Ge liş ta ri hi/Re cei ved: 12.09.2011 Ka bul ta ri hi/Ac cep ted: 27.09.2011 © Nö rop si ki yat ri Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra f›n dan ba s›l m›fl t›r. / © Arc hi ves of Neu ropsy chi atry, pub lis hed by Ga le nos Pub lis hing ÖZET Amaç: Çalışmada Türkçeye uyarlanan YAB-7 testinin , geçerlik, güvenirlik ve psikometrik özelliklerinin belirlenmesi amaçlandı.Yöntem: Çalışmaya YAB tanısı konulan 110 hasta 112 sağlıklı gönüllü katıldı. Başlangıç uygulamasının üç hafta sonrasında örneklemin belirli bir bölümüne YAB-7 testi yeniden uygulandı. Yapısal geçerlilik için ana bileşenler analizi, doğrulayıcı faktör analizi, ayırt edici özelliğin belirlenmesi için ROC analizi yapıldı. Değişik kesme değerlerinde pozitif öngörücü değer, negatif öngörücü değer, pozitif ve negatif olabilirlik oranı hesaplandı. Bulgular: YAB grubunda YAB-7 testi toplam puanları kontrol grubuna göre istatistiksel olarak anlamlı yüksek bulundu. YAB-7 testi tüm maddeleri arasında anlamlı ilişki, iç tutarlık ve aralıklı uygulamada iyi kararlılık gösterdiği görüldü. Yapısal geçerlilik için yapılan faktör analizinde YAB-7 testi faktör yapısının orijinal test ile benzer olduğu ve yapısal geçerliliğinin iyi olduğu saptandı. Doğrulayıcı faktör analizinde tek faktörlü yapıya iyi uyum gözlendi. YAB-7 testi için en kabul edilebilir kesme değeri 8 bulundu.Sonuç: YAB-7 Türkçe formunun klinik örneklemde orijinal forma benzer olarak yüksek geçerliğe, güvenilirliğe ve iyi psikometrik özelliklere sahip olduğu saptandı. YAB-7 Türkçe formunun yararlı bir tarama testi olarak değerlendirildi. (Nö rop si ki yat ri Ar fli vi 2013; 50: 53-58) Anah tar ke li me ler: Yaygın Anksiyete Bozukluğu-7 (YAB-7) testi, Türkçe uyarlama, geçerlik, güvenilirlik Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir. ABS TRACTObjective: Our objective was to identify the validity, reliability and psychometric features of the Turkish adaptation of the Generalized Anxiety Disorder-7 (GAD-7) scale. Method: Patients who were diagnosed with 110 GAD patients and 112 healthy control subjects were included in this study. Three weeks after the initial administration, a certain group of the sample was administered the GAD-7 scale again. The principal components analysis for structural validity and confirmatory factor analysis were performed. Receiver operating characteristics (ROC) curve analysis was performed to identify the distinguishing feature. Positive predictive value, negative predictive value, positive and negative likelihood ratios were calculated at different cut-off levels. Results: The total scores for the GAD-7 scale-Turkish version in the GAD group were found to be statistically significantly higher than those in the control group. A significant correlation was observed between all items of the GAD-7 scale -Turkish version that was found to have good internal consistency and intermittent administration. In the factor analysis performed for assessing the construct validity, the factor structure of the GAD-7 scale-Turki...
