We compared early-onset and late-onset obsessive-compulsive disorder (OCD) patients in terms of demographic and clinical features. One hundred sixteen outpatients whose primary diagnosis was OCD according to DSM-IV diagnostic criteria were recruited. Early-onset (n=50) and late-onset (n=66) OCD groups were compared with respect to demographic variables and scores obtained on various scales. A male gender predominance was found in early-onset OCD group. Symmetry/exactness obsessions, religious obsessions, hoarding/saving obsessions, and hoarding/collecting compulsions also were significantly more frequent in the early-onset group than in the late-onset group. The results may suggest a phenotypic difference between the two groups. Further studies are needed to investigate the differences between early-onset and late-onset OCD groups to examine the hypothesis that early-onset OCD is a distinct subtype of the disorder.

Our objective in this study was to compare the demographics and clinical characteristics of patients with episodic and chronic obsessive-compulsive disorder (OCD). We recruited 128 outpatients with a primary diagnosis of OCD according to DSM-IV diagnostic criteria. The episodic (n=24) and chronic (n=104) OCD patient groups were compared with respect to demographic variables and scores from various psychiatric rating scales. The severity of compulsions was found to be significantly lower in the episodic OCD group than in the chronic OCD group. When the frequency of Axis I disorders was assessed in the two groups, bipolar disorder was found to have a significantly higher prevalence rate in the episodic OCD group than that in the chronic OCD group. The results of our study point to the possibility of an association between a subgroup of OCD with an episodic course and bipolar disorder. The evidence of such a relationship, which needs to be confirmed in a larger sample, might expand the scope of the clinical assessment and therapy of this subgroup of OCD.

ÖZETAile içi istismar, bireyler arası kültürel, ekonomik ve sosyal değişimler göstermekle birlikte genellikle erkeğin ka dın üzerinde hakimiyet sağlama ve toplumsal kuralları be lirleyen erkek egem en ideolojiye dayandığından, yoğun olarak kadına yönelik çeşitli istismar davranışları şeklinde karşımıza çıkmaktadır Sunulan olgu 25 yaşında, 3 yıllık evli, yüksek okul me zunu kadın olup İstanbul Tıp Fakültesi Adli Tıp Anabilim Dalı Polikliniğine fiziksel ve cinsel istismar öyküsü ile baş vurmuştur. Anabilim dalımızda yapılan muayenesinde; yay gın travma bulgulan tespit edilmiş olup, mevcut lezyonlar fotoğraflandırılmıştır. Psikiyatri anabilim dalından istenen konsültasyon sonucunda, travma sonrası stres bozukluğu tanısı konan kişinin, mevcut bulgularının aile içi şiddet öy küsü ile uyumlu bulunduğu kanaatine varılmıştır. Çalışma mızda benzer aile içi şiddet olgularının değerlendirilmesin de, fiziksel bulguların yanışına psikiyatrik değerlendirmenin de dikkate alınmasının düzenlenecek raporun sonucunu belirlemedeki rolü ve önemi tartışılmıştır.A n ah tar K elim eler: Aile içi şiddet, Fiziksel travma, travma sonrası stres bozukluğu SUMMARY Domestic violence, inspite of interpersonal cultural, so cial and economical changes, most frequently appears as various explotative behaviours against women, because it is generally based on a male-dominant ideology determining social rules and on domination of men to women.The case presented is 25 years old, married for 3 years and a university graduate, and has applied to Istanbul Me dical Faculty, Forensic Medicine Department with a state ment of physical and sexual abuse. During the examination in our department, some common trauma findings were de tected and existing lesions were recorded by camera. With the psychiatric consultation, the present findings relating to the person diagnosed with Posttraumatic Stress Disorder, have been agreed to be consistent with the domestic violen ce history. In our study, we discussed the significance and the role of the fact that, beside the physical findings, psychi atric evaluation must also be taken into consideration in the assesment of such phenomena, in determining the re sult of the report to be issued.

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Objective:The internalized stigma is a concept that is discussed mostly in severe mental illnesses and especially in schizophrenia. However, this concept is not studied in sexually traumatized people, yet. In this study, we aimed to investigate the internalized stigma and related features in sexually abused individuals.Methods:The participants who were the victim of sexual abuse and sent by courts to be examined for mental state were planned to be included in the study and after giving informed consent, 44 females were included. Participants were asked to complete the scales of Internalized Stigma Questionnaire for Mental Disorders, Beck Depression and Hopelessness Scales.Results:No significant differences were found between participants who had been diagnosed a psychiatric disorder or not after victimization according to total score of internalized stigma scale and subscale scores (p>0.05). There were significant correlations between mean Beck depression and hopelessness scale scores and internalized stigma scale mean total score and subscale scores (alienation, stereotype endorsement, discrimination experience, social withdrawal, and resistance to stigma).Conclusion:Self-stigmatized behaviors are seen in all participants who have been sexually abused and there was no difference according to such behaviors between participants whom had been diagnosed as mentally ill or not after victimization. However, an existing self-stigmatization is increasing in the existence of psychopathology. The responsibility of the professionals in mental health should develop new therapeutic or rehabilitative approaches to all sexually abused victims whether they meet psychiatric diagnostic criteria or not.