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Öğe Evaluation of Depression, Temperament and Character Profiles in Female Patients with Fibromyalgia Syndrome(Aves, 2011) Altunoren, Ozlem; Orhan, Fatma Ozlem; Nacitarhan, Vedat; Ozer, Ali; Karaaslan, Mehmet Fatih; Altunoren, OrcunObjective: Fibromyalgia syndrome (FMS) is a musculoskeletal disorder characterized by diffuse body pain and is also regarded as a psychosomatic disorder. FMS is most commonly associated with depression among the psychological disorders. It is known that personality plays an important role in the etiology of psychosomatic disorders. In this study, we analyzed the temperament characteristics of FMS patients and healthy control group and, using data obtained from both groups, investigated whether these traits were associated with clinical features and depressive states in FMS patients. Methods: Fifty-one FMS patients and 51 healthy women were included in the study. Both groups were evaluated according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (text revision) (DSM-IV-TR). The Temperament and Character Inventory (TCI), the Hamilton Depression Rating Scale (HAM-D), the Fibromyalgia Impact Questionnaire (FIQ), and the Visual Analogue Scale (VAS) were applied to both groups. Results: According to DSM-IV-TR, 76.5% of FMS patients were diagnosed with psychiatric disorder. FMS patients had higher harm avoidance scores and lower self-directedness and persistence scores than healthy controls. Harm avoidance scores were found higher and self-directedness scores were found lower when the total corrected increment (TCI) points were used, but cooperation scores increased. HAM-D scores correlated positively with harm avoidance scores, but negatively with both self-directedness and cooperation scores. Conclusion: Depressive symptoms and personality features are related to the duration and severity of FMS, and therefore, should be further evaluated by physicians when planning the treatment and follow-up in FMS patients. (Archives of Neuropsychiatry 2011; 48: 31-8)Öğe Fibromiyalji sendromlu kadınların depresyon ve mizaç karakter özellikleri açısından değerlendirilmesi(Nöropsikiyatri Arşivi, 2011) Altunören, Özlem; Orhan, Fatma Özlem; Nacitarhan, Vedat; Özer, Ali; Karaaslan, Mehmet Fatih; Altunören, OrçunÖz: Amaç: Fibromiyalji Sendromu (FMS); yaygın vücut ağrılarıyla seyreden, psikosomatik hastalık olarak da değerlendirilen kas-iskelet sistemi hastalığıdır ve en sık depresyon olmak üzere çeşitli ruhsal bozukluklara eşlik ettiği bilinmektedir. Psikosomatik hastalıkların etiyolojisinde kişiliğin de önemli rol oynadığı düşünülmektedir. Bu çalışmada FMS hastaları ile sağlıklı kontrol grubunun, mizaç karakter özelliklerinin incelenmesi ve elde edilen verilerin hastaların klinik özelllikleri ve depresif durumu ile ilişkili olup olmadığı araştırıldı. Yöntemler: Çalışmamıza 51 FMS hastası, 51 sağlıklı kadın alındı. FMS’lu hastalar ve sağlıklı kontroller DSM-IV TR (Mental Bozuklukların Tanısal ve Sayımsal Elkitabı) tanı ve değerlendirme sistemine göre psikiyatrik yönden değerlendirildi. Mizaç ve Karakter Envanteri (Temperament and Character Inventory-TCI), Hamilton Depresyon Derecelendirme Ölçeği (HAM-D), Fibromiyalji Etkilenme Anketi (FEA), Görsel Ağrı Skala (GAS) uygulandı. Bulgular: FMS hastalarının %76.5’i DSM-IV TR’ye göre psikiyatrik tanı aldı. FMS’lu hastalarda, sağlıklı kontroller ile karşılaştırıldığında yüksek zarardan kaçınma (HA), düşük kendini yönetme (S), düşük sebat etme (P) puanları bulundu. Düzeltilmiş TCI puanları kullanıldığında (HAM-D puanlarının etkisi ortadan kaldırıldıktan sonra) hastalarda kontrol grubuna göre benzer şekilde yüksek zarardan kaçınma, düşük kendini yönetme puanları ile işbirliği yapma (C) puanında artış bulundu. HAM-D puanları ile zarardan kaçınma skorları arasında pozitif korelasyon saptanırken, HAM-D puanları ile kendini yönetme ve işbirliği yapma puanları arasında negatif korelasyon saptandı. Sonuç: Fibromiyalji sendromunun süresi ve şiddetinin depresif belirtiler ve kişilik özellikleriyle ilişkisi olduğundan, FMS hastalarının takibi ve tedavisi planlanırken bu hastaların, kişilik özellikleri ve depresif durumlarının da ayrıca değerlendirilmesi gerekmektedir.