Doğum şeklinin seksüel fonksiyon üzerine etkisi var mıdır?

Objective: Sexual dysfunction in women is defined as inability to reach or enjoy orgasm. Some studies have demonstrated that sexual health may be altered by delivery method. This study aimed to investigate whether delivery method affects sexual function during postpartum period in a Turkish female population. Methods: in this prospective study we aimed to compare sexual functions at postpartum 6 to 24 months in primipara patients who gave birth by vaginal delivery (NVD) (n=40) or cesarean section (CS) (n=40) at Şifa Hospital between 2012 and 2014. We used Female Sexual Function Index (FSFI) form as the sexual dysfunction assessment method. the groups were matched with regard to demographic characteristics, medical history, obstetric details, and body mass index values.Results: Apart from body mass index (BMI), the study groups showed no significant differences with regard to age, educational status, frequency of sexual activity, the number of marital years, occupational status, and socioeconomic level. Both groups did not show any significant differences with respect to sexual desire, sexual stimulation, lubrication, dyspareunia, orgasm, and sexual achievement. Conclusion: Our study have demonstrated that vaginal delivery does not adversely affect postnatal sexual function in women.Amaç: Kadınlarda cinsel işlev bozukluğu, orgazma ulaşamama ya da orgazmdan zevk alamama olarak tanımlanmaktadır. Bazı çalışmalarda, cinsel sağlığın doğum yöntemiyle değişebildiği gösterilmiştir. Bu çalışmada, Türkiye'de, kadın popülasyonunda doğum yönteminin postpartum dönemde cinsel fonksiyonu etkileyip etkilemediğini araştırmayı amaçlamaktadır. Yöntemler: Bu prospektif çalışmada, 2012-2014 yılları arasında Şifa Hastanesinde (40) Normal vaginal doğum (NVD) ve (40) sezaryen (CS) ameliyatı olan primipar hastaların doğum sonrası 6.-24. aylarda sexüel fonksiyonlarını karşılaştırmayı amaçladık. Cinsel işlev bozukluğunu değerlendirme yöntemi olarak Kadın Cinsel İşlev İndeksi (FSFI) formunu kullandık. Gruplar demografik özellikler, tıbbi özgeçmiş ve obstetrik detaylar ve vücut kitle indeksi değerleri açısından eşleştirildi.Bulgular: Çalışma grupları arasında vücut kitle indeksi (VKİ) dışında yaş, eğitim düzeyi, sexüel aktivite sıklığı, evlilik yılı, iş durumu ve sosyoekonomik düzey açısından istatistiksel olarak farklılık göstermediler. Her iki grup arasında yapılan karşılaştırmada, istek, uyarılma, lubrikasyon, ağrı, orgazm, cinsel başarı yönünden anlamlı bir fark saptanmamıştır.Sonuç: Çalışmamızda, vajinal doğumun postnatal cinsel işlevleri olumsuz şekilde etkilemediği gösterilmektedir

The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T).

Aim: The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey

The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T)

Conclusion: This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group

Prevalence of Childhood Affective disorders in Turkey: An epidemiological study

Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. Methods: This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents