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Öğe Assessment of Temperament and Character Profile with Anxiety and Depression in Patients with Acne(Galenos Publ House, 2013) Ozturk, Perihan; Orhan, Fatma Ozlem; Ozer, Ali; Karakas, Tugba; Oksuz, Ali Nuri; Yetisir, Nur YalcinBackground: Acne is the most common skin disease, affecting nearly 85% of the population as well as their lives. Acne can severely affect social and psychological functioning. Patients with acne may have anxiety, depression, decreased self-esteem, interpersonal difficulties, unemployment, social withdrawal, and even suicidal intent. Aims: The aim of this study was to evaluate the temperament and character inventory (TCI) of patients with acne and to compare the results with those of healthy controls. Study Design: Case-control study Methods: The study population consisted of 47 patients with acne, and 40 healthy control subjects. All participants were instructed to complete a self-administered 240-item TCI and the Hospital Anxiety and Depression Scale. Results: In this study, the scores for the temperament properties Worry and pessimism (HA1) and Dependence (RD4) and the character properties Social acceptance (C1) and Integrated conscience (C5) were found to be higher in acne patients than in healthy controls (p<0.05). Compared to the controls, depression and anxiety scores were found to be markedly higher in the patients with acne. Acne type correlated positively with the Disorderliness (NS4) subscale of Novelty seeking (NS) and anxiety. Additionally, acne type correlated negatively with the Attachment (RD3) subscale of Reward Dependence (RD), with the Transpersonal identification (ST2) and Spiritual acceptance (ST3) subscales of Self-Trancendence (ST), and with the Compassion (C4) subscale of Cooperativeness (C). Conclusion: Studies in this area may lead to the development of specific and focused interventions for TCI in patients with acne vulgaris. We suggest that the evaluation and treatment of acne should also include psychosomatic approaches in clinical practice.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 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 Sociodemographic Variables and Depression in Turkish Women From Polygamous Versus Monogamous Families(Taylor & Francis Inc, 2013) Ozer, Ali; Orhan, Fatma Ozlem; Ekerbicer, Hasan CetinIn this study, we aimed to determine the different sociodemographic variables of polygamous and monogamous wives, and the relationship between depression and polygamous marriage. Seventy-nine polygamous wives and 73 monogamous wives from Kahramanmaras, located in southern Turkey, were interviewed. After reviewing the data, we suggest that there is a statistically significant difference between polygamous wives and monogamous wives in terms of Beck Depression Inventory (BDI) scores. The results highlighted many implications for clinical practice and for future research. Additional research needs to be conducted in order to investigate the effects of polygamy on women's mental health.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 profiles of male COPD patients(Ame Publishing Company, 2013) Kahraman, Hasan; Orhan, Fatma Ozlem; Sucakli, Mustafa Haki; Ozer, Ali; Koksal, Nurhan; Sen, BilalBackground: Chronic obstructive pulmonary disease (COPD) is a respiratory disorder, and is characterized by persistent airflow obstruction. These patients are exposed to severe physical limitations and substantial psychosocial trouble. The aims of this study were to determine the temperament and character profiles of personality in patients with COPD and to compare the results with those of healthy controls. Methods: Thirty-nine male COPD patients and 67 age-and gender-matched healthy controls completed the self-administered 240-item temperament and character inventory (TCI) and 14-item hospital anxiety and depression scale. The relationships between temperament and character personality profiles and clinical factors such as severity of COPD, anxiety, and depression were evaluated. Results: COPD patients had significantly higher mean scores of Harm avoidance and lower mean score of Self-directedness than those of healthy controls. In the COPD patients, the anxiety score was significantly higher (P=0.03) and the depression score was found to be insignificantly higher than that of control group. The TCI profiles were not correlated with the severity of COPD. In COPD patients, Self-directedness and Cooperativeness traits of TCI character negatively correlated with anxiety, but any of traits did not correlate with depression. Conclusions: The present study defined the Harm avoidance score was higher and Self-directedness was lower in COPD patients and the COPD severity did not correlate with any of the personality trait. We suggest that during evaluation of COPD patients for treatment, personality trait should also be considered in clinical practice.