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KUŞCU, MEHMET KEMAL

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KUŞCU

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MEHMET KEMAL

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    The association between individual attachment patterns, the perceived social support, and the psychological well-being of Turkish informal caregivers
    (WILEY, 2009) BEKİROĞLU, GÜLNAZ NURAL; Kuscu, M. Kemal; Dural, Uzay; Oenen, Pinar; Yasa, Yesim; Yayla, Mete; Basaran, Guel; Turhal, Serdar; Bekiroglu, Nural
    Background: This study aimed to investigate the relations among the psychological well-being (i.e. depression and state/trait anxiety levels), attachment patterns (i.e. secure, ambivalent, avoidant), and the perceived social support from family/friends/significant others of caregivers of cancer patients in Turkey. Methods: Fifty-one caregivers of adult cancer patients were recruited from the oncology outpatient clinic of the Marmara Medical School Hospital in Istanbul. Caregivers were assessed with the Adult Attachment Scale, the Beck Depression Inventory, State-trait Anxiety Inventories, and the Multidimensional Scale of Perceived Social Support. Results: Stepwise multiple regression analysis indicated that depression was predicted by ambivalent attachment and the perceived social support from family. The support from significant others was the significant predictor of trait anxiety and the caregivers' ambivalent attachment score was the significant predictor of state anxiety. Conclusions: We assert that ambivalent attachment pattern could confer a vulnerability to psychological distress in cancer caregivers. Assessing the psychological experiences and needs of caregivers and being aware of possible risk factors (such as attachment patterns) and protective factors (social support network) for depression and anxiety might be helpful for successful programmes and interventions that support the caregivers of cancer patients. Copyright (C) 2009 John Wiley & Sons, Ltd.
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    Breastfeeding duration and postpartum psychological adjustment: Role of maternal attachment styles
    (WILEY, 2008) ÖZEK, EREN; Akman, Ipek; Kuscu, M. Kemal; Yurdakul, Ziya; Ozdemir, Nihal; Solakoglu, Mine; Orhon, Lale; Karabekiroglu, Aytuel; Ozek, Eren
    Aim: Depressive and anxiety symptoms are common in new mothers. The aim of this study is to explore the link between postpartum psychological adjustment and feeding preferences of the mothers. Methods: Sixty mothers and newborns were enrolled in this prospective, longitudinal study. Maternal depressive symptoms were screened by the Edinburgh Postpartum Depression Scale (EPDS), and maternal anxiety level was assessed by the State-Trait Anxiety Inventory at 1 month postpartum. The Multidimensional Scale of Perceived Social Support was used for the assessment of maternal social support. The Adult Attachment Scale was used to determine the attachment style of the mother. Infants were examined and evaluated at 1 and 4 months of life. Results: All mothers started breastfeeding their infants postpartum; 91% and 68.1% continued exclusive breastfeeding at 1 and 4 months, respectively. The first-month median EPDS score of mothers who breastfeed at the fourth month was statistically significantly lower than those who were not breastfeeding (6 and 12, respectively) (P = 0001). The first-month median EPDS score of mothers with secure attachment was lower than the median score of mothers with insecure attachment (5 and 9, respectively) (P < 0001). Exclusive breastfeeding rate was not statistically different among mothers with secure and insecure attachment styles. The median state and trait anxiety scores and social support scores of mothers were not different between groups according to breastfeeding status. Conclusions: This study has shown an association between higher EPDS scores and breastfeeding cessation by 4 months after delivery.