Ferhan Soyuer - Academia.edu (original) (raw)
Papers by Ferhan Soyuer
Neurosciences (Riyadh, Saudi Arabia), 2008
The present study aimed to investigate the relationship between depressive symptoms in 6 months a... more The present study aimed to investigate the relationship between depressive symptoms in 6 months after stroke and the quality of life (QOL), clinical and socio-demographical characteristics, functional status, and severity of stroke. Ninety consecutive stroke patients who attended the neurology outpatient clinic at Erciyes University, Kayseri, Turkey from March 2004 to March 2005 were evaluated for the study. Seventy outpatients who had a stroke 6 months previously were included in the study. As a data-collecting device, Short Form 36, Functional Independence Measure (FIM), Canadian Neurological Scale, and Beck Depression Inventory (BDI) were used. In addition, a questionnaire was administered to obtain clinical and socio-demographic data. Seventy patients were included in the study. Depression measured using BDI was identified in 47.1% of the patients. Total FIM scores, especially motor subscale scores, were decreased in the depressive patients. No difference was found in the stroke...
SUMMARY Determining of the Effects of Depression on Quality of Life in Patients with Tuberculosis... more SUMMARY Determining of the Effects of Depression on Quality of Life in Patients with Tuberculosis in Active, Inactive and Control Groups Objectives: The purpose of this study is to determine the levels of quality of life (QOL) and the rates of depression in outpatients with tuberculosis in active, inactive and control groups and to study the relationship between depression and
Social Behavior and Personality: an international journal, 2008
... Mustafa Celikten, Associate Professor, School of Education, Erciyes University, Kayseri, Turk... more ... Mustafa Celikten, Associate Professor, School of Education, Erciyes University, Kayseri, Turkey; Ferhan Soyuer, Associate Professor, Halil Bayraktar Health Services ... In some studies (Arslan & Gökçe-Kutsal, 1999; Skevington, Lofty, & O'Connell, 2004) it has been found that with ...
Objective: To describe the association between impairment and disability in patients with acute i... more Objective: To describe the association between impairment and disability in patients with acute ischemic stroke. Method: Totaly 100 patients with ischemic stroke were assessed at Erciyes University Hospital Department of Neurology. The Rivermead Motor Assessment (RMA) was used to measure impairment and the Functional Independence Measure (FIM) was used to measure disability. The assessments were made at 7-10 days and 3 months during poststroke period. Results: RMA correlated significantly with FIM at 7-10 days and 3 months. Conclusion: Stroke-related impairment and disability are significantly correlated with each other.
Neurology India, 2008
Two widely used evaluation tools for the quality of life are the 36-item Short-Form Health Survey... more Two widely used evaluation tools for the quality of life are the 36-item Short-Form Health Survey (SF-36) and World Health Organization Quality of Life Assessment (100-item version) (WHOQOL-100), however, these tools have not been compared for patients with stroke to date. The specific objectives of this study were: 1) to study the effect of stroke on quality of life (QOL) as measured by the SF-36 and by the WHOQOL-100, and 2) to compare these two instruments. Seventy patients who were admitted to the neurology clinic six months after stroke were included in this study. As a data-collecting device, the SF-36 and WHOQOL-100 scales were used. An additional questionnaire was administered to obtain demographic data. Pearson correlation analysis was performed and Blant-Altman Plots were used. Psychometric analysis was performed. In stroke, the most flustered domains of quality of life were vitality and general health perception fields in the SF-36 and in the WHOQL-100, independence level field, overall QOL and general health perceptions. While there was a fair degree of relationship (r= 0.25-0.50) between general health perceptions, physical, social and mental fields that were similar fields of scales, a fair and moderate to good relationship was found between different fields. Limits of agreement in similar domains of the two instruments were very large. In all four demonstrated Bland-Altman plots, there was agreement of the scales in the measurements of similar fields of quality of life. This study demonstrated that both the SF-36 and WHOQOL-100 quality of life scales are useful in the practical evaluation of patients with stroke.
