Akkuş, Mustafa

Introduction: Priapism is defined as a prolonged and persistent erection of the penis without sexual stimulation. Priapism can be caused either by organic factors or as a side effect of drugs. Mood stabilizer induced priapism has been reported less frequently compared to other psychotropic agents. This paper reports a case of lamotrigine induced priapism. Case: A 24-year-old patient had a diagnosis of bipolar disorder for 4 years. He had been treated with lamotrigine (200 mg/day), sertraline (25 mg/day) and risperidone (2 mg/day) for last year. He developed priapism one week after the lamotrigine dose was increased to 300 mg/day during a depressive episode. Priapism improved the day after the lamotrigine dose was reduced to 250 mg/day. Conclusion: Epilepsy patients with lamotrigine-induced sexual dysfunction or priapism have been reported previously. In this case, a patient diagnosed with bipolar disorder developed dose dependent lamotrigine-induced priapism. In clinical practice, the possible risk of priapism should be taken into consideration in patients using lamotrigine, especially during dose increases.

Dursun, Onur Burak; Öğütlü, Hakan; Esin, İbrahim Selçuk

Introduction: Strengths and Difficulties Questionnaire for 2–4 year olds (SDQ 2–4) is one of the best of these scales developed to screen children in early childhood for psychosocial problems. The aim of this study is to investigate the psychometric properties of SDQ 2–4 in Turkish for the age group of 2–4 years. Methods: The study was conducted with 159 participants. SDQ 2–4 Parent and BITSEA scales were applied to parents. Patients whose scores were detected to be at risk were referred to the hospital and a clinical interview was performed. Results: Chronbach alpha value for total difficulties scale was 0.80. Total difficulties score of the SDQ was positively correlated with the BITSEA/P score, and negatively correlated with the BITSEA/C score. Prosocial Behaviors score of SDQ was positively correlated with BITSEA/C while it was negatively correlated with BITSEA/P. In all scales of SDQ that identified the problem, the scores of the participants with clinical diagnosis were significantly higher than the scores of the participants not diagnosed. The cut-off value for total difficulties scale was calculated as 10 with 80% sensitivity and 88% specificity. Conclusion: The SDQ 2–4 scale is valid and reliable in the Turkish language.

Beşiroğlu, Lütfullah; Boysan, Murat; Kağan, Mücahit; Kalafat, Temel; Aydin, Adem; Selvi, Yavuz

Introduction: The Obsessive-Compulsive Inventory-Revised (OCI-R) is a widely used self-report instrument developed to overcome the problems with the available instruments. The aim of this study was to assess the psychometric properties of the revised Obsessive Compulsive Inventory (OCI-R) in Turkish sample. Met­hods: The psychometric properties of the Turkish version of the Obsessive- Compulsive Inventory-Revised (OCI-R) were assessed in clinical samples (n=44 for patients with obsessive-compulsive disorder (OCD), and n=44 for patients with major depression (MD) and a non-clinical student sample (n=287). Re­sults: The confirmatory factor analysis demonstrated that the original six-factor structure was valid in the Turkish sample. The overall and each of the subscales showed moderate to good internal consistency and convergent validity as well as test-retest reliability. However, the Cronbach s alpha was excessively low for the hoarding subscale in the OCD group. The total and subscale scores of the OCI-R satisfied at discriminating patients with OCD from both patients with MD and healthy controls, with an exception of the neutralizing subscale. Conc­lu­si­on: The Turkish version of the OCI-R did not reveal sound psychometric properties. Findings are discussed in the light of current theoretical considerations.

Aydin, Adem; Boysan, Murat; Kalafat, Temel; Selvi, Yavuz; Beşiroǧlu, Lütfullah; Kagan, Mücahit

Introduction: The Obsessive-Compulsive Inventory-Revised (OCI-R) is a widely used self-report instrument developed to overcome the problems with the available instruments. The aim of this study was to assess the psychometric properties of the revised Obsessive Compulsive Inventory (OCI-R) in Turkish sample. Met hods: The psychometric properties of the Turkish version of the Obsessive-Compulsive Inventory-Revised (OCI-R) were assessed in clinical samples (n=44 for patients with obsessive-compulsive disorder (OCD), and n=44 for patients with major depression (MD) and a non-clinical student sample (n=287). results: The confirmatory factor analysis demonstrated that the original six-factor structure was valid in the Turkish sample. The overall and each of the subscales showed moderate to good internal consistency and convergent validity as well as test-retest reliability. However, the Cronbach's alpha was excessively low for the hoarding subscale in the OCD group. The total and subscale scores of the OCI-R satisfied at discriminating patients with OCD from both patients with MD and healthy controls, with an exception of the neutralizing subscale. conclusion: The Turkish version of the OCI-R did not reveal sound psychometric properties. Findings are discussed in the light of current theoretical considerations.