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Öğe A case-control study on depression, anxiety, and belief in sexual myths in trans women(Frontiers Media S.A., 2023) Uyar, Betül; Yücel, İlyas; Uyar, Emre; Budak, Elif Ateş; Kelle, İlker; Bülbüloğlu, SemraObjective: The purpose of our study was to investigate depression, anxiety, and belief in sexual myths in trans women. Methods: This is a prospective case-control study. The case group included 60 trans women who were referred to the Medical Biology and Genetics Department from various clinics of the research and training hospital where this study was conducted. The control group consisted of 60 healthy male individuals who presented to the same hospital for routine health follow-ups and collecting documents showing their health. In data collection, we used a Personal Information Form, the Sexual Myths Scale, and the Beck Depression and Anxiety Inventories. The IBM Statistical Package for the Social Sciences 25.0 was used to analyze the data. Results: In the case group, 26.7% of the participants were sex workers, and all were single. While 46.7% of the participants in the case group were living with their families, 66.7% were smokers, and 13.3% were receiving hormone treatment. All 60 participants in the control group were also single. The participants in the control group had higher levels of believing sexual myths and lower levels of anxiety and depression than those in the case group (p = 0.000). The mean scores of the participants in the control group in the Sexual Orientation and Sexual Violence subscales of the Sexual Myths Scale were higher than the mean scores of those in the case group (p < 0.05). Conclusion: The trans women who participated in this study had higher levels of anxiety and depression and lower levels of believing sexual myths than the control group. The mental health of trans women can be disrupted due to various treatments they are exposed to in society such as stigma, discrimination, and violence. Their higher anxiety and depression levels in this study could be explained by this exposure. This exposure could also have led to their lower total scores in the Sexual Myths Scale, as well as lower scores in the Sexual Violence and Sexual Orientation subscales.Öğe Clinical use of long-acting antipsychotics for the treatment of bipolar disorder type I patients(Çukurova Üniversitesi Tıp Fakültesi, 2022) Uyar, Betül; Atlı, Abdullah; Bilen, Derya GülPurpose: This study aims to determine the usage frequency of long-acting injectable antipsychotics among bipolar disorder type 1 patients who presented to the Dicle University Faculty of Medicine Psychiatry and Mental Health outpatient clinic, the clinical characteristics of these patients, and the preferences of clinicians about these agents. Materials and Methods: Our study included 111 patients older than 18 years old with bipolar disorder.The ’data of the patients were retrospectively obtained from electronic data records. The data were recorded in the data collection form prepared by the researchers with the support of the literature. Results: The rate of the patients who used long-acting injectable antipsychotics was 21.6%. Among the patients who used long-acting injectable antipsychotics, the rate of those who used second-generation long-acting injectable antipsychotics was 58.3%, and the most frequently preferred agent was paliperidone palmitate. The patients who were using long-acting injectable antipsychotics had significantly higher rates of not working and numbers of hospitalizations. Conclusion: Our results showed that long-acting injectable antipsychotics are preferred by clinicians in our outpatient clinic in the later stages of bipolar disorders and for patients with poor drug compliance, poor functionality, and more hospitalizations. Starting long-acting injectable antipsychotics in the early stages of bipolar disorders, even following the first attack, may increase treatment compliance, reduce the duration of hospitalization, and contribute to the functionality of patients.