Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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Author: search.filters.author.Kaya, Zulal Torenli

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Now showing 1 - 7 of 7
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    Relation of Anxiety, Depression, and Behavioral Problems With Time Allocated to Television, Computer, and Smartphone in Children Receiving Renal Replacement Therapy
    (2022) Taner, Hande Ayraler; Baskin, Esra; Kaya, Zulal Torenli; Sari, Burcu Akin; Taskiran, Candan; Akdur, Aydincan; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0003-1428-0739; https://orcid.org/0000-0002-9730-7206; https://orcid.org/0000-0002-3462-7632; 35384817; AAK-7065-2021; S-3910-2019; AAJ-8097-2021
    Objectives: Children and adolescents with chronic diseases have more screen exposure time compared with their healthy peers. In this study, we investigated screen exposure time of children who received renal replacement therapy, which included kidney transplant and dialysis treatment, versus a healthy control group. Materials and Methods: Our study included 55 children and adolescents between the ages of 8 and 18 years. Although 28 participants did not have any chronic disease, 27 had chronic diseases and received renal replacement therapy. Among these patients, 17 had kidney transplant and 10 were receiving dialysis. A sociodemographic information form and the Conners Short-Form Parent Rating Scale were given to parents. Pediatric and adolescent patients completed the Children's Depression Inventory and Spielberger State-Trait Anxiety Scale-2. We analyzed differences between the groups with and without renal replacement therapy and examined relations between continuous variables. Results: Duration of television screen time was significantly higher in children and adolescents receiving renal replacement therapy. Patients in the renal replacement therapy group showed a positive correlation between the Conners Short-Form Parent Rating Scale anxiety subscores and duration of smartphone use. In the kidney transplant recipient group, smartphone and computer durations were positively correlated and television duration was negatively correlated with the Conners Short-Form Parent Rating Scale behavioral problems subscores. Conclusions: Children on renal replacement therapy may be at risk in terms of excessive television exposure. Children who are on dialysis and have had a kidney transplant may be more prone to the negative effects of screen exposure than healthy peers who do not have chronic illnesses. These children and adolescents should be closely monitored to avoid the negative effects of excessive screen exposure.
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    Parenthood motivation scale: psychometric properties of Turkish version and comparison between fertile and infertile women
    (2022) Kaya, Zulal Torenli; Bozo, Ozlem; 0000-0003-1428-0739; 35861032; AAK-7065-2021
    Compared to natural conception, being a parent via assisted reproductive techniques (ART) may have some unique characteristics and motivational bases. In this study, Turkish adaptation of the Parenthood Motivation Scale (PMS) was conducted. The factor structure and psychometric properties of the scale were examined with a sample of pregnant women (N = 457) who conceived naturally (n = 272) or via ART (n = 185). Like the original scale, findings demonstrated a six-factor structure (i.e. continuity, nurturance, relationship, identity, social pressure, and materialism) and it is a reliable measure. The two groups of expectant mothers were compared to investigate whether the scale successfully differentiates them in terms of bases of parenthood motivation. After controlling for the effects of covariates, multivariate analysis of covariance revealed that PMS successfully differentiates the women with different conception types. The participants who were impregnated via ART had significantly higher motivations in terms of identity and social pressure dimensions, and overall parenthood motivation. These findings might be associated with the collectivist nature of Turkish culture and emphasized the importance of working on these external bases of parenthood motivations to reduce infertile women's stress concerning having children.
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    Healthcare workers' burn-out, hopelessness, fear of COVID-19 and perceived social support levels
    (2022) Karagol, Arda; Kaya, Zulal Torenli; 0000-0003-4865-0451; 0000-0003-1428-0739; 35039704; AAK-7065-2021
    Background and objectives: During the pandemic, all healthcare workers have tried to cope with mental challenges. This study evaluated the healthcare workers' levels of burn-out, hopelessness, fear of COVID-19 and perceived social support, the relation between these factors, and other possible related components. Methods: Four hundred and fifty-one HCW (healthcare workers) all across Turkey were included in the study. Sociodemographic information form, Maslach Burn-out Inventory, Beck Hopelessness Scale, Multidimensional Scale of Perceived Social Support, and the Fear of COVID-19 Scale were given to the participants. This was a cross-sectional study via various online platforms. Results: The participants who were on duty in the COVID-19 clinic, complaining about the low salary or not having enough time for themselves or their own family, had significantly higher scores on three subscales of burn-out scale, and hopelessness scale. Working at governmental hospitals, working at departments containing a high risk of COVID-19 infection, and having a history of COVID-19 infection were found to be significantly associated with emotional exhaustion, depersonalization, and hopelessness. Feeling control of your profession and getting social support from others were the two factors that tackle burnout in HCW. Family support is the only support that tackles all 3 subscales of burn-out and hopelessness. Conclusion: The findings emphasized that to tackle the burn-out and hopelessness of HCW, it is important for HCW to receive financial compensation for their hard work, to work under improved conditions, and to receive adequate social support. (c) 2022 Asociacion Universitaria de Zaragoza para el Progreso de la Psiquiatria y la Salud Mental. Published by Elsevier Espana, S.L.U. All rights reserved.
