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Uzaktan nöropsikolojik değerlendirme: telenöropsikoloji
(BAYT Yayıncılık, 2024-05-25) Yıldırım, Elif; Soncu Büyükişcan, Ezgi; Akça Kalem, Şükriye; Gürvit, İ. Hakan
Amaç: Nöropsikolojik testlerin hastalara uzaktan, telefon ve videokonferans aracılığı ile yapılan uygulamalarını içeren telenöropsikoloji, uzakta yaşayan ya da hareket kısıtlılığı bulunan hastaların sağlık hizmetlerine ulaşım imkânını genişletebilmektedir. Covid-19 pandemisinin ortaya çıkması ile kognitif değerlendirmelerde telenöropsikoloji kullanımı önemli bir artış göstermiştir. Bu derlemede telenöropsikoloji ile ilgili yapılan çalışmaların sonuçlarının ve telenöropsikolojik değerlendirme ile ilgili temel esasların eleştirel bir şekilde gözden geçirilmesi amaçlanmıştır. Buna ek olarak, bu derlemede Türkiye uygulamaları için geliştirilmiş “ev temelli telenöropsikoloji uygulama rehberi” genel hatları ile paylaşılmıştır. Yöntem: Web of Science ve Pubmed veri tabanları kullanılarak konu ile ilgili erişilebilen tüm makale türlerini kapsayan bir şekilde literatür taraması yapılmıştır. Bulgular: Klinik temelli ve ev temelli telenöropsikolojik değerlendirme ile ilgili çalışmaların sonuçları dikkat, bellek, yürütücü işlevler ve dil gibi kognitif işlevleri değerlendiren ve özellikle sözel uygulamaya dayanan nöropsikolojik testlerin telenöropsikolojik değerlendirmede güvenilir bir şekilde uygulanabileceğini göstermektedir. Fakat telenöropsikolojik değerlendirmeye alınacak hastaların yönlendirilmesinde, değerlendirmede kullanılacak testlerin seçiminde ve etik konularda dikkat edilmesi gereken unsurlar bulunmaktadır. Buna ek olarak, telenöropsikolojik değerlendirmenin etkili bir şekilde yürütülmesi için görüşme öncesinde ve sırasında hem klinisyenin hem de hasta ve/veya hasta yakınının uygulanması önerilen adımların takip edilmesi önemlidir. Sonuç: Her ne kadar klinik nöropsikoloji pratiğinde hasta ile doğrudan temas kurmak önemli bir unsur olsa da gerekli durumlarda ve yetkin uzmanlar tarafından uygun uygulama prosedürleri takip edilerek yapılan telenöropsikolojik değerlendirmeler yüz yüze değerlendirmeler için iyi bir alternatif olabilir.
Psikolojik istismar ve sağlık davranışları arasında duygusal özerkliğin ve öz-şefkatin aracı rolü
(Erciyes Üniversitesi, 2024-12-27) Canbaz, Cansu; Ünver, Buket
Araştırmanın amacı ergenlerin ebeveynlerinden algıladıkları psikolojik istismar ve sağlıklı yaşam biçimi davranışları arasındaki ilişkide duygusal özerkliğin ve öz şefkatin aracı rolünü incelemektir. Çalışma kartopu ve uygun örnekleme yöntemleriyle 14-18 yaş aralığındaki 217 ergen ile gerçekleştirilmiştir. Çalışmanın veri toplama araçları sırasıyla; araştırmacılar tarafından hazırlanan Sosyodemografik Bilgi Formu, Psikolojik İstismar Ölçeği, Adolesan Yaşam Biçimi Ölçeği, Duygusal Özerklik Ölçeği ve Öz Şefkat Ölçeği Kısa Formu şeklindedir. Yapılan Spearman korelasyon analizi sonuçlarına göre mevcut çalışmanın tüm değişkenleri arasında anlamlı ilişkiler bulunmuştur. Yapılan aracı değişken analiz sonucuna göre ise duygusal özerkliğin ve öz şefkatin algılanan psikolojik istismar ve sağlıklı yaşam biçimi davranışları arasındaki ilişkide tam aracı bir etkiye sahip olduğu saptanmıştır. Bu çalışma, psikolojik istismarın olumsuz etkileriyle mücadelede duygusal özerklik ve öz şefkatin koruyucu rollerini ortaya koyarak, bu özelliklerin ergenlerin olumlu sağlık davranışlarına yönelmelerine olanak tanıdığını vurgulamaktadır. Sonuç olarak, bu çalışma ergenlerde psikolojik istismarın bireyin sağlıklı gelişimine yönelik etkilerini anlamada katkı sağlamakta ve koruyucu, önleyici müdahale programları için önemli ipuçları sunmaktadır.
