Person: YANARTAŞ, ÖMER
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YANARTAŞ
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ÖMER
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Publication Metadata only Dream anxiety, chronotype and dipping pattern in hypertensive patients assessed with 24 h ambulatory blood pressure monitoring(SPRINGER JAPAN KK, 2016) SAKALLI KANİ, AYŞE; Kani, Ayse Sakalli; Sunbul, Murat; Kani, Haluk Tarik; Yanartas, Omer; Tezcan, Neslihan; Emul, MuratThe purpose of the present study was to investigate dream anxiety, impulsivity, and chronotypes in patients with dipper/non-dipper hypertension and to compare with healthy controls. Sixty-two patients diagnosed with hypertension and 33 healthy individuals were recruited in this study. A history of current psychiatric illness or psychotropic drug usage, significant cardiac, medical or neurological disease and pregnancy were the exclusion criterias for the study. All patients and healthy controls underwent 24-h ambulatory blood pressure monitoring. The Van Dream Anxiety Scale, Morningness-Eveningness Questionnaire, Spielberger State-Trait Anxiety Inventory, Beck Depression Inventory, Barratt Impulsivity Scale and Pittsburgh Sleep Quality Index were administered to all participants. There were two groups; patients with hypertension (dipper, n = 26 and non-dipper, n = 36) and healthy controls (n = 33). No differences between groups among gender (chi(2) = 4.42 and p = 0.110) and mean age (F = 0.239 and p = 0.795) were found. In patients with hypertension; dream anxiety, impulsivity, depression and trait anxiety scores were significantly higher than healthy controls. Sleep quality was poorer in patients with hypertension and there was no difference according to chronotype between patients and controls. There were no differences between dipper and non-dipper groups according to dream anxiety, sleep quality, impulsivity, state-trait anxiety, and depressive scores. In conclusion, dream anxiety is a previously unaddressed psychological entity that, in addition to anxiety, depression, impulsivity and poorer sleep quality, appears in hypertensive patients. Longitudinal studies with larger sample sizes would be valuable to elucidate the relationship between dream anxiety and hypertension patterns.Publication Open Access Evaluation of depression, anxiety, alexithymia, attachment, social support and somatization in functional dyspepsia(TAYLOR & FRANCIS LTD, 2019-01-02) SAKALLI KANİ, AYŞE; Kani, Haluk Tarik; Dural, Uzay; Kani, Ayse Sakalli; Yanartas, Omer; Kiziltas, Safak; Enc, Feruze Yilmaz; Atug, Ozlen; Deyneli, Oguzhan; Kuscu, Kemal; Imeryuz, NeseAIM: The psychiatric and psychosocial aetiology of Functional dyspepsia is not well known. In the present study, our aim is to determine the relative contributions of psychiatric predictors - i.e. depression, anxiety, somatization, alexithymia - in relation with socio-psychological factors, specifically their personal characteristics (i.e. emotional attachment) and perceived social support, in distinguishing FD from organic dyspepsia and healthy samples. MATERIAL AND METHODS: An estimated 30 functional dyspepsia, 29 organic dyspepsia patients who were admitted to our gastroenterology outpatient clinic and 27 healthy controls were enrolled to our study. Beck Depression Inventory, Toronto Alexithymia Scale, Adult Attachment Scale, State-Trait Anxiety Inventory, Multidimensional Scale of Perceived Social Support and somatization sub-scale of Symptom Checklist-90 were provided to all patients and healthy controls. All participants were examined by a gastroenterologist and a psychiatrist. RESULTS: Healthy controls were younger than organic dyspepsia group and women/men rate was lower in organic dyspepsia than other two groups. Depression score was higher in functional dyspepsia group than in healthy controls and functional dyspepsia group's attachment syle was more secure than that of the healthy control group. Somatization rate was seen higher in functional dyspepsia group with psychiatric examination. There was no significant difference seen in anxiety, alexithymia and social support between the three groups. DISCUSSION: Anxious-avoidant attachment profile as well as the higher propensity to have depressive and anxiety symptoms might be critical psychiatric and psychosocial factors underlying FD's aetiology. A multidisciplinary approach is needed in the follow up of functional dyspepsia patients. Psychological evaluation