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Öğe Ayaktan rehabilitasyon merkezinde takipli alkol veya madde kullanım bozukluğu tanılı hastalarda yaşam kalitesinin incelenmesi(2024) Ünübol, Başak; Akülker, Gizem; Bilici, Rabia; Arpacıoğlu, SelimAmaç: Bu çalışmada Alkol veya Madde Kullanım Bozukluğu tanılarıyla BAHAR Merkezinden takip edilen hastaların yaşam kalitesi düzeylerinin değişiminin incelenmesi ve bu değişimde etkili faktörlerin araştırılması amaçlanmıştır. Yöntem: Ocak 2022- Haziran 2023 tarihleri arasında Alkol/Madde Kullanım Bozukluğu tanısıyla Erenköy BAHAR Merkezi’nde takipli hastalar ardışık olarak çalışmaya dahil edilmiştir. Rehabilitasyon merkezinde takibine başlanan hastalara Sosyodemografik Veri Formu ile birlikte Yaşam Kalitesi Ölçeği Kısa Formu (WHOQOL-BREF) ilk görüşmede ön- test olarak ve tedavisinin 6. ayında son-test olarak uygulanmıştır. Bulgular: Katılımcıların %82’si erkek, %18’i kadın, %44 oranında lise mezunu, %38’i bekar, %48’i çalışmıyor ve %76’sı ailesiyle yaşıyordu. WHOQOL-BREF Ölçeğinin Fiziksel Yaşam Kalitesi Alt Boyutu, Psikolojik Alt Boyutu, Sosyal Alt Boyutu Çevre Alt Boyutu ve Toplam “Son-Test” puan ortalamaların tümü “Ön-Test” puan ortalamalarından anlamlı şekilde farklı ve büyük saptandı. Sonuç: Rehabilitasyon sürecindeki hastaların programlarının yapılandırılması sırasında, yaşam kalitesini artırmaya yönelik müdahalelere daha çok yer verilmesi açısından klinik müdahale stratejilerinde de yol gösterici olabilir.Öğe Cognitive Distortions as Barriers to Seeking Smoking Cessation Treatment: A Comparative Study(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Arpacıoğlu, Selim; Erzincan, Erkal; Ergelen, Mine; Arpacıoğlu, Beyza; Paltun, Salih Cihat; Yalçın, Murat; Bilici, RabiaBackground/Objectives: Despite the availability of effective pharmacotherapy and evidence-based treatments, a substantial proportion of smokers do not seek treatment. This study aims to explore the cognitive distortions associated with not seeking evidence-based smoking cessation treatment and to identify cognitive barriers. Methods: The research conducted in Istanbul between October and December 2017 employs a cross-sectional design and includes two groups: a treatment-seeking group comprising 156 patients diagnosed with tobacco use disorder and a non-treatment seeking group of 78 patients with tobacco use disorder who had never sought professional help for smoking cessation. A comprehensive data collection process was used, including sociodemographic information, cognitive distortion assessment using the cognitive distortions scale, a smoking-related cognitive distortions interview and the Fagerström Test for Nicotine Dependence. Results: While no significant sociodemographic differences were observed between the treatment-seeking and non-treatment-seeking groups, the study found that higher nicotine dependence was associated with a higher likelihood of seeking treatment. The treatment-seeking group displayed significantly higher levels of “all-or-nothing thinking” cognitive distortions related to smoking and smoking cessation. Conversely, the non-treatment-seeking group exhibited elevated levels of cognitive distortions such as “labeling”, “mental filtering”, “should statements” and “minimizing the positive” regarding receiving smoking cessation treatment. Conclusions: Understanding the cognitive distortions associated with treatment-seeking behavior for tobacco use disorder is crucial for developing targeted public-based interventions, public service announcements for tobacco use prevention and encouraging individuals to seek evidence-based treatment. Addressing these cognitive distortions can also potentially enhance the effectiveness of smoking cessation programs and reduce the global burden of tobacco-related diseases and mortality.Öğe Predictors of Sexual Dysfunction in Women Seeking Treatment for Opioid Use Disorder: A Comparative Cross-Sectional Study from a Tertiary Center(Galenos Publishing House, 2023) Saglam, Nazife Gamze Usta; Ergelen, Mine; Kilic, Muhsin Koray; Bestepe, Engin Emrem; Bilici, RabiaAim: There is a critical need for scientific evidence on the sexual and reproductive health of women with opioid use disorder (OUD). The main objective of this study was to evaluate sexual dysfunction (SD) and depression in women with OUD and compare them with healthy controls, in addition to exploring possible predictors of SD. Methods: This cross-sectional study was conducted between January and July 2023. Thirty-four women with OUD, according to the DSM-5, and 30 healthy controls were included. The Female Sexual Function Index (FSFI), Patient Health Questionnaire-9 (PHQ-9), and sociodemographic questionnaire were used to evaluate SD, depression, and characteristics related to substance use and sexual/ reproductive history. Logistic regression analysis was performed to determine the predictors of SD in women with OUD. Results: Twenty-nine percent (n=10) of the participants with OUD had SD. The scores of the FSFI desire, arousal, lubrication, orgasm (p=0.001 for all), satisfaction (p=0.001) subscales, and the total score (p<0.001) were lower in women with OUD than in the controls. Daily dosage of buprenorphine/naloxone [Odds ratio (OR)=1,956, p=0.027, 95% confidence interval (CI)=1,079-3,545] and PHQ-9 score (OR=1,403, p=0.012, 95% CI=1,076-1,829) were significantly associated with SD in women with OUD. Conclusion: The high prevalence of SDs highlights the unmet sexual health needs of women with OUD. Screening and addressing depressive symptoms should be one of the first steps when caring for SDs in women with OUD.