Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleAçık Erişim2026
    Validation of the Turkish Fear of War Scale (FOWARS): Psychometric Evidence and Associations with Tolerance of Uncontrollability, Psychological Symptoms, and Personality Traits

    Kaya, Feridun; Türkkan, Tuğba

    Growing geopolitical instability has led to increasing concerns about the psychological impact of war beyond directly affected populations, highlighting the need for culturally appropriate instruments to assess fear of war. In this study, we evaluate the psychometric properties of the Turkish version of the Fear of War Scale (FOWARS) and examine its associations with sociodemographic characteristics and personality traits. A total of 643 adults across two independent samples (sample 1 = 360; sample 2 = 283) completed the FOWARS, the Tolerance of Uncontrollability Questionnaire, the Next Big Five Inventory (BFI-2), the Depression Anxiety Stress Scale-21 (DASS-21), and a sociodemographic information form. Confirmatory factor analysis supported the original two-factor structure of the FOWARS, with the Turkish version demonstrating satisfactory structural validity, convergent validity, discriminant validity, criterion-related validity, strong internal consistency, and measurement invariance across gender. Fear of war was negatively associated with tolerance of uncontrollability and positively associated with depression, anxiety, and stress. In addition, fear of war was significantly associated with gender, socioeconomic status, agreeableness, neuroticism, and conscientiousness. These findings expand the understanding of the individual determinants of fear of war, underscoring the importance of developing targeted interventions for vulnerable populations.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 16 · Barış, Adalet ve Güçlü Kurumlar
  • MakaleYalnız künye2026
    The relationship between compassion fatigue and levels of depression, anxiety, and stress in nurses: A multicenter cross-sectional study

    Coşar, Dilan Aktepe; Ayyıldız, Neşe Işcan; Şimşekli, Derya

    Aim This study aimed to investigate the relationship between compassion fatigue and depression, anxiety, and stress levels in nurses. Method This research is a multicenter, cross-sectional study. The study was conducted with 283 nurses in three state hospitals in northeastern Turkey using a purposive sampling method. Research data were collected by the researchers using a Demographic Form, the Compassion Fatigue Scale (CFS), and the Depression, Anxiety, Stress Scale (DASS-21). Descriptive statistics, normality assessment, one-way ANOVA, t -tests, Pearson correlation and multiple linear regression analysis were performed using SPSS 26 software. Results A total of 283 nurses participated in the study. The mean CFS score was 83.97 ± 13.76, while the mean DASS-21 scores were 8.05 ± 4.10 for depression, 4.89 ± 2.97 for anxiety, and 9.22 ± 4.32 for stress. Correlation and regression analyses revealed a strong positive correlation between compassion fatigue and depression (r = 0.574, p < 0.001), a moderate positive correlation with anxiety (0.349, p < 0.001), and a strong positive correlation with stress (0.583, p < 0.001). Multiple regression analysis revealed that depression, stress, male gender, working as a nursing education specialist, and job dissatisfaction were variables significantly associated with compassion fatigue. Conclusion Based on these results, it is necessary to evaluate compassion fatigue in nurses in conjunction with psychological factors as well as individual and professional characteristics. Furthermore, it is important to support nurses' psychological health, develop strategies to address compassion fatigue, and increase individual resilience.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
  • MakaleAçık Erişim2026
    Psychological distress and food neophobia: the mediating role of food choice motives among university students