Effects of early psychological trauma on limbic system structure and function
(Psikiyatride Güncel Yaklaşımlar, 2024-12-25) Kılıç, Bengü Sare Sevda Pelin; Saltoğlu, Seren; Erdoğdu, Emel
This paper aims to review the subtypes of childhood trauma and its effects on brain structures and function, especially the hippocampus and amygdala within the limbic system, in the context of clinical psychology. For this purpose, original articles published between 1996 and 2024 were systematically searched in major databases such as PubMed, PsycArticles, Web of Science, and Google Scholar using keywords such as early childhood trauma, psychological trauma, limbic system, hippocampus, amygdala, and neuroimaging. The articles were initially screened based on their titles, and those meeting the search criteria, including study population, investigated brain regions, and types of traumas, were further assessed for relevance. Ultimately, 136 articles were selected and discussed in this review. Trauma experiences in early life can have a significantly negative influence on a person's psychological health by causing neurodevelopmental impairments, especially in the limbic system. While it is understood that trauma influences how individuals think, behave, and feel, the results of neuroimaging studies reveal variations in the amygdala and hippocampus based on different trauma subtypes. These changes merit deeper investigation in future research to fully understand the reasons behind the diverse findings in existing literature.
Obsesif kompulsif bozuklukta göz-izleme teknolojisi kullanımı
(Işık Üniversitesi Yayınları, 2024-10-31) Okandan, Buse; Erdoğdu, Emel
Obsesif-kompulsif bozukluk (OKB), bireylerin iş, sosyal ve aile yaşantılarında ciddi problemlere yol açan, işlevselliklerini sınırlayan obsesyonlar ve kompulsiyonlarla karakterize edilen bir bozukluktur. OKB, psikolojik ve bedensel semptomlara ek olarak bilişsel işlevlerde de bozulmalara neden olabilmektedir. Bu bozuklukların temel nedenlerini anlamak ve uygun tedavi yöntemleri geliştirmek amacıyla kullanılan araştırma yöntemleri, teknolojinin ilerlemesiyle birlikte çeşitlenmektedir. Son yıllarda bilişsel işlevleri (dikkat, tepki ketleme, görsel-uzamsal yetenekler gibi ) incelemede etkili bir araç olarak görülen göz-izleme teknolojisi bu alanda giderek yaygınlaşmaktadır. Göz-izleme teknolojisi, göz konumu, hareketleri ve göz bebeği değişimlerini ölçme yeteneğine sahiptir. Bu çalışma, OKB’de göz-izleme yönteminin kullanımını ele alan güncel literatürdeki araştırmaları incelemektedir. 2010 ve Eylül 2024 tarihleri arasında yayınlanmış çalışmalara erişmek için Google Akademik, Pubmed, EBSCO EDS, Cambridge Journals gibi veri tabanlarında, Obsesif-Kompulsif Bozukluk, Eye-Tracking, Gözİzleme gibi terimler kullanılarak arama yapılmıştır. Derleme, göz izleme cihazları kullanarak OKB'de çeşitli bilişsel işlevleri ölçen 14 makaleyi içermektedir. Sonuçlar, göz-izleme teknolojisinin OKB’nin heterojen yapısına bağlı araştırma zorluklarını aşmada etkili olabileceğini, daha objektif veriler sağladığını ve geleneksel nöropsikolojik testlerle elde edilen bulguları desteklediğini göstermektedir.