The aim of this study is to investigate the relationship between fear and avoidance beliefs with the disability of patients with chronic low back pain and the prediction of quality of life. MaterIaL and MetHOds:105 outpatients with chronic low back pain were included in the study. Patients were evaluated with a sociodemographic questionnaire Visual Analog Scale Roland Morris Disability Questionnaire Beck anxiety inventory Beck depression inventory, Somatosensory Amplification Scale Fear and avoidance beliefs questionaire and Short form-36 health survey questionnaire. resuLts:As pain intensity increased, FABQ increased. Higher levels of anxiety, depression, FABQ (work) leads to higher level of disability. The disability predictors were found to be pain intensity and level of anxiety. When levels of pain intensity, level of anxiety and depression, FABQ increased, physical function decreased. Pain intensity and FABQ (physical) were found to be the predictors of quality of life.cOncLusIOn: Findings of our study were compatible with the previous studies that evaluated the relationship between pain intensity and FAB with the disability of patients with chronic low back pain. We think that it'd have a role for the perception of disability and connected to this to prevent the impairment of life quality by implications for FAB in these patients. BuLguLar: Ağrı şiddeti arttıkça korku kaçınma artmaktaydı. Depresyon anksiyete ve korku kaçınma (mesleki) düzeyindeki artış yetiyitiminin artmasına yol açmaktaydı. Ağrı şiddeti ve anksiyete düzeyi yeti yitiminin yordayıcıları olarak belirlendi. Ağrı şiddeti anksiyete ve depresyon düzeyleri korku kaçınma arttıkça fiziksel fonksiyon azalmaktaydı. Ağrı şiddeti ve fiziksel korku kaçınma tutumları fiziksel işlevselliğin yordayıcıları olarak bulundu. sOnuÇ: Çalışmamızın bulguları kronik bel ağrılı hastalarda ağrı şiddetinin ve korku kaçınma inançlarının yeti yitimi ile ilişkisinin değerlendirildiği önceki çalışmalarla uyumlu bulunmuştur. Bu hastalarda korku kaçınma inançlarının değerlendirilmesinin yeti yitimini anlama ve buna bağlı yaşam kalitesindeki bozulmanın önlenmesinde rol oynayabileceğini düşünmekteyiz.anaHtar sÖZcÜkLer: Kronik bel ağrısı, Korku kaçınma tutumları, Yeti yitimi, Yaşam kalitesi
Objective: We examined the gender differences and attachment styles with regard to the phenomenology of jealousy among married individuals. Method: The study included 86 married couples who presented to the Marriage Counselling Centre at the Bakırköy Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery. Subjects were evaluated in terms of sociodemographic data, the Romantic Jealousy Questionnaire, and the Adult Attachment Style Scale. Results: In our population, 79% of males and 66% of females defined themselves as jealous. Females had higher emotional and cognitive scores than male participants. Females had higher scores on the negative effects of jealousy. Female commitment scores were higher than those of males. Ambivalent attachment was positively correlated with physical, emotional, and behavioural responses to jealousy and inadequacy as a reason for jealousy. Conclusions: We suggest that a multidimensional approach permits to identify and guide responses to the challenge of romantic jealousy. ARTICLE HISTORY
Introduction: Many people grieve in a resilient manner, often having a sense of equilibrium restored within six months. The most devastating type of loss is usually considered to be the death of the child. For such a loss, bereavement may take a period of distressing years with signs and symptoms that are related to grief. There have been different phases identified in the grieving process, and this process encompasses various difficulties with different levels of psychological effects. Women with perinatal losses can suffer long periods of grief. The purpose of this study was to monitor the grief in women who had undergone a termination of pregnancy due to fetal anomaly. Methods: Forty-six women who applied to the Gynaecology Clinic of Istanbul University Cerrahpaşa Faculty of Medicine and who decided to terminate their pregnancy due to fetal anomaly were included in the study. The Perinatal Grief Scale (PGS), the Impact of Event Scale-Revised (IES-R), Beck Anxiety Inventory (BAI), the Edinburgh Postnatal Depression Scale (EPDS), the Multidimensional Relationship Questionnaire (MRQ) and the Adult Attachment Scale (AAS) were administered to the participants six weeks after termination. Participants’ grief signs were re-evaluated with the PGS at the sixth and 12th months. Results: There was no relationship between severity of grief symptoms and socio-demographic and clinical characteristics of the patients. The perinatal grief symptoms can decrease gradually from termination of pregnancy to six months and can persist for a period of six months up to a year. There was positive correlation between the scores of PGS and BAI, IES-R hyper-arousal. The mean score of PGS changed significantly from sixth week to sixth month and from sixth week to 12th months. IES-R hyper-arousal and MRQ relational satisfaction were found to be the predictors for PGS total score at the first year. Conclusion: The diagnosis of fetal anomaly and especially the termination of pregnancy itself may be traumatic and disruptive. In women with perinatal loss, grief may become persistent after the first six months. It would be helpful to examine how the women resolve this experience. Especially the anxiety and the hyper-arousal signs following the termination should not be ignored. Perinatal grief is a unique bereavement experience; specific interventions should be performed for detecting and treating severe perinatal grief.
