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    Emotion regulation skills, brain-derived neurotrophic factor, cortisol hormone levels in primary school students in Turkiye: a cross-sectional and correlational analysis study
    (Bmc, 2025) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif Odabasi
    Background Hormones are molecules that contribute significantly to mental and physical health due to their role in emotion regulation (ER) processes. However, the role and effect of hormones on the ER has not yet been fully elucidated. In this study, it was aimed to examine the salivary Brain-derived neurotrophic factor (BDNF) and cortisol hormone response to support ERS in primary school students depending on some parameters. Method This cross-sectional and correlational study was conducted in the Eastern Black Sea Region of Turkiye between April 2023 and June 2023. In the sample selection, after the number of students was determined in proportional stratification, the sample selection method was made by simple random selection from each class list, first according to the school and then the grade level of each school. A total of 177 healthy students between the ages of 8 and 10 who attended these schools, were allowed to participate in the research by their families, and were volunteers, were included in the study. Data were collected using the Personal Information Form and the Emotion Regulation Scale for Children and saliva collection cups. Human-specific Brain-derived neurotrophic factor ELISA Kit (BT LAB, Cat.No E1302Hu, CHINA) for measuring BDNF levels in saliva; In measuring the level of cortisol hormone in saliva, Human Cortisol ELISA Kit (BT LAB, Cat.No E 1 003Hu, CHINA) was used in accordance with the procedure specified in the manufacturer's catalogue. Data were evaluated using the SPSS 26.0 for Windows (SPSS, Chicago, Il, USA) package program. Independent Samples Test and One-Way ANOVA test, correlation and Multiple Linear Regression analysis were used to evaluate the data. P <.01 and p <.05 significance levels were used as statistical significance values. Results A statistically significant correlation was found between the mean total score of the Emotion Regulation Skills Scale for Children and the mean level of salivary BDNF, and a negative correlation between the mean level of salivary cortisol (p<0.01). Conclusions Within the scope of the data obtained in our current study, BDNF levels were found to be high and cortisol hormone levels to be low in children with high ERS.
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    Investigation of emotion regulation skills, salivary apelin, and serotonin levels in children in Turkiye: a cross-sectional study
    (Taylor & Francis Ltd, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif Odabasi
    Purpose: Little is known about the relationship between apelin and serotonin in emotion regulation. This study aimed to examine children's emotional regulation skills and salivary apelin and serotonin levels. Methods: This is a cross-sectional study performed in Turkiye. The research was completed with the participation of 146 children, 8-10 years old, from the general population. Emotion Regulation Skills Scale for Children (CERS) was used to assess children's levels of emotion regulation skills. Apelin and serotonin levels were examined by ELISA technique in saliva samples obtained from children. Results: A statistically significant correlation was found between the mean total score of the CERS and the mean apelin and serotonin levels (p < .01). We found that females had higher emotion regulation skills compared to males, older higher than younger ones (p < .01). The regression analysis results show that age and gender together explain 50.5% of the variance in CERS scores, while apelin and serotonin together explain 35.8% of the variance. When all four variables (age, gender, apelin, and serotonin) are included in the model, they explain 51.3% of the variance in CERS scores. Conclusion: Older age and female gender explained most of emotion regulations skills.
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    PREGNANT WOMEN'S PERCEPTIONS OF PRENATAL ATTACHMENT AND A CROSS-SECTIONAL STUDY
    (Dokuz Eylul Univ Inst Health Sciences, 2024) Aktas, Elif Odabasi; Ozkan, Hava
    Purpose: The aim of this study is to assess pregnant women's perceptions of prenatal attachment and breastfeeding self-efficacy. Material and Methods: The aim of this study is to assess pregnant women's perceptions of prenatal attachment and breastfeeding self-efficacy. Results: It was found that the Prenatal Attachment Inventory (PAI) total mean score of the pregnant women was 54.44 +/- 14.67 and the prenatal breastfeeding self-efficacy scale (PBSES) mean score was 68.32 +/- 13.65. There was a positive correlation between PAI and PBSES scores of the pregnant women (p<0.0001, r=0.817). Conclusion: Some sociodemographic and obstetric characteristics of the pregnant women were determined to affect both prenatal attachment and prenatal breastfeeding self-efficacy levels.
