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Akarsu S, Bolu A, Aydemir E, Zincir SB, Kurt YG, Zincir S, Erdem M, Uzun Ö. The Relationship between the Number of Manic Episodes and Oxidative Stress Indicators in Bipolar Disorder. Psychiatry Investig 2018; 15:514-519. [PMID: 29674601 PMCID: PMC5975995 DOI: 10.30773/pi.2016.12.31] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Accepted: 12/31/2016] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVE Bipolar disorder (BD) is a chronic mood disorder characterized by recurrent episodes that has a lifetime prevalence of 0.4- 5.5%. The neurochemical mechanism of BD is not fully understood. Oxidative stress in neurons causes lipid peroxidation in proteins associated with neuronal membranes and intracellular enzymes and it may lead to dysfunction in neurotransmitter reuptake and enzyme activities. These pathological processes are thought to occur in brain regions associated with affective functions and emotions in BD. The relationship between the number of manic episodes and total oxidant-antioxidant capacity was investigated in this study. METHODS Eighty-two BD patients hospitalized due to manic symptoms and with no episodes of depression were enrolled in the study. Thirty of the 82 patients had had their first episode of mania, and the other 52 patients had had two or more manic episodes. The control group included 45 socio-demographically matched healthy individuals. Serum total antioxidant capacity (TAC) and total oxidant capacity (TOC) measurements of the participants were performed. The oxidative stress index (OSI) was calculated by TOC/TAC. RESULTS There were no significant differences in OSI scores between BD patients with first-episode mania and BD patients with more than one manic episode. However, OSI scores in both groups were significantly higher than in the control group. TOC levels of BD patients with first-episode mania were found to be significantly higher than TOC levels of BD patients with more than one manic episode and healthy controls. There were no significant differences in TAC levels between BD patients with first-episode mania and BD patients with more than one manic episode. TAC levels in both groups were significantly higher than in the control group. CONCLUSION Significant changes in oxidative stress indicators were observed in this study, confirming previous studies. Increased levels of oxidants were shown with increased disease severity rather than with the number of manic episodes. Systematic studies, including of each period of the disorder, are needed for using the findings indicating deterioration of oxidative parameters.
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Affiliation(s)
- Süleyman Akarsu
- Department of Psychiatry, Freelance Physician, Hatay, Turkey
| | - Abdullah Bolu
- Department of Psychiatry, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Emre Aydemir
- Department of Psychiatry, Beytepe State Hospital, Ankara, Turkey
| | - Selma Bozkurt Zincir
- Department of Psychiatry, Medical Park Göztepe Hospital Complex, Istanbul, Turkey
| | | | - Serkan Zincir
- Department of Psychiatry, Eskişehir State Hospital, Eskişehir, Turkey
| | - Murat Erdem
- Department of Psychiatry, Bilted Psychiatry Treatment Center, Ankara, Turkey
| | - Özcan Uzun
- Department of Psychiatry, Gülhane Education and Research Hospital, Ankara, Turkey
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Affiliation(s)
- Filiz Izci
- Erenkoy Neurological and Psychiatric Disorders Training and Research Hospital, Istanbul - Turkey
| | - Selma Bozkurt Zincir
- Erenkoy Neurological and Psychiatric Disorders Training and Research Hospital, Istanbul - Turkey
| | - Guler Acar
- Erenkoy Neurological and Psychiatric Disorders Training and Research Hospital, Istanbul - Turkey
| | - Umit Basar Semiz
- Erenkoy Neurological and Psychiatric Disorders Training and Research Hospital, Istanbul - Turkey
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Affiliation(s)
- Selma Bozkurt Zincir
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul - Turkey
| | - Filiz Izci
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul - Turkey
| | - Ahsen Eratalay
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul - Turkey
| | - Umit Basar Semiz
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul - Turkey
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Sunbul M, Zincir SB, Durmus E, Sunbul EA, Cengiz FF, Kivrak T, Samadov F, Sari I. Anxiety and Depression in Patients with Coronary Artery Disease. ACTA ACUST UNITED AC 2016. [DOI: 10.5455/bcp.20130421014758] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Murat Sunbul
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Selma Bozkurt Zincir
