Person:
KIRPINAR, İSMET

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İSMET
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KIRPINAR
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Is postpartum depression a specific diagnosis? A prospective study

2012-03-01T00:00:00Z, Kirpinar, Ismet, TEPELI, Isik Ozturk, GÖZÜM, SEBAHAT, Pasinlioglu, Turkan, KIRPINAR, İSMET

Objective: 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)

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Development of Hyperprolactinemia Induced by the Addition of Bupropion to Venlafaxine XR Treatment

2018-04-01, KILIÇ, Alperen, Ozturk, AHMET, Deveci, ERDEM, Kirpinar, Ismet, ÖZTÜRK, AHMET, DEVECİ, ERDEM, KIRPINAR, İSMET

Hyperprolactinemia is characterized by abnormally increased serum prolactin levels. Menstrual irregularities and hyperprolactinemia can be caused by a variety of medical conditions as well as due to the use of some psychopharmacological drugs, namely antipsychotics; it can also develop during antidepressant treatment. Bupropion is an antidepressant functioning via the inhibition of noradrenaline and dopamine reuptake. The endocrine and sexual adverse events of this agent are rare. In the literature, only one case reporting hyperprolactinemia or galactorrhea caused by bupropion use is available. Here, we present the case of a patient diagnosed with depressive disorder and receiving venlafaxine, who developed hyperprolactinemia and oligomenorrhea after the addition of bupropion the ongoing treatment and showed serum prolactin levels decreased to normal ranges shortly after the discontinuation of bupropion.

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The relationship between nine types temperament model with psychobiological personality model and affective temperament model

2015-04-01, YILMAZ, Enver Demirel, GENCER, Gorkem, UNAL, Ozge, OREK, Alp, Aydemir, Omer, Deveci, ERDEM, Kirpinar, Ismet, DEVECİ, ERDEM, KIRPINAR, İSMET

Objective: This study aims to determine Nine Types Temperament Model (NTTM), which is a new temperament model, with Psychobiological Personality Model (PPM) and Affective Temperament Model (ATM) and define the possible relations between categories and dimensions and their degrees of predicting each other. Methods: The sample group consists of 206 healthy volunteers who did not receive any psychiatric treatment in their life and do not have any chronic disease. Structured Clinical Interview for DSM-IV (SCID-I), Structured Clinical Interview for DSM-III-R personality disorders (SCID-II), Temperament and Character Inventory (TCI), Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire Version (TEMPS-A) and Nine Type Temperament Scale (NTTS) were used to collect data. Results: Except for NTM3, NTM8 and NTM9 temperament categories, all NTTS categories have significant correlation with various TCI dimensions at a level r=0.40 and above. Except for NTM1, NTM5 and NTM9 temperament categories, all NTTS categories have significant correlation with various TEMPS-A categories at a level r=0.40 and above. According to the results of regression analyses, it is found that TCI dimensions and TEMPS-A categories can explain 29-63% of variance of NTTS temperament categories. Conclusion: This study indicates that although there are consistent and significant correlations between dimensions and categories of NTTS and the two scales widely used in psychiatry, there are conceptual differences between NTTM, PPM and ATM and temperament categories of NTTM have unique features.

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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, AHMET

Aim: 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).

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PublicationOpen Access

Clozapine Treatment and Thrombocytopenia: a Case Report

2014-09-01, Ozturk, AHMET, Deveci, ERDEM, DURSUN, Ali Emre, Soyucok, Etem, Kirpinar, Ismet, DEVECİ, ERDEM, KIRPINAR, İSMET

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The psychiatric assessment schedule for adults with developmental disability checklist: reliability and validity of Turkish version

2017-01-01, GORMEZ, Aynur, Kirpinar, Ismet, KIRPINAR, İSMET

Aim/background: There is a lack of psychometric instruments to measure psychopathology in people with intellectual disabilities (ID). This may lead to underdiagnosis of treatable psychiatric comorbidities in this population. Psychiatric assessment schedule for adults with developmental disabilities (PAS-ADD) Checklist was developed as a screening tool designed for lay people. The PAS-ADD Checklist was created in English and was later on validated for other languages, including French and German. There is no psychometric measure available in Turkish to screen for or detect psychiatric symptoms in adults with ID. The aim of the present study was to present a psychometric evidence of the Turkish language version of the PAS-ADD Checklist. This is the first study aiming to present and validate a psychiatric screening instrument for adults with ID in Turkey.

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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, İSMET

Introduction: 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.

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Affective Temperaments in Epilepsy

2012-09-01, YAZICI, Esra, YAZICI, Ahmet Bulent, Aydin, Nazan, Varoglu, Asuman Orhan, Kirpinar, Ismet, KIRPINAR, İSMET

Affective temperaments in epilepsy

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Male Genital Self-mutilation as a Psychotic Solution

, Ozan, Erol, Deveci, Erdem, ORAL, Meltem, Yazici, Esra, Kirpinar, Ismet, DEVECİ, ERDEM, KIRPINAR, İSMET

Background: Male genital self-mutilation (GSM) is a rare, but serious phenomenon. Some of the risk factors for this act are: presence of religious delusions, command hallucinations, low self-esteem and feelings of guilt associated with sexual offences. Other risk factors include failures in the male role, problems in the early developmental period, such as experiencing difficulties in male identification and persistence of incestuous desires; depression and having a history of GSM. The eponym Klingsor Syndrome, which involves the presence of religious delusions, is proposed for GSM.

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Global assessment of functioning and associated factors in psychiatric inpatients: a retrospective study

2012-09-01, Kirpinar, Ismet, ORAL, Meltem, KIRPINAR, İSMET

Objective: 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)