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    Anger Management and Factors that Influence Anger in Physicians
    (Galenos Yayincilik, 2011) Koçer, Emel; Koçer, Abdulkadir; Canan, Fatih
    Objective: There are limited data regarding anger and its management with respect to physicians and many other professionals. Our objective was to evaluate anger expression and control in physicians. Material and Methods: The physicians of the Duzce School of Medicine were the participants in the study. Physicians were assigned to either an internal medicine or a surgery study group. Each group contained physicians from several specialties. The Spielberger State-Trait Anger Expression Inventory, and the Beck Anxiety and Depression Inventories were administered to all participants. The physicians (n=158) were evaluated and compared with controls (n=105) in terms of anger control and sociodemographic variables. Results: Anger-control scores were higher in physicians (p<0.01) and in those who willingly chose the medical profession (p<0.05). Age, number of years as a physician, and the specialty were negatively correlated with anger management in physicians working in the surgical disciplines (p<0.01). Only Beck anxiety and depression scores were positively correlated with anger-trait scores and anger-in scores for physicians working in the internal medicine disciplines (p<0.01). Conclusion: Physicians were relatively successful in coping with anger. A willingness to choose the medical profession was a factor influencing anger control. Age was the major factor affecting anger management in physicians.
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    Anksiyete, depresyon ve problem çözme becerisi algısı üzerine düzenli sporun etkisi
    (2010) Canan, Fatih; Ataoğlu, Ahmet
    Amaç: Bu çalışmada, düzenli egzersiz yapan sporcuların anksiyete, depresyon ve problem çözme becerisi algısı düzeyleri incelenerek bu değişkenlerin düzenli spor yapmayan bireylere göre farklı olup olmadığının saptanması amaçlanmıştır. Yöntem: Tüm katılımcılar 18-35 yaşları arasındaydı. Katılımcılar, düzenli olarak spor yapan (haftada en az 5 saat) 69 sporcu (35 takım sporcusu, 34 bireysel sporcu) ve düzenli olarak spor yapmayan 26 kontrol olmak üzere iki grupta değerlendirildi. Tüm katılımcılara Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Problem Çözme Envanteri (PÇE) ve sosyodemografik verilerin değerlendirildiği bir anket uygulandı. Bulgular: Tüm sporcuların BAÖ skorları, kontrollere göre istatistiksel olarak anlamlı düzeyde düşük bulundu. Bireysel sporcular ve kontrollere göre, takım sporcularının BDE ve PÇE skorları istatistiksel olarak anlamlı düzeyde daha düşüktü. Tartışma: Bulgularımıza göre düzenli olarak spor yapmanın anksiyete üzerine olumlu etkisi bulunmaktadır. Düzenli olarak özellikle takım sporları yapmanın ise depresyon ve problem çözme becerisi üzerine olumlu etkisi olduğu söylenebilir.
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    The association between Internet addiction and dissociation among Turkish college students
    (W B Saunders Co-Elsevier Inc, 2012) Canan, Fatih; Ataoğlu, Ahmet; Özçetin, Adnan; İçmeli, Celalettin
    Purpose: This study aimed to investigate Internet use patterns and Internet addiction among young adult university students and to examine the correlation between excessive Internet use and dissociative symptoms. Methods: The study was conducted among 1034 students, aged between 18 and 27 years. Internet Addiction Scale, Dissociative Experiences Scale, and a sociodemographic query form were used in the collection of data. Pearson correlation analysis, the t test, and chi(2) test were used for data analysis. Results: According to the Internet Addiction Scale, 9.7% of the study sample was addicted to the Internet. The Pearson correlation analysis results revealed a significant positive correlation between dissociative experiences and Internet addiction (r = 0.220; P < .001) and weekly Internet use (r = 0.227; P < .001). Levels of Internet addiction were significantly higher among male students than female students (P <.001). The Internet use pattern also differed significantly between sexes. Conclusions: According to the results of this study, Internet addiction is a relatively frequent phenomenon among young adult college students in Turkey. Excessive Internet use is associated with higher levels of dissociative symptoms. (C) 2012 Elsevier Inc. All rights reserved.
