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KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ

Yıl 2020, Cilt: 83 Sayı: 2, 162 - 167, 23.03.2020

Öz

Kronik pelvik bozuklukların tanı ve tedavisi karmaşıktır ve hasta merkezli, multidispliner yaklaşım gerekir. Bu süreçte, psikososyal etkenlerin rolünü anlamak, psikiyatrik sorunları değerlendirmek ve hastaların biyopsikososyal yardımı eşzamanlı ve eşgüdümlü almalarını sağlamak önemlidir. Bu derlemenin amacı, kronik pelvik ağrı ve pelvik taban disfonksiyonu olan hastaların psikiyatrik sorunlarına dikkati çekmektir.

Kaynakça

  • 1. Oral E, Usta AT. Kronik Pelvik Ağrı, Güneş Tıp Kitapevleri Ltd. Şti. Ankara, 2016;31-46, 165-70, 185-238.
  • 2. Vrijens D, Berghmans B, Nieman F, van Os J, van Koeveringe G, Leue C. Prevalence of anxiety and depressive symptoms and their association with pelvic floor dysfunctions-A cross sectional cohort study at a Pelvic Care Centre. Neurourol Urodyn 2017;36(7):1816-23. [CrossRef]
  • 3. Miller-Matero LR, Saulino C, Clark S, Bugenski M, Eshelman A, Eisenstein D. When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain. Arch Womens Ment Health 2016;19(2):349-54. [CrossRef]
  • 4. Naliboff BD, Stephens AJ, Afari N, Lai H, Krieger JN, Hong B, et al Widespread psychosocial difficulties in men and women with urologic chronic pelvic pain syndromes: Casecontrol findings from the multidisciplinary approach to the study of chronic pelvic pain research network. Urology 2015;85(6):1319-27. [CrossRef]
  • 5. Riegel B, Bruenahl CA, Ahyai S, Bingel U, Fisch M, Löwe B. Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men – a systematic review. J Psychosom Res 2014;77(5):333-50. [CrossRef]
  • 6. Çelik DB, Beji NK. Pelvik taban fonksiyon bozuklukları ve yaşam kalitesi. İ.Ü. Florence Nightingale Hemşirelik Dergisi 2012;20(1):69-79.
  • 7. Özkan S. Psikiyatrik Tıp: Konsültasyon Liyezon Psikiyatrisi, Roche Yayınları. İstanbul, 1993;5-25.
  • 8. Kocaman N. Konsültasyon liyezon psikiyatrisi hemşireliği ve genel hastanede psikososyal bakım. Türkiye Klinikleri J Int Med Sci 2006;2(47):97-107.
  • 9. Mete HE, Noyan A, Sertöz ÖÖ. Ağrının psikososyal yönü. Ağrı 2006;18(1):20-5.
  • 10. Çeliker R. Kronik ağrı sendromları. Türk Fiz Tıp Rehab Derg 2005;51(Özel Ek B):B14-B18.
  • 11. Reed BD, Haefner HK, Punch MR, Roth RS, Gorenflo DW, Gillespie BW. Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. J Reprod Med 2000;45(8):624-32.
  • 12. Randolph ME, Reddy DM. Sexual functioning in women with chronic pelvic pain: the impact of depression, support, and abuse. J Sex Res 2006;43(1):38-45. [CrossRef]
  • 13. Romão AP, Gorayeb R, Romão GS, Poli-Neto OB, dos Reis FJ, Rosa-e-Silva JC, Nogueira AA. High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J Clin Pract 2009;63(5):707-11. [CrossRef]
  • 14. Bryant C, Cockburn R, Plante AF, Chia A. The psychological profile of women presenting to a multidisciplinary clinic for chronic pelvic pain: high levels of psychological dysfunction and implications for practice. J Pain Res 2016;16(9):1049-56. [CrossRef]
  • 15. Meltzer-Brody S, Leserman J. Psychiatric comorbidity in women with chronic pelvic pain. CNS Spectr 2011;16(2):2935. [CrossRef]
  • 16. Leserman J, Zolnoun D, Meltzer-Brody S, Lamvu G, Steege JF. Identification of diagnostic subtypes of chronic pelvic pain and how subtypes differ in health status and trauma history. Am J Obstet Gynecol 2006;195(2):554-61. [CrossRef]
  • 17. Jamieson DJ, Steege JF. The association of sexual abuse with pelvic pain complaints in a primarycare population. Am J Obstet Gynecol 1997;177:1408-12. [CrossRef]
  • 18. ter Kuile MM, Weijenborg PT, Spinhoven P. Sexual functioning in women with chronic pelvic pain: the role of anxiety and depression. J Sex Med 2010;7(5):1901-10. [CrossRef]
  • 19. As-Sanie S, Clevenger LA, Geisser ME, Williams DA, Roth RS. History of abuse and its relationship to pain experience and depression in women with chronic pelvic pain. Am J Obstet Gynecol 2014;210(4):317.e1-317.e8. [CrossRef]
  • 20. Anderson RU, Orenberg EK, Chan CA, Morey A, Flores V. Psychometric profiles and hypothalamic-pituitaryadrenal axis function in men with chronic prostatitis/ chronic pelvic pain syndrome. J Urol 2008;179(3):956-60. [CrossRef]
  • 21. Çam Çelikel F, Erdemir F, Celep AM, Elbozan Cumurcu B, Erkorkmaz Ü. Kronik Pelvik Ağrılı erkeklerde aleksitimi, depresyon ve somatizasyon. Yeni Symposium Journal 2009;47(2):70-5.
  • 22. Potts JM. Chronic pelvic pain syndrome: a non-prostatocentric perspective. World J Urol 2003;21(2):54-6. [CrossRef]