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Erdal Durmus
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Esra Aydin Sunbul
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Fatma Fariha Cengiz
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Tarik Kivrak
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Fuad Samadov
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
| | - Ibrahim Sari
- M.D., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
- M.D., Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul - Turkey
- Assoc. Prof., Marmara University Faculty of Medicine, Department of Cardiology, Istanbul - Turkey
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Balikci A, Erdem M, Zincir S, Bolu A, Zincir SB, Ercan S, Uzun O. Adherence with Outpatient Appointments and Medication: A Two-Year Prospective Study of Patients with Schizophrenia. ACTA ACUST UNITED AC 2016. [DOI: 10.5455/bcp.20121130085931] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Adem Balikci
- Gulhane School of Medicine, Department of Psychiatry, Ankara - Turkey
| | - Murat Erdem
- Gulhane School of Medicine, Department of Psychiatry, Ankara - Turkey
| | - Serkan Zincir
- Golcuk Military Hospital, Department of Psychiatry, Golcuk, Kocaeli - Turkey
| | - Abdullah Bolu
- Eskisehir Military Hospital, Department of Psychiatry, Eskisehir- Turkey
| | | | - Sarper Ercan
- Erzurum Military Hospital, Department of Psychiatry, Erzurum-Turkey
| | - Ozcan Uzun
- Gulhane School of Medicine, Department of Psychiatry, Ankara - Turkey
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Izci F, Fındıklı EK, Zincir S, Zincir SB, Koc MI. The differences in temperament-character traits, suicide attempts, impulsivity, and functionality levels of patients with bipolar disorder I and II. Neuropsychiatr Dis Treat 2016; 12:177-84. [PMID: 26848266 PMCID: PMC4723022 DOI: 10.2147/ndt.s90596] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND The primary aim of this study was to compare the differences in temperament-character traits, suicide attempts, impulsivity, and functionality levels of patients with bipolar disorder I (BD-I) and bipolar disorder II (BD-II). METHODS Fifty-two BD-I patients and 49 BD-II patients admitted to Erenköy Mental and Neurological Disease Training and Research Hospital psychiatry clinic and fifty age- and sex-matched healthy control subjects were enrolled in this study. A structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Axis I Disorders, Temperament and Character Inventory, Barrett Impulsiveness Scale-11 (BIS-11), Hamilton Depression Inventory Scale, Young Mania Rating Scale, and Bipolar Disorder Functioning Questionnaire (BDFQ) were administered to patients and to control group. RESULTS No statistically significant difference in sociodemographic features existed between the patient and control groups (P>0.05). Thirty-eight subjects (37.62%) in the patient group had a suicide attempt. Twenty-three of these subjects (60.52%) had BD-I, and 15 of these subjects (39.47%) had BD-II. Suicide attempt rates in BD-I and II patients were 60.52% and 39.47%, respectively (P<0.05). Comparison of BD-I and II patients with healthy control subjects revealed that cooperativeness (C), self-directedness (Sdi), and self-transcendence (ST) scores were lower and novelty seeking (NS1 and NS2), harm avoidance (HA4), and reward dependence (RD2) subscale scores were higher in patients with BD-I. When BD-I patients were compared with BD-II patients, BIS-11 (attention) scores were higher in patients with BD-II and BIS-11 (motor and nonplanning impulsivity) scores were higher in patients with BD-I. According to BDFQ, relations with friends, participation in social activities, daily activities and hobbies, and occupation subscale scores were lower and taking initiative subscale scores were higher in patients with BD-I. Social withdrawal subscale scores were higher in patients with BD-II. CONCLUSION In our study, NS, HA, and RD scores that may be found high in suicide attempters and Sdi scores that may be found low in suicide attempters were as follows: NS1, NS2, HA4, and RD2 subscale scores were high and Sdi scores were low in patients with BD-I, suggesting a higher rate of suicide attempts in this group of patients. In addition, C and Sdi scores that indicate a predisposition to personality disorder were significantly lower in patients with BD-I than patients with BD-II and healthy controls, suggesting a higher rate of personality disorder comorbidity in patients with BD-I. Higher impulsivity and suicidality rates and poorer functionality in patients with BD-I also suggest that patients with BD-I may be more impulsive and more prone to suicide and have poorer functionality in some areas.
