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1.
Neurosciences (Riyadh) ; 24(4): 290-295, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31872808

ABSTRACT

OBJECTIVE: To evaluate the relationships between the serum levels of these parameters and mood disorders, including depression and anxiety. METHODS: One hundred and fifty patients (77 with anxiety and 73 with depression), aged 18 to 79 years old, who were referred to the Neuro Psychiatry Clinic of Uskudar University in Istanbul, Turkey were included in this study from June 2018 to December 2018. According to the Beck Anxiety Inventory and Beck Depression Inventory II results, the anxiety patients met the mild and moderate anxiety criteria and the depression patients met the moderate and severe depression criteria, respectively. Venous blood samples were collected after overnight fasting, and the 25(OH)D and thyroid stimulating hormone (TSH) levels were measured. RESULTS: The data showed a significantly higher TSH level in the females when compared to their male counterparts in the severe depression subgroup (p=0.011). CONCLUSION: A serum TSH evaluation may be considered as a useful biochemical marker for more efficient depression management.


Subject(s)
25-Hydroxyvitamin D 2/blood , Anxiety/blood , Depression/blood , Thyrotropin/blood , Adolescent , Adult , Aged , Biomarkers/blood , Female , Humans , Male , Middle Aged
2.
Korean J Fam Med ; 40(6): 406-408, 2019 Nov.
Article in English | MEDLINE | ID: mdl-30613063

ABSTRACT

Disulfiram has been used for the treatment of alcohol dependence for nearly 65 years and is approved by the Food and Drug Administration. It causes negative reinforcement by accumulating toxic acetaldehyde due to irreversible inhibition of aldehyde dehydrogenase. Disulfiram has very few side effects when taken without alcohol. Epileptic seizure induction is a rare side effect in therapeutic doses, and its mechanism is unknown. We present a patient with a single epileptic seizure which was thought to be due to disulfiram used in the treatment of alcohol dependence. We did not find it ethical to administer disulfiram again because the patient discontinued alcohol use and was afraid of epileptic seizures.

3.
Gynecol Endocrinol ; 35(1): 72-75, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30182764

ABSTRACT

We examine the effects of metformin on insulin resistance (IR) and mood including in adolescent and adult women with polycystic ovary syndrome (PCOS). This trial was conducted in 19 adolescents (age ≤18 years) and 25 adult (age >18 years) women with PCOS. Anthropometric and measurements including, serum glucose, endocrine panel, and lipid profile were performed at baseline. IR was measured by Homeostasis Model Assessment IR (HOMA-IR). Anxiety and depression were measured by Beck's Anxiety (BAI) and Depression Inventories (BDI-II). All tests were repeated after a 90-day treatment with metformin (1,500 mg/day). The severity of depression and anxiety decreased after 90-day treatment with metformin in women diagnosed with PCOS. The BAI scores were higher in adolescent group while BDI-II scores were higher in the adult group (p = .016). After 90-day metformin treatment, both BDI-II and BAI scores were decreased by 3.3 and 3.4, respectively (p < .001). Indicators of IR and obesity were improved with this therapy. Although the adolescents weighed lower than the adults, baseline HOMA-IR 5.5 ± 1.7 was higher in this group than 4.4 ± 1.2 in the adult women (p =.022). The findings suggest that metformin decrease IR and improve mood both in adolescent and adult women with PCOS.


Subject(s)
Anxiety/drug therapy , Depression/drug therapy , Hypoglycemic Agents/therapeutic use , Insulin Resistance/physiology , Metformin/therapeutic use , Polycystic Ovary Syndrome/complications , Adolescent , Adult , Anxiety/blood , Anxiety/diagnosis , Blood Glucose/drug effects , Body Mass Index , Depression/blood , Depression/diagnosis , Female , Humans , Hypoglycemic Agents/pharmacology , Metformin/pharmacology , Pilot Projects , Polycystic Ovary Syndrome/blood , Polycystic Ovary Syndrome/psychology , Treatment Outcome , Young Adult
4.
Neurosciences (Riyadh) ; 22(3): 198-204, 2017 07.
Article in English | MEDLINE | ID: mdl-28678214

ABSTRACT

OBJECTIVE: To assess the relationships between the dissociative features of FMS and the pain, psychological status, and functional status. METHODS: Twenty-seven women with fibromyalgia syndrome (FMS) and 24 controls from the Istanbul Physical Medicine and Rehabilitation Hospital (2013-2015) were included in this cross-sectional study. The Diagnostic and Statistical Manual of Mental Disorders Structured Clinical Interview for Axis I Disorders was used to evaluate the participants. A visual analogous scale (VAS), Fibromyalgia Impact Questionnaire (FIQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were used to assess the levels of pain, quality of sleep and functional and psychological statuses. The Dissociative Experiences Scale (DES) was used to evaluate the dissociative features. RESULTS: The BDI, BAI and DES scores were statistically significantly higher in the cases of FMS. There were remarkable associations between all but 2 of the DES and FIQ scores, while positive correlations were found between the DES and, VAS pain and sleep quality scores. The prevalences of current and lifelong dysthymia, and major depressive disorder; not otherwise specified, common anxiety and somatoform disorders were higher in the cases of FMS. CONCLUSION: Pain, physical function and emotional status appear to be associated with dissociative features in FMS. Further studies are required to define these relationships and improve treatment.


Subject(s)
Dissociative Disorders/epidemiology , Fibromyalgia/epidemiology , Mental Disorders/epidemiology , Pain/epidemiology , Sleep Initiation and Maintenance Disorders/epidemiology , Adult , Case-Control Studies , Comorbidity , Cross-Sectional Studies , Female , Fibromyalgia/diagnosis , Humans , Middle Aged , Pain Measurement , Psychiatric Status Rating Scales , Turkey/epidemiology , Young Adult
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