Person: AKVARDAR, YILDIZ
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AKVARDAR
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YILDIZ
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Publication Metadata only The role of dopamine(2) receptor gene and personality characteristics in alcohol dependence in Turkish population(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2014) AKVARDAR, YILDIZ; Dalmis, Arzu; Akvardar, Yildiz; Eresen, Cigdem; Kizildag, Sefa; Akpulat, Ugur; Yildirimcan, Sebnem; Arkar, Haluk; Akdede, Berna Binnur; Alptekin, KoksalObjective: Focusing on dopaminergic system, which is regarded to be responsible for alcohol dependence in many studies on animals and human beings, it is aimed to investigate Taql A and 8 allel polymorphisms of dopamine 2 receptor and personality characteristics in alcohol dependents and the relationship between these two parameters. Methods: In this study 64 alcohol dependent patients (3 females, 61 males) diagnosed according to DSM-IV diagnosis criteria, and 54 healthy subjects (8 females, 46 males) who themselves or whose first or second degree relatives had no alcohol dependence history were included. In order to determine their Taql A and 8 alleles, blood samples were drawn from the participants, and then they were applied Temperament and Character Inventory and Michigan Alcoholism Screening Test. Results: Subjects with and without alcohol dependence revealed no significant difference as regards the frequency of Taql A1 and B2 minor allel polymorphisms of DRD2 gene. It was also determined that the alcohol dependents had significantly higher scores in novelty seeking and harm avoidance dimensions, and lower scores in self directedness and cooperativeness dimensions than the controls. In alcohol dependents, no association was determined between the personality characteristics and Taql A1 and B2 minor allel polymorphisms. Conclusion: Not only one gene, but also several other minor genes in addition to personality characteristics and environment may play a role in vulnerability to alcohol dependence. In alcohol dependents, high novelty seeking is associated with the increase in impulsive behavior, and may be important for the onset of alcohol taking behavior. High level of harm avoidance may lead to taking alcohol continuously in order to deal with stress.Publication Open Access Domestic Violence Among Women Attending to Psychiatric Outpatient Clinic(AVES, 2018-03-19) YORGUNER, NEŞE; Kurt, Emel; Yorguner Kupeli, Nese; Sonmez, Ekin; Bulut, Necati Serkut; Akvardar, YildizObjective: Domestic violence (DV) is defined as all kinds of abusive behaviors between spouses or relatives living in the same house. Domestic violence is most commonly directed towards women and children. This study aims to review the extent of domestic violence among women consulting to psychiatric outpatient clinic, and to identify its relation with sociodemographic risk factors and psychological symptoms. Method: Self-reported Domestic Violence Questionnaire and Symptom Checklist-90-R (SCL-90-R) information was collected from women who admitted to psychiatric outpatient clinic at Marmara University Research and Educational Hospital, and accepted to participate in the study. Results: 300 women participated in the study. Mean age of participants was 36.24 +/- 10.88, 75.7% of them were married, and mostly live within nuclear families. 70.1% of the participants reported verbal violence, and 49.0% reported physical violence. 65.3% of those who have experienced verbal violence have also experienced physical violence. 26.1% of them reported as not having experienced domestic violence before. The nature and extent of domestic violence, women's attitudes towards it, and its relation with experience of domestic violence during childhood have been explored. Participants' educational levels, current age and age of marriage, style of marriage, educational level and age of spouse were not found to be associated with experiencing of domestic violence. Both verbal and physical domestic violence were significantly associated with the economic status of women (p<0.05). The mean SCL-90-R score was 1.40 +/- 0.68 with the highest mean subgroup score under depressive symptoms category (1.80 +/- 0.79). Mean SCL-90-R score showed significant association with the experience of domestic violence (p <= 0.001). Conclusion: Most of the women participated in the study have experienced domestic violence. Both verbal and physical violence increased with lower economic status. Psychiatric symptoms increased with the experience of domestic violence. Considering its high prevalence and detrimental psychological effects, domestic violence should be inquired by clinicians as part of the psychiatric interview.Publication Metadata only Psikiyatri polikliniğine başvuran kadın hastalarda aile içi şiddet yaşantısının değerlendirilmesi(2012-11-13) YORGUNER, NEŞE; AKVARDAR, YILDIZ; KURT E., YORGUNER N., SÖNMEZ GÜNGÖR H. E., BULUT N. S., AKVARDAR Y.Publication Open Access Personal and perceived peer use and attitudes towards the use of nonmedical prescription stimulants to improve academic performance among university students in seven European countries(ELSEVIER IRELAND LTD, 