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Öğe Anxiety, depression, sleep disorders and quality of life in parents of children with first unprovoked seizure and epilepsy(Turkish J Pediatrics, 2024) Ozgor, Bilge; Cansel, NeslihanBackground. Parents of a child with neurological problems such as seizures and epilepsy experience significant mental distress. Little is known about the mental state of parents in such a stressful situation. This study aims to determine the prevalence of self-reported depression, anxiety, sleep disorders, and quality of life in parents of children with epilepsy and first unprovoked seizure. Methods. This cross-sectional study was conducted among the parents of children diagnosed with first unprovoked seizure and epilepsy admitted to the Pediatric Neurology Department, Outpatient Unit of Inonu University Medical Faculty Hospital. Participants filled out a questionnaire investigating demographic variables, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and 36Item Short-Form Health Survey (SF-36). Results. 113 parents participated in the study. Depression was found in 7%, anxiety in 14%, and sleep quality disorder in 33.3% of parents of children diagnosed with epilepsy on the basis of moderate or higher severity, while depression was found in 8.9%, anxiety in 14.3%, and sleep disorder in 21.4% of parents of children diagnosed with first unprovoked seizure. There was no statistically significant difference between the groups. Mothers were at higher risk for loss of physical function and social functionality. There was a positive correlation between BAI, BDI, and PSQI scores. Quality of life sub-dimension measured by SF-36 was associated with different levels of depression, anxiety, and sleep quality. Conclusion. Addressing parental psychiatric problems by professionals involved in the treatment of children with a history of seizures may have the potential to provide further support for the family and the care of patients.Öğe ASSESSMENT OF PSYCHOLOGICAL RESPONSES AND RELATED FACTORS OF DISCHARGED PATIENTS WHO HAVE BEEN HOSPITALIZED WITH COVID-19(Medicinska Naklada, 2021) Cansel, Neslihan; Tetik, Burcu Kayhan; Demi, Gulsu Hilal; Kurt, Osman; Evren, Bahri; Yucel, AytacBackground: COVID-19 is the biggest pandemic of the last century. While a large number of cases and mortality rates direct the research to the clinic and prognosis of the disease, the mental health of these patients has recently become a matter of concern. This study aims to predict psychiatric morbidity and possible associated markers in COVID-19 survivors. Subjects and methods: A total of 102 survivors with COVID-19 infection participated in this study. A questionnaire was applied to the participants to evaluate demographic variables, history of comorbid diseases, smoking, loss of a relative due to COVID-19, and environmental attitudes after the discharge. Length of hospitalization, lung findings, intensive care history and treatments were recorded. Psychiatric morbidities were evaluated with General Anxiety Disorder-7, Patient Health Questionnaire-9 and The Results: Anxiety was found in 20.6%, depression in 13.7% based on moderate and above levels, 21.6% had significant PTSD. Female gender, history of psychiatric and comorbid diseases, smoking, perceived discrimination, and lack of long-lasting immunity posed a risk in terms of psychological response. There was a negative correlation between age and depression scores. No relation was found between the duration of hospitalization, presence of lung involvement, receiving intensive care treatment, losing a relative due to COVID-19 and psychological response. Conclusions: On patients treated for COVID-19 infection, psychological response continue after discharge. Mental health support and efforts to reduce stigma among infected subjects can reduce the psychological impact caused by the pandemic.Öğe Burnout, mental health symptoms, and empathy in healthcare workers who care for children treated in a liver transplant center(Wiley, 2023) Cansel, Neslihan; Varol, Fatma IlknurObjective The healthcare workers in pediatric liver transplantation units are exposed to various stresses; however, their burnout has not been clarified yet. This study aimed to determine burnout, psychological symptoms and empathy levels in healthcare workers, to examine the relationship between these variables and to investigate the predictors of burnout. Method This cross-sectional study was conducted on healthcare workers in Turgut ozal Medical Center Pediatric Liver Transplant Institute. The participants filled out a questionnaire that investigating demographic and