Öğe Comparison of healthcare workers and non-healthcare workers in terms of obsessive-compulsive and depressive symptoms during COVID-19 pandemic: a longitudinal case-controlled study(Frontiers Media SA, 2023) Uyar, Betül; Dönmezdil, SüleymanObjective: The aim of this study was to investigate the obsessive-compulsive and depressive symptoms of healthcare workers in a case-control setting as longitudinal. Method: In this study included 49 healthcare workers and 47 non-health workers. A sociodemographic data form, the Maudsley Obsessive-Compulsive Inventory (MOCI), the Symptom Checklist-90 (SCL-90), and the Hamilton Depression Rating Scale (HAM-D) were used to assess individuals between June 1, 2020 and June 30, 2021. We assessed the same healthcare workers after 12 months on June 30, 2021 using MOCI, HAM-D, and SCL-90. Results: MOCI and SCL-90 obsessive-compulsive subscale scores were significantly higher in the healthcare workers than in the non-health workers. When we assessed MOCI, HAM-D, and SCL-90 obsessive-compulsive subscale scores after 12 months, there was a statistically significant decrease in the scores of all three scales among the healthcare workers. Conclusion: The results of the study showed that healthcare workers were more likely to have obsessive-compulsive symptoms than non-health workers in the early part of the pandemic on June 1, 2020, as shown by their scores on MOCI and the obsessive-compulsive subscale of SCL-90. When we assessed the same participants after 12 months (June 30, 2021), both MOCI and SCL-90 obsessive-compulsive subscale scores had decreased significantly. In contrast to these results, HAM-D scores significantly increased.Öğe Dicle Üniversitesi hastaneleri özürlü kuruluna başvuran olguların incelenmesi(T. C. Adalet Bakanlığı Adli Tıp Kurumu, 2013) Uysal, Cem; Bulut, Mahmut; Kaya, Mehmet Cemal; Güneş, Mehmet; Bez, Yasin; Zeren, Cem; Taş, Cuma; Uyar, Betül; Karaaslan, Bekir; Gören, SüleymanAmaç: Dünya Sağlık Örgütü (DSÖ) gelişmiş ülkelerde nüfusun %10unu, gelişmekte olan ül- kelerde ise %12sini özürlü bi- reylerin oluşturduğunu kabul etmektedir. Türkiye İstatistik Kurumu (TUİK)nun yapmış ol- duğu 2002 Türkiye Özürlüler Araştırması sonuçlarına göre ülkemizde özürlü olan nüfu- sun toplam nüfus içindeki ora- nı %12,29 idi. Bu çalışmamız da özürlülerle ilgili ülkemiz verile- rine katkıda bulunmak amacıyla yapılmıştır. Yöntemler: Hastanemiz özürlü kuruluna 2011 yılı Ocak - Aralık aylarında başvuran 1805 vakaya ait dosya- lar geriye dönük olarak değer- lendirilmiştir. Bulgular: 1805 vakanın %45,4 ü (820 kişi) kadın %54,6 sı (985 kişi) ise erkekti. En fazla başvuru 228 (%12,6) vaka ile Mart ayında gerçekleşmişti. %50den daha az özrü olduğuna karar verilen 1173 (%65) vaka varken, kalan 541 (%30) vakanın özrünün %50 ve üzerinde olduğu tespit edil- miştir. Verilen özür oranlarının süreleri incelendiği zaman; Tüm başvurular içerisinde 873 olgu- nun (%48,4) sürekli özre sahip olduğu görülmüştür. Sonuç: Özürlülüğe yol açan etmenler minimuma indirilmelidir. Alına- cak tedbirler sadece büyükşe- hir kent merkezinde değil diğer küçük yerleşim bölgelerinde de uygulanmalıdır.Öğe Effects of Major Depressive Disorder on monocytes, High-Density Lipoprotein (LDL) and monocyte to HDL ratio: A case-control study(Medicinska Naklada Zagreb, 2022) Uyar, Betül; Budak, Elif AteşObjective: In this study, we investigated the effects of Major Depressive Disorder (MDD) on monocyte counts, High-Density Lipoprotein (HDL) levels, and Monocyte to HDL ratios (MHR) among inflammatory markers. Method: This is a retrospective case-control study. The case group of our study included 120 major depressive patients. The control group included 124 healthy individuals. The data were collected using a Personal Information Form, the Clinical Global Impression Scale, and the Hamilton Depression Rating Scale. The lipid profiles and complete blood count parameters of the case and control groups were tested and compared. The collected data were analyzed using the Kruskal-Wallis test, Mann-Whitney U test and independent-samples t-test. Results: A significant increase in the monocyte and MHR values and a decrease in the HDL values of the case group were observed with older ages (p<0.01). In the case group, the MHR and monocyte count values were higher, and the HDL levels were lower in the MDD patients who had never received treatment in comparison to those who had received treatment. As the severity of depression increased, MHR levels also increased. Conclusion: Our study is the first study to show that MHR is significantly higher in MDD patients than healthy controls. It was also shown that depression severity and MHR are positively correlated. Consequently, MHR might be a simple, practical, and lowcost parameter which shows inflammation in MDD patients.