Author
Semra Enginkaya
Bio: Semra Enginkaya is an academic researcher. The author has contributed to research in topics: Reproductive health & Mental health. The author has an hindex of 2, co-authored 6 publications receiving 39 citations.
Papers
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TL;DR: It was found that female patients with psychiatric disorders had more negative attributes with regard to marriage, sexuality, family planning, maternal characteristics and pregnancy, compared with a corresponding healthy population.
Abstract: Aims and objectives To determine what problems female psychiatric patients have in terms of reproductive health. Background The reproductive health problems faced by female psychiatric patients are matters that have been neglected in the areas of both psychiatry and women's health. This study aims to make a contribution from Turkey to the literature in this neglected field. Design The study is descriptive and was conducted with 292 female patients treated in an acute inpatient psychiatric ward. Methods Data were collected through face-to-face interviews and a questionnaire based on the literature and prepared by the researchers which was designed to determine the kinds of reproductive health issues the patients were experiencing. Results It was found that compared with healthy women, the distinctive features of the participants in terms of sexuality were more negative; in particular, patients diagnosed with bipolar disorder were more likely to have been forced by their partners to have sex, they had suffered from rape or sexually transmitted diseases, the majority of those who had previous sexual experience had tried to use contraceptives but had been unable to continue using them, they were most likely to choose the method of withdrawal for contraception, their rates of pregnancy and abortion were high, they received less antenatal care, and they were more likely to have smoked during pregnancy. Conclusions It was found that female patients with psychiatric disorders had more negative attributes with regard to marriage, sexuality, family planning, maternal characteristics and pregnancy, compared with a corresponding healthy population. Relevance to clinical practice The results of this study may be useful for nurses in the clinical field for calling an attention and raising an awareness of the reproductive health problems of women with psychiatric disorders, taking the necessary preventive measures, and developing damage-reducing strategies.
28 citations
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TL;DR: It was determined that the mothers and children with insecure attachment were more likely to have been abused and this relationship may undergo intergenerational transfer.
Abstract: Aims and objectives
This study had two aims. The first aim was to compare attachment styles and traumatic childhood experiences of women with psychiatric disorders and their children to a control group. The second aim was to determine the relationship between attachment styles and traumatic childhood experiences both in mothers and their children.
Background
According to attachment theories, trauma in an early relationship initiates a developmental cascade in which insecure attachments may occur.
Design
A cross-sectional, descriptive study which, employed a case–control design, was performed between May 2013–March 2014.
Methods
This study was conducted in 63 women with psychiatric disorders and their children. The control group consisted of 63 women without any psychiatric disorders and their children. Data were collected using questionnaire forms, including the Adult Attachment Style Scale and the Childhood Trauma Questionnaire for both mothers and children. Descriptive statistics, a Pearson correlation and comparative statistics were used to analyse data.
Results
The childhood trauma scores of both the women with psychiatric disorders and their children were higher than the control group scores. Compared to the control group, the mothers with psychiatric disorders and their children were found to have less secure attachment styles. It was determined that the mothers and children with insecure attachment were more likely to have been abused.
Conclusion
These results point to a relationship between trauma in childhood and attachment style. They also suggest that this relationship may undergo intergenerational transfer.
Relevance to clinical practice
This study contributes to the existing literature on the relationship between childhood traumas and attachment. Psychiatric nurses should focus not only on psychiatric disorders but also on the difficulties a patient faces regarding being a parent.
17 citations
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TL;DR: Mothers diagnosed with a mental health disorder showed low maternal attachment scores during pregnancy and/or the postnatal period, and psychiatric nurses should be involved in initiatives that may increase the prenatal and maternal attachment.
Abstract: The presence of a mental disorder in the mother is one of the key factors affecting attachment. The present study aimed to evaluate prenatal and postnatal attachment among mothers diagnosed with a mental health disorder by comparing them to a healthy group. The patient group included women who received follow-up care in a psychiatric clinic (74 pregnant and 75 postpartum), and the healthy group consisted of women who attended a follow-up polyclinic (118 pregnant and 82 postpartum). Data were collected using questionnaire forms, including the Prenatal Attachment Inventory and the Maternal Attachment Scale. Mothers diagnosed with a mental health disorder were determined to have lower attachment scores than the healthy group, both during the prenatal and postnatal periods. The literature suggests that mothers diagnosed with a mental health disorder showed low maternal attachment scores during pregnancy and/or the postnatal period. Psychiatric nurses should be involved in initiatives that may increase the prenatal and maternal attachment.