occupational characteristics, and including questions from Toronto Empathy Questionnaire, Maslach Burnout Inventory, and Brief Symptom Inventory. Results Fifty healthcare workers participated in the study. Based on moderate and higher severity scores, 48% of the participants were emotionally exhausted, 22% of them were depersonalized. All of them had a high perception of personal accomplishment. There was a correlation between psychological symptoms level and emotional exhaustion and personal accomplishment as well as empathy and personal accomplishment. Not choosing the profession and the department willingly, age, education level, marital status, duration of profession, unit, not receiving in-service training, empathy, depressive symptoms and hostility scores predicted different aspects of burnout. Conclusion Considering that burnout and psychological stress lead to reduced professional abilities and the development of serious complications, the results obtained can guide managers on the measures to be taken.Öğe Can Temperament and Character Traits Be Used in the Diagnostic Differentiation of Children With ADHD?(Lippincott Williams & Wilkins, 2021) Ucuz, Ilknur; Cicek, Ayla Uzun; Cansel, Neslihan; Kilic, Bahar; Colak, Cemil; Yazici, Ipek Percinel; Kilic, FatmaIn this study, it was aimed to determine the contributions of temperament and character traits to the diagnosis of attention deficit hyperactivity disorder (ADHD) in children. Thirty-six patients between the ages of 9 and 14 with a diagnosis of combined type ADHD and 39 healthy children were included in the study. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version-Turkish Version and the Turgay DSM-IV Disruptive Behavior Disorders Rating Scale parent form were used to assess hyperactivity/impulsivity and inattentiveness, and comorbid disorders. The Junior Temperament and Character Inventory-Revised form was used to evaluate temperament-character traits. The classification-based association rules (CBARs) method was used for finding rules predicting ADHD accurately. Low persistence and self-directedness scores, and higher disorderliness and fatigability subgroup scores were found in the ADHD group. In CBARs, the separation of children with ADHD from healthy controls could be made with 0.83 accuracy, 0.80 sensitivity, and 0.86 specificity. The results of our study support the view that temperament-character traits can help clinical diagnosis of ADHD.Öğe Evaluation of psychiatric consultations requested for cancer patients hospitalized in a university hospital(2021) Cansel, Neslihan; Unal, AhmetAim: Cancer is one the most important health problems of today. It is not just a medical and physical disease but a severe chronic condition with dispositional and social components. In our study, we aimed to analyze the diagnoses and treatments of oncologic inpatients whom were requested psychiatric consultations.Materials and Methods: 139 consulted patients of 828 inpatients who were hospitalized in Oncology and Radiation Department of Inonu University Faculty of Medicine, between January 1st, 2019 and February 27th, 2019 were included in the study. Sociodemographic data and examination findings of patients were obtained from electronic file records retrospectively. Results: The most common was gastric (14.9%); the second was breast (12.2%) and third was lung cancer. Depression was the most common psychiatric disease among these patients with 39.3% of women and 24% of men. The most preferred medications were escitalopram (35.4%) and quetiapine (20.8%).Conclusion: Physicians and other healthcare professionals responsible for the treatment of cancer patients should carefully evaluate these patients psychologically who may have the chance of getting psychiatric treatment only while hospitalized.Öğe Evaluation of psychiatric consultations requested for cancer patients hospitalized in a university hospital(2021) Cansel, Neslihan; Ünal, AhmetAbstract: Aim: Cancer is one the most important health problems of today. It is not just a medical and physical disease but a severe chronic condition with dispositional and social components. In our study, we aimed to analyze the diagnoses and treatments of oncologic inpatients whom were requested psychiatric consultations. Materials and Methods: 139 consulted patients of 828 inpatients who were hospitalized in Oncology and Radiation Department of Inonu University Faculty of Medicine, between January 1st, 2019 and February 27th, 2019 were included in the study. Sociodemographic data and examination findings of patients were obtained from electronic file records retrospectively. Results: The most common was gastric (14.9%); the second was breast (12.2%) and third was lung cancer. Depression was the most common psychiatric disease among these patients with 39.3% of women and 24% of men. The most preferred medications were escitalopram (35.4%) and quetiapine (20.8%). Conclusion: Physicians and other healthcare professionals responsible for the treatment of cancer patients should carefully evaluate these patients psychologically who may have the chance of getting psychiatric treatment only while hospitalized.