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Nötrofil/Lenfosit Oranı, Platelet/ Lenfosit Oranı Ve Ortalama Trombosit Hacmi Arasındaki Ilişki

Yıl 2021, Cilt: 3 Sayı: 3, 177 - 183, 01.09.2021

Öz

Amaç: Kumar Oynama Bozukluğu (KOB), olumsuz sonuçlarına ve bırakma arzusuna rağmen sürekli kumar oynama dürtüsünün görüldüğü toplumda sıklığı giderek artan ruhsal bir hastalıktır. Bu çalışmada KOB tanılı hastalarda ortalama trombosit hacmi (OTH), nötrofil/lenfosit oranı (NLO), trombosit/ lenfosit oranı (TLO) ve bu değerlerin dürtüsellik ile olan ilişkisini incelemeyi amaçladık.
Materyal ve Metot: Bu çalışmaya KOB tanılı 42 hasta ve 42 sağlıklı kontrol grubu dahil edildi. Tüm katılımcılara sosyodemografik veri formu, Barratt Dürtüsellik Ölçeği Kısa Formu (BIS-11-KF) uygulandı ve ardından bu kişilerden tam kan sayımı istendi. NLO, TLO ve OTH değerleri tam kan sayımına göre ölçüldü.
Bulgular: Hasta grubunun BSI-11-KF toplam puan ortalaması kontrol grubuna göre istatistiksel olarak anlamlı derece yüksek bulundu (p<0,05). KOB hastalarının motor dürtüsellik puanları arttıkça OTH değerlerinin anlamlı olarak azaldığı tespit edildi (r=-0,33, p=0.03). Hasta ve kontrol grubu arasında NLO (p=0,288), TLO (p=0,377) ve OTH (p=0,883) değerleri arasında anlamlı farklılık saptanmadı. Ayrıca hasta grubunda yaş ile motor dürtüsellik puanı arasında negatif yönde zayıf ilişki, motor dürtüsellik puanı ile OTH arasında negatif yönde zayıf ilişki saptandı (r= -0,33, p=0,03), (r= -0,31, p=0,04).
Sonuç: Kumar oynama bozukluğu tanısı mevcut kişilerin dürtüsellik düzeyinin yüksek olduğu ancak incelenen tam kan sayımı parametreleri ile kumar oynama arasında ilişkinin olmadığı sonucuna varıldı. Kumar oynama bozukluğunun etiyopatogenezi için daha ileri çalışmalara ihtiyaç vardır.

