No abstract

Orthorexia nervosa (ON) refers to an intense desire to consume healthy or biologically pure food that is free of artificial products. ON is not regarded as a separate eating disorder, but its clinical presentation shares common features with obsessive-compulsive disorder (OCD) and eating disorders. The current study examined 130 patients who were diagnosed with OCD (n = 49), panic disorder (n = 44), and generalized anxiety disorder (n = 37). Padua Inventory Washington State University Revision (PI-WSUR), The Eating Attitudes Test-40 (EAT-40), and the ORTO-11 test were given to the participants. There were no significant differences between patient groups in the mean scores of eating attitudes and orthorexia symptom severity. No significant association between ORTO-11 scores and body mass index was noted. Moderate correlations (r > 0.30) were obtained between orthorexia symptom severity and obsessive-compulsive symptom severity, EAT-40 total score, and checking and dressing/ grooming compulsions. These findings suggest that ON, a pathological inclination towards an obsession with healthy eating, is not specifically associated with any of the investigated illness groups. However, it has moderate correlations with the ritualistic signs of OCD. Underlying worry may predispose people to develop a compulsion to create the pure diet.

No abstract

Çalışmada, Bipolar I Bozuklukta (BPB I) seyir ve dönem özelliklerinin bakıcı yükünü nasıl değiştirdiği araştırılmıştır. Yöntem: Şubat-Temmuz 2010 tarihleri arasında, DSM-IV-TR tanı ölçütlerine göre BPB I tanısıyla izlenen iyileşme dönemindeki 89 (doğal seyirli 55, hızlı döngülü veya en az bir karma atağı olan 34) hasta ile hastalara bakım veren 89 kişi çalışmaya alındı. Hastalar sosyodemografik-klinik form, Hamilton Depresyon Ölçeği (HDÖ), Young Mani Derecelendirme Ölçeği (YMDÖ) ve İşlevselliğin Genel Değerlendirilmesi Ölçeği (İGD) ile, hasta yakınları ise sosyodemografik form ve Zarit Bakım Verme Yükü Ölçeği (ZBYÖ) ile değerlendirildi. Bulgular: BPB I olanların bakım verenlerinde % 44,9 oranında orta ve şiddetli yük saptandı. Dönemsel karma özellik gösteren veya hızlı döngülü seyir izleyenlere bakım verenlerde, toplumsal ilişkilerde bozulma alanında daha fazla yük (p<0,01) saptandı. YMDÖ puan ortalamaları orta ve şiddetli yük grubunda yüksek (p<0,01) bulundu. Hastanın yaşı, YMDÖ puanı, manik dönem sayısı (p<0,01), toplam hastalık süresi ve bakım süresi arttıkça bakım verenlerin bağımlılık düzeyi artarken (p<0, 05), yaş ve bakım süresi arttıkça hissedilen ekonomik yük azalmaktaydı (p<0,05). Sonuç: BPB I tanısı konan hastalara bakım vermek, hastalar iyileşme döneminde bile olsalar önemli bir yük oluşturmaktadır. Dönemsel karma özellik veya hızlı döngülülük gösterme, manik dönem sayısının artması ve eşik altı manik belirtilerin olması bakım verenin yükünü artırmaktadır.

The aim was to evaluate the clinical profile and effectiveness of ECT in women. A retrospective chart review was carried out to identify female patients who had received ECT during the period September 2013-February 2015. Details regarding their sociodemographic, clinical, and treatment data were extracted from these records for the present study. The total number of patients, admitted to our psychiatry inpatient clinic during the survey period, was 802. During this period, 26 (3.24 %) female patients received ECT. Patients who received ECT were mostly in age group of 25-44 years (76.9 %). Twenty percent of patients were in the postpartum period. Psychotic disorders (46.1 %) was the most common diagnosis for which ECT was used, followed by bipolar affective disorder, current episode manic (19.2 %). At the end of ECT courses, 70 % of the patients showed good response with a CGI-I of 1 or 2, and 30 % showed minimal response with a CGI-I score of 3. The most common side effects were post-ECT confusion (15.4 %) and prolonged seizure (11.5 %). This rate of prolonged seizure was higher the rates reported in the literature. The bronchospasm related with remifentanil, post-ECT bradycardia, hypertensive crisis and oligohydramnios were also reported in one case each. ECT is a safe and effective treatment option in women with severe psychiatric disorders and disorders in the perinatal/postpartum period are a major area of ECT use. The female gender may be a contributing factor for the higher rates of prolonged seizure.