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    Development and Validation of the Isotretinoin Hesitancy Scale for Acne Vulgaris: A Preliminary Study
    (Wiley, 2024) Agaoglu, Esra; Karaman, Imran Gokcen Yilmaz; Kacar, Cennet Yastibas; Erdogan, Hilal Kaya; Mutlu, Talha; Karadag, Ayse Serap
    Background: Oral isotretinoin is the most effective systemic treatment for acne patients who fail to respond to other forms of therapies. However, hesitations and concerns regarding its side effect profile may detain the patients from treatment. This study aimed to develop and validate the Isotretinoin Hesitancy Scale (IHS) among acne patients. Methods: A cross- sectional study was conducted with 100 acne patients who had not used isotretinoin previously. A 22- item scale was created based on the related literature and expert opinions. The items of the scale related to beliefs and worries about isotretinoin were formatted with response options: agree, indecisive, and disagree. In this study, construct validity was tested with exploratory factor analysis, and reliability was tested with internal consistency and split- half reliability. Results: The results of exploratory factor analysis indicated a three- factor solution with a total of 14 items, explaining 57% of the total variance. The first factor (Hesitancy Related to Reversible Adverse Effects: 6 items) accounted for 30% of the variance, the second factor (Hesitancy Related to Irreversible Adverse Effects: 4 items) accounted for 16% of the variance and the third factor (Isotretinoin- related Anxiety: 4 items) accounted 11% of the variance. The internal consistency of the three factors was calculated as 0.79, 0.78, and 0.72, respectively. The Cronbach's alpha score of the total scale was found to be 0.81, and split- half reliability was found to be 0.87. Conclusions: The IHS is the first scale that provides a valid and reliable assessment of isotretinoin hesitancy in acne patients. Eliminating isotretinoin hesitancy may reduce acne- related clinical and psychosocial consequences.
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    Psychological Assessment of Health Care Workers in the Aftermath of the February 2023 Earthquakes in Turkey
    (Lippincott Williams & Wilkins, 2024) Sehlikoglu, Seyma; Kacar, Cennet Yastibas; Yilmaz-Karaman, Imran Gokcen
    Objective:The goal of this study was to examine the psychological and physical effects experienced by health care workers (HCWs) participating in the response to the February 2023 earthquakes in Turkey and to identify any associated factors.Methods:An online survey was used to collect data from HCWs on duty in earthquake-stricken areas. The following assessment tools were utilized: Posttraumatic Stress Disorder (PTSD) Checklist for DSM-5, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Maslach Burnout Inventory, Posttraumatic Growth Inventory, and Short Form-12.Results:A total of 175 HCWs with a mean age of 37.27 years participated in the study. Of these, 39.4% suffered from PTSD, 30.3% experienced depression, and 31.4% experienced anxiety. Female gender, loss of significant others, and previous psychiatric treatment were found to be associated with worse mental health. Nurses tended to have higher levels of PTSD than the medical doctors; the medical doctors had significantly lower scores on the Posttraumatic Growth Inventory compared with the nurses and the other HCWs and lower mental component summary scores on the Short Form-12 compared with the other HCWs. Meeting basic needs and subjective evaluation of teamwork were also linked to mental health. The study also found that marital status, age, and length of time spent in earthquake-stricken areas were associated with scores on the Maslach Burnout Inventory.Conclusions:After the earthquake in Turkey, HCWs experienced a significant amount of various adverse mental health outcomes related to certain demographic variables such as gender, profession, previous psychiatric treatment, loss of relatives, and evaluation of living conditions and teamwork. Since HCWs play an essential role in reducing the harmful effects of disasters, recognizing groups at risk and planning tailored interventions may help prevent mental health issues.
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    The relationship between perinatal depression, anxiety, and sexist beliefs
    (Klinik Psikiyatri Dergisi, 2025) Karaman, Imran Gokcen Yilmaz; Gunduez, Tugce; Kocabacak, Hale; Velipasaoglu, Melih; Kacar, Cennet Yastibas; Alamanac, Blanca Bolea
    Objective: Exposure to sexism is negatively associated with women's mental health. On the other hand, there is limited research in the literature on sexism and mental health during pregnancy. This study aimed to investigate the relationship between common mental disorders during pregnancy, such as depression and anxiety, and sexist beliefs. Method: For this scope, 170 pregnant women over 18 were contacted. All participants completed information forms measuring sociodemographic and clinical characteristics, the Tilburg Pregnancy Distress Scale, the Multidimensional The correlation coefficient was calculated for the relationships between variables. Two separate hierarchical regression models were tested to determine the predictors of depression and anxiety. Results: Depression and anxiety had different characteristics in terms of predictive variables. Consistent with the literature, negative affect, partner involvement, and perceived social support significantly predict both depression and anxiety. Negative affect and partner involvement are factors of the Tilburg Pregnancy Distress Scale. However, there is no common predictive variable other than those three. In addition to this common triad, internalized hostile sexism significantly predicts depression. Moreover, low education and health problems related to pregnancy are significant variables in predicting only anxiety levels but not depression. In this respect, the findings show that there are variables that predict prenatal depression and anxiety in common, as well as different predictors of these two mental health problems observed in the perinatal period. Discussion: Hostile sexist beliefs of pregnant women are not associated with anxiety but predict perinatal depression.