Bilge Dogan

The factors related to early-onset depression after first stroke: Early-onset depression after stroke

The biological and psychological aspects of post‐stroke depression (PSD) may vary based on the time since stroke onset. The sociodemographic and clinical correlates of early‐onset PSD are not yet well understood. In the present study, we aimed to investigate the clinical correlates of early‐onset depression following first stroke. We hypothesized that the severity of a stroke or disability (other than lesion characteristics) would likely be related to PSD in a sample of first stroke patients with single and unilateral lesions.

The relationship between temperament and depression in Parkinson's disease patients under dopaminergic treatment: Temperament, depression in Parkinson's

The risk factors for depressive symptoms in patients with Parkinsons disease (PD) under dopaminergic drug treatment are unclear. In this study, we examined whether some temperament traits are related to the presence of comorbid depression in PD patients, independent of the characteristics of illness and drug treatment.

Outstanding Awards Brief Reports

Objective: Smith and Burger developed the Structured Inventory of Malingered Symptomatology (SIMS) in 1997 as a self-report measure for malingering of psychiatric symptoms. The SIMS consists of 75 dichotomous (True–False) items that form into five subscales Psychosis (P), Neurologic Impairment (NI), Affective Disorder (AF), Amnestic Disorders (AM), Low Intelligence (LI), with each subscale containing 15 items. In this study, we aimed to examine the reliability, validity, and factor structure of the SIMS in a Turkish forensic psychiatry sample. Methods: A sample of 103 forensic patients (9 female, 94 male), aged 18–75, undergoing an inpatient forensic evaluations for competency assessment for criminal responsibility were recruited from a large forensic hospital in Turkey. The study protocol was approved by the local ethics committee. Socio-demographic information of the participants was collected and the SIMS, Miller Forensic Assessment of Symptoms Test (M-FAST), the Scales of Psychological Well-being, 36-Item Short Form Survey (SF-36), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered. All statistical analyses were performed by using SPSS version 23.0 for Windows. Results: The Cronbach’s alpha coefficients for the Turkish SIMS were ranging from 0.42 to 0.87. The lowest alpha coefficient was observed for the Amnestic Disorders (0.46). For the whole scale, Cronbach’s alpha coefficient was found to be 0.93. The test–retest (at after 1 week) correlation coefficients for Psychosis (P), Neurologic Impairment (NI), Affective Disorder (AF), Amnestic Disorders (AM), Low Intelligence (LI), and whole scale were found to be 0.97, 0.97, 0.95, 0.91, and 0.96, respectively. A positive and statistically significant correlation was found between the Turkish SIMS and BDI (r = 0.593, p < .01), BAI (r = 0.578, r < 0.01), M-FAST subscale Reported versus Observed Symptoms (r = 0.660, p <.01), M-FAST subscale Extreme Symptomatology (r = 0.686, p <.01), M-FAST subscale Rare Combinations (r = 0.729, p <.01), M-FAST subscale Unusual Hallucinations (r = 0.698, p <.01), M-FAST subscale Unusual Symptom Course (r = 0.568, p <.01), M-FAST subscale Negative Image (r = 0.514, p <.01), M-FAST subscale Suggestibility (r = 0.426, p <.01), and M-FAST Total (r = 0.794, p <.01) scores. Principal axis factor analyses with promax rotation were performed and four-factor solution that accounted for 39.87% of the variance observed. Conclusions: Our preliminary findings suggested that Turkish SIMS was a valid and reliable tool with a robust factorial structure for further use in detecting malingering of forensic psychiatric cases in Turkey.

A misidentification ritual in a patient with obsessive-compulsive disorder: clinical and pharmacotherapeutic implications

ABSTRACT Misidentification of self, others, places, time, and objects occurs in a large number of medical or psychiatric conditions. Misidentification syndromes have been rarely reported in patients with primary non-psychotic conditions. The subjects with obsessive-compulsive disorder (OCD) may present unusual and rare symptoms. In this case report, we present an OCD patient who exhibited a misidentification ritual to decrease his anxiety arising from horrific images of someone assaulting his wife and children. He substituted the face of assailant with the faces of three different previously known individuals. For this case, we supposed that this ritual was related to an autogenous obsession and also was associated with schizotypal personality traits. To our knowledge, this is the first case exhibiting misidentification rituals related to non-delusional violent images in a patient with OCD.

Psychogenic blepharospasm associated with Meige’s syndrome: a case report

ABSTRACT Here we report a patient who presented a co-occurrence of Meige’s syndrome and psychogenic blepharospasm. At the first assessments, neurologists excluded conversion disorder because of the presence of a conflict and stress, absence of any markers for Meige’s syndrome, and a non-response to Botulinum toxin treatment. We determined bilateral blepharospasm, and oromandibular dystonia by neurological examination and EMG. The patient was diagnosed as primary Meige’s syndrome by the neurologists. Blepharospasm, which is triggered by emotional stress, caused secondary gains against her family. We decided that the patient had both psychogenic blepharospasm and Meige’s syndrome, which co-occurred nearly at the same interval three years ago. Similar to the seizure–pseudoseizure association, we supposed that Meige’s syndrome and concomitant psychogenic blepharospasm may indicate a coexistence of medical and conversion symptoms as in epileptic patients.

Postpartum-onset and childhood sexual trauma in a patient with skin picking disorder: a case report

ABSTRACT Women are at risk for the development of psychiatric disorders, particularly depression and psychosis in the postpartum period. Few studies have examined anxiety disorders or obsessive-compulsive and related disorders during pregnancy and the postpartum period. The individuals with skin-picking disorder (SPD) frequently have childhood history of sexual abuse. To best of our knowledge, there is no report in literature on postpartum-onset SPD to date. We here report a case of SPD initially presented a postpartum onset and exacerbated following a sexual trauma long years after her delivery. She had no previous history of trauma or psychiatric diagnoses. Pregnancy and sexual trauma seem to be associated with occurrence and relapsing of SPD in this case.