Person: KIRPINAR, İSMET
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Publication Metadata only Is postpartum depression a specific diagnosis? A prospective study(2012-03-01T00:00:00Z) Kirpinar, Ismet; TEPELI, Isik Ozturk; GÖZÜM, SEBAHAT; Pasinlioglu, Turkan; KIRPINAR, İSMETObjective: The studies investigating the prevalence and incidence of postpartum depression (PPD), as well as its nosologic status have controversial results. This article is part of a prospective, epidemiological study concerning postpartum depression in Erzurum City, Eastern Turkey. The present study focuses on the prevalence and incidence of PPD at sixth weeks after delivery and its diagnostic distribution according to DSM-IV. Methods: Four hundred and seventy-nine pregnant women in their third trimester were arranged to be visited by trained community midwives at 7-10 days and sixth weeks after delivery. Data were collected by use of the questionnaires on detailed sociodemographic and health information at each visit and the participitants filled out the Edinburgh Postpartum Depression Scale (EPDS) at six weeks after delivery. Finally, mothers who had PPD diagnosis according to EPDS were visited by a psychiatrist in their homes where the SCID was administered to make a DSM-IV diagnosis and determine whether the depression occurred before or after delivery. Results: The prevalence rate of PPD measured by EPDS was 14% in this population. The incidence of PPD was estimated as 6% with clinical interviews. Most of the depressed mothers (74.0%) were diagnosed as major depressive disorder according to DSM-IV, but there were some other depressive states too. Conclusion: The prevalence and incidence rates of PPD do not appear to be significantly different from those of non-childbearing women. PPD should not be seen as a specific clinical entity as far as its diagnostic distribution is concerned. (Anatolian Journal of Psychiatry 2012;13:16-23)Publication Metadata only Affective Temperaments in Epilepsy(2012-09-01) YAZICI, Esra; YAZICI, Ahmet Bulent; Aydin, Nazan; Varoglu, Asuman Orhan; Kirpinar, Ismet; KIRPINAR, İSMETAffective temperaments in epilepsyPublication Metadata only Reliability and Validity of the Turkish Version of the Health Anxiety Inventory(2013-01-01) Aydemir, Omer; Kirpinar, Ismet; Sati, Tulay; Uykur, Burak; Cengisiz, Cengiz; KIRPINAR, İSMETIntroduction: Health anxiety is seen in the clinical presentation of both somatoform disorders, especially hypochondriasis and anxiety disorders. In this study, we aimed to perform the reliability and validity analyses of the Turkish version of the Health Anxiety Inventory which is used in the assessment of health anxiety.Publication Metadata only Global assessment of functioning and associated factors in psychiatric inpatients: a retrospective study(2012-09-01) Kirpinar, Ismet; ORAL, Meltem; KIRPINAR, İSMETObjective: Axis V in the DSM classification system uses The Global Assessment of Functioning Scale (GAF) to assess the levels of functional impairment due to by Axis I and Axis II disorders. However, GAF considers social, occupational and psychological functioning as a whole and therefore leading to a rapid decrease in functioning scores as far as the high psychopathology levels are concerned. In this study, we tested our hypothesis that the GAF scores mainly reflect the type and severity of psychopathology. Methods: The hospital records of 100 psychiatric inpatients were examined retrospectively. All the patients have been administered by GAF and some other scales at the time of admission and discharge. A statistical analysis was performed to evaluate the relationships between GAF scores and demographic and clinical variables. Results: A negative correlation was found between GAF scores and the scores of Brief Psychiatric Rating Scale and Clinical Global Impression at the time of admission. The GAF scores of patients with psychotic disorders were much lower when compared to patients with other diagnosis. Furthermore, it was found that being male, low educated, unemployed and having had long length of stays and numerous hospitalizations were associated with lower functioning levels. The GAF scores obtained at the time of discharge were significantly higher than the scores obtained at the time of admission. Discussion: Our findings are consistent with other studies indicating that GAF scores are associated with the type and severity of symptoms rather than social and occupational functioning. GAF is a useful tool in measuring treatment effects and monitoring progress. However, it has some limitations as far as measuring longer term functioning. (Anatolian Journal of Psychiatry 2012; 13:198-204)Publication Metadata only Neuro cognitive functioning in young high-risk offspring having a parent with bipolar I disorder(2013-01-01) Deveci, ERDEM; Ozan, Erol; Kirpinar, Ismet; ORAL, Meltem; DALOGLU, Ali Gokhan; Aydin, Nazan; Ozturk, AHMET; DEVECİ, ERDEM; KIRPINAR, İSMET; ÖZTÜRK, AHMETAim: To investigate attention, memory, verbal-linguistic ability, and executive functions in symptom-free young offspring having a parent with bipolar I disorder (BD1O) in comparison with healthy controls (CO).Publication Metadata only Neuropsychiatric disorders and risk factors in carbon monoxide intoxication(2011-06-01T00:00:00Z) KATIRCI, Yavuz; Kandis, Hayati; Aslan, Sahin; Kirpinar, Ismet; KIRPINAR, İSMETNeuropsychiatric sequelae may be observed in the late phases of carbon monoxide (CO) intoxication. Establishing a link between CO-related neuropsychiatric disorders and associated risk factors may decrease morbidity and mortality by means of appropriate treatment and counseling. The aim of the present study was to determine the relationship between neuropsychiatric outcomes of CO intoxication and demographic