Topal, Cansu Akdağ
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Topal,C.A.
T.,Cansu Akdag
C.A.Topal
C., Topal
Topal, Cansu Akdağ
Cansu Akdag, Topal
T., Cansu Akdag
T.,Cansu Akdağ
Cansu Akdağ, Topal
C.,Topal
Topal, Cansu Akdag
T.,Cansu Akdag
C.A.Topal
C., Topal
Topal, Cansu Akdağ
Cansu Akdag, Topal
T., Cansu Akdag
T.,Cansu Akdağ
Cansu Akdağ, Topal
C.,Topal
Topal, Cansu Akdag
Job Title
Doktor Öğretim Üyesi
Email Address
cansu.akdag@atilim.edu.tr
Main Affiliation
Nursing
Status
Former Staff
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14
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11
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12
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7
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5
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3
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9
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13
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10
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4
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15
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16
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1
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17
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8
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Scholarly Output
11
Articles
7
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Supervised MSc Theses
4
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WoS Citation Count
24
Scopus Citation Count
27
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2
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2
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WoS Citations per Publication
2.18
Scopus Citations per Publication
2.45
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4
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4
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| Journal | Count |
|---|---|
| Women & Health | 2 |
| Archives of Psychiatric Nursing | 1 |
| Balıkesir Sağlık Bilimleri Dergisi (BSBD) | 1 |
| Journal of Health Psychology | 1 |
| Nurse Education in Practice | 1 |
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Master Thesis Üniversite Öğrencilerinde Primer Dismenoreyi Belirleyen Biyopsikososyal Faktörlerin İncelenmesi(2023) Öksüz, Canan; Topal, Cansu Akdağ; Boztepe, HandanDysmenorrhea is a widespread problem in women's health that has a detrimental impact on many facets of life and quality of life. In addition to being one of the most prevalent gynecological problems in women, dysmenorrhea is affected by many factors. This study, conducted on university students, aimed to examine the biopsychosocial factors determining primary dysmenorrhea, the nature of which is quite complex. This descriptive cross-sectional study was conducted at Atılım University between 01.11.2022 and 20.12.2022. The sample size was determined using the sampling calculation formula, and a totl of 339 students participated in the study. Dysmenorrhea Data Collection Form, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Multidimensional Scale of Perceived Social Support (MSPSS), Adverse Childhood Experience Questionnaire (ACEs), PainCatastrophizing Scale (PCS), and Visual Analog Scale (VAS) were used as data collection tools. The mean VAS score on which the students indicated the severity ofdysmenorrhea they have experienced between 0-10 was found to be 6.2±2.3. BAI mean score was 20.5±13.5, BDI mean score was 18.6±11.2, MSPSS mean score was 65.9±16.2, ACEs mean value was 1.5±1.1, and PCS mean value was 19.3±13.9. When the findings were analyzed, it was determined that onset of pain (t=3.37, p<0.001), age at menarche (t=- 3.21, p<0.05), PCS (t=16.98, p<0.001), BDI (t=5.13, p<0.05) and BAI (t=7.53, p<0.001) variables showed a significant relationship with iv primary dysmenorrhea. Age, grade, smoking status, alcohol consumption, body mass index, menstrual cycle, number of menstrual days, MSPSS, and ACEs variables in the model were found to have no significant relationship with primary dysmenorrhea (p>0.05). The data appears to suggest that primary dysmenorrhea could be related to biological and psychological factors. It is thought that the lack of a relationship between negative childhood experiences and perceived social support, which are among the social factors included in our model, and primary dysmenorrhea is due to the relatively high Multidimensional Scale of Perceived Social Support scores of the students and the relatively low scores