Publications by authors named "Reyhan Ilhan"

Background: F-8-coil repetitive transcranial magnetic stimulation (rTMS) and H-1-coil deep repetitive transcranial magnetic stimulation (dTMS) have been indicated for the treatment of major depressive disorder (MDD) in adult patients by applying different treatment protocols. Nevertheless, the evidence for long-term electrophysiological alterations in the cortex following prolonged TMS interventions, as assessed by quantitative electroencephalography (qEEG), remains insufficiently explored. This study aims to demonstrate the qEEG-based distinctions between rTMS and dTMS in the management of depression and to evaluate the potential correlation between the electrophysiological changes induced by these two distinct TMS interventions and the clinical improvement in depressive and anxiety symptoms.

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Quantitative electroencephalography (qEEG) data can facilitate the monitoring of treatment progress and the evaluation of therapeutic responses in patients with Major Depressive Disorder (MDD). This study aims to compare the qEEG data of MDD patients and healthy controls, both before and after treatment, to assess the effect of treatment response on neural activity. A total of 72 patients, aged 18-60, who had not used any psychopharmacological medication for at least two weeks, were included in the study.

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.Brain morphological biomarkers could contribute to understanding the treatment response in patients with obsessive-compulsive disorder (OCD). Multimodal neuroimaging addresses this issue by providing more comprehensive information regarding neural processes and structures.

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Objectives: Event-related potential measures have been extensively studied in mental disorders. Among them, P300 amplitude and latency reflect impaired cognitive abilities in major depressive disorder (MDD). The present systematic review and meta-analysis was conducted to investigate whether patients with MDD differ from healthy controls (HCs) with respect to P300 amplitude and latency.

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Previous studies revealed that rapid eye movement (REM) parameters, such as REM latency (RL) and REM density (RD) could be used as electrophysiological markers of depression. Yet these finding should be re-tested in a comorbid-free and drug-free sample. The present systematic review and meta-analysis was conducted to investigate whether drug-free and comorbid-free patients with unipolar depression differentiate from controls with respect to the RL and RD.

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Background: Psychiatric evaluations consist of both qualitative questions and quantitative assessments, sometimes questioning the same issue. The present study attempts to investigate the statistical equivalency of several close-ended questions of a procedural psychiatric examination and rating scales addressing a similar problem.

Methods: The current retrospective analysis included 314 patients who made their first visit to a private psychiatry clinic.

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More than half of the patients with bipolar disorder (BD) had depressive episodes at the onset of BD. Despite some suggested clinical predictors, there are no certain criteria for predicting which unipolar depression patient switch to manic episodes during the treatment course. Electrophysiological markers can address this issue.

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Stroke can have neuropsychological consequences, such as poststroke psychosis. One aspect of poststroke psychosis is delusional infestation (DI), also known as delusional parasitosis. Patients with DI have fixed sensations that they get infested by lice.

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Background: Currently, there is no clear answer to the question of how long antidepressants should be continued or when they can be safely discontinued.

Methods: Pubmed/Medline was systematically searched from inception to Feb 20, 2021. Double-blind, randomized placebo-controlled trials (RCTs) with maintenance phase were selected to examine the relationship between relapse rate and treatment duration.

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Article Synopsis
  • Deep Transcranial Magnetic Stimulation (dTMS) is an FDA-approved non-invasive therapy that effectively treats depression and OCD.* -
  • A study involving 29 OCD patients found that after 30 sessions of dTMS, all participants showed at least a 35% reduction in OCD symptoms, measured by the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS).* -
  • QEEG data indicated significant decreases in theta, alpha, and beta brain rhythms, with the reduction in OCD severity linked to decreased beta activity, suggesting dTMS may alter brain oscillations related to treatment response.*
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Article Synopsis
  • Skin picking disorder (SPD) involves compulsive skin scratching without a primary skin condition and is often linked to psychiatric issues like OCD and depression.
  • A case study of a 32-year-old woman with SPD shows that after a four-week paroxetine treatment, her OCD symptoms reduced significantly, and her skin lesions healed completely, with only minor discoloration remaining.
  • The study suggests that treating SPD when associated with OCD and abnormal EEG readings can lead to successful outcomes with paroxetine, indicating a need for further research in this area.
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Objective: The Hamilton Depression Rating Scale (HDRS-17) and the Hamilton Anxiety Rating Scale (HARS-14) have been acknowledged as gold standards in evaluating the severity of depression and anxiety. The specificity and sensitivity of these scales in predicting somatic complaints of depression and anxiety are issues in both clinical and research areas. The present study proposes a new model to enhance the sensitivity and specificity of HDRS-17 and HARS-14 for predicting symptoms of insomnia, inappetence, and loss of libido in psychiatric patients.

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Objective: Treatment of Bipolar Disorder (BD) is a challenging issue. Aripiprazole monotherapy is a recommended option for the treatment of mania in BD. The electrophysiological markers of treatment response to aripiprazole could be potentially identified by quantitative Electroencephalography (qEEG).

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