Osman Yildirim

The Relationship Between Internet Addiction and Body Mass Index in Turkish Adolescents

The purpose of this study was to investigate Internet use patterns and Internet addiction among adolescents and to examine the correlation between Internet addiction and eating attitudes and body mass index (BMI). The study was conducted among 1,938 students, aged between 14 and 18 years. The Internet Addiction Test (IAT), the Eating Attitudes Test (EAT), and a sociodemographic query form were used to collect data. According to the IAT, 12.4% of the study sample met the criteria for Internet addiction. A significant positive correlation between BMI and the IAT (r=0.307; p<0.01) and weekly Internet use (r=0.215; p<0.01) was found. Nine students with Internet addiction (3.8%) and 90 with average Internet use (5.3%) were found to have a possible eating disorder (p>0.05). No relationship was found between the EAT and the IAT and duration of weekly Internet use. Linear regression analysis revealed a significant independent association of the IAT with BMI (r=0.235; p<0.001). These results indicate an association between Internet addiction and BMI. Further studies are needed to describe the causality of this association.

Health-related quality of life in patients with anal fissure: effect of type D personality

Introduction Health-related quality of life (HRQL) is a significant factor in describing the burden of illness and the impact of treatment in patients with gastrointestinal disease. Type D (distressed) personality is defined as the co-occurrence of negative affect and social inhibition. Aim To assess the prevalence of type D personality in patients with anal fissure and to investigate whether the presence of a type D personality would affect HRQL in patients with anal fissure. Material and methods One hundred outpatients with anal fissure with no psychiatric comorbidity were consecutively enrolled, along with 100 healthy controls. Type D Scale (DS14) and General Health Survey Short Form-36 (SF-36) were used in the collection of data. Results Patients with anal fissure scored lower on physical roles and bodily pain dimensions of SF-36 than healthy subjects (p < 0.05). Thirty-three patients with anal fissure (33%) and 16 controls (16%) had scored above the cut-off score of the DS14 (p < 0.05). Patients with a type D personality were found to score lower on bodily pain and social roles domains of HRQL than patients without a type D personality. Conclusions Type D personality was associated with increased perceived bodily pain and social roles in patients with anal fissure. Type D personality construct may be an important consideration when assessing HRQL outcomes. A multidimensional approach may be valuable in the assessment of patients presenting with anal fissure, because a subgroup with type-D personality might benefit from psychological therapies.

The impact of type d personality on health-related quality of life in patients with symptomatic haemorrhoids

Introduction Haemorrhoids are one of the most common reasons that patients seek consultation from a colon and rectal surgeon. Health-related quality of life (HrQoL) is a significant factor in describing the burden of illness and the impact of treatment in patients with gastrointestinal disease. Type D (distressed) personality is defined as the co-occurrence of negative affect and social inhibition. Aim To assess the prevalence of type D personality in patients with haemorrhoids and to investigate whether the presence of a type D personality would affect HrQoL in patients with haemorrhoids. Material and methods One hundred and six outpatients with symptomatic haemorrhoids with no psychiatric comorbidity were consecutively enrolled, along with 96 healthy controls. The Type D Scale (DS14) and the General Health Survey Short Form-36 (SF-36) were used in the collection of data. Results Of 106 patients evaluated, 29.2% met criteria for type D personality. Patients with haemorrhoids scored lower on bodily pain and vitality dimensions of SF-36 than did healthy subjects (p < 0.001). Patients with a type D personality were found to score lower on bodily pain domain of HrQoL than patients without a type D personality. Linear regression analysis revealed a significant independent association of type D personality with bodily pain dimension of the SF-36 in patients with symptomatic haemorrhoids (r = –0.315, p < 0.01). Conclusions Type D personality was associated with increased perceived bodily pain in patients with haemorrhoids. Consideration of type D personality construct personality traits could improve risk stratification in research and clinical practice in this patient group.

Plasma omentin levels in drug-free patients with schizophrenia.

