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Yayın Awareness of Sexually-Transmitted Diseases and Risky Sexual Behavior in Bipolar Patients: A Comparative Study with Healthy Controls(AVES, 2009) Hariri, Aytuel Guersu; Karadag, Figen; Gokalp, Peykan; Aksoy, Umut MertObjective: It is known that patients with bipolar mood disorder have a high risk of acquiring sexually-transmitted diseases (STD). The objective of this study was to evaluate bipolar outpatients regarding their knowledge on STD and possible high risk sexual behaviors, and to compare both sexes in patient group and patients with healthy controls. Method: A total of 129 outpatients with DSM-IV Bipolar Disorder (BP) in remission state and 98 healthy controls were included in the study. Participants were given a demographic questionnaire, an evaluation form about awareness of sexually-transmitted diseases, and a semi-structured form on risky sexual behavior to assess patients' sexual behavior during acute episodes of their illness. Results: In general, level of information about STD was very low. The most known STD was AIDS. 43% (n=55) of bipolar patients reported increased sexual activity during acute episodes. In BP group both sexes displayed high-risk sexual activity, but male patients especially seemed to have more risky behavior. Discussion: It is noteworthy that, although methods of protection from diseases were known to some degree, they were applied properly in neither groups nor sexes. It seems that not only BP patients but general population also need to be informed and educated on risky sexual behavior. (Archives of Neuropsychiatry 2009; 46: 52-60)Yayın İki uçlu duygudurum bozukluğu olan hastalarda cinsel yolla bulaşan hastalıklar hakkındaki bilgi düzeyi ve riskli cinsel davranışlar: Sağlıklı kontrol grubu ile karşılaştırmalı bir çalışma(2009) Karadağ, Figen; Gökalp, Peykan; Hariri, Aytül Gürsu; Aksoy, Umut MertAmaç: İki uçlu duygudurum bozukluğu olan hastaların (İUDB) cinsel yolla bulaşan hastalıklara (CYBH) yakalanma risklerinin yüksek olduğu bilinmektedir. Bu hastaların CYBH hakkındaki düzeyleri ve olası cinsel riskli davranışlarını saptamak ve bunları hem cinsiyete hem de sağlıklı kontrol grubuna göre karşılaştırmak amaçlandı.Yöntem: DSM-IV tanı ölçütlerine göre remisyon dönemindeki İUDB olan 129 hasta ile 98 kişiden oluşan normal kontrol grubu olmak üzere toplam 227 olgu çalışmaya alındı. Tüm olgulara tarafımızdan hazırlanmış olan sosyo-demografik veri formu, CYBH hakkındaki bilgilerini ölçen farkındalık formu ile atak geçirdikleri dönemlerdeki davranışlarını saptamayı amaçlayan yarı yapılandırılmış cinsel riskli davranışlar formu uygulandı.Bulgular: CYBH hakkındaki bilgi düzeyi tüm olgularda oldukça düşük bulundu. Cinsel yolla bulaştığı en fazla bilinen hastalık AIDS olarak saptandı. İUDB hastalarının %43’ünde (n=55) hastalığın aktif dönemlerinde cinsel aktivite sıklığının da arttığı saptandı. İUDB grubunda her iki cinsiyette de cinsel riskli davranışlar daha fazlaydı. Ancak genel olarak erkekler daha fazla riskli cinsel davranışlarda bulunmaktaydılar.Sonuç: Her iki grupta ve cinsiyette de hem cinsel yolla bulaşan hastalıklar hakkındaki bilgi düzeyinin oldukça yetersiz olması hem de korunma yöntemlerine özen gösterilmemesi dikkate değer bir durumdur. Dolayısı ile ülkemizde, cinsel riskli davranışlar konusunda sadece İUDB olanlar değil, genel nüfusun da eğitilmesi gerekmektedir.Yayın SEXUAL DYSFUNCTION IN OBSESSIVE COMPULSIVE DISORDER AND PANIC DISORDER(MEDICINSKA NAKLADA, 2012) Aksoy, Umut Mert; Aksoy, Sennur G.; Maner, Fulya; Gokalp, Peykan; Yanik, MedaimBackground: Clinical research has provided conflicting evidence regarding sexual dysfunction in patients with OCD and PD. This study was undertaken to assess and compare certain parameters of sexual functioning in OCD and PD patients. Subjects and methods: The study population consisted of 80 patients between 20 and 60 years of age with a diagnosis of OCD or PD who were followed and treated at the anxiety outpatient unit of Bakirkoy Research and Training Hospital for Psychiatric and Neurological Disorders between 2005 and 2006. The total study population comprised of 40 patients with OCD, 40 patients with PD, and 40 healthy volunteers as the control group. Of the two questionnaires used for study purposes, the first provided information on demographic data and certain parameters of sexual functioning, while the second was the validated Turkish translation of the Golombok-Rust Sexual Satisfaction Inventory with transliteral equivalence. Results: Male subjects with OCD had a lower age of first masturbation and first nocturnal ejaculation. Infrequency problem among female and male patients with OCD occurred in 63.6% and 57.1%, respectively. Corresponding figures for PD patients were 36% and 38%. Thus, infrequency problem was more frequent among OCD patients. Sexual avoidance was found in 60.6% of female OCD patients and in 64% of female PD patients. Anorgasmia was detected in 24.2% of the female subjects with OCD. Conclusion: Sexual dysfunction unrelated to pharmacotherapy has been found to occur in OCD and PD. Assessment of sexual functioning in these individuals before treatment may help prevent deterioration of sexual function that may occur upon introduction of psychotropic medications.Yayın Sexual problems in a sample of the Turkish psychiatric population(W B SAUNDERS CO-ELSEVIER INC, 2009) Hariri, Aytul Gursu; Karadag, Figen; Gurol, Defne Tamar; Aksoy, Umut Mert; Tezcan, Ahmet ErtanIntroduction: Sexual functioning has received little attention as an important aspect of patient care for those who have severe mental disorders. Aim: The aim of this study is to compare sexual difficulties seen in Turkish psychiatric patients and healthy control subjects. Methods: Study group consisted of outpatients in remission with schizophrenia (n = 84), bipolar affective disorders (n = 90), heroin addiction (n = 88), and healthy control group (n = 98). A sociodemographical data form and the Golombok Rust Inventory of Sexual Satisfaction were applied to all groups (N = 360). Results: Half ol the patient groups and 72.8% of control subjects reported that they had regular sexual life. The patients with heroin addiction complained about more problems in their sexual life than in the other groups. Controls (86,.2%)) felt more satisfied with their sexual life. Female patients with heroin addiction had statistically significant higher scores in nonsensuality subscale of Golombok Rust Inventory of Sexual Satisfaction. Female patients with schizophrenia and bipolar disorder had statistically significant higher scores in vaginismus subscale than in control group. Between the groups, male patients with bipolar disorder had higher score in most of the items except noncommunication and erectile dysfunction and also had higher total score than in the controls. More men (especially with heroin addiction) thought that their illness and drugs were responsible for their sexual problems, knew the effect of the illness and drugs on their sexual life. and asked questions to their psychiatrists about the problems more than women. Conclusion: patients with bipolar disorders and schizophrenia were unaware of effects of their medication on their sexual life. Finally. it was also found that clinicians in our country do not pay sufficient attention to the sexual problems of psychiatric patients. (C) 2009 Elsevier Inc. All rights reserved.