Neurological Research, 2006
International Journal of Gerontology, 2011
Background: The purpose of this study was to investigate fatigue and habitual physical activity i... more Background: The purpose of this study was to investigate fatigue and habitual physical activity in older people aged 65 and over living in rest home and to examine the relationship between these two variables. Methods: As a data-collecting device, the CHAMPS questionnaire (physical activity assessment questionnaire) was modified, and the Fatigue Severity Scale was used. An additional questionnaire was administered to obtain demographic data. Results: One hundred and twenty-four individuals completed the study (mean age 74.98 AE 7.05 years, 37.1% female). Of these individuals, 50 (40.3%) reported fatigue symptoms. Weekly caloric expenditure in all activities was 3,896 AE 5,297 kcal. Individuals' average weekly energy consumption calculated in terms of CHAMPS was 2,158 AE 3,781 kcal for the fatigue group. Higher fatigue was associated with lower physical activity levels (p < 0.00, r ¼ À0.263). According to binary logistic regression analysis, it was found that CHAMPS decreased as the value of fatigue increased (p < 0.00). Conclusion: Fatigue is a symptom often found among older people. The results suggest that higher fatigue was associated with lower physical activity levels in older people.
Expert Systems with Applications, 2008
In this paper, the research data about quality of life in persons with cerebrovascular disease (C... more In this paper, the research data about quality of life in persons with cerebrovascular disease (CVD) is examined by Adaptive-Network-based Fuzzy Inference system (ANFIS) and these results are compared with statistical results obtained from the same data. The major parameters which are determined for quality of life levels are chosen as physical functions, social functions, and mental changing of the person. The aim of this study is to show that the expert based systems can be used to help the classic statistical computation systems on health and/or social problems.
Epilepsy & Behavior, 2006
The aim of the present study was to establish the rate of fatigue and the relationship between fa... more The aim of the present study was to establish the rate of fatigue and the relationship between fatigue, depression, and P300 in people with epilepsy. We compared Fatigue Severity Scale (FSS) and Beck Depression Inventory (BDI) scores and event-related potentials (ERPs) of people with epilepsy (n=73) with those of controls (n=31). The rate of fatigue was found to be 42.4%, and fatigue and depression were positively correlated. There was an interaction between fatigue and ERPs, but the effect of ERPs on fatigue was greater. While polytherapy was a major factor affecting ERPs, depression had no effect on ERPs in people with epilepsy. The data suggest that fatigue is an important finding and is strongly correlated with cognitive processes and depression. Polytherapy contributed to cognitive disturbances and, hence, fatigue, whereas depression had no effect on cognitive processes in people with epilepsy.
Epilepsy & Behavior, 2007
The purpose of this study was to define the influence of fatigue, depression, and clinical, demog... more The purpose of this study was to define the influence of fatigue, depression, and clinical, demographic, and socioeconomic factors on the quality of life of patients with epilepsy. The study was performed on 103 adult patients who visited Erciyes University Epilepsy Outpatient Clinic between 2004 and 2005. Patients were evaluated with the Form of Negotiation, Quality of Life in Epilepsy Inventory (QOLIE-89), Beck Depression Inventory, and Fatigue Severity Scale. Mean age of the patients was 34.3+/-12.6, and mean duration of disease was 12.6+/-9.3 years. Among these patients, 52.4% were men, 49.5% were married, 15.5% had a university education, 53.4% had low incomes, 45.6% had generalized seizures, and 35.0% had experienced one or more seizures per month during the preceding year. The most significant variables in the domain of Overall quality of life were seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), depression (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variables in the domain of Mental Health were seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001) and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variable in the Cognitive domain was fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variables in the domain of Physical Health were social insurance coverage (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01), fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01), and age (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01); the variables in the Epilepsy Targeted domain were depression (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01). Although quality of life has multiple determinants, seizure frequency, fatigue, and depression are the most important factors affecting quality of life in patients with epilepsy. One or more seizures per month, severe fatigue, and depression are associated with lower quality of life in some but not all domains. Partial correlations demonstrated that fatigue was a significant independent predictor of quality of life. The present study confirms that fatigue can be a powerful predictor of quality of life.
