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Nilgün Tanriverdi

Publications and source records attributed to Nilgün Tanriverdi.

5 recordsLinked to original sources
PubMed2004

The role of psychological factors in alopecia areata and the impact of the disease on the quality of life.

BACKGROUND: The role of psychological factors in the pathogenesis of alopecia areata (AA) has long been the subject of debate. Numerous studies have provided controversial results. AIM: This case-control study was undertaken to determine the significance of stressful life events and other psychological factors in the etiopathogenesis of AA. The impact of the disease on the quality of life was also assessed. METHODS: Fifty-two adult patients (18 females and 34 males) diagnosed with AA and 52 age- and sex-matched individuals selected from hospital staff without any hair loss (control group) were evaluated using the major life events scale, Beck depression and Beck anxiety inventories, and the Short Form-36 health survey (SF-36). In addition, comparison was performed between two patient groups created according to whether or not they linked emotional trauma with their AA attack. RESULTS: There was no statistically significant difference between the patient and control groups with regard to the total scores of stressful major life events, depression, and anxiety. Of the eight subscales on SF-36, vitality and mental health scores were higher in the control group, whereas social functioning scores were higher in the patients. The total number of stressful life events was higher in patients who attributed their disease to a stressful life event than in those who did not. CONCLUSIONS: It appears unlikely that anxiety and depression play a major role in the etiopathogenesis of AA, but stressful life events may act as a trigger in the onset and/or exacerbation of the disease. Furthermore, AA seems to have a partly negative impact on the health-related quality of life.

Adolescent↗
PubMed2003

[Psychiatric and psychosocial aspects of chronic renal failure].

Primary treatment modalities of chronic renal failure (CRF) are dialysis and renal transplantation. According to 1997 data there were 10,000 hemodialysis and 1893 continuous ambulatory peritoneal dialysis (CAPD) patients in Turkey. On a yearly basis 360 renal transplantation procedures take place. In deciding for one of the treatment modalities, medical criteria are of partial importance. On the other hand, in terms of psychosocial adjustment and functioning and quality of life, even the expert clinicians emphasize that is very difficult to predict which treatment modality is best for the patient. While some researchers report that psychiatric morbidity and disability of CRF are high and there is no difference between the chosen treatment modalities, most of them report that transplantation is more advantageous than dialysis, and quality of life is better in transplant patients. On the other hand, some researchers claim that psychological adjustment varies during the treatment of CRF and psychiatric symptoms decrease with time. In this paper, psychiatric and social problems in CRF and the effect of these problems on quality of life are reviewed. According to our literature review covering the past 30 years, there have been many researchers for the CRF patients' psychosocial difficulties. Also most of this research work compare treatment strategies with respect to psychiatric morbidity and quality of life.

Humans↗
PubMed2002

[Narcissistic personality disorder and factitious disorder on a borderline personality organization basis: a psychoanalytic psychotherapy process].

The aim of this presentation is to summarize the changes occurring during the psychoanalytic psychotherapy of a dystonic (due to anoxic injury), 25-years-old female patient both from the standpoint of diagnosis and dynamics as well as the changes occurring in the therapist. The patient was finally diagnosed as having narcissistic disorder with factitious traits on a borderline personality organization and was twice hospitalized for a wide variety of symptoms, such as suicidal attempts, auditory and visual hallucinations, animistic thoughts, obsessive compulsive symptoms, dissociative episodes, and fear of abandonment. Hospitalized treatment was started on a weekly basis. Avoidance of interpretation, acceptance of her fantasies, outbursts and hostile behaviour helped the patient to reveal herself as a helpless and lonesome person trying to get attention with pseudo-symptoms created throughout the therapy. The patient finally established a trusting relationship with the therapist. This, in turn helped the therapist to become more attuned to the patient's difficulties. It is obvious that establishing a positive working relationship is the basis of psychotherapy and that even on a once a week basis significant changes can occur in a patient's attitude towards his/her life and future. Another point emphasized in this paper is the importance of supervision, which helped the therapist to overcome prejudices and become more flexible.

English Abstract↗
PubMedDate not supplied

Health-related quality of life in Behçet patients with ocular involvement.

PURPOSE: Health-related quality of life (HRQOL) is an important outcome factor in chronic diseases such as Behçet syndrome. We aimed to investigate the relation of HRQOL to the duration of illness, mental state, and visual acuity of patients with Behçet syndrome. METHODS: We conducted a cross-sectional clinical trial of 45 consecutive Behçet patients with ocular involvement. The control group consisted of an age-, sex-, and education-matched group of 45 healthy individuals. All patients and the controls had been given a complete ophthalmic examination. In addition, they completed a questionnaire comprising the SF-36 Health Survey, Beck Depression Inventory, and Beck Anxiety Inventory. Eight multiple regression analyses were carried out in the patient group to determine whether total anxiety scores, total depression scores, duration of the disease, and visual acuity predicted the dependent variable SF-36 subscales. RESULTS: Using the analysis of variance statistical method, comparisons of the patient and the control groups for depression, anxiety, and the subscales of the SF-36 Health Survey indicated a statistical significance for this battery of tests. CONCLUSIONS: Behçet patients with ocular involvement are susceptible to anxiety and depression when compared to age and sex matched controls. It is important for the ophthalmologist to know that changes in the mental state of his patient may trigger a new ocular attack, and to be aware that these changes may play a critical role in the management and preventive measures for Behçet syndrome.

Adolescent↗