2016-11) AKVARDAR, YILDIZ; Helmer, S. M.; Pischke, C. R.; Van Hal, G.; Vriesacker, B.; Dempsey, R. C.; Akvardar, Y.; Guillen-Grima, F.; Salonna, F.; Stock, C.; Zeeb, H.Background: Overestimations of non-prescribed stimulant use of peers are well documented in the USA and have also been identified as predictive of personal stimulant consumption. This study aimed to examine whether overestimations of peer use and approval of the use are associated with personal use and attitude towards the use of non-prescribed stimulants among European university students. Method: The EU funded 'Social Norms Intervention for the prevention of Polydrug usE (SNIPE)' study was conducted in seven European countries. In a web-based questionnaire, 4482 students were asked about their personal use and their attitude towards non-prescribed stimulant use, as well as the perceived peer use and peer attitude. Results: 59% of students thought that the majority of their peers used non-prescribed stimulants more frequently than themselves, and only 4% thought that the use of the majority was lower than their personal use. The perception that the majority of peers had used non-prescribed stimulants at least once was significantly associated with higher odds for personal use of non-prescribed stimulants (OR: 3.30, 95% CI: 2.32-4.71). In addition, the perception that the majority of peers approved of the non-prescribed use of stimulants was associated with a 4.03 (95% CI: 3.35-4.84) times higher likelihood for personal approval. Discussion: European university students generally perceived the non-prescribed use of stimulants of peers to be higher than their personal use. This perception, as well as a perception of higher approval in the peer group, was associated with a higher likelihood of personal non-prescribed stimulant medication use and approval. (C) 2016 Published by Elsevier Ireland Ltd.Publication Open Access Social norms regarding alcohol use and associated factors among university students in Turkey(UNIV SAO PAULO, INST PSIQUIATRIA, 2019-04) YÜCE, HÜSEYİN; Gunduz, Anil; Sakarya, Bel; Sonmez, Ekin; Celebi, Cengiz; Yuce, Hoseyin; Akvardar, YildizBackground: Misperceptions on the higher rates of peer alcohol use are predictive of increased personal use among university students. Objectives: This study aims to assess the prevalence, perceived peers' social norms and other predictors of alcohol use in a sample of Turkish university students. Methods: This study is established upon the baseline Turkish data on alcohol use of the project Social Norms Intervention for the prevention of Polydrug usE (SNIPE). The data was obtained by a self-reported, online questionnaire from 858 students of Marmara University who were registered to the study web page. Results: Alcohol use and drunkenness rates were 62.6%, and 40.9%, respectively. Twenty point two percent of students reported drinking alcohol at least once a week in the last two months. Majority of students (70.4%) reported that religion has an important or very important role in their lives. Perceived higher frequency of peer alcohol use (p<0.000) and drunkenness (p<0.000) were significantly associated with personal alcohol use frequency. Tobacco use rate was 60.2% and positively associated with alcohol use frequency (p<0.000). In all participants, male gender (OR: 1.56; 95% CI: 1.07-2.28), giving less importance to religion (OR: 20.91; 95% CI: 10.95-39.95), tobacco use everyday/almost everyday (OR: 17.88; 95% CI: 9.33-34.29), perceived positive peer attitude towards alcohol use (OR: 2.192; 95% CI: 1.25-3.82) and perceived higher frequency of peer alcohol use (OR: 3.487; 95% CI: 1.66-7.31) were found to be associated risk factors for alcohol use. Age (OR: 1.186, CI 95%: 1.03-1.36) and perceived positive peer attitude towards alcohol use (OR 3.86, CI 95%: 1.84-8.09) were the additional risk factors among female student whereas perceived positive peer alcohol use frequency (OR: 8.08, CI 95%: 2.40-27.10) among male students. Discussion: As the first study conducted in Turkey applying social norms theory, our results indicate the noticeable misperceptions of students regarding their peers' alcohol use. Based on our results, targeting both tobacco and alcohol use, and a gender-sensitive approach employing social norms interventions may enhance the preventive strategies for risky alcohol use among university students.Publication Metadata only Factors related to disability pensions - a cross-sectional analysis from a university hospital in Istanbul(ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER, 2016) AKVARDAR, YILDIZ; Sonmez, E.; Tunca, D.; Akvardar, Y.Publication Metadata only Kadına yönelik şiddet ve ruh sağlığı üzerine etkisi(Marmara Reklam ve Pazarlama Ltd. Şti., 2018-01-01) AKVARDAR, YILDIZ; YORGUNER, NEŞE; YORGUNER N., AKVARDAR Y.Publication Open Access Illicit substance use among university students from seven European countries: A comparison of personal and perceived peer use and attitudes towards illicit substance use(ACADEMIC PRESS INC ELSEVIER SCIENCE, 2014-10) AKVARDAR, YILDIZ; Helmer, S. M.; Mikolajczyk, R. T.; McAlaney, J.; Vriesacker, B.; Van Hal, G.; Akvardar, Y.; Guillen-Grima, F.; Salonna, F.; Stock, C.; Dempsey, R. C.; Bewick, B. M.; Zeeb, H.Objective: To compare European