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Background: The primary aim of this study was to compare liver transplant (LT) recipients with and without hepatocellular carcinoma (HCC) in terms of COVID-19-related depression, anxiety, and stress. Method: A total of 504 LT recipients with (HCC group; n = 252) and without HCC (non-HCC group; n = 252) were included in the present case–control study. Depression Anxiety Stress Scales (DASS-21) and Coronavirus Anxiety Scale (CAS) were used to evaluate the depression, stress, and anxiety levels of LT patients. DASS-21 total and CAS-SF scores were determined as the primary outcomes of the study. Poisson regression and negative binomial regression models were used to predict the DASS and CAS scores. The incidence rate ratio (IRR) was used as a coefficient. Both groups were also compared in terms of awareness of the COVID-19 vaccine. Results: Poisson regression and negative binomial regression analyses for DASS-21 total and CAS-SF scales showed that the negative binomial regression method was the appropriate model for both scales. According to this model, it was determined that the following independent variables increased the DASS-21 total score: non-HCC (IRR: 1.26; p = 0.031), female gender (IRR: 1.29; p = 0.036), presence of chronic disease (IRR: 1.65; p < 0.001), exposure to COVID-19 (IRR: 1.63; p < 0.001), and nonvaccination (IRR: 1.50; p = 0.002). On the other hand, it was determined that the following independent variables increased the CAS score: female gender (IRR:1.75; p = 0.014) and exposure to COVID-19 (IRR: 1.51; p = 0.048). Significant differences were found between the HCC and non-HCC groups in terms of median DASS-21 total (p < 0.001) and CAS-SF (p = 0.002) scores. Cronbach’s alpha internal consistency coefficients of DASS-21 total and CAS-SF scales were calculated to be 0.823 and 0.783, respectively. Conclusion: This study showed that the variables including patients without HCC, female gender, having a chronic disease, being exposed to COVID-19, and not being vaccinated against COVID-19 increased anxiety, depression, and stress. High internal consistency coefficients obtained from both scales indicate that these results are reliable.

This resarch is a descriptive resarch, done for determine communication skills, and empathic tendency levels of assistant doctors experting in Malatya Inonu Universty Medicine Faculty . This resarch was fullfiled on 261 assistant doctors experting in Malatya Inonu Universty Medicine Faculty.In resarch questionnarre used designed by resarcher interrogote demographic features, and working pattern, and used communucation skills scale designed by Balci(1996), and used empathic tendency levels scale designed by Dokmen. The datas were analyzed with using SPSS package programme. After Kolmogorov-Smirnov test was used for stastistical analyze, Student t an one way annova were used on normal disturbition compatible dates, Mann Whitney U and Kruskal Wallis were used on non-normal disturbition compatible datas. The level of p0.05). Average score of empathic tendency scale is 61,33± 5,50 who works in basic science, is 63,54± 7,38 who works in internal medicine, is 64,00± 5,76 who works in surgery, and differences wernt found meaningful between these scores. A meaningful correlation was found on scores of empathic tendency scale and communucation skills scale of assistant doctors participated to the resarch (r=0.276; p [Med-Science 2015; 4(3.000): 2473-87]