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Affiliation(s)
- Filiz Izci
- Department of Psychiatry, School of Medicine, Istanbul Bilim University, Istanbul, Turkey
| | - Ebru Kanmaz Fındıklı
- Department of Psychiatry, School of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Serkan Zincir
- Department of Psychiatry, Kocaeli Gölcük Military Hospital, Kocaeli, Turkey
| | - Selma Bozkurt Zincir
- Department of Psychiatry, Erenköy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
| | - Merve Iris Koc
- Department of Psychiatry, Erenköy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
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Zincir S, Zincir SB, Doruk A, Erdem M, Celik C, Ak M, Garip B, Yükselir C, Karaahmetoğlu B. Asymmetric dimethylarginine (ADMA) and treatment response relationship in male patients with first-episode schizophrenia: a controlled study. Psychiatry Res 2014; 220:76-80. [PMID: 25095755 DOI: 10.1016/j.psychres.2014.07.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2013] [Revised: 06/23/2014] [Accepted: 07/08/2014] [Indexed: 10/25/2022]
Abstract
Nitric oxide (NO) is thought to be involved in the pathogenesis of schizophrenia as well as many neuropsychiatric disease. Asymmetric dimethylarginine (ADMA) reduces the level of NO by inhibiting nitric oxide synthase (NOS) enzyme. In this study it is aimed to be investigated ADMA in patients with first-episode schizophrenia. In this study, according to DSM-IV diagnostic criteria for schizophrenia-like psychotic disorder, 49 male first-episode schizophrenia patients-whose mean age was 23.4±3.5 year-and age and education matched 30 healthy male subjects were included for comparison. ADMA levels of the patients were measured before and after 2 months of therapy. In order to rule out the conditions that may affect the levels of ADMA, people whose physical examination and laboratory findings were within normal range were included in the study. In this study plasma ADMA levels of first-episode schizophrenia patients and control group were 3.6±1.5 µmol/L and 1.02±1.02 respectively. After 2 months of antipsychotic treatment plasma ADMA levels of the schizophrenia patients decreased compared to baseline. There was no relationship between the ADMA levels and the clinical severity of the disease. It is considered to be the role of ADMA in the etiopathogenesis of schizophrenia.
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Affiliation(s)
- Serkan Zincir
- Golcük Military Hospital, Department of Psychiatry, Golcük, 41650 Kocaeli, Turkey.
| | | | - Ali Doruk
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Murat Erdem
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Cemil Celik
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Mehmet Ak
- Medicana Hospital, Department of Psychiatry, Konya, Turkey
| | - Beyazıt Garip
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Cihad Yükselir
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
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Bozkurt Zincir S, Yanartaş O, Zincir S, Semiz UB. Clinical correlates of childhood trauma and dissociative phenomena in patients with severe psychiatric disorders. Psychiatr Q 2014; 85:417-26. [PMID: 24942906 DOI: 10.1007/s11126-014-9301-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In this present study, we aim to investigate the possibility of a link between psychotic disorders and traumatic experiences in a group of female patients diagnosed with psychotic disorders by comparing childhood trauma exposure with a group of non-psychotic psychiatric disorder attending the same pschiatric clinic. Secondary purpose of this study is to examine the clinical correlates of trauma exposure, dissociative phenomena and psychiatric symptomatology between these two group of patients. Two psychiatric sample groups, those with psychotic disorders-mostly schizophrenic-(n = 54), and those with a non-psychotic severe psychiatric disorders (n = 24), were recruited. Data were collected for demographic, psychiatric and trauma histories and psychiatric symptomatology for all patients. In this study, high prevalance rates of childhood traumatic experiences and dissociative phenomena were found in both groups. Total scores of childhood trauma questionnaire in favor of the non-psychotic group were found to be close to significance (p = 0.052). DES scores of non-psychotic group were also higher although not statistically significant. 54.2 % of nonpsychotic cases had DES scores >20 on the other hand, that percentage of psychotic cases were found to be as 38.9 %. Furthermore, psychiatric patients who have suffered childhood traumatic experiences are far more likely to try to kill themselves than psychiatric patients who have not experienced such abuse. The high rates of childhood traumatic events in our present samples of both schizophrenia-spectrum patients and nonpsychotic patients confirm the need for clinicans to take trauma histories routinely.