of the Adverse Childhood Experience Questionnaire. Nurses should be aware of the biopsychosocial dimensions of primary dysmenorrhea in order to provide comprehensive assessment, education and counseling to women. Keywords: Anxiety, depression, dysmenorrhea, obstetric nursing, pain catastrophizing, social supportArticle Citation - WoS: 3Citation - Scopus: 4Comparison of the Escape Room and Storytelling Methods in Learning the Stress Response: a Randomized Controlled Pilot Study(Elsevier Sci Ltd, 2025) Dogu, Nilgun; Boztepe, Handan; Topal, Cansu Akdag; Sonmez, Munevver; Yuceer, Bugse; Bayraktar, NurhanAim: The purpose of this study was to evaluate the effect of the Escape Room and Storytelling methods on nursing students' learning about the topic of stress response. Background: It is recommended that new generations be trained using innovative teaching methods that differ from traditional teaching methods. The Escape Room and Storytelling methods are among the techniques that have been used and recommended for this purpose. Design: The study was conducted with a randomized, controlled design. Methods: Thirty-five (n = 35) second-year undergraduate nursing students were randomly divided into two groups, one group was trained on stress response using the Escape Room method, while the other group was trained using the Storytelling method. Focus-group interviews were conducted with the students after the interventions. Results: There was a significant difference between the groups in terms of the median post-intervention knowledge assessment score. It was determined that the students in the Escape Room group scored significantly higher than those in the Storytelling group (p < 0.05) Conclusions: The use of these methods, which ensure the active participation of students and increase their motivation, effectively contributes to meeting the educational needs of students and increases their level of satisfaction.Article The Effect of Perceived Birth Trauma in Women With Planned Cesarean Section on Maternal and Paternal Attachment: Path Analysis Model(SAGE Publications Ltd, 2025) Mert-Karadas, M.; Akdag Topal, C.A.; Karakurt, I.; Boztepe, H.Perceived birth trauma can disrupt parent-infant bonding and affect family dynamics. This study examined the impact of perceived birth trauma on maternal and paternal attachment using path analysis. An analytical cross-sectional study was conducted with 134 mother-father pairs in Turkey, 6 months postpartum, following planned cesarean sections. Data were collected using the Traumatic Childbirth Perception Scale, Mother-to-Infant Bonding Scale, and Paternal-Infant Attachment Scale. Descriptive statistics and reliability analyses were conducted using R software. Path analysis was performed with the R package “lavaan” to assess direct and indirect relationships. Higher perceived birth trauma was significantly associated with increased maternal bonding difficulties and decreased paternal bonding. A significant negative covariance between maternal and paternal bonding scores indicated interdependent bonding dynamics. The model explained 6% of the variance in maternal bonding and 3.7% in paternal bonding. These findings underscore the need for family-centered, trauma-informed postpartum care to support healthy parent-infant attachment. © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).Article A comprehensive investigation of biopsychosocial determinants influencing primary dysmenorrhea among university students(Routledge Journals, Taylor & Francis Ltd, 2024) Yalvac, Canan Oksuz; Topal, Cansu Akdag; Boztepe, HandanDysmenorrhea, characterized by pain and related symptoms, significantly impacts women's quality of life in work and education, prompting a comprehensive evaluation of associated factors. The objective of this study was to utilize structural equation modeling (SEM) to analyze and assess the biopsychosocial factors influencing dysmenorrhea among university students. Three hundred and thirty-nine university students were included in this cross-sectional descriptive study. Data were collected using the Participant Information Form, the Beck Anxiety Scale (BAS), the Beck Depression Scale (BDS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Adverse Childhood Experiences Scale (ACES), the Pain Catastrophizing Scale (PCS) and the Visual Analogue Scale (VAS). It was determined that the variables of pain onset (t = 3.24, p < .05) and age at menarche (t = -2.16, p < .05) showed a significant relationship with the model. The variables of the PCS (t = 16.87, p < .001), BDS (t = 3.06, p < .05), and