Browsing by Author "Donmezdil, Suleyman"

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Organic or Psychosomatic a Cross-Sectional Study Organic or Psychosomatic
(Bayrakol Medical Publisher, 2022) Donmezdil, Suleyman; Arac, Esref; Yesildal, Mahir; Guleken, Mehmet Diyadin; Tuzun, Abidin
Aim: Symptomatic treatments of psychosomatic symptoms are not successful because they cannot solve true etiological causes. To resolve the disorder, it is first necessary to investigate and diagnose the underlying cause and persuade the patient to use the appropriate drugs. In this study, it was aimed to make suggestions in order to identify patients who may have psychiatric symptoms and to prevent unnecessary invasive procedures by scanning psychosomatic symptoms prior to endoscopy indication. Material and Methods: The Cornell index, Beck depression and Anxiety scales, and the Somatization scale were applied to 140 patients whose EGD procedure was planned. The patients were divided into three groups as normal endoscopic examination, antral gastritis, and other disease diagnoses (erosive gastritis, gastric ulcer, etc.). Beck Depression and Beck Anxiety Inventory scores were statistically lower in other diagnostic groups than in normal endoscopic findings and antral gastritis groups. Also, scores on the somatization scale were significantly higher in normal endoscopic findings and antral gastritis groups compared to other diagnostic groups. Results: In patients who underwent EGD, the process was found to be more likely to cause normal endoscopic examination as the age decreased. In addition, somatization, Cornell index, anxiety and depression scores were higher at a young age. The Cornell Medical Index showed a significantly higher sub-score of the strong neurotic structure in the antral gastritis group compared to the other groups. Similarly, there were significantly higher scores for the subscales of depression, irritability-anxiety, fear-startle, psychosomatic symptoms, hypochondriasis, and gastrointestinal disorders in the antral gastritis group compared to other diagnostic groups Discussion: Our results show that applying the somatization scale or an equivalent screening scale to screen psychiatric symptoms before seeking endoscopic examination, especially in the young population, can provide early treatment and prevent increased treatment costs.
Hoarseness, Quality of Life, and Social Anxiety: A Case-Control Study
(MDPI, 2025) Donmezdil, Suleyman; Toprak, Serdar Ferit
Hoarseness is a common voice symptom that can impair communication and lead to psychosocial difficulties. It has been hypothesized that chronic hoarseness may contribute to elevated social anxiety. This study aimed to assess the impact of hoarseness on quality of life and social anxiety in affected individuals. Thirty-eight patients with chronic hoarseness (voice disorders) and 40 matched healthy controls were evaluated in a prospective case-control study. Quality of life was measured using the WHOQOL-BREF questionnaire (Physical, Psychological, Social, and Environmental domains). Social anxiety was assessed with the Liebowitz Social Anxiety Scale (LSAS), and general anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Group scores were compared using appropriate statistical tests, and effect sizes with 95% confidence intervals were calculated. Patients with hoarseness had significantly lower Psychological Health and Social Relationships scores on the WHOQOL-BREF than controls (p < 0.01 for both; large effect sizes), indicating worse quality of life in these domains. Physical Health and Environmental domain scores did not differ between groups. The hoarseness group also showed higher social anxiety: LSAS total scores and Social Interaction subscale scores were significantly greater than those of controls (p < 0.01 and p < 0.05, respectively; moderate-to-large effects), whereas the Performance Anxiety subscale was similar between groups. By contrast, HADS anxiety and depression scores did not differ significantly between patients and controls. Notably, mean HADS scores in both groups fell in the mild (borderline) range rather than the normal range. Chronic hoarseness is associated with reduced quality of life in emotional and social domains and with increased social anxiety symptoms, but not with elevated general anxiety or depression. These findings underscore the need to address psychosocial factors, particularly social anxiety, in the clinical management of patients with voice disorders.
Relationship Between Cryptocurrency Trading, Hopelessness, and Financial Well-Being: A Cross-Sectional Study Among Physicians
(Int Scientific Information, Inc, 2025) Donmezdil, Suleyman; Uyar, Betul
Background: Cryptocurrencies trade continuously on highly volatile markets and can elicit emotionally driven, gambling-like behaviors. Physicians experience high occupational stress and burnout, potentially predisposing them to risky financial activities. We examined whether hopelessness and perceived financial well-being are associated with problematic cryptocurrency trading among physicians. Material/Methods: In a cross-sectional online survey, 300 licensed physicians from Diyarbak & imath;r, Turkey, completed the Beck Hopelessness Scale (BHS; score range, 0-20), Financial Well-Being Scale (FWBS; 0-100), and Problematic Cryptocurrency Trading Scale (PCTS; 16-80). Group differences were evaluated with t tests and chi-square tests, and multivariable linear regression models estimated PCTS predictors. Results: Participants' mean age was 39.8 +/- 7.2 years; 70% were male; mean practice duration was 14.1 +/- 6.9 years. Male physicians had higher PCTS scores than female physicians (33.0 +/- 6.8 vs 29.8 +/- 5.9; P=0.03); BHS and FWBS scores did not differ by sex. In regression models, older age ((3=0.32, P=0.04) and male sex ((3=1.45, P=0.02) predicted higher PCTS scores. Hopelessness was positively associated with PCTS ((3=0.80, P=0.001), whereas financial well-being showed a trend toward significance ((3=-0.03, P=0.067). The demographics-only model explained approximately 8% of PCTS variance; the psychosocial model R2=0.35 (P<0.001). Conclusions: Among physicians, male sex, older age, and higher hopelessness are independently associated with problematic cryptocurrency trading, while perceived financial well-being is not clearly protective. Targeted institutional interventions (financial literacy and stress-management programs) may mitigate compulsive trading and support physician well-being.