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Affiliation(s)
- Selma Bozkurt Zincir
- Department of Psychiatry, Erenköy Research and Training Hospital for Psychiatric and Neurological Disorders, 19 Mayıs Mah. Sinan Ercan Cad. No: 29 Kazasker Kadıkoy, İstanbul, 34736, Turkey,
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Balikci A, Erdem M, Keskin U, Bozkurt Zincir S, Gülsün M, Özçelik F, Akgül EÖ, Akarsu S, Öztosun M, Ergün A. Depression, Anxiety, and Anger in Patients with Polycystic Ovary Syndrome. Noro Psikiyatr Ars 2014; 51:328-333. [PMID: 28360650 DOI: 10.5152/npa.2014.6898] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2012] [Accepted: 03/06/2013] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Polycystic Ovary Syndrome (PCOS) is a syndrome of heterogeneous nature, affecting multiple systems, particularly the endocrine system. We propose to investigate the possible relationships among hormonal changes, levels of anxiety, depression, and anger in patients with PCOS. METHOD Forty-four female patients with PCOS and 44 body mass index (BMI )-matched healthy women participated in this study. We measured the sociodemographic features, some serum hormonal levels (insulin, gonadotropins, prolactin, dehydroepiandrosterone sulfate (DHEAS), thyroid-stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), 17 OH-progesterone, and total and free testosterone), and some other biochemical parameters of the participants. Also, all participants completed the Trait Anger-Anger Expression Scale (STAS), Beck Depression, and Beck Anxiety Inventories. We evaluated the psychiatric scale scores obtained from PCOS patients and control subjects. We used the independent-samples t-test for parametric data to evaluate normal distribution, and Mann-Whitney U-test was used for both abnormally distributed and nonparametric data. We used Pearson correlation analysis to evaluate the potential connection between the two groups' data. RESULTS The mean ages of the patients with PCOS and control subjects who participated in this study were 27.3±5.6 and 27.4±6.1 years, respectively. The measures of BMI, insulin, luteinizing hormone (LH), DHEAS, and total testosterone serum levels in the patient group were significantly higher than in the control group (p<.05). There was a statistically significant positive correlation between Beck anxiety scores and serum DHEAS levels (Pearson r=.4366, P=.0001). We found significant differences between the two groups in terms of trait anger, anger control, outward and inward anger, anxiety level, and depression scores (P<.05). CONCLUSION Anxiety symptoms indicate a stronger relationship compared to depression with DHEAS serum levels via the autonomic nervous system, considering the gamma-aminobutyric acid (GABA)-antagonistic effect of DHEAS. Obesity, hirsutism, and infertility may reduce self-confidence and create depressive symptoms in patients with PCOS. In addition, changes in hormonal levels may lead to anxiety directly. Possibly, depressive symptoms are a secondary reflection of these changes.
