Browsing by Author "Ceran, Selvi"

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A Cohort Study of the Relationship Between Anger and Chronic Spontaneous Urticaria
(2014) Altinoz, Ali Ercan; Taskintuna, Nilgun; Altinoz, Sengul Tosun; Ceran, Selvi; 25209876
Anger plays a major role in psychodermatological diseases. Researchers have reported that anger and other psychological factors play a role in the etiology of chronic urticaria. This study aimed to examine symptoms of anger, anger-related behavioral patterns, thoughts associated with anger, situations that cause anger and experiences of interpersonal anger in patients with chronic spontaneous urticaria (CSU). The authors hypothesized that patients with CSU react to more situations with anger and experience more anger symptoms as compared to alopecia areata (AA) patients and healthy controls. The cohort study population consisted of literate adult patients aged < 65 years that were diagnosed with CSU at the outpatient dermatology clinics of BaAYkent and Gazi University, Ankara, Turkey, between September 2011 and October 2012. The first control group included individuals without any physical or mental disorders and the second one included literate adult patients diagnosed with AA. The patients and controls were matched according to age, gender, and level of education. A sociodemographic data form, and the Hospital Anxiety and Depression Scale and Multi-Dimensional Anger Inventory were administered to the participants. Data were analyzed using SPSS v.17.0 for Windows. The primary outcome was to determine whether there was a relationship between anger and CSU. The CSU group consisted of 30 participants; AA group consisted of 30 participants; and the healthy group consisted of 39 participants. Anxiety and depression scores in the CSU group were significantly higher than those in the healthy control group. Symptoms of anger, situations that cause anger, and thoughts associated with anger were significantly more common in the CSU group compared to AA group and healthy group. More of the CSU patients were observed to respond with excessive anger to most situations, to have high levels of anxiety anger and passive aggressive interpersonal relationships.
Factors associated with progression of depression, anxiety, and stress-related symptoms in outpatients and inpatients with COVID-19: A longitudinal study
(2022) Alici, Yasemin Hosgoren; Cinar, Gule; Hasanli, Jamal; Ceran, Selvi; Onar, Deha; Gulten, Ezgi; Kalkan, Irem Akdemir; Memikoglu, Kemal Osman; Celik, Casit Olgun; Devrimci-Ozguven, Halise; 0000-0003-3384-8131; 0000-0003-1364-625X; 0000-0002-7984-2440; 0000-0002-7190-5443; 35593144; AAJ-8113-2021; AAK-3227-2021; AAD-5477-2021
It is known that there is an increase in the frequency of psychiatric disturbances in the acute and post-illness phase of coronavirus disease (COVID-19). Comorbid psychiatric symptoms complicate the management of patients and negatively affect the prognosis, but there is no clear evidence of their progress. We aimed to determine psychiatric comorbidity in inpatients and outpatients with COVID-19 and recognize the factors that predict psychiatric comorbidity. For this purpose, we evaluated patients on the first admission and after 4 weeks. We investigated psychiatric symptoms in outpatients (n = 106) and inpatients (n = 128) diagnosed with COVID-19. In the first 7 days after diagnosis (first phase), sociodemographic and clinic data were collected, a symptom checklist was constructed, and the Hospital Anxiety and Depression Scale (HADS) and the Severity of Acute Stress Symptoms Scale (SASSS) were applied. After 30-35 days following the diagnosis, the SASSS and the HADS were repeated. In the first phase, the frequency of depression and anxiety were 55% and 20% in inpatients, and 39% and 18% in outpatients, respectively. In the second phase, depression scores are significantly decreased in both groups whereas anxiety scores were decreased only in inpatients. The frequencies of patients reporting sleep and attention problems, irritability, and suicide ideas decreased after 1 month. Patients with loss of smell and taste exhibit higher anxiety and depression scores in both stages. Our results revealed that the rate of psychiatric symptoms in COVID-19 patients improves within 1 month. Inpatients have a more significant decrease in both depression and anxiety frequency than do outpatients. The main factor affecting anxiety and depression was the treatment modality. Considering that all patients who were hospitalized were discharged at the end of the first month, this difference may be due to the elimination of the stress caused by hospitalization.