Kişilerarası duygu düzenlemenin ve algılanan romantik ilişki kalitesinin psikolojik sıkıntı üzerindeki etkisi
(Manisa Celal Bayar Üniversitesi, 2025-03-26) Yılmaz, Simay; Yazıcı, Sena; Akçinar, Berna
Mevcut çalışmanın amacı, kişilerarası duygu düzenleme stratejilerinden yatıştırılma alt boyutunun ve algılanan romantik ilişki kalitesinin psikolojik sıkıntı üzerindeki etkilerini incelemektir. Araştırmaya, uygun örnekleme yöntemiyle seçilen 18-65 yaş arası, romantik ilişki içinde olan 230 yetişkin katılmıştır. Araştırmada “Kişilerarası Duygu Düzenleme Ölçeği”, “Algılanan Romantik İlişki Kalitesi Ölçeği” ve “Depresyon, Anksiyete ve Stres Ölçeği” kullanılmıştır. Çalışmanın sonuçlarına göre yatıştırılma stratejisinin kullanım düzeyi psikolojik sıkıntı düzeyini anlamlı ve pozitif yönde [F(1, 229) = 5.49, ß= .15, p<.05]; algılanan romantik ilişki kalitesi düzeyi psikolojik sıkıntı düzeyini anlamlı ve negatif yönde (F(1, 229) = 14.60, ß= -.25, p<.001) yordamaktadır; yatıştırılma düzeyi, algılanan romantik ilişki kalitesi düzeyini istatistiksel olarak anlamlı şekilde yordamamaktadır [F(1, 229) = 0.55, ß= .05, p = .461]. Aracılık analizi sonuçları, algılanan romantik ilişki kalitesinin yatıştırılma ile psikolojik sıkıntı arasındaki ilişkide anlamlı bir aracılık etkisi olmadığını göstermektedir (b= -.0124, SH=.0191, %95 GA[-.0536, .0228]). Çalışmanın bulgularının terapistlere bireylerin duygu düzenleme stratejilerini iyileştirme ve psikolojik sıkıntısını azaltma konusunda yol gösterebileceği düşünülmektedir.
Healthy lifestyle behaviors of university students: the role of sense of coherence and family health climate
(Dokuz Eylul University, 2025-01-31) Cerrahoğlu, Ece; Ünver, Buket; Ülkümen, İpek
Purpose: This study aims to examine the predictive role of individual sense of coherence, family sense of coherence and family health climate variables on university students' healthy lifestyle behaviors. Material and Methods: The sample of the study consisted of 371 university students aged 18-25. Sociodemographic Information Form, Healthy Lifestyle Behaviors Scale, Sense of Coherence Scale, Family Sense of Coherence Scale, Family Health Climate Scale were applied to the participants in order to collect the research data. Correlation analysis, independent two-sample t-test, one-way ANOVA test and multiple linear regression analysis were used to analyze the data. Results: According to the results of correlation analysis, a positive relationship was found between healthy lifestyle behaviors and individual sense of coherence, family sense of coherence and family health climate (p<.05). As a result of the multiple linear hierarchical regression analysis, after controlling for the sex variable, individual sense of coherence and family health climate variables significantly predicted healthy lifestyle behaviors (p<.05), while family sense of coherence had no significant predictive role on healthy lifestyle behaviors (p>.05). Conclusion: The findings show that individual sense of coherence, family sense of coherence and family health climate variables are essential on university students' healthy lifestyle behaviors. The sense of coherence provides significant protection in adopting health behaviors that will determine future health and well-being. Similarly, increasing healthy living practices within the family is of great importance for young people to adopt healthy lifestyle behaviors.