  • 23. Güdücü N, Özcan NK. Üriner inkontinanslı kadınların cinsel fonksiyonlarının değerlendirilmesi. JAREN 2016;2(1):16-23.
  • 24. Yılmaz E, Muslu A, Özcan E. Üriner inkontinanslı kadınlarda yaşam kalitesi. ERÜ Sağlık Bilimleri Fakültesi Dergisi 2014;2(2):1-14.
  • 25. Weber AM. Epidemiology and psychosocial impact of pelvic floor disorders. In: Walters MD, Karam MM, editors. Urogynecology and Reconstructive Pelvic Surgery. 3nd ed., Philadelphia: Mosby Elsevier; 2007:44-54. [CrossRef]
  • 26. Hung KJ, Awtrey CS, Tsai AC. Urinary incontinence, depression, and economic outcomes in a cohort of women between the ages of 54 and 65 years. Obstet Gynecol 2014;123(4):822-7. [CrossRef]
  • 27. Addis IB. Social impact of urinary incontinence and pelvic floor dysfunction. In: Raz S, Rodriguez L, editors. Female Urology. Philadelphia: Saunders Elsevier; 2008:69-73. [CrossRef]
  • 28. Stach-Lempinen B, Hakala AL, Laippala P, Lehtinen K, Metsänoja R, Kujansuu E. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003;22(6):563-8. [CrossRef]
  • 29. Perry S, McGrother CW, Turner K; Leicestershire MRC Incontinence Study Group. An investigation of the relationship between anxiety and depression and urge incontinence in women: development of a psychological model. Br J Health Psychol 2006;11(Pt 3):463-82. [CrossRef]
  • 30. Ko Y, Lin SJ, Salmon JW, Bron MS. The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care 2005;11(4 Suppl):S103-11.
  • 31. Yip SK, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol 2007;21(2):321-9. [CrossRef]
  • 32. Rogers GR, Villareal A, Kammer-Doak D, Qualls C. Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(6):361-5. [CrossRef]
  • 33. Kenton K, Mueller ER. The global burden of female pelvic floor disorders. BJU Int 2006;98(Suppl 1):1-7. [CrossRef]
  • 34. Sacomori C, Cardoso FL. Predictors of improvement in sexual function of women with urinary incontinence after treatment with pelvic floor exercises: a secondary analysis. J Sex Med 2015;12:746-55. [CrossRef]
  • 35. Ghetti C, Lowder JL, Ellison R, Krohn MA, Moalli P. Depressive symptoms in women seeking surgery for pelvic organ prolapse. Int Urogynecol J 2010;21(7):855-60. [CrossRef]
  • 36. Ghetti C, Skoczylas LC, Oliphant SS, Nikolajski C, Lowder JL. The emotional burden of pelvic organ prolapse in women seeking treatment: A qualitative study. Female Pelvic Med Reconstr Surg 2015;21(6):332-8. [CrossRef]
  • 37. Stoutjesdijk JA, Vierhout ME, Spruijt JW, Massolt ET. Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well-being? A prospective follow-up study. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(2):131-5. [CrossRef]
  • 38. Ozel B, White T, Urwitz-Lane R, Minaglia S. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(1):14-7. [CrossRef]
  • 39. Başıbüyük İ, Armağan A. Radikal pelvik cerrahi sonrası erkek cinsel sağlığı. Androloji Bülteni 2016;18(66):170-6.
  • 40. Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: A systematic review and metaanalysis. J Sex Med 2012;9(1):34-43. [CrossRef] 41. Singh MK. Chronic pelvic pain in women. www.medscape. com, Updated: Dec 4, 2012.
  • 42. Guay DRP. Adjunctive agents in the management of chronic pain. Pharmachother 2001;21(9):1070-81. [CrossRef]
  • 43. Lunn MP, Hughes RA, Wiffen PJ. Duloxetine for treating painful neuropathy, chronic pain or fibromyalgia. Cochrane Database Syst Rev 2014;3(1):CD007115.
  • 44. Seidel S, Aigner M, Ossege M, Pernicka E, Wildner B, Sycha T. Antipsychotics for acute and chronic pain in adults. Cochrane Database Syst Rev 2013;29(8):CD004844. [CrossRef]
  • 45. Champaneria R, Daniels JP, Raza A, Pattison HM, Khan KS. Psychological therapies for chronic pelvic pain: systematic review of randomized controlled trials. Acta Obstet Gynecol Scand 2012;91(3):281-6. [CrossRef]
  • 46. Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Klemmetsen I, Malt UF. Mensendieck somatocognitive therapy as treatment approach to chronic pelvic pain: results of a randomized controlled intervention study. Am J Obstet Gynecol 2006;194(5):1303-10. [CrossRef]
  • 47. Anderson RU, Wise D, Sawyer T, Nathanson BH, Nevin Smith J. Equal improvement in men and women in the treatment of urologic chronic pelvic pain syndrome using a multi-modal protocol with an ınternal myofascial trigger point wand. Appl Psychophysiol Biofeedback 2016;41(2):215-24. [CrossRef]
  • 48. Sutar R, Yadav S, Desai G. Yoga intervention and functional pain syndromes: a selective review. Int Rev Psychiatry 2016;28(3):316-22. [CrossRef]