Destekleyen Kurum

destekleyen kurum bulunmamaktadır

Kaynakça

  • 1- American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association, Washington, D.C, 2013.
  • 2- Williams RJ, Volberg RA, Stevens RM. The Population Prevalence of Problem Gambling: Methodological Influences, Standardized Rates, Jurisdictional Differences, and Worldwide Trends; Ontario Problem Gambling Research Centre: Guelph, ON, Canada; Ontario Ministry of Health and Long-Term Care: Toronto, ON, Canada, 2012.
  • 3- Çakmak S, Tamam L. Kumar oynama bozukluğu: Genel bir bakış. Bağımlılık Dergisi 2018;19(3):78-97.
  • 4- Hollander E, Evers M. New developments in impulsivity. Lancet 2001; 358(9286):949-50.
  • 5- American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IVTR (4th ed.). Washington, DC: Author, 2000.
  • 6- Semiz M, Yildirim O, Canan F, et al. Elevated neutrophil/lymphocyte ratio in patients with schizophrenia. Psychiatria Danub 2014;26:220-25.
  • 7- Giynas Ayhan M, Cicek IE, Inanli I, et al. Neutrophil/lymphocyte and platelet/lymphocyte ratios in all mood states of bipolar disorder. Psychiatry and Clinical Psychopharmacology 2017;27(3):284-88.
  • 8- Sunbul M, Gerin F, Durmus E, et al. Neutrophil to lymphocyte and platelet to lymphocyte ratio in patients with dipper versus non-dipper hypertension. Clin Exp Hypertens 2014;36:217-21.
  • 9- Ferroni P, Riondino S, Formica V, et al. Venous thromboembolism risk prediction in ambulatory cancer patients: clinical significance of neutrophil/lymphocyte ratio and platelet/ lymphocyte ratio. Int J Cancer 2015;136:1234-40.
  • 10- Zulfic Z, Weickert CS, Weickert TW, et al. Neutrophil-lymphocyte ratio - a simple, accessible measure of inflammation, morbidity and prognosis in psychiatric disorders? Australas Psychiatry 2020;28(4):454-8.
  • 11- Yavuzcan A, Caglar M, Ustun Y, et al. Evaluation of mean platelets volume, neutrophil/lymphocyte ratio, and Platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. J Turk Ger Gynecol Assoc 2013; 14:210-15.
  • 12- Topal E, Celiksoy MH, Catal F, et al. The platelet parameters as inflammatory markers in preschool children with atopic eczema. Clin Lab 2015;61:4933-496.
  • 13- Avcil S. Evaluation of the neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and mean platelet volume as inflammatory markers in children with attention‐deficit hyperactivity disorder. Psychiatry and Clinical Neurosciences 2018;72(7):522-30.
  • 14- Gunay E, Ulasli SS, Kacar E, et al. Can platelet indices predict obstruction level of pulmonary vascular bed in patients with acute pulmonary embolism? Clin Respir J 2014;8:33-40.
  • 15- Canan F, Dikici S, Kutlucan A, et al. Association of mean platelet volume with DSM-IV major depression in large community population: the MELEN study. J Psychiatr Res 2012;46:298-302.
  • 16- Mayda H, Ahsen A, Bağcıoğlu E, et al. Akut manide artmış nötrofil lenfosit oranının (nlr) ve azalmış trombosit ortalama hacminin (mpv) inflamasyona olan etkisi, 2016.
  • 17- Rasheed A, Iqtidar A. Hematological Profile, Serum Electrolytes and Iron Level Investigations in Heroin Addicts. Acta. Pharmaceutica. Turcica 1997:59–63.
  • 18- Zvetkovaa E, Antonovaa, N, Ivanova I, et al. Platelet Morphological, Functional and Rheological Properties Attributable to Addictions. Clin. Hemorheol. Microcirc 2010;45:245–51.
  • 19- MN Potenza. The neurobiology of pathological gambling and drug addiction: an overview and new findings, Philosophical Transactions of the Royal Society B: Biological Sciences 2008;363:3181-89.
  • 20- RF Leeman, MN Potenza. Similarities and differences between pathological gambling and substance use disorders: a focus on impulsivity and compulsivity, Psychopharmacology 2012;2:469-90.
  • 21- Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995;51(6): 768-74.
  • 22- Tamam L, Güleç H, Karataş G. Barratt Dürtüsellik Ölçeği Kısa Formu (BIS-11-KF) Türkçe Uyarlama Çalışması. Nöropsikiyatri Arşivi 2013;50:130-34.
  • 23- Ayhan MG, Dağistan AA, Tanrikulu CŞ. İntihar girişiminde bulunanlarda artmış nötrofil/lenfosit oranı. Anadolu Psikiyatri Dergisi 2019;20(3):305-12.
  • 24- Altıntaş M. Kumar oynama bozukluğu tanısı olan hastalarda, anksiyete, depresyon, ruminasyon ve dürtüsellik. Cukurova Medical Journal 2018; 43(3):624-33.
  • 25- Bland RC, Newman SC, Orn H, et al. Epidemiology of pathological gambling in Edmonton. Can J Psychiatry 1993;38:108-12.
  • 26- Güz G, Güz HO. Patolojik kumar bağımlılığında davranışsal inhibisyon. Current Addiction Research 2017; 1(2):65-71.
  • 27- Yang Y, Zhong X, Wu D, et al. Positive association between trait impulsivity and high gamblingrelated cognitive biases among college students. Psychiatry Res 2016;243:71-74.
  • 28- Ayhan MG, Dağistan AA, Tanrikulu CŞ, et al. İntihar girişiminde bulunanlarda artmış nötrofil/lenfosit oranı. Anadolu Psikiyatri Dergisi 2019; 20(3):305-12.
  • 29- Binici NC, Kutlu A. DEHB inflamasyonla ilişkili bir bozukluk olabilir mi?. Anadolu Psikiyatri Dergisi 2019; 20(3):313-20.
  • 30- Ivković M, Pantović Stefanović M, Dunjić Kostić B, et al. Neutrophil to lymphocyte ratio predicting suicide risk in euthymic patients with bipolar disorder: Moderatory effect of family history. Compr Psychiatry 2016;66:87-95. 31- Orum MH, Kara MZ. Platelet to lymphocyte ratio (PLR) in alcohol use disorder. Journal of Immunoassay and Immunochemistry 2020;41(2):184-94.
  • 32- Orum MH, Kara MZ, Egilmez OB, et al. Complete blood count alterations due to the opioid use: what about the lymphocyte-related ratios, especially in monocyte to lymphocyte ratio and platelet to lymphocyte ratio?. Journal of immunoassay and immunochemistry 2018; 39(4):365-76.
  • 33- Garipardic M, Doğan M, Bala KA, et al. Association of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorders with Mean Platelet Volume and Vitamin D. Med Sci Monit 2017;23:1378-84.
  • 34- Yorbik O, Mutlu C, Tanju IA, et al: Mean platelet volume in children with attention deficit hyperactivity disorder. Med Hypotheses 2014;82:341–45.
  • 35- Hodgins DC, Stea JN, Grant JE. Gambling disorders. Lancet 2011;378:1874-84.
  • 36- Derevensky J. Gambling behaviors and adolescent substance abuse disorders. In Y. Kaminer & O. G. Buckstein (Eds.), Adolescent substance abuse: Psychiatric comorbidity and high risk behaviors. New York: Haworth Press, 2008:403–33.
  • 37- National Research Council. Pathological and Problem Gamblers in the United States. In Pathological Gambling: A Critical Review. National Academies Press (US), 1999.
  • 38- Okuda M, Liu W, Cisewski JA, et al. Gambling Disorder and Minority Populations: Prevalence and Risk Factors. Current Addiction Reports 2016;3:280-92.
  • 39- Grant JE, Kim SW, Odlaug BL et al. Daily tobacco smoking in treatment-seeking pathological gamblers: clinical correlates and co-occurring psychiatric disorders. Journal of Addiction medicine 2008;2(4):178.