Assessing the mediating relationships between psychological factors in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome
(Routledge Journals, Taylor & Francis Ltd, 2024-04) İnci İzmir, Sevim Berrin; Aktan, Zekeriya Deniz; Ercan, Eyüp Sabri
This study aims to investigate the predictive and mediating relationships between emotion dysregulation, internalizing disorders, family functionality, loneliness preference, and executive functions (EF) in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome (ADHD + CDS). This study included 176 children and adolescents (92 boys, 84 girls) who were diagnosed with ADHD + CDS according to the Diagnostic and Statistical Manual of Mental Disorders, the Fifth Edition criteria by a fellowship-trained child and adolescent psychiatrist, between ages 8 -12 (M = 10, SD = 1.52) with a convenience sampling method. The solitude scale for children, difficulties in emotion dysregulation scale, Child Behavior Checklist, Barkley Sluggish Cognitive Tempo Scale, Family assessment device, and CNS Vital Signs test were used. The results showed that difficulty in emotion regulation, preference for loneliness, internalizing disorders and CDS symptom severity did not have a mediating effect between family functionality and EF. Still, emotion dysregulation mediates the relationship between EF and internalizing disorders by itself and through loneliness preference. Also, preference for loneliness and emotion dysregulation had a mediating effect between family functionality and internalizing disorders. Finally, it was found that the effect of emotion regulation difficulty, loneliness preference, and internalizing disorders had a mediating role between CDS symptom severity and family functionality. In conclusion, the information obtained from this study on the etiology of CDS may guide future studies.
EMDR Flash technique in adolescents with depression: a twelve-week follow-up study
(Sage Publications Inc, 2024-07) İnci İzmir, Sevim Berrin; Çitil Akyol, Canan
This study aims to investigate the specific effects of the EMDR Flash Technique on adolescents with depression. This follow-up study consists of 32 adolescents, 12-17 years of age (M = 14.34, SD = 1.56), including 7 males and 25 females. They were evaluated with Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present, the Beck Depression Inventory (BDI), and Children Revised Impact of Event Scale-8 (Cries-8). These were administered at baseline, at the end of the 4th and 12th weeks of treatment. The EMDR Flash Technique which can be utilized in the preparation phase of Eye Movement Desensitization and Reprocessing (EMDR) to reduce the intensity of highly distressing memories rapidly and relatively painlessly was applied for 12 weeks, one session per week as a free-standing intervention. Also, the EMDR Flash Technique can be effective in decreasing the rate of noncompliance and drop-outs of adolescents. The baseline means of total BDI scores decreased from 48.19 to 2.16 at the end of the 12th week of treatment. Also, the CRIES scores decreased from 31.78 to 0.44 at the end of the 12th week of treatment. In addition, the baseline means of SUD scores decreased from 9.53 to zero at the end of the 12th week of treatment. Overall, our results underscore the effectiveness of the EMDR-Flash Technique in adolescents with depression. Depression is a significant mental health concern for adolescents due to its early onset and chronic nature. Depression can be observed in conjunction with PTSD, and sometimes, depressive symptoms may transform into traumatic experiences. EMDR is an 8-stage protocol that includes history taking, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation, used to alleviate the effects of traumatic experiences. It is hypothesized that unpleasant and traumatic events are stored in a dysfunctional way, and it promotes an adaptive processing and resolution of the traumatic experience. The goal of EMDR is to achieve an adequate processing of negative experiences and to create new adaptive information. The EMDR Flash Technique (FT) is utilized in the preparation phase of EMDR to reduce the intensity of highly distressing memories rapidly and relatively painlessly. Although a few studies have shown that the FT is effective in adults, there is only one study to investigate the effectiveness of the FT in children and adolescents. This research, in determining the efficacy of the EMDR FT on adolescents with depression, particularly focused on depression symptoms and assessed the observed changes in these symptoms. It aims to evaluate the specific effects of EMDR-FT on adolescents with depression, providing a unique perspective compared to previous research that has mainly focused on broader mental health disorder indicators. It is hypothesized that EMDR-FT is an effective therapy for treating adolescents with Depression. In the present study, adolescents with depression showed significant improvements in symptom severity and their traumatic events impact levels decreased. As a result of our study, a 12-week EMDR-FT treatment was observed to be effective for adolescents with depression and in reducing and improving traumatic stress levels and depression. Our results underscore the effectiveness of the EMDR-FT in adolescents with depression.
