The Search for Non-Medical Treatment by Patients with Psychiatric Disorders

Patients in Turkey frequently seek help from non-physicians such as hodjas and fortune-tellers. The aim of this study is to assess the prevalence, reasons for and results of the search for non-medical help by patients with psychiatric disorders. It was determined that 42.2% of patients consulted a hodja or a fortune-teller, and many (23.1%) were either the subject of prayers or else were advised to pray themselves as treatment. Considering that a significant number of patients seek non-medical treatment, it is thought that people should be informed about psychiatric disorders, therapies, and how to obtain them.All of the authors are M.D.s at Ondokuz Mayis University in Samsun, Turkey. Dr. Peksen is a Professor and Dr. Sunter an Assistant Professor in the Faculty of Medicine, Department of Public Health. Dr. Ozkan is a Professor and Dr. Güz an Associate Professor in the Department of Psychiatry.     

The diagnostic role of serum inflammatory and soluble proteins on dementia subtypes: correlation with cognitive and functional decline

In the past years, the possible involvement of inflammation in the pathogenesis of dementia has been the subject of several investigations. However there are restricted data about the profile of the inflammatory and soluble proteins in well evaluated Alzheimer's disease (AD), vascular dementia (VD), mild cognitive impairment (MCI) and healthy controls. There are also no reliable data regarding the relationship between the overlapping protein levels and cognitive or functional decline. We measured levels of IL-1beta, IL-2, IL-6, IL-18, TNF-alpha, beta-Amlyloid 1-40 and alpha1-antichymotrypsin levels in plasma in groups of total 82 subjects with AD, MCI, VD and controls using enzyme-linked immunosorbent assay (ELISA) method. Our study samples showed high levels of proinflammatory cytokine levels (especially IL-18) in all patient groups but only high levels of alpha1-antichymotrypsine in VD patients compared to controls. There is no significant correlation between the laboratory and clinical variables except for a link between IL-1beta and NPI scores of AD. In conclusion, this study yielded evidence of some shared mechanisms underlying AD and VD and thus motivates further studies of inflammatory markers in various types of dementia and MCI.     

National (dis)identification and ethnic and religious identity: a study among Turkish-Dutch muslims

National (dis)identification is examined in three studies among Turkish-Dutch Muslim participants. In explaining national (dis)identification, the first study focuses on ethnic identity, the second on ethnic and religious identity, and the third on three dimensions of religious identity. Many participants show low commitment to the nation, and many indicate national disidentification. In addition, there is very strong ethnic and religious identification. Ethnic and Muslim identifications relate negatively to Dutch identification and, in Study 3, to stronger Dutch disidentification. Furthermore, perceived group rejection is associated with increased ethnic minority and religious identification but also with decreased national Dutch identification. In addition, in Studies 1 and 2 the effect of perceived rejection on Dutch identification is (partly) mediated by minority group identification. The findings are discussed in relation to social psychological thinking about group identification, dual identities, and the importance of religion for intergroup relations.     

Incidence of depression related to isotretinoin treatment in 100 acne vulgaris patients

The incidence of depression in acne patients using isotretinoin was assessed in 100 patients with moderate and nodulocystic acne. All patients received 0.75-1.00 mg/kg/day of isotretinoin for 20-28 weeks after acne was assessed. All patients' acne lesions were improved at the end of the treatment period. Psychological state was evaluated at baseline, at Month 3, and Month 6 by a psychiatrist using a Turkish version of the Hamilton Depression Rating Scale. Only one patient's score increased to the clinical level of depression at Month 3 of treatment and declined to subclinical levels at Month 6. Although Hamilton scores increased at Month 3 over baseline scores, except for one patient, others' scores remained below the subclinical level for depression. At the end of Month 6, the mean score decreased below that at Month 3. These changes in means might be related to the onset of clinical effect of isotretinoin.     

The gendered nature of career development of university professors: the case of Turkey

This paper examines the gendered nature of the careers of university professors in Turkey, where 23% of professors are women. This proportion is relatively high compared to Western Europe and the United States, indicating that Turkey is an important country in which to study women and men’s professorial careers in academic institutions. The paper draws on original documentary sources and a qualitative study of Turkish professors. It demonstrates how the interplay between state policy and the dominant family ideology has enabled and constrained both women and men’s careers, but in different ways. The paper also suggests that the progress made towards women’s hierarchical equality may in the future be threatened by the current transformation of the university sector in Turkey.     

Dispositional and situational coping and mental health among Palestinian political ex-prisoners

We examined, first, differences in dispositional and situational coping, and psychological distress between political ex-prisoners and their matched controls, and second, coping effectiveness in protecting mental health from impacts of imprisonment and military trauma. Thirdly, we tested the hypothesis that compatibility ("goodness of fit") between dispositional and situational coping would predict low psychological distress. Participants were 184 men recruited from a Palestinian community sample, 92 were former political prisoners and 92 non-prisoners. The dispositional coping was assessed as a general response style to hypothetical stressors and situational coping as responses to their own traumatic experiences. Psychological distress was measured by SCL-90-R, and posttraumatic stress disorder, depression and somatoform symptoms by scales based on CIDI 2.1 diagnostic interview. The results showed that, compared to non-prisoners, the political ex-prisoners employed less avoidant, denying, and emotion-focused coping strategies. Military trauma was associated with avoidant and denying coping only among non-prisoners. The ex-prisoners showed more mental health and medical problems, especially when exposed to military trauma. None of the coping styles or strategies were effective in protecting the mental health in general or in either groups. However, main effect results revealed that the high level of active and constructive and low level of emotion-focused coping were associated with low levels of psychiatric symptoms and psychological distress.     

The reliability and validity of the Turkish version of the brief infant–toddler social emotional assessment (BITSEA)

In this study the reliability and validity of the Turkish version of the brief infant–toddler social emotional assessment (BITSEA) were investigated in a community sample. The sample consisted of 462 children (mean age: 24.60 ± 7.93 [12–42] months) who had applied to Turkish health centers for immunization. Both parents completed the BITSEA; mothers completed the child behavior checklist 2/3 (CBCL). Internal consistencies of the BITSEA–problem (P) and competence (C) scales were good to excellent (Cronbach's α = 0.82 and 0.72, respectively). Interrater reliability between parents and test–retest reliability were good. BITSEA/P scores were significantly correlated with CBCL internalizing, externalizing and total problem scores (p < 0.001). Maternal BITSEA/P cutpoint scores revealed that 30.6% of male toddlers and 28.6% of females were in the subclinical range and 13.1% of males and 17.6% of females were in clinical range. Results reveal that the Turkish version of BITSEA is a reliable, valid and simply applicable instrument for screening social, emotional and behavioral problems among toddlers. Clinical validation of the BITSEA/C and BITSEA/P is warranted.     

Parental Control: A Second Cross-Cultural Research on Parenting and Psychological Adjustment of Children

Parental control is among the important factors influencing the psychological development of children. In addition to other questionnaires, a questionnaire of father and mother control was administered to adolescents in nine countries. The results showed that parental control differs across cultures. Parental control was higher in the eastern than western countries. Mothers, particularly in the west, are more controlling than fathers. Fathers’ rather than mothers’ control was associated with adolescents’ psychological disorders in the west, but not in the east. Inconsistent parental control was associated with psychological disorders.