Araştırma Çıktıları
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Item Covid-19-related anxiety levels in physicians: a preliminary study(KARE PUBL, 2020-01-01) Sancak, Baris; Ozer, Urun; Kilic, Cenk; Sayar, Gokben HizliObjective: A new type of coronavirus appeared in Wuhan, China, in December 2019, spreading rapidly and causing a pandemic. Healthcare professionals were at the front line fighting the pandemic. The aim of this study is to examine the effects of the Covid-19 pandemic on physicians in Turkey, including anxiety levels and other possible contributing variables. Method: The questionnaire prepared by the researchers was administered to the participants over the internet. The questionnaire was anonymized and contained questions about variables such as sociodemographic and professional characteristics, recent history of traveling abroad, presence of a chronic disease history, level of knowledge about Covid-19, ways of obtaining information, and measures taken in their daily and professional lives. The Hospital Anxiety and Depression Scale (HADS) was administered following the information form. Results: In the specified timeframe, 1249 doctors who completed the questionnaire in full were included in the study. Of the study participants, 50.4\% reported that they were psychologically affected by current events related to Covid-19. The mean score of the HADS anxiety subscale was 7.342 (standard deviation {[}SD]=4.756) and the mean score of the depression subscale was 5.64 (SD=4.236). It was observed that physicians who state being affected psychologically have lower levels of knowledge and higher anxiety and depression scores than physicians who declare not to be affected. In addition, it was found that being of the female gender, having a mental illness, having a family member with a chronic illness, and living with one's family are associated with increased levels of anxiety and depression. Conclusion: The anxiety levels of physicians in Turkey having to deal with the Covid-19 pandemic increase significantly as is the case in other parts of the world. It will be beneficial to take necessary precautions for physicians with characteristics that may be related to anxiety. It is important to create and maintain psychosocial support programs for all physicians.Item Immersive virtual reality on childbirth experience for women: a randomized controlled trial(BMC, 2022-01-01) Carus, Elif Gizem; Albayrak, Nazli; Bildirici, Halit Mert; Ozmen, Selen GurObjective: To evaluate the effectiveness of immersive virtual reality (VR) on patient satisfaction as a distractive tool and pain relief among laboring women. Methods: This was a randomized, controlled clinical trial with 42 laboring women allocated to VR intervention and control groups. Among women in the VR group, patient satisfaction with the use of VR was assessed by a Virtual Reality Satisfaction Survey, measured by a Visual Analog Scale (VAS) score and evaluated by questioning them about whether they would choose VR in future labor. As a primary outcome, patient satisfaction scores regarding the overall childbirth experience were compared between women in the two groups. A secondary outcome was pain assessed by a visual pain rating scale in the early and active phases of labor in women in both groups. Psychometric information was also collected from participants in each group using the Beck Anxiety Inventory and Beck Depression Inventory. Results: We observed a high level of patient satisfaction with the use of immersive VR during labor. The VAS revealed a mean satisfaction score of 87.7 +/- 12.9 out of a maximum of 100. Twenty out of 21 (95\%) women in the VR group stated that they would like to use VR again in future labor. VR improved pain scores in early labor and contributed positively to the overall childbirth experience. The mean pain score pre-VR was 2.6 +/- 1.2 compared to 2.0 +/- 1.3 post-VR (p < 0.01). Anxiety and depression scores were similar in participants in the intervention and control groups (p = 0.1 03 and p= 0.13, respectively). Conclusion: Immersive VR application during labor was associated with higher patient satisfaction based on our study findings. VR also improved participants' pain scores in early labor before epidural administration. Immersive VR may find a place as an adjunct in labor and delivery units to improve lengthy labor experiences for women. Studies with larger groups of participants are needed to confirm these observations.Item The relation of sexual function to migraine-related disability, depression and anxiety in patients with migraine(BMC, 2014-01-01) Eraslan, Defne; Dikmen, Pinar Yalinay; Aydinlar, Elif Ilgaz; Incesu, CemDepression and anxiety are two phenomena that affect quality of life as well as sexual function. Depression and anxiety levels are reported to be high in migraine sufferers. We aimed to understand whether