The Relationship Between Impulsivity Level and Neutrophil / Lymphocyte Ratio, Platelet/ Lymphocyte Ratio and Mean Platelet Volume in Individuals Diagnosed with Gambling Disorder

Yıl 2021, Cilt: 3 Sayı: 3, 177 - 183, 01.09.2021

Öz

Aim: Gambling disorder (GD) is a mental illness with an increasing frequency in society that characterized by the urge to gamble despite negative consequences and desire to quit. In this study, we aimed to examine the mean platelet volume (MPV), neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and the relationship between these values and impulsivity in patients with GD.
Material and Method: 42 patients diagnosed with gambling disorder and 42 healthy controls were included in this study. Sociodemographic data form, Barratt Impulsivity Scale Short Form (BIS-11-SF) were administered to all participants, and then a complete blood count was requested from these individuals. NLR, PLR and MPV were measured according to complete blood count.Results: The mean BSI-11-SF total score of the patient group was found to be statistically significantly higher than the control group (p <0.05). It was found that while the motor impulsivity scores of GD patients increased, the MPV values significantly decreased (r=-0.33, p = 0.03). There was no significant difference between the patient and control groups in terms of NLR (p = 0.288), PLR (p = 0.377) and MPV (p = 0.883) values. In addition, in the patient group, there was a weak negative correlation between age and motor impulsivity score and a weak negative correlation between motor impulsivity score and MPV (r=-0.33, p=0.03), (r=-0.31, p=0.04).
Conclusion: It was concluded that an individual’s diagnosis with gambling disorder had a high level of impulsivity, but there was no relationship between gambling and complete blood count parameters. Further studies are needed to explain the etiopathogenesis of gambling disorder.

