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    The Comparison Levels of Feeling Guilty and Embarrassment in the Family Members Nursing Schizophrenia and Chronic Renal Failure Patients, and in Individuals Having No Nursing Role
    (Kare Publ, 2015) Ceylan, Burcu; Cilli, Ali Savas
    Objectives: This work was done in order to compare the levels of feeling guilt and embarrassment in the family members nursing schizoprenia and chronic renal failure patients and in individuals having no nursing role. Methods: 32 family members nursing schizophrenia patients at home, 56 family members nursing real failure-chronic patients, inspection group of 60 healthy individuals who are at the same age and sex with family members, totally 148 individuals have been examined. As data records, demographic information form and guilt-embarrassment scale have been used. Results: Guilt and embarrassment scores of family members offering care to schizophrenia patients at home were 51.4 +/- 6.79, whereas the scores were 44.3 +/- 11.13 for family members offering care to KBY patients at home and 34.9 +/- 0.10 in the control group. The guilt and embarrassment scores of the family members offering care to schizophrenia and KBY patients at home were significant when they were compared with the control group. A significant relationship could not be found between the socio-demographic variables investigated in this study, and the guilt and embarrassment scores. It was found that the level of guilt and embarrassment in family members offering care to schizophrenia patients at home was, independently of demographic variables, higher than that of the family members offering care to KBY patients at home. Conclusion: Guilt and embarrassment scores of family members offering home care to schizophrenia and KBY patients were higher than those of the control group. Moreover, the guilt and embarrassment scores of the family members offering home care to schizophrenia patients were higher than those of the others. It is recommended that nurses and other health personnel working with patients having chronic diseases should be provided with in-service training programs in order to improve their roles as educators, caregivers, counselors and rehabilitation experts and be able to understand the problems and difficulties the patients and their families experience, home care programs should be organized and activities should be held to raise awareness among the public in this regard.
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    The effect of chronotypes on follow-up outcomes of patients with substance use disorder
    (Springer Japan Kk, 2023) Ciner, Ozlem Akcay; Cilli, Ali Savas; Yazici, Ahmet Bulent; Bakay, Hasan; Gica, Sakir
    Substance use disorder (SUD) can have circadian characteristics and individuals with evening chronotype are more prone to addiction. In this study, the effect of chronotypes on the treatment outcomes of SUD was investigated. The study included 66 patients who were diagnosed with SUD according to DSM-5. Two clinical interviews were conducted at 6-month intervals, and remission/relapse status was evaluated at the second interview. The Structured Clinical Interview Form for DSM-IV Axis I Disorders (SCID-I), Addiction Profile Index Practitioner Form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Pittsburg Sleep Quality Index and Morningness-Eveningness Questionnaire (MEQ) were applied to the patients. MEQ scores of relapsed patients were found to be different in terms of eveningness than those in remission (45.62 +/- 8.70 versus 49.75 +/- 7.60, p = 0.045). As the craving and addiction profile index total scores (addiction severity) increased, eveningness chronotype scores also increased (r = - 0.387 and r = - 0.286, respectively). The mean scores of craving and BDI were higher in relapsed patients compared to those in remission (p = 0.003 and p = 0.015, respectively). Our results suggest that patients with SUD had a lower morningness chronotype than the general population; additionally, more relapsed patients had an eveningness chronotype. Thus, chronotypes may play a role in the onset, prevention, and treatment outcome of SUD.
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    Prevalence of probable attention-deficit/hyperactivity disorder in inmates and its relationship with recidivism
    (Wiley, 2022) Dagistan, Alper Adnan; Gica, Sakir; Aydin, Adem; Cilli, Ali Savas
    The aim of the current study was to determine the prevalence of probable attention-deficit/hyperactivity disorder (ADHD) in prisoners and to assess the relationship between ADHD and recidivism. We studied 356 inmates, who were evaluated using the Wender Utah Rating Scale and Adult ADHD Self-Report Scale. Type of crime and other crime-related data were compared between inmates with and without ADHD. The group with probable ADHD had a higher average number of convictions compared to the group without ADHD. The probable ADHD group also demonstrated higher incidence of extortion crime, drug trade, disciplinary action at school, and military service than the group without ADHD. Linear regression analysis revealed that the presence of probable ADHD was effective on the number of convictions. The findings of our study support that the presence of probable ADHD carries a potential risk of being prone to certain crimes and demonstrate a correlation between the presence of probable ADHD and early involvement in crime and the number of convictions.
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    Quality of life in rheumatological patients: The impact of personality disorders
    (Sage Publications Inc, 2015) Uguz, Faruk; Kucuk, Adem; Cicek, Erdinc; Kayhan, Fatih; Salli, Ali; Guncu, Hatice; Cilli, Ali Savas
    ObjectiveRheumatological diseases are associated with lower quality of life (QoL) levels. Psychiatric disturbances are frequently observed in these patients. This study examined the impact of personality disorders on the QoL of patients with rheumatological diseases. MethodThe study sample consisted of 142 participants including patients suffering from rheumatological disease with a personality disorder (n=30), without any personality disorder (n=112), and healthy control participants without physical or psychiatric disorders (n=60). The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-I) and the Structured Clinical Interview for DSM, Revised Third Edition Personality Disorders (SCID-II) were used to determine Axis I and Axis II psychiatric disorders, respectively. QoL levels were assessed by means of the World Health Organization QoL Assessment-Brief. ResultsThe subscale scores of physical health, psychological health, and social relationships were significantly lower in patients with rheumatological disease regardless of the existence of personality disorder compared with the control participants. Rheumatological patients with a personality disorder had significantly lower subscale scores of psychological health (p=0.003) and social relationships (p<0.003) compared with patients without any personality disorder. ConclusionsPersonality disorders seem to be a relevant factor that maybe associated with QoL in patients suffering from rheumatological disease.