Hülya Arslantaş

Schizo-obsessive and obsessive-compulsive disorder: comparison of clinical characteristics and neurological soft signs.

The purpose of the study was to examine whether schizophrenia with obsessive-compulsive disorder (OCD) represents a severe form of OCD-spectrum disorders on the basis of neurological soft signs (NSS) and obsessive-compulsive (OC) symptoms. Sixteen patients with OCD-schizophrenia, 25 OCD patients and 23 healthy controls (HC) were studied. Scales for the Assessment of Positive (SAPS) and Negative Symptoms (SANS), Clinical Global Impressions Scale and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) were used to assess the schizophrenic and OC symptomatology. NSS were evaluated with the Neurological Evaluation Scale (NES). OCD-schizophrenics had significantly higher scores on total NES than HC. The patients with OCD were more likely to have total Y-BOCS and subscale scores of compulsions than patients with OCD-schizophrenia. The rate of symmetry obsessions and cleaning/washing compulsions were significantly higher in patients with OCD compared to OCD-schizophrenics. We have found no correlation of OC symptoms with schizophrenic symptomatology. Our findings may suggest that OCD-schizophrenia is a distinct subtype of schizophrenia, not a more severe form of OCD-spectrum disorder.

Domestic Violence During Pregnancy in an Eastern City of Turkey: A Field Study

Violence is an increasing and important community health problem that can be seen in any area of human life. Limited studies were found about domestic violence among pregnant women and its relation with social status of women. The aim of this study was to determine the prevalence and types of domestic violence during pregnancy, factors affecting it, women’s thoughts about violence, and relation between social status of women and domestic violence. This cross-sectional study was conducted on 253 pregnant women, using cluster and simple random sampling methods. Chi-square test and logistic regression analysis methods were used to analyze the data. Women who indicated that they have been exposed to violence at some point of their lives were 24.1% and who indicated that violence continued while they were pregnant were 11.1%. Physical violence was the most common type of violence reported (18.2%). It was found that women who had primary school or lower level of education and who made unwanted marriage suffered from more violence during pregnancy. It can be said that violence against pregnant women is still a social problem. In societies where gender roles are dominant, decision makers have to take necessary steps such as supporting education of girls to improve social status of women, increasing awareness among women in regard to personal rights and legal regulations which will contribute to the solution of the issue.

Views of Male University Students About Social Gender Roles; An Example From East of Turkey

Social gender roles refer to the roles that are traditionally associated with women and men. Social gender role includes the personal attributes and behaviors which are culturally assigned to women and men. This study was conducted to determine the views of male students at Caucasian University Health School on social gender roles at work, social life, marriage, and family life. The study was conducted on male students studying at Kars Health School, Nursing and Health Officers Department during 2007–2008 academic year. The students were given 24 statements relating to work life, social life, marriage, and family life to determine their views on social gender roles. Results indicated that 30.2% of the male students stated that women could work in a paid job, 56.9% believed in equality of women and men, 44.8% approved honor killing, 40.5% said the girls should receive education as far as they can go, 54.3% said the role of the women was to “provide moral support to their husband and children”, 37.1% stated that husbands could beat their wives under certain circumstances, 52.6% said they witnessed violence in their family at some stage of their lives, 51.7% said the women’s environment should be decided by the spouses together, 25% said the women should engage in sexual intercourse with their spouses even if they did not want to. Men who thought the role of the women was to do housework/giving birth to children/looking after the elderly members of the house, and who approved honor killing and disapproved working of their spouses, and who did not believe in equality of women and men, were found to support violence to women by men. Moreover, the students who witnessed violence at some stage of their lives supported this view as well. It was considered that the students should be educated on the definition of violence and situations involving violence, and directed to consultant services.

Effects of Psychoeducation Given to Caregivers of People With a Diagnosis of Schizophrenia

The aim of this study was to evaluate the effectiveness of psychoeducation given to caregivers of patients diagnosed with schizophrenia on their perceptions of burden and on clinical course of patients. This was a quasi-experimental study with pre–post tests and a control group and designed as a nonrandomized controlled intervention trial. While the patients in both the intervention and the control group received treatment as usual (TAU), only the caregivers in the study group were offered two sessions of psychoeducation a week for one month, with a total of eight sessions. Effectiveness of the psychoeducation given was evaluated by comparing scores of Perceived Family Burden Scale (PFBS) and Positive and Negative Syndrome Scale (PANSS) obtained before and three months after delivery between the intervention and the control groups. Mean PFBS burden scores of the control group at baseline and follow-up were 45.7 and 44.5, respectively. Mean PFBS burden scores of the intervention group were 45.2 at baseline and 38.6 at follow-up. Analysis of variance revealed significant and medium to large size interaction effects of time and group factors on total burden scores of family members (F1.58 = 5.59; p < 0.05; ηp2 = 0.09) and on total PANSS scores of patients (F1.58 = 104.78; p < 0.001; ηp2 = 0.64). Our findings suggest that psychoeducation offered to the caregivers along with TAU offered to patients might result in diminished perceptions of burden among caregivers and enhanced improvement in the clinical course of patients as a result of psychoeducation offered to caregivers.