Kaynakça

  • 1- American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association, Washington, D.C, 2013.
  • 2- Williams RJ, Volberg RA, Stevens RM. The Population Prevalence of Problem Gambling: Methodological Influences, Standardized Rates, Jurisdictional Differences, and Worldwide Trends; Ontario Problem Gambling Research Centre: Guelph, ON, Canada; Ontario Ministry of Health and Long-Term Care: Toronto, ON, Canada, 2012.
  • 3- Çakmak S, Tamam L. Kumar oynama bozukluğu: Genel bir bakış. Bağımlılık Dergisi 2018;19(3):78-97.
  • 4- Hollander E, Evers M. New developments in impulsivity. Lancet 2001; 358(9286):949-50.
  • 5- American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IVTR (4th ed.). Washington, DC: Author, 2000.
  • 6- Semiz M, Yildirim O, Canan F, et al. Elevated neutrophil/lymphocyte ratio in patients with schizophrenia. Psychiatria Danub 2014;26:220-25.
  • 7- Giynas Ayhan M, Cicek IE, Inanli I, et al. Neutrophil/lymphocyte and platelet/lymphocyte ratios in all mood states of bipolar disorder. Psychiatry and Clinical Psychopharmacology 2017;27(3):284-88.
  • 8- Sunbul M, Gerin F, Durmus E, et al. Neutrophil to lymphocyte and platelet to lymphocyte ratio in patients with dipper versus non-dipper hypertension. Clin Exp Hypertens 2014;36:217-21.
  • 9- Ferroni P, Riondino S, Formica V, et al. Venous thromboembolism risk prediction in ambulatory cancer patients: clinical significance of neutrophil/lymphocyte ratio and platelet/ lymphocyte ratio. Int J Cancer 2015;136:1234-40.
  • 10- Zulfic Z, Weickert CS, Weickert TW, et al. Neutrophil-lymphocyte ratio - a simple, accessible measure of inflammation, morbidity and prognosis in psychiatric disorders? Australas Psychiatry 2020;28(4):454-8.
  • 11- Yavuzcan A, Caglar M, Ustun Y, et al. Evaluation of mean platelets volume, neutrophil/lymphocyte ratio, and Platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. J Turk Ger Gynecol Assoc 2013; 14:210-15.
  • 12- Topal E, Celiksoy MH, Catal F, et al. The platelet parameters as inflammatory markers in preschool children with atopic eczema. Clin Lab 2015;61:4933-496.
  • 13- Avcil S. Evaluation of the neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and mean platelet volume as inflammatory markers in children with attention‐deficit hyperactivity disorder. Psychiatry and Clinical Neurosciences 2018;72(7):522-30.
  • 14- Gunay E, Ulasli SS, Kacar E, et al. Can platelet indices predict obstruction level of pulmonary vascular bed in patients with acute pulmonary embolism? Clin Respir J 2014;8:33-40.
  • 15- Canan F, Dikici S, Kutlucan A, et al. Association of mean platelet volume with DSM-IV major depression in large community population: the MELEN study. J Psychiatr Res 2012;46:298-302.
  • 16- Mayda H, Ahsen A, Bağcıoğlu E, et al. Akut manide artmış nötrofil lenfosit oranının (nlr) ve azalmış trombosit ortalama hacminin (mpv) inflamasyona olan etkisi, 2016.
  • 17- Rasheed A, Iqtidar A. Hematological Profile, Serum Electrolytes and Iron Level Investigations in Heroin Addicts. Acta. Pharmaceutica. Turcica 1997:59–63.
  • 18- Zvetkovaa E, Antonovaa, N, Ivanova I, et al. Platelet Morphological, Functional and Rheological Properties Attributable to Addictions. Clin. Hemorheol. Microcirc 2010;45:245–51.
  • 19- MN Potenza. The neurobiology of pathological gambling and drug addiction: an overview and new findings, Philosophical Transactions of the Royal Society B: Biological Sciences 2008;363:3181-89.
  • 20- RF Leeman, MN Potenza. Similarities and differences between pathological gambling and substance use disorders: a focus on impulsivity and compulsivity, Psychopharmacology 2012;2:469-90.
  • 21- Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995;51(6): 768-74.
