Çiğdem Dereboy

Risk factors for and protective factors against adolescent suicidal behavior in Turkey

This study investigated the possible role of depression, self-esteem, problem solving, assertiveness, social support, and some socioeconomic factors on adolescent suicidal behavior in youth in a small city located in the southwestern part of Turkey. Participants in the study were 805 (367 girls) first-year high school students between the ages of 13-18 years. Some 23% of participants reported having thought of killing themselves during the past 12 months or their lifetime. The percentage of students who said that they had attempted to kill themselves was 2.5. Suicidal ideation during ones lifetime or during the past 12 months was more frequent among girls than among boys but suicidal attempts were equally common in girls and boys. Girls scored significantly higher on depression and the Suicide Probability Scale (SPS) but also on assertiveness and perceived social support from friends than boys. Boys tended to score higher on self-esteem than girls. Depression and low self-esteem were the most consistent and independent predictors of suicidal thoughts, attempts, and SPS scores in both girls and boys. The results are discussed in terms of relevant literature with special reference to developmental and sociocultural issues. The implications of findings for the assessment and treatment of suicidal youths are highlighted.

Personality disorders in a community sample in Turkey: Prevalence, associated risk factors, temperament and character dimensions

Background: Data from Turkey on prevalence of personality disorders (PD) in the normal population are sparse. Aims: The present study conducted in a community sample aimed to investigate personality disorders in terms of prevalence, associated risk factors and personality dimensions. Methods: A stratified sampling procedure allowed us to compose a sample consisting of 774 participants residing in Aydin, Turkey. The DSM-IV and ICD-10 Personality Questionnaire (DIP-Q) and the Temperament and Character Inventory (TCI) were used to assess PDs and personality dimensions, respectively. Results: Roughly 20% of the participants received a PD diagnosis. Among the individual PD categories, schizotypal and obsessive-compulsive PDs were the most prevalent diagnoses. Participants with PD were more likely to have higher self-directedness and cooperativeness scores. These risk factors and personality dimensions were most strongly associated with the cluster B disorders. Conclusion: New versions of the diagnostic systems should include schizotypal, obsessive-compulsive and cluster B PDs as separate diagnostic categories, and impaired self-directedness as well as cooperativeness as a general diagnostic criterion for the sake of backward and forward compatibility of the research in this field.

Androgenetic alopecia: Does its presence change our perceptions?

Background  The aim of this study was to evaluate the effects of androgenetic alopecia on males with and without hair loss and to delineate the level of stress gained by this type of alopecia.

Validation of the DSM–5 Alternative Model Personality Disorder Diagnoses in Turkey, Part 1: LEAD Validity and Reliability of the Personality Functioning Ratings

ABSTRACT This study addresses longitudinal, expert, all data (LEAD) validity and reliability of the personality functioning ratings in Turkey, which are essential in assessing Criterion A for the entire DSM–5 alternative model for personality disorders (AMPD) diagnoses. A total of 120 consenting patients recruited at a university psychiatry clinic were rated by individual clinicians with respect to DSM–III–R and AMPD criteria. Subsequently, a LEAD panel consisting of 3 senior clinicians convened to reach a consensus personality disorder diagnosis for each participant. Blind personality functioning ratings of a subgroup of 20 participants by the same set of 4 clinicians were obtained for test–retest reliability investigation. Concordance between the LEAD and AMPD diagnoses was as good as that between the LEAD and DSM–III–R diagnoses (kappas = .68). The personality functioning scores correlated strongly (r > .50) with the sum of specific DSM–III–R diagnoses. Reliability estimates pertaining to the personality functioning scores and resultant AMPD Criterion A decisions were mostly in the good range. In conclusion, DSM–5 alternative model-oriented personality functioning ratings yield total or composite scores that are evidently valid and reliable tools to diagnose general personality disorder and to estimate its global severity.

TIP FAKÜLTESİ SON SINIF ÖĞRENCİLERİNİN MESLEKİ KAYGILARI ÜZERİNE KALİTATİF BİR ARAŞTIRMA, AYDIN

Amac: Kaygi, kisinin esas kabul ettigi degerlerinin tehlikeye ugrayacagi dusuncesiyle icinde bulundugu duyusal sikinti durumudur. Kaygi sikligi ve yogunlugunun artmasi kisileri bircok yonden olumsuz etkilemektedir. Tip fakultesi son sinif ogrencileri yakin zamanda hekimlik meslegini tum sorumluluklariyla yerine getirecek ve insan sagligi ile dogrudan iliskide olacak bir gruptur. Bu grubun kaygi duzeyinin yuksek olmasi bu kisileri bircok yonden olumsuz yonde etkileyecektir. Calismamizda, Adnan Menderes Universitesi Tip Fakultesi son sinif ogrencilerinin mesleki kaygilarini ve bu kaygilarinin sebeplerini derinlemesine degerlendirmek amaclanmistir. Gerec ve Yontem: Calisma, kalitatif bir calisma olup, fenomenolojik arastirma biciminde desenlendirilmis; Agustos 2016’da baslayip Aralik 2017’de tamamlanmistir. Calismada veri toplama yontemi olarak odak grup gorusmesi teknigi kullanilmistir. Gruplardaki katilimcilar kolay ulasilabilir ve benzesik ornekleme yontemiyle secilmislerdir. Calismanin analizi icerik analizi yontemi ile elle yapilmistir. Veri analizi sonucu 6 ana tema, 15 alt tema olusturulmustur. Bulgular: aslica ortaya cikan temalar tip fakultesi son sinif ogrencilerinin hekimlik meslegini yapmakla ilgili kaygilari, tipta uzmanlik sinavi kaygilari, mecburi hizmet kaygisi, pratisyen hekim olarak calisma kaygisidir. Toplumsal cinsiyet ve saglik politikalari temalari, bu kaygilarin baslica sebepleri olarak ortaya cikmistir. Sonuc: Tip fakultesi son sinif ogrencileri mesleki egitimleri ve mezuniyet sonrasindaki meslek yasamlari ile ilgili ciddi kaygi tasimaktadirlar. Mesleklerini iyi bir ortamda ve iyi bir sekilde yapmalarini saglanmasinda oncelikle tip egitimi sistemi ve saglik politikalari olmak uzere ciddi sorunlar bulunmaktadir.