Ece Yazla, Huseyin Kayadibi, Ihsan Cetin, Unsal Aydinoglu, Mehmet Emrah Karadere. Clin Psychopharmacol Neurosci 2022;20:504-13. https://doi.org/10.9758/cpn.2022.20.3.504

Purpose The aim of this study is to investigate to what extent childhood trauma affects suicide probability and self-esteem of university students. Design and Methods In this descriptive study, 3602 university students continuing their education in the 2019-2020 academic year were selected into the sample. The data in the study were collected using a personal information form, "Childhood Trauma Questionnaire (CTQ)", "Suicide Probability Scale (SPS)" and Rosenberg Self-Esteem Scale (RSES). The data were evaluated using appropriate statistical methods, and p < 0.05 value was considered statistically significant. Findings In the study, students' mean scale scores of CTQ and SPS were found high (38.1 +/- 13.7; 87.7 +/- 10.7, respectively), and the RSES total mean scale score was found average (1.7 +/- 1.4). CTQ total mean score was found to show a positive correlation between SPS and RSES total mean scores. It has been established that the past traumatic experiences of university students decrease self-esteem and are associated with suicide probability. Practice Implications Risk management programs for university students should be organized by determining the risk groups exposed to Childhood Trauma by psychiatric and child nurses.

Introduction: The burden of care-giving is defined as the burden sustained by an individual who is giving care to an elderly, chronically ill or incapacitated person; the levels of perception of the burden are known to be affected by various personal and disease-related characteristics. Studies that compare the burden of internal patients’ caregivers with psychiatric patients’ caregivers, reported higher caregiving burden for caregivers of psychiatric patients. In this study, it was aimed to compare the levels of the caregiving burden of those caring for patients with diabetic foot with care-givers of psychotic patients. Caregivers of those with inguinal hernia were designated as the control group to determine the characteristics that are related to the care-giving burden. Methods: The study was comprised of care-givers of 30 hospital in-patients with diabetic foot, 30 in-patients with inguinal hernia, and care givers of 30 patients with a recorded diagnosis of psychotic disorder at Çorum Community Mental Health Centre. The evaluation was made from voluntary completion of the Zarit Burden Interview Form and the Beck Depression, Beck Anxiety, Hospital Anxiety and Depression (HAD) and Short Form-36 (SF-36) scales. Results: The caregivers of the diabetic foot group were found to be mostly non-working females. No difference was found between the burden levels of psychotic and diabetic patient groups but the burden level of caregivers of psychotic patients was determined to be significantly higher than the control group (p<0.001). In comparison with those of the control and psychotic group, the depression and anxiety scales of the diabetic foot group were signficantly high and some points of the quality of life scales were determined to be significantly low. A correlation between the duration of care-giving and the burden was only determined in the diabetic foot group (r=0.421, p=0.020). Conclusion: Care-givers of diabetic foot patients remained more socially isolated. This was probably due to having to live with an elderly person requiring care. For various reasons, care-givers of diabetic foot patients were found to have high levels of anxiety and depression, low quality of life, and burden levels as high as those of the psychotic group. Therefore, in the context of protecting the physical and emotional health of care-givers, careful monitoring and when necessary, supportive treatment would be appropriate.

Background: The relationship between proline, its association with oxidative stress, and its connection to schizophrenia is a subject that has not been sufficiently investigated. Objective: The aim of this study is to evaluate the possible effects of atypical and combined (typical and atypical) antipsychotic use on serum prolidase enzyme activity (SPEA) and serum oxidative stress parameters, and to assess the relationship between SPEA and oxidative stress in patients with schizophrenia. Methods: A total of 57 patients with schizophrenia, of which 34 were using atypical (AAPG) and 23 were using combined (typical and atypical) (CAPG) antipsychotic therapy, and 28 healthy volunteers (control group) were included in this case-control study. Results: SPEA levels of AAPG and CAPG were significantly lower than that of control group (P = 0.003). The oxidative stress index (OSI) value of AAPG was significantly higher than the other two groups (P = 0.001). SPEA (<1860 U/l) and OSI (≥0.54) could discriminate schizophrenia patients with antipsychotic therapy from control groups (P = 0.001 and P = 0.007, respectively). Lower SPEA levels were associated with antipsychotic use (P = 0.007). Conclusion: The SPEA values of patients with schizophrenia on antipsychotics were significantly lower compared to controls. OSI values were significantly higher in atypical antipsychotic recipients compared to those on combined antipsychotics and healthy controls.

Background: Although telepsychiatry has a long history, medical literature lacks a scientometric study evaluating telepsychiatry publications. The purpose of this study was to perform a holistic analysis of telepsychiatry articles published between 1986 and 2019. Methods: We used the “telepsychiatry” keyword for our search and included all documents indexed in Web of Science (Clarivate Analytics, USA) Core Collection between 1986 and 2019, revealing a total of 1,020 articles, of which only 224 were open access. Results: The peak year for publication was 2015, with 96 articles. The United States ranked first with 601 documents followed by Australia and Canada. The University of California and University of Washington were the most productive institutions and, again, 8 of the 10 leading institutions were from the United States. The peak year for citations was 2019, with a total of 2,080 records. Discussion: We believe that systematic approaches are needed to reveal the positive and negative features of telepsychiatry practice, especially from countries where this method is widely utilized, to elucidate the need for telepsychiatry in other countries/regions and to determine how its use can be increased in regions with limited access to health care workers. Conclusion: Although scientific interest in telepsychiatry appears to have increased almost every year since 1986, it has been observed that this interest is still concentrated in certain countries, such as the United States, Australia, and Canada, indicating that telepsychiatry may not have gained use in other countries.