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    Attention deficit hyperactivity disorder in elderly individuals: Prevalence and clinical features
    (Klinik Psikiyatri Dergisi, 2022) Guzelbaba, Silan Senbayram; Tamam, Lut; Demirkol, Mehmet Emin; Namli, Zeynep; Karaytug, Mahmut Onur; Yesiloglu, Caner
    Objective: Attention Deficit Hyperactivity Disorder (ADHD)'s clinical appearance of the older adults is dif-ferent from that of children and young adults. The diagnosis is generally missed in older ages or patients are exposed to polypharmacy due to misdiagnoses. This situation causes deterioration in functionality and financial burden. Our study aims to determine the frequency and clinical features of ADHD in the elderly. Method: We included 70 individuals aged 65 and over, who admission in our outpatient clinic as the clinical sample, and 70 healthy volunteers as the control group who had similar sociodemographic characteristics with the clinical sample. We diagnosed ADHD with Wender Utah Rating Scale (WURS) and Adult ADHD Self-Report Scale (ASRS) scores, family interviews, and psychiatric interviews. We used DSM-5 Structured Clinical Interview-Clinical Version (SCID-5-CV) to identify additional diagnoses and Barratt Impulsivity Scale (BDI-11) to evaluate impulsivity. Results: The prevalence of childhood ADHD (C-ADHD) was 26%, and adult ADHD (A-ADHD) was 11% among the clinical sample. The prevalence of C-ADHD was %4.2, and there was no A-ADHD in the control group. The BIS-11-motor subscale score was signifi-cantly higher in those with A-ADHD than those with-out in the clinical sample (p=0.04). The BIS-11-total and all subscale scores were significantly higher with C-ADHD than those without C-ADHD in the clinical sample (p<0.05 for each). Conclusion: This study suggests that individuals with a previous psychiatric diagnosis have a higher rate of ADHD diagnosis com-pared to the healthy population, and ADHD often accompanies mood disorders and anxiety disorders. There may be a cause-effect relationship between ADHD and other mental disorders or similarities in the etiopathogenesis. Questioning ADHD symptoms in clinical samples over 65 years of age will contribute to determining the correct diagnosis and appropriate treatment.
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    The relationship of coping skills with psychache in patients with depressive disorder
    (Lippincott Williams & Wilkins, 2023) Yesiloglu, Caner; Tamam, Lut; Demirkol, Mehmet Emin; Namli, Zeynep; Karaytug, Mahmut Onur; Guzelbaba, Silan Senbayram
    Suicide is a leading cause of death and disability worldwide. Psychache (psychological pain) and diminished tolerance of psychaches are important risk factors for suicide. People experiencing psychaches of similar severity may not demonstrate the same levels of tolerance because of various coping skills. This study aimed to determine the relationship between psychache, tolerance for psychache, and coping skills in individuals with depression and healthy controls. We included 73 patients with depressive disorders without comorbid mental disorders and 65 healthy controls. We applied beck depression inventory, beck hopelessness scale, beck suicidal ideation scale, psychache scale, tolerance for mental pain scale (TMPS), and coping attitudes evaluation scale (COPE) to all participants. People with depression had significantly higher COPE dysfunction scores than those in the control group did. Patients who had previously attempted suicide attempt(s) previously had significantly higher beck hopelessness scale, beck depression inventory, COPE dysfunction, and psychache scale scores, and lower TMPS-10 scores than those who did not attempt suicide. Mediation analyses revealed that dysfunctional coping skills played a partial mediating role in the relationship between psychache and the TMPS. The study revealed that dysfunctional coping skills were related to suicidal ideation and previous suicide attempts. These findings suggest that improving coping skills could help reduce the severity of suicidal ideation.