Öğe Evaluation of temperament and character traits of patients with severe acne(Wiley, 2020) Altunisik, Nihal; Cansel, Neslihan; Turkmen, Dursun; Ucuz, Ilknur; Cumurcu, Hatice BirgulBackground Acne vulgaris (AV) is an inflammatory disease of the pilosebaceous unit. The relationship between personality and acne development has not been fully explained, and to the best of our knowledge, there are a limited number of studies in the literature evaluating temperament and character traits of individuals with acne. Aim The aim of this study is to evaluate temperament-character traits of individuals with severe acne and to compare them with healthy controls. Patients/Methods This study was conducted on 51 patients who admitted to the dermatology outpatient clinic with complaint of acne and were diagnosed with severe AV and 47 healthy individuals, as a control group. All individuals included in the study participated voluntarily. The forms including sociodemographic data, clinical information, and Temperament and Character Inventory (TCI) scores were applied to the patient and control groups. Results The scores of scales/subscales of exploration (NS1), persistence (P), responsibility (S1), purposefulness (S2), resourcefulness (S3), self-acceptance (S4), enlightened 2nd nature (S5), self-directedness (S), integrated conscience (C5), and cooperativeness (C) were statistically significantly lower, and the scores of scales/subscales of worry and pessimism (HA1), fear of uncertainty (HA2), shyness (HA3), fatiguability (HA4), and harm avoidance (HA) were statistically significantly higher in the patient group, in comparison with the control group. Conclusions When we evaluated the patients with severe acne in terms of temperament and character features, we concluded that individuals' feeling of discomfort about their appearance may cause them to be less sociable, more anxious, and to have low resourcefulness and virtues.Öğe Factors Affecting Patient Satisfaction in Breast Reduction Surgeries: A Retrospective Clinical Study(Springer, 2021) Ozbey, Rafet; Cansel, Neslihan; Firat, Cemal; Baydemir, Muhammed BedirBackground Breast reduction surgeries increase the individual's comfort of life by eliminating the problems caused by breast hypertrophy. We aimed to evaluate the effects of patients' demographic and operational data on satisfaction by using Breast-Q Questionnaire. Methods Breast-Q Questionnaire breast reduction module was applied to patients who had undergone breast reduction surgery by a single surgeon between 2016 and 2020 and who agreed to participate in the study. Demographic and operational data and Questionnaire results were analyzed with the help of SPSS Statistics V21.0 program by considering p < 0.05 as significant. Results Of the 94 patients who had undergone surgery, 52 who agreed to fill in the questionnaire were included in the study. Mean age was 39 and mean body mass index was (BMI) 28.6 kg/m(2). Forty eight (92.3%) patients had undergone surgery for noncosmetic reasons. Significant differences were found between the physical well-being scores of the participants whose BMI was 30. It was found that physical well-being (p= 0.001) and the amount of tissue removed increased with the increase in BMI (p = 0.018). No association was found between the tissue removed, the change in bra sizes and satisfaction. Satisfaction with outcome of surgery was found as 84.51% +/- 24.28. Linear association was found between pre-information given and Breast-Q scores (p < 0.001). Conclusions In our study, it was found that the tissue removed, breast size and the change in bra size had no effect on patient satisfaction. Being informed was found to be directly related to satisfaction. Providing sufficient information, understanding the expectations and obtaining the desired cosmetic results is important. Although physical complaints are at the forefront in the decision of surgery, aesthetic appearance is more effective in being satisfied with the surgery. A breast the weight of which is reduced through breast reduction and which looks aesthetically beautiful can only please the patient. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe Frailty and depression in the hypertensive older patients; a cross-sectional study(2022) Yakaryılmaz, Funda Datlı; Cansel, NeslihanHypertension (HT) is one of the most common chronic diseases in the elderly in our country and worldwide. HT alone can trigger depression and fragility, and it is possible that these three clinical conditions affect each other negatively. However, there is no study in the literature that evaluated the relationship between these variables. In this study, it was aimed to investigate the frequency of frailty and depression in a group of geriatric HT patients, as well as the relationship between these three variables. A total of 276 (mean age:73.0±7.2) HT elderly patients, 126 (mean age:73.6±7.8) of whom were female, were included in the study. All participants were evaluated with the Katz Activities of Daily Living (ADL) index, the Lawton-Brody instrumental activities of daily living (IADL) index, The Geriatric Depression Scale (GDS-15) and the Freid Frailty Index (FFI). Analyzes were performed by dividing them into three groups according to their FFI scores. According to the FFI scores, 94 (34.1%) as pre-frail, 87 (31.5%) as frail and 95 (34.4%) as robust. FFI scores were positively correlated with age and GDS-15. However, FFI scores were negatively correlated with HGS, ADL and IADL. Age (p<0.001, OR= 1.98[1.04-1.16]), ADL (p<0.01, OR= 0.51[0.36-0.71]), IADL (p=0.044, OR= 0.78[0.62-0.99]) and GDS-15 score (p<0.001, OR= 1.24[1.10-1.40]) were found as independent variables for frailty. Our results provide evidence of a consistent bidirectional relationship between frailty and depression in geriatric patients with HT. Additionally, our data show that three out of four people with frailty have depression and one in two people with depression have frailty. Therefore, interventions should be developed to reduce one of the two syndromes in the elderly diagnosed with HT.Öğe The frequency of childhood abuse in bipolar disorder and its impact on the clinical course(2020) Cansel, Neslihan; Tomruk, Nesrin; Karamustafalioglu, Nesrin; Alpay, Nihat; Citak, SerhatAim: There is a growing awareness of the association between physical and sexual abuse and subsequent development of psychopathology, but little is known about the prevalence and long-term effects of childhood abuse in bipolar disorder. The aim of this study was to investigate the relationship between childhood abuse and adult bipolar disorder. Material and Methods: 50 female and 42 male bipolar I or II disorder out-patients who were in remission were evaluated. Demographic data, comorbid Axis 1 disorder, history of childhood abuse, family history, suicide attempts and social factors that are associated with the course of illness were investigated.Results: Childhood abuse was reported in 54.3% of the bipolar patients in this study. The incidence of abuse was higher in women. While women were exposed to more sexual abuse, physical abuse was more common in men. The most common type of abuse was neglect. There was no significant difference in sociodemographic variables and family characteristics between patients with history of abuse and patients without history of abuse. Patients who endorsed a history of physical and sexual abuse and neglect compared with those who did not, had an earlier onset of bipolar illness, a higher rate of combined pharmacotherapy and increased number of comorbid disorders, especially post-traumatic stress disorder(PTSD).Conclusion: Greater appreciation of the relationship between early traumatic experiences and an adverse course in bipolar disorder should lead to preventive and early intervention measures that may reduce the associated risk of a poor outcome.Öğe The frequency of childhood abuse in bipolar disorder and its impact on the clinical course(2020) Cansel, Neslihan; Tomruk, Nesrin; Karamustafaoğlu, Nesrin; Alpay, Nihat; Citak, SerhatAbstract: Abstract Aim: There is a growing awareness of the association between physical and sexual abuse and subsequent development of psychopathology, but little is known about the prevalence and long-term effects of childhood abuse in bipolar disorder. The aim of this study was to investigate the relationship between childhood abuse and adult bipolar disorder. Material and Methods: 50 female and 42 male bipolar I or II disorder out-patients who were in remission were evaluated. Demographic data, comorbid Axis 1 disorder, history of childhood abuse, family history, suicide attempts and social factors that are associated with the course of illness were investigated. Results: Childhood abuse was reported in 54.3% of