Mücahit Öztürk

Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation.

Abstract A questionnaire consisting of items about abuse, neglect, self‐mutilation and suicide attempt and the Turkish Version of the Dissociative Experiences Scale were given to 862 high school students. The rates of suicide attempt and self‐mutilative behaviors were 10.1% and 21.4%, respectively. Abused or neglected groups (34.3%) had 7.6‐fold higher suicide attempts and 2.7‐fold higher self‐mutilation behaviours. The logistic regression model showed that each type of trauma and dissociation contributed to suicide attempts and self‐mutilation, but dissociation was the most powerful. Suicidal and self‐destructive adolescents should precisely be evaluated for abuse, neglect and dissociation in clinical practice.

Phenomenology, psychiatric comorbidity and family history in referred preschool children with obsessive-compulsive disorder

ObjectiveThe study aimed to investigate phenomenology, psychiatric comorbidity, and family history of obsessive-compulsive disorder (OCD) in a clinical sample of normally developing preschool children with OCD.MethodSubjects in this study were recruited from a clinical sample of preschool children (under 72 months of age) who were referred to a university clinic. Subjects with a normal developmental history and significant impairment related to OCD symptoms were included in the study. Children’s Yale-Brown Obsessive-Compulsive Scale was used to assess OCD symptoms. Each subject was assessed for comorbid DSM-IV psychiatric disorders using a semi-structured interview. Parents were evaluated for lifetime history of OCD in individual sessions.ResultsFifteen boys and ten girls (age range: 28 to 69 months; 54.12±9.08 months) were included. Mean age of onset of OCD was 35.64±13.42 months. All subjects received at least one comorbid diagnosis. The most frequent comorbid disorders were non-OCD anxiety disorders (n=17; 68.0%), attention-deficit hyperactivity disorder (ADHD) (n=15; 60.0%), oppositional defiant disorder (ODD) (n=12; 48.0%), and tic disorders (n=6; 24.0%). Mean number of comorbid disorders was 3.65 and 2.35 for boys and girls, respectively. At least one parent received lifetime OCD diagnosis in 68 percent of the subjects.ConclusionsThe results indicated that OCD in referred preschool children is more common in males, highly comorbid with other psychiatric disorders, and associated with high rates of family history of OCD. Given the high rates of comorbidity and family history, OCD should be considered in referred preschool children with disruptive behavior disorders and/or with family history of OCD.

Anger Attacks in depressed Turkish outpatients

Anger attacks have been described as sudden spells of anger accompanied by symptoms of autonomic activation and have been experienced by patients as uncharacteristic of them and inappropriate to the situations in which they had occurred. The aim of this study was to assess the prevalence of anger attacks in a non-Western depressed population. We also wanted to see whether depression in patients with anger attacks was qualitatively different from depression without anger attacks. The Anger Attacks Questionnaire, designed by Fava et al. to assess these attacks, was administered to 88 medication-free consecutive outpatients diagnosed as major depression according to DSM-IV criteria by two psychiatrists. The patients also were assessed by the Beck Depression Inventory, the Beck Anxiety Inventory, the Beck Hopelessness Scale, and the Spielbergers State-Trait Anger Expression Inventory. Forty-three (49%) of these patients had reported having anger attacks. The patients with anger attacks were significantly more depressed and anxious than patients without anger attacks. Anger-out and trait anger measures were significantly higher in depressed patients with anger attacks than patients without anger attacks. Patients with anger attacks also scored higher in hopelessness measure and there was a trend toward statistical significance. Our results are in line with previous literature which show, that anger attacks are prevalent in depressed patients. We also conclude that patients with anger attacks constitute a more depressed population than those without anger attacks. Severity of depression emerges as the strongest predictor of the presence of anger attacks in our study.

Reliability and validity of the Turkish version of the Child Dissociative Checklist

Abstract Objective: This paper investigated the psychometric characteristics of the Turkish Version of the Child Dissociative Checklist (CDC). Method: The CDC was translated by the authors and discrepancies were resolved by consensus. It was administered to a sample consisting of 9 DID, 28 DDNOS, 35 anxiety disorder, 22 mood disorder, 22 ADHD, and 88 non-psychiatric comparison children and adolescents (N = 204, age range 6-17 years). Parents or caretakers completed the measure at the hospital for patient groups. Controls were recruited through school. A 5-month test-retest was performed on a mixed patient and control group (N = 34). Results: The test-retest coefficient was 0.59. The split-half was 0.85. For the whole sample (N = 204), Cronbachs alpha coefficient was 0.89. Spearman rank-order correlations were calculated between each item and item-corrected score totals and were all significant at p < 0.001 except for item 17. A Kruskal-Wallis comparison across the different groups with pair-wise comparisons was highly significant. The median score of CDC was 25.0 in DID, 16.5 in DDNOS, 4.0 in anxiety disorder, 5.0 in mood disorder, 5.5 in ADHD groups and 2.0 in non-clinical controls. Conclusion: This paper establishes the validity and reliability of the Turkish translation of the CDC as well as providing cross-cultural documentation of significant dissociation occurring in children and adolescents in Turkey.

Risperidone treatment in preschool children with disruptive behavior disorders: a chart review study / Yıkıcı davranış bozuklukları olan okulöncesi çocuklarda risperidon tedavisi: Bir dosya tarama çalışması

Objective: To gather data about the efficacy and safety of risperidone in normally developing preschool children with disruptive behavior disorders (DBDs).Methods: This is a retrospective chart rev...

Ergenlikte Cinsel Fetişizm: İki Olgu Sunumu / Sexual Fetishism in Adolescence: Report of Two Cases

Sexual fetishism in adolescence: report of two cases Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or behaviors involving the use of nonliving objects, such as female undergarments or non-sexual body parts. Although it is assumed that fetishism usually begins by adolescence, there is very limited data on the characteristics of sexual fetishism in children or adolescents. This paper aims to describe clinical pictures of two adolescent boys who developed sexual fetishism. They were 13 and 12 years-old of age and both have comorbid attention deficit hyperactivity and social anxiety disorders. We plan to discuss clinical picture, treatment intervention and impact of comorbid attention deficit hyperactivity and social anxiety disorders in the development of sexual fetishism in these subjects.