We investigated the effects of long- and short-term interdisciplinary treatment approaches for reducing symptoms and improving health-related quality of life (HRQoL) and physical functions of patients with fibromyalgia and compared the effects of two different interdisciplinary treatment approaches. We conducted a prospective, randomized, controlled trial involving 66 women with fibromyalgia eligible for the study at a university hospital setting. The patients were randomized into three groups (allocation ratio 1:1:1) using a computer-generated random numbers: a long-term interdisciplinary treatment group (LG, n = 22) that participated in 10 sessions (3-h once-weekly session for 10 weeks) of cognitive behavioral therapy (CBT) together with exercise training and other fibromyalgia related educational programs (two full days); a short-term interdisciplinary treatment group (SG, n = 22) that received two full days of educational, exercise, and CBT programs; and a control group (CG, n = 22). The patients were evaluated at baseline and 6 months after treatment using the visual analog scale (pain, fatigue, and sleep), Fibromyalgia Impact Questionnaire, Beck Depression Inventory, Short Form-36, tender point numbers, and pressure algometry as primary outcomes. The statistical analysis was confined to the 'per-protocol' set. No blinding was performed. The number of patients analyzed was 21 in the LG, 19 in the SG, and 19 in the CG. The intensity of pain (p < 0.001), severity of fatigue (p = 0.048), number of tender points (p = 0.002), and pressure pain threshold (p = 0.012) decreased significantly in both the LG and SG groups compared with controls. Moreover, physical functions (p = 0.017) and physical components of the HRQoL (p = 0.036) improved significantly in the intervention groups compared with the controls. However, there was no significant difference between intervention groups and the control group at the end of study in terms of quality of sleep (p = 0.055), severity of depressive symptoms (p = 0.696), and mental components of the HRQoL (p = 0.229). Finally, with the exception of the severity of fatigue and physical components of the HRQoL, there was no obvious significant difference between the efficacies of the two treatment approaches when compared with controls; the long-term treatment was found more effective in reducing pain than the short-term. Both, long- and short-term interdisciplinary treatments were effective in reducing the severity of some symptoms and disease activity in patients with fibromyalgia. The short-term program well meets the needs of women with fibromyalgia particularly in relation to pain and health status as measured using FIQ; however, a long-term program may be beneficial in reducing fatigue and improving physical function to a higher extent.

ÖZYeme bozukluğunu önleme çalışmalarında özellikle risk gruplarının belirlenmesi önem taşımaktadır. Bu çalışmanın amacı Garner, Olmstad, Bohr ve Garfinkel (1982) tarafından geliştirilen ve riskli yeme tutumlarının araştırılmasında tüm dünyada en yaygın kullanılan ölçeklerden Yeme Tutum Testi'nin kısa formu olan Yeme Tutum Testi-26'nın (YTT-26) Türkçeye uyarlanmasıdır. Araştırmaya açımlayıcı faktör analizinin yapıldığı ilk aşamada 1000, doğrulayıcı faktör analizinin ve diğer geçerlik-güvenirlik analizlerinin yapıldığı ikinci aşamada 500 olmak üzere toplamda 1500 üniversite öğrencisi katılmıştır. Çalışmada Yeme Tutum Testi 26'ya ek olarak, geçerlik sınamaları amacıyla Yeme Bozukluğu Değerlendirme Ölçeği, Kısa Semptom Envanteri, Yeme Tutum Testi-40 da kullanılmıştır. Ölçeğin geçerliği; yapı geçerliği kapsamında faktör analizi, yakınsak geçerlik ve ayırıcı geçerlik yöntemleriyle, güvenirliği ise iç tutarlık analizi ve test-tekrar test yöntemiyle değerlendirilmiştir. Yeme Tutum Testi-26 için yapılan açımlayıcı faktör analizi sonuçları toplam varyansın %38.5'ini açıklayan Yeme Meşguliyeti, Kısıtlama ve Sosyal Baskı olarak adlandırılan üç faktörlü bir yapı ortaya koymuştur. Doğrulayıcı faktör analizi ise bu 3 faktörlü yapının uyum değerlerinin kabul edilebilir düzeye yakın olduğunu göstermiştir. Yeme Tutum Testi-26 ile Yeme Tutum Testi-40, Yeme Bozukluğu Değerlendirme Ölçeği ve Kısa Semptom Envanteri'nin ilgili faktörleri arasında pozitif yönde anlamlı korelasyonlar bulunmuştur. Ayrıca YTT-26'dan kesme puanın üzerinde alanlar ile kesme puanın altında alanların Yeme Bozukluğu Değerlendirme Ölçeği ve Kısa Semptom Envanteri skorları anlamlı düzeyde farklılaşmıştır. Ölçeğin Cronbach Alpha iç tutarlık katsayısı .84, test-tekrar test durağanlık katsayısı ise .78 olarak bulunmuştur. Araştırma sonuçları, ölçeğin yeme tutumlarını değerlendirmede geçerli ve güvenilir bir ölçüm aracı olarak kullanılabileceğine dair önemli bulgular sunmaktadır. İleriki çalışmalarda farklı örneklemlerde ve klinik gruplarda ölçeğin çapraz geçerliğinin araştırılması önem taşımaktadır.

