Mirtazapine-induced arthralgia and coagulopathy: a case report.
Explore the source record for details and available documents.
Ankle Joint↗
Biomedical subjects
Mehmet Murat Demet
Publications and source records attributed to Mehmet Murat Demet.
Public attitudes to schizophrenia in rural Turkey.
BACKGROUND: The aim of this study was to determine the public's attitudes and their correlates towards patients with schizophrenia in rural areas. METHODS: The study was carried out in a village near Manisa City, Turkey. Two hundred and eight subjects completed the public survey form which consists of ten items screening demographic and health status and 32 items rating attitudes towards schizophrenia. RESULTS: Half of the subjects stated that persons with schizophrenia are aggressive and that they should not be free in the community. More than half of the subjects stated that they would be irritated about having a neighbour with schizophrenia (61.5%), that they would not rent their home to a person with schizophrenia (58.2%), that they do not want to work with a person with schizophrenia (61.1%), and that they would not get married to a person with schizophrenia (85.6%). CONCLUSIONS: The public in rural areas sufficiently recognises schizophrenia but has a tendency to stigmatise schizophrenic patients. Their attitudes are generally negative and rejective. They do not want close contact with schizophrenic patients. Interpretation of schizophrenia as a mental illness leads to more negative attitudes and increases the social distance.
Adolescent↗
[Depressive symptomatology among elderly residential home residents in Manisa: prevalence and related risk factors].
OBJECTIVE: To determine the prevalence of depression and related factors among elderly residential home residents in Manisa. METHODS: The study was carried out in all residential homes in Manisa and the surrounding towns. One hundred and forty-five residents completed a form asking questions about demographic features, health conditions and the pattern of relationships with their relatives, the employees of the home, and the other residents. The Geriatric Depression Scale Turkish Form (GDS-TF) was used. The data was analysed by logistic regression to determine the factors which had an effect on the presence of depression. RESULTS: The mean age of the sample was 73.9 +/- 9.2 and the mean score of GDS-TF was 11.9 +/- 6.52. Some 35.9% of subjects were depressed according to the cutoff point of 13/14 for the GDS-Turkish Form. Associations between dissatisfaction with the perceived social level (p=0.004), decline in the ability to perform personal care (p=0.045), having worries about leaving the home (p<0.001), the lack of enthusiasm for participating in social activities (p=0.007), not being pleased with the physical conditions of the home (p=0.032) and the presence of depression were determined. CONCLUSION: The prevalence of depression, which is common in residential homes is not associated with the social support from outside the home, and the feelings of belonging towards the institution and other residents are more important than non-institutional social support.
English Abstract↗
Obsessive-compulsive disorder in a dermatology outpatient clinic.
OBJECTIVE: The aims of present study were to (a) to determine the prevalence of obsessive-compulsive disorder (OCD) in dermatological patients, (b) to determine the possible relationship between dermatological lesions and OCD and (c) to determine the clinical and phenomenological features of the OCD subgroup. METHOD: The sample consisted of 166 out of 250 consecutively presenting dermatological patients who agreed to participate in the study. The subjects were assessed with the Structured Clinical Interview for DSM-IV Turkish Version (SCID-I) and also completed the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). RESULTS: Of the whole sample, 41 (24.7%) met DSM-IV criteria for OCD. Only 14.6% of them had previously been diagnosed as OCD. The mean score of Y-BOCS in the OCD group was 17.05 +/- 9.75. The most common obsessions were contamination (61%) and pathologic doubt (53.7%), while washing (61%) and checking (51.2%) were the most frequent compulsions. Those suffering from diseases of sebaceous glands were the only group that showed a significant difference between the OCD and non-OCD group. CONCLUSION: There is a high prevalence of OCD in dermatological patients, although the nature of the relationship between OCD and dermatology has not previously been ascertained. Genetic-based studies and future researches focused on individual anxiety, and sensitivity may provide information that better explains this relationship.
Ambulatory Care Facilities↗
Depression and anxiety in hyperthyroidism.
BACKGROUND: Our objective was to determine symptomatology of depression and anxiety in patients with untreated hyperthyroidism and compare with euthyroid patients. METHODS: Thirty-two patients with hyperthyroidism (high free T3 and free T4, and suppressed TSH) and 30 euthyroid (normal free T3, free T4, and TSH) controls attending the Endocrinology Out-Patient Department at Celal Bayar University Hospital in Manisa, Turkey were included in the study. Hormonal screening was performed by immunoassay and hemagglutination method. For psychiatric assessment, Hospital Anxiety and Depression Scale [HAD], Hamilton Depression Rating Scale [HAM-D], and Hamilton Anxiety Rating Scale [HAM-A] were used. There was no difference between the two groups in terms of demographic features. RESULTS: Total scores obtained both from HAM-D and HAM-A were significantly greater in the hyperthyroidism group than that of the euthyroid group (p <0.05); there was no difference in terms of HAD. When compared in terms of symptomatology, early insomnia (HAM-D#6), work and activities (HAM-D#7), psychic anxiety (HAM-D#10), weight loss (HAM-D#16), insomnia (HAM-A#4), and cardiovascular symptoms (HAM-A#8) were significantly more frequent in the hyperthyroidism group. By Wilks lambda discriminant analysis, psychomotor agitation (HAM-D#9), weight loss (HAM-D#16), and insomnia (HAM-A#4) were found as the discriminating symptoms for the hyperthyroidism group, whereas somatic anxiety (HAM-A#11) and loss of interest (HAD#14) were distinguishing symptoms of the euthyroidism group. CONCLUSIONS: Hyperthyroidism and syndromal depression-anxiety have overlapping features that can cause misdiagnosis during acute phase. For differential diagnosis, one should follow-up patients with hyperthyroidism with specific hormonal treatment and evaluate persisting symptoms thereafter. In addition to specific symptoms of hyperthyroidism, psychomotor retardation, guilt, muscle pain, energy loss, and fatigue seem to appear more frequently in patients with comorbid depression and hyperthyroidism; thus, presence of these symptoms should be a warning sign to nonpsychiatric professionals for the need for psychiatric consultation.
Adult↗