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Öğe Antisocial Personality Disorder in its Cultural Context(Blackwell Science Publ, 2005) Kuey, Levent; Aydemir, Omer[Abstract Not Available]Öğe Brain health and mental health: Common vascular risk factors and practical implications(WILEY, 2023-05) Hachinski, Vladimir; Krishnamoorthy, Ennapadam; Kuey, Levent; Kirmayer, Laurence JThe pandemic dramatized the close links among cognitive, mental, and social health; a change in one reflects others. This realization offers the opportunity to bridge the artificial separation of brain and mental health, as brain disorders have behavioral consequences and behavioral disorders affect the brain. The leading causes of mortality and disability, namely stroke, heart disease, and dementia, share the same risk and protective factors. It is emerging that bipolar disorders, obsessive compulsive disorders, and some depressions share these risk factors, allowing their joint prevention through a holistic life span approach. We need to learn to focus on the whole patient, not simply on a dysfunctional organ or behavior to mitigate or prevent the major neurological and mental disorders by fostering an integrated approach to brain and mental health and addressing the common, treatable risk factors.Öğe Öğe From antepartum to postpartum - A prospective study on the prevalence of peripartum depression in a semiurban Turkish community(Sci Printers & Publ Inc, 2006) Gulseren, Leyla; Erol, Almila; Gulseren, Seref; Kuey, Levent; Kilic, Bulent; Ergor, GulOBJECTIVE: To examine the prevalence of depression in the last trimester of pregnancy and within the first 6 months postpartum, to determine whether there is an association between antepartum and postpartum depression and to investigate the risk factors prospectively in a cohort of Turkish women. STUDY DESIGN: In a prospective, community-based, cohort study, 125 women who expected to give birth during the first 6 months of 2002 (January 1, 2002-June 30, 2002) were included. Depression was measured at 36-38 weeks antepartum and then again at 5-8, 10-14 and 20-26 weeks postpartum using the Edinburgh Postnatal Depression Scale. A questionnaire that was devised to collect data on sociodemographic and clinical information on the women was applied. RESULTS: The prevalence of depression was highest in pregnancy (21.6%) and declined gradually in the follow-up period (respectively, 16.8%, 14.4% and 9.6%). Antepartum depression was a statistically significant risk factor during the 6 months postpartum in each of the 3 assessments. In the logistic model, past history of mental illness, history of mental illness in first-degree relatives and adverse life events were associated with antepartum depression; low income, adverse life events and a poor relationship with the husband were associated with postpartum depression. CONCLUSION: Evaluations made in the last trimester of pregnancy should be very helpful in diagnosing and preventing depression in women at high risk.Öğe Postpartum depression and its psychosocial correlates: A longitudinal study among a group of women in Turkey(Routledge Journals, Taylor & Francis Ltd, 2016) Boratav, Hale Bolak; Toker, Ozlem; Kuey, LeventThe postpartum period is a window of risk for psychological disturbances and particularly for depressive symptoms. This study explored the relationships between postpartum depression and prepartum depressive symptoms, marital adjustment, support from family, previous depressive symptomology, and pregnancy planning. A total of 128 women who were receiving prenatal care at a state hospital in Istanbul, Turkey, and who were in the last trimester of their pregnancy participated in the first phase of the study. Of these, eighty-seven women also participated in the second phase, during the 3-6month postpartum period. The results indicated that depressed mood in the last trimester of pregnancy, family support, care and support from spouse, previous depression history, and unplanned pregnancy were significant risk factors for postpartum depressive symptoms; significant differences were found for study variables as a function of women's scores on the Edinburgh Postnatal Depression Scale in pregnancy and in the postpartum period. The recommendation is made to use screening tools, like the Edinburgh Postnatal Depression Scale, in the course of routine prenatal care, and to refer women with Edinburgh Postnatal Depression Scale scores above the cutoff score for further clinical examination.Öğe A systematic review on the relationship between mental health, radicalization and mass violence(Cambridge Univ Press, 2019) Misiak, Blazej; Samochowiec, Jerzy; Bhui, Kamaldeep; Schouler-Ocak, Merryam; Demunter, Hella; Kuey, Levent; Raballo, AndreaRadicalization is a process, by which individuals adopt extreme political, social and religious ideation that leads to mass violence acts. It has been hypothesized that mental health characteristics might be associated with a risk of radicalization. However, a qualitative synthesis of studies investigating the relationship between mental health and radicalization has not been performed so far. Therefore, we aimed to perform a systematic review of studies examining the association between mental health characteristics and the risk of radicalization. Two reviewers performed an independent search of online databases from their inception until 8th April 2018 and 12 publications met eligibility criteria. There were several methodological limitations across the majority of eligible publications, including doubtful sample representativeness, use of diagnostic procedures without personal assessment of mental health status or lack of standardized tools for assessment of mental health. Representative cross-sectional studies revealed that depressive symptoms might be associated with radicalization proneness. However, it remains unknown whether depressive symptoms are associated with resilience or vulnerability to radicalization. Another finding from our systematic review is that several personality traits might predispose to develop extreme ideation. Finally, there is some evidence that lone-actors might represent a specific subgroup of subjects with extreme beliefs which can be characterized by high prevalence of psychotic and/or mood disorders. In conclusion, this systematic review indicates that caution should be taken on how the association between 'mental health' and 'radicalization' is being claimed, because of limited evidence so far, and a number of methodological limitations of studies addressing this issue. (c) 2018 Elsevier Masson SAS. All rights reserved.Öğe The impact of stigma on somatic treatment and care for people with comorbid mental and somatic disorders(Lippincott Williams & Wilkins, 2008) Kuey, LeventPurpose of review The problems associated with high rates of medical comorbidities among people with mental disorders have multidimensional consequences, including the challenge of their management. The stigma on the treatment of these complex situations is the focus of this review. The time span and context of the review are set to cover the period from 2006 to the present; the review includes related themes of stigma. Recent findings The stigma attached to the management of somatic illnesses of patients with mental disorders is considered as a more recent issue of concern. Few relevant studies could be found. Medical comorbidities among people with mental disorders along with the treatment gap constitute a public-health problem. Summary The stigma attached to mental disorders in general forms the basis of the stigma towards the physical health problems of these patient groups. The impact of stigma on somatic treatment and care for people with comorbid mental and somatic disorders is discussed in its context as a public-health problem. Integrative services, and optimism and hope in health professionals are essential factors in reducing such stigma, and hence in enhancing better healthcare.