Annelerin psikolojik dayanıklılığının ve duygu sosyalleştirme stratejilerinin çocukların duygu düzenleme becerileri üzerindeki rolü
(Galenos Publishing House, 2024-03) Gürses, Dilara; Aktan, Zekeriya Deniz; Ülkümen, İpek
Amaç: Bu araştırma, 48-72 aylık çocuklara sahip annelerin psikolojik dayanıklılık puanları ile duygu sosyalleştirme stratejileri puanlarının, bazı sosyodemografik değişkenler kontrol edikten sonra çocuklarının duygu düzenleme becerileri üzerindeki yordayıcı rolünü incelemeyi amaçlamaktadır. Gereç ve Yöntem: Kartopu ve kolayda örnekleme yöntemi ile ulaşılan, 48-72 aylık çocuğu olan 659 anne ile yapılan araştırmada veriler, Sosyodemografik Bilgi Formu, Duygu Düzenleme Ölçeği, Çocukların Olumsuz Duygularıyla Başa Çıkma Ölçeği ve Erişkin Yılmazlık Ölçeği aracılığıyla gönüllülük esasına göre çevrimiçi olarak toplanmıştır. Bu araştırma ilişkisel tarama modeline dayanan kesitsel bir çalışmadır. Bulgular: Analiz sonuçlarına göre, annelerin psikolojik dayanıklılık puanları çocukların duygu düzenleme becerilerini pozitif yönde anlamlı düzeyde (?=0,279; p<0,01); annelerin destekleyici duygu sosyalleştirme stratejileri puanları çocukların duygu düzenleme becerilerini pozitif yönde anlamlı düzeyde (?=0,220; p<0,01); annelerin destekleyici olmayan duygu sosyalleştirme stratejileri puanları çocukların duygu düzenleme becerilerini negatif yönde anlamlı düzeyde (?=-0,260; p<0,01) yordamaktadır. Çoklu doğrusal regresyon analizi sonuçlarında ise çocuk cinsiyeti ve ailedeki çocuk sayısı sosyodemografik değişkenleri kontrol edildikten sonra, annenin psikolojik dayanıklılığı, destekleyici ve destekleyici olmayan duygu sosyalleştirme stratejileri puanlarının, duygu düzenleme puanlarının anlamlı yordayıcıları olduğu bulunmuştur (p<0,01). Sonuç: Bu bulgular annenin psikolojik dayanıklılığının ve annelerin kullandıkları duygu sosyalleştirme stratejilerinin çocuğun duygusal gelişimi üzerindeki önemini göstermektedir. Dolayısıyla çocukların duygu düzenleme becerilerini geliştirmeye yönelik terapötik müdahale ve programlara annelerin de dahil edilmesinin terapi verimliliğini artırabileceği düşünülmektedir. Aynı zamanda araştırma bulgularının, ebeveynin psikolojik dayanıklılığı ve duygu sosyalleştirme stratejileri ile duygu düzenleme becerileri arasındaki ilişkiyi ortaya koyarak literatüre ışık tutacağına inanılmaktadır.
The relationship between marital satisfaction and depression: The mediation effect of housewife burn
(Wiley, 2023-12) Ulusoy, Ayşe Nehir; Karaköse, Selin
[No abstract available]
The relationship between children's and parents' technology use and children's emotional development
(Wiley, 2023-12) Ögel Balaban, Hale; Altan, Şebnem
[No abstract available]
Development and validation of the physical distancing behavior scale: a study based on the integrated behavior model
(Lut TAMAM, 2023-12-29) Ünver, Buket; Şen, Esin Temeloğlu; Gücin, Nuray Öner
This paper aims to develop a comprehensive scale within the framework of the Integrated Behavior Model (IBM), which is recommended for the protection of public health during the Covid-19 pandemic period and is the leading physical distancing behavior among health behaviors. Within the scope of the study, an item pool consisting of a total of 109 items was created and the first item analysis was performed in the pilot sample (N= 100). At the end of the pilot study, Physical Distancing Behavior Scale (PDBS) was developed, comprising a total of 39 items. This scale consisted of instrumental attitude, experiential attitude, subjective norms, perceived control, self-efficacy, environmental constraints, knowledge habit, intention, and behavior structures. Af-terwards, Exploratory Factor Analysis (EFA) was applied to 322 participants (age: 36.48) resulting in 21 items and five structures including instrumental attitude, experiential attitude, perceived control, self-efficacy, and knowledge. After factor structures according to EFA had been formed, a Confirmatory Factor Analysis (CFA) was conducted on 472 participants (age: 36,99). The CFA results confirmed 4 constructs consisting of 19 items which are instrumental attitude, experiential attitude, perceived control, and self-efficacy (RMSEA=0.057, GFI=0.93, CFI=0.94, NFI=0.90, X2/df=2.51), Cronbach’s alpha scores of all sub-scales varied between 0.68-0.85. The results revealed that physical distancing behavior has been evaluated through the instrumental attitude, experi-ential attitude, perceived control, and self-efficacy constructs of IBM. In future studies, the scale may also need to be tested with different model studies. As regards the modeling studies that used this scale, examining diffe-rent samples could guide community-based intervention programs.