9 citations
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TL;DR: It was determined that the bipolar disorder group had no previous knowledge about menarche and did not menstruate regularly, and had more reproductive and sexual health related problems than those healthy controls.
Abstract: Correspondence: Nur Elcin Boyacioglu, Istanbul University-Cerrahpasa Faculty of Health Sciences Department of Midwifery Demirkapi Caddesi, Karabal Sokak, Bakirköy Ruh ve Sinir Hastalıkları Hastanesi Bahcesi ici 34740 Bakirkoy, Istanbul, Turkey Phone: +90 212660-1125/40136 E-mail: bdrgl_nr@hotmail.com Received: September 03, 2018; Revised: October 10, 2018; Accepted: November 15, 2018 ABSTRACT Objective: The aim of this study was to determine the reproductive and sexual health problems of female patients with bipolar disorder. Method: This cross-sectional descriptive and comparative study was conducted with 358 female patients with bipolar disorder and a healthy control group (n=346). Data were collected through face-to-face interviews and a questionnaire, which was prepared by the researchers based on the literature and designed to determine the reproductive and sexual health issues among the participants. Results: It was determined that the bipolar disorder group had no previous knowledge about menarche and did not menstruate regularly. Compared to the healthy controls, they also experienced more premenstrual problems, masturbated more, had more sexual partners and had more sexually transmitted diseases. Unplanned pregnancy and abortion rates reported more in bipolar group. Moreover, bipolar disorder group reported not to have mammograms and gynecological examinations as required. Conclusion: Our findings suggest that female patients with bipolar disorder had more reproductive and sexual health related problems than those healthy controls.
4 citations
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TL;DR: In this paper, the authors examined coping behaviors and impact of coping strategies and clinical characteristics on suicide attempts and lifetime suicidal ideation in patients with bipolar disorder, compared with a healthy control group.
Abstract: The stress coping strategies of patients with bipolar disorder (BD) may affect their suicide risk. We examined coping behaviors and impact of coping strategies and clinical characteristics on suicide attempts and lifetime suicidal ideation in patients with BD I, compared with a healthy control group. We recruited 185 euthymic patients with BD and 94 healthy controls. Participants completed the Coping Orientation to Problems Experienced Inventory. Suicide attempt prevalence in patients with BD was around 34%, and frequency of lifetime suicide ideation was around 60%. Binary logistic regression analysis revealed greater use of behavioral disengagement and religious coping strategies among patients with BD, compared with controls. Patients with previous suicide attempts presented a more severe illness course, notably early onset, with more depressive and mixed episodes and a more dysfunctional coping style than nonsuicidal patients. Behavioral interventions can target avoidant coping behavior, such as denial, especially in patients with suicide attempts.
2 citations
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TL;DR: Evidence from this meta-analysis confirms the cycle of maltreatment hypothesis, although effect sizes were modest, and future research should focus on deepening understanding of mechanisms of transmission, as well as identifying protective factors that can effectively break the cycleof maltreatment.
Abstract: It has long been claimed that "maltreatment begets maltreatment," that is, a parent's history of maltreatment increases the risk that his or her child will also suffer maltreatment. However, significant methodological concerns have been raised regarding evidence supporting this assertion, with some arguing that the association weakens in samples with higher methodological rigor. In the current study, the intergenerational transmission of maltreatment hypothesis is examined in 142 studies (149 samples; 227,918 dyads) that underwent a methodological quality review, as well as data extraction on a number of potential moderator variables. Results reveal a modest association of intergenerational maltreatment (k = 80; d = 0.45, 95% confidence interval; CI [0.37, 0.54]). Support for the intergenerational transmission of specific maltreatment types was also observed (neglect: k = 13, d = 0.24, 95% CI [0.11, 0.37]; physical abuse: k = 61, d = 0.41, 95% CI [0.33, 0.49]; emotional abuse: k = 18, d = 0.57, 95% CI [0.43, 0.71]; sexual abuse: k = 18, d = 0.39, 95% CI [0.24, 0.55]). Methodological quality only emerged as a significant moderator of the intergenerational transmission of physical abuse, with a weakening of effect sizes as methodological rigor increased. Evidence from this meta-analysis confirms the cycle of maltreatment hypothesis, although effect sizes were modest. Future research should focus on deepening understanding of mechanisms of transmission, as well as identifying protective factors that can effectively break the cycle of maltreatment.