The aim of this study is to conduct the Turkish adaptation and to test the validity and reliability of the Turkish version of the "Fear of Cancer Recurrence Inventory (FCRI). " METHODS A total of 219 mixed-type cancer survivors with a mean age of 50.76 years participated in the study (79.9% women). They were asked to complete the Impact of Events Scale (IES) and Patient Health Questionnaire-Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) along with the translated version of FCRI. RESULTS By exploratory factor analysis and oblique rotation, the number of factors of the original scale decreased from 7 to 5 and three of them have been renamed ("recurrence-related meta-cognitions, " "emotion-focused coping strategies, " and "quality of life"). The overall Cronbach's alpha coefficient of FCRI was 0.94, and the item-total correlations ranged between 0.37 and 0.75. With respect to concurrent validity, except for the "avoidance" subscale of IES, significant correlations (r=0.13-0.70; all p<0.01) were found between FCRI factors and the total scores and subscales of other measures, similar to those in the original scale. CONCLUSION The Turkish version of FCRI has satisfactory psychometric properties, and it is eligible for use in studies in Turkey.

Study Design. It is cross-cultural adaptation and validation of the Body Image Disturbances Questionnaire. Objective. The purpose of the study was to adopt the English version of the Body Image Disturbance Questionnaire-Scoliosis (BIDQ-S) into Turkish language. Summary of Background Data. BIDQ-S is originally adopted from BIDQ scale which is designed to be used for healthy subjects in order to assess concerns and distress about physical appearance, and impairment on daily functioning. However, there is no culturally adopted and validated BIDQ-S for the Turkish population. Method. Translation and back translation method was used to guide the translation process of the BIDQ-S from English to Turkish. In order to determine and confirm the factor structure of the Turkish BIDQ-S exploratory and confirmatory factor analysis were performed. Convergent validity of the Turkish BIDQ-S- was determined by calculating the correlations of BIDQ-S, and the factors emerged, with the indicators of subjective well-being which consists of three components: positive affect (PA), negative affect (NA), and satisfaction with life (SWL) and of health related quality of life measured by Scoliosis Research Society Questionnaire (SRS-22). Results. The data from the present study demonstrated that different from the original, German and Chinese versions two factor solutions were found. The Turkish BIDQ-S also showed satisfactory internal consistency value with Cronbach α equals to 0.88 construct validity. Conclusion. In conclusion, current study shows that Turkish BIDQ-S is a valid and reliable questionnaire for assessing the body image concerns in patients with scoliosis in Turkish population. Level of Evidence: 4

OBJECTIVE: The aim of this study is to compare eating behaviours, body image, and depressive symptoms in eating disordered women with a demographically matched healthy control sample to evaluate the predictors of eating behaviour. METHODS: 150 women (75 in the Eating Disorders Group-EDG and 75 in Healthy Control Group-HCG) participated in the study. All participants completed the Eating Disorder Examination Questionnaire (EDE-Q), Beck Depression Inventory (BDI), and Photographic Figure Rating Scale for Women (PFRS). Body Mass Index (BMI) was also measured. RESULTS: HCG significantly differed from EDG in all study variables except body dissatisfaction. Positive correlations were found between EDE-Q and its subscales, PFRS, BDI, and BMI. Excluding body image distortion, the study variables together explained 49.1% of the variance in EDE-Q total scores, with body dissatisfaction being the most powerful after controlling for group differences. CONCLUSION: Women with EDs suffer more disordered eating behaviour, stronger depression symptoms, and lower BMI more than their healthy counterparts, although these factors are quite common in healthy women too. Body dissatisfaction, which is an important predictor of eating problems, is also equally prevalent in healthy controls. Finally, healthy women tend to underestimate their body size, which can be a protective factor against EDs.

Bu çalışmanın temel amacı, ağrı yönetiminde kullanılan hem aktif hem pasif başetme stratejilerini eşit ağırlıkta değerlendiren ve özgün formu Kraaimaat ve Evers (2003) tarafından geliştirilmiş olan Ağrıyla Başetme Envanteri'nin (ABE) Türkçe formunun geçerlik ve güvenirliliğini sınamaktır. Gereç ve Yöntem: Araştırmanın örneklemi, çeşitli kronik ağrı hastalarından oluşan 232'si (%83,2) kadın, 47'si (%16,8) erkek 279 yetişkinden oluşmaktadır. Veri toplamada ABE'nin yanı sıra, ölçüt ve yakınsak geçerlik sınaması için Genel Özyeterlilik Ölçeği, Ağrı Özetkinlik Ölçeği-2, Stresle Başaçıkma Tarzları Ölçeği ve Ağrıyla Başaçıkma Ölçeği kullanılmıştır. Bulgular: Temel Bileşenler Analizi'nde ABE uzaklaşma, ağrıyı dönüştürme, rahatlatıcı düşünme, endişe, dinlenme ve geri çekilme olmak üzere altı faktör olarak bulunmuştur. Altölçeklerin Cronbach içtutarlılık katsayısı .53 ile .77 arasında değişmektedir. ABE'nin altboyutları ile diğer ölçeklerin kriter ve ölçüt geçerliliğine ilişkin korelasyon değerleri anlamlıdır. Sonuç: Bu bulgular, ABE'nin farklı gruptan ağrı hastalarında ağrıyla başetme yöntemlerini değerlendirmek amacıyla kullanılabileceğine işaret etmektedir.

No abstract

Objective: Deficits in motivation to change are common among individuals with eating disorders, yet there has been an absence of research on motivation in non-Western countries. The aim of this study was to develop measures of motivation to change based on the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) and the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ) in a Turkish