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OBJECTIVE: Human papillomavirus (HPV) infection is the most common sexually transmitted disease among sexually active men and women. HPV types 16 and 18 are responsible for approximately 70% of cervical cancers and pre-cancerous cervical lesions. Addressing mental health issues in women with oncogenic HPV detected during cervical cancer screening is crucial, as psychosocial problems may arise. This study aims to evaluate the effect of HPV positivity on women's mental health, specifically in terms of depression, anxiety, and sexual functions. MATERIAL AND METHODS: The study included 73 HPV (+) and 41 HPV (-) female patients who were admitted to the Konya Selcuk Unıversıty Obstetrics and Gynecology Oncology outpatient clinic between July 2018 and January 2019. All patients presenting to the clinic were invited to the study, but only those who agreed to participate in the study and complete the scales were included. A Sociodemographic, Marriage, and Sexual Life Data Form was completed, and the following assessments were conducted: Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Arizona Sexual Experiences Scale-Female Form (ASEX-F), and Golombok-Rust Sexual Satisfaction Scale-Female Form (GRSS-F). RESULTS: The mean BDI score of HPV (+) group (13.2±9.2) was significantly higher than the mean BDI score of HPV (-) group (9.0±7.3) (p=0.014). The mean STAI-1 score was significantly higher in the HPV (+) group than the mean HPV (-) group, but there was no difference between the groups in terms of STAI-2 mean scores (respectively, 41.8±7.7 and 37.2±4.0, p<0.001, 48.5±7.2 and 48.6±5.6, p=0.942). The mean total scores of ASEX-F and GRISS-F were significantly higher in HPV (+) group than HPV (-) group (ASEX-F total, p=0.001, GRISS-F total, p<0.001). CONCLUSIONS: In our study investigating the effect of HPV positivity on women's mental health, it was found that HPV infection increased depression and anxiety levels of women and negatively affected their sexual life. These findings underscore the importance of addressing mental health as part of HPV infection management and prevention strategies. Further research is recommended to explore interventions that may alleviate these psychosocial effects and improve outcomes for affected women.

Objective: The relationship between depression, excessive daytime sleepiness (EDS), and obstructive sleep apnoea syndrome (OSAS) has been investigated in various studies, but this relationship remains unclear. In this study, depression scores in patients undergoing polysomnography (PSG) for suspected OSAS were evaluated, and the relationship between daytime sleepiness and these conditions was investigated. Method: A total of 103 patients (71 men, 30 women) aged 18–75 years who underwent PSG were retrospectively evaluated. Comorbidities, body mass index (BMI), Epworth Sleepiness Scale (ESS), and Beck Depression Inventory (BDI) data were analysed. Patients with psychiatric disorders were excluded. Results: Mild OSAS was found in 29 patients, moderate OSAS in 24 patients, and severe OSAS in 42 patients. According to the BDI, 69 patients had scores consistent with depression, while 32 patients were considered non-depressed. Patients with ESS scores above 10 were considered to have excessive daytime sleepiness. No significant relationship was found between AHI and BDI (p=0.390), but a significant relationship was found between AHI and ESS (p=0.005). No significant relationship was observed between ESS and BDI (p=0.301). Conclusion: No direct relationship was observed between excessive daytime sleepiness and depression. It was concluded that the emotional state of patients with OSAS should be evaluated carefully. Further studies with larger samples are needed.

Backround/Aims: Abnormal systemic inflammatory responses play a significant role in pathogenesis of schizophrenia. Neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), monocyte-lymphocyte ratio (MLR), monocyte-HDL ratio (MHR) and systemic immune inflammation index (SII) have recently been used as markers of inflammation. The aim of our study is to examine the relationship between NLR, PLR, MLR, MHR, and SII values of patients diagnosed with schizophrenia and antipsychotic treatments. Methods: One hundred ninety four individuals diagnosed with schizophrenia who were followed up in Psychotic Disorders Polyclinic of the Selcuk University Faculty of Medicine, were included in the study. Neutrophil, lymphocyte, platelet and monocyte counts, HDL values were obtained retrospectively from blood tests. NLR, PLR, MLR, MHR, and SII were calculated. Results: The mean age of patients was 44.38 ± 12.67 years. In total, 85 (43.8 %) patients were female. PLR, and SII were statistically significantly greater in females than in male group (p