PSYCHIATRIC PROBLEMS AND TREATMENT IN CHRONIC PELVIC PAIN AND PELVIC FLOOR DYSFUNCTION

Yıl 2020, Cilt: 83 Sayı: 2, 162 - 167, 23.03.2020

Öz

The diagnosis and the treatment of chronic pelvic disorders is complex, and a patient-centered multidisciplinary approach is required. In this process, to understand the role of psychosocial factors and assess psychiatric problems is very important. Synchronized and coordinated biopsychosocial assistance must be given to the patient. The aim of this review is to highlight the psychiatric problems of patients with chronic pelvic pain and pelvic floor dysfunction.

Kaynakça

  • 1. Oral E, Usta AT. Kronik Pelvik Ağrı, Güneş Tıp Kitapevleri Ltd. Şti. Ankara, 2016;31-46, 165-70, 185-238.
  • 2. Vrijens D, Berghmans B, Nieman F, van Os J, van Koeveringe G, Leue C. Prevalence of anxiety and depressive symptoms and their association with pelvic floor dysfunctions-A cross sectional cohort study at a Pelvic Care Centre. Neurourol Urodyn 2017;36(7):1816-23. [CrossRef]
  • 3. Miller-Matero LR, Saulino C, Clark S, Bugenski M, Eshelman A, Eisenstein D. When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain. Arch Womens Ment Health 2016;19(2):349-54. [CrossRef]
  • 4. Naliboff BD, Stephens AJ, Afari N, Lai H, Krieger JN, Hong B, et al Widespread psychosocial difficulties in men and women with urologic chronic pelvic pain syndromes: Casecontrol findings from the multidisciplinary approach to the study of chronic pelvic pain research network. Urology 2015;85(6):1319-27. [CrossRef]
  • 5. Riegel B, Bruenahl CA, Ahyai S, Bingel U, Fisch M, Löwe B. Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men – a systematic review. J Psychosom Res 2014;77(5):333-50. [CrossRef]
  • 6. Çelik DB, Beji NK. Pelvik taban fonksiyon bozuklukları ve yaşam kalitesi. İ.Ü. Florence Nightingale Hemşirelik Dergisi 2012;20(1):69-79.
  • 7. Özkan S. Psikiyatrik Tıp: Konsültasyon Liyezon Psikiyatrisi, Roche Yayınları. İstanbul, 1993;5-25.
  • 8. Kocaman N. Konsültasyon liyezon psikiyatrisi hemşireliği ve genel hastanede psikososyal bakım. Türkiye Klinikleri J Int Med Sci 2006;2(47):97-107.
  • 9. Mete HE, Noyan A, Sertöz ÖÖ. Ağrının psikososyal yönü. Ağrı 2006;18(1):20-5.
  • 10. Çeliker R. Kronik ağrı sendromları. Türk Fiz Tıp Rehab Derg 2005;51(Özel Ek B):B14-B18.
  • 11. Reed BD, Haefner HK, Punch MR, Roth RS, Gorenflo DW, Gillespie BW. Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. J Reprod Med 2000;45(8):624-32.
  • 12. Randolph ME, Reddy DM. Sexual functioning in women with chronic pelvic pain: the impact of depression, support, and abuse. J Sex Res 2006;43(1):38-45. [CrossRef]
  • 13. Romão AP, Gorayeb R, Romão GS, Poli-Neto OB, dos Reis FJ, Rosa-e-Silva JC, Nogueira AA. High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J Clin Pract 2009;63(5):707-11. [CrossRef]
  • 14. Bryant C, Cockburn R, Plante AF, Chia A. The psychological profile of women presenting to a multidisciplinary clinic for chronic pelvic pain: high levels of psychological dysfunction and implications for practice. J Pain Res 2016;16(9):1049-56. [CrossRef]
