PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection

Permanent URI for this collectionhttps://hdl.handle.net/20.500.14517/21

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Adaptation, validity, and reliability of the metacognition questionnaire-30 for the Turkish population, and its relationship to anxiety and obsessive-compulsive symptoms
(Turkiye Sinir ve Ruh Sagligi dernegi, 2008) Tosun, Ahmet; Irak, Metehan
Objective: The present study aimed to evaluate the psychometric properties of the short form of the Metacognition Questionnaire (MCQ-30) in a population of Turkish university students. The metacognitions questionnaire (MCQ) measures individual differences in a selection of metacognitive beliefs, judgments, and monitoring tendencies considered important in the metacognitive model of psychological disorders. Method: The study included 850 university students from 15 Turkish universities. Mean age age of the participants was 21.22 years, 282 (33.17%) were female, and 558 (66.82%) were male. Results: Construct validity was evaluated by exploratory and confirmatory factor analysis (CIA). Exploratory factor analysis revealed that the Turkish version of MCQ-30 has 5 components, which is some factor structure as the original form. In addition, the fit indices of CIA suggested an acceptable fit to a 5-factor model consistent with the original MCQ-30. The Turkish MCQ-30 showed acceptable to good test-retest reliability, internal consistency, and convergent validity. Significant positive relationships between the subscales of MCQ-30 and measures of anxiety and obsessive-compulsive symptoms provided further support for the convergent validity of the Turkish version. Moreover significant negative correlations were observed between age and the MCQ-30 subscales, and the effect of gender was significant on some of the subscales. Conclusion: The psychometric properties of the Turkish version of MCQ-30 showed that the instrument is a valuable additional tool for the assessment of metacognition in Turkey.
Evaluation of the Decision-making Capacity of Two Cases Planning to Undergo Uterine Evacuation
(Turkiye Sinir ve Ruh Sagligi dernegi, 2018) Altinoz, Ali Ercan; Essizoglu, Altan; Sercan, Mustafa; Yigit, Didem; Yildiz, Sinan
Psychiatric disorders in the perinatal period can lead to a deterioration in one's judgment and decision-making ability. These disorders may cause sensitive and complex legal and ethical issues relating to psychiatric, obstetric, and neonatal care. Clinicians should ethically respect the autonomy of the individual, but at the same time, they must assess the individual's decision-making process with the use of forensic psychiatric and consultation-liaison psychiatric practice. While the literature related to mental disorders in pregnancy has been increasing, there is limited information regarding the medico-legal and ethical aspects of this topic. Herein, we present two cases who are pregnant and have psychiatric disorders, and we aim to discuss their evaluation process of uterine evacuation.
Lipid profile, familial hypercholesterolemia prevalence, and 2-year cardiovascular outcome assessment in acute coronary syndrome: Real-life data of a retrospective cohort
(Aves, 2019) Kayikcioglu, Meral; Alan, Bahadir; Payzin, Serdar; Can, Levent Hurkan
Objective: The aim of this retrospective study based on real-life data was to evaluate the lipid profile and demographic, clinical, and laboratory features of patients with acute coronary syndrome (ACS) at a tertiary center and to examine the mortality rate. Methods: Information including endpoint data for at least 2 years following the index ACS event was retrieved from hospital records. Patients without sufficient follow-up data were called by phone. Modified Dutch Lipid Clinic Network criteria were used to identify the presence of familial hypercholesterolemia (FH). Factors affecting mortality in the 2-year follow-up period were evaluated using Cox regression analysis. Results: A total of 985 ACS patients (215 females) between 21 and 93 years of age were included. The females were older and had a lower smoking rate than the males. In females, the history of obesity and hypertension, the diabetes rate, and the thyroid-stimulating hormone level were higher than those of the males. In 95.6% of the patients, lipid parameters were measured upon hospital admission. No significant difference in dyslipidemia frequency was observed between genders. The frequency of FH was 7.6%. The rate of lipid-lowering drug use was <20% at admission, >90% at discharge, and decreased to 50% in the follow-up period. The mortality rate was 3.8% in the in-hospital period and 8.1% during the 2 years of follow-up. Conclusion: The mortality rate in ACS patients was 3.8% in the in-hospital period and 8.1% in the 2-year follow-up period. The frequency of hypercholesterolemia was 89.5% and the rate of lipid-lowering drug use was insufficient. Secondary prevention after ACS was not adequately employed even at a tertiary center. The FH frequency was 7.6% and those with FH were observed to have ACS at a younger age than those without.