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    THE ASSOCIATION BETWEEN INTERNET ADDICTION, DISSOCIATION, AND SOCIO-DEMOGRAPHIC FEATURES AMONG COLLEGE STUDENTS
    (Elsevier France-Editions Scientifiques Medicales Elsevier, 2011) Canan, Fatih; Ataoğlu, Ahmet
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    The association of binge eating disorder with glycemic control in patients with type 2 diabetes
    (Turkiye Klinikleri, 2011) Canan, Fatih; Güngör, Adem; Önder, Elif; Celbek, Gökhan; Aydın, Yusuf; Alçelik, Aytekin
    Objective: Our aim was to assess the prevalence of binge eating disorder (BED) in individuals with type 2 diabetes and to investigate whether a comorbidity with BED would affect glycemic control in these patients. Materials and Methods: Eighty-two type 2 diabetic patients were enrolled. The participants were assessed for eating disorders by a psychiatrist. Blood samples were drawn and HbA1c and other biochemical parameters were measured. Results: Of the 82 subjects, 27 (34.1%) met the criteria for BED. No other types of eating disorders were detected. HbA1c was significantly higher in individuals with BED (p<0.05). Conclusion: Our findings reveal that BED is highly prevalent among type 2 diabetic patients and it impairs glycemic control. Thus, patients with type 2 diabetes should be assessed carefully for eating disorders.
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    Association of mean Platelet volume with DSM-IV major depression in a large community-based population: The MELEN study
    (Pergamon-Elsevier Science Ltd, 2012) Canan, Fatih; Dikici, Süber; Kutlucan, Ali; Celbek, Gökhan; Coşkun, Hülya; Güngör, Adem; Kocaman, Gülşen
    The relationship between major depression and increased platelet activity has been previously stated by several studies. This study sought to test the relationship between mean platelet volume (MPV) - an indicator of platelet activity - and major depression, in an adult Turkish population sample. Respondents were 2286 participants interviewed in a regional survey. The diagnosis of current (one month) major depression was made according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. MPV was measured along with total cholesterol, triglycerides, HDL-cholesterol, LDL-cholesterol, BMI, and waist circumference. Two hundred eighty-nine participants (12.5%) were diagnosed as having major depression. Patients with major depression were found to have increased MPV levels in comparison with participants without depression (p = 0.001). After excluding the subjects with risk factors capable of influencing platelet activity. MPV was still found to be elevated in patients with major depression compared with non-depressed individuals (p < 0.01). Linear regression analysis revealed a significant independent association of major depression with MPV levels (r = 0.123: p = 0.001). According to the findings of this study, increased MPV (or platelet activation) is associated with current (one month) diagnosis of major depression. Future research should investigate the effect of depression treatment on MPV. (C) 2011 Elsevier Ltd. All rights reserved.
