The relationship between adulthood traumatic experiences and psychotic symptoms in female patients with schizophrenia.

BACKGROUND: Previously, research aiming to investigate the effects of interpersonal traumatic experiences on psychotic symptoms mainly focused on adverse experiences in childhood. As mentioned above, patients with schizophrenia, particularly women, are at high risk for physical and sexual abuse in adulthood. In this study we aimed to investigate the effects of adulthood trauma in a sample of patients with schizophrenia who did not report childhood trauma. METHODS: Seventy female patients with schizophrenia participated in the study. Assessment included Traumatic Experiences Checklist, Positive and Negative Syndrome Scale and Calgary Depression Scale for Schizophrenia. RESULTS: The rates of traumatic events were as follows: physical abuse (81.4%), emotional abuse (78.6%), emotional neglect (55.7%), sexual harassment (28.6%), and sexual abuse (24.3%). Positive and Negative Syndrome Scale hallucinations, blunted affect, emotional withdrawal hostility, anxiety and affective lability item scores were significantly higher for patients who reported a history of sexual harassment. Patients who were exposed to sexual assault as adults had significantly higher scores in the Positive and Negative Syndrome Scale, anxiety, anger and difficulty in delaying gratification items. CONCLUSION: We concluded that traumatic life events and exposure to violence were common among female patients with schizophrenia and sexual trauma in adulthood was associated with particular clinical symptoms.

Withdrawal-Emergent Dyskinesia and Supersensitivity Psychosis Due to Olanzapine Use.

Tardive dyskinesia (TD) usually appears after years of antipsychotic drug use and appears to be related to the total lifetime medication dose. In withdrawal-emergent dyskinesia (WE-D), which is considered to be a subtype of TD, dyskinetic symptoms often appear shortly after a rapid reduction in antipsychotic drug dose or sudden discontinuation of the drug. Supersensitivity psychosis, which is frequently observed along with TD and is considered to have a similar etiology as TD, is a psychotic relapse phenomenon that occurs after the withdrawal of an antipsychotic drug or a rapid reduction in the drug dosage. In general, atypical antipsychotics tend to be associated with less propensity to cause TD when compared with typical antipsychotics. Furthermore, olanzapine and clozapine may have a therapeutic potential in improving or totally curing TD. In this study, a case of WE-D because of discontinuing olanzapine use and supersensitivity psychosis is discussed.

Investigation of the reliability of the "reading the mind in the eyes test" in a Turkish population.

OBJECTIVE: The "Reading the Mind in the Eyes Test"(RMET) is one of the most widely used tasks for examining the Theory of Mind. In this study, the goal was to determine the reliability of a Turkish version of the RMET and the distribution of the results in a healthy population. METHOD: The original test is made up of 36 pictures of solely the eye region of different individuals. Subjects are asked to choose the option that best describes the mental state of individual in the picture. After 3 piloting studies each conducted with different sets of 8 people, 2 items (25 and 35) in which most of the subjects consistently replied to foil words, were excluded in final step. 117 healthy volunteers were given the test, and 70 of these individuals were re-tested two weeks later. The Bland and Altman method was used to examine test re-test reliability RESULTS: The mean value of the number of correct responses was 24.46 (SD=3.44) for the test and 24.13 (SD=4.36) for the re-test. No significant difference was shown between test and re-test results (p=0.815). After excluding items 19 and 21 which failed to show reliability, the mean correct response rates were 23.64 (SD=3.38) and 23.40 (SD=4.32), respectively. The educational level significantly affected the correct response rates. CONCLUSION: The Turkish version of the RMET was found to be reliable in a healthy population. The educational level should be taken into account. The 32-item version of the Turkish RMET can be used to evaluate the social, cognitive and emotional processes in adults.

Electroconvulsive therapy-induced mania: a case report.

INTRODUCTION: Despite its controversial history, electroconvulsive therapy is generally an effective treatment with few serious side effects. One rare but troublesome side effect of electroconvulsive therapy is mania. CASE PRESENTATION: A 33-year-old Turkish woman developed mania on three separate occasions after receiving electroconvulsive therapy for severe depressive episodes. CONCLUSION: Patients who experience electroconvulsive therapy-related mania should be evaluated for alternative treatments when presenting with severe depression.