BAS (t = 5.13, p < .001) showed a significant relationship with the model. Social factors in the model were examined, and a family history of dysmenorrhea and the ACES variables did not contribute significantly to the model (p > .05). The study indicates primary dysmenorrhea influenced by biological and psychological factors. Nurses should conduct holistic assessments and provide comprehensive care for affected women.Article Citation - WoS: 19Citation - Scopus: 21Assessment of Depression, Anxiety, and Social Support in the Context of Therapeutic Abortion(Wiley, 2019) Topal, Cansu Akdag; Terzioglu, FusunPurpose The purpose of this study is to determine the levels of anxiety, depression, social support, and nursing care needed by women undergoing therapeutic abortion. Designs and Methods Sixty women were administered a sociodemographic form, the Hospital Anxiety Depression Scale and the Multidimensional Perceived Social Support Scale. Results More than half of the women experienced anxiety (61.7%). Anxiety scores were high (10.8 +/- 3.7), and most of the women had depression (85.0%). Social support from family and friends of the women decreased the women's anxiety and depression levels significantly; social support from their partners also decreased the women's anxiety levels (P < 0.05). Practice Implications Support from family and friends after therapeutic abortion is a fundamental affective variable on anxiety scores.Article Citation - WoS: 1Citation - Scopus: 1Does the Immigration Affect Prenatal Attachment Levels?(Routledge Journals, Taylor & Francis Ltd, 2023) Tekmen, Ezgi Kubra; Boztepe, Handan; Topal, Cansu AkdagPregnancy is an important period in which mother-infant attachment begins, includes bio-psychological changes, and has physical and psychological effects on the future life of the fetus. This study aims to evaluate the prenatal attachment levels of Syrian refugee and Turkish mothers in Turkey and to determine the variables that affect these. This cross-sectional study conducted in the obstetric outpatient clinics with 397 pregnant women 197 Syrian and 200 native women. Inclusion criteria were a pregnancy of at least 20 weeks, no communication or mental disorders, no chronic diseases, no diagnosis of high -risk pregnancy, literacy in the pregnant Turkish women, Turkish language proficiency in the pregnant Syrian women, and residence in Turkey for at least three years. Data were collected using a Sociodemographic form and The Prenatal Attachment Inventory (PAI). The data were analyzed by conduct-ing independent t-tests, and hierarchical multiple linear regression analysis. The mean prenatal attachment score of Turkish pregnant women (61.79 +/- 8.55) was higher than Syrian women (48.38 +/- 10.39) (p < .05). Education level, pre-pregnancy counseling, regular checkup, support from spouses, relatives, and friends, and being a refugee of pregnant women were determined as predictors of prenatal attachment. The results showed that 67 percent of the total variance in the prenatal attachment levels could be explained in model 2 (F = 35.524, R2 variation = .673, p = .001). The low prenatal attachment level of Syrian pregnant women was a result of the detrimental impacts of being a refugee on pregnancy. The integration of transcultural knowledge, culture-specific perspectives, and cross-cultural theories into clinical practices is essen-tial for immigrant women.Article Doğum Öncesi Depresyon Düzeylerinin Doğum Öncesi Bağlanmaya Etkisi: Çocukluk Çağı Travma Yaşantılarının Düzenleyici Rolü(2024) Topal, Cansu Akdag; Karadaş, Merve Mert; Karakurt, Irem; Boztepe, HandanAmaç: Bu çalışma, çocukluk çağı travmalarının ve prenatal depresyonun, prenatal bağlanma üzerindeki etkilerini belirlemek amacıyla yapılmıştır Gereç ve Yöntem: Araştırmanın örneklemini Ankara'da 05/01/2022- 09/01/2022 tarihleri arasında gebe olan 277 kadın oluşturmuştur. Gebelere prenatal bağlanma ölçeği, prenatal depresyon ölçeği ve çocukluk çağı travma ölçeği uygulandı. Veriler, tanımlayıcı istatistikler ve kantil regresyon analizi kullanılarak analiz edildi. Bulgular: Kadınların çocukluk çağı travma puan ortalamaları 2.25±1.47 (min-maks: 0.00-6.00), prenatal bağlanma puan ortalamaları 42.50±9.82 (min-maks: 21.00-67.00), depresyon puan ortalamaları 7.44±8.45 (min-maks: 0.00-37.00) olarak bulundu. Tau değerleri açısından 1., 2. ve 3. kantil değerleri için R2 değerleri sırasıyla 0.014, 0.016 ve 0.007 olarak bulunmuştur. Bu sonuçlara göre tau=0.25 için BECK değişkeni istatistiksel olarak anlamlı bulunurken, ACE değişkeni anlamlı çıkmamıştır. Modelde BECK ve ACE