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    Bir üniversite hastanesinde yatan hastalar için istenen psikiyatri konsültasyonlarının değerlendirilmesi
    (2008) Canan, Fatih; Koçer, Emel; İçmeli, Celalettin; Özçetin, Adnan; Ataoğlu, Ahmet
    Amaç: Bu araştırmanın amacı, Düzce Üniversitesi Tıp Fakültesi Hastanesi’nde yatan hastalardan 4 aylık süre boyunca istenen psikiyatri konsültasyonlarının niteliğinin, hasta tutumunun, hekim-hasta ilişkisinin ve yatan hastalarda psikiyatrik morbidite oranının değerlendirilmesidir. Yöntem: 01/12/2006 ve 31/03/2007 tarihleri arasında, Düzce Üniversitesi Tıp Fakültesi Hastanesi’nde yatarak tedavi gören ve psikiyatri konsültasyonu istenen 18 yaş ve üstü hastaların psikiyatrik değerlendirmeleri, yapılandırılmış bir forma kaydedilmiştir. Tanısal değerlendirme, DSM-IV-TR tanı kriterlerine göre yapılmıştır. Bulgular: İncelemeye alınan 66 hastanın 39’u (%59.1) kadın, 27’si (%40.9) erkekti. 4 aylık süre içerisinde yatan, 18 yaş üstü hastaların %2.8’i için psikiyatri konsültasyonu istenmiştir. En sık psikiyatri konsültasyonu isteyen bölümler; iç hastalıkları (%24.2), göğüs hastalıkları (%15.2) ve beyin cerrahisidir (% 13.6). Konsültasyon istemlerinin büyük kısmı; ajitasyon (%27.3), depresif bulgular (%16.7) ve konversif yakınmalar (%16.7) nedeniyledir. Konsültasyon sonrası en sık konulan tanılar; major depresyon (%19.7) ve yaygın anksiyete bozukluğudur (%16.6). Konsültasyon istenen hastaların %24.2’sinde DSM-IV-TR tanı kriterlerine göre herhangi bir ruhsal hastalık saptanmamıştır. Sonuç: Bulgulara göre, hekim-hasta iletişiminin geliştirilmesi gereklilik arz etmektedir. Diğer kliniklerle psikiyatri kliniğinin uyumlu işbirliği ve düzenli fikir alışverişi de hastaların ruhsal iyi olma hali açısından çok önemlidir.
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    Çalışan ve çalışmayan kadınların benlik saygılarının karşılaştırılması
    (2007) İçmeli, Celalettin; Ataoğlu, Ahmet; Canan, Fatih; Gökdoğan, Abdi; Özçetin, Adnan
    Bu araştırma, çalışma yaşamının kadınların benlik saygısını ne ölçüde etkilediğini belirlemek amacıyla planlanmıştır. Bu amaçla, araştırma Düzce il merkezinde çalışan 100 kadın ve çalışmayan (ev hanımı) 100 kadın üzerinde karşılaştırmalı ve tanımlayıcı olarak gerçekleştirilmiştir. Çalışma kapsamına alınan kadınları fiziksel ve psiko-sosyal yönden değerlendirmek üzere, bir görüşme formu ve benlik saygılarını ölçmek için Coopersmith Benlik Saygısı Envanteri kullanılmıştır. Uygulama sonunda elde edilen veriler yüzdelik (%), ki-kare, kolmogorov-simimov testi ve t testi kullanılarak istatistiksel yönden değerlendirilmiştir. Çalışan kadınların çoğunluğunu, üniversite ya da lise mezunu, çekirdek ailede yetişen, anne ve babasının okur-yazarlık düzeyi yüksek olan, yükseköğrenim görmüş eşlerle evli ve genelde iki çocuk sahibi olan, ailede birlikte karar verme eğiliminde ve çalışmaktan memnun olan kadınlar oluşturmuştur. Sonuçta, çalışan kadınların Benlik Saygısı puan ortalamalarının (75.68 14.35), çalışmayan kadınların ki ne (68.32 15.68) göre istatistiksel olarak anlamlı olacak şekilde yüksek olduğu tespit edilmiştir (p 0.001). Bu sonuca göre, kadınlara her alanda erkeklerle eşit eğitim ve iş olanaklarının tanınması, iş ve aile yaşamında destek sağlanması önerilmiştir.
