Reliability and validity of the Suicide Cognitions Scale-Revised (SCS-R) in emerging adulthood in Turkey.

Suicidal thoughts and behaviors (STBs) are a significant public health problem. This study aims to examine the validity and reliability of the Turkish version of the Suicide Cognitions Scale-Revised (SCS-R). Participants (N = 442, age range: 18-29 years) completed the SCS-R, the Beck Depression Inventory, the Inventory of Statements About Self-injury, the Suicide Probability Scale, and the Suicide Rumination Scale. Principal component analysis showed that the SCS-R consisted of a single factor and that the SCS-R could differentiate between participants at high risk and low risk of suicide. High-to-moderate positive associations were found between the measures of depression, suicide probability, suicide rumination, and non-suicidal self-injury and suicide cognition. The Turkish version of the SCS-R has good psychometric properties. This scale can be used to screen for cognitive patterns that are most prone to suicide and to manage such cognitive characteristics, which are important steps for preventive interventions.

Does Gender Really Matter: Childhood Trauma, Trait Anger, and Suicide Risk in Early Adulthood.

Background: Previous studies have reported mixed findings regarding gender differences in suicidal behavior. This discrepancy may be partly attributable to common predictors of suicide risk, such as childhood trauma and anger, and may also be independent of gender. Objectives: The present study investigated gender differences in the impact of childhood trauma and current trait anger on suicide risk, in a group of young Turkish adults. We hypothesized that trait anger would mediate the association between childhood trauma and suicide risk, independently of gender. Participants and Setting: Participants were 589 university students (84.3% women) aged 18-34 years (M = 21.43, SD = 1.82). Methods: Gender group differences in suicide risk, history of childhood trauma, and trait anger as well as possible covariates (i.e., self-rated socio-economic status and academic performance) were assessed. Possible predictors of suicide risk in gender groups were examined. The role of trait anger as a mediator of the relationship between childhood trauma and suicide risk was also examined. Results: Results showed that men reported a higher suicide risk, history of childhood trauma, and trait anger than women. Early childhood trauma and current trait anger scores were significant predictors of suicide risk in both gender groups. Trait anger significantly mediated the relationship between early trauma history and risk for suicide, independently of gender. Conclusions: Study findings support early reports of the effects of childhood trauma and trait anger on suicide risk. It was suggested that preventive interventions for suicidal behavior and monitoring risk groups with aggressive tendencies and childhood trauma history may be important.

Hyperfocusing as a dimension of adult attention deficit hyperactivity disorder.

Patients with Attention Deficit Hyperactivity Disorder (ADHD) suffer not only from inability to focus but also from inability to shift attention for events that trigger their interests. This phenomenon is called "hyperfocusing". Previous literature about hyperfocusing is scarce and relies mainly on case reports. The study aimed to investigate and compare the severity of hyperfocusing in adult ADHD with and without psycho-stimulant use. ADHD (DSM-IV-TR) patients either psycho-stimulant naive (n=53) or on psycho-stimulants (n=79) from two ADHD clinics were recruited. The control group (n=65) consisted of healthy university students. A socio-demographic form, the Beck Depression Inventory, the Wender-Utah Rating Scale, the Adult ADHD Self- Report Scale and the Hyperfocusing Scale were applied to the participants. There was no difference between total Hyperfocusing Scale and Adult ADHD Self- Report Scale scores of two patient groups, but both have higher scores than controls (p<0.001). Hyperfocusing is higher in adult ADHD and there was no difference between stimulant-naive patients or patients on stimulants. Hyperfocusing can be defined as a separate dimension of adult ADHD.

Substance and Alcohol use in Young Adults in Turkey as Indicated by the CAGE Questionnaire and Drinking Frequency.

