Childhood Trauma as an Environmental Determinant of Risk of Violence in Bipolar Disorder.

Introduction: The complex interaction of violent behavior, childhood trauma and bipolar disorder (BD) is unclear. Therefore, we aimed to investigate the risk factors of violence in BD and studied the relationship between different types of childhood trauma and violence. Methods: We assessed 105 remitted patients diagnosed with BD I (n=91) or BD II (n=14). All patients were evaluated with the Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HDRS), Childhood Trauma Questionnaire (CTQ), Buss-Perry Aggression Questionnaire (BPAQ) and Violence Tendency Scale (VTS). Uni- and Multivariable Linear Regression Analyses were conducted to predict violent behavior. Results: All patients scored high points on CTQ and violence scales. In the univariate regression analysis, CTQ total and subscale scores (except physical neglect), age and presence of lifetime suicide attempts were correlated with both VTS and BPAQ. Emotional and sexual abuse subtypes had a significant correlation with violence. In the multivariate analysis, only CTQ total score and age were significantly correlated with violence. There was a negative relationship between age and violence. Conclusion: All types of childhood traumas seem to be correlated with violent behavior in patients with BD. Childhood trauma and younger age are significant determinants of violence in BD. The VTS, which emerged in Turkey, may assist clinicians to detect potentially aggressive behavior before it becomes obvious.

Is co-occurrence of adult adhd with bipolar disorder a risk factor for violent behavior?

Research has shown that individuals with psychiatric disorders such as bipolar disorder (BD) and attention deficit and hyperactivity disorder (ADHD) have a higher likelihood of violent behavior. This study investigated the frequency of comorbid BD and ADHD in adultpatients and the relationship between this comorbidity and violent behavior. We assessed 105 remitted patients diagnosed with BD I (n = 91) or BD II (n = 14). The patients were administered the Sociodemographic Data Scale, the Wender-Utah Rating Scale (WURS), the Adult ADHD Self-Report Scale (ASRS), the Buss-Perry Aggression Questionnaire (BPAQ), and theViolence Tendency Scale (VTS) as self-reports. The same clinician administered the Diagnostic Interview for ADHD in adults (DIVA 2.0) to patients who scored≥36 on the WURS. Comorbid ADHD was diagnosed in 15.2% of patients according to the DIVA 2.0. In the multiple linear regression analysis, there was a statistically significant positive effect of the ASRS total score on the VTS and the BPAQ total score. Furthermore, it was found that male gender had a statistically significant positive effect on VTS total score and young age had a statistically significant positive effect on BPQA total score. These findings demonstrate an association between BD, comorbid ADHD, and violent behavior.

Satisfaction of Patients and Their Relatives Who Are Reminded of Their Appointments and Treatments with "Treatment Collaboration Portal".

Background: Community Mental Health Centers have been established in Turkey for patients with chronic psychiatric disorders actively engaged in treatment. The Treatment Collaboration Portal is a web-based voice response platform offered to Community Mental Health Centres to support the treatment compliance processes of patients. The Treatment Collaboration Portal automatically reminds patients or their families of injection treatments and psychiatry appointments at regular intervals. The purpose of this study is to determine the satisfaction of patients or their relatives enrolled in the Treatment Collaboration Portal and the reasons why. Methods: A semi-structured 1-item 6-point satisfaction questionnaire, which we prepared for the Treatment Collaboration Portal reminder calls, was administered to the volunteer participants who registered to the Treatment Collaboration Portal and Community Mental Health Centre. Satisfaction levels were determined first with the questionnaire, and then the reasons for satisfaction were investigated for each patient and their relatives. Results: The questionnaire was given to 132 participants. About 121 participants were satisfied and 11 of them were dissatisfied. When the reasons for those who were satisfied with the application reminders were examined, it was seen that the most frequent one was "prevention of forgetfulness" (53.7%). A significant difference was found between the Treatment Collaboration Portal registration reasons and satisfaction status. Also, there was a difference between the people who patients live with and the "satisfied" and "unsatisfied" groups (P = .023). Conclusion: All the reasons given by the group satisfied with Treatment Collaboration Portal use contribute to patients remaining in remission. Therefore, in clinical practice, it is very important to recognize these reasons.

Stigma-related Factors and their Effects on Health-care Workers during COVID-19 Pandemics in Turkey: A Multicenter Study.

OBJECTIVES: Infectious diseases-related stigmatization is a common feature in health-care workers (HCWs). This study aims to evaluate the factors associated with stigmas and the effects of stigmatization in HCWs during the coronavirus disease (COVID-19) pandemic. METHODS: This study was conducted by an anonymous online survey of 452 actively working HCWs during the COVID-19 pandemic. All subjects provided informed consent electronically before registration and completed the sociodemographic data form, a questionnaire about COVID-19 pandemics, a COVID-19 stigmatization questionnaire for health-care workers, a hospital anxiety depression scale form (HADS), a psychological well-being scale form, the World Health Organization Quality of Life Scale short form (WHO-QOL BREF) and Coping Styles Scale brief form (CBSS-BF). RESULTS: Perception of stigma score was significantly higher among HCWs with one or more of the following characteristics: they had worked with patients with COVID-19 (+) but had no specific training related to coronavirus, experienced COVID-19 symptoms themselves, delayed testing due to anxiety, received psychological support during COVID-19 pandemics, suffered from a psychological disorder, or had suicidal thoughts/attempts before or during the COVID-19 pandemic (p<0.05). A statistically significant positive correlation was observed between the perception of stigmatization score and HAD-S (p<0.05). A statistically significant negative correlation was observed between the perception of the stigmatization score and the Psychological Well-Being Score, CSS-BF problem-focused coping and emotion-focused coping, and all subscales of WHOQOL-BRIEF (p<0.05). CONCLUSION: The findings of our study showed that the negative perception of stigma in HCWs could affect their psychological well-being and life satisfaction. During the pandemic, it is necessary to prevent stigmatizing HCWs and improve coping strategies to protect their mental health and increase their life quality.