Cardiovascular mortality in schizophrenia and bipolar disorder patients is more than double that of the general population. There appears to be a dual effect between cardiovascular diseases and schizophrenia and bipolar disorder. Inflammation and increased oxidative stress cause cardiac remodeling and increase the severity of psychiatric illness. Echocardiographic imaging was performed simultaneously with serum samples obtained for asymmetric dimethylarginine, symmetric dimethylarginine, monomethyl-L-arginine, arginine and its metabolites, and galectin 3 levels in 80 patients with bipolar disorder who were euthymic for at least 8 weeks and 69 patients with schizophrenia undergoing treatment. Monomethyl-L-arginine and arginine levels were significantly higher in bipolar disorder patients compared to schizophrenia patients. Galectin 3 level was significantly higher in bipolar disorder patients with psychotic symptoms compared to schizophrenia patients. There was no significant difference between the groups in terms of other parameters. Statistically significant differences were found between bipolar disorder and schizophrenia patients in terms of diastolic diameter (mm), systolic diameter (mm), interventricular septum (mm), left atrium (mm), and posterior wall (mm) values. Arginine and its metabolites, asymmetric dimethylarginine, symmetric dimethylarginine, and galectin 3, may be important biomarkers of cardiovascular diseases risk. In this study, changes in biochemical parameters and cardiac structure could not be explained by disease severity.

This study aimed to evaluate the sociodemographic factors, loss-related factors, and adult separation anxiety associated with a diagnosis of Prolonged Grief Disorder (PGD), after controlling for anxiety, depression, and perceived social support during the COVID-19 pandemic in Türkiye. Participants (n=126) completed an online survey that included socio-demographic and loss-related information, as well as the Hospital Anxiety and Depression Scale, Prolonged Grief Disorder Scale-13, Multidimensional Scale of Perceived Social Support, and Adult Separation Anxiety Questionnaire-27. Twelve participants were diagnosed with probable PGD (9.5%). In the linear regression analysis, it was found that when the deceased person was a first-degree relative and younger in age, the presence of guilt, increased separation anxiety, and higher depression scores significantly associated with the severity of PGD. Even when the pandemic is under control, it remains crucial to offer mental health services those who have lost a loved one during the COVID-19 outbreak.