and clinical variables. Thirty patients who presented with CO intoxication and had no known neuropsychiatric disease, and 30 healthy controls were included. Physical examinations and laboratory tests were performed. Following the 1st therapy, they underwent mental and psychiatric tests 5 times (the time of discharge, during the 1st week, and during the 1st, 3rd, and 6th months). They underwent cerebral magnetic resonance imaging (MRI) at the end of the 1st month. They were evaluated by cognitive function tests at the 6th month. Lesions relevant to CO intoxication were detected in 46.7% of the patients via cranial computed tomography and in 13.3% via MRI. Evaluation of psychiatric tests revealed a clear decrease in cognitive functions, such as immediate memory, learning, reaching the criterion, spontaneous recall, attention, visual memory, and logical memory. It was found that the patients had anxiety within the 1st month, and the frequency of anxiety reached to the value of the control group by the end of the 6th month. In conclusion, we suggested that CO intoxication might lead to neuropsychiatric disorders. Our results emphasized that in addition to standard treatment, neuropsychiatric evaluation should also be performed in patients with CO intoxication.Publication Metadata only Is there a relationship between attention deficit/hyperactivity disorder and manic symptoms among children with mental retardation of unknown etiology?(2011-11-01T00:00:00Z) Fidan, Tulin; Kirpinar, Ismet; ORAL, Meltem; Kocak, Kubra; KIRPINAR, İSMETMental retardation (MR) is common and lifelong. In children and adolescents with MR, the rate of attention deficit/hyperactivity disorder (ADHD) and bipolar disorder is higher than that in the general population. However, there are no previous sufficient data that exist in establishing a relationship between ADHD and manic symptoms. The aim of the present study was to examine the relationship between manic symptoms and ADHD as well as oppositional-defiant disorder (ODD) and conduct disorder (CD) in children with MR of unknown etiology (MR-UE).Publication Metadata only Depression at the early phase of first myocardial infarction(2012-09-01) Deveci, ERDEM; Ozan, Erol; Gulec, Mustafa; Kirpinar, Ismet; DEVECİ, ERDEM; KIRPINAR, İSMETObjective: To assess clinical depression and severity of depression symptoms early after a first acute myocardial infarction (MI). Methods: Data was collected with a structured questionnaire including sociodemographic characteristics and Beck Depression Inventory (BDI). The questionnaire was applied to the 100 patients, who had suffered from first MI, after they were transferred to the ward from the coronary intensive care unit. Results: The mean age of the patients was 58.4 +/- 9.9 years, of whom 86.0% were male and 95.0% were married. The mean education duration was 4.6 +/- 4.1 years; the rate of illiterate and literate patients was 34.0% and the rate of patients graduated from primary school was 42.0%. Forty-seven percent of patients had a previous concomitant physical disease. Forty-three percent patients obtained a BDI score lower than 10, while 31.0% had a score of >= 17. A positive significant, but weak correlation was observed between BDI scores and age. The rate of patients with clinical depression (BDI score >= 17) was significantly higher in females as compared to males (64.3% and 25.6%, respectively, p<0.05). Conclusions: The diagnosis of post-MI depression may be difficult because of the non-specific complaints. Female gender was found to be a significant independent variable predicting the presence of depression symptoms and severity during the post-MI period. It would be beneficial to routinely investigate the presence and intensity of depression symptoms after MI. (Anatolian Journal of Psychiatry 2012; 13:179-183)Publication Metadata only Coping Strategies and Family Functionality in Youths with or Without Suicide Attempts(2011-09-01T00:00:00Z) Fidan, Tulin; CEYHUN, Hacer; Kirpinar, Ismet; KIRPINAR, İSMETObjectives: Youths- ineffective strategies for coping with stress, which are not geared towards generating solutions, and lack of familial social support may easily lead to suicide attempts. In this study, the coping strategies employed by suicidal youths and the functionality of the family are investigated.Publication Metadata only Prevalence of orthorexia among medical students in Erzurum, Turkey(2010-01-01T00:00:00Z) Fidan, Tulin; Ertekin, Vildan; Isikay, Sedat; Kirpinar, Ismet; KIRPINAR, İSMETOrthorevia is a new term about eating behavior disorder and consists of pathologic obsession for biologically pure foods, flee of herbicides, pesticides, and other artificial substances It is not an independent diagnostic category, but It has some similarities with other eating disorders. This study was conducted to examine the orthorexia among 878 medical students Of 878 students, 464 (52 8%) were male and 359 (40 9%) were female The mean age, height, weight. and body mass index were 21 3 2 1 years, 171 0 8 5 cm, 65 6 12 3 kg, 22 4 +/- 2 99. respectively The rates of the ORTO-11 scores between 0 and 15 was I 9%, between 16 and 30. 57 5%, and between 31 and higher, 21 1% There were 17 students with a score of 0 to 15 The mean score for the ORTO-11 test was 27 There were statistically significant differences between age, sex, and smoking habit of the students In the male students, there was a statistically significantly higher tendency for orthorexia (P = 001), and there was a statistically significant difference between the age groups for tendency lot orthorexia = 025) In logistic regression analysis, age, sex, Eating Attitude Test-40 (EAT-40), and height affected the ORTO-11 scores Crown Copyright (C) 2010 Published by Elsevier Inc All rights reserved