161 results on '"Sar, Vedat"'
Search Results
152. Trauma and dissociation among prisoners.
- Author
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Akyüz G, Kuğu N, Sar V, and Doğan O
- Subjects
- Adult, Aged, Child, Child Abuse psychology, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders, Dissociative Disorders diagnosis, Dissociative Disorders psychology, Humans, Life Change Events, Male, Middle Aged, Personality Inventory, Prisoners statistics & numerical data, Psychiatric Status Rating Scales statistics & numerical data, Sampling Studies, Sex Factors, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic psychology, Surveys and Questionnaires, Turkey epidemiology, Violence psychology, Violence statistics & numerical data, Child Abuse statistics & numerical data, Dissociative Disorders epidemiology, Prisoners psychology, Stress Disorders, Post-Traumatic epidemiology
- Abstract
The current study examined childhood abuse, dissociation and post-traumatic stress disorder (PTSD) among male prisoners. A sample of 101 randomly selected male prisoners was interviewed. The Dissociative Experiences Scale (DES), Childhood Abuse and Neglect Questionnaire (CANQ) and Structured Clinical Interview for DSM-IV (SCID-I)-PTSD module were applied. Probands reported high frequency of criterion A trauma (85.2%) and lifetime PTSD (66.4%). Also, dissociative experiences more frequent than that of general population and most frequent dissociative symptoms were amnesia and absorption. PTSD and childhood traumas occur at high rates in prisoners and this finding has implications for management and treatment.
- Published
- 2007
- Full Text
- View/download PDF
153. Functional dissociation of the self: a socio-cognitive approach to trauma and dissociation.
- Author
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Sar V and Oztürk E
- Subjects
- Dissociative Disorders psychology, Humans, Models, Psychological, Sociology, Wounds and Injuries psychology, Dissociative Disorders therapy, Psychotherapy methods
- Abstract
A novel socio-cognitive theory of dissociation and dissociative disorders is proposed. The model, which is both theoretical and clinical, is based on "functional dissociation of the self." A new concept is introduced in this paper: the sociological self. While the sociological self may have cultural and societal dimensions, it is regarded here as a universal phenomenon rather than a culture-bound one; as an individual psychological instance rather than a sociological concept per se. It is proposed that the main sources of dissociation are trauma-related detachment of the sociological and psychological selves and the subsequent amplification of the sociological self. Thus, effective psychotherapy must curtail the enlargement of the sociological self and reactivate the psychological self. It is hoped that this conceptualization will contribute to efforts both toward understanding the everyday dissociation of the average contemporary individual and toward developing novel psychotherapeutic approaches which might shorten the length of treatment of dissociative disorders.
- Published
- 2007
- Full Text
- View/download PDF
154. Dissociative disorders as a confounding factor in psychiatric research.
- Author
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Sar V and Ross C
- Subjects
- Borderline Personality Disorder epidemiology, Disruptive, Impulse Control, and Conduct Disorders epidemiology, Dissociative Disorders epidemiology, Humans, Mood Disorders epidemiology, Schizophrenia epidemiology, Stress Disorders, Post-Traumatic epidemiology, Dissociative Disorders psychology, Psychiatry methods
- Published
- 2006
- Full Text
- View/download PDF
155. The scope of dissociative disorders: an international perspective.
- Author
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Sar V
- Subjects
- Brain anatomy & histology, Brain diagnostic imaging, Brain physiopathology, Culture, Dissociative Disorders diagnosis, Dissociative Disorders physiopathology, Family psychology, Humans, Magnetic Resonance Imaging, Somatoform Disorders diagnosis, Somatoform Disorders psychology, Tomography, X-Ray Computed, Dissociative Disorders psychology, International Cooperation