Fibromiyalji sendromu tanısı konulan hastalarda ebeveynlik algısı, bağlanma özellikleri ve aleksitimi ilişkisi
(Başkent Üniversitesi Tıp Fakültesi, 2013) Ceran, Selvi; Taşkıntuna, Nilgün
Bu çalışmada Fibromiyalji sendromu tanısı konulan hastalarda erken dönem yaşantılar, ebeveynlik algısı, aleksitimi ve bağlanma özelliklerini incelemek, aralarındaki olası ilişkileri belirlemek amaçlanmıştır. Fibromiyalji sendromu tanısıyla takip edilmekte olan 33 hasta ile kontrol grubu olarak remisyonda romatoid artrit tanısı ile izlenen 30 hasta ve yaş, cinsiyet ve öğrenim durumu açısından eşleştirilmiş bilinen bir hastalığı olmayan 30 birey çalışmaya dahil edildi. Katılımcılara araştırmacılar tarafından bu tez çalışması için geliştirilmiş Sosyodemografik ve Klinik Veri Toplama Formu, Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği, Kısa Form- 36, Young Ebeveynlik Ölçeği, Toronto Aleksitimi Ölçeği ve Yakın İlişkilerde Yaşantılar Envanteri uygulandı. Fibromiyalji ve romatoid artrit grubunda anksiyete, depresyon ve aleksitimi puanları anlamlı olarak yüksek bulunmuştur. Fibromiyalji grubunda yaşam kalitesinin tüm alanlarda bozulduğu ve olumsuz ebeveynlik algısıyla ilgili puanlarının kontrol gruplarına oranla yüksek olduğu saptanmıştır. Bağlanmanın kaygı ve kaçınma boyutu puanları açısından gruplar arasında anlamlı fark saptanmamıştır. Ebeveynlik algısı ve bağlanma özellikleri gibi etmenlerin aleksitimi ve fibromiyalji gelişiminde, hastalık davranışında önemli rolü olabilir. Bu bulgular ışığında bir psikosomatik görüngü olarak kabul edilebilecek fibromiyaljiye farklı disiplinlerin birlikte yaklaşımı önemlidir. Fiziksel hastalık boyutu ile uğraşıldığı kadar hastalığı başlatmakta ve sürdürmekte rol alan ruhsal nedenlere odaklanmak, gerekli psikoterapi müdahalelerinde bulunmak prognozu olumlu yönde etkileyebilir. The aim of the present study is to investigate early childhood experiences, parenting perceptions, alexithymia, and attachment patterns in patients diagnosed with fibromyalgia syndrome and to determine the relationship between them. The participants consisted of 33 fibromyalgia syndrome (FMS) patients. The control groups consisted of 30 rheumatoid arthritis (RA) patients who met the criteria for clinical remission and 30 healthy individuals matched according to age, education level and gender ratio. The Sociodemographic and Clinical Data Form, Beck Depression Inventory, Beck Anxiety Inventory, Short Form-36, Toronto Alexithymia Scale, Experiences in Close Relationships Questionnaire, and Young Parenting Inventory were given to the participants. The anxiety, depression, and alexithymia scores of both FMS and RA groups were significantly higher compared to healthy controls. There was a significant impairment in eight subscales of Short Form-36 in FMS patients, in comparison with healthy subjects. The parenting subscale scores of FMS group was statistically higher than the two other groups. There was no significant difference among groups about the scores of avoidance and anxiety attachment dimensions. Perceived parenting and attachment styles may play an important role in the aetiology of fibromiyalgia and the illness behaviour. These findings highlight that a multidisciplinary approach is required for fibromiyalgia as a psychosomatic phenomena. Clinicians should pay more attention to the psychological factors of the disease and psychotherapeutic interventions might be of importance in good prognosis.