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Öğe Akkiz prematür ejakülasyon hastalarında ailesel işlevlerdeki değişiklikler(2011) Arı, Mustafa; Bez, Yasin; Kaya, Yusuf; Kıvrak, YükselAmaç: Bu çalışmada akkiz prematür ejakülasyonu (PE) olan bireylerde ailesel işlevlerdeki değişikliklerin araştırılması amaçlandı. Gereç ve yöntem: Çalışmamızda PE grubu Mustafa Kemal Üniversitesi Tıp Fakültesi Araştırma Hastanesi Üroloji polikliniğine başvuran hastalardan seçildi. Kontrol grubu ise sağlıklı gönüllüler arasından seçildi. Üroloji polikliniğinde hastalar ejakülasyon süresine göre incelendi. Bir dönem herhangi bir şikayeti olmadığı halde bir süredir ejakülasyon süresi bir dakikadan kısa olan ve bundan şikayeti olan bireylerde PE olduğu kabul edildi. Toplam 30 katılımcı PE grubu olarak, 30 sağlıklı gönüllü de kontrol grubu olarak çalışmaya dahil edildi. Daha sonra bu katılımcılar psikiyatr tarafından değerlendirildi. Tüm katılımcılara Beck Ansiyete Ölçeği ve Aile Değerlendirme Ölçeği uygulandı. Bulgular: PE grubunda anksiyete düzeyi kontrol grubundan daha yüksekti (p=0.001). Aile değerlendirme ölçeğinde PE grubunda problem çözme (p=0.001), iletişim (p=0.022), duygusal cevap verebilme (p=0.011), davranış kontrolü (p=0.032), gereken ilgiyi gösterme (p=0.011) alt ölçeklerinde puanlar kontrol grubuna göre anlamlı olarak daha yüksekti. Genel fonksiyonlar (p=0.217) ve roller (p=0.133) açısından anlamlı farklılığa rastlanmadı (p>0.05). Sonuç: PE hastalarında ailesel işlevlerde bozulma olduğu söylenebilir, dolayısıyla bu hastaların tedavisinde ailesel işlevlere yönelik yaklaşımlar fayda sağlayabilir.Öğe Büro çalışanlarında pazartesi kaygısı(2011) Bez, Yasin; Emhan, Abdurrahim; Arı, Mustafa; Özen, ŞakirAmaç: Bu araştırmada, büro çalışanlarının pazartesi ve perşembe günlerine ait durumluk ve sürekli kaygı düzeylerinin karşılaştırılması amaçlandı. Yöntem: Pazartesi sabahı 230 vergi dairesi çalışanına sosyodemografik bilgi formu, Durumluk Kaygı Envanteri (DKE), Sürekli Kaygı Envanteri (SKE) ve Beck Depresyon Envanteri (BDE) dağıtıldı. Toplam 144 kişiden güvenilir bilgi elde edildi. Bu 144 kişiye, perşembe sabahı (3 gün sonra) kaygı ölçekleri yeniden dağıtıldı, 61 kişiden güvenilir ve eksiksiz bilgi elde edildi. Bulgular: 61 kişinin DKE puanı pazartesi sabahı 44.4±10.2 iken, perşembe sabahı 42.2±9.9 olarak bulundu (t=2.226, p=0.030). SKE puanının ise pazartesi günü 44.7±8.8, perşembe günü 43.0±8.2 olduğu tespit edildi (t=2.123, p=0.038). Pazartesi günkü BDE puanı 14.4±10.5 bulundu. Hem pazartesi hem de perşembe günü memurların SKE puanı ortalaması, yöneticilerinkinden daha yüksekti. Benzer şekilde, memurların pazartesi günkü BDE puanları da, yöneticilerinkinden daha yüksekti. SKE puanı ortalamaları pazartesi günü, orta yaştaki memurlarda gençlerden ve kadınlarda erkeklerden daha yüksekti. Ayrıca, lise mezunlarının SKE ve DKE puanlarının üniversite mezunlarınkinden daha yüksek olduğu görüldü. Sonuç: Pazartesi günü kısmen yüksek olan kaygı; kadın olma, orta yaş üstünde olma, uzun süre aynı işte çalışma, düşük eğitim seviyesi ve yönetilen olma değişkenleri ile ilişkili bulundu.Öğe Dicle Üniversitesi hastaneleri özürlü kuruluna başvuran olguların incelenmesi(2013) Uysal, Cem; Bulut, Mahmut; Kaya, Cemal; Güneş, Mehmet; Bez, Yasin; Zeren, Cem; Taş, Cuma; Uyar, Betül; Karaaslan, Bekir; Gören, SüleymanAmaç: Dünya Sağlık Örgütü (DSÖ) gelişmiş ülkelerde nüfusun %10’unu, gelişmekte olan ül- kelerde ise %12’sini özürlü bi- reylerin oluşturduğunu kabul etmektedir. Türkiye İstatistik Kurumu (TUİK)’nun yapmış ol- duğu “2002 Türkiye Özürlüler Araştırması” sonuçlarına göre ülkemizde özürlü olan nüfu- sun toplam nüfus içindeki ora- nı %12,29 idi. Bu çalışmamız da özürlülerle ilgili ülkemiz verile- rine katkıda bulunmak amacıyla yapılmıştır. Yöntemler: Hastanemiz özürlü kuruluna 2011 yılı Ocak - Aralık aylarında başvuran 1805 vakaya ait dosya- lar geriye dönük olarak değer- lendirilmiştir. Bulgular: 1805 vakanın %45,4’ ü (820 kişi) kadın %54,6’ sı (985 kişi) ise erkekti. En fazla başvuru 228 (%12,6) vaka ile Mart ayında gerçekleşmişti. %50’den daha az özrü olduğuna karar verilen 1173 (%65) vaka varken, kalan 541 (%30) vakanın özrünün %50 ve üzerinde olduğu tespit edil- miştir. Verilen özür oranlarının süreleri incelendiği zaman; Tüm başvurular içerisinde 873 olgu- nun (%48,4) sürekli özre sahip olduğu görülmüştür. Sonuç: Özürlülüğe yol açan etmenler minimuma indirilmelidir. Alına- cak tedbirler sadece büyükşe- hir kent merkezinde değil diğer küçük yerleşim bölgelerinde de uygulanmalıdır.Öğe Efects of isotretinoin on social anxiety and quality of life in patients with acne vulgaris: A prospective trial(2012) Yesilova, Yavus; Bez, Yasin; Ari, Mustafa; Turan, EnverSocial anxiety is common in acne patients and the effects of isotretinoin treatment on social anxiety symptoms have not yet been thoroughly investigated. The aim of the study was to assess the effects of isotretinoin treatment on the quality of life and social anxiety symptoms in a group of acne vulgaris patients. The Liebowitz Social Anxiety Scale (LSAS) and Short Form-36 (SF-36) were administered to 39 (24 female and 15 male) patients with acne vulgaris who accepted isotretinoin treatment and agreed to participate in the study. The severity of acne was evaluated using the Global Acne Grading System. Thirty patients completed 6-month treatment with oral isotretinoin at 0.5-1.0 mg/kg daily doses. Measurements were repeated at the end of 6 months. Acne significantly improved over time in the study group. The mean performance avoidance score in LSAS and mean pain and social functioning scores in SF-36 were significantly better at the end of isotretinoin treatment. In conclusion, isotretinoin treatment improves the quality of life and social anxiety symptoms in acne patients.Öğe Effects of isotretinoin on obsessive compulsive symptoms, depression, and anxiety in patients with acne vulgaris(Taylor & Francis Ltd, 2012) Yesilova, Yavuz; Bez, Yasin; Ari, Mustafa; Kaya, Mehmet Cemal; Alpak, GokayBackground: Depression, anxiety, and obsessive compulsive symptoms are known to be common among patients with acne vulgaris. In contrast to earlier reports, a number of recent studies suggested isotretinoin to be beneficial for depression and anxiety symptoms in acne patients. Moreover, its effects on obsessive compulsive symptomatology are still widely unknown. Objectives: To examine the effects of isotretinoin treatment on obsessive compulsive symptoms, depression, and anxiety in acne vulgaris patients. Methods: The Hospital Anxiety and Depression Scale, Maudsley Obsessive Compulsive Questionnaire, and Sheehan Disability Scale were administered to 43 patients with acne vulgaris who accepted isotretinoin treatment and agreed to participate in the study. Severity of acne was evaluated with Global Acne Grading System. Thirty-three patients completed 6 months treatment with oral isotretinoin at 0.5-1.0 mg/kg daily doses. Measurements were repeated at the end of 6 months. Results: Depression, anxiety, and obsessive rumination symptoms were significantly improved after isotretinoin treatment. On the other hand, obsessive doubting of acne patients was worse at the end of the treatment. There was no significant change in disease related disability of patients. Conclusion: Besides worsening of obsessive doubting, successful treatment with oral isotretinoin seems to be related with improvement in depression, anxiety, and obsessive rumination symptoms in acne vulgaris patients. These changes were not reflected in the disability level that acne patients have reported.