Araştırma Çıktıları
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Item The Mediating Roles of Anxiety, Depression, Sleepiness, Insomnia, and Sleep Quality in the Association between Problematic Social Media Use and Quality of Life among Patients with Cancer(MDPI, 2022-01-01) Imani, Vida; Ahorsu, Daniel Kwasi; Taghizadeh, Nasrin; Parsapour, Zahra; Nejati, Babak; Chen, Hsin-Pao; Pakpour, Amir H.The present study examined the mediating role of anxiety, depression, sleepiness, insomnia, and sleep quality in the association between problematic social media use and quality of life (QoL) among patients with cancer. This cross-sectional survey study recruited 288 patients with cancer to respond to measures on anxiety, depression, sleepiness, insomnia, sleep quality, problematic social media use, and QoL. Structural Equation Modeling was used for the mediation analysis. There were significant relationships between all of the variables used in the study. It was revealed that problematic social media use did not directly influence the QoL of patients with cancer except via anxiety, depression, sleepiness, and insomnia. Sleep quality did not mediate the association between problematic social media use and QoL. Healthcare workers managing cancer should pay attention to the mental health needs of their patients even as they treat their cancer so as to improve their quality of life. Future studies may examine other variables that affect the QoL of patients with cancer as well as other mediating and moderating variables.Item Effects of Parental Attitudes Among a Group of High School Students in Istanbul(AVES, 2015-01-01) Yavuz, Burcu Goksan; Yeser, Ilke; Karamustafalioglu, Oguz; Bakim, Bahadir; Gundogar, AliyeIntroduction: Current study aimed to investigate the possible relations between parental attitudes and depression in a sample of mid-pubertal, high-school students under the light of several sociodemographic variables. Methods: With the permission of Ministry of National Education, a total of 391 students from second and third grades in a state high school and occupational high school in Sisli area included in the study. Sociodemographic Questionnaire, The Parental Bonding Instrument (PBI), and Beck Depression Inventory (BDI) were administered. Results: Among the students in the sample, 25.6\% (n=100) had significantly higher depression scores and girls had significanltly higher mean BDI scores than boys (p=0.001) reflecting the presence of depression. Adolescents with depression also had higher scores of maternal protection than adolescents without depression (p=0.02). On the other hand, adolescents with depression had lower scores of both maternal and paternal interest than adolescents without depression (p=0.02 and p=0.03, respectively). We also found that boys had higher levels of nicotine - alcohol and substance abuse where girls had higher levels for suicidal attempts and self harming behaviors (p<0.05). Conclusion: Depression onset was found to be associated with parental attitude which does not promote autonomy and independency. Warm, accepting and concerned parental attitude that promotes secure attachment was found to be protective against depression. Parental attitudes must be of concern when working with adolescents and dealing with the problems seen in this vulnerable phase of the life.Item Coronaphobia: A barrier to ongoing cancer treatment?(WILEY, 2022-01-01) Sonmez, Ozlem; Tezcanli, Evrim; Tasci, Elif Senocak; Kazanci, Hande Busra; Altinok, Ayse; Toklucu, Elvan; Tasci, Yusuf; Aydogdu, Cise; Aydin, Aysegul Bakir; Yuce, Sabiha; Oyan, BasakIntroduction Increased stress levels caused by the pandemic might cause delays in cancer treatment. We conducted a survey among cancer patients undergoing treatment to evaluate their psychological wellbeing and treatment adherence during Coronavirus disease 19 (COVID-19) pandemic. Material and Methods Patients receiving active chemotherapy at a private oncology center between January and May 2021 were included. Healthy volunteers were employees of a district health directorate with no history of cancer or chronic disease. Treatment adherence was described as compliant if the prescribed treatment was received within a week and the information was gained from patient charts. Hospital anxiety and depression scale (HADS) and COVID-19 phobia scale (CP19-S) were administered to participants. Results 402 participants were includedItem Evaluation of depression, anxiety, alexithymia, attachment, social support and somatization in functional dyspepsia(TAYLOR \& FRANCIS LTD, 2019-01-01) Kani, Haluk Tarik; Dural, Uzay; Kani, Ayse Sakalli; Yanartas, Omer; Kiziltas, Safak; Enc, Feruze Yilmaz; Atug, Ozlen; Deyneli, Oguzhan; Kuscu, Kemal; Imeryuz, NeseAIM: The psychiatric and psychosocial aetiology of Functional dyspepsia is not well known. In the present study, our aim is to determine the relative contributions of psychiatric predictors - i.e. depression, anxiety, somatization, alexithymia - in relation with socio-psychological factors, specifically their personal characteristics (i.e. emotional attachment) and perceived social support, in distinguishing FD from organic