Öğe Examination of suicidal thoughts in healthcare workers: Sample of a research and practice hospital(2024) Uyar, Betül; Çankaya İnan, Ezgi; Demir, Bahar; Arslan, Ayça; Güneş, Mehmet; Kaya, Mehmet Cemal; Bulut, MahmutWorking in a hospital is a very stressful and sometimes risky process for all healthcare professionals who have experienced this difficult process for years. This situation may increase the suicidal tendency of healthcare workers as a result of not only physical but also psychological exhaustion. The purpose of this study was to determine the examination of suicidal ideation and related factors among healthcare professionals working in a research and practice hospital. The data of this descriptive and cross-sectional study were collected prospectively by clinicians in a research and practice hospital. The sample of the research consisted of n=600 healthcare workers. The average age of healthcare workers was 32.46±7.79 years; 48% were women and 47.7% were married. 4% of healthcare workers had a past suicide attempt, and 18% had various levels of suicidal ideation. Women were more likely to attempt suicide. There was a positive, strong, and statistically significant correlation between depression, anxiety severity and suicidal ideation. Suicidal thoughts of healthcare professionals are affected by gender, depression and anxiety. The mental health of healthcare professionals should be evaluated periodically, and psychological support should be provided to healthcare professionals at risk of suicide.Öğe Examining the perceived stress and body image in burn patients: A cross-sectional study(John Wiley and Sons Inc, 2023) Uyar, Betül; Akkoç, Mehmet Fatih; Bülbüloğlu, Semra; Yılmaz, ResulThis study aimed to examine the perceived stress and body image in burn patients and the relationship between these two variables. This is a descriptive and cross-sectional study. The study included total of 144 patients who had burn injuries, received treatment in a research and training hospital and were scheduled to be discharged. The data were collected prospectively by the researchers, using descriptive methods, Kruskal Wallis test, paired samples t test, and Pearson's correlation analysis. Of the patients, 59% were between the ages of 18 and 35 years, 68.1% were male, 65.3% had second-degree burns, 77.1% had burn surfaces ranging between 10% and 20% of their body, and 54.9% had autograft surgery. The burn patients aged 51 years and over had higher perceived stress than younger patients, and the difference between them was statistically significant (P < 0.05). As the percentage of burn surface increased, the perceived stress increased, and the perceived body image weakened (P < 0.05). The burn patients with autograft surgery had lower perceived stress and higher perceived body image than those without autograft surgery, and the difference between them was statistically significant (P < 0.01). This study found an inverse relationship between perceived stress and body image in burn patients, which was affected by the percentage of burn surface and autograft surgery. Relevant interventions are suggested to increase perceived body image in burn patients and reduce their perceived stress.Öğe İnfertilite tedavisi gören kadınlarda cinsel mitlere inanma düzeyi(2015) Uyar, Betül; Demir, SüleymanAmaç: İnfertilite, reproduktif çağda olan bir çiftin herhangi bir doğum kontrol yöntemi kullanmaksızın, en az bir yıl düzenli cinsel ilişkiye rağmen gebeliğin oluşmamasıdır. Cinsel mitler, kişilerin cinsel konularda doğru olduğunu düşündükleri, çoğu zaman abartılı, yanlış ve bilimsel değeri bulunmayan inanışlardır. Cinsel bilgi ve eğitim eksikliği; toplumun cinselliğe yaklaşımında katı tutum, tabular ve yasaklarla birleştiğinde birçok cinsel soruna ve cinsel işlev bozukluklarına yol açabilmektedir. Çalışmamızın amacı infertilite tedavisi gören kadınlarda cinsel mitlere inanma düzeyini belirlemektir. Gereç ve Yöntemler: Çalışmamıza Ocak 2015 ile Mayıs 2015 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Bölümü İnfertilite Polikliniğine başvuran 100 primer infertil kadın hasta ve 78 sağlıklı kadın alınmıştır. Katılımcılara sosyodemografik veri formu, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Arizona Cinsel Yaşantılar Ölçeği (ACYÖ)-Kadın Formu ve Cinsel Mitleri Değerlendirme Formu