Öğe Effects of Isotretinoin on Social Anxiety and Quality of Life in Patients with Acne Vulgaris: A Prospective Trial(Croation Dermatovenerological Soc, 2012) Yesilova, Yavus; Bez, Yasin; Ari, Mustafa; Turan, EnverSocial anxiety is common in acne patients and the effects of isotretinoin treatment on social anxiety symptoms have not yet been thoroughly investigated. The aim of the study was to assess the effects of isotretinoin treatment on the quality of life and social anxiety symptoms in a group of acne vulgaris patients. The Liebowitz Social Anxiety Scale (LSAS) and Short Form-36 (SF-36) were administered to 39 (24 female and 15 male) patients with acne vulgaris who accepted isotretinoin treatment and agreed to participate in the study. The severity of acne was evaluated using the Global Acne Grading System. Thirty patients completed 6-month treatment with oral isotretinoin at 0.5-1.0 mg/kg daily doses. Measurements were repeated at the end of 6 months. Acne significantly improved over time in the study group. The mean performance avoidance score in LSAS and mean pain and social functioning scores in SF-36 were significantly better at the end of isotretinoin treatment. In conclusion, isotretinoin treatment improves the quality of life and social anxiety symptoms in acne patients.Öğe Examination of Anger Reactions and Psychiatric Diagnoses in Terms of Gender in a Group of University Students Having Difficulty with Anger Control(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2010) Ozen, Sakir; Bez, Yasin; Ari, Mustafa; Ozkan, MustafaObjective: We aimed to determine axis-I and axis-II diagnoses and identify gender difference in anger reactions among young adults who have difficulty controlling their anger. Method: Students from various faculties who had difficulty controlling their anger were invited to the psychiatry department. The SCID-I, SCID-II, Multidimensional Anger Scale, Childhood Trauma Questionnaire, Social Comparison Scale, Boratav Depression Screening Scale, and Beck Hopelessness Scale were administered to consecutive admissions of 50 males and 50 females. Results: Axis-I diagnoses were present in 60% of males and 74% of females. Axis-II diagnoses were present in 28% of males and 36% of females. Somatoform disorders and impulse control disorder were higher in males, whereas anxiety disorders and mood disorders were higher in females. Depression was diagnosed in 10% of males and 36% of females. Not being taken seriously was the most prominent reason for anger among females. The Revenge reactions score was strongly correlated with the education level of the mother in both genders (in females r=0.472, p=0.001; in males r=-0.396, p=0.006). The best predictor of an axis-I diagnosis in women was the anger symptoms total score, whereas it was the thoughts related to anger subscale score in males. On the other hand, the best predictors of an axis-II diagnosis were anxious behavior in females and smoking in males. Conclusion: Anger is an important component of psychiatric disorders. Reaction styles and underlying psychiatric disorders vary according to gender.Öğe High plasma nesfatin-1 level in patients with major depressive disorder(Pergamon-Elsevier Science Ltd, 2011) Ari, Mustafa; Ozturk, Oktay Hasan; Bez, Yasin; Oktar, Suleyman; Erduran, DuduAim: In the present study, our aim was to determine the changes in the plasma concentrations of a recently discovered peptide hormone nesfatin-1 in patients with major depressive disorder and then to make a comparison with the control group. Method: Subjects in the patient group were randomly selected from Mustafa Kemal University, Medical School, Research and Training Hospital, Psychiatry Department, Outpatient Clinic and subjects in the control group were selected from healthy volunteers. Healthy control subjects were matched in terms of weight and body mass index. Hamilton Depression Rating Scale (HAM-D) was applied to both groups. ELISA method was used for measurement of plasma nesfatin-1 levels. Results: The average nesfatin-1 level was statistically higher in patients with major depressive disorder than in the control group (p<0.001). A positive correlation was observed between plasma nesfatin-1 levels and HAM-D scores both in the patient group (r = 0.59, p<0.001) and in the control group (r = 0.58, p<0.001). Conclusion: Our findings suggest a possible relationship between major depressive disorder and high plasma nesfatin-1 level. (C) 2010 Elsevier Inc. All rights reserved.