Perceptual Conflict and Response Competition: Event-Related Potentials of the Stroop Effect
(Turkiye Sinir ve Ruh Sagligi dernegi, 2009) Bekci, Belma; Karakas, Sirel
Objective: The aim of the present study was to analyze electrophysiologicol activity associated with the Stroop effect. Method: The sample included 50 healthy volunteer adults (23 female and 27 male) from the university population. Stimulation, recording and analyses were carried under NeuroScan 4.2 hardware-software system. The effect of the experimental variables (stimulus congruency, response accuracy and electrode location) on event-related potentials (ERPs) was studied using 2x2x3 analysis of variance for repeated measures. Results: The Stroop effect was demonstrated as prolonged reaction time to incongruent stimuli and increased total number of missed stimuli. Principal components analysis (PCA) showed that Stroop performance was related such factors as selective attention, interference, and resistance to interference. The electrophysiological Stroop effect was demonstrated as increased amplitude of P3 and N4 peaks for incongruent stimuli, and of N2, P3, N3, and N4 peaks for incorrect responses. Conclusion: Increased amplitude of P3 and N4 peaks associated with stimulus-related activation has been suggested to reflect conflict detection process. The variations in amplitudes for incorrect responses were complicated. While the amplitude of the N2 and P3 components increased only for incongruent stimuli, those of the N3 and N4 components increased for both congruent and incongruent stimuli. It was concluded that these earlier and later activations were associated with response competition and error detection processes, respectively. In this respect, these findings support both the perceptual conflict and the response competition hypotheses of Stroop interference.
The Relationship Between Childhood Trauma and Body Image, Self-Esteem and Eating Attitudes in Patients undergoing Bariatric Surgery
(Turkiye Sinir ve Ruh Sagligi dernegi, 2024) Berberoglu, Ziya; Hocaoglu, Cicek
Objective: Psychiatric evaluation of candidate patients before bariatric surgery (BS) has an important place in the success of the treatment. In this study, it was aimed to examine the relationship between childhood trauma (CT) and body image, self-esteem and eating attitudes of individuals who applied for BS. Method: A total of 87 BS candidate patients with morbid obesity, 57 women and 30 men, were included in the study. Sociodemographic Information Form, Childhood Trauma Questionnaire (CTQ), Body Perception Scale (BPS), Rosenberg Self-Esteem Scale (RSES), and Eating Attitude Test (EAT-40) were used as data collection tools in the study. Results: CT was detected in 47.1% of the cases. RSES (t=3.296; p<0.01) and BPS (t=3.267; p<0.01) scores were found to be significantly higher in those with a history of CT. A positive and significant relationship was found between EAT-40 and CTQ -sexual abuse (SA) sub-dimension (r=0.570; p<0.01). A significant relationship was found between all subdimensions of CTQ and RSES. A significant relationship was found between CTQ physical neglect (PN), emotional neglect (EN), and emotional abuse (EA) sub -dimensions and BPS. In addition, CTQ total score was found to significantly and negatively predict self-esteem (beta=- 4.432; p<0.001) and body image (beta=-3.700; p<0.001). Conclusion: In our study, it was found that those with CT were dissatisfied with their bodies and had lower self-esteem. Questioning CT in the psychological evaluation of pre-BS cases may contribute to the understanding of the etiology of obesity and may play an important role in planning the follow-up after BS.
The Relationship Between Marital Adjustment and Psychological Symptoms in Women: The Mediator Roles of Coping Strategies and Gender Role Attitudes
(Turkiye Sinir ve Ruh Sagligi dernegi, 2015) Yuksel, Ozge; Dag, Ihsan
Objective: The aim of this study were to investigate the mediator role of coping strategies and gender roles attitudes on the relationship between women's marital adjustment and psychological symptoms. Methods: 248 married women participated in the study. Participants completed Marital Adjustment Scale, Ways of Coping Questionnaire, Brief Symptom Inventory, Gender Role Attitudes Scale and Demographic Information Form. Results: Regression analyses revealed that Submissive (Sobel z= -2.47, p<.01) and Helpless Coping Approach (Sobel z=-2.95, p<.001) have partial mediator role on the relationship between marital relationship score and psychological symptom level. Also, having Egalitarian Gender Role Attitude effects the psychological symptoms in relation with the marital relationship, but it is seen that this effect is not higher enough to play a mediator role (Sobel z =-1.21, p>.05). Conclusion: Regression analysis showed that there is a statistically significant correlation between women's marital adjustment and their psychological symptoms, indicating that the marital adjustment decreases as the psychological symptoms increases. It is also found out that submissive and helpless coping approach have mediator roles in this relationship. Also, contrary to expectations, having egalitarian gender role attitude effects the psychological symptoms in relation with the marital relationship, but this effect does not seem to play a mediator role. It is thought that the effects of marriage and couple therapy approaches considering couples's problem solving and coping styles should be examined in further studies.