  • 15. Meltzer-Brody S, Leserman J. Psychiatric comorbidity in women with chronic pelvic pain. CNS Spectr 2011;16(2):2935. [CrossRef]
  • 16. Leserman J, Zolnoun D, Meltzer-Brody S, Lamvu G, Steege JF. Identification of diagnostic subtypes of chronic pelvic pain and how subtypes differ in health status and trauma history. Am J Obstet Gynecol 2006;195(2):554-61. [CrossRef]
  • 17. Jamieson DJ, Steege JF. The association of sexual abuse with pelvic pain complaints in a primarycare population. Am J Obstet Gynecol 1997;177:1408-12. [CrossRef]
  • 18. ter Kuile MM, Weijenborg PT, Spinhoven P. Sexual functioning in women with chronic pelvic pain: the role of anxiety and depression. J Sex Med 2010;7(5):1901-10. [CrossRef]
  • 19. As-Sanie S, Clevenger LA, Geisser ME, Williams DA, Roth RS. History of abuse and its relationship to pain experience and depression in women with chronic pelvic pain. Am J Obstet Gynecol 2014;210(4):317.e1-317.e8. [CrossRef]
  • 20. Anderson RU, Orenberg EK, Chan CA, Morey A, Flores V. Psychometric profiles and hypothalamic-pituitaryadrenal axis function in men with chronic prostatitis/ chronic pelvic pain syndrome. J Urol 2008;179(3):956-60. [CrossRef]
  • 21. Çam Çelikel F, Erdemir F, Celep AM, Elbozan Cumurcu B, Erkorkmaz Ü. Kronik Pelvik Ağrılı erkeklerde aleksitimi, depresyon ve somatizasyon. Yeni Symposium Journal 2009;47(2):70-5.
  • 22. Potts JM. Chronic pelvic pain syndrome: a non-prostatocentric perspective. World J Urol 2003;21(2):54-6. [CrossRef]
  • 23. Güdücü N, Özcan NK. Üriner inkontinanslı kadınların cinsel fonksiyonlarının değerlendirilmesi. JAREN 2016;2(1):16-23.
  • 24. Yılmaz E, Muslu A, Özcan E. Üriner inkontinanslı kadınlarda yaşam kalitesi. ERÜ Sağlık Bilimleri Fakültesi Dergisi 2014;2(2):1-14.
  • 25. Weber AM. Epidemiology and psychosocial impact of pelvic floor disorders. In: Walters MD, Karam MM, editors. Urogynecology and Reconstructive Pelvic Surgery. 3nd ed., Philadelphia: Mosby Elsevier; 2007:44-54. [CrossRef]
  • 26. Hung KJ, Awtrey CS, Tsai AC. Urinary incontinence, depression, and economic outcomes in a cohort of women between the ages of 54 and 65 years. Obstet Gynecol 2014;123(4):822-7. [CrossRef]
  • 27. Addis IB. Social impact of urinary incontinence and pelvic floor dysfunction. In: Raz S, Rodriguez L, editors. Female Urology. Philadelphia: Saunders Elsevier; 2008:69-73. [CrossRef]
  • 28. Stach-Lempinen B, Hakala AL, Laippala P, Lehtinen K, Metsänoja R, Kujansuu E. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003;22(6):563-8. [CrossRef]
  • 29. Perry S, McGrother CW, Turner K; Leicestershire MRC Incontinence Study Group. An investigation of the relationship between anxiety and depression and urge incontinence in women: development of a psychological model. Br J Health Psychol 2006;11(Pt 3):463-82. [CrossRef]
  • 30. Ko Y, Lin SJ, Salmon JW, Bron MS. The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care 2005;11(4 Suppl):S103-11.
  • 31. Yip SK, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol 2007;21(2):321-9. [CrossRef]
