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Öğe Help Seeking Behavior and Related Factors in Schizophrenia Patients: A Comparative Study of Two Populations from Eastern and Western Turkey(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2015) Yalvac, H. Dilek; Kotan, Zeynep; Unal, SuheylaHelp seeking behavior and related factors in schizophrenia patients: a comparative study of two populations from eastern and western Turkey Objective: In this study, it is aimed to investigate and compare the properties of help-seeking behaviour of schizophrenia patients from two districts situated in eastern and western Turkey. Method: Thirty one schizophrenia patients admitted to Tatvan State Hospital in 2006 and 41 schizophrenia patients admitted to Menemen State Hospital in 2007 were recruited in the study. All the patients were in remission. A semi-structured, short questionnaire type interview was carried out with the patients inquiring about their socio-demographic properties and the ways they explain and seek help for their illness. Results: The populations from Tatvan and Menemen significantly differed in terms of educational and income levels. Mean education duration of patients was 4.3 +/- 4.2 years for Tatvan and 6.8 +/- 3.5 years for Menemen (p=0.008). Fourty five percent of patients from Tatvan were of low income level and 54% of patients from Menemen were of middle-income level (p=0.016). Seventy four percent of all patients seeked help from religious sources for their illness. The percentage of patients seeking for psychiatric help was 85 for Menemen and 32 for Tatvan (p<0.001). Patients with education level of secondary-school and higher seeked for psychiatric help more than the less educated patients (p=0.039). Seventy one percent of all patients were advised to consult a psychiatrist by their family members. Discussion: This study revealed that a substantial proportion of schizophrenia patients from the two different districts were in seek of help from religious sources. Seeking for psychiatric help increased with increasing education level which indicates the importance of implementation and development of psychoeducational programs for both patients and their families.Öğe Patients' explanation modelsfor their illness and help-seeking behavior(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2007) Unal, Suheyla; Kaya, Burhanettin; Yalvac, H. DilekObjective: The aim of this study was to investigate some variables that affect patients' explanation models for their illness and help-seeking behavior Methods: Sampling was done between 2002 and 2003 among psychiatric patients who were admitted to university hospital in Malatya. Diagnoses of schizophrenia and schizooffective disorder were made according to DSM-IV criteria. A semi-structured interview based on a short questionnaire was conducted for collecting patient demographic data, and patient explanatory model for illness and help-seeking behavior. Results: The 88 patients that were evaluated included 50 males and 38 females. The mean age of the patients was 31.22 +/- 9.29 years (range: 16-57 years). In explaining their disease, 46.6% of the patients cited family trouble, 42% their inner problems, 19.3% economic difficulties, and 10.2% cited the consequences of supernatural forces. Among the patients, help-seeking behavior included visiting traditional and religious healers (51.1%), presenting to medical doctors (19.3%), and visiting a psychiatrist (65.9%). Conclusion: The study revealed that patients with low-level education were more prone to seek religious solutions and those with high-level education tended to visit a psychiatrist. It has been suggested that psycho-educational programs for patients and families will be very useful in ameliorating the problems created by the disease.Öğe Personality disorders and some clinical variables in suicidal individuals(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2014) Yalvac, H. Dilek; Kaya, Burhanettin; Unal, SuheylaObjective: The aim of this study is to investigate the risk factors such as personality disorders, psychosocial stresses and the relationship between these factors along with some sociodemographic variables and personality in suicide attempters. Methods: Between January and May 2005, SCID-II, Suicide Intention Scale, Suicide Ideation Scale was applied to 50 patients who attented to the Emergency Department or other medical departments of Turgut Ozal Medical Center with suicide attempt and was on follow up either in or outpatient setting, and agreed to participate in the study. Results: The rate of patients fitting the personality disorder criteria due to SCID-II scale was 90%. Of these patients, 66% had borderline personality disorder, 56% had obsessive-compulsive personality disorder, and 42% had paranoid and passive-agressive personality disorders. These cases were fit for multiple personality disorder criteria. Antisocial and dependent personality disorders were more common in male patients. Conclusion: It is esential to recognize and treat the personality disorders with a predisposition to suicide; especially those with a higher risk must take a greater attention.Öğe Sleepwalking in Multiple Sclerosis: A Case Report(Amer Psychiatric Publishing, Inc, 2010) Yalvac, H. Dilek; Emul, Murat; Karlidag, Rifat; Ozcan, Cemal; Unal, Suheyla[Abstract Not Available]