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    The Relationship Between Mental Health Status And Social Life In Children And Adolescents With Kidney Transplantation
    (2022) Taner, Hande Ayraler; Sari, Burcu Akin; Kaya, Zulal Torenli; Baskin, Esra; Gulleroglu, Kaan; Yilmaz, Aysun Caltik; Karakaya, Emre; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0003-1434-3824; https://orcid.org/0000-0003-0774-4419; https://orcid.org/0000-0002-3462-7632; F-3294-2013; AAD-1877-2021; AAJ-8097-2021
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    Evaluating early maladaptive schemas and depression levels in living kidney and liver donors
    (2021) Karagol, Arda; Kaya, Zulal Torenli; 0000-0003-1428-0739; 0000-0003-4865-0451; 34545761; AAK-7065-2021
    Living organ donation is a stressful process, both in terms of physical and mental consequences after the operation. Studies have found that cumulative depression prevalence in 5-year follow-up after the organ donation is 4.2% in 1 year and 11.5% in 5 years. The aim of the present study was to find out early maladaptive schemas (EMS) and depression levels of living kidney and liver donors. Ninety-three patients who have become living kidney or liver donors in Baskent University Hospital between 2015 and 2019 and accepted to participate in the study are included. Interviews were conducted via telephone or face-to-face and socio-demographic information form, Young Schema Questionnaire Short Form-3 and Beck Depression Inventory were given to the participants. The first three schemas with the highest average scores in living donors were self-sacrifice, punitiveness and approval seeking. The Sschema domain with the highest score is 'other directedness' among living donors. The donors who had depression revealed higher scores in the schema domains of 'abandonment and rejection' and 'impaired autonomy' when compared to those who did not have depression. As the donors had higher scores in the 'other directedness' schema domain and 'self-sacrifice' and 'approval seeking' schemas, overthinking and acting accordingly for the others with the expectation of being praised is thought to be the underlying pattern (motivation) of being a living donor. Culture could have an important impact in this particular way of thinking and acting. There is a cultural and religious impact as well in the high scores of 'punitiveness' schema of the donors. Being adequately informed pre-operatively, feeling safe and independent during the decision process and getting enough social support post-operatively seem to be the important factors of tackling depression for living organ donors.
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    Screen media exposure in pre-school children in Turkey: the relation with temperament and the role of parental attitudes
    (2021) Sari, Burcu Akin; Taner, Hande Ayraler; Kaya, Zulal Torenli; 0000-0003-1428-0739; 34738364
    Background. Electronic media have become an important element in the lives of modern children. Devices like televisions, smartphones and tablets are widely used by some parents in order to manage hyperactive, stubborn and impulsive children who need high-intensity stimuli. Consequently, a child's temperament and parental attitudes affect the duration and frequency of 3-7-year-old children's screen (television-smartphone-internet) use. Based on this information, the objective of the present study was to evaluate the relation between screen media exposure, the child's temperament and parental attitudes in 3-7-year-old children. Methods. The participants of this study were 210 children of 3 to 7 years of age. Rothbart's Child Behavior List was used to assess temperament; the Parenting Attitude Research Instrument was used to determine the parental attitudes. Screen media exposure assessment questionnaire, which included questions about the age the child started using the TV, smartphone and/or internet, and the duration of their daily usage, were filled in with the children's parents. Results. It was found that the increase in activity level, approach and discomfort was negatively correlated to the age the child started watching television, while shyness was positively related to the same phenomenon. The scores of the discomfort temperament subscale had a direct relation to the duration of watching television. Background television is negatively related to attention, inhibitory control, and perceptual sensitivity. Dependency, marital conflict and strictness and authoritarianism parameters were found to be positively related to the duration of playing with a smartphone. Also, in this study we found that negative temperament characteristics adversely affected screen media exposure and poor parenting styles worsen this relationship. Conclusions. Both temperament and parenting styles affect screen media exposure. In addition, it was understood that parenting styles also affect the relation between temperament and screen exposure. Parental information programs on this subject can eliminate the lack of information related to early screen media exposure in preschool children.