INTRODUCTION: The purpose of this study was to determine drinking problems and to analyze the socio-demographic factors associated with problematic alcohol use in young adults. METHODS: The study included 262 students who were surveyed for substance use problems in a postgraduate program using the Cut down, Annoyed, Guilty, Eye opener (CAGE) Questionnaire. The relationships between socio-demographic variables and alcohol use were assessed using both univariate and multivariate analyses. RESULTS: Of the whole sample, 56.11% reported that they had tried drinking alcohol and 1.91% had tried cannabis. The prevalence of problematic alcohol use was 15.3% and 29.7% according to CAGE1+ and past-year drinking frequency, respectively. Alcohol use by mothers was an important differentiating factor for alcohol use by their daughters. Graduating from a university located in the Eastern/Southeastern Anatolia regions, graduating from a private high school, and having average academic performance levels were determinants of problematic alcohol use according to CAGE1+ and frequency of drinking. CONCLUSION: This study suggests there is need for early intervention to prevent exposure to the risk factors for problematic alcohol use in young adults, emphasizing that probable presence of an alcohol use disorder and high frequency of drinking are related to socio-demographic factors (high school type, geographical location of the university, and family structure).

Reliability and Validity of the Turkish Version of the Addiction Severity Index in Male Alcohol Dependents.

INTRODUCTION: We aimed to evaluate the psychometric characteristics of the Turkish translation of the Addiction Severity Index (ASI) in 115 male alcohol-dependent patients. METHOD: The reliability of the instrument was assessed by measuring test-retest, interrater and internal reliabilities. In the validity analysis, the correlation coefficients between corresponding severity ratings and composite scores of each subscale and concurrent validity were assessed. Moreover, the discriminant validity and concurrent validity scores were calculated. RESULTS: The test-retest reliability of the ASI scores ranged from .79 to .91. The interrater reliability assigned by three raters was high (.74 to .99). Cronbach's alpha coefficient for internal consistency was .85 for all scales, and it varied between .64 and .77 for the subscales. The Beck Depression Inventory moderately correlated with the Psychatric status, and the MacAndrew Alcoholism Scale correlated with the Alcohol and Drug Use subscales of the Addiction Severity Index (ASI). The correlation coefficient was .91 for the alcohol use subscale. CONCLUSION: The results obtained in this study suggest that the Turkish version of the ASI could be used as a reliable and valid instrument in alcohol-dependent patients.

Ways of problem solving as predictors of relapse in alcohol dependent male inpatients.

AIM: The purpose of this study was to identify how remitters and relapsers view their everyday problem solving strategies. METHOD: A total of 128 male alcohol dependent male inpatients who were hospitalized at the Ankara University Psychiatry Clinic, Alcohol and Substance Abuse Treatment Unit were recruited for the study. Subjects demographic status and alcohol use histories were assessed by a self-report questionnaire. Also, patients were evaluated with The Coopersmith Self-esteem Inventory (CSI), The Spielberger State-Trait Anxiety Scale (STAI-I-II), and The Problem Solving Inventory (PSI). Patients were followed for six months with monthly intervals after hospital discharge. Drinking status was assessed in terms of abstinence and relapse. Data were assessed with Student t-test, and univariate and multivariate analyses. In the logistic regression analysis, age, marital status, employment status and PSI subscores were taken as the independent variables and drinking state at the end of six months as the dependent variable. RESULTS: There were significant differences in reflective and avoidant styles, and monitoring style of problem solving between abstainers and relapses. It was found that subjects who perceived their problem solving style as less avoidant and less reflective were at greater risk to relapse. CONCLUSIONS: The findings demonstrated that active engagement in problem solving like utilizing avoidant and reflective styles of problem solving enhances abstinence. In treatment, expanding the behavior repertoire and increasing the variety of ways of problem solving ways that can be utilized in daily life should be one of the major goals of the treatment program.

Assessment of the mode of anger expression in alcohol dependent male inpatients.

