Browsing by Author "Tapanci, Zafer"

Now showing 1 - 2 of 2

Is Major Depressive Disorder With Psychotic Features More Likely in Elderly Than Adulthood
(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2015) Ozdemir, Osman; Ozdemir, Pinar Guzel; Milanlioglu, Aysel; Tapanci, Zafer; Timucin, Damla Kement
Objective: Although psychotic depression is very common among old depressed patients, studies have generally failed to find any socio-demographic differences between psychotic depressed patients and non-psychotic patients. Comparison of the age related factors in psychotic depression and non-psychotic depression patients could contribute to a better understanding of the clinical features of psychotic depression and its management. Method: The sample comprised of 50 inpatients; 25 of them major depressive disorder with psychotic features, and the other 25 major depressive disorder without psychotic features. The diagnosis made after consensus of two psychiatrists by Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-IV). The severity of depression measured with the Hamilton Depression Rating Scale (HDRS), and concomitantly Hamilton Anxiety Rating Scale (HARS) were performed. Results: The average age of the patients with psychotic depression (46,6 +/- 15.4 years) was higher than that of non-psychotic depressed patients (35,1 +/- 15.2 years). Also, patients with psychotic depression had higher mean of total HDRS and HARS scores. There were no significant differences between the patient groups in number of episodes and duration of illness. Conclusion: These findings suggest that major depressive disorder with psychotic
Neurological Soft Signs, Dissociation and Alexithymia in Patients With Obsessive-Compulsive Disorder (Ocd) and Healthy Subjects
(Elsevier Ireland Ltd, 2018) Tapanci, Zafer; Yildirim, Abdullah; Boysan, Murat
A body of evidence has supported that patients with obsessive-compulsive disorder (OCD) have increased rates of various neurological soft signs (NSS) compared to controls. Various lines of research has documented robust relationships between OCD and dissociative symptomatology. The study aimed to examine the associations between obsessive-compulsive symptoms, dissociative experiences alexithymia, and NSS. The study included thirty OCD patients and thirty healthy controls, matched for age, marital status, education, and income. The Neurological Evaluation Scale (NES), Padua Inventory-Revised (PI-R), Dissociative Experiences Scale (DES) and Toronto Alexithymia Scale (TAS-20) were administered. In comparison to healthy controls, patients with OCD had difficulty sequencing for complex motor acts and greater absorption/imaginative involvement. Using latent class analysis, the study sample was classified into two homogenous subsets as mild NSS (n = 45) and severe NSS (n = 15). Majority of the participants who were grouped into severe NSS latent class were OCD patient (n = 14, 93.3%). Furthermore, those with severe NSS reported greater levels of alexithymia and more severe obsessive -compulsive symptoms, particularly precision. We concluded that relationships between OCD severity and NSS appear to be of crucial importance. Our data along with accumulated evidence suggest that OCD associated with pronounced NSS may represent a specific subtype of the disorder.