Öğe Increased plasma nesfatin -1 levels in patients with obsessive compulsive disorder(2012) Bez, Yasin; Arı, Mustafa; Öztürk, Oktay Hasan; Oktar, Süleyman; Can, YeşimObjective: To determine and compare the plasma nesfatin-1 (a satiety peptide) levels of patients with obsessive compulsive disorder (OCD) and healthy control subjects. Method: Plasma nesfatin-1 levels of 31 patients with OCD (18 females, 13 males) and 28 healthy control subjects (16 females and 12 males) similar to the study group in terms of weight, age, and gender were measured in this study. Severity of obsessions and compulsions both in OCD patients and control subjects were determined by using Yale-Brown Obsessive Compulsive Scale (Y-BOCS). ELISA method was used to measure plasma nesfatin-1 levels. Results: Median plasma nesfatin-1 levels in patients with OCD and healthy control subjects were 4.61 ng/ml (min-max: 1.28-8.11) and 2.0 ng/ml (min-max: 0.11-4.98) respectively. The observed difference in plasma nesfatin-1 levels between two groups was statistically significant (p<0.001). No statistically significant correlation was observed between Y-BOCS scores and plasma nesfatin-1 levels either in the study group (r=0.205, p=0.27) or in the control group (r=0.335, p=0.071). Conclusion: Increased plasma nesfatin-1 levels observed in patients with OCD suggest a potential role to nesfatin-1 in anxiety states besides its previosly known anorexigenic effects.Öğe Increased Plasma Nesfatin-1 Levels in Patients with Obsessive Compulsive Disorder(Kure Iletisim Grubu A S, 2012) Bez, Yasin; Ari, Mustafa; Ozturk, Oktay Hasan; Oktar, Suleyman; Can, YesimIncreased plasma nesfatin-1 levels in patients with obsessive compulsive disorder Objective:To determine and compare the plasma nesfatin-1 (a satiety peptide) levels of patients with obsessive compulsive disorder (OCD) and healthy control subjects. Method: Plasma nesfatin-1 levels of 31 patients with OCD (18 females, 13 males) and 28 healthy control subjects (16 females and 12 males) similar to the study group in terms of weight, age, and gender were measured in this study. Severity of obsessions and compulsions both in OCD patients and control subjects were determined by using Yale-Brown Obsessive Compulsive Scale (Y-BOCS). ELISA method was used to measure plasma nesfatin-1 levels. Results: Median plasma nesfatin-1 levels in patients with OCD and healthy control subjects were 4.61 ng/ml (min-max: 1.28-8.11) and 2.0 ng/ml (min-max: 0.11-4.98) respectively. The observed difference in plasma nesfatin-1 levels between two groups was statistically significant (p<0.001). No statistically significant correlation was observed between Y-BOCS scores and plasma nesfatin-1 levels either in the study group (r=0.205, p=0.27) or in the control group (r=0.335, p=0.071). Conclusion: Increased plasma nesfatin-1 levels observed in patients with OCD suggest a potential role to nesfatin-1 in anxiety states besides its previosly known anorexigenic effects.Öğe Low adiponectin and high resistin levels in panic disorder(Informa Healthcare, 2012) Bez, Yasin; Bulut, Mahmut; Kivrak, Yuksel; Cemal, Kaya Mehmet; Muharrem, Yunce; Mustafa, Ari; Hasan, Ozturk Oktay[Abstract Not Available]Öğe Monday Anxiety in Office Workers(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2011) Bez, Yasin; Emhan, Abdurrahim; Ari, Mustafa; Ozen, SakirObjective: In this study, comparison of state and trait anxiety levels of office workers on monday and on thursday was aimed. Method: On monday morning, sociodemographical form, State Anxiety Inventory (SAI), Trait Anxiety Inventory (TAI) and