Interpretative phenomenological analysis of attention deficit hyperactivity disorder in adolescents
(Lut TAMAM, 2023-12-29) Köroğlu, Arif Erdem; Aktan, Zekeriya Deniz
Current research on attention deficit hyperactivity disorder (ADHD) is generally based on quantitative methodology. This indicates a lack of information on how ADHD individuals explain this phenomenon, and what they experience. The aim of this research is to reveal how attention deficit hyperactivity disorder is experienced in adolescents and how adolescents explain this phenomenon. The participants in this study were ten adolescents aged 11-18 who were diagnosed with ADHD and did not have a comorbid diagnosis. Participants were interviewed through a semi-structured interview form. The interviews were conducted and recorded on an online platform, and a transcript of the voice recording of each participant was then created. The texts obtained from the transcripts were analyzed with an interpretative phenomenological analysis. As a result of the analysis, the following themes were found: Academic difficulty, normalizing and affirming the diagnosis, living with undesirable emotions and behaviors, and negative social experiences. The findings reveal that the ADHD-related experiences of adolescents and their explanations for the ADHD diagnosis are not of a single nature. Instead, they were also perceived in a positive light as well as negative. The results reveal that the awareness of professionals and families who have contact with ADHD-diagnosed adolescents should be raised, and interventional and motivational programs directed at ADHD treatment-related negative experiences of adolescents can be organized.
The relationships of neuropsychological factors and loneliness preference in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome
(Routledge Journals, Taylor & Francis Ltd, 2023-12) İzmir, Sevim Berrin İnci; Aktan, Zekeriya Deniz; Ercan, Eyüp Sabri
This study aimed to examine emotion dysregulation and internalizing disorders mediating the relationship between selective and sustained attention and loneliness preference in children diagnosed with attention deficit hyperactivity disorder (ADHD) and Cognitive Disengagement Syndrome (CDS). This study included 176 children and adolescents between ages 8 and 12. The solitude scale for children, Difficulties in Emotion Regulation Scale, Child Behavior Checklist, Barkley Sluggish Cognitive Tempo Scale, and CNS Vital Signs test were used. The results suggest that difficulties in emotion regulation and having an internalizing disorder had a mediating effect between difficulties in selective attention and preference for the loneliness of children with ADHD + CDS. Also, it was likely that the association between sustained attention and preference for loneliness is mediated by internalizing disorders. The results suggest that the social problems commonly exhibited by children with ADHD + CDS may be related to deficits in sustained and selective attention.
