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    Investigation of the relationship between anxiety-depression, systemic immune-inflammation index and clinical progression in COVID-19
    (Aepress Sro, 2024) Gumus, Begum Aygen; Sevik, Ali Emre; Alkan, Sevil
    OBJECTIVE: Given the multisystem nature of COVID-19 and its potential neuro-psychiatric effects along with the recognized role of systemic inflammation in the prognosis of both COVID-19 and psychiatric disorders, it is imperative to assess psychiatric symptoms in COVID-19 patients. This study sought to investigate the value of systemic immune-inflammation index (SII) scores, levels of anxiety and depressive symptoms assessed within the initial 24 hours following COVID-19 diagnosis as potential predictors of the clinical trajectory of COVID-19. METHODS: This study involved 64 patients admitted to our COVID-19 ward with mild-to-moderate COVID-19 pneumonia, all of whom underwent a psychiatric evaluation within 24 hours of admission. Upon admission, levels of c-reactive protein and inflammatory markers including leukocyte, neutrophil, thrombocyte, and lymphocyte counts were measured to calculate individual SII scores. Psychiatric evaluations were conducted using the State-Trait Anxiety Inventory (STAI), Hamilton Depression Rating Scale (HDRS), and Standardized Mini-Mental Test (SMMT). RESULTS: The patients with clinical deterioration of COVID-19 exhibited higher STAI-Trait and STAI-State subscale scores measured upon admission compared to those without clinical deterioration. HDRS scores showed no significant correlation with clinical deterioration. STAI-State subscale scores correlated with SII scores and the duration of hospital stay. High baseline STAI scores and SII scores predicted COVID-19 clinical deterioration. CONCLUSION: Our study demonstrated that the initial SII and STAI scores assessed within the initial 24 hours of hospitalization for COVID-19 significantly predicted the clinical progression of the disease during the hospital stay (Tab. 5, Ref. 37). . Text in PDF www.elis.sk
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    The relationship between intimate partner violence, childhood traumas, alexithymia and coping styles with stress
    (2024) Özusta, Özlem; Sevik, Ali Emre
    Aim: In this study, it was aimed to determine the sociodemographic characteristics, childhood traumas, alexithymia and coping methods with stress in women exposed to intimate partner violence and to examine the relationship between these characteristics and intimate partner violence in comparison with women who were not exposed to violence. Materials and Methods: The study included 42 women who had been exposed to intimate partner violence in the last year and 42 women as the control group who applied to the Behavioral Sciences Center in our center. Sociodemographic data form, DSM-5 oriented diagnostic interview guide, Toronto Alexithymia Scale (TAS), Childhood Trauma Scale (CTS) and Stress Coping Styles Scale (SCS) were applied to all participants and the data obtained were compared. Results: The rates of income level, education level of the partner and employment status of the partner were lower in the case group compared to the control group, while the rates of divorce, separation, elopement, forced marriage, witnessing domestic violence in childhood and inflicting violence on their children were higher in the case group. It was found that 97.6% of the women in the case group had experienced recurrent violence and 33.3% had been subjected to violence in their past relationships. Significant differences were found between the groups in the total scores of the TTS, the total scores of the CFTQ, and the scores of the SBTQ. There was a relationship between alexithymic characteristics and preferred stress coping methods. Alexithymia and childhood traumas were found to have a predictive effect on partner violence. Conclusion: The fact that the level of alexithymia and the use of ineffective methods to cope with stress are higher in women who are victims of violence is important in therapeutic studies to be conducted with these women. Variables affecting intimate partner violence should be evaluated in a larger population with longitudinal follow-up.