Disability & Rehabilitation, 2007
Purpose: The aim of this research was to determine the functional state and inability of multiple... more Purpose: The aim of this research was to determine the functional state and inability of multiple sclerosis(MS) patients. This study was performed at Hacettepe University Occupational Therapy and Neurology Units. Material and Methods: After identifying the demographic characteristics; pain, oedema, range of motion, muscle shortness, muscle strength, spasticity, coordination, sexual problems, Mini-Mental test and breathing tests were evaluated. Self-Rating Depression
Anadolu Psikiyatri …, 2008
Giriş ve amaç: Tüberküloz genel sağlık algısı, bedensel duyu, psikolojik sağlık, ruhsal huzur, fi... more Giriş ve amaç: Tüberküloz genel sağlık algısı, bedensel duyu, psikolojik sağlık, ruhsal huzur, fiziksel, sosyal ve rol işlevsellik gibi yaşam kalitesinin bütün alanlarını etkilemektedir. Bu çalışmanın amacı, aktif ve inaktif tüberküloz olgularının yaşam kalitesi düzeyini belirlemek, yaşam kalitesi ile durumluk ve sürekli kaygı düzeyleri arasındaki ilişkiyi araştırmaktır. Yöntem ve Gereç: Bu araştırmanın kapsamını, bir yıllık sürede, Kayseri Verem Savaş Dispanseri'ne başvuran 196 aktif ve 108 inaktif olgu ile 196 sağlıklı kontrol grubu oluşturmuştur. Veri toplama aracı olarak araştırmacı tarafından geliştirilen bir anket formu ile SF-36 Yaşam Kalitesi Ölçeği ve Durumluk Süreklik Kaygı Envanteri kullanılmıştır. Bulgular: Yaşam kalitesinin bütün boyutlarında kontrol grubunun puanlarının hasta gruplarınınkinden daha yüksek olduğu saptanmıştır. Bu farklılık SF-36 sağlık statüsünün ağrı dışındaki bütün boyutlarında anlamlıdır (p<0.05). İnaktif olgularda, fiziksel ve sosyal işlevsellik puanları aktif olgulara göre daha yüksek bulunmuştur (p<0.001). Aktif olgularda ve kontrol grubunda SF-36 sağlık statüsünün bütün boyutlarında, inaktif olgularda ise sosyal işlevsellik dışındaki bütün boyutlarında erkeklerin ortalama puanları kadınların puanlarından daha yüksek bulunmuştur. Durumluk sürekli kaygı puanları yönünden hasta ve kontrol grupları arasında anlamlı fark bulunmamıştır. Aktif olgularda kadınlarda, inaktif olgularda kırsal kesimde yaşayanlarda durumluk kaygı puanları; aktif olgularda boşanmış veya dul olanlarda sürekli kaygı puanları yüksek bulunmuştur. Aktif olgularda sürekli kaygı puanı ile yaşam kalitesinin emosyonel rol sınırlamaları hariç bütün boyutlarında; inaktif olgularda ise genel sağlık algısı, enerji/canlılık, emosyonel rol sınırlamaları ve mental sağlık boyutları arasında pozitif yönde anlamlı ilişki saptanmıştır. Sonuç: Aktif olgularda olduğu gibi, inaktif olguların da yaşam kalitesinin bozulduğu, aktif olgularda sürekli kaygı puanı ile yaşam kalitesinin emosyonel rol sınırlamaları hariç bütün boyutlarında; inaktif olgularda ise genel sağlık algısı, enerji/canlılık, emosyonel rol sınırlamaları ve mental sağlık boyutları arasında pozitif yönde anlamlı ilişki saptanmıştır. (Anadolu Psikiyatri Dergisi 2008; 9:22-30) Anahtar sözcükler: Yaşam kalitesi, tüberküloz, durumluk-sürekli kaygı düzeyi Quality of life in active and inactive cases with tuberculosis and its relationship to the levels of state-trait anxiety ABSTRACT Objective: Tuberculosis affects all the predicted fields of quality of life like general health perception, bodily sense, psychological health, mental wellbeing and functionality of physical and social roles. The aim of this study is to evaluate quality of life (QOL) in outpatients with active and inactive tuberculosis and to search relations _____________________________________________________________________________________________________ 1 Yrd.Doç.Dr., Erciyes Üniversitesi Anatolian Journal of Psychiatry 2008; 9:22-30 Ünalan ve ark. 23 _____________________________________________________________________________________________________ between QOL and state-trait anxiety level. Methods: A hundred ninety six active, 108 inactive cases applying to dispensary for tuberculosis within a year and 196 healthy control group formed the extent of the study. In this study, questionnaire forms, SF-36 QOL scale and State-Trait Anxiety Inventory (STAI) was used. Results: It was determined that in all fields of QOL, scores of control group were higher than patient groups'. This height is significant in all dimensions of SF-36 health status except for pain (p<0.05). QOL scores in physical and social functionality dimensions of inactive cases were higher than active cases (p<0.001). It was determined that average scores for males were higher than those for females in active cases and in all dimensions of SF-36 health status in the individuals forming the control group and in all dimensions of inactive cases except for social functionality. A significant difference was not found between the patients and the control groups from the scores of state-trait anxiety. The score of state-trait anxiety were found to be high in active female cases who are divorced or widows, in active female cases and inactive cases who live in rural areas. It was determined that there was a significant positive relationship between the score of state-trait anxiety and all dimensions of quality of life except for its limitations of emotional roles, but in inactive cases, between general health perception, vitality/ energy, limitations of emotional role and the field of mental health. Conclusions: As in active cases, it was determined that quality of life of inactive cases was harmed, and in active cases there was a positive significant relationship between state-trait anxiety and all dimensions of quality of life except for limitations of emotional role, but in inactive cases between general health perception, vitality/energy, limitations of emotional role and the dimensions of mental health. (Anatolian Journal of Psychiatry 2008; 9:22-30) Key words: quality of life, tuberculosis, state-trait anxiety level _____________________________________________________________________________________________________ GİRİŞ VE AMAÇ Hastalık, hasta için fiziksel boyutun ötesinde ruhsal, sosyal, çevresel, psikoseksüel boyutları da kapsayan bir durumdur. Fiziksel hastalıklar, hastalığın ne olduğuna, kişinin kim olduğuna, çevresinin özelliklerine göre değişik ve çoğul psikiyatrik tepkiler oluşturur.
Archives of Gerontology and Geriatrics, 2011
ACTA ORTHOPAEDICA et TRAUMATOLOGICA TURCICA, 2014
The aim of this study was to ascertain the effect of gender and cultural habits on hip, knee and ... more The aim of this study was to ascertain the effect of gender and cultural habits on hip, knee and ankle range of motion (ROM) and to determine the differences between the ROM of right and left side symmetric joints of the lower extremities. The study included 987 (513 males and 474 females) healthy volunteers. Individuals with a history of illness, prior surgery or trauma involving any joint of either lower extremity were excluded from the study. The terminology and techniques of measurements used were those suggested by the American Academy of Orthopedic Surgeons. Left side passive hip flexion and active internal rotation was higher than the right side. Passive flexion of the hip joint was higher in male subjects and internal and external rotation was higher in female subjects. In the knee joint, passive extension was higher in males. Plantarflexion and inversion of the ankle joint were higher in male subjects and dorsiflexion and eversion were higher in female subjects. The differences were considered insignificant in clinical terms as all were less than 3 degrees. There is no clinically significantly difference between right and left side hip, knee and ankle joints ROM. Gender and cultural habits do not appear to have clinically significantly effects on lower extremity joint ROM.