Amaç: COVID-19 pandemisinde önemli görevler üstlenen birinci basamak çalışanlarında artan iş yükü, enfekte olma ve hastalığı yayma korkusu, hastalık hakkındaki belirsizlikler gibi nedenler ciddi psikolojik yük oluşturmuştur. Bu çalışmadaki amaç; toplumda derin izler bırakan pandeminin birinci basamak sağlık çalışanlarında yarattığı stres, anksiyete ve depresyon düzeylerini, baş etme stillerini belirleyip ilişkili faktörleri incelemektir. Metot: Temmuz ve Eylül 2020 tarihleri arasında 316 aile hekimi ve aile sağlığı elemanına (ASE) sosyodemografik özellikler ve pandemi döneminde yaşanabilecek sorunlara dair sorular ile Hastane Anksiyete Depresyon Ölçeği (HADÖ), Başa Çıkma Stilleri Ölçeği Kısa Formu (BÇSÖ-KF) ve Olayların Etkisi Ölçeği Revize Formundan (OEÖ-R) oluşan bir online anket uygulanmıştır. Bulgular: Sağlık çalışanlarının %59,5’i (n=188) hekim, %49,7’si (n=157) kadın, meslekteki hizmet yılları 11,6±7,5 idi. Travmatik stres, anksiyete ve depresif belirti sıklığı sırasıyla %55,7 (n=176), %40,8 (n=129) ve %71,8 (n=227) idi. Travmatik stresin kadınlarda (p=0,001), evinde kronik hasta olanlarda (p=0,011), kişisel koruyucu ekipmana (KKE) kolay ulaşamadığını belirtenlerde (p<0,001), çalışırken kendini COVID-19 açısından güvende hissetmeyenlerde (p=0,007) daha yüksek olduğu tespit edilmiştir. ASE’lerin anksiyete düzeyleri daha yüksek bulunmuştur (p=0,001). Hem anksiyete hem de depresyon seviyeleri anlamlı düzeyde yüksek bulunanlarsa kadınlar (sırasıyla p<0,001 ve p=0,006), evinde kronik hasta olanlar (sırasıyla p=0,001 ve p=0,004), KKE’ye kolay ulaşamadığını belirtenler (sırasıyla p<0,001 ve p=0,002), çalışırken kendini COVID-19 açısından güvende hissetmeyenler (her iki p<0,001) idi. Hem adaptif hem de maladaptif başa çıkma stillerini kadınların (sırasıyla p<0,001 ve p=0,042); adaptif stilleri evlilerin ve ASE’lerin daha fazla kullandıkları saptanmıştır (sırasıyla p=0,030 ve p=0,032). Hekimlerde travmatik stresin ASE’lere oranla %68 daha az görüldüğü (OR: 0,32 [%95 GA: 0,15-0,71], p=0,018); belirlenmiştir. Stres varlığının hem anksiyete (OR: 2,74 [%95 GA: 1,38-5,45], p=0,004) hem de depresyon (OR: 2,11 [%95 GA: 1,03-4,32], p=0,042) için risk faktörü olduğu saptanmıştır. Sonuç: Birinci basamak çalışanlarının pandemi etkileri açısından düzenli izlenmesi ve sağlık çalışanlarına duygusal, ruhsal ve sosyal destek vermek için uygun programların hayata geçirilmesi pandemilerde birincil öncelik olmalıdır.

Introduction: The novel coronavirus infection (COVID-19) has caused a worldwide pandemic. The pandemic created a heavy psychological burden on healthcare workers. Healthcare providers in obstetrics and gynecology faced similar challenges. Aim: This study studied obstetricians' and gynecologists' psychosocial burdens and concerns due to the COVID-19 pandemic. Methods: Participants of the study consisted of obstetricians and gynecologists. They reached through social media using the snowball sampling technique. This is a survey and scale study. The researchers created the survey. The survey questioned the demographic characteristics of the participants and the problems caused by the COVID-19 pandemic. In addition, three different scales were applied to the participants: Maslach Burnout Inventory, Coronavirus Anxiety Scale, and Depression Anxiety Stress Scale-21. Results: The statistically significant difference was found for Maslach Burnout Inventory Personal Achievement and Maslach Burnout Inventory General. Maslach Burnout Inventory Depersonalization and Coronavirus Anxiety Scale scores of the participants working in pandemic hospitals were statistically significantly higher than those not working in these hospitals. According to the MANOVA results, independent variables explained 35% of the variance in the Maslach Burnout Inventory General scale, 51% in the Coronavirus Anxiety Scale, and 53% in the overall Depression Anxiety Stress Scale. Conclusion: Healthcare personnel who provide obstetric and gynecologic services have faced unique challenges during the COVID-19 pandemic, and to the difficulties experienced by other healthcare workers.

Disasters of natural origin, man-made and technological disasters are one of the current issues that always exist in our lives. Disasters are frequently heard on the world agenda and their negative effects on society are discussed. Recently, the Covid-19 epidemic has been on the agenda of the whole world as a global disaster and its effects are still ongoing. The unexpected, sudden, uncontrollable nature of disasters and their threatening to our lives are accepted as a traumatic experience with the effect of psychological destruction. In addition to meeting the basic physical needs of people who have experienced the disaster and are trying to hold on to life after the disaster, psychosocial interventions also have an important place in terms of mental health services. The purpose of this review; It is to explain the psychosocial interventions that can be applied in the emergency periods of disasters and for people who have experienced the disaster.