    Kocak, Tevfik; Kocyigit, Emine; Ozbek, Yagmur Demirel

    Background: Food neophobia, defined as the reluctance to try unfamiliar foods, reduces dietary diversity and quality in young adults. University students, often subjected to psychological discomfort including sadness, anxiety, and stress, may be especially susceptible to restrictive eating behaviors. This study examined the link be-tween psychological distress and food neophobia, focusing on the mediating role of food choice motives in Turkish students. Methods: A cross-sectional online survey was conducted among 801 Turkish university students (232 males and 569 females). The data collection included the Food Neophobia Scale (FNS), the Depression, Anxiety, and Stress Scale (DASS-21), and the Food Choice Questionnaire (FCQ). The body mass in-dex was calculated using self-reported anthropometric measurements. Statistical analyses comprised correlations, multivariable linear regression, and mediation mod-eling using Hayes’ PROCESS macro with 5000 bootstrap samples. Results: Food neophobia was positively associated with all DASS-21 subscales (p < 0.001). Regression analyses identified depression (p < 0.001), stress (p = 0.001), convenience (p = 0.001), and ethical concern (p < 0.001) as significant positive predictors, whereas natural con-tent showed a negative association (p = 0.046). Mediation analyses indicated that food choice motives partially explained the associations between psychological distress and food neophobia. Convenience and ethical concern consistently acted as mediators of risk, while natural content demonstrated a more complex role. Conclusions: Food neophobia among university students is influenced by both psychological distress and food choice motives. Depression and stress exert stronger effects than anxiety, with convenience and ethical concern functioning as consistent mediators.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    The psychological consequences of 6 February 2023 Kahramanmaraş earthquakes

    Kiymis, Ibrahim; Fakioglu, Merve

    The Kahramanmaraş earthquakes (2023) are the largest and most destructive earthquakes witnessed in the era of the Republic of Turkey. Earthquakes lead to serious mental health disorders (MHD) such as Post-Traumatic Stress Disorder (PTSD) in individuals. Earthquakes that cause significant death and injury on a large scale, such as the Kahramanmaraş earthquakes, can result in various mental health disorders. Therefore, the aim of the study was to examine the effects of variables such as PTSD, event impact, psychological resilience, depression, and anxiety levels on adult earthquake survivors affected by the Kahramanmaraş earthquakes, using a quantitative research approach with survey techniques. A total of 662 earthquake survivors were reached. The effect of variables on each other was analyzed using Structural Equation Modeling (SEM). According to the findings of the study, event impact had a significant and positive effect on PTSD (β = 0.780, p = 0.000). Unexpectedly, resilience did not have a significant effect on PTSD (β=-0.04, p > 0.05). PTSD had a significant and positive effect on anxiety (β = 0.936, p = 0.000) and depression (β = 0.643, p = 0.000). Consequently, event impact’s severity increased PTSD, which in turn led to anxiety and depression. Surprisingly, psychological resilience did not serve as a protective factor against PTSD. For future research, it is recommended to examine psychological resilience with different event types, on different sample groups, and using more comprehensive and varied methods.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 11 · Sürdürülebilir Şehirler ve Topluluklar
  • MakaleAçık Erişim2025
    The effect of disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model

    Kiymis, Ibrahim; Yuce, Damla Nur

    Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW’s professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey’s most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, p = 0.000), depression (β=+0.685, p = 0.000), and sleep disorders (β=+0.603, p = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=−0.278, p = 0.004) and depression (β=−0.322, p = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, p = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
  • MakaleAçık Erişim2025
    The Effect of a Mindfulness-Based Stress Reduction Program on Depression and Quality of Life in Cancer Patients

    Özmaya, Esma; Uzun, Sevda; Aytaç, Tufan

    Mindfulness-based interventions have been receiving growing attention in cancer care. This study was performed to determine the effect of a mindfulness-based stress reduction program on depression and quality of life in cancer patients. The screenings in the study were performed in January to May 2023 through the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Web of Science, Science Direct, and YÖK Thesis Center databases. After the reviews, 14 studies were included in the study. This meta-analysis showed that mindfulness-based stress reduction programs were effective on depression (SMD: −0.363; 95% CI: −0.711 to 0.015; Z = −2.042; P = .041; I2 = 85.229%) and quality of life (SMD: 0.363; 95 CI%: 0.111-0.615; Z = 2.822; P = .005; I2 = 75.222%). The type of cancer (SMD: 0.385; CI: between 0.005 and 0.528; P = .000); duration of therapy (SMD: 0.243; CI: between 0.093 and 0.393; P = .002); the person providing therapy (SMD: 0.335; CI: between 0.133 and 0.507; P = .001); scale used (SMD: 0.290; CI: between 0.148 and 0.432; P = .000); and the origin of the study (SMD: 0.298; CI: between 0.158 and 0.438; P = .000) moderators were found to play a role in the effectiveness of a mindfulness-based stress reduction program on the quality of life of cancer patients. The mindfulness-based stress reduction program yields positive outcomes by reducing depression, enhancing the quality of life in cancer patients, and promoting overall mental well-being in individuals.

