Yazar "Kavakci, Önder" seçeneğine göre listele
Listeleniyor 1 - 4 / 4
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Adult ADHD prevalence in Sivas province and comorbid axis-I, axis-II diagnoses(Cukurova University, Faculty of Medicine, 2011) Yapicio?lu, Bekir; Kavakci, Önder; Güler, Ayşegül Selcen; Semiz, Murat; Do?an, OrhanObjective: The purpose of this study was to determine the adult ADHD prevalence in Sivas province, to identify sociodemographic characteristics and comorbid axis-I and axis-II diagnoses in adults with ADHD. Methods: ASRS was administered to 901 subjects between 18-44 years of age and Childhood and Adulthood Attention Deficit and Hyperactivity module of MINI Plus 5.0.0 was administered to 28 out of 34 subjects who had ASRS scores above cutoff point and who accepted clinical interview. SCID-I and SCID-II were used to evaluate comorbid axis-I and axis-II diagnoses in subjects with ADHD. Findings: Screening with ASRS revealed a prevalence rate of 3.8% which dropped to 2.7% with the structured clinical interview. Adult ADHD was found to be higher (83.3%) in women in this sample which was statistically significant. Subjects with ADHD had lower employment status, more frequent job changes, medium level of income, more suicide attempts, more cigarette consumption, more psychiatric diagnoses on behalf of themselves and in their parents and more reported psychiatric need when compared to subjects without ADHD. 83% of the subjects with ADHD (n=20) had comorbid axis I diagnoses. Most common comorbid diagnoses were obsessive compulsive disorder, major depression and dysthymic disorder, each of which were 20.8%. 33.3% of the patients didn't have any axis II diagnoses. Most common axis II diagnoses were obsessive compulsive personality disorder (25%)and passive aggressive personality disorder (25%). Discussion: In conclusion, the main clinical implication of this study is that ADHD is a persistent diagnosis in adulthood. Given the high prevalence of adult ADHD and its high comorbidity with other psychiatric disorders, ADHD should be considered as a possible comorbid diagnosis for many patients in adult psychiatry clinics, especially for those who show continued impairment despite appropriate treatment or the presenting disorder.Öğe EMDR treatment of fibromyalgia, a study of seven cases(Cukurova University, Faculty of Medicine, 2012) Kavakci, Önder; Semiz, Murat; Kaptano?lu, Ece; Özer, ZaferObjective: Fibromyalgia syndrome (FMS) is a nonarticular rheumatic disease with unknown etiology and is characterized by widespread pain, increased tenderness in some anatomical regions, increased pain sensitivity, sleep disorders, fatigue and frequently by psychological distress. Though many approaches have been tried there is no effective treatment for FMS. The relationship between FMS and psychiatric disorders is known, recently some researches point to the frequency of psychological trauma in patients with FMS. The search for treatment for chronic painful conditions has more and more focused to psychotherapeutic approaches. In this study, seven patients diagnosed were attempted to be treated with EMDR approach. Methods: 22-41years aged six women and one man diagnosed with FMS were admitted to the study. Before and after the treatment tender point count was identified and patients scored their pain levels at Visuel Analog Scale. Patients filled in Beck Depression Inventory (BDI), The Posttraumatic Diagnostic Scale (PDS), Pittsburg Sleep Quality Index (PSQI), State-Trait Anger Scale (STAS). If the patients have reported, trauma was focused on, if they have not reported any trauma, pain was focused. Five-eight sessions of EMDR was applied to the patients. Results: After the treatment, there were statistically significant reduction in patient reported VAS, PSQI, FIQ, PDS, and BDI scores.There was signify-cant decrease in tender point counts. Though there was no change in trait anger, anger-in and anger-out subscores of STAS, the increase in anger management subscore was significant. After the treatment, none of thepatients met the FMS criteria but one patient (6th patient). Conclusion: EMDR therapy was effective in the treatment of these patients with FMS.Öğe Prevalence of depression and cognitive impairment in old age in Trabzon(Cukurova University, Faculty of Medicine, 2011) Kavakci, Önder; Bilici, Mustafa; Çam, Gamze; Ülgen, MetinObjective: The aim of this study is to determine the prevalence of depression and cognitive impairment, in addition to investigate the relation between these disorders and sociodemographic variables in 55 years of age and older population of Trabzon city. Methods: There has been interviewed with the aged of 55 and over 3093 people who represented Trabzon province. In the study, sociodemographic data form, the Standardized Mini Mental State Examination (MMSE) form, Geriatric Depression Scale forms were administered. Results: The prevalence of the depression was found to be 13.6% and the prevalence of the cognitive impairment was detected as 17.1% in the 55 years and over aged group in the province of Trabzon. The presence of depression was detected significantly in females and in those with cognitive impairment. The rate of occurring depression has increased significantly with age. Female gender, ageing, to be widowed, low educational level, hypertension, smoking, a history of head trauma, myocardial infarction, cerebrovascular accident (CVA), Parkinson's disease, a history of rheumatic disease, left-handedness were determined as the possible risks for depression. Increased MMSE score, male gender, longer educational period, smoking was found out as reduce the risk of depression. The risk factors for cognitive impairment include; female gender, ageing, being single, being uneducated, head injury, CVA, Parkinson's disease, a history of rheumatic disease and depression. Male gender, increased educational level, being married, alcohol and tobacco use was found to decrease the risk for cognitive impairment. The number of individuals with cognitive impairment and the level of cognitive impairment increase with age. Conclusion: Depression and cognitive impairment are common in in 55 years of age and older population, and increase with age progression and seem to be related to each other. Women are under greater risk for both disorders. Improving education and physical health protection may be protective for both disorders.Öğe The relationship between school bullying anddepression and self-esteem levels among the students of three primary schools with different socioeconomic levels in Sivas province(2009) Çetinkaya, Selma; Nur, Naim; Ayvaz, Adnan; Özdemir, Deniz; Kavakci, ÖnderObjective: This study was carried out in order to determine the relationship between bullying and depression, self-esteem levels of the students attending in three different elementary schools with different socio economic levels. Methods: This study, which was planned as cross-sectional study, was carried out between 23 May and 3 June 2005. Random selection method was used to determine the schools. Of the 563 students attending in these schools, 521 who had fulfilled the questionnaire forms were included in this study. The questionnaire consist of questions asked children's socio-demographic characteristics, Depression Scale for Children and Piers-Harris's Self Concept Scale in Children used for psychological assessment, Violence-Rough Power Questionnaire established kind of peer bullying. Results: The exposure rate of bullying of students was 43%. In all these schools with socio economic levels, especially in low socioeconomic level school it has been determined that the depression levels were getting higher (p=0.00) and self-esteem level were getting lower (p=0.00) among students who have been exposed to bullying. In all three schools the most frequent physical bullying type was pushing, verbal bullying type was nicking, sexual bullying type was disturbing by touching. The most frequent emotional bullying type was damaging properties in high socio economic level school, humiliating in mid socio economic level school and isolating in low economic level school. It has been determined a relationship between bullying and age, class level, occupation of father, education level of father, the number of sister and brothers and socio economic level of family (p=0.00). It has been determined that bullying level was being effected independently by number of sister and brothers and socio economic level (p=0.001). Conclusion: In order to solve the bullying problem in all socio economic level schools there a cooperation must be constituted between teachers, family and school management. There must be a child and adolescent psychiatrist consultation service for victims and for bullying individuals.
