decreased in the FM and FM plus MD groups compared with that in healthy controls (21.83 ± 5.84 and 22.43 ± 7.0 vs 28.10 ± 6.52, respectively, p = 0.001). However, the FSFI score was not significantly different between patients with FM only and FM plus MD (p >0.05). Correlation analysis revealed a negative moderate correlation between total Lattinen pain score and FSFI score in the FM only and FM plus MD groups (r = -0.366, p = 0.047 and r = -0.403, p = 0.018, respectively). FSFI score did not correlate with FIQ and HDRS scores (p >0.05). Conclusions: This study demonstrates that female patients with FM have distinct sexual dysfunction compared with healthy controls and coexistent MD has no additional negative effect on sexual function. Thus, female subjects with FM should be evaluated in terms of sexual function to provide better quality of life. Copyright © 2005 by American Urological Association.
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    Obsessive-compulsive disorder in a dermatology outpatient clinic
    (2005) Demet M.M.; Deveci A.; Taskin E.O.; Ermertcan A.T.; Yurtsever F.; Deniz F.; Bayraktar D.; Ozturkcan S.
    Objective: The aims of present study were to (a) to determine the prevalence of obsessive-compulsive disorder (OCD) in dermatological patients, (b) to determine the possible relationship between dermatological lesions and OCD and (c) to determine the clinical and phenomenological features of the OCD subgroup. Method: The sample consisted of 166 out of 250 consecutively presenting dermatological patients who agreed to participate in the study. The subjects were assessed with the Structured Clinical Interview for DSM-IV Turkish Version (SCID-I) and also completed the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Results: Of the whole sample, 41 (24.7%) met DSM-IV criteria for OCD. Only 14.6% of them had previously been diagnosed as OCD. The mean score of Y-BOCS in the OCD group was 17.05±9.75. The most common obsessions were contamination (61%) and pathologic doubt (53.7%), while washing (61%) and checking (51.2%) were the most frequent compulsions. Those suffering from diseases of sebaceous glands were the only group that showed a significant difference between the OCD and non-OCD group. Conclusion: There is a high prevalence of OCD in dermatological patients, although the nature of the relationship between OCD and dermatology has not previously been ascertained. Genetic-based studies and future researches focused on individual anxiety, and sensitivity may provide information that better explains this relationship. © 2005 Elsevier Inc. All rights reserved.
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    The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents
    (2007) Ozmen D.; Ozmen E.; Ergin D.; Cetinkaya A.; Sen N.; Dundar P.; Taskin E.O.
    Background. The purpose of this study was to determine the prevalence of overweight and obesity and to examine the effects of actual weight status, perceived weight status and body satisfaction on self-esteem and depression in a high school population in Turkey. Methods. A cross-sectional survey of 2101 tenth-grade Turkish adolescents aged 15-18 was conducted. Body mass index (BMI) was calculated using weight and height measures. The overweight and obesity were based on the age- and gender-spesific BMI cut-off points of the International Obesity Task Force values. Self-esteem was measured using the Rosenberg Self-Esteem Scale, and depression was measured using Children's Depression Inventory. Logistic regression analysis was used to examine relationships among the variables. Results. Based on BMI cut-off points, 9.0% of the students were overweight and 1.1% were obese. Logistic regression analysis indicated that (1) being male and being from a higher socio-economical level were important in the prediction of overweight based on BMI; (2) being female and being from a higher socio-economical level were important in the prediction of perceived overweight; (3) being female was important in the prediction of body dissatisfaction; (4) body dissatisfaction was related to low self-esteem and depression, perceived overweight was related only to low self-esteem but actual overweight was not related to low self-esteem and depression in adolescents. Conclusion. The results of this study suggest that school-based adolescents in urban Turkey have a lower risk of overweight and obesity than adolescents in developed countries. The findings of this study suggest that psychological well-being of adolescents is more related to body satisfaction than actual and perceived weight status is. © 2007 Ozmen et al; licensee BioMed Central Ltd.
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    Mirtazapine combination in treatment-resistant major depressive disorder: A retrospective evaluation of six weeks
    (2009) Aydemir O.; Deveci A.; Taskin E.O.
    Objective: Despite the adequate time and dose of antidepressant treatment, approximately one-third of the patients with major depression do not respond. In previous trials, mirtazapine combination was found to be efficacious in treatment-resistant depression which is non-response to two previous adequate antidepressant drug treatments from different classes. In this present study, it is aimed to assess the efficacy and the tolerability of mirtazapine combination treatment in patients with treatment-resistant major depression by retrospective chart review. Method: During the period between August 2004 and July 2005, all the charts of the patients with treatment resistant major depressive disorder were selected. For the assessment, Hamilton Depression Rating Scale (HAM-D) and Clinical Global Impression (CGI) were used. For the assessment of adverse effects, the report of the patients was considered. Forty-three in- or outpatients with major depression who previously received two antidepressants of different groups and did not respond (<50% of symptom reduction in HAM-D) to either treatment were assessed. Of the 43 patients who fulfilled the inclusion criteria, 39 patients had complete data for the assessment. The study was based on the chart records of 39 patients. At the time of assessment, 18 (41.9%) patients were receiving venlafaxine, and 25 (58.1%) patients were receiving an SSRI (15 on citalopram, 6 on sertraline, and 4 on paroxetine). Result: The mean age of the study group was 42.2±12.9, and 74.4% (n=32) female. Of the whole sample, 14 (32.6%) patients were having their first episode, whereas 29 (67.4%) patients had a recurrent major depression. Ten (23.3%) patients were inpatients and 33 (76.7%) patients were outpatients. The mean HDRS score was decreased from 23.1±5.1 to 73±5.6 at the end of the assessment of six weeks, and 21 (53.8%) patients achieved remission (HDRS<7). When the primary antidepressant was taken into consideration, patients on venlafaxine had significantly more remission rate compared to patients on selective serotonin reuptake inhibitors (SSRI). In 27.9% (n=12) of the patients, adverse events were emerged, and weight gain was predominant with 8 patients. In two patients who were dropped out due to adverse events, one patient experienced weight gain (8 kg/4 weeks) and the other had anxiety and agitation. Discussion: Mirtazapine combination treatment is an efficacious and well-tolerated alternative in treatment-resistant major depression. When the primary antidepressant is venlafaxine, this combination therapy seems to be more effective.