- Published
- 2006
- Full Text
- View/download PDF
156. Economic impact of crisis intervention in emergency psychiatry: a naturalistic study.
- Author
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Damsa C, Hummel C, Sar V, Di Clemente T, Maris S, Lazignac C, Massarczyk O, and Pull C
- Subjects
- Adult, Female, Health Care Costs, Hospitalization economics, Humans, Male, Middle Aged, Crisis Intervention economics, Emergency Services, Psychiatric economics, Mental Disorders economics, Mental Disorders rehabilitation, Psychiatry economics
- Abstract
Objective: This is a naturalistic study comparing the outcomes of all emergency psychiatric interventions in the Hospital Center of Luxembourg during two periods of six months each, before and after the introduction of a crisis intervention program. The aim of the study was to investigate the clinical and economic impact of crisis intervention on psychiatric emergency admissions., Methods: All subjects admitted to the emergency psychiatric unit during the two study periods were considered for participation. Data were collected retrospectively and comparisons were made between patients before (September 1, 2001 to February 28, 2002) and after (September 1, 2002 to February 28, 2003) crisis intervention programs were established., Results: A comparison between the two patient groups demonstrated a significant decrease in the rate of voluntary hospitalizations after crisis intervention, and a significant increase in the number of patients with subsequent outpatient consultations. The cost increase due to ambulatory follow-ups was widely compensated for by the cost decrease due to hospitalization avoidance., Conclusions: These preliminary findings suggest that crisis intervention leads to a shift from hospitalization to outpatient psychotherapeutic management in emergency psychiatric services, which has a significant economic impact.
- Published
- 2005
- Full Text
- View/download PDF
157. Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population.
- Author
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Tunc EP, Firat D, Onur OD, and Sar V
- Subjects
- Adolescent, Adult, Aged, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Sex Factors, Turkey epidemiology, Dental Anxiety epidemiology
- Abstract
Objectives: Fear of dentistry is a common obstacle to obtaining dental care in Turkey. The aim of this study was to assess the reliability, validity and psychometric characteristics of the Turkish translation of the Modified Dental Anxiety Scale (MDAS) and compare it to the Dental Fear Survey (DFS) scores obtained in the same population., Methods: The Turkish translated version of the MDAS was administered to 115 dental patients; 21 subjects who suffered from dental phobia, requiring general anesthesia for dental procedures, and 94 who did not have dental anxiety, in addition to 442 subjects from the general population., Results: The Turkish translated version of the MDAS was internally consistent and reproducible. The patients with dentist phobia had the highest score. The Turkish MDAS correlated with the DFS (r = 0.80, P < 0.001). The MDAS scale correlated inversely (r = -0.14, P < 0.005) with level of education; however, it did not correlate with economic status. Women scored higher than men on the scale (mean = 12.3, SD = 5.2 vs. mean = 10.9, SD = 4.5, P < 0.005). At a cut-off point > or = 15, sensitivity was 0.80, specificity 0.74, positive predictive value 0.41 and negative predictive value 0.94., Conclusion: Although the specificity values were low, the Turkish MDAS demonstrated acceptable sensitivity, positive and negative predictive values. Thus, high reliability and validity of the MDAS supports its cross-cultural validity and indicated that it may be a valuable tool in quantifying fear of dentistry among Turks.
- Published
- 2005
- Full Text
- View/download PDF
158. Reported childhood trauma, attempted suicide and self-mutilative behavior among women in the general population.
- Author
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Akyuz G, Sar V, Kugu N, and Doğan O
- Subjects
- Adolescent, Adult, Aged, Catchment Area, Health, Child Abuse, Sexual ethnology, Child Abuse, Sexual psychology, Dissociative Disorders diagnosis, Dissociative Disorders ethnology, Dissociative Disorders psychology, Female, Humans, Middle Aged, Population Surveillance methods, Self Mutilation ethnology, Self Mutilation psychology, Self-Assessment, Suicide, Attempted ethnology, Suicide, Attempted psychology, Surveys and Questionnaires, Turkey epidemiology, Child Abuse, Sexual statistics & numerical data, Self Mutilation epidemiology, Suicide, Attempted statistics & numerical data
- Abstract
This study attempted to determine the prevalence of childhood trauma among women in the general population as assessed in a representative sample from a city in central Turkey. The Dissociative Experiences Scale (DES) was administered to 628 women in 500 homes. They were also asked for childhood abuse and/or neglect. DES was administered to 251 probands. Mean age of the probands was 34.8+/- 11.5 years (range 18-65). Sixteen women (2.5%) reported sexual abuse, 56 women (8.9%) physical abuse, and 56 women (8.9%) emotional abuse in childhood. The most frequently reported childhood trauma was neglect (n= 213, 33.9%). The prevalence of suicide attempts was 4.5% (n= 28). Fourteen probands (2.2%) reported self-mutilative behavior.
- Published
- 2005
- Full Text
- View/download PDF
159. Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder.