  • 32. Rogers GR, Villareal A, Kammer-Doak D, Qualls C. Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(6):361-5. [CrossRef]
  • 33. Kenton K, Mueller ER. The global burden of female pelvic floor disorders. BJU Int 2006;98(Suppl 1):1-7. [CrossRef]
  • 34. Sacomori C, Cardoso FL. Predictors of improvement in sexual function of women with urinary incontinence after treatment with pelvic floor exercises: a secondary analysis. J Sex Med 2015;12:746-55. [CrossRef]
  • 35. Ghetti C, Lowder JL, Ellison R, Krohn MA, Moalli P. Depressive symptoms in women seeking surgery for pelvic organ prolapse. Int Urogynecol J 2010;21(7):855-60. [CrossRef]
  • 36. Ghetti C, Skoczylas LC, Oliphant SS, Nikolajski C, Lowder JL. The emotional burden of pelvic organ prolapse in women seeking treatment: A qualitative study. Female Pelvic Med Reconstr Surg 2015;21(6):332-8. [CrossRef]
  • 37. Stoutjesdijk JA, Vierhout ME, Spruijt JW, Massolt ET. Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well-being? A prospective follow-up study. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(2):131-5. [CrossRef]
  • 38. Ozel B, White T, Urwitz-Lane R, Minaglia S. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(1):14-7. [CrossRef]
  • 39. Başıbüyük İ, Armağan A. Radikal pelvik cerrahi sonrası erkek cinsel sağlığı. Androloji Bülteni 2016;18(66):170-6.
  • 40. Jha S, Ammenbal M, Metwally M. Impact of incontinence surgery on sexual function: A systematic review and metaanalysis. J Sex Med 2012;9(1):34-43. [CrossRef] 41. Singh MK. Chronic pelvic pain in women. www.medscape. com, Updated: Dec 4, 2012.
  • 42. Guay DRP. Adjunctive agents in the management of chronic pain. Pharmachother 2001;21(9):1070-81. [CrossRef]
  • 43. Lunn MP, Hughes RA, Wiffen PJ. Duloxetine for treating painful neuropathy, chronic pain or fibromyalgia. Cochrane Database Syst Rev 2014;3(1):CD007115.
  • 44. Seidel S, Aigner M, Ossege M, Pernicka E, Wildner B, Sycha T. Antipsychotics for acute and chronic pain in adults. Cochrane Database Syst Rev 2013;29(8):CD004844. [CrossRef]
  • 45. Champaneria R, Daniels JP, Raza A, Pattison HM, Khan KS. Psychological therapies for chronic pelvic pain: systematic review of randomized controlled trials. Acta Obstet Gynecol Scand 2012;91(3):281-6. [CrossRef]
  • 46. Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Klemmetsen I, Malt UF. Mensendieck somatocognitive therapy as treatment approach to chronic pelvic pain: results of a randomized controlled intervention study. Am J Obstet Gynecol 2006;194(5):1303-10. [CrossRef]
  • 47. Anderson RU, Wise D, Sawyer T, Nathanson BH, Nevin Smith J. Equal improvement in men and women in the treatment of urologic chronic pelvic pain syndrome using a multi-modal protocol with an ınternal myofascial trigger point wand. Appl Psychophysiol Biofeedback 2016;41(2):215-24. [CrossRef]
  • 48. Sutar R, Yadav S, Desai G. Yoga intervention and functional pain syndromes: a selective review. Int Rev Psychiatry 2016;28(3):316-22. [CrossRef]
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Nazmiye Yıldırım Bu kişi benim 0000-0003-2279-2865