the bipolar patients in this study. The incidence of abuse was higher in women. While women were exposed to more sexual abuse, physical abuse was more common in men. The most common type of abuse was neglect. There was no significant difference in sociodemographic variables and family characteristics between patients with history of abuse and patients without history of abuse. Patients who endorsed a history of physical and sexual abuse and neglect compared with those who did not, had an earlier onset of bipolar illness, a higher rate of combined pharmacotherapy and increased number of comorbid disorders, especially post-traumatic stress disorder(PTSD). Conclusion: Greater appreciation of the relationship between early traumatic experiences and an adverse course in bipolar disorder should lead to preventive and early intervention measures that may reduce the associated risk of a poor outcome.Öğe Post-Traumatic Stress and Associated Factors among Healthcare Workers in the Early Stage Following the 2020 Malatya-Elazig Earthquake(Duzce Univ, Fac Medicine, 2022) Cansel, Neslihan; Ucuz, IlknurObjective: An earthquake is a natural disaster that seriously affects individuals physically and psychologically. Although there has been a great deal of research on the psychological effects of earthquakes, few have focused on local health workers and its early effects. In this study, it is aimed to determine the levels and predictors of early post-earthquake trauma of the local health workers working in the affected area in the earthquake that occurred on January 24, 2020, Malatya-Elazig. Methods: This cross-sectional descriptive study was carried out on a sample of 201 healthcare workers after three weeks from of the earthquake. In order to determine the factors that may affect the trauma response in the participants, a questionnaire was applied to question demographic variables, previous traumatic experiences, concerns and losses at the time of the earthquake, and institutional and social expectations. Post-Earthquake Trauma Level Determining Scale was used to record post-earthquake trauma levels, and TEMPS-A was used to determine dominant temperament characteristics. Results: Severe trauma level was detected in 25.8% of the participants. Trauma scores were higher in women, those who were married, those who had children, those who experienced the earthquake for the first time and those who had anxiety about losing their own life or their relatives life during the earthquake. In the logistic regression analysis, it was determined that anxious temperament and fear of losing a loved one during an earthquake increased the severity of trauma, whereas a previous earthquake history decreased it. Conclusions: Detection of the factors associated with the trauma response is important both in terms of protecting the mental health of health workers and ensuring the continuity of health services in disasters such as earthquakes that affect millions of people.Öğe Prevalence and predictors of psychological response during immediate COVID-19 pandemic(Wiley-Hindawi, 2021) Cansel, Neslihan; Ucuz, Ilknur; Arslan, Ahmet Kadir; Kayhan Tetik, Burcu; Colak, Cemil; Melez, Sahide Nur Ipek; Sule Gumustakim, RaziyeAim COVID-19 pandemic has created a serious psychological impact worldwide since it has been declared. This study aims to investigate the level of psychological impacts of the COVID-19 pandemic on the Turkish population and to determine related factors. Methods The study was carried out by an online questionnaire using the virtual snowball sampling method. The sociodemographic data were collected on the following subjects: participants' experience on any signs of infection within the last month, the history of COVID-19 contact-treatment-quarantine, level of compliance with precautionary measures, the sources of information and level of knowledge about the pandemic process and their belief levels on the knowledge they acquire. Besides, the questions that take place in the Depression, Anxiety and Stress Scale-21 (DASS-21), and Impact of Events Scale-Revised (IES-R) were asked to participants. Results Of the 3549 participants, anxiety was found in 15.8%, depression in 22.6%, stress in 12.9%, and psychological trauma in 20.29% based on moderate and above levels. Female gender, young age, higher education level, being single, high monthly income, presence of psychiatric illness, a large number of people living together, having any signs of infection, and contact history with COVID-19 infected person or contaminated object are identified as risk factors that may increase psychological impact. Compliance with the rules was found to reduce the risk of psychological response. Conclusions The risk factors for the psychological impact of the COVID-19 pandemic, and acknowledging these factors can help to formulate the interventions to reduce the stress levels of the population.