Aims: We aimed to investigate plasma omentin concentrations in non-obese, drug-free patients with schizophrenia in comparison with healthy volunteers. Method: Thirty-two patients with schizophrenia and 33 control subjects were recruited. Plasma omentin levels were determined by enzyme-linked immunosorbent assay. Results: Plasma levels of omentin (ng/ml) were found to be markedly lower in patients with schizophrenia (median = 7.7, 25th percentile = 6.3, 75th percentile = 604.9) than in controls (median = 486, 25th percentile = 326, 75th percentile = 794.2, p < 0.01). No significant difference was found between drug-free (n = 23) and drug-naive (n = 9) patients with respect to plasma omentin levels. Omentin concentrations correlated negatively with severity of illness, suggesting that patients with more severe pathology had lower fasting levels of omentin (n = 32; r = -0.387; p = 0.029). Conclusion: The present results suggest that plasma omentin levels are decreased in physically healthy, non-obese, antipsychotic-free patients with schizophrenia when compared with physically and mentally healthy individuals. To our knowledge, this is the first study that demonstrated the association between omentin and schizophrenia.

999 – The self-image of adolescents and its relationship to internet addiction

Introduction Self-image is developed by the way in which adolescents think, feel and behave and it arises from the persons body image during preadolescence. problematic A considerable amount of literature published so far on Internet addiction reveals that it is a worldwide phenomenon. Objectives Internet use involves an individuals inability to control his or her use of the Internet, negative consequences (e.g., failing in school, decreased productivity), and marked distress and/or functional impairment Until now, no studies were performed to investigate the relationship between Internet addiction and self-image. Aims The aim of this study was to evaluate Internet addiction among adolescents and to examine the correlation between problematic Internet use and self-image. Methods We assessed 1912 high school students, aged between 14 and 18 years. Internet Addiction Test (IAT), Offer Self- Image Questionnaire (OSIQ), and a sociodemographic query form were used in the collection of data. Results According to the IAT, 201 students (10.5%) were found to be a ‘problematic Internet user’ or an ‘Internet addict’. The students with Internet addiction scored lower on all subscales of OSIQ (impulse control, emotional tone, body image, social Relations, vocational and educational goals, family relations, mastery of the external world, emotional health and superior adjustment), except sexual attitudes. A significant negative correlation between daily OSIQ subscales and IAT and weekly Internet use was found. Conclusions The results of this study showed that Internet addiction was related to the development of the self-image, which is a crucial psychological structure gained in adolescence.

Psikotik belirtilerin eşlik ettiği Huntington hastalığında olanzapin kullanımı

Huntington’s disease is an autosomal dominant neurodegenerative disease. The disease begins between the ages of 30-50, including motor symptoms, psychiatric symptoms and is characterized by progressive dementia. Common psychiatric disorders of Huntington’s disease include mood and anxiety disorders, behavior and personality changes. Psychosis is relatively rare. Here, a patient is present, who has Huntington’s disease, which is associated with psychotic symptoms. 61-year-old male patient who were followed for Huntington disease for 25 years was admitted for complaints of thinking of poisoning and refuse to eat something. Patient was started on olanzapine at dose of 5 mg/day. In follow up psychotic symptoms disappeared. Emerging psychotic symptoms in Huntington disease is created a need for antipsychotic treatment. Atypical antipsychotic agents should be preferred in the treatment and as in the case olanzapine may be used as a treatment option should be kept in mind to control both involuntary movements and psychotic symptoms in Huntington’s disease with psychotic features. J Clin Exp Invest 2014; 5 (2): 326-328Huntington hastaligi otozomal dominant gecisli, norodejeneratif bir hastaliktir. Hastalik 30-50 yaslar arasinda baslayan motor belirtiler olmak uzere, psikiyatrik belirtiler ve ilerleyici demans ile karakterizedir. Huntington hastaliginda gorulen psikiyatrik bozukluklar siklikla duygu durum ve anksiyete bozukluklari, davranis ve kisilik degisiklikleridir. Psikoz ise nisbeten nadir gorulur. Bu sunumda psikotik belirtilerle seyreden bir Huntington olgusu sunulacaktir. 25 yildir Huntington hastaligi nedeniyle takip edilen 61 yasinda erkek hasta zehirlendigini dusunme ve yemek yemeyi reddetme sikayetleri ile basvurdu. Hastaya olanzapin 5 mg/gun tedavisi baslandi. Izlemlerde psikotik belirtileri ortadan kalkti. Huntington hastaliginda ortaya cikan psikotik belirtiler, antipsikotik tedavi ihtiyaci olusturmaktadir. Tedavide atipik antipsikotikler tercih edilmeli ve bu olguda oldugu gibi olanzapin, psikotik belirtilerin eslik ettigi Huntington olgularinda psikozu ve istemsiz hareketleri kontrol altina almada tedavi secenegi olarak akilda tutulmalidir.