Mine Özkan Bu kişi benim 0000-0002-2981-9541

Yayımlanma Tarihi 23 Mart 2020
Gönderilme Tarihi 5 Ekim 2018
Yayımlandığı Sayı Yıl 2020 Cilt: 83 Sayı: 2

Kaynak Göster

APA Yıldırım, N., & Özkan, M. (2020). KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ. Journal of Istanbul Faculty of Medicine, 83(2), 162-167.
AMA Yıldırım N, Özkan M. KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ. İst Tıp Fak Derg. Mart 2020;83(2):162-167.
Chicago Yıldırım, Nazmiye, ve Mine Özkan. “KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ”. Journal of Istanbul Faculty of Medicine 83, sy. 2 (Mart 2020): 162-67.
EndNote Yıldırım N, Özkan M (01 Mart 2020) KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ. Journal of Istanbul Faculty of Medicine 83 2 162–167.
IEEE N. Yıldırım ve M. Özkan, “KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ”, İst Tıp Fak Derg, c. 83, sy. 2, ss. 162–167, 2020.
ISNAD Yıldırım, Nazmiye - Özkan, Mine. “KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ”. Journal of Istanbul Faculty of Medicine 83/2 (Mart 2020), 162-167.
JAMA Yıldırım N, Özkan M. KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ. İst Tıp Fak Derg. 2020;83:162–167.
MLA Yıldırım, Nazmiye ve Mine Özkan. “KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ”. Journal of Istanbul Faculty of Medicine, c. 83, sy. 2, 2020, ss. 162-7.
Vancouver Yıldırım N, Özkan M. KRONİK PELVİK AĞRI VE PELVİK TABAN BOZUKLUKLARINDA PSİKİYATRİK SORUNLAR VE TEDAVİSİ. İst Tıp Fak Derg. 2020;83(2):162-7.

Contact information and address

Addressi: İ.Ü. İstanbul Tıp Fakültesi Dekanlığı, Turgut Özal Cad. 34093 Çapa, Fatih, İstanbul, TÜRKİYE

Email: itfdergisi@istanbul.edu.tr

Phone: +90 212 414 21 61