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Article Citation - WoS: 19Citation - Scopus: 21Assessment of Depression, Anxiety, and Social Support in the Context of Therapeutic Abortion(Wiley, 2019) Topal, Cansu Akdag; Terzioglu, Fusun; Akdag Topal, CansuPurpose 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 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.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.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.; Topal, Cansu AkdagPerceived 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).
