The aim of this study was to evaluate the relationship between the service style of Community Mental Health Centers (CMHC) and anxiety levels in patients with schizophrenia in the Covid-19 pandemic. Materials and Methods: Twenty-six patients with schizophrenia in remission between the ages of 22-68, who regularly attended the Erzurum Regional Training and Research Hospital TRSM, were included in the study. A form was used to evaluate the sociodemographic characteristics of the patients. The Clinical Global Impression Scale (CGI) and State and Trait Anxiety Inventory (STAI), which were applied to the patients before the pandemic, were administered for the second time during the period when the post-pandemic interviews were minimized, and administered for the third time, when regular face-to-face meetings resumed. Results: The highest STAI scores were found in the second interview and the lowest in the first interview. The scores in all 3 interviews are statistically significantly different from each other. Although the CGI values seem to be statistically significantly different from each other in all 3 interviews; this difference was not found statistically significant in post-hoc analysis. Conclusion:The results we have obtained from our study show that the Covid-19 pandemic may have negative effects on the psychological state of schizophrenia patients, and community mental health services can contribute to reducing this effect.

Objectives: Attention and awareness are essential features of human nature. Mindfulness can be defined as increased attention and awareness of the experience that exists in the present moment. Dental anxiety is a state of intense restlessness that develops due to fear and delusions due to dental examination and treatment. Periodontitis, periodontal plaque, and bleeding are known as major periodontal diseases. There are many different reasons for the development of these diseases, including the education level of the person, his knowledge of health and oral health, the state of physician and hospital concerns, and awareness. Our study, it was aimed to investigate whether the level of mindfulness and dental anxiety status of individuals influences periodontal health by using different scales. Materials and Methods: In our study, 100 systemic and psychologically healthy patients, aged 25-35, at least high school graduates, who applied to Atatürk University Faculty of Dentistry for dental examination and treatment were included. First of all, the Mindful Attention Awareness Scale (MAAS), Spielberger’s State-Trait Anxiety Inventory (STAI-1, STAI-2), Modified Dental Anxiety Scale (MDAS), and Dental Fear Survey (DFS) tests were applied to the patients. Then, a periodontal examination of the patients was performed and plaque indices and bleeding indices were determined. Results: No correlation was found between the Mindful Attention Awareness Scale (MAAS) and periodontal bleeding, and plaque index.

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Aim: One of the factors affecting postpartum depression is anxiety during pregnancy. This study aims to provide early diagnosis of postpartum depression by investigating the impact of pre-operative anxiety of women, who had an elective or emergency cesarean, on postpartum depression. Methods: This case-control study was conducted on 103 patients (51 elective, 52 emergency cesarean section cases). Before the surgery, the patients filled State-Trait Anxiety Inventory (STAI) and a form surveying the descriptive properties and obstetric histories. Edinburg Postpartum Depression Scale (EPDS) was applied 6 weeks after delivery. The impact of these results and the anxiety levels in the preoperative period on postoperative depression were analyzed. Results: The mean value of STAI-1 in the emergency and elective caesarian section groups were 41.31 and 43.61, respectively. Both groups had higher than average (>41) anxiety levels. The mean values of the STAI-2 were equal (48.35) and the anxiety level was above average. As per EPDS, the mean scores of the emergency and elective cesarean section groups were 6.98 and 5.31, respectively. The difference of postpartum rates between two groups was statistically significant (P=0.050). Postpartum depression was observed in 11.53% of the emergency group and 3.92% of the elective group. Conclusion: Both groups had high state and trait anxiety, however, the postpartum depression rate in emergency patients was higher. It is significant to provide psychological support to the patients with high pre-operative anxiety and early treatment to the ones with a higher tendency of depression in the postpartum period.

Background: Most patients with schizophrenia are unable to fulfill their personal and social responsibilities and these are met by their caregivers. The concept of 'burden' has come to the fore for caregivers. Long-acting injectables have been shown to reduce relapse rates, and provide a better level of functionality, but their effect on caregiver burden has not been investigated. Objective: Our aim in this study is to investigate the effect of transition from oral to long-acting antipsychotic treatments on caregiver burden. Other factors that may be related to the burden were also discussed.Setting: This study was performed at Community Mental Health Center of Erzurum Regional Training and Research Hospital.Methods: Caregivers (n:138) of patients diagnosed with schizophrenia for at least one year and who received oral paliperidone or aripiprazole were evaluated at baseline and 1 year after switching to long-acting injectables.Main outcome measure: The Zarit Caregiver Burden Scale (ZCBS) and the Clinical Global Impression-Disease Severity (CGI-S) were administered. Demographic characteristics of caregivers and patients were evaluated.Results: Significant decreases were found in the ZCBS and CGI-S scores after transitioning to long-acting injectable antipsychotics (p <0.001). Caregiver burden was positively correlated with patient's age, CGI-S score, time spent in the same house, duration of illness, and the number of hospitalizations. A significant negative correlation was found among the caregiver’s age, educational level, and income (p <0.05).Conclusion: In the present study, the importance of switching to long-acting injectable antipsychotics, which is a modifiable factor, to reduce caregiver burden was emphasized