students' personal use and approval of illicit substance use with their perceptions of peer behaviours and attitudes, and investigate whether perceptions of peer norms are associated with personal use of illicit substances and attitudes. Method: This study used baseline data from the Social Norms Intervention for the prevention of Polydrug usE (SNIPE) project involving 4482 students from seven European countries in 2012. Students completed an online survey which included questions on personal and perceived peer illicit substance use and personal and perceived peer attitude towards illicit substances. Results: 8.3% of students reported having used illicit substances at least once in their life. 49.7% of students perceived that the majority of their peers have used illicit substances more frequently than themselves. The perception was significantly associated with higher odds for personal illicit substance use (OR: 1.97, 95% Cl: 1.53-2.54). The perception that the majority of peers approve illicit substance use was significantly associated with higher odds for personal approval of illicit substance use (OR: 3.47,95% CI: 2.73-4.41). Conclusion: Students commonly perceived that their peers used illicit subtances more often than themselves. We found an association between the perceived peer norms/attitudes and reported individual behaviour/ attitudes. (C) 2014 Elsevier Inc. All rights reserved.Publication Metadata only TOPLUM TEMELLİ TEDAVİ(Yeşilay Yayınları, 2019-01-01) AKVARDAR, YILDIZ; AKVARDAR Y., BULUT N. S., ERGÜN S.; Öztürk, Mücahit; Ögel, Kültegin; Evren, Cüneyt; Bilici, Rabiaünümüzde “bağımlılık” denildiğinde alkol, madde ve tütün ürünlerinin yanı sıra teknoloji, kumar bağımlılığı gibi davranışsal bağımlılıklar akla gelmektedir. Sadece kişiyi değil ailesini, sosyal çevresini, yaşadığı toplumu hatta dünyayı etkileyen bir hastalıktır. Bağımlılık bugün ülkelerin sınırlarını aşıp ekonomik, güvenlik, terör boyutları olan ve tek bir alana indirgenemeyecek global bir sorun haline dönüşmüştür. Dünyada olduğu gibi ülkemizde de giderek artış gösteren bağımlılık, toplumda ve bireylerde yarattığı tahribat ve sonuçları itibariyle gündemini her daim korumaktadır. Yeşilay olarak bağımlılık ile ilgili akademik camiaya yönelik bilimsel çalışmaların, bağımlılıkların önlenmesi konusunda topluma doğru ve güvenilir bilgilerin verilmesinin kaynağını oluşturuyoruz. Bağımlılık alanında akademisyen ve bilim insanlarının bağımlığın tanı, tedavi ve önlenmesine ilişkin birikimlerini ve tecrübelerini yansıttığı bu kitabı, işte bu uğurda ve bu idealler doğrultusunda hayata geçirdik. Kitap, bir kavram olarak bağımlılığı, bağımlılığın tarihini, dünyada ve ülkemizdeki bağımlılıkla ilgili güncel yaklaşımları, bağımlılığa yol açan etkenleri, önleme faaliyetlerini, son tıbbi gelişmeleri, tedavi modelleri gibi bağımlılıkla ilgili tüm merak edilenleri bilimsel bir çerçevede ele almaktadır. Kitabın bilim insanları, akademik camia, ebeveynler, alan çalışanları, öğretmenler ve kanaat önderleri için bilimsel kaynak olacağına inanıyoruz.Publication Open Access Personal and perceived peer use and attitudes towards use of non-prescribed prescription sedatives and sleeping pills among university students in seven European countries(PERGAMON-ELSEVIER SCIENCE LTD, 2018-12) AKVARDAR, YILDIZ; Lehne, Gesa; Zeeb, Hajo; Pischke, Claudia R.; Mikolajczyk, Rafael; Bewick, Bridgette M.; McAlaney, John; Dempsey, Robert C.; Van Hal, Guido; Stock, Christiane; Akvardar, Yildiz; Kalina, Ondrej; Orosova, Olga; Aguinaga-Ontoso, Ines; Guillen-Grima, Francisco; Helmer, Stefanie M.Introduction The use of non-prescribed prescription sedatives and sleeping pills (NPPSSP) among university students has been described as an important public health issue. However, the impact of perceived social norms on students' use and attitudes towards use of NPPSSP is still unclear. Our aim was to investigate whether perceptions of peer use and approval of use are associated with students' personal use and approval of NPPSSP use. Methods: Cross-sectional data from the Social Norms Intervention for the prevention of Polydrug Use (SNIPE) project containing 4482 university students from seven European countries were analyzed to investigate self other discrepancies regarding personal use and attitudes towards NPPSSP use. Associations between personal and perceived peer use and between personal and perceived approval of use were examined using multivariable logistic regression. Results: The majority (51.0%) of students perceived their peers' NPPSSP use to be higher than their personal use. 92.6% of students perceived their peers' approval of NPPSSP use to be identical or higher than their personal approval. Students perceiving that the majority of peers had used NPPSSP at least once displayed higher odds for personal lifetime use (OR: 1.95, 95% CI: 1.49-2.55). Perceived peer approval of NPPSSP use was associated with higher odds for personal approval (OR: 5.49, 95% CI: 4.63-6.51). Conclusions: Among European university students, perceiving NPPSSP use and approval of use to be the norm was positively associated with students' personal NPPSSP use and approval of use, respectively. Interventions addressing perceived social norms may prevent or reduce NPPSSP use among university students.