154 citations
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TL;DR: Adverse pregnancy outcomes such as gestational hypertension and antepartum haemorrhage occur more frequently in women with bipolar disorder, and have an increased risk of mood disorders in the postnatal period.
Abstract: Bipolar Disorder (BD) is a mental disorder usually diagnosed between 18 and 30 years of age; this coincides with the period when many women experience pregnancy and childbirth As specific problems have been reported in pregnancy and childbirth when the mother has BD, a systematic review was carried out to summarise the outcomes of pregnancy and childbirth, in mother and child, when the mother has BD diagnosed before pregnancy An a priori protocol was designed and a systematic search conducted in PubMed, CINAHL, Scopus, PsycINFO and Cochrane databases in March 2015 Studies of all designs were included if they involved women with a diagnosis of bipolar disorder prior to pregnancy, who were pregnant and/or followed up to one year postpartum All stages of inclusion, quality assessment and data extraction were done by two people All maternal or infant outcomes were examined, and narrative synthesis was used for most outcomes Meta-analysis was used to achieve a combined prevalence for some outcomes and, where possible, case and control groups were combined and compared The search identified 2809 papers After screening and quality assessement (using the EPHPP and AMSTAR tools), nine papers were included Adverse pregnancy outcomes such as gestational hypertension and antepartum haemorrhage occur more frequently in women with BD They also have increased rates of induction of labour and caesarean section, and have an increased risk of mood disorders in the postnatal period Women with BD are more likely to have babies that are severely small for gestational age (<2nd-3rd percentile), and it appears that those women not being treated with mood stabilisers in pregnancy might not have an increased risk of having a baby with congenital abnormalities Due to heterogeneity of data, particularly the use of differing definitions of bipolar disorder, narrative synthesis was used for most outcomes, rather than a meta-analysis It is evident that adverse outcomes are more common in women with BD and their babies Large cohort studies examining fetal abnormality outcomes for women with BD who are not on mood stabilisers in pregnancy are required, as are studies on maternal-infant interaction
80 citations
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TL;DR: Novel research is needed to address sexual symptomatology in bipolar disorder within the context of current sexual, cultural and gender norms and there is a lack of uniformity in the definition of bipolar disorder across studies.
54 citations
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TL;DR: Findings demonstrate an interplay between deranged problematic parental bonding and childhood trauma in promoting a possible vulnerability to social insecurity, one of the most central dimensions of ED psychopathology.
Abstract: Childhood trauma and parental bonding have been widely recognized as risk factors for eating disorders (EDs). However, their interplay in determining ED psychopathology has been poorly investigated. Consequently, we have assessed their interaction with core ED psychopathological symptoms. Fifty-seven patients with anorexia nervosa, 43 with bulimia nervosa and 77 healthy women completed the Childhood Trauma Questionnaire, the Parental Bonding Instrument and the Eating Disorder Inventory-2. Chi square test and regression analyses with a moderation model were performed to investigate the interplay between childhood trauma, parental bonding and ED symptoms such as ineffectiveness, social insecurity, drive to thinness, interoceptive awareness, impulsivity and perfectionism. Compared to controls, patients with EDs showed higher levels of trauma and parental control perception and lower levels of parental care. Childhood maltreatment was more prevalent in patients with the affectionless control parental style. Moderation analyses revealed that higher maternal control significantly predicted the ED symptom of social insecurity only when participants experienced lower levels of emotional abuse. These findings demonstrate an interplay between deranged problematic parental bonding and childhood trauma in promoting a possible vulnerability to social insecurity, one of the most central dimensions of ED psychopathology. This interaction might have psychotherapeutic implications. Level V, cross-sectional descriptive study.
37 citations