and treatment would increase the life quality of dyspepsia patients.Publication Metadata only Impact of expectant mother's knowledge level about fetal anomaly scan on their state anxiety prior to antenatal ultrasound screening(TAYLOR & FRANCIS LTD) SAKALLI KANİ, AYŞE; Sakalli Kani, Ayse; Esim Buyukbayrak, Esra; Dural, Uzay; Oguz, Seren; Yavuzer, Ozlem; Yanartas, Omer; Topcuoglu, VolkanObjective: We aimed to investigate the role of expectant mothers' background antenatal ultrasound knowledge on their state anxiety when they apply for the ultrasound examination. Materials and methods: A cross-sectional study was conducted in perinatology outpatient clinic of a university hospital. Expectant mothers who applied for the first trimester ultrasound scan and second trimester anomaly scan were recruited to the study. A self-report form was applied to participants to assess the sociodemographic characteristics, obstetric history, knowledge and attitudes toward antenatal ultrasound. Expectant mothers' state anxiety prior to ultrasound scan was measured with the state sub-scale of State-Trait Anxiety Inventory. Results: A total of 500 expectant mothers (220 in the first trimester and 280 in the second trimester) were included to the study. We found a negative correlation between the participants' age and state anxiety level (r = -0.118, p < .01). Also, participants' education level had a significant effect on their state anxiety level (F (2, 497)=5.91, p < .01). Participant's age significantly predicted lower state anxiety level (beta = -0.10, t = -2.09, p < .05). We did not find any significant relationship between the mean knowledge level of mothers and state anxiety levels of mothers (r = -0.07, p > .05). Conclusion: Age was the only affecting factor on anxiety levels before ultrasound scan in pregnant participants. There was no significant effect of background knowledge on state anxiety.Publication Open Access Depression and anxiety have unique contributions to somatic complaints in depression, irritable bowel syndrome and inflammatory bowel diseases(TAYLOR & FRANCIS LTD, 2019-10-02) SAKALLI KANİ, AYŞE; Yanartas, Omer; Kani, Haluk Tarik; Kani, Ayse Sakalli; Akca, Zeynep Nur Demirok; Akca, Erdogdu; Ergun, Serhat; Tezcan, Neslihan; Atug, Ozlen; Imeryuz, Nese; Sayar, KemalOBJECTIVE: In this study we aim to investigate the effects of somatic and related symptoms (SARS), alexithymia, hypochondriasis, anxiety and depression on patients with major depressive disorder, irritable bowel syndrome, inflammatory bowel disease which are the representative diseases of brain gut axis (BGA). METHOD: Sex and age similar groups of participants with major depressive disorder (MDD) (n = 102), irritable bowel syndrome (IBS) (n = 51), inflammatory bowel diseases (IBDs) (n = 54), and control group (n = 67) were included into this study. Depression and IBS were diagnosed according to DSM-5 and ROME 4 criteria, respectively. IBDs were established according to endoscopic, histological, and radiographic investigations. In all participants, somatic and related symptoms were evaluated by self-report scales including Bradford Somatic Inventory (BSI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Whiteley Index (WI), The 20-item Toronto Alexithymia Scale (TAS-20), Somatosensory Amplification Scale (SAS). RESULTS: BSI, BDI, BAI, WI, TAS-20 and SAS scores were found to be highest in patients with MDD; scores of patients with IBS and IBDs were similar but higher than the control group. Gastrointestinal somatic symptoms including nausea, stomach burning, abdominal ache and stomach swelling were observed in more than half of the patients with MDD. The most common extra-intestinal somatic symptoms were, headache and neck pain and/or tension, and leg pain in IBS patients. However leg pain, weakness and lack of energy, and neck pain/tension were highest in IBDs patients. While the strongest correlation determined was between the BSI and anxiety scores in MDD (p<.001, r = .688) and IBS group; (p<.001, r = .51), in IBDs patients, BSI scores were more significantly correlated with depressive scores instead of anxiety (p<.001, r = .712 vs. r = .705, p<.001). CONCLUSION: Our study demonstrates that SARS are commonly observed in the representative diseases of BGA. Extra-intestinal somatic symptoms are common in IBS, and IBDs, and also gastrointestinal somatic symptoms are common in patients with MDD. Assessment of somatic and related symptoms is quite important in the context of BGA.