Öğe The Relationship Between Malnutrition, Depressive Symptoms, and Cognitive Impairment in Geriatric Patients(2022) Cansel, Neslihan; Yakaryılmaz, Funda DatlıAim: Malnutrition is an important health problem that is frequently seen in elderly individuals and has cognitive and psychological effects. In this study, it was aimed to evaluate the frequencies of malnutrition, cognitive impairment and depression in the elderly population and the relationship between these three variables.Material and Methods: In this retrospective study, data of 433 patients aged 65 and over who applied to a university hospital geriatrics outpatient clinic in Turkey were included. Nutritional status was evaluated with the Mini Nutritional Assessment Short Form (MNA-SF), depressive symptoms with the Geriatric Depression Scale-Short Form (GDS-15) and cognitive functions with the Mini Mental State Examination results (MMSE).Results: According to the MNA-SF results, 13.6% of the elderly were malnourished, 30% were at risk of malnutrition. Of all patients, 45.0% had a GDS-15 score of ?5, 12.5% had severe dementia, and 24.7% had mild dementia. The frequency of depressive symptoms was 62.7% in malnourished patients, and 42.3% in those with malnutrition risk. Malnutrition and malnutrition risk were observed in 70.4% of patients diagnosed with severe dementia. There was a correlation between the severity of malnutrition and depressive symptoms and cognitive dysfunction.Conclusion: Malnutrition was common in the older population sample and was associated with cognitive impairment and depressive symptoms. These findings emphasize that counseling and psychiatry services should be provided to risky groups and they should be evaluated regularly for early diagnosis.Öğe The role of childhood trauma in patients with chronic urticaria(Kare Publ, 2023) Cansel, Neslihan; Turkmen, Dursun; Altunisik, NihalOBJECTIVE: Chronic urticaria (CU) is a common skin disease in which the etiology involves immunological and psychological factors. Childhood traumas may disrupt the development of the neuro-immuno-cutaneous-endocrine system and start a complex pathophysiological process with inflammatory abnormalities, potentially leading to the development of skin disease. In light of this information, we believe that childhood trauma may play a role in the onset and severity of disease in CU patients. Our study aimed to discover a potential relationship between CU and childhood traumatic experiences. METHODS: This study was conducted with 53 controls and 50 CU patients. The participants were given a questionnaire form that included sociodemographic information, Beck Anxiety Scale, Beck Depression Scale, and Childhood Trauma Questionnaire (CTQ-28). RESULTS: The rates of childhood trauma were found to be 68% in the patient group, and 54.7% in the control group. The patient group demonstrated higher scores for moderate to severe anxiety and depression. The mean emotional abuse score was significantly higher in early onset (<35 ages) urticaria patients in comparison to late onset urticarial (>= 35 ages) and the control group. It was found that depression scores were positively correlated with all abuse sub-types, excluding sexual abuse, and total CTQ-28 scores. Anxiety scores were positively correlated with emotional abuse, physical neglect, emotional neglect, and total CTQ-28 scores. CONCLUSION: Childhood traumas are associated with the early onset and severity of disease in CU patients as well as the accompanying depression and anxiety.Öğe The role of osteosarcopenia and balance in predicting fall risk in the elderly(2022) Yakaryılmaz, Funda Datlı; Cansel, NeslihanAim: The objective of this study was to investigate the role of balance and osteosarcopenia in the estimation of fall risk in the elderly admitted to the geriatrics outpatient clinic. Methods: Patients admitted to the outpatient geriatric clinic were included in the study. The bone mineral density of 205 participants included in the study was evaluated by dual-energy X-ray absorptiometry (DXA), muscle mass bioimpedance analysis (BIA), Tinetti balance, and gait assessment (TBGA), balance and gait. Osteosarcopenia was defined as sarcopenia plus osteoporosis/osteopenia. Patients were divided into 4 groups according to BIA and DXA data. Results: Osteosarcopenia was detected in 27 (13.2%) of all participants. In addition, while the number of