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Affiliation(s)
- Adem Balikci
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Murat Erdem
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Uğur Keskin
- Gülhane Military Medical Academy, Department of Obstetrics and Gynaecology, Ankara, Turkey
| | - Selma Bozkurt Zincir
- Erenköy Mental Health and Neurological Diseases Education and Research Hospital, Department of Psychiatry, İstanbul, Turkey
| | - Murat Gülsün
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Fatih Özçelik
- Gümüşsuyu Military Hospital, Department of Biochemistry, İstanbul, Turkey
| | - Emin Özgür Akgül
- Gülhane Military Faculty of Medicine, Department of Biochemistry, Ankara, Turkey
| | - Süleyman Akarsu
- Gülhane Military Medical Academy, Department of Psychiatry, Ankara, Turkey
| | - Muzaffer Öztosun
- Turkish Armed Forces Medical Command, Department of Biochemistry, Ankara, Turkey
| | - Ali Ergün
- Gülhane Military Medical Academy, Department of Obstetrics and Gynaecology, Ankara, Turkey
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Bozkurt Zincir S, Zincir S, Kabak SG. Remission of Episodic Sweating Attacks and Comorbid Depression in Shapiro Syndrome: Case Report. Noro Psikiyatr Ars 2014; 51:405-407. [PMID: 28360663 DOI: 10.5152/npa.2014.6996] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2012] [Accepted: 05/08/2013] [Indexed: 11/22/2022] Open
Abstract
Shapiro syndrome, a rare disorder originally described by Shapiro and Plum in 1967, is characterized by episodic hypothermia and hyperhydrosis associated with agenesis of the corpus callosum. Proposed hypotheses to explain the clinical features of this syndrome include changes in the set point of the hypothalamic thermostat, increased norepinephrine (NE) release, and decreased plasma NE clearance. It was emphasized that the recognition of Shapiro syndrome in the evaluation of episodic hyperhydrosis is important. Here, we described a case with Shapiro syndrome who presented to our psychiatry clinic with recurrent episodic profuse sweating and depression. Sweating attacks and depression remitted after successful treatment with amitriptyline.
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Affiliation(s)
- Selma Bozkurt Zincir
- Clinic of Psychiatry, Erenköy Psychiatric Training and Research Hospital, İstanbul, Turkey
| | - Serkan Zincir
- Clinic of Psychiatry, Gölcük Military Hospital, İstanbul, Turkey
| | - Sevgi Gül Kabak
- Clinic of Psychiatry, Erenköy Psychiatric Training and Research Hospital, İstanbul, Turkey
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Yanartaş Ö, Özmen HA, Citak S, Zincir SB, Sünbül EA. An outpatient clinical study of dissociative disorder not otherwise specified. Compr Psychiatry 2014; 55:755-61. [PMID: 24461163 DOI: 10.1016/j.comppsych.2013.12.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2013] [Revised: 12/12/2013] [Accepted: 12/17/2013] [Indexed: 10/25/2022] Open
Abstract
The relatively high prevalence of the diagnosis of dissociative disorder not otherwise specified is frequently considered to be disproportionate. The disproportionate rate of this diagnosis is thought to be related to nosologic and/or diagnostic issues in dissociative identity disorder. We sought to investigate and compare the symptom patterns of these two clinical entities. We conducted a cross-sectional study involving 1314 participants who were screened with the Dissociative Experience Scale (DES) and the Somatoform Dissociation Questionnaire (SDQ). Of the participants, 272 who scored above the cut-off points for the screening questionnaires (DES score>30 and/or SDQ score>40 points) were invited to complete a structured interview using the Dissociative Disorders Interview Schedule (DDIS); of this subsample, only 190 participants agreed to participate in the second phase of the study. The mean score for the DES was 18.55±17.23, and the mean score for the SDQ was 30.19±13.32. Of the 190 participants, 167 patients were diagnosed as having a dissociative disorder (87.8%). We found that DD-NOS was the most prevalent category of dissociative disorder. There was a significantly larger percentage of patients in the DID group than in the DD-NOS group according to secondary features of DID and Schneiderian symptoms. The secondary features of DID and Schneiderian symptoms appeared to be more specific for DID, while no differences were detected between DID and DD-NOS based on most of the items on the SCL 90R. Further longitudinal studies are needed to determine the features that are similar and dissimilar between DD-NOS and DID.