  • MakaleYalnız künye2025
    Effectiveness of psychosocial interventions in eating disorders: A meta-analysis study

    Bayrak, Nurten Gülsüm; Uzun, Sevda

    Background: Psychosocial interventions are an essential component in the treatment of eating disorders that can negatively affect both mental and physical health. Aims: This study was conducted to determine the effect size of psychosocial interventions in eating disorders. Methods: For this meta-analysis study, researches were obtained by searching PubMed, Web of Science, EBSCO host, Google Scholar, and YÖK Thesis Centre databases in August to September 2024 without any year limitation. After the reviews, 15 studies were included. The data were synthesized by meta-analysis and narrative methods. Results: In this meta-analysis, psychosocial interventions in eating disorders were found to improve depression (SMD = −0.371, 95% CI [−0.697, −0.045]; Z = −2.228, p = .026); stress (SMD = −0.545, 95% CI [−1.080, −0.011]; Z = −1.999, p = .046); self-control (SMD = 0.476, 95% CI [0.116, 0.835]; Z = 2.594, p = .009); and emotional eating (SMD = 0.224, 95% CI [−4.305, −0.164]; Z = −2.115, p = .034). Discussion: The results of the study showed that psychosocial interventions in eating disorders are effective in disease symptoms (depression, stress, self-control, and emotional eating). In addition to psychopharmacological treatment, psychosocial interventions should be included in the treatment of eating disorders.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    The effect of psychoeducation on hope, loneliness and depression of nursing students who experienced 6 February 2023 Turkey earthquake

    Çakmak, Seher; Uzun, Sevda; Dere, Cansu; Akdemir, Rabia Rümeysa; Baygin, Şevval; Çoban, İclal Gül

    Psychoeducation after a traumatic event can help reduce negative effects by providing a cognitive framework for one’s experience. It can also enable trauma survivors to increase their ability to help coping. The aim of this study was to examine the effect of psychoeducation on hope, loneliness and depression in nursing students who experienced 6 February 2023 Turkey earthquake. The study, which was conducted in experimental design, included 40 students who experienced the February 6 earthquake. 20 students were assigned to the psychoeducation group and 20 students to the control group. Students in the psychoeducation group received six sessions of psychoeducation, while students in the control group were not intervened. ’Personal Information Form’, ‘Beck Hopelessness Scale’, ‘UCLA Loneliness Scale’ and ‘Beck Depression Scale’ were used to collect the data. Mean, standard deviation and percentage calculations, chi-square test and t test were used to analyze the data. Sociodemographic characteristics of the students in the psychoeducation and control groups were similar except for the place of residence (p > 0.05). It was determined that the mean score of the hope sub-dimension of the ’Beck Hopelessness Scale’ was statistically significantly higher in the control group (p < 0.05). It was determined that there was no statistically significant difference between the students in the psychoeducation and control groups in terms of hopelessness levels and mean scores of ‘UCLA Loneliness Scale’ and ‘Beck Depression Scale’ (p > 0.05). There was a statistically significant difference between the students in the psychoeducation and control groups in terms of depression levels (p < 0.05). In conclusion, psychoeducation was partially effective on hope and depression and not on loneliness in students who experienced the earthquake. Students in the psychoeducation group had lower levels of depression. It is recommended that students experiencing natural disasters such as earthquakes should be monitored by a specialized psychologist and the duration of psychoeducation should be regulated.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
  • MakaleAçık Erişim2024
    The effect of psychotherapeutic interventions on posttraumatic stress disorder symptoms, depression and self-esteem in women exposed to violence: a systematic review and meta-analysis

