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YILDIZ, MESUT

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YILDIZ

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MESUT

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Now showing 1 - 6 of 6
  • Publication
    Psychiatric morbidity of patients with keratoconus: A cross-sectional study
    (PERGAMON-ELSEVIER SCIENCE LTD, 2021) TOKER, AYŞE EBRU; Yildiz, Mesut; Turhan, Semra Akkaya; Yargi, Berru; Ergun, Serhat; Ornek, Erdem; Baz, Fatih; Toker, Ayse Ebru
    Background: This study aimed to determine the prevalence of psychiatric disorders in patients with keratoconus and the effect of clinical parameters and psychiatric morbidity on quality of life in this patient group. Materials and methods: This cross-sectional study enrolled 94 patients with keratoconus. All patients underwent a complete ophthalmic and psychiatric examination and completed the The National Eye Institute Refractive Error Quality of Life Instrument-42 (NEI-RQL-42), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) questionnaires. The current diagnosis of psychiatric disorders was determined using the Structured Clinical Interview for DSM-IV (SCID). The impact of disease severity (binocular BCVA >0.4 logMAR, steep K reading >52, and Amsler-Krumeich grades) on vision-related quality of life was also analyzed. Results: The patients? mean age was 23.9 ? 4.8 (range, 18?40) years. Of the 94 participants 35 (37.2%) had a psychiatric diagnosis, 13 (13.8%) had moderate-severe depression and 20 (21.2%) had moderate-severe anxiety according to the BDI and BAI, respectively. The probability of having a psychiatric disorder was higher if the keratoconus was more severe. Patients with a psychiatric diagnosis scored lower on physical functioning, role limitations due to emotional problems, energy/fatigue; emotional well-being, social functioning and pain subscales of the Short Form-36 (SF-36). Having a SCID-1 psychiatric diagnosis and the presence of a psychiatric disorder did not significantly affect NEI-RQL-42 questionnaire scores. Conclusions: There was high psychiatric morbidity among patients with keratoconus. Having a psychiatric disorder was associated with lower QoL as measured using the SF-36.
  • Publication
    How are Experiential Avoidance and Cognitive Fusion Associated with Alexithymia?
    (SPRINGER, 2021) YILDIZ, MESUT; Celikbas, Zekiye; Batmaz, Sedat; Yavuz, Kaasim Fatih; Aslan, Esma Akpinar; Yesilyaprak, Nurgul; Kocakaya, Hanife; Demir, Meral Oran; Songur, Emrah; Yildiz, Mesut
    A transdiagnostic approach to psychiatric disorders presents an opportunity to evaluate the relationship between alexithymia and the concepts of psychopathology according to the psychological flexibility model. This study aimed to investigate the relationship between alexithymia, cognitive fusion and experiential avoidance. A total of 133 outpatient participants were included in this cross-sectional study. Sociodemographic Data Form, Toronto Alexithymia Scale-20, Acceptance and Action Questionnaire-II, Cognitive Fusion Questionnaire, Hospital Anxiety and Depression Scale, and Ten-Item Personality Inventory were used. The non-alexithymic group consisted of 37 participants while the alexithymic group of 26. The alexithymic group had higher scores in terms of depression, anxiety, experiential avoidance, and cognitive fusion. Difficulty in identifying and differentiating feelings and total alexithymia scores had positive correlations with anxiety, experiential avoidance, and cognitive fusion. In hierarchical regression analysis, the only difficulty in identifying feelings was predicted by both experiential avoidance and cognitive fusion. These results revealed that alexithymia might also be conceptualized adopting the psychological flexibility point of view.
  • Publication
    Massive traumatic events and posttraumatic stress disorder
    (NOVA Science Publishers Inc., 2021-05-01) YILDIZ, MESUT; Yıldız M.; Turan Yurtsever, Nursen
    Posttraumatic stress disorder (PTSD) is a psychiatric disorder that mayoccur in people who have experienced or witnessed a traumatic event suchas a natural disaster, a serious accident, a terrorist act, war/combat, or rapeor who have been threatened with death, sexual violence, or serious injury.Individuals with PTSD may have impairments in aspects of theirpsychological, physical, interpersonal, and occupational lives. PTSDusually has a chronic course and causes disruptions in the general andsocial functioning of the person. PTSD can be both underdiagnosed andoverdiagnosed in clinical settings. There are clear differences in the clinicalapproach to PTSD cases and the forensic perspective. The medicolegalapproach is different from the clinical viewpoint. Psychiatrists arefrequently asked for evaluations of traumatic events in civil and criminalmatters. Psychiatrists are asked to evaluate if the traumatic event caused orcontributed to a psychiatric disorder or a functional impairment. They arealso asked to make a distinction between causal and contributing factors.In addition, the factors that contribute to the person’s current mental stateand functionality should be well reviewed, and a possible malingeringshould not be overlooked. This chapter will review the clinical and ethical implications in evaluating patients with PTSD in a forensic setting.
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  • Publication
    A case report of a patient ınitially diagnosed with psyhotic depression rapidly switching to mania in treatment of bupropion rechallange
    (2021-11-17) KARAKUŞ, İBRAHİM HAKKI; AKÇA, ERDOĞDU; YILDIZ, MESUT; Karakuş İ. H., Akça E., Yıldız M.
  • Publication
    The relationship between depression, anxiety, personality traits and coping strategies of patients with euthyroid Hashimoto's Thyroiditis
    (EUROPEAN JOURNAL OF PSYCHIATRY, 2017) YILDIZ, MESUT; Yildiz, M.; Sahin, S.; Batmaz, S.; Songur, E.; Kutluturk, F.
    Background and objectives: We aimed to investigate the depression and anxiety levels and to explore the coping strategies and personality traits of patients with euthyroid Hashimoto Thyroiditis (HT). Methods: The study population consisted of 108 outpatients with euthyroid HT. The participants completed the Hospital Anxiety and Depression Scale (HADS), the Big Five Personality Inventory (BFI), and the Coping With Problems Experienced Inventory (COPE). Results: Depression scores were negatively correlated with emotion-focused and problem-focused coping style scores. Emotion-focused and problem-focused coping style scores Were negatively correlated with neuroticism, and positively correlated with openness scores. Emotion-focused coping style scores were also positively correlated with agreeableness scores. Dysfunctional coping style scores were negatively correlated with conscientiousness scores. Higher agreeableness and anxiety scores as well as lower neuroticism scores were predictive of emotion-focused coping style scores. Problem-focused coping style scores were predicted by lower depression scores. Dysfunctional coping style scores were predicted by lower conscientiousness scores. Conclusions: The present study points the importance of taking personality features and individual coping strategies into account when evaluating patients with HT. Determining the personality features and coping strategies might be useful for identifying patients in need of particular counseling and support. (C) 2017 Asociacion Universitaria de Zaragoza para el Progreso de la Psiquiatria y la Salud Mental. Published by Elsevier Espana, S.L.U. All rights reserved.