AIMS: To assess the relationships between trait anger (T-Anger) and anger expression styles and emotional states-suicide probability, depression, state and trait anxiety and self-esteem--in alcohol-dependent inpatients. METHODS: The patients included in this study were 142 male inpatients with alcohol dependence according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. The Suicide Probability Scale, the Coopersmith Self-Esteem Inventory, the Beck Depression Inventory, the Beck Hopelessness Scale, the Spielberger State-Trait Anxiety Scales, and the T-Anger and Anger Expressions Scales were used for the assessment of the emotional states of the patients. Pearson correlation, analysis of variance and linear regression were used in the statistical analysis. RESULTS: There were significant correlations between suicide probability, depression, state and the trait anxiety, and the T-Anger and all of the anger expression subscales. The presence of high probability for suicide was related to a high level of T-Anger, Anger-out and Anger-in. Finally, a low level of hopelessness was associated with a high level of T-Anger, and a high level of the trait anxiety was associated with a low level of the Anger Control (AEX-Con). CONCLUSION: The findings indicated that suicide probability, hopelessness and trait anxiety predict T-Anger levels and anger expression styles. Therefore, anxiety, hopelessness and suicide probability must be considered as risk for anger and anger expressions in alcohol-dependent patients. Furthermore, alcohol treatment programmes should attach importance to anger management and AEX-Con training.

Prevalence and sociodemographic correlates of substance use in a university-student sample in Turkey.

BACKGROUND: Limited data is available on substance use among university students in Turkey. This study aims to determine the prevalence of substance use among this target group. METHODS: A total of 1,720 students were surveyed to assess substance use, and relationships between sociodemographic variables and substance use were assessed using both univariate and multivariate analyses. RESULTS: Of the recorded student sample, 6.4 % reported having used a substance; 2.8 % used one within the past year. Prevalence of cannabis use at least once during life-time was 5.9 %. Males living alone, or students with families residing abroad increased the risk of substance use. CONCLUSION: Preventive interventions for substance use problems should consider factors related with family relations of the youth.

Alcohol use prevalence and sociodemographic correlates of alcohol use in a university student sample in Turkey.

BACKGROUND: This study is a survey to determine prevalence and sociodemographic correlates of drinking problems among students from five university centres in Turkey. METHOD: Using an anonymous self-administered questionnaire and the CAGE Questionnaire for alcohol use problems, 1,720 students were surveyed. RESULTS: Of the whole student sample 63.3% reported that they had ever tried drinking alcohol, and 48.5% had used alcohol in the past year. Sixty five percent of the students had been drinking once a month or more frequently. The overall prevalence of alcohol use problems according to CAGE2+ was 9.7% (19.9% among the students who used alcohol in the past year). In multivariate analysis, male students tended to have problems with alcohol about three times more than females. Living in the dormitory seemed to be protective in terms of frequent drinking, and as educational level of the parents increased, the odds of drinking at least once a month increased. Students whose mothers were illiterate or primary school graduate tended to give more positive answers to the Cut-down, Annoyed and Guilty items. The odds of giving a positive answer to the Cut-down item among those living alone was greater than the other residence groups. Predictors of positive answer to the Eye-opener item were male gender, living alone at home, and residence of the family being in a foreign country. Paternal educational level being in the illiterate/primary school category was significantly related with more positive answers to the Guilty item. CONCLUSIONS: Drinking problems among university students in Turkey are more prevalent when compared with prevalence rates shown in other surveys in Turkey. Alternative ways of socialization should be provided for the university youth in order to prevent alcohol use problems in the future.

Psychosocial factors in alcohol use-related problems of working youth.

This study investigated the psychosocial correlates of alcohol use related problems in a sample of 581 working adolescents (N = 4405), recruited from five vocational schools in Ankara in June 2004 with the CAGE questionnaire, The Beck Depression Inventory, the Beck Hopelessness Scale, the Spielberger State Anxiety Scale, and the Coopersmith Self-Esteem Inventory. Using a multivariate analysis, the anxiety and hopelessness scores, and the length of stay in Ankara were found to be related to alcohol-use problems of the working youth. The study's limitations were noted and future research was suggested.

Validation study of the Turkish version of the Yale - Brown obsessive compulsive scale for heavy drinking in a group of male patients.

