We aimed to investigate burnout and posttraumatic stress symptoms in mortuary staff members who work for the Council of Forensic Medicine where more than 4500 autopsies are annually performed.The data were collected from 142 mortuary staff members from the Council of Forensic Medicine, Turkey. The participants were divided into the following 4 groups: forensic medicine specialists (n = 40, 28.2%), forensic medicine residents (n = 54, 38.0%), autopsy technicians (n = 24, 16.9%), and other staff members (n = 24, 16.9%). All of the participants completed a brief sociodemographic form and standardized questionnaires to assess health symptoms, such as the Maslach Burnout Inventory and Posttraumatic Symptom Screening Scale.Forensic medicine staff members are at risk for developing psychological health symptoms, such as burnout or posttraumatic stress, due to work-related stressors. We observed that autopsy technicians seemed to have more emotional exhaustion and posttraumatic stress disorder symptoms, whereas resident doctors had a lower sense of personal accomplishment.
ÖZET: Lityunn monoterapisi alan bipolar bozukluk hastalarinda nnetabolik sendrom parametrelerinin yayginligi Amaf: Bipolar bozuklukta atipik antipsikotik, duygudurum düzenleyicileri ya da kombine ilaç kullanimi ve geçirilmij depresif dönemler metabolik sendromdan sorumlu tutulmaktadir. Lityum monoterapisinin kilo alimi ile ili;kili oldugunu bildiren yayinlar olmasina kar;in, metabolik sendrom ile ilijkisini arajtiran yayina rastlanmamijtir. Bu çalijmada, lityum monoterapisi alan, ötimik bipolar bozukluk hastalarinda metabolik sendrom yayginliginin ara^tirilmasi amaçlanmiçtir. Yöntem: Ötimik ve lityum monoterapisi altinda olan hastalarin Ocak 2009 ve Ocak 2011 tarihieri arasindaki dosya bilgileri taranmiçtir. NCEP ATP III ölcütlerine göre metabolik sendrom parametreleri olan; trigliserid, yiiksek dansiteli lipoprotein, açlik kan jekeri, bel çevresi ve tansiyon bilejenleri kaydedilmlçtir. En az uç aydir lityum monoterapisi kullanan hasta dosyalarinin verileri çali;maya alindi. Son uç ay içinde lityum di;inda bajka psikotrop ilaç kullanmij, ardindan lityum monoterapisine geçilmi; ya da beraberinde aikol madde kullaninni bildirilmi; hasta dosyalari çaliçma di^inda tutulmu^tur. Bulgular: Hastalarin ya; ortalamasi 40.47±11.41; kadinlarin yaj ortalamasi 41.84±12.49 ve erkekierin yas ortalamasi ise 38.88±9.61 (p=0.313) idi. Ilk atak tipine bakildigmda hastalarin 34'ü depresif, 29'u manik ve ikisinin karma atak ya;ami$ olduklari görüldü. Hastalarin hastalik siireleri 16.70±9.86 ve tedavi süreleri 16.67±9.90 yil idi. Hastalarin kullandigi ortalama lityum dozu 1160±274 mg/gün ve ortalama kan düzeyleri 0.761±0.141 mEq/l idi. Lityum kullanma süresi 156.29±117.53 hafta idi. Hastalarin ortalama BKl 27.67±4.47 kg/m' ve bel çevresi 87.72±12.48 cm idi ve cinsiyetler arasinda BKl ve bel çevresi bakimindan anlamli bir fark yoktu (p=0.173 ve p=0.434, sirasiyla). Ortalama açlik kan jekeri düzeyi 87.86±15.53 mg/dl, total kolesterol düzeyi 180.29±47.38 mg/dl; HDt düzeyi 38.81±8.62 mg/dl; trigliserid düzeyi 136.571108.08 mg/dl idi. Kesitsel olarak metabolik sendrom tani ölcütünü kar;ilayan hasta sayisi on idi. Bu on hastanm dokuzu kadin, biri erkekti (xM.841, p=0.028). Sonuç: Bipolar bozukluk olgularinda, lityum monoterapisi ile metabolik sendrom gelijme olasiligi diger tedavilere göre daha düjük gibi görünmektedir. Lityum monoterapisinin kilo alimina yol açabilecegi, yine de diabet mellitusu ve bipolar bozukiugu olan hastalarda kan jekeri açisindan olumiu olabilecegi düjünülebilir. Lityum monoterapisi ve metabolik sendrom arasindaki iliçkinin anla;ilabilmesi için detayli, ileriye dönük ve geni; örneklemli çalijmalargereklidir. Anahtar sözcükler: Abdominal obezite metabolik sendrom, lityum monoterapisi, vücut kitle indeksi Klinik Psikofarmakoloji BUIteni 2012;22(4):320-4 ABSTRACT:
Objective:The internalized stigma is a concept that is discussed mostly in severe mental illnesses and especially in schizophrenia. However, this concept is not studied in sexually traumatized people, yet. In this study, we aimed to investigate the internalized stigma and related features in sexually abused individuals.Methods:The participants who were the victim of sexual abuse and sent by courts to be examined for mental state were planned to be included in the study and after giving informed consent, 44 females were included. Participants were asked to complete the scales of Internalized Stigma Questionnaire for Mental Disorders, Beck Depression and Hopelessness Scales.Results:No significant differences were found between participants who had been diagnosed a psychiatric disorder or not after victimization according to total score of internalized stigma scale and subscale scores (p>0.05). There were significant correlations between mean Beck depression and hopelessness scale scores and internalized stigma scale mean total score and subscale scores (alienation, stereotype endorsement, discrimination experience, social withdrawal, and resistance to stigma).Conclusion:Self-stigmatized behaviors are seen in all participants who have been sexually abused and there was no difference according to such behaviors between participants whom had been diagnosed as mentally ill or not after victimization. However, an existing self-stigmatization is increasing in the existence of psychopathology. The responsibility of the professionals in mental health should develop new therapeutic or rehabilitative approaches to all sexually abused victims whether they meet psychiatric diagnostic criteria or not.
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