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    DETERMINATION OF THE RELATIONSHIP BETWEEN CIGARETTE AND SMOKELESS TOBACCO (MARAS POWDER) USE AND DEPRESSION/ANXIETY
    (Carbone Editore, 2015) Keten, Hamit Sirri; Ersoy, Ozgur; Satan, Yilmaz; Olmez, Soner; Ucer, Huseyin; Sahin, Merve; Celik, Mustafa
    Introduction: Tobacco consumption is still a serious cause of mortality and morbidity worldwide. Besides cigarette, use of smokeless tobacco is also high. This study aims to evaluate the symptoms of depression and anxiety among people using cigarette or local smokeless tobacco, Maras powder, and those not consuming tobacco products. Materials and methods: This study was conducted in 20 coffee houses in Kahramanmaras city on 353 voluntary males aged between 18 and 64 years. One hundred and thirty one people consuming Maras powder, 98 people consuming cigarette and 124 controls with no history of tobacco product usage were enrolled in the study. The sociodemographic characteristics, the attitudes of Maras powder and cigarette usage, and the scores of Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were recorded. Results: The mean BAI scores were 9.64+/-7.7, 10.45+/-9.04, and 6.87+/-6.51 for Maras powder group, cigarette group and the control group respectively. The mean BAI scores were significantly higher in Maras powder and cigarette groups compared to control group (p=0.002). It was determined that the mean scores of BAI were similar between Maras powder and cigarette groups (p=0.712). The mean BDI scores were 7.41+/-6.96, 7.51+/-8.16, and 5.30+/-5.24 for Maras powder group, cigarette group and the control group respectively. The mean BDI scores were significantly higher in Maras powder (p=0.037) and cigarette groups (p=0.045) compared to control group. It was determined that the mean scores of BDI were similar between Maras powder and cigarette groups (p=0.994). Conclusion: Obtained findings showed that depression and anxiety scores of people consuming Maras powder and cigarette were significantly higher compared to those does not use tobacco products.
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    Evaluation of Acute Stress Disorder following Pregnancy Losses
    (Cukurova Univ, Fac Medicine, 2015) Keten, Hamit Sirri; Gencoglan, Salih; Dalgaci, Ahmet Ferit; Avci, Fazil; Satan, Yilmaz; Olmez, Soner; Celik, Mustafa
    Purpose: The aim of this study was to evaluate acute stress disorder in women experiencing a pregnancy loss. Material and Methods: The study included 170 pregnant women presenting to the Obstetrics and Gynecology Clinic in research and training hospital of Kahramanmaras Sutcu Imam University between February 2013 and July 2013. Fifty-four women experiencing a pregnancy loss before the 21st week of gestation (31%) were assigned into the pregnancy loss group and 116 women whose pregnancy continued without any problems (69%) were assigned into the control group. Data were collected with Posttraumatic Stress disorder Scale (PTSDS) and a questionnaire composed of questions about socio-demographic features and history of pregnancy and diseases.. Results: The mean ages of the pregnancy loss group the control group were 28.83 +/- 7.30 years and 28.87 +/- 5.87 years respectively without a significant difference (p=0.968). The mean score for PTSDS was 32.40 +/- 10.24 (min: 17 and max: 52) in all the participants, 35.83 +/- 11.51 in the pregnancy loss group and 30.81 +/- 9.21 in the control group. The women experiencing a pregnancy loss had significantly higher scores for PTSDS. Conclusion: The study revealed that symptoms of posttraumatic stress disorder increased after pregnancy losses. It is of great importance to provide social and psychological support for the couples experiencing a pregnancy loss in terms of their wellbeing. Inability to implement support mechanisms effectively in cases of increased acute stress such as pregnancy loss can predispose to progression to posttraumatic stress disorder.