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Affiliation(s)
- Ömer Yanartaş
- Marmara Faculty of Medicine, Psychiatry, Pendik Hospital Istanbul.
| | - Hülya Akar Özmen
- Erenkoy Mental Research and Training Hospital, Istanbul, Turkey, Psychiatry Istanbul
| | - Serhat Citak
- Erenkoy Mental Research and Training Hospital, Istanbul, Turkey, Psychiatry Istanbul
| | - Selma Bozkurt Zincir
- Erenkoy Mental Research and Training Hospital, Istanbul, Turkey, Psychiatry Istanbul
| | - Esra Aydin Sünbül
- Erenkoy Mental Research and Training Hospital, Istanbul, Turkey, Psychiatry Istanbul
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Bilgen AE, Bozkurt Zincir S, Zincir S, Ozdemir B, Ak M, Aydemir E, Sener I. Effects of electroconvulsive therapy on serum levels of brain-derived neurotrophic factor and nerve growth factor in treatment resistant major depression. Brain Res Bull 2014; 104:82-7. [PMID: 24747833 DOI: 10.1016/j.brainresbull.2014.04.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Revised: 04/06/2014] [Accepted: 04/07/2014] [Indexed: 12/31/2022]
Abstract
OBJECTIVES This study aimed to investigate the effects of electroconvulsive treatment on serum BDNF and NGF levels in patients with treatment-resistant major depression. METHODS Thirty patients with treatment-resistant major depression and 30 healthy controls were included in the study. The patients' serum BDNF and NGF levels were measured three times; before treatment (T0), when the clinical response occurred (T1) and at the end of treatment (T2). RESULTS The reduction detected in the HAM-D scores with ECT during the T0-T1, T1-T2 and T0-T2 periods was found to be statistically significant. In the patient group, increase in the mean BDNF levels after ECT treatment was found to be statistically significant (p<0.05). Significant increases in serum BDNF levels with ECT were lower than in the control group, and the serum NGF levels did not increase significantly. There was no relationship between the severity of the depression and serum BDNF and NGF levels (p>0.05). CONCLUSIONS This study evaluated the role of neurotrophic factors in the etiopathogenesis of major depression. Future studies should investigate the relationship between neurotrophic factors with neuroendocrine and genetic processes to elucidate the psychobiology and treatment of mental disorders.
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Affiliation(s)
- Ali Emrah Bilgen
- Etimesgut Asker Hastanesi, Department of Psychiatry, Ankara, Turkey.
| | - Selma Bozkurt Zincir
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Department of Psychiatry, İstanbul, Turkey.
| | - Serkan Zincir
- Gölcük Asker Hastanesi, Department of Psychiatry, Kocaeli, Turkey.
| | - Barbaros Ozdemir
- Gülhane Askeri Tıp Akademisi, Department of Psychiatry, Ankara, Turkey.
| | - Mehmet Ak
- Memorial Hospital, Department of Psychiatry, Konya, Turkey.
| | - Emre Aydemir
- Gülhane Askeri Tıp Akademisi, Department of Psychiatry, Ankara, Turkey.
| | - Irfan Sener
- Gülhane Askeri Tıp Akademisi, Department of Biochemistry, Ankara, Turkey.
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Balıkcı A, Erdem M, Keskin U, Bozkurt Zincir S, Gülsün M, Özçelik F, Akgül EÖ, Akarsu S, Öztosun M, Ergün A. Polikistik over sendromu olan hastalarda depresyon, anksiyete ve öfke. Noro Psikiyatr Ars 2014. [DOI: 10.4274/npa.y6898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Abstract
BACKGROUND The primary aim of the present study was to compare temperament and character traits and levels of alexithymia between patients with panic disorder and healthy controls. METHODS Sixty patients with panic disorder admitted to the psychiatry clinic at Fırat University Hospital were enrolled in the study, along with 62 healthy age-matched and sex-matched controls. The Structured Clinical Interview for DSM-IV axis I (SCID-I), Temperament and Character Inventory (TCI), Toronto Alexithymia Scale (TAS-20), and Panic Agoraphobia Scale (PAS) were administered to all subjects. RESULTS Within the temperament dimension, the mean subscale score for harm avoidance was significantly higher in patients with panic disorder than in controls. With respect to character traits, mean scores for self-directedness and cooperativeness were significantly lower than in healthy controls. Rates of alexithymia were 35% (n=21) and 11.3% (n=7) in patients with panic disorder and healthy controls, respectively. The difficulty identifying feelings subscale score was significantly higher in patients with panic disorder (P=0.03). A moderate positive correlation was identified between PAS and TAS scores (r=0.447, P<0.01). Moderately significant positive correlations were also noted for PAS and TCI subscale scores and scores for novelty seeking, harm avoidance, and self-transcendence. CONCLUSION In our study sample, patients with panic disorder and healthy controls differed in TCI parameters and rate of alexithymia. Larger prospective studies are required to assess for causal associations.