Neurosciences (Riyadh, Saudi Arabia), 2008
The present study aimed to investigate the relationship between depressive symptoms in 6 months a... more The present study aimed to investigate the relationship between depressive symptoms in 6 months after stroke and the quality of life (QOL), clinical and socio-demographical characteristics, functional status, and severity of stroke. Ninety consecutive stroke patients who attended the neurology outpatient clinic at Erciyes University, Kayseri, Turkey from March 2004 to March 2005 were evaluated for the study. Seventy outpatients who had a stroke 6 months previously were included in the study. As a data-collecting device, Short Form 36, Functional Independence Measure (FIM), Canadian Neurological Scale, and Beck Depression Inventory (BDI) were used. In addition, a questionnaire was administered to obtain clinical and socio-demographic data. Seventy patients were included in the study. Depression measured using BDI was identified in 47.1% of the patients. Total FIM scores, especially motor subscale scores, were decreased in the depressive patients. No difference was found in the stroke...
SUMMARY Determining of the Effects of Depression on Quality of Life in Patients with Tuberculosis... more SUMMARY Determining of the Effects of Depression on Quality of Life in Patients with Tuberculosis in Active, Inactive and Control Groups Objectives: The purpose of this study is to determine the levels of quality of life (QOL) and the rates of depression in outpatients with tuberculosis in active, inactive and control groups and to study the relationship between depression and
Social Behavior and Personality: an international journal, 2008
... Mustafa Celikten, Associate Professor, School of Education, Erciyes University, Kayseri, Turk... more ... Mustafa Celikten, Associate Professor, School of Education, Erciyes University, Kayseri, Turkey; Ferhan Soyuer, Associate Professor, Halil Bayraktar Health Services ... In some studies (Arslan &amp; Gökçe-Kutsal, 1999; Skevington, Lofty, &amp; O&#x27;Connell, 2004) it has been found that with ...
Objective: To describe the association between impairment and disability in patients with acute i... more Objective: To describe the association between impairment and disability in patients with acute ischemic stroke. Method: Totaly 100 patients with ischemic stroke were assessed at Erciyes University Hospital Department of Neurology. The Rivermead Motor Assessment (RMA) was used to measure impairment and the Functional Independence Measure (FIM) was used to measure disability. The assessments were made at 7-10 days and 3 months during poststroke period. Results: RMA correlated significantly with FIM at 7-10 days and 3 months. Conclusion: Stroke-related impairment and disability are significantly correlated with each other.
Neurology India, 2008
Two widely used evaluation tools for the quality of life are the 36-item Short-Form Health Survey... more Two widely used evaluation tools for the quality of life are the 36-item Short-Form Health Survey (SF-36) and World Health Organization Quality of Life Assessment (100-item version) (WHOQOL-100), however, these tools have not been compared for patients with stroke to date. The specific objectives of this study were: 1) to study the effect of stroke on quality of life (QOL) as measured by the SF-36 and by the WHOQOL-100, and 2) to compare these two instruments. Seventy patients who were admitted to the neurology clinic six months after stroke were included in this study. As a data-collecting device, the SF-36 and WHOQOL-100 scales were used. An additional questionnaire was administered to obtain demographic data. Pearson correlation analysis was performed and Blant-Altman Plots were used. Psychometric analysis was performed. In stroke, the most flustered domains of quality of life were vitality and general health perception fields in the SF-36 and in the WHOQL-100, independence level field, overall QOL and general health perceptions. While there was a fair degree of relationship (r= 0.25-0.50) between general health perceptions, physical, social and mental fields that were similar fields of scales, a fair and moderate to good relationship was found between different fields. Limits of agreement in similar domains of the two instruments were very large. In all four demonstrated Bland-Altman plots, there was agreement of the scales in the measurements of similar fields of quality of life. This study demonstrated that both the SF-36 and WHOQOL-100 quality of life scales are useful in the practical evaluation of patients with stroke.