Beck Depression Inventory (BDI) were delivered to the 230 office workers. The data collected from 144 participants were usable. On thursday morning (3 days after) anxiety inventories were delivered again to these 144 workers. Complete and valid forms were collected from 61 participants. Results: The mean SAI scores of 61 participants on monday and on thursday were 44.4+10.2 and 42.2+9.9 (t= 2.226, p= 0.030) respectively; whereas their TAI scores were 44.7 +/- 8.8 and 43.0 +/- 8.2 (t= 2.123, p= 0.038) respectively. Mean BDI scores was 14.4 +/- 10.5. Mean TAI scores of workers both on monday and thursday were higher than managers'. Similarly, mean BDI score of workers on Monday was also higher than managers'. Mean TAI scores was higher in middle aged workers than youngs and higher in women than men. Additionally, mean SAI and TAI scores of high school graduates were higher than university graduates'. Conclusion: Relatively higher levels of anxiety on monday was found to be associated with woman gender, being over middle ages, longer job experience in the same work, lower education level, and being blue collar employee.Öğe Öfke kontrolünde zorluk yaşayan bir grup üniversite öğrencisinde öfke tepkileri ve psikiyatrik tanıların cinsiyet açısından incelenmesi(2010) Özen, Şakir; Bez, Yasin; Arı, Mustafa; Mustafa ÖzkanAmaç: Öfke kontrolünde zorluk yaşayan gençlerde birinci ve ikinci eksen tanılarının saptanması ve cinsiyete göre öfke tepkilerindeki farklılığın belirlenmesi amaçlandı. Yöntem: Çeşitli fakültelerden öfke kontrolünde zorluk yaşayan öğrenciler psikiyatri bölümüne davet edildi. Bölüme ilk gelen 50 erkek ve 50 kız öğrenciye SCID-I, SCID-II, Çok Boyutlu Öfke Ölçeği, Çocukluk Örselenme Yaşantıları Ölçeği, Sosyal Karşılaştırma Ölçeği (SKÖ), Boratav Depresyon Tarama Ölçeği ve Beck Umutsuzluk Ölçeği uygulandı. Bulgular: Eksen-I tanısı erkeklerde %60, kızlarda %74; eksen-II tanısı erkeklerde %28, kızlarda %36 oranında saptandı. Erkeklerde somatoform bozukluklar ve dürtü kontrol bozukluğu; kızlarda anksiyete bozukluğu ve duygudurum bozukluğu daha fazlaydı. Erkeklerin %10'una, kızların %36'sına depresyon tanısı kondu. "Ciddiye alınmama" kızların en belirgin öfkelenme sebebiydi. Her iki cinsiyette de, "intikam tepkileri" puanı ile en kuvvetli korelasyon annenin eğitim düzeyi arasında saptandı (kızlarda r=0.472, p=0.001; erkeklerde r=-0.396, p=0.006). Kızlarda eksen-I tanısı varlığını en iyi yordayan değişken "öfke belirtileri" toplam puanı, erkeklerde "öfkesine yönelik düşünceler" altölçeği puanıdır. Öte yandan kızlarda eksen-II tanısı varlığını en iyi yordayan değişken "kaygılı davranışlar" altölçeği puanı, erkeklerde "sigara kullanma" alışkanlığıdır. Sonuç: Öfke psikiyatrik bozuklukların önemli bir bileşenidir. Tepki tarzları ve temeldeki psikiyatrik bozukluklar cinsiyete göre farklılık göstermektedir.Öğe The phenomenology of autistic regression: subtypes and associated factors(Springer, 2012) Ekinci, Ozalp; Arman, Ayse Rodopman; Melek, Ismet; Bez, Yasin; Berkem, MeralThis study aimed to investigate the association of autistic regression (AR) and subtypes of AR with medical, developmental and psychiatric factors. Fifty-seven children with autistic spectrum disorders (ASD) were included in the study. Two types of AR are defined as regression after a normal social/language development (type 1) and regression as the worsening of previously reported autistic features (type 2). The frequency of history of AR was 56.1%. Male gender and sleep problems were found to be associated with a positive history of AR. The frequency of gastrointestinal complaints/diseases was higher in children with regression type 2 when compared to the children with regression type 1. Future studies with larger sample size and prospective design will contribute to clarifying the phenomenology and the associated factors of AR.