Objectives Acute mania is a serious medical condition that impacts men and women equally. Longtime presentation of manic symptoms is sex‐dependent; however, little is known about acute symptoms of mania. The objective of this study is to track and compare acute manic symptoms for sex differences during inpatient hospitalization. Methods All patients with bipolar mania admitted to a large university hospital between January and October 2017 were invited to participate in this longitudinal naturalistic follow‐up study. Manic (YMRS), depressive (MADRS), and psychotic (PAS) symptoms were tracked daily from admission to discharge. Results The total YMRS scores decreased significantly overtime (p < .0001) in both male (n = 34) and female (n = 23) patients (p = .7). However, male patients scored significantly higher in sexual interest (p = .01), disruptive and aggressive behavior (p = .01), and appearance (p < .001) while females had better insight into their illness (p = .01). Males and females received similar doses of lithium (p = .1), but males received significantly higher doses of valproic acid (VPA) in comparison with females (p = .003). However, plasma lithium and VPA concentrations at discharge were not significantly different between sexes. Conclusion Our results show sex differences in the progression of certain domains of manic symptoms in a cohort of 23 female and 34 male patients admitted to a large academic center in Turkey. Males, in this sample, exhibited more sexual interest, disruptive and aggressive behaviors, better grooming, and less insight compared to females. While these results are concordant with our preclinical findings and with anecdotal clinical observations, replication in larger samples is needed.
Türkiye'deki internet bağımlılığı polikliniğinde tedavi edilen erkek hastalarda, başa çıkma tutumlarının değerlendirilmesi Amaç: Bu çalışmanın amacı erkek internet bağımlılarının başa çıkma tutumlarının sağlıklı gönüllülerdekilerle karşılaştırılmasıdır. Yöntem: İnternet bağımlılığı polikliniğimize başvuran, klinik olarak internet bağımlılığı tanısı alan elli erkek hasta ve benzer sosyodemografik özelliklere sahip internet bağımlılığı olmayan elli sağlıklı erkek çalışmaya alınmıştır. Hastalar sosyodemografik ve klinik veri formu, İnternet Bağımlılığı Testi (İBT), Beck Depresyon Envanteri (BDE) Başa Çıkma Tutumlarını Değerlendirme Ölçeği (COPE) ile değerlendirilmiştir. Bulgular: Hasta grubunun günlük internet kullanım süresi, İBT puanları ve BDE puanları kontrol grubuna göre istatistiksel olarak anlamlı yüksek bulunmuştur (p<0.001). Kontrol grubunda sorun odaklı başa çıkma tutumlarından yararlı sosyal destek kullanımı (p<0.05), aktif başa çıkma, plan yapma (p<0.001), duygusal odaklı başa çıkma tutumlarından pozitif yeniden yorumlama ve gelişme, dini olarak başa çıkma (p<0.001), duygusal sosyal destek kullanımı, soruna odaklanma ve duyguları açığa vurma (p<0.05) strateji puanları anlamlı düzeyde yüksek iken, şakaya vurma, işlevsel olmayan başa çıkma tutumlarından zihinsel boş verme, inkâr, davranışsal olarak boş verme, alkol-madde kullanımı kontrol grubunda istatistiksel olarak anlamlı düzeyde düşük bulunmuştur (p>0.05). Depresyonun karıştırıcı etkisi kontrol altına alındığında şakaya vurma, zihinsel boş verme, inkâr, alkol-madde kullanımı, toplam işlevsel olmayan baş etme tutumları puanlarında anlamlı düzeyde farklı bulunmamıştır (p>0.05). Ancak kontrol grubunda kabullenme istatistiksel olarak anlamlı yüksek bulunmuştur (p<0.05). Sonuç: İnternet bağımlılığı olan hastalarda başa çıkma tutumlarında bazı farklılıklar bulunmaktadır. Çalışmamız baş etme tutumlarının araştırıldığı hasta grubu üzerinde yapılan ilk çalışmalardan biridir. Baş etme tutumlarının göz önünde bulundurulması internet bağımlılığı olan hastaların değerlendirilmesine yararlı olabilir.
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