An examination of predictors regarding the physical distancing behavior: a study from Turkish sample
(Hogrefe AG-Hogrefe AG Suisse, 2023-10) Temeloğlu Şen, esin; Ünver, Buket; Oner Gucin, Nuray
[No abstract available]
Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries
(Elsevier Ltd, 2023-12) Őri, Dorottya; Szocsics, Péter; Molnár, Tamás; Bankovska Motlova, Lucie; Kazakova, Olga; Mörkl, Sabrina; Wallies, Michael; Abdulhakim, Mohamed; Boivin, Sylvie; Bruna, Krista; Cabaços, Carolina; Carbone, Elvira Anna; Dashi, Elona; Grech, Giovanni; Greguras, Stjepan; Ivanovic, Iva; Guevara, Kaloyan; Kakar, Selay; Kotsis, Konstantinos; Ingeholm Klinkby, Ida Maria; Maslak, Jovana; Matheiken, Shevonne; Mirkovic, Ana; Nechepurenko, Nikita; Panayi, Angelis; Pereira, Ana Telma Fernandes; Pomarol-Clotet, Edith; Raaj, Shaeraine; Prelog, Polona Rus; Soler-Vidal, Joan; Strumila, Robertas; Schuster, Florian; Kisand, Helena; Reim, Ann; Ahmadova, Gumru; Vircik, Matus; Yılmaz Kafalı, Helin; Grinko, Natalia; Győrffy, Zsuzsa; Rózsa,Sándor
Background Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce.Methods A cross-sectional multicentre study was performed in 32 European countries to investigate the lived experiences and attitudes of psychiatrists toward patients with mental illness as well as the relationship between stigma, psychosocial and professional factors. The self-reported, anonymous, internet-based Opening Minds Stigma Scale for Health Care Providers was used to measure the stigmatising attitudes. The survey was translated into the local language of each participating country. All participants were practising specialists and trainees in general adult or child and adolescent psychiatry. The study took place between 2nd October, 2019 and 9th July, 2021 and was preregistered at ClinicalTrial.gov (NCT04644978).Findings A total of 4245 psychiatrists completed the survey. The majority, 2797 (66%), had completed training in psychiatry, and 3320 (78%) worked in adult psychiatry. The final regression model showed that across European countries more favourable attitudes toward people with mental illness were statistically significantly associated with the lived experience of participants (including seeking help for their own mental health conditions (d = -0.92, 95% confidence interval (CI) = -1.68 to -0.15, p = 0.019), receiving medical treatment for a mental illness (d = -0.88, 95% CI = -1.71 to -0.04, p = 0.040), as well as having a friend or a family member similarly affected (d = -0.68, 95% CI = -1.14 to -0.22, p = 0.004)), being surrounded by colleagues who are less stigmatising (d = -0.98, 95% CI = -1.26 to -0.70, p < 0.001), providing psychotherapy to patients (d = -1.14, 95% CI = -1.63 to -0.65 p < 0.001), and being open to (d = -1.69, 95% CI = -2.53 to -0.85, p < 0.001) and actively participating in (d = -0.94, 95% CI = -1.45 to -0.42, p < 0.001) case discussion, supervision, or Balint groups.Interpretation Our study highlights the importance of psychotherapy training, supervision, case discussions and Balint groups in reducing the stigmatising attitudes of psychiatrists toward patients. As the findings represent cross -national predictors, Europe-wide policy interventions, national psychiatric education systems and the management of psychiatric institutions should take these findings into consideration.Funding National Youth Talent Award (Ministry of Human Resources, Hungary, (NTP-NFTo-20-B-0134). All authors received no funding for their contribution.
Evaluation of post-swallow residue with visual analysis of swallowing efficiency and safety in patients with idiopathic Parkinson's disease
(Sage Publications Inc, 2023-12) Doruk, Can; Çaytemel, Berkay; Şahin, Erdi; Kara, Hakan; Samancı, Bedia; Abay, Sevinç Nisa; Bilgiç, Başar; Hanağası, Haşmet; Başaran, Bora; Enver, Necati; Rameau, Anais
Objectives: Dysphagia is common in idiopathic Parkinson's disease (IPD) and is associated with impairments in both swallowing safety and swallowing efficiency. The goals of this study were to define post-swallow residue patterns in people with IPD and describe pathophysiological endoscopic findings affecting residue accumulation. Methods: This was a prospective single-blinded cross-sectional cohort study of patients with the diagnosis of IPD recruited from a Movement Disorder Clinic. Clinical variables included patient age, cognitive function, and measures of disease severity, and laryngoscopic examinations with a flexible endoscopic evaluation of swallowing (FEES) were completed for each patient. Visual Analysis of Swallowing Efficiency and Safety (VASES) was used to analyze FEES. Post-swallow residue outcomes and non-residue endoscopic outcomes including the Bowing index, Penetration Aspiration Scale (PAS) score, premature leakage, and build-up phenomenon were evaluated. Multiple regression models were used to evaluate factors affecting the residue at different anatomic levels. Results: Overall 53 patients completed the study. The multiple regression analyses showed a relation between (1) the presence of residue at the level of oropharynx and epiglottis with premature leakage, (2) the presence of residue at the level of the laryngeal vestibule and vocal folds with build-up phenomenon, and (3) the presence of residue at the level of the hypopharynx, laryngeal vestibule, and subglottis with airway invasion. Conclusion: Residue pattern during FEES is associated with specific swallow dysfunctions in IPD. Using residue localization and quantification may be a helpful tool in assessing the impact of targeted swallowing interventions in patients with IPD and dysphagia.