- Author
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Sar V, Akyüz G, Kundakçi T, Kiziltan E, and Dogan O
- Subjects
- Adolescent, Adult, Child Abuse psychology, Chronic Disease, Comorbidity, Conversion Disorder epidemiology, Dissociative Disorders epidemiology, Female, Follow-Up Studies, Humans, Male, Mental Disorders diagnosis, Middle Aged, Prevalence, Psychiatric Status Rating Scales, Severity of Illness Index, Surveys and Questionnaires, Child Abuse statistics & numerical data, Conversion Disorder diagnosis, Dissociative Disorders diagnosis, Mental Disorders epidemiology
- Abstract
Objective: The aim of this study was to evaluate dissociative disorder and overall psychiatric comorbidity in patients with conversion disorder., Method: Thirty-eight consecutive patients previously diagnosed with conversion disorder were evaluated in two follow-up interviews. The Structured Clinical Interview for DSM-III-R, the Dissociation Questionnaire, the Somatoform Dissociation Questionnaire, and the Childhood Trauma Questionnaire were administered during the first follow-up interview. The Structured Clinical Interview for DSM-IV Dissociative Disorders was conducted in a separate evaluation., Results: At least one psychiatric diagnosis was found in 89.5% of the patients during the follow-up evaluation. Undifferentiated somatoform disorder, generalized anxiety disorder, dysthymic disorder, simple phobia, obsessive-compulsive disorder, major depression, and dissociative disorder not otherwise specified were the most prevalent psychiatric disorders. A dissociative disorder was seen in 47.4% of the patients. These patients had dysthymic disorder, major depression, somatization disorder, and borderline personality disorder more frequently than the remaining subjects. They also reported childhood emotional and sexual abuse, physical neglect, self-mutilative behavior, and suicide attempts more frequently., Conclusions: Comorbid dissociative disorder should alert clinicians for a more chronic and severe psychopathology among patients with conversion disorder.
- Published
- 2004
- Full Text
- View/download PDF
160. Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation.
- Author
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Zoroglu SS, Tuzun U, Sar V, Tutkun H, Savaçs HA, Ozturk M, Alyanak B, and Kora ME
- Subjects
- Adolescent, Adult, Child, Child Abuse psychology, Dissociative Disorders psychology, Female, Humans, Male, Regression Analysis, Self-Injurious Behavior psychology, Students psychology, Suicide, Attempted psychology, Surveys and Questionnaires, Child Abuse statistics & numerical data, Dissociative Disorders epidemiology, Self-Injurious Behavior epidemiology, Students statistics & numerical data, Suicide, Attempted statistics & numerical data
- Abstract
A questionnaire consisting of items about abuse, neglect, self-mutilation and suicide attempt and the Turkish Version of the Dissociative Experiences Scale were given to 862 high school students. The rates of suicide attempt and self-mutilative behaviors were 10.1% and 21.4%, respectively. Abused or neglected groups (34.3%) had 7.6-fold higher suicide attempts and 2.7-fold higher self-mutilation behaviours. The logistic regression model showed that each type of trauma and dissociation contributed to suicide attempts and self-mutilation, but dissociation was the most powerful. Suicidal and self-destructive adolescents should precisely be evaluated for abuse, neglect and dissociation in clinical practice.
- Published
- 2003
- Full Text
- View/download PDF
161. Reliability and validity of the Turkish version of the adolescent dissociative experiences scale.
- Author
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Zoroglu SS, Sar V, Tuzun U, Tutkun H, and Savas HA
- Subjects
- Adolescent, Anxiety Disorders diagnosis, Attention Deficit Disorder with Hyperactivity diagnosis, Child, Female, Humans, Male, Mood Disorders diagnosis, Reproducibility of Results, Turkey ethnology, Adolescent Psychiatry, Dissociative Disorders diagnosis, Psychiatric Status Rating Scales standards, Psychiatric Status Rating Scales statistics & numerical data
- Abstract
The Adolescent Dissociative Experiences Scale (A-DES) is designed to measure dissociation in adolescents. The present study aimed to assess the reliability, validity, and psychometric characteristics of the Turkish version of the A-DES. The Turkish version of the A-DES was administered to 20 patients with a dissociative disorder, 24 patients with post-traumatic stress disorder (PTSD), 31 patients with anxiety disorder, 31 patients with mood disorder, 24 patients with attention deficit-hyperactivity disorder (ADHD), and 201 non-clinical participants. The internal consistency and the test-retest correlation of the A-DES were excellent. The mean total score of A-DES was 6.2 in dissociative disorder, 3.9 in PTSD, 2.1 in anxiety disorder, 2.4 in mood disorder, 2.5 in ADHD groups and 2.4 in non-clinical participants. There was a statistically significant difference between dissociative patients and other diagnostic groups on the A-DES total score. The good psychometric characteristics of the A-DES among Turkish participants support its cross-cultural validity.
- Published
- 2002
- Full Text
- View/download PDF
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