uygulandı. Verilerin analizinde SPSS 16.0 istatistik paket programı kullanıldı. Bulgular: Otuz cinsel mitin 9'unda cinsel mitlere inanma düzeyi infertil kadınlarda sağlıklı kontrollere kıyasla istatistiksel olarak anlamlı düzeyde yüksek bulundu. Cinsel mitlere inanma düzeyini; kırsal kesimde yaşama, eğitim süresinin 10 yıldan az olması, geniş aile yapısı, görücü usulüyle evlenme, infertilite ve tedavi süresinin 6 yıldan daha uzun olmasının artırdığı bulundu. Cinsel mitlere inanma düzeyindeki artmanın cinsel doyumda azalma ile ilişkili olduğu saptandı. Çalışmamızda BDÖ, BAÖ ve ACYÖ skorları infertil kadınlarda sağlıklı kontrollere göre istatistiksel olarak anlamlı derecede yüksek bulunmuştur. Sonuçlar: Sağlıklı kontrollere kıyasla infertil kadınlarda cinsel mitlere inanma düzeyinin yüksek olduğu ve bu yüksekliğin eğitim seviyesinin düşük olması ile ilişkili olduğu gösterilmiştir. Toplumumuzda ve infertil bireylerde yaygın olan mitlerin sönmesi ve daha sağlıklı bir cinsel yaşam için, cinsel eğitimin uygun yaşta, doğru kaynaklardan bireylere verilmesinin gerektiğini düşünmekteyiz. Anahtar sözcükler: İnfertilite, cinsel mitler, cinsellik, depresyon, anksiyeteÖğe Is Vaginismus a Cause of Infertility?: Case Reports Observed in Clinical Practice(2024) Güneş, Mehmet; Uyar, Betül; Şener, Zehra Tekin; İnan, Ezgi Çankaya; Kaya, Mehmet Cemal; Bulut, MahmutVaginismus is a common female sexual dysfunction in society. It is observed that society’s expectations about women’s sexuality and fertility may particularly affect women with vaginismus. The psychological meaning of childlessness for women is the inability to give birth, loss of control, psychological deficiency, feeling outside the female society, feeling worthless, being alone, lack of social security, lack of social role, and a decrease in self-esteem. In this case series, three couples who could not have children due to vaginismus consulted an obstetrician and underwent invasive procedures, such as in vitro fertilization (IVF) and cesarean section (CS). However, the primary problem, vaginismus, remains untreated and may have even worsened. If pregnancy does not occur because of vaginismus, couples should first be referred to a sexual therapist for appropriate treatment for vaginismus. It is both unethical and malpractice to view these couples as a source of income and subject them to unnecessary procedures like IVF and CS.Öğe Kahramanmaraş depremi sonrası psikososyal destek biriminden danışmanlık alan sağlık çalışanlarının travma sonrası stres bozukluğu verilerinin retrospektif değerlendirilmesi(2023) Uyar, Betül; Salman, Barış Can; Aydar, Selma; Batıhan, Gülistan; Savğa, Kübra; Balıkçı, Berna; Baran, HüseyinAim: Healthcare workers seem to be a neglected professional group when helping other people during disasters. This study aimed to determine the Post-Traumatic Stress Disorder(PTSD) levels of healthcare workers and the risk factors for PTSD after the Kahramanmaraş Earthquake. Material and Methods: Sociodemographic, clinical, National Stressful Events Survey Short Scale (NSESSS) ASD (Acute Stress Disorder) and PTSD data of healthcare professionals working at Dicle University Hospital who applied to the psychosocial support unit after the February 6 Kahramanmaraş earthquake were examined retrospectively. Data from 102 people who were evaluated twice in the first and second 30 days after the earthquake were included in our study. Results: Participants' mean age was 32.70±8.26 years. 52% of the participants were women, 49% were married, and 42.2% had a child/children. The rates of professions were distributed as follows: 38.2% physician, 35.3% nurse, and 26.5% other healthcare workers. PTSD scores were significantly higher in those with children than in those without, in nurses than in doctors, and in those with a psychiatric history than in those without. Gender, marital status, and psychiatric family history did not significantly affect the scale scores. According to simple linear regression analysis, ASD scores predicted PTSD scores %40.6. Conclusion: High NSESSS-ASD scores, having a child/children, being a nurse, and having a psychiatric history were found to be risk factors for developing PTSD in healthcare workers. Risk groups for PTSD in healthcare workers should be identified through studies with larger samples and more extended follow-up periods, and protective measures should be taken.