Neurological Research, 2006
International Journal of Gerontology, 2011
Background: The purpose of this study was to investigate fatigue and habitual physical activity i... more Background: The purpose of this study was to investigate fatigue and habitual physical activity in older people aged 65 and over living in rest home and to examine the relationship between these two variables. Methods: As a data-collecting device, the CHAMPS questionnaire (physical activity assessment questionnaire) was modified, and the Fatigue Severity Scale was used. An additional questionnaire was administered to obtain demographic data. Results: One hundred and twenty-four individuals completed the study (mean age 74.98 AE 7.05 years, 37.1% female). Of these individuals, 50 (40.3%) reported fatigue symptoms. Weekly caloric expenditure in all activities was 3,896 AE 5,297 kcal. Individuals' average weekly energy consumption calculated in terms of CHAMPS was 2,158 AE 3,781 kcal for the fatigue group. Higher fatigue was associated with lower physical activity levels (p < 0.00, r ¼ À0.263). According to binary logistic regression analysis, it was found that CHAMPS decreased as the value of fatigue increased (p < 0.00). Conclusion: Fatigue is a symptom often found among older people. The results suggest that higher fatigue was associated with lower physical activity levels in older people.
Expert Systems with Applications, 2008
In this paper, the research data about quality of life in persons with cerebrovascular disease (C... more In this paper, the research data about quality of life in persons with cerebrovascular disease (CVD) is examined by Adaptive-Network-based Fuzzy Inference system (ANFIS) and these results are compared with statistical results obtained from the same data. The major parameters which are determined for quality of life levels are chosen as physical functions, social functions, and mental changing of the person. The aim of this study is to show that the expert based systems can be used to help the classic statistical computation systems on health and/or social problems.
Epilepsy & Behavior, 2006
The aim of the present study was to establish the rate of fatigue and the relationship between fa... more The aim of the present study was to establish the rate of fatigue and the relationship between fatigue, depression, and P300 in people with epilepsy. We compared Fatigue Severity Scale (FSS) and Beck Depression Inventory (BDI) scores and event-related potentials (ERPs) of people with epilepsy (n=73) with those of controls (n=31). The rate of fatigue was found to be 42.4%, and fatigue and depression were positively correlated. There was an interaction between fatigue and ERPs, but the effect of ERPs on fatigue was greater. While polytherapy was a major factor affecting ERPs, depression had no effect on ERPs in people with epilepsy. The data suggest that fatigue is an important finding and is strongly correlated with cognitive processes and depression. Polytherapy contributed to cognitive disturbances and, hence, fatigue, whereas depression had no effect on cognitive processes in people with epilepsy.
Epilepsy & Behavior, 2007
The purpose of this study was to define the influence of fatigue, depression, and clinical, demog... more The purpose of this study was to define the influence of fatigue, depression, and clinical, demographic, and socioeconomic factors on the quality of life of patients with epilepsy. The study was performed on 103 adult patients who visited Erciyes University Epilepsy Outpatient Clinic between 2004 and 2005. Patients were evaluated with the Form of Negotiation, Quality of Life in Epilepsy Inventory (QOLIE-89), Beck Depression Inventory, and Fatigue Severity Scale. Mean age of the patients was 34.3+/-12.6, and mean duration of disease was 12.6+/-9.3 years. Among these patients, 52.4% were men, 49.5% were married, 15.5% had a university education, 53.4% had low incomes, 45.6% had generalized seizures, and 35.0% had experienced one or more seizures per month during the preceding year. The most significant variables in the domain of Overall quality of life were seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), depression (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variables in the domain of Mental Health were seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001) and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variable in the Cognitive domain was fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001); the variables in the domain of Physical Health were social insurance coverage (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01), fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01), and age (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01); the variables in the Epilepsy Targeted domain were depression (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), seizure frequency (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001), and fatigue (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.01). Although quality of life has multiple determinants, seizure frequency, fatigue, and depression are the most important factors affecting quality of life in patients with epilepsy. One or more seizures per month, severe fatigue, and depression are associated with lower quality of life in some but not all domains. Partial correlations demonstrated that fatigue was a significant independent predictor of quality of life. The present study confirms that fatigue can be a powerful predictor of quality of life.
