Browsing by Author "Yüksel, EG"
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Item The relationship between separation individuation and depression in first grade students of universityTaskin, EO; Yüksel, EG; Özmen, EObjective: The purpose of this study was to find out the relationship between separation individuation and depression in university students. Methods: The sample consisted of 1026 first grade students of Celal Bayar University consisted the sample of this research a Sociodemographic Form, The Separation Individuation Test of Adolescence (SITA) and Beck Depression Inventory (BDI) were used in this study. Statistical significance of the relationship between SITA subscale scores and BDI scores was assessed by Pearson correlation test and between SITA subscale scores and depression according to the cut-off values of BDI was assessed by using Student's Nest. Results: 20.6% of the students had depression according to the cut-off values of BDI. The mean score of the BDI was 10.98 +/- 9.02. There was a statistically significant negative correlation between the scores of SITA subscales 'peer enmeshment, 'practicing-mirroring' and 'healthy separation' which indicates positive separation individuation process and BDI scores when there was a statistically significant positive correlation between the scores of SITA subscales which indicates difficulties with separation individuation issues 'separation anxiety', 'engulfment anxiety, 'dependency denial' and 'rejection expectancy' and BDI scores. The scores of 'separation anxiety, 'engulfment anxiety, 'dependency denial' and 'rejection expectancy' subscales of SITA were significantly higher in the students with depression according to the cut-off values of BDI when healthy separation subscale scores were significantly higher in the students with depression according to the cut-off values of BDI. Conclusion: In this study, it has seen that there was a relationship between depression and separation-individuation process in adolescence. Difficulties with separation individuation issues in adolescence, in other words failure in achieve developmental tasks during adolescence could cause depression. (Anatolian Journal of Psychiatry 2009; 10:174480)Item Attitudes of patients attending a psychiatric outpatient clinic towards depressionTaskin, EO; Yüksel, EG; Deveci, A; Özmen, EObjective: The aim of this study was to determine the knowledge and attitudes of patients attending a psychiatric outpatient clinic towards depression and factors that influenced them. Methods: This study is carried out on patients who attending Psychiatric Outpatient Clinic of Celal Bayar University Hospital. The study was carried out in 200 subjects who have been selected by systematic sampling method. In this study, a 32-item questionnaire designed for rating the attitudes toward depression by PAREM (Psychiatric Research and Education Centre) was used by adding one item to find out the attitudes toward depression. In addition, a 8-item sociodemographic questionnaire designed by authors and a 5-item questionnaire which was designed by authors and included the patients knowledge and opinions about their illness and illness characteristics of patients were applied. Results: Most of the subjects (83.5%) believed that depression due to social problems. Half of subjects stated that they would not get married with a person with depression (50.5%). Twenty-eight of subjects stated that patients with depression might be aggressive. The patients suffering from a depressive episode toward depression answered the items Mrs. F. has a somatic disease (p=0.030), Persons with depression don't recover completely (p=0.003) and persons with depression are aggressive (p=0.029) as I agree more than the patients not suffering from a depressive episode; but answered the items I can work with a person with depression (p=0.004) and I would get married to a person with depression as I agree less than the patients not suffering from a depressive episode. Conclusions: Psychiatric outpatients have more correct knowledge than lay people about depression and treatment of depression. Most of the patients believed that depression is associated with social problems. Attitudes of the psychiatric outpatients toward patient with depression are more positive and more tolerant than lay people. However, patients with depressive episode have more negative and discriminative attitudes toward patients with depression and desire for social distance from patients with depression. (Anatolian Journal of Psychiatry 2009; 10: 100-108)Item Case reportYüksel, EG; Taskin, EO; Ovali, GY; Karaçam, M; Danaci, AECarbon monoxide (CO) intoxication is usually a serious condition, which can result in neurological disturbances or death. In some patients with CO intoxication, but not usually, a biphasic pattern can be seen. In this condition, after antitoxic treatment, patients may completely recover and after a short recovery period, neurological and/or psychiatric symptoms appear again. This condition is known as delayed encepholopathy and its ocurrence rote is between 0.06% and 11.8%. Herein, we report a case with delayed encephalopathy after CO intoxication, which began with neurological symptoms and continued with obsessive-compulsive disorder, depression, kleptomania, and psychotic disorder. The 41-year-oldfemale patient had no psychiatric or neurological symptoms or disorders prior to CO intoxication. Increased signal intensity changes in the basal region of the left temporal lobe (including the cortex and subcortical white matter), globus pallidus (bilateral), and cerebellar cortical and subcortical white matter (bilaterally symmetrical) was detected on axial T2-weighted magnetic resonance imaging (MRI). In addition, there were atrophic changes in both cerebellar hemispheres. To the best of our knowledge, this is the first case of kleptomania described after CO intoxication in the literature. We discuss the organic etiology of kleptomania and the other psychiatric symptoms of this patient in the light of recent research. We concluded that the kleptomania seen in this patient was related to concurrent lesions in the temporal lobe and globus pallidus, in other words, her kleptomania may have been related to dysfunction simultaneously seen in both the temporolimbic and frontal-subcortical circuits.