Sınır Kişilik Bozukluğunda Dürtüsellik ve Riskli Karar Verme Eğiliminin Sosyal Biliş Becerileriyle İlişkisi
(Turkish Neuropsychiatry Assoc-turk Noropsikiyatri dernegi, 2024) Vatansever, Büşra Kuzgun; Büyükgök, Deniz; Aypak, Oya Çelik; Şahin, Doğan; Ercis, Mete; Ercis, Mete
Amaç: Bu çalışma, Sınır Kişilik Bozukluğu (SKB) tanılı bireylerde karar verme süreçlerini nöropsikolojik testlerle değerlendirerek, SKB’ye özgü bilişsel özelliklerin karar verme süreçleriyle ilişkisini sağlıklı kontrollerle karşılaştırarak incelemeyi hedeflemektedir. Yöntem: Çalışmanın örneklemi SKB tanılı hasta grubu (n=27) ile psikiyatrik tanısı olmayan sağlıklı katılımcılardan (n=28) oluşmaktadır. Hastalık şiddetinin değerlendirilmesi için Borderline Kişilik Envanteri (BKE), nöropsikolojik değerlendirme için Iowa Kumar Testi (IKT), Stroop Testi, Benton Yüz Tanıma Testi, Gözlerden Zihin Okuma Testi, Dokuz Eylül Zihin Teorisi Ölçeği (DEZTÖ), WMS-R Sayı Menzili ve Mantıksal Bellek Alt Ölçeği uygulanmıştır. Bulgular: SKB grubu ile kontrol grubu arasında BKE puanlarında anlamlı düzeyde farklılık izlenmektedir (p=0,02). Stroop Testi’ndeki enterferans süresi ve hata sayıları açısından gruplar arası anlamlı bir fark izlenmezken, spontan düzeltme cevap sayılarının anlamlı düzeyde farklılık taşıdığı (p=0,02) gözlenmiştir. WMS-R Mantıksal Bellek alt testi A hikâyesinin anlık hatırlama puanlarında gruplar arasında fark olduğu (p<0,01) tespit edilmiştir. IKT’de ilk yarıda A destesinden (p=0,028) son yarıda ise B destesinden (p=0,03) seçme eğiliminde gruplar arasında fark izlenmektedir. Son olarak, DEZTÖ’de iki grup arasında toplam puanda (p<0,01) izlenen anlamlı farkın 2. derece yanlış inanç (p=0,024) ve empati (p=0,027) görevlerinde ortaya çıktığı görülmüştür. Sonuç: Çalışmamız örneklemini oluşturan SKB tanılı bireylerin uygunsuz cevabın inhibisyonunda minimal güçlüğe sahip oldukları, bu güçlüğün karar verme davranışında dezavantajlı seçimler yapmayla ilişkili olduğu sonucuna ulaşılmıştır. Ayrıca, SKB tanılı bireylerin dışsal ipuçlarından zihinsel durumları yordamada başarılı oldukları fakat sosyal bir örüntü dâhilinde ipuçlarını bütünleştirme ve uyumlu öyküleştirme yapmakta zorlandıkları görülmüştür.
Yeme Bozukluğu-15: Klinik ve Klinik Olmayan Örneklemler için Türkçe Versiyonun Faktör Yapısı, Psikometrik Özellikleri, Geçerliği ve Güvenilirliği
(Turkiye Sinir ve Ruh Sagligi dernegi, 2023) Yılmaz1, Hande Öngün; Polat, Aslıhan; Köse, Gizem; Balcı, Sibel; Günal, Ahmet Murat
Amaç: Yeme Bozukluğu-15 (ED-15), yeme bozukluklarının tedavisinin ilerlemesini ve sonuçlarını haftalık olarak değerlendirmek için kullanılması önerilen bir öz bildirim ölçeğidir. Bu araştırma, ED- 15’in Türkçe versiyonunun (ED-15-TR) klinik ve klinik olmayan örneklemler için faktör yapısını, psikometrik özelliklerini, geçerliliğini ve güvenilirliğini incelemeyi amaçlamaktadır. Yöntem: ED-15-TR’nin dil eşdeğerliliği için çeviri-geri çeviri yöntemi kullanılmıştır. Araştırma, klinik olmayan (n=978) ve klinik (n=71) olmak üzere iki örneklem grubundan oluşan toplam 1049 gönüllü ile gerçekleştirilmiştir. Katılımcılar bilgi formunu, ED-15-TR’yi, Yeme Bozukluğu Değerlendirme Ölçeği (YEDÖ)’ni ve Beck Depresyon Envanteri (BDE)’ni tamamlamışlardır. Klinik olmayan örneklemden 352 kişi, klinik örneklemden 18 kişi bir hafta içinde ED-15-TR’yi tekrar doldurmuştur. Bulgular: Faktör analizi ED-15-TR’nin iki faktörlü yapısını doğrulamıştır. Cronbach alfa katsayısı 0,911 (iki alt boyut için sırasıyla 0,773 ve 0,904), test-tekrar test güvenilirliği için sınıf içi korelasyon katsayısı klinik örneklemde 0,943 (iki alt boyut için sırasıyla 0,906 ve 0,942); klinik olmayan örneklemde 0,777 (iki alt boyut için sırasıyla 0,699 ve 0,776) (tümü için p<0,001) bulunmuştur. ED-15-TR ile YEDÖ arasındaki yüksek düzeyde pozitif korelasyon eş zamanlı geçerliliği desteklemiştir. Sonuç: Bu araştırma ED-15-TR’nin, Türk toplumu için kabul edilebilir, geçerli ve güvenilir bir öz bildirim ölçeği olduğunu göstermektedir.

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