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    Childhood trauma and emotion regulation in psoriasis
    (2023) Aygul, Bedriye Ilkay; Zayman, Esra Porgalı; Sarac, Gulbahar
    Aim: The present study aimed to determine if there is any relationship between childhood traumas, emotion regulation, depression, and anxiety with psoriasis severity; it also attempted to find out whether these factors affect the development of psoriasis. Materials and Methods: This study enrolled 100 patients with psoriasis aged 18-65 years and 100 healthy volunteers free of any form of psychiatric treatment, active psychiatric symptoms, and dermatological diseases. Sociodemographic Data Form, Childhood Traumas Scale (CTS), Difficulties in Emotion Regulation Scale (DERS), Hamilton Anxiety Scale (HAM-A), and Hamilton Depression Scale (HAM-D) were filled by the study subjects. Results: The patients and controls were compared with respect to HAM-D, HAM-A, CTS, and DERS scales. The patients had higher HAM-D, HAM-A, CTS Physical abuse, CTS Physical neglect CTS Emotional neglect, CTS Sexual abuse, CTS Total, DERS Clarity, DERS Impulse scores than the controls (Table 2) (p<0.001, p:0.011, p:0.021, p:0.005, p<0.001, p:0.045, p<0.001, p<0.001, respectively). Conclusion: Psoriasis should be treated in collaboration of dermatology, psychiatry, immunology, rheumatology, and even medical pharmacology departments.
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    Long-term impact of self-mobilization via telerehabilitation vs. manual therapy and home exercise on pain and function in cervical degenerative disease
    (Taylor & Francis Ltd, 2025) Aygul, Gokhan; Tuncer, Aysenur; Ozaltin, Gulfem Ezgi; Celik, Erman Berk; Aygul, Bedriye Ilkay
    Purpose: Cervical Degenerative Disease (CDD) commonly leads to neck pain, functional impairment, and reduced quality of life. This study aimed to compare the long-term effects of home exercise, manual therapy, and telerehabilitation-assisted treatment on pain, functionality, and patient satisfaction in individuals with CDD. Patients and methods: Sixty-six patients diagnosed with CDD were randomly assigned to three groups: home exercise (n = 23), manual therapy (n = 22), and telerehabilitation (n = 21). All groups participated in an 8-week exercise program, with the manual therapy and telerehabilitation groups receiving additional sessions twice a week. Pain was measured using the Visual Analogue Scale (VAS), pain threshold with an algometer, neck function with the Neck Disability Index and range of motion (ROM), and patient satisfaction with the Patient Satisfaction Questionnaire-18. Results: All groups significantly improved pain, function, and ROM over time (p < 0.05). But there were no significant differences between groups at the 6-month follow-up. Manual therapy and telerehabilitation significantly enhanced patient satisfaction, particularly in communication and technical quality (p < 0.05). Conclusion: Home exercise, manual therapy, and telerehabilitation improve long-term outcomes in CDD. Manual therapy and telerehabilitation provide greater patient satisfaction, making them viable options for long-term management. Telerehabilitation can be used as an alternative when necessary.