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 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 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)