    Emirza, Elif Güzide; Uzun, Sevda

    This study aimed to reveal the level of effect of psychotherapeutic interventions on post-traumatic stress disorder symptoms, depression, and self-esteem in women who had been exposed to violence. For this systematic review and meta-analysis study, PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases were searched without any year limitation in August-December 2022, and 28 studies were included. The data were synthesized using meta-analysis and narrative methods. This systematic review and meta-analysis found that psychotherapeutic interventions for women exposed to violence were effective on post-traumatic stress disorder symptoms in individuals (SMD: -0,590, %95 CI: -0,893- 0.196; Z= -2,937, p = 0.003, I2= %93,59). Psychotherapeutic interventions had a significant effect on women’s depression levels in favor of the intervention group, and there was high heterogeneity between the studies (SMD: -0,475, %95 CI: -0,838- 0.113; Z= -2,569, p = 0.010, I2= %90,68). Subgroup analyses showed that cognitive behavioral therapy was effective in the treatment of intimate partner violence. It was also found that psychotherapeutic interventions did not affect women’s self-esteem levels. Psychotherapeutic therapies for women who have experienced violence have a favorable impact on them and improve their mental health.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 5 · Toplumsal Cinsiyet Eşitliği
    • SDG 16 · Barış, Adalet ve Güçlü Kurumlar
  • MakaleAçık Erişim2023
    Agreement Between Nurses’ Anxiety And Depression Levels And Their Compliance With Isolation Measures During The Covid 19 Pandemic: An Online Cross-Sectional Study

    Demir Doğan, Melike; Aydin Sayilan, Aylin; Sayilan, Samet

    Aims: The purpose of this study was to determine the relationship between nurses’ anxiety and depression levels and their compliance with isolation measures during the COVID-19 pandemic. Background: The global COVID-19 pandemic has had severe psychological impacts on nurses. Methods: Following receipt of the requisite approvals, data were collected actively from 289 nurses consenting to participate in the study through an online questionnaire using theinternet/ social media. Results: Mean stress, anxiety, and depression scores were higher among carers for COVID-19 patients than in non-Covidcarers. Analysis revealed significant positive correlation between Isolation Precautions Compliance Scale scores and stress, anxiety, depression, and burnout. Conclusion: Burnout increased while compliance with isolation precautions decreased in this study as stress, anxiety, and depression increased.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2022
    The multiple mediating roles of self-esteem and happiness in the relationship between loneliness and depression in Facebook and Instagram users

    Türkmen, Osman Oǧulcan; Kavakli, Mehmet; Ak, Mehmet

    Objective: Social media usage is increasing gradually and the websites that enable social interaction may influence people's loneliness and depression levels. The aim of the present research was to examine the multiple mediating roles of self-esteem and happiness in the relationship between loneliness and depression. Method: The study sample was composed of 409 Facebook and Instagram users. Data were collected by using personal information form, Beck Depression Inventory, Oxford Happiness Scale-Short Form, Rosenberg Self-Esteem Scale and UCLA Loneliness Scale. Correlation analysis was carried out to determine the relationship between variables. Multiple mediation analysis was conducted to determine the mediating roles of self-esteem and happiness in the relationship between loneliness and depression. Results: The results suggest that self-esteem and happiness, indeed, have mediating roles in the relationship between loneliness and depression, and multiple mediation models were found to be statistically significant. The frequency of accessing Instagram was positively associated with depression and loneliness. Facebook users had higher self-esteem levels compared to Instagram users. Discussion: In conclusion, the relationship between loneliness and depression was found to be significantly mediated by self-esteem and happiness. Increased frequency of access to Instagram every day was found to increases the level of depression and loneliness. Additionally, Instagram users were found to have lower self-esteem compared to Facebook users.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2021
    An Investigation of the Effect of COVID-19 on OCD in Youth in the Context of Emotional Reactivity, Experiential Avoidance, Depression and Anxiety

    Seçer, İsmail; Ulaş, Sümeyye

    In addition to the serious physical and medical effects on individuals, the COVID-19 pandemic is likely to have short- and long-term psycho-social consequences, especially for young people. Nowadays, with psychological problems becoming more widely recognized in adolescents, it is possible that the fear and anxiety caused by the pandemic will trigger various anxiety disorders, OCD and similar negative outcomes. Considering that psychological qualities such as emotional reactivity and experiential avoidance observed in adolescents may increase the risk of such psycho-social disorders, in this study the relationship between fear of COVID-19 and OCD was investigated in a Turkish sample of 598 adolescents, and the mediating role of emotional reactivity, experiential avoidance and depression-anxiety in this relationship was examined. The data collection was performed online rather than in person because of the COVID-19 threat. A structural equation model was used to determine the direct and indirect predictive effects between variables in data analysis. The results of the study show that the effect of COVID-19 fear on OCD is mediated by emotional reactivity, experiential avoidance and depression-anxiety.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2021
    A determination of the relationship between the symptoms, hospital anxiety and depression levels, and quality of life patients diagnosed with Covid-19

