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    Adult attention deficit hyperactivity disorder and early maladaptive schemas
    (John Wiley and Sons Ltd, 2021) Kiraz, Seda; Sertçelik, Sencan
    The purpose of the current study is to present the early maladaptive schemas in adult attention deficit hyperactivity disorder (ADHD). The study sample comprised 107 participants, including 55 adult ADHD and 52 healthy volunteers. The age of the participants ranged between 18 and 32 years. Structured Clinical Interview Form for DSM-IV Axis I (SCID-I) and Structured Clinical Interview Form for DSM-III-R Disorders (SCID-II) were applied to all participants and Diagnostic Interview for ADHD (DIVA) for ADHD group based on DSM-5 criteria. The participants filled the Young Schema Questionnaire (YSQ-S3), Adult ADHD Self-Report Scale (ASRS), Wender Utah RatingScale-25 (WURS), Beck Depression Inventory (BDI) and The Beck Anxiety Inventory (BAI). All maladaptive schemas were found to be statistically significantly higher in the ADHD group. As compatible with ADHD core symptoms, “Failure,” “Emotional Inhibition,” “Insufficient Self-Control” and “Social Isolation” were the most seen maladaptive schemas in the ADHD group. “Approval Seeking,” “Entitlement/Grandiosity” and “Punitiveness” were found the weakest schemas in the ADHD group. This study besides supporting the theory of early maladaptive schemas suggests that identifying and modifying maladaptive schemas interventions based on specific schemas can be an important and useful method for psychotherapy in treatment of ADHD. © 2021 John Wiley & Sons, Ltd.
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    An Investigation of the Effect of Anxiety and Religious Beliefs on Decision-Making Attitudes to Lumbar Microdiscectomy
    (Discovery Publication, 2020) Kiraz, Murat; Kiraz, Seda
    Background: The effects of religious beliefs on health have been investigated for many years. Although this issue has been investigated in many scientific studies, whether there is a significant relationship between anxiety and religiousness is still discussed. This study aims to investigate the effects of anxiety levels and religiousness on Lumbar Microdiscectomy acceptance attitudes. Methodology: The participants were divided into two groups as those who accepted Lumbar Microdiscectomy and those who did not; these patients were asked to fill in two different forms that were developed to measure pre-operative anxiety level and religiousness level. The patients' religiousness level was identified using the Religious Orientation Scale. The anxiety levels of the patients were determined by using Anxiety Specific to Surgery Questionnaire. Results: The anxiety level of the group that did not accept an operation was 33.48 +/- 8.05, which was significantly higher than the anxiety level (27.12 +/- 7.32) of the group which accepted an operation (p=0.001). The Pearson correlation analysis performed between the anxiety and religiousness scale scores indicated a significant, weak-level, and negative relationship (p=0.033, r=-0,320). When the effect of anxiety level between the groups who accepted an operation and who did not is controlled with ANCOVA test, no significant differences were found between the religious scale scores of the groups (p=0.572). Conclusion: Apart from the effect of religiousness, decision for Lumbar Microdiscectomy is considered to be affected by several multidimensional factors such as patients' anxiety levels, previous disease experiences, importance they give to quality of life, post-operative risks such as experiencing severe pain or getting paralyzed, anxiety of leaving from the family, loss of independence, fear of operation, and fear of death.
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    Global Scientific Outputs of Schizophrenia Publications From 1975 to 2020: a Bibliometric Analysis
    (Springer, 2021) Kiraz, Seda; Demir, Emre
    Schizophrenia is a choronic, complex and powerfully inherited mental illness that seriously affects quality of life. The illness is one of the most researched psychiatric disorders from past to present. This study aims to provide a holistic summary of the global scientific outputs through bibliometric analyses and reveal the trend topics. The articles published between the years 1975 and 2020 were downloaded from the Web of Science (WoS) database and analyzed using bibliometric methods. The literature review was conducted using the keyword ''schizophren*'' in the ''Research Area'' category. The relation between the number of publications of the countries and the Gross Domestic Products and Human Development Index values were analyzed using Spearman's correlation coefficient. The number of articles between the years 2021 and 2032 was estimated through linear regression analysis.There were 103,992 publications, 51,117 of which were articles. The number of studies has increased in direct proportion to the development level of the countries. Schizophrenia Research was the most active journal. The most used research topics are cognition, negative symptoms, bipolar disorder, antipsychotics, depression, clozapine, quality of life. Trend keywords used in recent years are 'inflammation', 'biomarker', 'oxidative stress', 'Brain Derived Neurotrophic Factor (BDNF)', 'social cognition', 'metacognition', 'motivation', 'social functioning', 'functioning', 'mental health', 'metabolic syndrome', 'functional connectivity', 'adherence' and 'recovery' indicated new research frontiers in this field. Although schizophrenia has not been fully elucidated, studies are growing like an avalanche. Our study includes the most up-to-date and most comprehensive data ever made in this field.