değişkenleri tau=0.50 için istatistiksel olarak anlamlı iken tau=0.75 için anlamlı değildir. Sonuç: Bu çalışma prenatal bağlanma düzeylerinin çocukluk çağı travmaları ve prenatal depresyondan olumsuz etkilenebileceğini göstermiştir.Master Thesis Emzirme Öz-yeterliliği, Emzirme Motivasyonu, Benlik Saygısı Arasındaki İlişkinin İncelenmesi(2023) Ünsal, Başak; Topal, Cansu Akdağ; Boztepe, HandanEmzirme, doğum sonu dönemde anne bebek arasında bağın hızlıca oluşmasında önemli bir yere sahiptir. Emzirmenin erken dönemde başlaması ve devam etmesinde annelerin emzirme öz-yeterliliği algıları etki gösterir. Bandura'nın öz-yeterlilik kuramından etkilenerek oluşturulan emzirme öz-yeterliliği annelerde oluşan emzirme motivasyonu ve annelerin kendine olan güveninden etkilenmektedir. Bu çalışmada; Emzirme Öz-yeterliliği, Emzirme Motivasyonu Benlik Saygısı Arasındaki İlişkinin İncelenmesi amaçlanmıştır. Tanımlayıcı ve karşılaştırmalı olarak planlanan çalışma Gazi Üniversitesi Hastanesinde 20 Kasım 2022- 1 Mart 2023 tarihleri arasında güç analizi ile belirlenen 260 postpartum dönemdeki anne ile yapılmıştır. Veri toplama aracı olarak, Sosyodemografik Form, Emzirme Öz-yeterlilik Ölçeği, Emzirme Motivasyon Ölçeği, Benlik Saygısı Ölçeği kullanılmıştır. Araştırma sonucunda, emzirme öz-yeterliliği ile emzirme motivasyonu arasında (p<0,05) ve emzirme öz-yeterliliği ile benlik saygısı arasında pozitif anlamlı bir ilişki olduğu belirlenmiştir (p<0,05). Annelere doğum öncesi emzirme eğitimi verilirken eğitim kapsamına annelerin psikolojik sürecini destekleyen programlar da eklenmelidir. Hemşireler, annelere aile ve eş desteği sağlanması için eğitimlere ve uygulamalara aile üyelerininde eklenmesini sağlamalıdır. Anahtar kelimeler: Emzirme öz-yeterliliği, emzirme motivasyonu, benlik saygısı, hemşirelik, emzirmeMaster Thesis Dudak ve Damak Yarığı Olan Bebeğe Sahip Annelerin Postpartum Depresyon Düzeylerinin Belirlenmesi(2023) Aslankaya, Nuray; Boztepe, Handan; Topal, Cansu AkdağBu çalışma, dudak ve damak yarığı olan bebeğe sahip annelerin, postpartum depresyon düzeylerinin belirlenmesi amacı ile yapılmış, tanımlayıcı kesitsel türde bir araştırmadır. Çalışmaya Hacettepe Üniversitesi Tıp Fakültesi Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı Polikliniği'nde takip edilen, dudak ve damak yarığı olan bebeğe sahip, araştırmaya dahil edilme kriterlerini karşılayan 150 anne dahil edilmiştir. Veriler 2 Ocak – 1 Nisan 2023 tarihleri arasında anneler ile görüşülerek, Sosyo-demografik Veri Formu ve Edinburgh Postpartum Depresyon Ölçeği aracılığı ile toplanmıştır. Araştırmaya katılan 53 (%35,33) kişinin Edinburgh Doğum Sonrası Depresyon Ölçeğinden 12 ve üzerinde puan aldığı belirlenmiştir. Olası risk faktörlerinden, annenin sigara kullanma durumu, bebeğin tanısını öğrenme zamanı, gebeliği süresince travmatik/üzücü olay yaşama durumu ve bebeğin cinsiyeti, düşük ekonomik düzey istatistiksel açıdan anlamlı bulunmuştur (p<0,05). Dudak damak yarıklı bebeklerin karmaşık tıbbi ve cerrahi müdahaleye maruz kaldıkları göz önüne alındığında, bu bebeklerin annelerinin stres, korku, anksiyete, depresyon gibi durumları daha fazla yaşadığı düşünülmektedir. Bu sebeple dudak damak yarıklı bebeğe sahip anneler doğum sonrası dönemde hemşireler tarafından iyi gözlemlenmeli ve depresyon açısından değerlendirilmelidir. Postpartum depresyon varlığı tespit edilen anneler gerekli birimlere yönlendirilmelidir.Article Citation - WoS: 1Citation - Scopus: 1The Mediating Effect of Covid-19 Risk Perception on the Correlation Between Levels of Mindfulness and Preventive Health Behavior in Nursing Students(W B Saunders Co-elsevier inc, 2022) Karadas, Canan; Topal, Cansu Akdag; Ozbay, Sevil cinar; Kanbay, Yalcin; Ay, AyseObjective: This study aimed to investigate nursing students' levels of mindfulness and its effect on developing preventive health behaviors, and to examine the mediating role of COVID-19 risk perception on this effect. Design and measures: This study used a descriptive and correlational study design. Results: The level of mindfulness, accompanied by COVID-19 risk perception caused a.104-unit increase in developing preventive health behavior. Conclusions: The findings revealed that the indirect effect of the level of mindfulness on developing preventive health behavior was at a significant level; therefore, it is concluded that COVID-19 risk perception mediates the correlation between level of mindfulness. Practice implications: The present study is important to investigate nursing students' levels of mindfulness and the effect of these on developing preventive health behaviors.