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    Childhood trauma and dissociation in women with pseudoseizure-type conversion disorder
    (Taylor & Francis As, 2009) Özçetin, Adnan; Belli, Hasan; Ertem, Ümit; Bahçebaşı, Talat; Ataoğlu, Ahmet; Canan, Fatih
    Background: Conversion disorder is thought to be associated with psychological factors because of the presence of conflict and other stressors prior to the condition. Aim: The aim of this study is to compare adult patients with pseudoseizure-type conversion disorder with healthy control group in terms of childhood trauma, dissociative disorder and family history of psychiatric disorders. Method : 56 female patients were admitted to the general psychiatry hospital outpatient clinic between January and July 2005. All patients had a negative experience about their families just before having the conversion. Diagnosis was made according to the DSM-IV criteria. A control group consisting of similar patient demographics of the disease group has been selected. Socio-demographic information forms, the Childhood Trauma Questionnaire (CTQ) and Dissociation Questionnaire (DIS-Q), were completed on the patients. Results: CTQ total (t = 12.12, P < 0.001) and subscales, emotional abuse and emotional neglect (EA-EN) (t = 12.74, P < 0.001), physical abuse (PA) (t = 10.05, P < 0.001), and sexual abuse (SA) (t = 7.69, P < 0.001) were significantly high in the conversion group. DIS-Q mean points were statistically higher in the conversion group (t = 11.05, P < 0.001). Conclusions: The findings suggest that pseudoseizures (conversion disorder) should be included within dissociative disorders in DSM system as in ICD. It is usually uncommon for the patient to tell about childhood trauma without being specially questioned about this issue. Thus, it would be helpful to uncover these experiences by using related scales in conversion disorder patients.
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    Comparison of bone mineral density levels in young-adult patients with schizophrenia and healthy controls
    (2011) Koçer, Emel; Yazıcı, Selma; Canan, Fatih
    Objective: The aim of this study was to assess bone mineral density levels of patients with schizophrenia and to compare the results with healthy controls. Methods: Fourteen patients with schizophrenia and 31 healthy controls, between 22 and 44 years of age, were enrolled in this cross-sectional study. Bone mineral density (BMD) levels of each group were measured by Dual Energy X-ray Absorbiometry (DEXA). The patients were assessed using the Positive and Negative Symptom Scale (PANSS). All patients had been receiving antipsychotic treatment for at least 2 years. Patients' sociodemographic caharacteristics and risk factors for osteoporosis (antipsychotic use, sunlight exposure, physical activity, etc.) were documented. Results: As compared with the healthy controls, the patients with schizophrenia had significantly lower BMD at the lumbar spine and at all sites of the proximal femur. Correlation analysis showed that the only factor related with the femoral BMD only in patients with schizophrenia was the age. No association between BMD and gender, PANSS score, type of antipsychotic medications, and other risk factors for osteoporosis were observed. Conclusions: In this study, we found that BMD in schizophrenia patients was lower than that of healthy controls and this finding suggest that osteoporotic changes may be seen in younger ages. Further prospective studies are needed to better clarify the relationship between osteoporosis and schizophrenia.
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    Comparison of bone mineral density levels in young-adult patients with schizophrenia and healthy controls
    (2011) Koçer, Emel; Yazıcı, Selma; Canan, Fatih
    Amaç: Bu çalışmanın amacı, genç-erişkin şizofreni hastalarında kemik mineral yoğunluğunun değerlendirilmesi ve sağlıklı kontrollerle karşılaştırılmasıdır. Yöntem: Bu kesitsel çalışmaya, yaşları 22 ve 44 arasında değişen 14 şizofreni hastası ve kontrol grubu olarak, 31 sağlıklı birey dahil edildi. Her iki grubun kemik mineral yoğunluğu ölçümü Dual Energy X-ray Absorbiometry (DEXA) ile yapıldı. Hastalar, Pozitif ve Negatif Semptom Ölçeği (PANSS) ile değerlendirildi. Hastaların tamamı, en az 2 yıldır şizofreni tanısı ile antipsikotik kullanmaktaydı. Hastaların sosyodemografik özellikleri ve osteopo roz için risk faktörleri (antipsikotik kullanımı, güneş ışınlarına maruziyet, fiziksel aktivite, vs.) sorgulanarak kemik mineral yoğunluğu ile ilişkisi araştırıldı. Bulgular: Sağlıklı kontrollerle karşılaştırıldığında, şizofreni hastalarında, hem lomber omurgada hem de proksi mal femurun tüm bölgelerinde kemik mineral yoğunluğu daha düşüktü. Bağıntı analizi sonucunda, şizofreni hastalarında, yalnızca femur bölgesindeki kemik mineral yoğunluğu ile ilişkili tek faktör olarak yaş bulundu. Kemik mineral yoğunluğu ile cinsiyetin, PANSS skorlarının, kullanılan antipsikotik türünün ve osteoporoz için risk faktörü olan diğer etkenlerin ilişkisi olmadığı tespit edildi. Sonuç: Bu çalışmada şizofreni hastalarının kemik mineral yoğunluğunun, sağlıklı bireylere göre daha düşük bulunması, şizofreni olgularında genç yaşta osteoporotik değişikliklerin olabileceğini düşündürmektedir. Şizofreni ve osteoporoz arasındaki ilişkiyi daha iyi açığa çıkaracak prospektif çalışmalara ihtiyaç vardır.