Disability & Rehabilitation, 2007
Purpose: The aim of this research was to determine the functional state and inability of multiple... more Purpose: The aim of this research was to determine the functional state and inability of multiple sclerosis(MS) patients. This study was performed at Hacettepe University Occupational Therapy and Neurology Units. Material and Methods: After identifying the demographic characteristics; pain, oedema, range of motion, muscle shortness, muscle strength, spasticity, coordination, sexual problems, Mini-Mental test and breathing tests were evaluated. Self-Rating Depression
Anadolu Psikiyatri …, 2008
Giriş ve amaç: Tüberküloz genel sağlık algısı, bedensel duyu, psikolojik sağlık, ruhsal huzur, fi... more Giriş ve amaç: Tüberküloz genel sağlık algısı, bedensel duyu, psikolojik sağlık, ruhsal huzur, fiziksel, sosyal ve rol işlevsellik gibi yaşam kalitesinin bütün alanlarını etkilemektedir. Bu çalışmanın amacı, aktif ve inaktif tüberküloz olgularının yaşam kalitesi düzeyini belirlemek, yaşam kalitesi ile durumluk ve sürekli kaygı düzeyleri arasındaki ilişkiyi araştırmaktır. Yöntem ve Gereç: Bu araştırmanın kapsamını, bir yıllık sürede, Kayseri Verem Savaş Dispanseri'ne başvuran 196 aktif ve 108 inaktif olgu ile 196 sağlıklı kontrol grubu oluşturmuştur. Veri toplama aracı olarak araştırmacı tarafından geliştirilen bir anket formu ile SF-36 Yaşam Kalitesi Ölçeği ve Durumluk Süreklik Kaygı Envanteri kullanılmıştır. Bulgular: Yaşam kalitesinin bütün boyutlarında kontrol grubunun puanlarının hasta gruplarınınkinden daha yüksek olduğu saptanmıştır. Bu farklılık SF-36 sağlık statüsünün ağrı dışındaki bütün boyutlarında anlamlıdır (p<0.05). İnaktif olgularda, fiziksel ve sosyal işlevsellik puanları aktif olgulara göre daha yüksek bulunmuştur (p<0.001). Aktif olgularda ve kontrol grubunda SF-36 sağlık statüsünün bütün boyutlarında, inaktif olgularda ise sosyal işlevsellik dışındaki bütün boyutlarında erkeklerin ortalama puanları kadınların puanlarından daha yüksek bulunmuştur. Durumluk sürekli kaygı puanları yönünden hasta ve kontrol grupları arasında anlamlı fark bulunmamıştır. Aktif olgularda kadınlarda, inaktif olgularda kırsal kesimde yaşayanlarda durumluk kaygı puanları; aktif olgularda boşanmış veya dul olanlarda sürekli kaygı puanları yüksek bulunmuştur. Aktif olgularda sürekli kaygı puanı ile yaşam kalitesinin emosyonel rol sınırlamaları hariç bütün boyutlarında; inaktif olgularda ise genel sağlık algısı, enerji/canlılık, emosyonel rol sınırlamaları ve mental sağlık boyutları arasında pozitif yönde anlamlı ilişki saptanmıştır. Sonuç: Aktif olgularda olduğu gibi, inaktif olguların da yaşam kalitesinin bozulduğu, aktif olgularda sürekli kaygı puanı ile yaşam kalitesinin emosyonel rol sınırlamaları hariç bütün boyutlarında; inaktif olgularda ise genel sağlık algısı, enerji/canlılık, emosyonel rol sınırlamaları ve mental sağlık boyutları arasında pozitif yönde anlamlı ilişki saptanmıştır. (Anadolu Psikiyatri Dergisi 2008; 9:22-30) Anahtar sözcükler: Yaşam kalitesi, tüberküloz, durumluk-sürekli kaygı düzeyi Quality of life in active and inactive cases with tuberculosis and its relationship to the levels of state-trait anxiety ABSTRACT Objective: Tuberculosis affects all the predicted fields of quality of life like general health perception, bodily sense, psychological health, mental wellbeing and functionality of physical and social roles. The aim of this study is to evaluate quality of life (QOL) in outpatients with active and inactive tuberculosis and to search relations _____________________________________________________________________________________________________ 1 Yrd.Doç.Dr., Erciyes Üniversitesi Anatolian Journal of Psychiatry 2008; 9:22-30 Ünalan ve ark. 23 _____________________________________________________________________________________________________ between QOL and state-trait anxiety level. Methods: