Effects of skin-to-skin contact on afterpain and postpartum hemorrhage: A randomized controlled trial.

This study determined the effects of skin-to-skin contact between the mother and the infant during the third stage of labor on postpartum hemorrhage and pain. This assessor-blinded randomized controlled trial was conducted with primiparous women. Skin-to-skin contact interventions between the infants and their mothers occurred for 30 min after birth (n = 34), whereas the infants in the control group were provided routine care (n = 34). Data were gathered using a Personal Information Form, the Visual Analog Scale-Pain, postpartum bleeding follow-up bags, and records of blood oxytocin and beta endorphin levels. There was no significant difference in beta-endorphin levels in both groups (p = 0.771), whereas it was determined that the 30th min oxytocin level was significantly higher in the intervention group (The Visual Analog Scale-Pain score at the postpartum sixth hour was significantly lower in the intervention group. It was found that skin-to-skin contact made at the third stage of labor reduced the amount of postpartum hemorrhage. The results of this study suggested that skin-to-skin contact intervention may have beneficial effects on postpartum pain and postpartum hemorrhage in the early postpartum period.

The Validity and Reliability of the Turkish Version of the Meta-Worry Questionnaire.

Introduction: This study aims to investigate the validity and reliability of the Meta-Worry Questionnaire in the Turkish version as a contribution to clinical practice. Method: The research sample consisted of two groups. Cases were people who have General Anxiety Disorder (n=165) and controls were age and sex-matched healthy volunteers (n=158). To evaluate the psychometric properties of the scale, Meta-Worry Questionnaire, Metacognition Questionnaire-30, Beck Depression Inventory, Beck Anxiety Inventory, Penn State Worry Questionnaire and Generalized Anxiety Disorder-7 Questionnaire were used. Results: In this study, Cronbach's alpha coefficient values of frequency and belief components were found 0.92 and 0.94, respectively. At the same time, excluding each item, Cronbach's alpha coefficient values of these two components also remained above 0.90, regardless of which item was chosen. While the frequency component accounted for 69.07% of the total variance, the belief component accounted for 72.95%. The area under the ROC curve is 0.948 for the frequency component and 0.944 for the belief component. The construct validity of the scale was tested with Exploratory and Confirmatory Factor Analysis and the one-dimensional structure of the scale was shown. To evaluate the psychometric properties of the scale, other scales which are related to metacognition were used. Conclusion: All items in the tool displayed a high correlation with the overall questionnaire. High total variance of the scale indicates its high validity. These results suggest high reliability of the tool as well as consistency of every item it includes.

Validity and Reliability of the Turkish Version of Generalized Anxiety Disorder Scale-Revised.

OBJECTIVE: This study aims to assess the psychometric values of the Generalized Anxiety Disorder Scale-Revised (GADS-R) which measures the intensity and duration of worry, various coping and avoidance strategies to cope with worrying, and positive and negative metacognitive beliefs about worrying. METHODS: 114 patients with generalized anxiety disorder and 198 healthy controls were included in the study. These patients were diagnosed according to DSM-IV TR, and the primary diagnosis of the patients was generalized anxiety disorder which was confirmed via SCID I and II, subsequently. Sociodemographic form, GADS-R total and subscale scores, and Meta-Cognitions Questionnaire-30 (MCQ-30), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder-7 Scale (GAD-7), and Penn State Worry Questionnaire (PSWQ) were used to assess validity, reliability and cut-off point. RESULTS: GADS-R total and subscale scores and MCQ-30, BDI, BAI, GAD-7, and PSWQ were found to be statistically higher in the patients with GAD compared to a healthy control group. GADS-R has five factors and showed relatively acceptable sensitivity and specificity for detecting anxiety disorders at a cut-off point of 1188. CONCLUSION: The GADS-R is a valid and reliable scale that can be used in the Turkish population as an assessment tool.

Validity and Reliability of Cognitive Attentional Syndrome-1 Questionnaire.

OBJECTIVE: This study aimed to evaluate the reliability and validity of the Turkish version of Cognitive Attentional Syndrome-1 (CAS-1) questionnaire. METHODS: 221 participants were included in the study who do not meet any psychiatric diagnosis. Participants were applied SCID I and II and filled CAS-1 scale, Meta-Cognitions Questionnaire-30 (MCQ-30), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder-7 (GAD-7) Scale, and Penn State Worry Questionnaire (PSWQ). Testing the reliability Cronbach's alpha, item analysis and Item and total score correlation coefficients were applied. For testing structural validity, Confirmatory Factor Analysis was used, and for testing the content validity, the relationship between each item of CAS-1 and MCQ-30, BDI, BAI, GAD-7, PSWQ was examined. RESULTS: The correlation reliability coefficients were statistically significant except for using alcohol/drugs as a coping mechanism. Cronbach Alpha reliability coefficient of 16 items was 0.771 whereas, this ratio was 0.772 for the first eight items (CAS) and 0.685 for the last eight items (Metacognitive Beliefs) which showed that the internal consistency of CAS-1 was high. Structural and Content Validity of the scale was significant. CONCLUSION: The Turkish version of the CAS-1 was a reliable and valid measure to evaluate CAS in a Turkish population.