ISSN 1302-6631
 

Brief Report 


Menarche age in schizophrenia

Esin Evren Kılıçaslan, Almıla Erol, Burçak Zengin, Ferdi Köşger, Sezen Türkoğlu, Betül Eliküçük, Levent Mete.

Abstract
Object: Interest in the association between female sex hormones and mental diseases is not new. A possible association betweeen schizophrenia and estrogens is remarkable. Research on the subject suggested that, women with schizophrenia have chronic gonadal hypofunction and hypoestrogenism. With regard to the hypotesis claiming; insufficient functioning of the sexual glands and estrogen defficiency in women with schizophrenia, the onset of the puberty may be later. In this study,our aim is to examine whether there is difference between women with schizophrenia and mentally healty women considering the age at menarche.
Methods: In this study, we included 289 patients who were diagnosed with schizophrenia and 339 mentally healty individuals from the internal medicine outpatient clinic as control group. SCID-I is used to confirm the disorder in schizophrenia group, and to exclude any mental ilness in the control group. Those with mental retardation or organic brain disorders were excluded from the study. Individuals personal information and age at menarche is determined with a sociodemografic form in consultation with the patient and a relative.
Results: Compared to controls, the mean age at menarche was higher in women with schizophrenia, but this difference is not statistically significant.
Discussion: This supports hypothesis that hypoestrogenism in women with schizophrenia may be caused by neuroleptic treatment. However the participation of the internal medicine patients instead of the healty controls is the limitation of our study. Internal diseases may have influence on the onset of puberty.

Key words: Schizophrenia, gender, age at menarche, hypoestrogenism



Şizofrenide menarş yaşı

Ozet
Amaç: Kadın cinsiyet hormonları ile ruhsal hastalıklar arasındaki ilişki üzerine olan ilgi yeni değildir. Özellikle psikoz ile ilgili olarak, şizofreni ve östrojen arasındaki ilişki dikkat çekmektedir. Kadın şizofreni hastaları ile ilgili olarak, bazı şizofreni tanılı kadın hastalarda kronik gonadal hipofonksiyon ve hipoöstrojenizm olduğu hipotezi de öne sürülmüştür. Biz bu çalışmada, şizofrenisi olan kadınlarda gonadların yetersiz işlevi ve östrojen eksikliği olduğu hipotezine dayanarak, şizofreni hastalarında pubertenin başlamasının gecikebileceği düşüncesinden yola çıkarak, şizofreni tanılı kadın hastalar ile ruhsal açıdan sağlıklı kadınlar arasında menarş yaşı açısından farklılık olup olmadığını araştırmayı amaçladık.
Yöntem: SCID-I görüşmesi sonucunda şizofreni tanısı onaylanan 289 hasta çalışmaya dahil edildi. Sağlıklı kontroller ise, Dahiliye Polikliniğine başvuran kadın hastalar arasından seçildi. SCID-I ile herhangi bir ruhsal hastalığı olmadığı tesbit edilen 339 hasta çalışmaya dahil edildi. Zeka geriliği ya da bilinen organik beyin hastalığı (epilepsi, inme vb.) bulunan hastalar çalışmaya alınmadı. Verilen sosyodemografik form ile hastaların kişisel bilgileri ve ilk adet yaşı hasta ve bir yakını ile görüşülerek belirlendi.
Sonuçlar: Şizofreni hastalarının ilk adet yaşlarının ortalamasının, kontrol grubundaki hastaların ilk adet yaşlarının ortalamasından yüksek olmasına rağmen bu farkın istatistiksel olarak anlamlı olmadığı gözlendi.
Tartışma: Bu, kadın şizofreni hastalarındaki hipoöstrojenizmin hastalığın doğasından çok nöroleptik kullanımına bağlı olabileceği görüşünü desteklemektedir. Ancak, sağlıklı kontroller yerine dahiliye hasta grubunun alınmış olması çalışmanın kısıtlılığıdır. Dahili hastalıkların da puberte yaşını etkilemiş olma olasılığı olabilir.

Anahtar Kelimeler: Şizofreni, cinsiyet, menarş yaşı, hipoöstojenizm


 
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How to Cite this Article
Pubmed Style

Kilicaslan EE, Erol A, Zengin B, Kosger F, Turkoglu S, Elikucuk B, Mete L. [Menarche age in schizophrenia]. Anadolu Psikiyatri Derg. 2014; 15(4): 344-349. Turkish. doi:10.5455/apd.41763


Web Style

Kilicaslan EE, Erol A, Zengin B, Kosger F, Turkoglu S, Elikucuk B, Mete L. [Menarche age in schizophrenia]. http://www.anadolupsikiyatri.net/?mno=41763 [Access: July 21, 2018]. Turkish. doi:10.5455/apd.41763


AMA (American Medical Association) Style

Kilicaslan EE, Erol A, Zengin B, Kosger F, Turkoglu S, Elikucuk B, Mete L. [Menarche age in schizophrenia]. Anadolu Psikiyatri Derg. 2014; 15(4): 344-349. Turkish. doi:10.5455/apd.41763



Vancouver/ICMJE Style

Kilicaslan EE, Erol A, Zengin B, Kosger F, Turkoglu S, Elikucuk B, Mete L. [Menarche age in schizophrenia]. Anadolu Psikiyatri Derg. (2014), [cited July 21, 2018]; 15(4): 344-349. Turkish. doi:10.5455/apd.41763



Harvard Style

Kilicaslan, E. E., Erol, A., Zengin, B., Kosger, F., Turkoglu, S., Elikucuk, B. & Mete, L. (2014) [Menarche age in schizophrenia]. Anadolu Psikiyatri Derg, 15 (4), 344-349. Turkish. doi:10.5455/apd.41763



Turabian Style

Kilicaslan, Esin Evren, Almila Erol, Burcak Zengin, Ferdi Kosger, Sezen Turkoglu, Betul Elikucuk, and Levent Mete. 2014. [Menarche age in schizophrenia]. Anatolian Journal of Psychiatry, 15 (4), 344-349. Turkish. doi:10.5455/apd.41763



Chicago Style

Kilicaslan, Esin Evren, Almila Erol, Burcak Zengin, Ferdi Kosger, Sezen Turkoglu, Betul Elikucuk, and Levent Mete. "[Menarche age in schizophrenia]." Anatolian Journal of Psychiatry 15 (2014), 344-349. Turkish. doi:10.5455/apd.41763



MLA (The Modern Language Association) Style

Kilicaslan, Esin Evren, Almila Erol, Burcak Zengin, Ferdi Kosger, Sezen Turkoglu, Betul Elikucuk, and Levent Mete. "[Menarche age in schizophrenia]." Anatolian Journal of Psychiatry 15.4 (2014), 344-349. Print.Turkish. doi:10.5455/apd.41763



APA (American Psychological Association) Style

Kilicaslan, E. E., Erol, A., Zengin, B., Kosger, F., Turkoglu, S., Elikucuk, B. & Mete, L. (2014) [Menarche age in schizophrenia]. Anatolian Journal of Psychiatry, 15 (4), 344-349. Turkish. doi:10.5455/apd.41763





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