Attention-deficit hyperactivity disorder (ADHD), a syndrome that typically first appears in early childhood, can occur in individuals of all ages. Prospective studies have demonstrated that at least half of children diagnosed as having ADHD continue to suffer the symptoms of this disorder in their adult life with significant impacts on their social status, achievement level and sense of wellbeing. The purpose of this preliminary study was to determine the rate of ADHD in patients with bipolar disorder (BD) and to examine the effects of comorbid ADHD on several clinical and sociodemographic variables of bipolar patients. Forty-four BD-I patients followed up in psychiatric outpatient clinics in two university hospitals, were assessed for the presence of adult ADHD according to DSM-IV. All patients also completed the Wender Utah Rating Scale for objective evaluation of ADHD. Of 44 patients with BD-I, only seven (15.9%) fulfilled criteria for a diagnosis of adult ADHD. Bipolar disorder-I patients with comorbid ADHD were more likely to be female, and have more affective episodes (especially depressive episodes) than bipolar patients without comorbid ADHD. Age at onset of affective illness was not significantly different between the two groups. In line with results of several previous reports, the present study also showed higher prevalence of ADHD in patients with BD-I than in normal population. A higher number of affective episode in patients with comorbid ADHD may suggest a more severe clinical course of BD in these patients. A larger group of samples is required to clarify the exact association and interaction between these two clinical entities.
The results of this study indicate that Capgras syndrome is not a rare syndrome, and commonly occurs during the course of either functional or organic psychotic illness. Age seems to be an important predicting factor for the etiology of psychosis underlying Capgras syndrome.
Short Form of Barratt Impulsiveness Scale (BIS-11-SF) Turkish Adaptation StudyAraştırma Makalesi / Research Article 130 Ya z›fl ma Ad re si/Cor res pon den ce Ad dress: Dr. Lut Tamam, Çukurova Üniversitesi Tıp Fakültesi, Psikiyatri Anabilim Dalı, Adana, Türkiye Tel.: +90 322 338 60 60/3204 E-posta: ltamam@gmail.com Ge liş ta ri hi/Re cei ved: 25.08.2011 Ka bul ta ri hi/Ac cep ted: 16.01.2012 © Nö rop si ki yat ri Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra f›n dan ba s›l m›fl t›r. / © Arc hi ves of Neu ropsy chi atry, pub lis hed by Ga le nos Pub lis hing ÖZET Amaç: Bu çalışmada Barratt Dürtüsellik Ölçeğinin (BIS-11), kısa formunun Türkçe uyarlamasının yapılması amaçlanmıştır. Bu kısa form (BIS-11-KF), araştırmacılara özellikle saha araştırmaları, birinci basamak ve farklı klinik örneklemlerde kullanım olanağı sağlamaktadır. Yöntem: Bu çalışma iki aşamada yürütülmüştür. İlk aşamada 142 sağlıklı katılımcı üzerinde uygulanan 30 maddelik BIS-11'in açımlayıcı faktör analizi yapılmış, daha önce yürütülen Türkçe uyarlama çalışmasında 3 faktörlü çözüme göre elde edilen her bir faktöre ait en yüksek faktör yüküne sahip 5 madde belirlenmiştir. Son oluşan 15 maddeli kısa form (BIS-15-KF) tekrar açımlayıcı faktör analizine alınmış, ayrıca bu formun toplam ölçek ve alt ölçeklerin iç tutarlığı hesaplanmıştır. Geçerlik analizi için, Frontal Sistemler Davranış Ölçeği (FrSDa) ile korelasyonları değerlendirilmiştir. Bu ikinci aşamaya ilk aşamaya katılmamış 92 denek alınmıştır. Bulgular: İlk aşamada, 30 maddelik formun iç tutarlık ve madde toplam korelasyonunda yeterli olan 15 madde faktör analizine alındı. Orijinal ölçekte yer alan 3 faktörlü yapının [Plan Yapmama (PY), Motor Dürtüsellik (MD) ve Dikkat Dürtüselliği (D)] bu kısa formda da geçerli olduğu saptandı. 15 maddelik yeni formun alt faktörlerinin iç tutarlıkları toplam ölçek için Cronbach alfa: 0,82, PY alt ölçeği için 0,80, MD için 0,70 ve DD için ise 0,64 olarak belirlendi. FrSDa (toplam ölçek ve tüm alt ölçek) ile orta-iyi düzeyde (0,31-0,67) pozitif korelasyon gösterdiği bulundu. Sonuç: Bulgularımız ölçeğin kısa formunun Türkçe uyarlamasının faktöryel yapısının sağlıklı gruplar için yeterli, güvenilir ve geçerli olduğunu göstermektedir. ( Nöropsikiyatri Arşivi 2013; 50: 130-134) Anah tar ke li me ler: Dürtüsellik, BIS-11 kısa form (BIS-11-KF), faktör yapısı, güvenirlik, geçerlik Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir. ABS TRACTBackground: This study aims to conduct Turkish adaptation of abbreviated version of the Barratt Impulsiveness Scale (BIS-11). This short form (BIS-11-SF) would let the researchers easily use this impulsiveness scale in several different study fields including epidemiological studies, primary care and clinical samples. Methods:The present study was conducted in two stages. At the first stage, an exploratory factor analysis was carried out with 30-item BIS-11 which has been completed by 142 healthy participants. Through this analysis, 5 items with the highest factor loadings that bel...
The results of this study suggest that comorbid personality disorder might alter the course of BD and result in a poorer prognosis and more severe psychopathology. Further prospective controlled studies minimizing the bias of interviewers and other confounding factors would help us to understand the pure impact of personality disorder on the course of BD, its prognosis and response to treatment.
Background and aims: The depression prevalence is 40-70% in teenagers.it is twice as many as boys. Insufficient parents' attention to psychosocial need satisfaction (PSNS) can be effective in teenagers depression. This research studied the depression and PSNS in girl students living in Kashan eIRAN 2006 Methods: It was a Descriptive-Cross sectional research that studied 509 high school students whom were selected randomly from the schools of Kashan 2006.The Beck questionnaire were used for depression determination ;scores less than 5,5-7,8-15and more than 16 were considered normal, mild, moderate and sever depression. The PSNS was studied by a researcher made questionnaire that its reliability and validity has been assessed scores which were considered for low psns was 1-31,moderate was 32-62 and high psns was 63-93. X2 and T test were used to analyze the data. Results: The research showed that 53/3% of girls was depressed. The high PSNS were 49/9%, 62/2%, 84/1% and 87/3% in sever,moderate,mild and no depression girls respectively which showed significant direct relationship between PSNS and depression. The girl who were fully satisfied of psychosocial needs showed just 2/9% severe depression while the depression was 50% among girls with low PSNS (p<0/05). Conclusions: The parents' attention to psychosocial needs of teenagers can decrease depression in teenagers.
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