Browsing by Author "Ülkevan, T."

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Circadian Preferences and Coping Styles for Stressful Life Events in Major Depressive Disorder
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Güzel Özdemir, P.; Ülkevan, T.; Işık, M.; Sütçü, E.
Introduction: Depressive disorder is a common public health problem that significantly impairs quality of life and has a high risk of mortality and morbidity. The aim of this study was to investigate circadian rhythm differences, stressful life events an d coping styles in patients with depression. Materials and Methods: The study involved 100 participants, including 50 patients with depression and 50 healthy controls, recruited from the psychiatric clinic of one-university hospital. The participants completed a sociodemographic information form, Beck Depression Inventory (BDI), Life Events Checklist (LEC-5), Coping Inventory for Stressful Situations-Short Form (CISS-21) and Morningness-Eveningness Questionnaire (MEQ). Results: The mean age of the patients with depression was 31.88±10.6 years, and the control group was 29.84±8.02 years. Emotional coping was significantly higher in patients with depression compared to the control group, whereas task-oriented coping was significantly lower than the control group. The majority of both depression and the control group consisted of intermediate type. Natural disasters, severe suffering, and other stressful events or experiences were more frequent stressful life events in the depression group. Task-oriented coping scores and emotional coping scores showed significant discrimination with sensitivity and specificity values. Conclusion: Recognizing stressful life events and the coping strategies used to deal with them is important for identifying major depression and developing treatment and follow-up plans. Longitudinal studies are needed to fully understand how coping methods interacts with depression in recovery from traumatic events. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Delirium Management and Antipsychotic Use: Explanations and Perspectives
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Ülkevan, T.
The Effect of Childhood Trauma on Posttraumatic Growth in Patients With Depression
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Özdemir, P.G.; Ülkevan, T.; Demir, M.A.; Tanhan, F.; Asoğlu, M.
Introduction: The relationship between depression and childhood traumas has been emphasized for many years. This study investigates the impact of childhood traumas on posttraumatic growth in patients with depression. Materials and Methods: A total of 120 participants who had experienced childhood trauma at least once in their lives (75 patients with depression and 45 healthy controls) were included in the study. Participants were administered sociodemographic information form, Beck Depression Inventory (BDI), Childhood Trauma Questionnaire 28 (CTQ-28) and Posttraumatic Growth Inventory (PTGI). Results: Childhood traumas and rates of posttraumatic growth were high in both the patient and control groups, and there was no statistically significant difference between them. The statistical analysis revealed that participants in the depression group had significantly higher scores on the physical abuse subscale of the CTQ-28 compared to the control group. Furthermore, significant negative correlations were observed in the control group between physical abuse of the CTQ-28 and changes in relationships with others in the PTGI, as well as between sexual abuse of the CTQ-28 and changes in relationships with others in the PTGI. In the study, to be female and level of physical abuse were found to increase the likelihood of belonging to the depression group. Conclusion: This study found that childhood trauma associated with physical abuse was more frequent in patients with depression than controls. Traumatic experiences were found to be detrimental to communicating with others. It is appropriate to recommend int erventions for social support and for the treatment of traumatic experiences in childhood in a variety of contexts. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Six-Month Follow-Up of Delirium Patients: Evaluation of Anxiety, Depression, Cognition, Functioning, and Mortality
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Ülkevan, T.; Özcan, H.; Aydın, E.F.
Introduction: This study sought to monitor the anxiety and depression symptoms, cognition, functioning, and mortality of inpatients diagnosed with delirium and to compare the results with those of a control group comprised of inpatients without delirium. Materials and methods: The study group consisted of 50 inpatients with delirium, while the control group comprised 50 inpatients from the same clinic who did not have delirium. A sociodemographic questionnaire and the Delirium Rating Scale (DRS), Hospital Anxiety and Depression Scale (HADS), Mini Mental State Examination (MMSE), and Global Assessment Scale (GAS) were used for data collection purposes. Results: The MMSE and GAS scores of the delirium group were significantly lower than those of the control group at the first assessment. In addition, the increase seen in the MMSE scores of the delirium group over time was significant. At the three-and six-month follow-up assessments, the mortality rate of the delirium group was higher than that of the control group. Moreover, the mean survival duration of the delirium group at the three-and six-month assessments was significantly shorter than that of the control group. Conclusion: The findings showed that the delirium patients experienced deterioration in their cognition and functioning in the short term. Furthermore, the findings revealed life expectancy to be shortened in the delirium patients. To verify and extend the p resent findings, longitudinal studies involving larger sample sizes and longer follow-up periods are required. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.