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    HELICOBACTER PYLORI ERADICATION PHARMACOTHERAPY INDUCED PSYCHOTIC EPISODE
    (Medicinska Naklada, 2021) Cipil, Arif; Kiraz, Seda; Eroglu, Meliha Zengin; Gunduz, Anil
    [Abstract Not Available]
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    Mitochondrial Membrane Protein-Associated Neurodegeneration as The Cause of Psychosis
    (Turkish Assoc Psychopharmacology, 2020) Kiraz, Seda; Kiraz, Murat
    Hallucinations and delusions can be an initial symptom of many medical conditions as well as psychiatric disorders. These medical conditions can be endocrinological, immunological, neurological or genetic diseases. NBIA (Neurodegeneration with Brain Iron Accumulation) is a very rare genetically inherited mixed disorder that can occur with neurological, psychiatric or neuropsychiatric symptoms. MPAN (Mitochondrial Membrane Protein-Associated Neurodegeneration) is a recently described NBIA subtype. In this article, MPAN case with visual hallucinations and cognitive destruction was discussed. Also, we aimed to present the clinical features of MPAN and to underline the importance of the physical and neurological examination and the combination of findings with appropriate tests in the process of diagnosis.
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    The effect of level of doing sports activities and attitude towards recreational activities on burnout level and COVID-19 phobia in physicians
    (DISCOVERY PUBLICATION, 2022) Yıldırım, Sibel; Kiraz, Seda
    It has been recommended to implement physically active lifestyles against the negative consequences of the COVID-19 pandemic. During the pandemic process, many healthcare professionals had to lead a stressful life due to long hours of intensive healthcare. This situation directly affected the burnout levels of physicians as well as indirectly affected patients seeking treatment. The goal of this study was to look into the effects of physicians' levels of participation in sports, their attitudes toward sporting recreational activities, and the effects of COVID-19 phobias on burnout. 272 physicians participated in the study. The Health Belief Scale Regarding Sports Recreational Activities (HBSSRA), Maslach Burnout Scale (MBI), and COVID-19 Phobia Scale (C19P-S) were used during data collection. Spearman correlation coefficient was used for correlation analysis, Kruskal-Wallis test was used to compare groups, and logistic regression analysis was used to establish a model. MBI total and emotional exhaustion scores were significantly different according to the physicians' participation levels in sportive activities (P=0.740, P=0.136). Statistically significant correlation was found between HBSSRA and MBI total scores (r=-0.313, P=0.009). The probability of emotional exhaustion was 1.45 times higher in physicians with low level of participation in sports activities. The increase in HBSSRA scores had a protective effect on emotional burnout (P=0.028, OR: 0.72). We are hopeful that the findings obtained from physicians will highlight the importance of sports and recreational activities, paving the way for improvement strategies that will benefit those who are most affected by the COVID-19 crisis.
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    The Relatonship Between Alexithymia and Impulsiveness in Adult Attention Deficit and Hyperactivity Disorder
    (Turkiye Sinir Ve Ruh Sagligi Dernegi, 2021) Kiraz, Seda; Sertcelik, Sencan; Taycan, Serap Erdogan
    Objective: It has been emphasised recently that emotion regulation problems may be the core symptoms of attention deficit hyperactivity disorder (ADHD). In this study, we aimed to determine the incidence of alexithymia, the relationship between alexithymia and impulsiveness, the severity of ADHD, depression and anxiety semptoms in adult ADHD. Method: All participants were assessed with the Structured Clinical Interview For DSM IV Axis I Disorders (SCID-I); and completed the Toronto Alexithymia Scale (TAS), the Impulsive Behavior Scale (UPPS), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), Adult Attention Deficit and Hyperactivity Disorder Self Reporting Scale (ASRS) and the Wender Utah Rating Scale (WURS). The ADHD patients were also assessed with the Diagnostic Interview for ADHD (DIVA) for DSM-5 criteria. Results: The study included 101 ADHD patients with a mean age of 23.06 +/- 4.24 years with 47.5% females, and 100 healthy control individuals with a mean age of 22.76 +/- 5.68 years with 50% female participants. Alexithymia incidence was 41.5% in the ADHD group. The increase in the levels of impulsiveness, depression and anxiety correlated with the severity of ADHD symptoms; and impulsiveness predicted alexithymia in the ADHD group. Conclusion: Alexithymia incidence was higher in the ADHD group. When ADHD and control participants were combined, alexithymic individuals was more associated with impulsivity with frequent display of anxiety symptoms.