falls was higher in the osteosarcopenia group than in the other groups, the calf circumference, ECC, and TBGA scores were significant. According to the TBGA score, the risk of falling was found to be high in one of every three patients. TBGA scores (p<0.001, OR=1.912 [1.596-2.291]) and calf circumference (p=0.013, OR=1.159 [1.032-1.301]) were found to be independent variables in the development of falls. Conclusion: In this study, it was found that osteoporosis/osteopenia and sarcopenia were common in elderly patients, while balance, handgrip strength, calf circumference, and age were predictors of falling. Considering that with the aging global population, both sarcopenia and osteoporosis will become more common and therefore an increase in falls, our findings have shown that the parameters determined in the follow-up and treatment of elderly patients can be easily used in the early detection of fall risk.Öğe The role of physical activity on mental health and quality of life during COVID-19 outbreak: A cross-sectional study(Elsevier Science Inc, 2020) Ozdemir, Filiz; Cansel, Neslihan; Kizilay, Fatma; Guldogan, Emek; Ucuz, Ilknur; Sinanoglu, Bercem; Colak, CemilIntroduction: The COVID-19 pandemic has placed restrictions on people's physical activities. The aim of this study was to evaluate the physical activity levels of individuals and assess the effects of physical activity on quality of life, depression and anxiety levels during the COVID-19 outbreak. Methods: This cross-sectional study were included 2301 participants aged 20-75 years. The data were collected through the Google Forms web survey platform by the virtual snowball sampling method. In the multivariate analysis, the independent predictors were analyzed using possible factors identified in previous analyses by multinomial logistic regression analysis. Hosmer-Lemeshow and Omnibus tests were used to evaluate the logistic regression model and coefficients. Results: The mean weekly energy consumption of the participants was 875 1588 MET-min, and only 6.9% were physically active enough to maintain their health. There was a weak positive relationship between physical activity levels and quality of life, while there was a weak negative relationship between physical activity levels, depression and anxiety (p < 0.05). In the multinomial logistic regression model established for comparison of physically active and inactive participants, general health status and physical health status variables were statistically significant (p < 0.05). However, relationships between psychological status, social relationships and environment scores, Beck Depression and Beck Anxiety Inventory scores were not statistically significant (p > 0.05). Conclusions: Results showed that physical activity programs should be included in guidelines as an integrative approach to pandemic management. During COVID-19 outbreak, community-based rehabilitation programs are needed, and these programs should be carried out in cooperation with community stakeholders.Öğe YATARAK TEDAVİ GÖREN HASTALARDA COVID-19 'UN AKUT DÖNEM PSİKİYATRİK ETKİLERİ: GERİYE DÖNÜK BİR İNCELEME(2022) Cansel, NeslihanCOVID-19’un ruh sağlığında ciddi etkilenme yarattığı bilinmesine rağmen, yatarak tedavi gören hastalardaki akut dönem komplikasyonlar hakkında az sayıda araştırma vardır. Bu çalışmada, konsültasyon liyezon psikiyatrisine danışılan COVID-19 enfekte hastalarda konsültasyon istenme nedeni, psikiyatrik hastalık yaygınlığı ve önerilen psikiyatrik müdahalelerin değerlendirilmesi amaçlanmıştır. Çalışma, Türkiye’de bir üniversite hastanesinde, Mart 2020- Ekim 2021 tarihleri arasında, COVID-19 nedeniyle yatarak tedavi gören 138 hastaya ait psikiyatrik konsültasyon raporlarının geriye doğru incelenmesiyle yürütülmüştür. Hastalara ait veriler elektronik tıbbi kayıtlardan elde edilmiştir. Yapılan analiz sonuçlarına göre, konsültasyon istenme nedenleri sırasıyla uykusuzluk (%26.22), kaygı/ölüm korkusu (%20.76), ajitasyon (%17.48) ve halüsinasyon/bilinçte dalgalanma (%11.47) idi. En sık konulan psikiyatrik tanılar deliryum ve uyku bozuklukları (%22.5) idi, bunları sırasıyla uyum bozukluğu (%11.6), anksiyete (%10.9) ve depresyon (%3.6) izliyordu. Hastaların % 85.5’ine medikal tedavi önerilmişti ve haloperidol en sık önerilen ajandı. Yoğun bakımda tedavi gören hastaların %44.1’i deliryum tanısı almıştı ve bunların yaşları daha yüksekti. İleri yaş, deliryum ve ölüm oranlarında artışa neden olmuştu. Bu bulgular, COVID-19 hastaları arasında psikiyatrik morbiditelerin ve deliryumun yaygın olduğuna, pandemisi sırasında konsültasyon-liyezon hizmetlerine olan ihtiyacın artabileceğine işaret etmektedir.