Psychometric properties of Turkish version of the Yale Brown Obsessive Compulsive Scale for heavy drinking (YBOCS-hd) were examined in alcohol-dependent male patients. Factor structure, internal consistency and discriminant validity of the YBOCS-hd were analysed in a sample of 117 male patients diagnosed with alcohol dependence. To study its convergent validity, the YBOCS-hd was correlated with the Addiction Severity Index in 34 of the patients. A test - retest reliability study was performed on the data from 34 patients. Correlation between the YBOCS-hd total score and the ASI Alcohol Use score was moderate (r = 0.51). One factor explained 50.2% of the variance. The YBOCS-hd was able to discriminate the groups abstinent for less than 1 month and a second group with at least 1 month of abstinence. Test - retest correlation was high (r = 0.81, ICC = 0.81). The Turkish version of the YBOCS-hd proved to be a reliable and valid instrument measuring craving in alcohol-dependent male individuals.

[A study on alcohol use among working youth who are continuing apprenticeship training]. / Ciraklik egitimine devam eden çalisan gençlerde alkol kullanimi üzerine bir çalisma.

OBJECTIVE: Considering both burden of entering working life and engaging in adult roles in terms of being employed, working youth forms a specific group to be handled regarding alcohol use problems. In this study it was aimed to investigate prevalence and patterns of alcohol use among youth in apprenticeship schools in central Ankara. METHOD: A survey was done to investigate presence of alcohol use problems among students of five apprenticeship schools in Ankara using CAGE Questionnaire and a questionnaire form including more detailed questions about alcohol use. RESULTS: Prevalence of life-time use of alcohol was 37.3% and prevalence of alcohol use more than once was 24.3%. Ten per cent of students with a history of alcohol use told that they went on drinking during last year. Proportion of students who continued drinking during the last year and getting at least 2+ score from CAGE was found as 4.5%. CONCLUSION: Prevalence of clinically significant alcohol use is quite high among working youth. Thus, in order to plan preventive measures, risk factors for alcohol use problems should be considered in detail in working youth.

Alcoholic case of central pontine myelinolysis with mainly cerebellar signs.

The etiology of central pontine myelinolysis (CPM) is usually related to rapid correction of hyponatremia and alcoholism. Here a case with CPM predominated by cerebellar signs is described, and the neuropsychological assessment of the case is presented as well. Blood biochemistry revealed a normal sodium level and neuropsychological examination revealed impairment in attention and concentration, reduced immediate memory span, and impaired delayed recall. Further studies are needed to discover whether these neuropsychological signs are specific for CPM or due to alcoholism in general.

Investigation of alcohol use disorders in a group of driving-while-intoxicated offenders.

This preliminary study was carried out to investigate alcohol use disorders and personality profiles in a group of driving-while-intoxicated offenders. Thirty nine volunteer offenders were assessed by CAGE, while 21 of them were assessed by SCID-I Alcohol and Drug Use Disorders module and 14 drivers completed MMPI test. According to CAGE scores, 11 was found to have an indication of alcohol problem and 7 had clinically significant alcohol use disorder. Within 21 drivers, 4 had a DSM-IV diagnosis of alcohol abuse. Independent of their diagnosis, MMPI profiles revealed the psychopathic personality characteristics which might explain drinking while driving as a risky behaviour in this group. These results suggest that, besides legal applications, referring offenders to associated centers, in order to be evaluated and informed about alcohol use disorders, would be an important step in the prevention of recurrent alcohol impaired driving as well as alcohol related incidents.

An examination of suicide probability in alcoholic in-patients.

AIMS: This study evaluated correlations of self esteem, depression, and state-trait anxiety with suicide probability in alcohol dependence. METHODS: The sample consists of 70 patients who were hospitalized in the Alcohol and Substance Abuse Treatment Unit in the Psychiatry Clinic of Ankara University between the years 1999 and 2000. Patients' histories, the Suicide Probability Scale, the Coopersmith Self-Esteem Inventory, the Beck Depression Inventory and the Spielberger State-Trait Anxiety Scales were used. Correlation, linear regression and t-test statistical analyses were performed. RESULTS AND CONCLUSIONS: It was found that self-esteem, depression and trait anxiety predict suicide probability. Suicide probability was higher within the sub-sample with a history of a suicidal act in comparison to those without such a history.