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Yayın Effects of childhood trauma and clinical features on determining quality of life in patients with bipolar I disorder(Elsevier Science BV, 2014-06-20) Erten, Evrim; Funda Uney, Aslı; Saatçioğlu, İbrahim Ömer; Özdemir, Armağan; Fıstıkçı, Nurhan; Çakmak, DuranBackground: We explored how childhood trauma (CHT) affects the clinical expression of disorder and quality of life in patients with bipolar I (BP I) disorder.Methods: Euthymic patients (n=116) who subsequently received a diagnosis of BP-I disorder were consecutively included and were interviewed using the following sociodemographic and clinical data forms; Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HDRS), Childhood Abuse and Neglect Questionnaire (CANQ) and the 36 item Medical Outcome Study Short Form Health Survey (SF 36) The quality of life of BP-I patients with and without a history of CHT were examined.Results: The percentage of trauma was 61.2%. Patients who had CHT had higher frequencies of depressive episodes (t = -2.38, p=0.019), total episodes (t = -2.25, p=0.026), attempted suicide more often (chi(2)=18.12, p=0.003) and had lower scores on the pain subscale of Lhe SF 36 (z=-2.817, p=0.005). In patients with mixed or rapid-cycling episodes, SF-36 subscale scores except general health and pain were Found to be lower.Limitations: Our sample may fail to reflect the general BD population; the patients were included consecutively and consisted of a majority of female patients.Conclusions: CHT plays an important role in the clinical expression of BP-I disorder and having mixed/rapid-cycling episodes negatively affects both physical and mental components, as measured by the SF-36. While both males and females reported experiencing sexual abuse, female BP-I patients complained about pain more often. It is suggested that treatment of BP-1 patients with a history of CHT should differ from that provided for patients with no CHT history.Yayın The relationships between knowledge structures and appraisals of economically disadvantaged adolescents(Wiley-Blackwell Publishing Inc, 2010-10) Güvenç, Fatma Gülden; Aktan, Timuçin; Gezici Yalçın, MeralThe study's objective was to test adolescents' self-regulation based upon Cervone, Shadel, Smith, and Fiori's (2006) knowledge and appraisal personality architecture model. Self-regulation was defined as the relationships between knowledge structures (enduring mental representations of the world) and appraisal processes (dynamic meanings constructed to evaluate various events). In our study, the knowledge variables were authoritarianism and locus of control while appraisal variables were categorized as personal orientation (coping, communication, self-esteem) and relational orientation (perspective taking, empathy, prosocial behavior tendency). The purpose of the study was to identify the relationships between these variables and compare gender differences for each indicator. The participants were 246 adolescents (125 males and 121 females) whose ages ranged between 12 and 15 and who were the inhabitants of a poor urban neighborhood in Ankara, Turkey. The results showed that external locus of control and authoritarianism were not related, while the former was negatively related to both personal and relational orientations and authoritarianism was positively related to only relational orientation. Boys' external locus of control was higher than girls', whereas girls' scores exceeded boys' in self-reliant coping with stress, open communication, and interpersonal reactivity. No gender differences were observed for authoritarianism, prosocial behavior tendency, and self-esteem.