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Affiliation(s)
- Filiz Izci
- Department of Psychiatry, Erenkoy Training and Research Hospital for Psychiatry, Istanbul, Turkey
| | - Bulent Kadri Gültekin
- Department of Psychiatry, Erenkoy Training and Research Hospital for Psychiatry, Istanbul, Turkey
| | - Sema Saglam
- Department of Psychiatry, Adiyaman Training and Research Hospital, Adiyaman, Turkey
| | - Merve Iris Koc
- Department of Psychiatry, Erenkoy Training and Research Hospital for Psychiatry, Istanbul, Turkey
| | - Selma Bozkurt Zincir
- Department of Psychiatry, Erenkoy Training and Research Hospital for Psychiatry, Istanbul, Turkey
| | - Murad Atmaca
- Firat University School of Medicine Department of Psychiatry, Elazig, Turkey
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16
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Bozkurt Zincir S, Kıvılcım Y, İzci F, Semiz UB. Schizophrenia-like psychosis and dandy-walker variant comorbidity: case report. Psychiatry Investig 2014; 11:102-4. [PMID: 24605131 PMCID: PMC3942545 DOI: 10.4306/pi.2014.11.1.102] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2013] [Revised: 04/30/2013] [Accepted: 05/09/2013] [Indexed: 11/19/2022] Open
Abstract
Dandy-Walker variant is a developmental malformation consisting of cerebellar hypoplasia and cystic dilatation of the fourth ventricle. Previous research has proposed a possible role for the cerebellum in cognition and in schizophrenia. In this paper we report a schizophrenia-like psychotic disorder in a 30 year-old woman with Dandy-Walker variant. The patient was treated with risperidone 6 mg/day, biperiden 4 mg/day and risperidone depot 50 mg injections fortnightly, and most of the symptoms were ameliorated within 2 months. The similar cognitive profile to populations with cerebellar pathology and rarity of the condition strongly suggests that there may be direct relationship between cerebellar pathology and appearence of psychotic symptoms.
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Affiliation(s)
- Selma Bozkurt Zincir
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
| | - Yiğit Kıvılcım
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
| | - Filiz İzci
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
| | - Umit Basar Semiz
- Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Istanbul, Turkey
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17
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Abstract
AIM There are many studies on the mood disorders that occur during pregnancy, but no studies that question how affective temperaments, which are the antecedents of the mood disorders, are influenced by pregnancy. This study aims to examine the affective temperaments in women without any psychiatric diagnoses during the pregnancy period. METHOD The study included 100 pregnant women at the third trimester of their pregnancy (pregnant group) and 75 non-pregnant women (control group). Structured Clinical Interview for DSM Axis-I Disorders (SCID-I) was used for the evaluation of psychiatric disorders; Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire (TEMPS-A) was used for the evaluation of affective temperaments. RESULTS The cyclothymic, irritable and anxious temperament scores of the pregnant women were significantly lower than that of the non-pregnant women (p < 0.05). Pregnancy predicted lower scores of cyclothymic, irritable and anxious temperaments. Younger age and lower levels of education were predictors of higher cyclothymic, anxious and depressive temperament scores. Younger age also predicted higher irritable temperament scores. CONCLUSION The third trimester of pregnancy is associated with significantly lower affective temperament. Future studies may help to understand the biological background of the present findings.
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Affiliation(s)
- Esra Yazici
- a Department of Psychiatry Medical Faculty, Sakarya University Training and Research Hospital Turkey
| | - Hasan Terzi
- b Derince Training and Research Hospital Kocaeli Turkey
| | | | - Ahmet Bulent Yazici
- a Department of Psychiatry Medical Faculty, Sakarya University Training and Research Hospital Turkey
| | | | - Ahmet Kale
- b Derince Training and Research Hospital Kocaeli Turkey
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