    Sayilan, Samet; Aydin Sayilan, Aylin; Demir Doğan, Melike; Çetinkaya, Emel; Olcayturk, Nuray

    Introduction: The worldwide spread of coronavirus over the last 20 years has resulted in its becoming a major threat to health. The virus is thought to be a zoonotic disease spread by means of direct and contact transmission. The purpose of this study was to investigate the symptoms, anxiety-depression levels, and quality of life of patients with Covid-19. Material and methods: This descriptive, cross-sectional research was conducted in an education and research hospital between August and November 2020. An information form, the Hospital Anxiety and Depression Scale, and the Quality of Life Scale were employed as data collection tools. The study was completed with 103 individuals. Results: The mean age of the patients enrolled in the study was 37.77±10.92 years, and 67% were women. Higher anxiety levels were determined in women compared to men (p=0.001) and in married participants compared to unmarried individuals (p=0.010). Significant negative correlation was determined between anxiety and the Quality of Life Scale sub-parameters of general health, physical health, psychological health, and environment. Positive correlation was found between Covid-19 severity and anxiety, and negative correlation between Covid-19 severity and physical health (p<0.001). Conclusion: Higher anxiety was determined among women and married patients in this study, and quality of life (in the four sub-parameters) decreased as anxiety increased. Physical health decreased, while anxiety increased, with the severity of Covid.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2019
    Effects of Kefir on Quality of Life and Sleep Disturbances in Postmenopausal Women

    Özcan, Handan; Oskay, Ümran; Bodur, Ali Fuat

    The aim of this study is to identify the effects of kefir, an alternative treatment method, on quality of life and sleep disturbances in postmenopausal women. In this study, it is seen that kefir has positive effects on sleep disturbances, depression, and quality of life in postmenopausal women.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2011
    Sexual function in male patients with ankylosing spondylitis

    Özkorumak, E.; Karkucak, M.; Civil, F.; Tiryaki, A.; Özden, G.

    Sexuality is an important part of healthy life. Patients with ankylosing spondylitis (AS) may be vulnerable to sexual problems because of disease activity and comorbid emotional problems. However, sexuality is a scarcely studied subject in AS. The aim of this study is to compare patients with AS with healthy control. A total of 43 male patients, who referred to the Department of Physical Medicine and Rehabilitation Clinics of the Karadeniz Technical University Farabi Hospital between May 2010 and July 2010, and were diagnosed as AS according to modified New York criteria, were included in the study. Control group consisted of healthy 43 age-and sex-matched male individuals with normal inflammatory levels. The AS patients were compared in means of sociodemographic variables and sexual function with Glombok-Rust Sexual Satisfaction Scale (GRSSS) and clinical interview. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were used to determine anxiety and depression levels, respectively. The disease activity and functional conditions were evaluated with the Bath Ankylosing Spondylitis Functional Index (BASFI), the Bath Ankylosing Spondylitis Metrology Index (BASMI) and the Bath Ankylosing Spondylitis Disease Activity Index (BASDI). A total of 43 patients with AS and 43 healthy heterosexual male were included in the study. The total GRSSS score was significantly higher in patients with AS, whereas they also had significantly higher sexual complaint than healthy control. The diagnosis of sexual dysfunction according to DSM-IV was significantly higher in the patients with AS as well as depression and anxiety. In study group, GRSSS total score was modestly correlated with disease activity. The psychological status had close relation with sexual functions in AS. Overall assessment is required for complete evaluation in patients with AS. International Journal of Impotence Research (2011) 23, 262-267; doi: 10.1038/ijir.2011.37; published online 4 August 2011

    • SDG 3 · Sağlık ve Kaliteli Yaşam