Browsing by Author "Bakirci, Sibel"
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Item Current smoking is increased in axial psoriatic arthritis and radiographic sacroiliitis(Journal of Rheumatology Publishing Co., 2020-09-01) Solmaz, Dilek; Kalyoncu, Umut; Tinazzi, Ilaria; Bakirci, Sibel; Bayindir, Ozun; Dogru, Atalay; Omma, Ahmet; Can, Meryem; Yilmaz, Sema; Erden, Abdulsamet; Aydın, Sibel Zehra; Dalkılıç, Ediz; Uludağ Üniversitesi/İç Hastalıkları Bölümü/Romatoloji Anabilim Dalı; CMF-4757-2022; 6506739457OBJECTIVE: This study aims to examine how internalized stigma differs in opioid use disorder (OUD) based on sociodemographic and clinical variables, and to what extent internalized stigma is related to treatment motivation, perceived social support, depression, and anxiety levels. METHODS: One hundred forty-five individuals with OUD included. Sociodemographic and clinical data form, the Internalized Stigma of Mental Illness Scale (ISMI), Treatment Motivation Questionnaire (TMQ), Multidimensional Scale of Perceived Social Support, the Beck Depression Inventory, and the Beck Anxiety Inventory were utilized in the study to collect data. Bivariate and partial correlation coefficients between variables were computed. ISMI and TMQ scores were compared between patients with depressive symptoms and patients without depressive symptoms by using t-test and Mann Whitney U test. RESULTS: Internalized stigma was high among male patients with heroin use disorder. There was a positive correlation between internalized stigma score and treatment motivation, depression, and anxiety levels. On the other hand, there was a negative correlation between internalized stigma score and multidimensional perceived social support. CONCLUSION: Internalized stigma occupies an important place in the treatment of OUD, which occurs with frequent relapses and which is hard to treat. Not only application for treatment but also adherence to treatment and treatment motivation at maintenance phase bestow a complicated relationship with depression and anxiety. In the struggle against internalized stigma, it plays a vital role to mobilize people’s social support systems, to educate families on the issue and to get in touch with support units exclusive to heroin users.Publication Psart-id inception cohort: Clinical characteristics, treatment choices and outcomes of patients with psoriatic arthritis(Oxford University, 2021-04-01) Ayan, Gizem; Aydin, Sibel Zehra; Kimyon, Gezmis; Ozisler, Cem; Tinazzi, Ilaria; Dogru, Atalay; Omma, Ahmet; Kilic, Levent; Kucuksahin, Orhan; Gonullu, Emel; Can, Meryem; Ylldlz, Fatih; Solmaz, Dilek; Bayindir, Ozun; Esmen, Serpil Ergulu; Ersozlu, Emine Duygu; Duruoz, Mehmet Tuncay; Akyol, Lutfi; Kucuk, Adem; Bes, Cemal; Erden, Abdulsamet; Bakirci, Sibel; Kasifoglu, Timucin; Kalyoncu, Umut; Balkarli, Aye; Dalkilic, Ediz; Cetin, Gozde Yildirim; Cinar, Muhammet; Mercan, Ridvan; Yazisiz, Veli; Dalkılıç, Ediz; Bursa Uludağ Üniversitesi/Tıp Fakültesi.; 0000-0003-1889-9619; 0000-0001-7475-3927; 0000-0002-6990-4206; 0000-0003-3628-8870; 0000-0002-9035-689X; 0000-0003-3584-2788; 0000-0001-8028-1671; 0000-0002-8084-2018; 0000-0002-2745-7700; 0000-0001-9680-7535; 0000-0002-6150-3539; GQQ-3193-2022; I-2307-2016; W-2397-2019; K-7985-2019; B-1448-2016; AAK-7851-2021; HLP-4890-2023; GZA-3287-2022; P-2555-2018; C-1808-2016Objectives. Our aim is to understand clinical characteristics, real-life treatment strategies, outcomes of early PsA patients and determine the differences between the inception and established PsA cohorts.Methods. PsArt-ID (Psoriatic Arthritis- International Database) is a multicentre registry. From that registry, patients with a diagnosis of PsA up to 6 months were classified as the inception cohort (n=388). Two periods were identified for the established cohort: Patients with PsA diagnosis within 5-10 years (n = 328), >= 10 years (n = 326). Demographic, clinical characteristics, treatment strategies, outcomes were determined for the inception cohort and compared with the established cohorts.Results. The mean (S.D.) age of the inception cohort was 44.7 (13.3) and 167/388 (43.0%) of the patients were male. Polyarticular and mono-oligoarticular presentations were comparable in the inception and established cohorts. Axial involvement rate was higher in the cohort of patients with PsA >= 10 years compared with the inception cohort (34.8% vs 27.7%). As well as dactylitis and nail involvement (P = 0.004, P = 0.001 respectively). Both enthesitis, deformity rates were lower in the inception cohort. Overall, 13% of patients in the inception group had a deformity. MTX was the most commonly prescribed treatment for all cohorts with 10.7% of the early PsA patients were given anti-TNF agents after 16 months.Conclusion. The real-life experience in PsA patients showed no significant differences in the disease pattern rates except for the axial involvement. The dactylitis, nail involvement rates had increased significantly after 10 years from the diagnosis and the enthesitis, deformity had an increasing trend over time.