SYMPOSIA

Bulletin of Clinical Psychopharmacology, Vol: 21, Supplement: 2, 2011 - www.psikofarmakoloji.org
Poster Presentations
inpatient treatment in the Department for Addiction at Samsun Neuropsychiatry Hospital. Diagnostic interviews were conducted for
cannabis dependence syndrome (ICD 10; DSM-IV); the earliest interview was after 21 days of detoxification therapy. For assesment, the
Adult ADD/ADHD DSM IV based Diagnostic Screening and Rating Scale was used. The reliability, validity, and transliteral equivalance study
had been performed by Günay et.al in 2005 (Günay 2006). The scale was developed by Prof. Dr.Turgay, former Director of the Toronto
ADHD Clinic, Ontario,Canada. It is a self assessment scale.
General total and subscale mean scores and standard deviation of the ADHD scale according to group factors were calculated. Mean
ADHD total and subscale scores were compared by using the group variable independent t test. The analyses were conducted using SPSS
for Windows 16.00.
Results: The ADHD general total mean scores and subscale mean scores were compared between the groups. Considerably higher scores
were observed in cannabis dependent individuals.
Twenty-two patients met the criterion of inattention whereas 24 patients met both the criteria of hyperactivity and inattention. Twentyfour
patients were re-evaluated and interviewed and Adult ADHD was diagnosed.
Five individuals in the control group met the criterion of inattention, and there were no individuals who met the criteria for both
hyperactivity and inattention.
All three subdimensions of the Turgay Adult ADHD Scale were found to be statistically higher in the cannabis dependent patients.
Conclusions: As this study shows, Adult ADHD is highly represented in cannabis dependent patients.(in our sample 35% of patients were
diagnosed with Adult ADHD).
The awareness of the ADHD diagnosis in Turkey has rapidly increased over time. However it is not commonly researched, diagnosed, or
treated in adult psychiatric units. A major difficulty may be that ADHD has been misdiagnosed because comorbidity is common and 90%
of A-ADHD patients present with another psychiatric disorder in clinical practice. Recent studies clearly show a strong relation between
ADHD and addiction, which supports the idea that a high percentage of drug dependent individuals are also suffering from undiagnosed
A-ADHD. Individuals who are diagnosed and treated are less vulnerable to addiction (Biedermann 1999)
Key words: Adult ADHD, cannabis dependency, substance use
References:
1. Biederman J, Mick E, Faraone SV (2000) Age-de¬pendent decline of symptoms of attention deficit hyperactivity disorder: impact of remission definition and
symptom type. Am J Psychiatry 157:816–818
2. Wilens TE (2006) Attention-deficit/hyperactivity disorder and the substance use disorders: the nature of the relationship, subtypes at risk, and treatment issues.
Psychiatr Clin North Am 27:283–30.
3. Fayyad J, De GR, Kessler R et al (2007) Cross-national prevalence and correlates of adult attentionDeficit hyperactivity disorder. Br J Psychiatry 190:402–409
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S158-9
[PP-063] Ref. No: 270
Ganser syndrome as a dissociative disorder: A case report
Beliz Soyer, Jülide Kenar, Kader Semra Karataş
Erenkoy Mental and Nervous Diseases Training and Research Hospital, Istanbul, Turkey
E-mail: blz_syr@hotmail.com
Ganser syndrome was first described in 1898 by Sigbert Ganser in 4 prisoners. Initially, it was believed to be rare, occurring mainly in
forensic settings. Hence, it was referred to as prison psychosis. Later, such cases were reported more frequently in non-forensic settings.
The syndrome has found a place in both the ICD-10 and DSM-IV, despite controversy about its existence and distinctiveness. This disorder
was previously classified as a fictitious disorder; currently, it is classified under ‘dissociative disorder not otherwise specified.’ We report a
case of a 38 year old woman with Ganser syndrome. The symptoms started 9 months after the death of her brother’s children.
Key words: Ganser Syndrome, vorbeireden, dissociative disorder
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S159
S159