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    Comparison of Child Bringing-Up Attitudes of Families Having Mentally Retarded Children and Families Who Have Healthy Children
    (Düzce Üniversitesi, 2008) İçmeli, Celalettin; Ataoğlu, Ahmet; Canan, Fatih; Özçetin, Adnan
    Purpose: A healthy family, which is decribed as “functional family”, provides a healthy psycho-social environment for the child development. Presence of a chronically ill or a mentally retarded member may distort family functioning. In our study we hypothesed that the family functioning of parents having a retarded child would be impaired. We compared the parents who has a retarded child and parents who has healthy children according to their family functioning. Methods: The participants were the parents of 50 mentally retarded children (being educated in special subclasses of primary schools and in private rehabilitation centers) and 30 healthy children (being educated in normal classes of primary schools). The parents were asked to complete a socio-demographic form (prepared by the authors) and “Family Assessment Device”. The data were analysed statistically. Results: It is showed that among the parents who have a retarded child, 24 % feel guilt and remorse, 14 % lived rebellion and exhaustion, 20 % could not exhibit adequate patience and understanding. For mentally retarded children, having psychological help (p
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    The effect of escitalopram on platelet activity
    (Pergamon-Elsevier Science Ltd, 2011) Canan, Fatih; Ataoğlu, Ahmet
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    Effect of escitalopram treatment on white blood cells in patients with major depression
    (Elsevier Science Bv, 2009) Canan, Fatih; Ataoğlu, Ahmet; Özçetin, Adnan
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    The effect of osteoporosis on self-report sleep quality in postmenopausal women
    (Wiley-Blackwell, 2011) Yazıcı, Selma; Canan, Fatih; Baki, Ali Erdem; Erkan, Melih Engin; Ataoğlu, Safinaz; Ataoğlu, Ahmet
    We aimed to show the effect of osteoporosis on sleep quality in 59 postmenopausal women. The participants' bone-mineral density levels were measured by dual-energy X-ray absorptiometry (DEXA). According to their DEXA results, participants were divided into two groups as osteoporotics and controls. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality. Fourteen osteoporotic women (43.8%) and four controls (14.8%) were "poor" sleepers (p < 0.05). Postmenopausal women with osteoporosis scored greater on the "sleep latency" and "sleep duration" components of PSQI than controls. According to the findings of our study, osteoporosis is a risk factor for poor sleep quality in postmenopausal women.