Öğe Plasma nesfatin-1 level may be associated with disease severity in patients with panic disorder(2010) Bez, Yasin; Arı, Mustafa; Öztürk, Oktay Hasan; Oktar, Süleyman; Can, Yeşim; Söğüt, SadıkObjective: We have compared the plasma levels of the recently discovered peptide hormone nesfatin-1 between patients with panic disorder (PD) and healthy control subjects. Method: The subjects in the patient group were selected from the patients who presented to the psychiatry outpatient clinic of a university hospital and were diagnosed with PD. Healthy subjects similar to the patient group in terms of age, gender, weight, and BMI constituted the control group in this study. The Panic-Agoraphobia Scale (PAS) was applied to all subjects in both groups. Blood samples were collected to measure plasma nesfatin-1 level by using ELISA method. Results: Mean plasma nesfatin-1 level (4.66 ± 2.39 ng/ml in patient group, 2.13 ± 1.52 ng/ml in control group) was higher in patients with PD than in the control group (p<0.001). A positive correlation between PAS scores and plasma nesfatin-1 levels was found in the patients with PD. Conclusion: There may be a relationship between disease severity and plasma nesfatin-1 levels in panic disorder patients. Future studies investigating this relationship are needed.Öğe Predictive Value of Obsessive Compulsive Symptoms Involving the Skin on Quality of Life in Patients with Acne Vulgaris(Acta Dermato-Venereologica, 2013) Bez, Yasin; Yesilova, Yavuz; Ari, Mustafa; Kaya, Mehmet Cemal; Alpak, Gokay; Bulut, MahmutAcne is one of the most common dermatological diseases, and obsessive compulsive disorder is among the most frequent psychiatric conditions seen in dermatology clinics. Comorbidity of these conditions may therefore be expected. The aim of this study was to measure obsessive compulsive symptoms and quality of life in patients with acne vulgaris, compare them with those of healthy control subjects, and determine whether there is any predictive value of obsessive compulsive symptoms for quality of life in patients with acne. Obsessive compulsive symptoms and quality of life measurements of 146 patients with acne vulgaris and 94 healthy control subjects were made using the Maudsley Obsessive Compulsive Questionnaire and Short Form-36 in a cross-sectional design. Patients with acne vulgaris had lower scores for physical functioning, physical role dysfunction, general health perception, vitality, and emotional role dysfunction. They also had higher scores for checking, slowness, and rumination. The only predictor of physical functioning and vitality dimensions of health-related quality of life in these patients was rumination score. Obsessive compulsive symptoms in patients with acne vulgaris are higher than in controls, and this may correlate with both disease severity and quality of life for patients.Öğe Serum adiponectin and resistin levels in patients with obsessive compulsive disorder(Elsevier, 2012) Ari, Mustafa; Ozturk, Oktay Hasan; Bez, Yasin; Arica, Secil; Can, Yesim; Erduran, DuduWe aimed to investigate the changes in serum adiponectin and resistin levels in patients with obsessive compulsive disorder and control groups. The serum adiponectin and resistin levels of 29 patients (16 females, 13 males) with obsessive compulsive disorder and weight, age and sex-matched 31 healthy controls (17 females, 14 males) were determined. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was applied to all groups. ELISA method was used to measure adiponectin and resistin levels. The mean adiponectin level was 11.92 +/- 2.04 ng/ml and resistin level was 13.23 +/- 2.78 ng/ml in obsessive compulsive disorder group, while it was 18.81 +/- 5.24 ng/ml and 8.17 +/- 2.53 ng/ml in control group. Changes in plasma adiponectin and resistin levels in obsessive compulsive disorder may have implications about possible cardiovascular and metabolic abnormalities seen in obsessive compulsive patients. (C) 2011 Published by Elsevier B.V.