  • 22- Tamam L, Güleç H, Karataş G. Barratt Dürtüsellik Ölçeği Kısa Formu (BIS-11-KF) Türkçe Uyarlama Çalışması. Nöropsikiyatri Arşivi 2013;50:130-34.
  • 23- Ayhan MG, Dağistan AA, Tanrikulu CŞ. İntihar girişiminde bulunanlarda artmış nötrofil/lenfosit oranı. Anadolu Psikiyatri Dergisi 2019;20(3):305-12.
  • 24- Altıntaş M. Kumar oynama bozukluğu tanısı olan hastalarda, anksiyete, depresyon, ruminasyon ve dürtüsellik. Cukurova Medical Journal 2018; 43(3):624-33.
  • 25- Bland RC, Newman SC, Orn H, et al. Epidemiology of pathological gambling in Edmonton. Can J Psychiatry 1993;38:108-12.
  • 26- Güz G, Güz HO. Patolojik kumar bağımlılığında davranışsal inhibisyon. Current Addiction Research 2017; 1(2):65-71.
  • 27- Yang Y, Zhong X, Wu D, et al. Positive association between trait impulsivity and high gamblingrelated cognitive biases among college students. Psychiatry Res 2016;243:71-74.
  • 28- Ayhan MG, Dağistan AA, Tanrikulu CŞ, et al. İntihar girişiminde bulunanlarda artmış nötrofil/lenfosit oranı. Anadolu Psikiyatri Dergisi 2019; 20(3):305-12.
  • 29- Binici NC, Kutlu A. DEHB inflamasyonla ilişkili bir bozukluk olabilir mi?. Anadolu Psikiyatri Dergisi 2019; 20(3):313-20.
  • 30- Ivković M, Pantović Stefanović M, Dunjić Kostić B, et al. Neutrophil to lymphocyte ratio predicting suicide risk in euthymic patients with bipolar disorder: Moderatory effect of family history. Compr Psychiatry 2016;66:87-95. 31- Orum MH, Kara MZ. Platelet to lymphocyte ratio (PLR) in alcohol use disorder. Journal of Immunoassay and Immunochemistry 2020;41(2):184-94.
  • 32- Orum MH, Kara MZ, Egilmez OB, et al. Complete blood count alterations due to the opioid use: what about the lymphocyte-related ratios, especially in monocyte to lymphocyte ratio and platelet to lymphocyte ratio?. Journal of immunoassay and immunochemistry 2018; 39(4):365-76.
  • 33- Garipardic M, Doğan M, Bala KA, et al. Association of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorders with Mean Platelet Volume and Vitamin D. Med Sci Monit 2017;23:1378-84.
  • 34- Yorbik O, Mutlu C, Tanju IA, et al: Mean platelet volume in children with attention deficit hyperactivity disorder. Med Hypotheses 2014;82:341–45.
  • 35- Hodgins DC, Stea JN, Grant JE. Gambling disorders. Lancet 2011;378:1874-84.
  • 36- Derevensky J. Gambling behaviors and adolescent substance abuse disorders. In Y. Kaminer & O. G. Buckstein (Eds.), Adolescent substance abuse: Psychiatric comorbidity and high risk behaviors. New York: Haworth Press, 2008:403–33.
  • 37- National Research Council. Pathological and Problem Gamblers in the United States. In Pathological Gambling: A Critical Review. National Academies Press (US), 1999.
  • 38- Okuda M, Liu W, Cisewski JA, et al. Gambling Disorder and Minority Populations: Prevalence and Risk Factors. Current Addiction Reports 2016;3:280-92.
  • 39- Grant JE, Kim SW, Odlaug BL et al. Daily tobacco smoking in treatment-seeking pathological gamblers: clinical correlates and co-occurring psychiatric disorders. Journal of Addiction medicine 2008;2(4):178.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Özgün Makaleler
Yazarlar

Sevler Yıldız 0000-0002-9951-9093

Aslı Kazğan 0000-0002-0312-0476

Muhammed Tabara Bu kişi benim 0000-0002-7479-5622

Murad Atmaca 0000-0003-2772-4124

Yayımlanma Tarihi 1 Eylül 2021
Kabul Tarihi 27 Mayıs 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 3

Kaynak Göster

AMA Yıldız S, Kazğan A, Tabara M, Atmaca M. The Relationship Between Impulsivity Level and Neutrophil / Lymphocyte Ratio, Platelet/ Lymphocyte Ratio and Mean Platelet Volume in Individuals Diagnosed with Gambling Disorder. Med Records. Eylül 2021;3(3):177-183.

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

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