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    The effect of Ramadan fasting on mental health and some hormonal levels in healthy males
    (Springer, 2023) Akan, Mustafa; Unal, Suheyla; Gonenir Erbay, Lale; Taskapan, Mehmet Cagatay
    BackgroundMillions of Muslims around the world fast during the holy month of Ramadan as a requirement of their religion Islam. Studies have reported varying effects of Ramadan fasting on mental health and various hormones. This study aimed to examine the effects of Ramadan fasting on mental health and plasma Leptin, Ghrelin, Neuropeptide Y (NPY), Growth Hormone levels in healthy individuals, and to evaluate the possible relationship between their hormone values and scale scores. Male healthcare professionals working at a university hospital without any psychiatric disease were included in the study. In the last week before Ramadan and in the first week after Ramadan, participants' blood samples were taken at 8.00 in the morning after 12 h of fasting, taking into account the release pattern and pulsatile release of these hormones in order to measure plasma Leptin, Ghrelin, NPY and Growth Hormone levels. Simultaneously, a sociodemographic data form, the Brief Symptom Inventory (BSI) and the Scale of Dimensions of Interpersonal Relationships were applied to participants.ResultsThe sample of the study included a total of 40 healthcare professionals. Participants' BSI interpersonal sensitivity and phobic anxiety subscales scores and their general severity and positive symptom distress index scores decreased significantly after Ramadan compared to those measured before Ramadan. (p < 0.001, p = 0.020, p = 0.042, p = 0.006 respectively). Also participants' ghrelin levels increased significantly after Ramadan compared to those measured before Ramadan (p < 0.001).ConclusionsThe effects of Ramadan fasting on mental health may be mediated by some psychoneuroendocrine mechanisms. In order to elucidate these mechanisms that mediate the effect of Ramadan fasting on mental health, there is a need for better-structured studies with larger samples and more variables.
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    Evaluation of healthcare workers in terms of burnout and psychiatric symptoms during the COVID-19 pandemic
    (2021) Akan, Mustafa; Akan, Ayse; Aydin, Yusuf; Donmez, Yunus Emre; Gonenir Erbay, Lale
    The aim of this study is to examine the physicians and allied healthcare personnel working during the COVID-19 outbreak in terms of burnout and psychiatric symptoms. The hypothesis of the study is that the level of burnout and psychiatric symptoms will be found higher in wards with high transmission risk compared to those working in wards with low risk. Physicians and allied healthcare personnel between the ages of 18-65 were included in the study. Participants were divided into two groups as those working in services with high risk of COVID-19 transmission and those who did not work. Sociodemographic data form, Maslach Burnout Inventory (MBI), Brief Symptom Inventory (BSI) and General Health Questionnaire (GHQ) were answered by all participants. The responses obtained were statistically compared between the groups and the relationship between the variables with the MBI, BSI and GHQ results were evaluated by linear regression analysis. 577 participants were included in the study. Participants from high (HRCI) risk for COVID-19 infection based on units had statistically significantly higher MBI depersonalization subscale scores compared to those from low (LRCI) risk for COVID-19 infection based on units (p = 0.002). In addition, the BSI phobic anxiety subscale scores of the participants from LRCI units were statistically significantly higher than those from HRCI units (p = 0.005). During the COVID-19 pandemic, healthcare professionals from HRCI units develop higher depersonalization and lower phobic anxiety than those from LRCI units, which may contribute to their adaptation to work environments. The higher level of phobic anxiety in healthcare professionals from LRCI units may be due to their less exposure to the stimulus. Further studies are required evaluating healthcare workers in terms of burnout and psychiatric symptoms during the COVID-19 pandemic.
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    Frequency and predictors of coronavirus anxiety in psychiatric patients and healthy people and its effect on treatment compliance during the pandemic
    (2021) Cansel, Nesihan; Ünal, Ahmet; Ekici Onsoz, Saadet; Akan, Mustafa; Gonenir Erbay, Lale; Melez, Sahide Nur Ipek
    Coronavirus-19 has caused anxiety around the world. Although anxiety is inherent in pandemics, it can have serious consequences when it is chronic and disproportionate. It is possible situation affect the vulnerable population with mental illness more. This study compares the frequency and predictors of coronavirus anxiety among psychiatric patients and the healthy group and evaluates its effects on treatment compliance. A cross-sectional study was conducted on 285 psychiatric patients who applied to the psychiatry outpatient clinic and 86 healthy people between 15 July – 30 September 2020. Coronavirus Anxiety Scale was applied with a questionnaire that investigated demographic characteristics, experiences with the pandemic and treatment compliance. Coronavirus anxiety was detected in 8.4% of the patients and 9.3% of the healthy group. 34% of the patients didn’t come to checkups regularly, the most common reason for this was their fear of the pandemic (56.7%). Their anxiety scores were also high. Female gender, comorbid disease and being quarantined were associated with an increased coronavirus anxiety scale score in patients while advanced age, retirement, divorced/widowed, having children, having comorbid disease, being tested for COVID-19 PCR and losing a relative due to COVID-19 increased the score in healthy group. Coronavirus anxiety disrupts the compliance of psychiatric patients with treatment and may cause the disease to exacerbate. Therefore, there is a need to develop special treatment approaches in the follow-up of psychiatric patients.