sexual function in women with migraine was associated to migraine-related disability and frequency of migraine attacks, and whether this relationship was modulated by depressive and anxiety symptoms. As migraine is more commonly seen in females, a total of 50 women with migraine were included. The diagnosis of migraine with or without aura was confirmed by two specialists in Neurology, according to the second edition of International Headache Society (IHS) International Classification of Headache Disorders (ICHD-II) in 2004. Migraine disability assessment scale score, female sexual function index scores, Beck depression inventory score and Beck anxiety inventory scores. Mean MIDAS score was 19.3 +/- 12.8, and mean number of migraine attacks per month were 4.3 +/- 2.7. Mean Female Sexual Function Index score was 20.9 +/- 5.9 and 90\% of patients had sexual dysfunction. Sexual dysfunction was not related to MIDAS score or frequency and severity of attacks. No relationship between sexual function and anxiety was found, whereas severity of depressive symptoms was closely related to sexual function. Depressive symptoms affected all dimensions of sexual function, except for pain. Sexual dysfunction seemed to be very common in our patients with migraine, while not related to migraine related disability, frequency of attacks and migraine severity or anxiety. The most important factor that predicted sexual function was depression, which was also independent of disease severity and migraine related disability. While future larger scale studies are needed to clarify the exact relationship, depressive and sexual problems should be properly addressed in all patients with migraine, regardless of disease severity or disability.Item Understanding sleep problems in children with epilepsy: Associations with quality of life, Attention-Deficit Hyperactivity Disorder and maternal emotional symptoms(W B SAUNDERS CO LTD, 2016-01-01) Ekinci, Ozalp; Isik, Ugur; Gunes, Serkan; Ekinci, NuranPurpose: This study aimed to (1) compare sleep problems between children and adolescents with epilepsy and non-epileptic controls, and (2) examine whether there is an association between sleep problems and quality of life, Attention-Deficit Hyperactivity Disorder (ADHD) and mothers' emotional symptoms. Method: Fifty-three patients from a cohort of epilepsy (aged 7-18 years) and 28 controls with minor medical problems (aged 7-18 years) were included. Parents completed Children's Sleep Habits Questionnaire (CSHQ) and Kinder Lebensqualitatsfragebogen: Children's Quality of Life Questionnaire revised (KINDL-R) for patients and controls.Turgay DSM-IV Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S) parent and teacher forms were used to assess ADHD symptoms for patients. Mothers of the patients completed Beck Depression Inventory and State-Trait Anxiety Inventory (STAI). Neurology clinic charts were reviewed for the epilepsy-related variables. Results: Children with epilepsy had a higher CSHQ Total score than the control group. Those with a CSHQ score >56 (which indicates moderate to severe sleep problems) had lower scores on KINDL-R. Parent rated T-DSM-IV-S Total and Hyperactivity-Impulsivity scores, STAI trait and Beck scores were found to be higher in those with a CSHQ score >56. Significant positive correlations were found between CSHQ Total score and T-DSM-IV-S, STAI trait and Beck scores. Binary logistic regression analysis revealed that T-DSM-IV-S Total, Inattention and Hyperactivity-Impulsivity scores were significantly associated with a higher CSHQ Total score. None of the epilepsy-related variables were found to be related with the CSHQ Total score. Conclusion: Among children with epilepsy, sleep problems lead to a poor quality of life. The link between sleep problems and psychiatric symptoms must be conceptualized as a bilateral relationship. ADHD appears to be the strongest predictor of sleep problems. (C) 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.Item Association between somatic amplification, anxiety, depression, stress and migraine(BMC, 2013-01-01) Yavuz, Burcu Goksan; Aydinlar, Elif Ilgaz; Dikmen, Pinar Yalinay; Incesu, CemThe aim of this study is to investigate the associations between migraine related disability and somatosensory amplification, depression, anxiety, and stress. Fifty-five migraine patients who applied to the outpatient unit of the Neurology Department of Acibadem University School of Medicine, Maslak Hospital in Istanbul, Turkey, and twenty-eight subjects without migraine were recruited for the study. The participants were asked to complete a sociodemographic form, Migraine Disability Assessment Scale (MIDAS), Depression Anxiety Stress Scale, Somatosensory Amplification Scale (SSAS). Somatosensory amplification scores were significantly higher in the migraineurs than in the control group (29.85+/-6.63 vs 26.07+/-7.1