The effect of SARS-CoV-2 virus on resting-state functional connectivity during adolescence: Investigating brain correlates of psychotic-like experiences and SARS-CoV-2 related inflammation response
(Elsevier Ireland Ltd, 2023-12) Yılmaz Kafalı, Helin; Daşgın, Hacer; Şahin Çevik, Didenur; Sozan, Sara Sinem; Oğuz, Kader K.; Mutlu, Müge; Özkaya Parlakay, Aslınur; Toulopoulou, Timothea
We first aimed to investigate resting-state functional connectivity (rs-FC) differences between adolescents exposed to SARS-CoV-2 and healthy controls. Secondly, the moderator effect of PLEs on group differences in rs-FC was examined. Thirdly, brain correlates of inflammation response during acute SARS-CoV-2 infection were investigated. Eighty-two participants aged between 14 and 24 years (SARS-CoV-2 (n = 35), controls (n = 47)) were examined using rs-fMRI. Seed-based rs-FC analysis was performed. The positive subscale of Community Assessment of Psychotic Experiences-42 (CAPE-Pos) was used to measure PLEs. The SARS-CoV-2 group had a lesser rs-FC within sensorimotor network (SMN), central executive network (CEN) and language network (LN), but an increased rs-FC within visual network (VN) compared to controls. No significant differences were detected between the groups regarding CAPE-Pos-score. However, including CAPE-Pos as a covariate, we found increased rs-FC within CEN and SN in SARS-CoV-2 compared to controls. Among the SARS-CoV-2 group, neutrophil/lymphocyte and thrombocyte*neutrophil/lymphocyte ratio was correlated with decreased/increased FC within DMN and SN, and increased FC within CEN. Our results showed rs-FC alterations within the SMN, CEN, LN, and VN among adolescents exposed to SARS-CoV-2. Moreover, changes in rs-FC associated with PLEs existed in these adolescents despite the absence of clinical changes. Furthermore, inflammation response was correlated with alterations in FC within the triple network system.
The effect of psychotic proneness and psychopathy on theory of mind
(Wiley, 2024-02) Atakan, Begüm; Yıldırım, Elif
This study aimed to investigate the interaction between positive psychotic experiences and psychopathic traits on the theory of mind in a non-clinical sample. The results showed that distinct constructs of psychopathy can lead to distinct theory of mind profiles when interacting with psychotic proneness.
Psychological distress of breast cancer survivors during the Covid-19 pandemic and related factors: a controlled study
(KARE Publication, 2023-07) Taş, Beyza; Anuk, Dilek; Akçinar Yayla, Berna
OBJECTIVE: Although the prevalence of breast cancer is high among women, survival rates are increasing. How-ever, breast cancer survivors (BCS) continue to experience various psychological problems after their treatments and are also exposed to additional stressors, such as the current Coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to examine the psychological distress and related factors (social support, intolerance of uncertainty, coping strategies) of BCS during the COVID-19 pandemic and the role of breast cancer diagnosis in this process. METHODS: This study included 95 BCS and 87 healthy women. Sociodemographic Information Form and depression anxiety stress scale, social support scale, intolerance of uncertainty scale, and coping strategies short form scales were administered to the participants. T tests and regression analyses were performed to examine the relationships between the variables. RESULTS: There was no significant difference between the two groups in terms of depression and anxiety, but the stress of BCS was lower than that of healthy women. In the regression analysis, the diagnosis of breast cancer was not a predictor for depression and anxiety, but it was a significant predictor for stress. Com-mon predictors of increased depression, anxiety, and stress were decreased social support, increased uncertainty intolerance, and increased emotion-focused coping. CONCLUSION: Focusing on the development of intolerance of uncertainty, social support, and problem-focused coping strategies of psychological interventions for women BCS during epidemics such as COVID-19 may reduce their psychological distress while maintaining and increasing their psychological well-being.

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