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    Salivary apelin hormone response and dysfunctional attitudes in adolescents in Türkiye: a relational screening model
    (Springernature, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif Odabasi
    BackgroundAdolescence is the period in which physical and emotional changes occur through hormones, the individual acquires gender characteristics and prepares for the adult role psychologically and physically. Dysfunctional attitudes are beliefs and attitudes that can lead to depression by causing negative thoughts about oneself, others, and the future.Dysfunctional attitudes negatively affect children's mental health. Hormones have a significant impact on human behavior and cognitive functions. However, little is known about the role and influence of hormones on dysfunctional attitudes. Apelin is a hormone responsible for controlling emotions by regulating emotional behavior. The level of dysfunctional attitudes is one of the important issues in nursing practice in terms of protecting and improving children's mental health. However, little is known about the role and impact of hormones on dysfunctional attitudes.This study aimed to examine adolescents' dysfunctional attitudes and salivary apelin hormone levels in terms of sociodemographic variables.MethodsThe study was conducted in a relational screening model with 151 adolescents aged 9-14 years who were reported to be clinically healthy in Turkiye. Apelin hormone levels were analyzed by ELISA technique in the saliva samples of the participants. In the evaluation of dysfunctional attitudes, the relationship between the score obtained from the dysfunctional attitude scale and salivary hormone levels was evaluated.ResultsIn the study, a negative, strong and statistically significant correlation was found between the average salivary apelin hormone level and dysfunctional attitudes of adolescents (p =.000). Mean salivary hormone levels of apelin in adolescent girls and boys were 0.696 (SD 0.052) ng/ml, respectively; while 0.671 (SD 0.047) ng/ml was determined (p =.002), dysfunctional attitudes scale scores were 52.95 (SD 14.43); it was determined as 59.04 (SD 14.22) (p =.006). On the other hand, the highest average salivary apelin hormone level (p =.038). and the lowest level of dysfunctional attitudes were determined in adolescent girls aged 13-14 years (p =.028).ConclusionsIn our study, we found that while the salivary apelin hormone levels of adolescents decreased, their dysfunctional attitudes increased. We found that adolescents' dysfunctional attitudes decreased with age. In contrast, apelin hormone levels increased with age. Our study revealed the relationship between the hormone apelin and dysfunctional attitudes in adolescents.The level of dysfunctional attitudes that play a role in the development of depression is lower in female adolescents than in male adolescents.Apelin level recommended to be used in the treatment of depression is higher in female adolescents than male adolescents.Apelin levels increase with age in adolescents, and dysfunctional attitude levels decrease.
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    salivary apelin hormone response and dysfunctional attitudes in adolescents in Türkiye: a relational screening model (vol 12, 64, 2024)
    (Springernature, 2024) Kirbas, Zila Ozlem; Bayraktar, Bulent; Aktas, Elif Odabasi
    [Abstract Not Available]
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    The impact of the Dark Triad personalities and parental interaction patterns in predicting the tendency toward risky behaviors among adolescent girls in Ardabil, Iran in 2024
    (Springernature, 2025) Motavalli, Roya; Shayeghi, Hanieh; Mousazadeh, Tavakkol; Apay, Serap Ejder; Aktas, Elif Odabasi
    Background The escalating prevalence of risky behaviors during adolescence has emerged as a grave threat to public health, posing one of the most significant psychological, social, and health-related challenges globally. These behaviors impact the individual and have negative consequences on families and society. As a pressing concern for communities, healthcare organizations, and social policymakers, identifying factors leading adolescents toward risky behaviors is paramount and urgent. Methods This descriptive correlational study was conducted in Ardabil, Iran, in 2024. Using convenience sampling, 200 s-year high school girls with an average age of 17 were selected. Participants were asked to complete three questionnaires: the Dark Triad Personality Test, the Revised Family Communication Patterns Scale (RFCP), and the Questionnaire of Risky Behaviors (QRB). The data were analyzed using Pearson correlation and multiple regression analysis, utilizing SPSS version 20. Results The findings revealed a significant positive correlation (p < 0.01) between machiavellianism, narcissism, psychopathy, and the conformity interaction pattern with a tendency toward risky behaviors in adolescents. Additionally, there was a significant negative correlation (p < 0.01) between the conversation interaction pattern and risky behaviors. The results further indicated that 30.4% (p < 0.01) of the variance in risky behavior tendencies in adolescent girls could be explained by the Dark Triad personality traits. In comparison, the interaction patterns of conversation and parental conformity could account for 37% (p < 0.01). Conclusions This study suggests that the Dark Triad personality traits and parental interaction patterns can effectively predict adolescent girls' tendencies toward risky behaviors. These results underscore the need for effective management strategies addressing these variables in school programs to provide early interventions that may prevent the escalation of risky behaviors among adolescents.
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    Validity and reliability of the Turkish version of the transition of primiparas becoming mothers scale
    (Bmc, 2024) Kirbas, Zila Ozlem; Aktas, Elif Odabasi; Ozkan, Hava
    Background The transition to motherhood is an important life event in a woman's life and represents an important developmental process that brings physical, psychological and social changes to gain a new role. However, research on the transition to motherhood in Turkish society is scarce. There is a need for a comprehensive, practical and reliable tool to evaluate the transition to motherhood in primiparous mothers. This study evaluated the reliability and validity of the Turkish version of the Transition of Primiparous Becoming Mothers Scale (TMP-S) to evaluate the transition process of primiparous mothers to motherhood. Methods This methodological research was carried out in obstetrics and gynecology outpatient clinics, pediatric outpatient clinics, and family health centers of a hospital in Turkiye. The sample consisted of primiparous mothers of 0 to 6- month-old babies who visited clinics and family health centers for routine postnatal examinations (n = 305). After evaluating the language equivalence and content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. Factor analysis, Pearson's correlation, retest reliability, and Cronbach's alpha were employed to evaluate structural validity and reliability. Results The final TPM-S had two dimensions with 25 items. Exploratory factor analysis revealed a two-factor solution, which accounted for 59.276% of the variance. Confirmatory factor analysis showed that the model fit of the two-factor model also reached a satisfactory model ft after modification. The comparative fit index was 0.894, the Tucker-Lewis index was 0.882, and the root mean square error of approximation was 0.079. The content validity index of the scale ranged from 0.56 similar to 0.77. The Cronbach's alpha coefficient was 0.93 for the total scale, and the test-retest reliability was 0.96. Conclusions It is a valid and reliable tool for evaluating the transition to motherhood among primiparous mothers of 0 to 6 month-old babies in Turkiye. Turkish researchers and healthcare professionals can routinely apply this measurement tool to primiparous mothers in the first six months after birth to evaluate their transition to motherhood.