Öğe Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID‑19 lockdown(Springer, 2021) Yalçın, Murat; Baş, Alper; Bilici, Rabia; Özdemir, Yusuf Özay; Beştepe, Engin Emrem; Kurnaz, Samet; Güneş, Mustafa; Kurt, Velat; Koyu, ElifBackground We aimed to explore the impact of the preventive measures and partial lockdown to the psychiatric emergency department (PED) visits during COVID-19 pandemic in a mental health epicenter in Istanbul. Methods A total of 5839 patients admitted to PED during the lockdown period (LP) between March 30 and May 31, 2020, were enrolled in this retrospective cohort study. Data of these patients were compared to those of patients in the same period in 2019 between April 1 and June 2, 2019 (non-LP). We also investigated the monthly number of PED visits and hospitalizations between March 1 and December 31, 2020, and compared it to the same period in 2019. Results The volume of PED visits and hospitalizations in LP decreased by 12% and 41.6%, respectively. The rates of patients presenting anxiety and depressive disorders and bipolar disorders were found to signifcantly increase in LP than non-LP (p<0.001; p<0.001; p<0.01, respectively). Depressive disorders, prior history of mental illness, and aggressive behavior were found to predict frequent PED visits while decrease in age and male gender found to predict hospitalizations. Regarding suicide attempt, younger patients and those with new-onset mental disorders were found to be at high risk in LP. Patients diagnosed with COVID-19 in PED visits were mostly with psychotic and bipolar disorders. Conclusion Policy-makers should focus on studies on mental health services to reorganize and enhance such services, which are crucial to prevent and manage adverse mental health consequences of the pandemic and congestion in PEDs.Öğe World addiction medicine reports: formation of the International Society of Addiction Medicine Global Expert Network (ISAM-GEN) and its global surveys(Frontiers Media SA, 2024) Ekhtiari, Hamed; Khojasteh Zonoozi, Arash; Rafei, Parnian; Abolghasemi, Fateme Sadat; Pemstein, Dan; Abdelgawad, Tarek; Achab, Sophia; Ghafri, Hamad Al; Al’Absi, Mustafa; Bisch, Michaël; Conti, Aldo Alberto; Ambekar, Atul; Arunogiri, Shalini; Bhad, Roshan; Bilici, Rabia; Brady, Kathleen; Bunt, Gregory; Busse, Anja; Butner, Jenna L.; Danesh, Ahmad; El-Khoury, Joseph; Omari, Fatima El; Jokūbonis, Darius; Jong, Cor de; Dom, Geert; Ebrahimi, Mohsen; Fathi Jouzdani, Ali; Ferri, Marica; Galea-Singer, Susanna; Parker, Dario Gigena; Higuchi, Susumu; Kathiresan, Preethy; Khelifa, Emira; Kouimtsidis, Christos; Krupitsky, Evgeny M.; Long, Jiang; Maremmani, Icro; McGovern, Garrett; Mohaddes Ardabili, Hossein; Rahimi-Movaghar, Afarin; Rataemane, Solomon Tshimong; Sangchooli, Arshiya; Sibeko, Goodman; Vella, Anna Maria; Vista, Salvador Benjamin D.; Zare-Bidoky, Mehran; Zhao, Min; Javed, Afzal; Potenza, Marc N.; Baldacchino, Alexander MarioAddiction medicine is a dynamic field that encompasses clinical practice and research in the context of societal, economic, and cultural factors at the local, national, regional, and global levels. This field has evolved profoundly during the past decades in terms of scopes and activities with the contribution of addiction medicine scientists and professionals globally. The dynamic nature of drug addiction at the global level has resulted in a crucial need for developing an international collaborative network of addiction societies, treatment programs and experts to monitor emerging national, regional, and global concerns. This protocol paper presents methodological details of running longitudinal surveys at national, regional, and global levels through the Global Expert Network of the International Society of Addiction Medicine (ISAM-GEN). The initial formation of the network with a recruitment phase and a round of snowball sampling provided 354 experts from 78 countries across the globe. In addition, 43 national/regional addiction societies/associations are also included in the database. The surveys will be developed by global experts in addiction medicine on treatment services, service coverage, co-occurring disorders, treatment standards and barriers, emerging addictions and/or dynamic changes in treatment needs worldwide. Survey participants in categories of (1) addiction societies/associations, (2) addiction treatment programs, (3) addiction experts/clinicians and (4) related stakeholders will respond to these global longitudinal surveys. The results will be analyzed and cross-examined with available data and peer-reviewed for publication.