Öğe Relationship between sleep quality and depression among elderly nursing home residents in Turkey(Springer Heidelberg, 2012) Orhan, Fatma Ozlem; Tuncel, Deniz; Tas, Filiz; Demirci, Nermin; Ozer, Ali; Karaaslan, Mehmet FatihEpidemiological studies indicate that more than half of the elderly population suffers from chronic sleep disturbances. Therefore, this descriptive study was conducted to examine sleep quality, excessive daytime sleepiness, daytime napping, and depression among a population of nursing home residents. The study's sample included 73 elderly people living in a nursing home in Turkey. Geriatric Depression Scale, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and a sleep diary were used. The participants' mean age was 74.0 years (standard deviation (SD) = 6.7). Forty-four of the individuals had a poor sleep quality prevalence of 60.3%; and the mean global PSQI score was 6.6 (SD = 3.6). Their mean ESS score was 5.9 (SD = 4.6) and 14 participants (19.2%) had daytime sleepiness. The mean daytime napping duration was 1.0 h (SD = 1.3) according to the participants' sleep diaries. The study found that 60.3% of the participants were depressed, furthermore the mean depression score was 15.9 (SD = 7.0). There was a significant correlation between the PSQI subscores; subjective sleep quality, the sleep latency, and sleep disturbances scores and depression scores. Also, daytime napping frequency and daytime napping duration, according to the sleep diary, were correlated positively with depression scores. The current study's results confirm the previously reported high prevalence of poor sleep quality and depression in this nursing home population. Clinicians need to assess patients appropriately to identify high prevalence of sleep problems and depression in nursing home patients and initiate appropriate referrals and interventions.Öğe Temperament and Character Profiles of End Stage Renal Disease Patients Undergoing Hemodialysis and Peritoneal Dialysis(Kure Iletisim Grubu A S, 2011) Orhan, Fatma Ozlem; Ozer, Ali; Sayarlioglu, Hayriye; Dogan, Ekrem; Altunoren, Ozlem; Akman, Oguz; Karaaslan, Mehmet FatihTemperament and character profiles of end stage renal disease patients undergoing hemodialysis and peritoneal dialysis The aim of this study was to evaluate the temperament and character profiles of end stage renal disease patients (ESRD) undergoing hemodialysis and peritoneal dialysis and to compare the results with those of healthy controls. The study population consisted of 39 hemodialysis patients (24 female, 15 male), 30 peritoneal dialysis patients (16 female, 14 male), and 39 age and gender-matched healthy control subjects (24 female, 15 male). All participants were instructed to complete a self-administered 240-item temperament and character inventory (TCI) and the Hospital Anxiety and Depression Scale (HADS). Novelty Seeking and Self-Directedness scores were significantly lower in patients. There was no difference between hemodialysis and peritoneal dialysis patients regarding depression and anxiety scores. There were no significant correlations between TCI scores and laboratory variables. Studies in this area may lead to the development of specific and focused interventions for temperament and character profiles in HD and PD patients. We suggest that evaluation and treatment of ESRD patients should also include psychosomatic approaches in clinical practice.Öğe Temperament and Character Traits of The Patients with Type 2 Diabetes(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2012) Biter, Elif; Bagcioglu, Erman; Bahceci, Bulent; Ozer, Ali; Ozkaya, Mesut; Karaaslan, Mehmet FatihObjective: The aim of this study was to evaluate the differences among dimensions of temperament and character within type 2 diabetes patients. Methods: Temperament and character inventory, Montgomery-Asberg Depression Rating Scale, Hamilton Anxiety Rating Scale were administered to type 2 diabetes patients and control groups. Results: Anxiety and depression scores were significantly higher in patients with type 2 diabetes (p=0.0001 and p=0.009, respectively). According to inventory, the scores of harm avoidance-fatigability, self directednessresourcefulness, and cooperativeness-helpfulness of patients were significantly different from controls (p=0.001, p=0.004 and p=0.040, respectively). Conclusions: Our research findings indicate that the patients with type 2 diabetes differ from the control group members in terms of higher levels of anxiety and depression as well as the temperament and character traits of fatigability; resourcefulness and helpfulness.