A Case of Panic Attack Induced by St John's Wort.

To the Editor: St John’s wort (Hypericum perforatum L) is one of the oldest and best investigated medicinal herbs.1 Hypericum extracts have been shown to be significantly effective in treating mild-to-moderate depression.2 To the best of our knowledge, we report the first case of panic attack induced by a single dose of St John’s wort extract. Case report. Mr A, an otherwise healthy 35-year-old man, was admitted to the hospital for gradually increased trembling and fear of dying. He stated that, 2 hours after he drank a glass of St John’s wort extract (because of difficulty falling asleep), he became restless, anxious, and agitated. He also reported palpitations, sweating, chest discomfort, shortness of breath, nausea, blurred vision, and feelings of derealization. The patient denied hallucinations or delusions. An electrocardiogram showed tachycardia. Vital signs were remarkable for a pulse of 110 bpm and respiratory rate of 22 breaths/min. Improvement was seen in the panic state, and vital signs returned to normal within 25 minutes after oral alprazolam 1 mg was administered. He denied any psychiatric history (apart from difficulty falling asleep 1 or 2 days a week), current stressors, or use of alcohol. Family history was noncontributory. When questioned, Mr A reported a similar episode after drinking a glass of St John’s wort extract approximately 2 months previously. The patient met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria for panic attack. According to the Naranjo Adverse Drug Reaction Probability Scale,3 there was a probable association between St John’s wort and panic attack. After being discharged, Mr A denied any further panic attacks at his 1- and 3-month visits. Although the exact mechanism of action is not known, there is good evidence from in vitro experiments that St John’s wort extracts are potent but nonspecific inhibitors of the synaptosomal reuptake of serotonin, norepinephrine, and dopamine.4 In vivo studies have shown that Hypericum extracts lead to a down-regulation of β-adrenergic receptors and an up-regulation of 5-HT2 receptors.4 The most important risk associated with Hypericum extracts is reported to be the interactions with other drugs.5 However, as reported here, a single dose of St John’s wort extract can induce a panic attack. It is crucial to investigate herbal drug use in patients presenting with psychiatric complaints. It is important that clinicians become aware of the potential psychiatric adverse effects associated with St John’s wort, which is a widely used medicinal herb, and explain these effects to their patients.

1607 – Impaired subjective sleep quality in irritable bowel syndrome patients with a type D personality

Introduction Type D (distressed) personality is defined as the co-occurrence of negative affect (NA) and social inhibition (SI). Objectives Although many studies have analyzed the association of irritable bowel syndrome (IBS) and personality traits, the effect of Type D personality on sleep quality of patients with IBS has not been evaluated. Aims We aimed to assess the prevalence of Type D personality in patients with and to investigate whether the presence of a Type D personality would affect subjective sleep quality in patients with IBS. Methods Ninety-seven patients who met the Rome III criteria for IBS with no psychiatric comorbidity were consecutively enrolled, along with 39 healthy controls. Type D Scale, Pittsburgh Sleep Quality Index (PSQI), and Hospital Anxiety and Depression Scale were used in the collection of data. Results Of 97 patients evaluated, 45.4% met criteria for Type D personality. Thirty-five patients (36.1%) and 7 healthy volunteers (17.9%) were “poor” sleepers (p Conclusion Type D personality was associated with decreased perceived sleep quality in patients with IBS.

997 – The relation between instrumental musical activity and internet addiction among high school students

Introduction Musicians are a population often stereotypically linked to a wide range of substance use behaviors. A number of convenience studies provide support for the perception of disproportionately high substance use rates by musicians. Objectives An association between alcohol and substance abuse and musical activity has been reported previously. However, up until now, no study has been carried out on the relationship between Internet overuse and musical activity. Aims The aim of this study was to evaluate Internet addiction among adolescents and to examine the correlation between problematic Internet use and musical activity. Methods The study was conducted among 1905 students, aged between 14 and 18 years. Internet Addiction Test (IAT) and a sociodemographic query form were used in the collection of data. Students were also asked if they were regularly engaging in a musical activity. Results The students with problematic Internet use and Internet addiction were more likely to engage in musical activity than students with avarage Internet use (p Conclusions These results indicate an association between the Internet addiction and musical activity. We hope that future studies will fruitfully draw upon our exploratory findings in order to generate a more nuanced understanding of the nature and implications of Internet addiction among musicians.