A hundred ninety six active, 108 inactive cases applying to dispensary for tuberculosis within a year and 196 healthy control group formed the extent of the study. In this study, questionnaire forms, SF-36 QOL scale and State-Trait Anxiety Inventory (STAI) was used. Results: It was determined that in all fields of QOL, scores of control group were higher than patient groups'. This height is significant in all dimensions of SF-36 health status except for pain (p<0.05). QOL scores in physical and social functionality dimensions of inactive cases were higher than active cases (p<0.001). It was determined that average scores for males were higher than those for females in active cases and in all dimensions of SF-36 health status in the individuals forming the control group and in all dimensions of inactive cases except for social functionality. A significant difference was not found between the patients and the control groups from the scores of state-trait anxiety. The score of state-trait anxiety were found to be high in active female cases who are divorced or widows, in active female cases and inactive cases who live in rural areas. It was determined that there was a significant positive relationship between the score of state-trait anxiety and all dimensions of quality of life except for its limitations of emotional roles, but in inactive cases, between general health perception, vitality/ energy, limitations of emotional role and the field of mental health. Conclusions: As in active cases, it was determined that quality of life of inactive cases was harmed, and in active cases there was a positive significant relationship between state-trait anxiety and all dimensions of quality of life except for limitations of emotional role, but in inactive cases between general health perception, vitality/energy, limitations of emotional role and the dimensions of mental health. (Anatolian Journal of Psychiatry 2008; 9:22-30) Key words: quality of life, tuberculosis, state-trait anxiety level _____________________________________________________________________________________________________ GİRİŞ VE AMAÇ Hastalık, hasta için fiziksel boyutun ötesinde ruhsal, sosyal, çevresel, psikoseksüel boyutları da kapsayan bir durumdur. Fiziksel hastalıklar, hastalığın ne olduğuna, kişinin kim olduğuna, çevresinin özelliklerine göre değişik ve çoğul psikiyatrik tepkiler oluşturur.
Archives of Gerontology and Geriatrics, 2011
ACTA ORTHOPAEDICA et TRAUMATOLOGICA TURCICA, 2014
The aim of this study was to ascertain the effect of gender and cultural habits on hip, knee and ... more The aim of this study was to ascertain the effect of gender and cultural habits on hip, knee and ankle range of motion (ROM) and to determine the differences between the ROM of right and left side symmetric joints of the lower extremities. The study included 987 (513 males and 474 females) healthy volunteers. Individuals with a history of illness, prior surgery or trauma involving any joint of either lower extremity were excluded from the study. The terminology and techniques of measurements used were those suggested by the American Academy of Orthopedic Surgeons. Left side passive hip flexion and active internal rotation was higher than the right side. Passive flexion of the hip joint was higher in male subjects and internal and external rotation was higher in female subjects. In the knee joint, passive extension was higher in males. Plantarflexion and inversion of the ankle joint were higher in male subjects and dorsiflexion and eversion were higher in female subjects. The differences were considered insignificant in clinical terms as all were less than 3 degrees. There is no clinically significantly difference between right and left side hip, knee and ankle joints ROM. Gender and cultural habits do not appear to have clinically significantly effects on lower extremity joint ROM.