[Workplace Mobbing as a Psychosocial Stress and Its Relationship to General Psychopathology and Psychotic Experiences Among Working Women in a University Hospital]. / Bir Üniversite Hastanesinde Çalisan Kadinlarda Psikososyal Bir Stres Olarak Isyerinde Yildirmanin Genel Psikopatoloji ve Psikotik Yasantilar ile Iliskisi.

OBJECTIVE: Mobbing at work has become an alarming phenomenon worldwide. The prevalence of mobbing among women is higher than among men. The aim of this study is to investigate the relationship of mobbing as a psychosocial stress in the workplace with general psychopathology and psychotic experiences among women. METHOD: 428 women from the Medical Faculty of Dokuz Eylul University were included in the study. Of the 428 women, 139 were doctors, 190 were nurses, and 99 were sub-contracted employees. Stratified and cluster sampling METHODS were used. Sociodemographic data form, mobbing scale and symptom checklist (SCL-90-R) were used in order to collect the data. RESULTS: 304 (71%) of the participants had experienced mobbing at least once. It was determined that nurses had experienced mobbing more frequently than doctors and sub-contracted employee. Total and subscale scores of the mobbing scale were statistically higher in participants who went to psychiatry outpatient clinics and who use psychiatric medication and alcohol. There was a positive statistically significant correlation between SCL-90-R and mobbing scale scores. Correlation coefficients ranged from 0.25 to 0.56. The highest correlation was between the paranoid sub-scale of SCL-90-R and mobbing (r= 0.56) CONCLUSION: Generally, exposure to mobbing seems to be related with higher psychopathology. Also, according to our research results, mobbing is a psychosocial stress source that might be triggering subthreshold psychotic experiences.

Cavum Vergae, Liability, and Steroid Treatment: Manic Episode, Brain Imaging Findings, and Clinical Follow-up of a Systemic Lupus Erythematosus Case.

Systemic lupus erythematosus (SLE) or Lupus is a chronic and idiopathic autoimmune connective tissue disease that involves several organs and organ systems. SLE may lead to a group of psychiatric manifestations, including delirium, anxiety disorders, cognitive dysfunction, mood disorders, and psychosis, which are caused by organic or non-organic factors. In addition, it is thought that the most common cause of neuropsychiatric lupus is corticosteroid use; central nervous system involvement and inflammatory processes also have an important role in the development of psychiatric manifestations. In other respects, structural brain abnormalities induce proneness to psychotic and manic symptoms. Along with this proneness, cavum vergae, an anomaly closely related to the anatomic areas associated with mood regulation, may precipitate manic symptoms. In this case report, we present a manic episode case emerging after delirium, with a 1-year history of SLE, which has recently been diagnosed with cavum vergae and discuss the process of infection and corticosteroid treatment, which contributed to the proneness effect of a structural brain anomaly.