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    Evaluation of Psychiatric Consultations of Medical Inpatients in a University Hospital
    (Düzce Üniversitesi, 2008) Canan, Fatih; Koçer, Emel; İçmeli, Celalettin; Özçetin, Adnan; Ataoğlu, Ahmet
    Purpose: The aim of this study was to evaluate patterns and reasons for psychiatric consultations, attitude of patients, physician-patient communication, and psychiatric morbidity among medical inpatients. Material and Method: Evaluations of medical inpatients older than 18 years old who were referred to psychiatric examination in Duzce University, Medicine Faculty Hospital during 12/01/2006 to 03/31/2007 were recorded on a structured form. Diagnostic evaluations were made according to DSM-IV-TR criteria. Results: Among the 66 patients included in the study, there were 39 (59.1%) females and 27 (40.9%) males. During the 4 months period, 2.8% of the inpatients, who were 18 years old or older, were referred to psychiatric examination. The most frequent referrals were from Internal Medicine (24.2%), Chest Diseases (15.2%), and Neurosurgery (13.6%) clinics. The most frequent causes of psychiatric consultations were agitation (27.3%), depressive symptoms (19.7%), and conversive symptoms (16.7%). After psychiatric examination, the patients were most frequently diagnosed as major depression (19.7%) and generalized anxiety disorder (16.6%). According to DSM-IV-TR criteria, 24.2% of the referred patients had no psychiatric disorder. Conclusion: According to our findings, an improved physician-patient communication is essential. The harmonious interaction between psychiatry clinic and other medical clinics is of importance for the mental wellbeing of the medically ill
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    Evaluation of Psychometric Properties of the Internet Addiction Scale in a Sample of Turkish High School Students
    (Mary Ann Liebert Inc, 2010) Canan, Fatih; Ataoğlu, Ahmet; Nichols, Laura A.; Yıldırım, Tuba; Öztürk, Önder
    The Internet Addiction Scale (IAS) is a self-report instrument based on the seven substance dependence criteria of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., American Psychiatric Association, 1994) and two additional criteria recommended by Griffiths. The IAS was administered to 300 high school students along with the Beck Depression Inventory (BDI) and Submissive Acts Scale (SAS). For test-retest reliability, the IAS was administered a second time 7 days after the first administration. An interitem reliability reduced the initial scale from 31 to 27 items (with Cronbach's alpha of 0.94). The factor analysis suggests the existence mainly of one factor in the IAS. Correlation analyses indicated that BDI and SAS were significantly correlated positively with the IAS. One-week test-retest correlation for the IAS was highly significant. According to these results, the psychometric properties of the IAS are promising.
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    The influence of sports on anxiety, depression, and perceived problem solving ability
    (Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2010) Canan, Fatih; Ataoğlu, Ahmet
    Objective: In this study we aimed to investigate the depression, anxiety, and perceived problem solving ability levels of sportmen who exercise regularly and to figure out if they differentiate from non-exercising population according to these variables. Methods: All participants were aged between 18 and 35. Two groups of participants were included as follows: 69 sportmen (35 team sportmen, 34 individual sportmen) who exercise regularly (at least 5 hours/week) and 26 controls who stated not to exercise regularly. All participants completed the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Problem Solving Inventory (PSI), and a sociodemographic form. Results: BAI scores of two sportmen groups were statistically lower than the controls'. The team sportmen in comparison with personal sportmen and controls had significantly lower scores in BDI and PSI. Discussion: Our findings reveal that sports participation in general has a positive effect on anxiety and team sports participation has a positive effect on depression and perceived problem solving ability in particular. (Anatolian Journal of Psychiatry 2010; 11:38-43)
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    The influence of sports on anxiety, depression, and perceived problem solving ability
    (2010) Canan, Fatih; Ataoğlu, Ahmet
    Objective: In this study we aimed to investigate the depression, anxiety, and perceived problem solving ability levels of sportmen who exercise regularly and to figure out if they differentiate from non-exercising population according to these variables. Methods: All participants were aged between 18 and 35. Two groups of participants were included as follows: 69 sportmen (35 team sportmen, 34 individual sportmen) who exercise regularly (at least 5 hours/week) and 26 controls who stated not to exercise regularly. All participants completed the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Problem Solving Inventory (PSI), and a sociodemographic form. Results: BAI scores of two sportmen groups were statistically lower than the controls'. The team sportmen in comparison with personal sportmen and controls had significantly lower scores in BDI and PSI. Discussion: Our findings reveal that sports participation in general has a positive effect on anxiety and team sports participation has a positive effect on depression and perceived problem solving ability in particular.