dyspepsia and healthy samples. MATERIAL AND METHODS: An estimated 30 functional dyspepsia, 29 organic dyspepsia patients who were admitted to our gastroenterology outpatient clinic and 27 healthy controls were enrolled to our study. Beck Depression Inventory, Toronto Alexithymia Scale, Adult Attachment Scale, State-Trait Anxiety Inventory, Multidimensional Scale of Perceived Social Support and somatization sub-scale of Symptom Checklist-90 were provided to all patients and healthy controls. All participants were examined by a gastroenterologist and a psychiatrist. RESULTS: Healthy controls were younger than organic dyspepsia group and women/men rate was lower in organic dyspepsia than other two groups. Depression score was higher in functional dyspepsia group than in healthy controls and functional dyspepsia group's attachment syle was more secure than that of the healthy control group. Somatization rate was seen higher in functional dyspepsia group with psychiatric examination. There was no significant difference seen in anxiety, alexithymia and social support between the three groups. DISCUSSION: Anxious-avoidant attachment profile as well as the higher propensity to have depressive and anxiety symptoms might be critical psychiatric and psychosocial factors underlying FD's aetiology. A multidisciplinary approach is needed in the follow up of functional dyspepsia patients. Psychological evaluation and treatment would increase the life quality of dyspepsia patients.Item Melatonin Related Acneiform Lesions: A Case Report and Potential Mechanism(AVES, 2021-01-01) Sancak, Baris; Ozdemir, Zeynep; Ozcan, Ozan; Acar, ErkanMelatonin (MLT) is a hormone secreted by the pineal gland according to the circadian rhythm, which is generated by the suprachiasmatic nucleus. The sleep-promoting effect of exogenous MLT is used to treat steep disorders. The most common side effects reported are headache, somnolence, palpitations, and abdominal pain. Some studies showed dermatological side effects with the use of exogenous MLT, but did not list the specific symptoms. In this article, we describe a case of facial acne occurring after the use of MLT, which is generally known to have protective and healing effects on the skin, and the potential mechanism of this surprising side effect.Item Examining the factors that are correlated with mindfulness with a focus on attention deficit hyperactivity symptoms(WILEY, 2018-01-01) Yavuz, Burcu Goksan; Yavuz, Mesut; Onal, ArzuPurpose We hypothesized that attention deficit hyperactivity symptoms would negatively correlate with the level of mindfulness. Design and MethodFindingsSeventy-six subjects referred to the outpatient psychiatry unit and 32 healthy control subjects filled out the Mindful Attention Awareness Scale (MAAS), the Depression Anxiety Stress Scale (DASS), the Adult ADHD Self-Report Scale (ASRS), and the Wender Utah Rating Scale (WURS). Patients scored higher on ADH symptoms compared to controls (p.001). Higher scores on the ASRS and WURS revealed lower mindfulness in the study group (p.001). WURS, DASS depression, ASRS attention subscale-based scores (p<.05) were significant predictors on MAAS scores. Practice ImplicationsBesides emotional symptoms ADH symptoms had a significant predictive value on mindfulness.Item Psychiatric comorbidities in cases with Duchenne muscular dystrophy: a case series(YERKURE TANITIM \& YAYINCILIK HIZMETLERI A S, 2019-01-01) Ozer, Urun; Tufan, Ali EvrenDuchenne muscular dystrophy is a hereditary multisystem disease caused by mutations in the dystrophin gene, characterized by proximal muscle weakness in early childhood, generally resulting in death before the age of 20 years. Cognitive and neurobehavioral changes are prevalent in Duchenne muscular dystrophy. Furthermore, psychiatric disorders have been reported. Here we present 12 cases with Duchenne muscular dystrophy, aiming to address psychiatric comorbidities and to examine anxiety and depression levels as well as the quality of life in these cases. Twelve inpatients with Duchenne muscular dystrophy were followed, according to their ages, by an adult psychiatrist or a child and adolescent psychiatrist. Psychiatric examination and detailed psychiatric and medical history-taking were performed. The Hospital Anxiety and Depression Scale (HADS) and the KINDL Questionnaire were administered and family interviews conducted. In 5 cases, comorbid psychiatric diagnoses were present, including depression, obsessive compulsive disorder, and generalized anxiety disorder. Anxiety levels according to the HADS were higher than threshold level in two cases. Alongside cognitive and neurobehavioral changes, psychiatric comorbidities such as depression, obsessive compulsive disorder, or generalized anxiety disorder might be seen in Duchenne muscular dystrophy, as was the case with our patients. At the same time, due to the chronic illness process and disability involved, psychosocial support is needed both for the patient and the family. Therefore, it is important that psychiatry should be part of a holistic treatment approach and that psychiatric support should be provided right from the first years in these cases.