Objective: This study was conducted to determine the validity and reliability of the Turkish version of the Hikikomori (HQ-25) scale. Participants: The sample of the study consisted of 418 nursing students. Methods: Language and content validity and exploratory and confirmatory factor analysis were used in the validity-reliability analysis of scale. In addition, Cronbach's Alpha coefficient, item-total score correlation, and test-retest reliability methods were used. CFA, it was observed that three-factor structure of scale was preserved in the Turkish sample as well. Significant correlations were found between the scale and other scales (p<0.01). Results: As a result, it was adapted into Turkish, revealing that the scale is valid and reliable in measuring the social withdrawal behavior of individuals. It is recommended to evaluate using the scale in risky groups in terms of social withdrawal.
Objective Sexual abuse (SA) is known for its effects on brain structures in adolescents. We aimed to explore if SA has any effect on limbic and prefrontal cortex (PFC) structures. We hypothesized that children with SA would have a thinner PFC with larger amygdala and hippocampus that lead to aberrations in threat detection, orientation and response circuit; that would be highly adaptive in a dangerous environment in the short term. Method We included 57 SA and 33 healthy control (HC) female participants. In addition to psychiatric evaluation, we acquired 3 T MR images from all participants. We compared prefrontal cortical thicknesses, hippocampus and amygdala volumes between groups. Results The age and education levels of study groups were matched, however, IQ scores and socioeconomic status (SES) scores of the SA group were lower than the controls. Total CTQ scores of the SA group were higher than the HC. Nevertheless, the mean value of sexual abuse scores was above the cut-off scores only for the SA participants. SA participants had larger right and left hippocampus and right amygdala volumes than the controls. SA group had reduced inferior frontal gyrus cortical thickness (T=3.5, p<0.01, cluster size=694 mm2, x=51 y=-30 z=6) than HC group. None of the structural findings were correlated with total or sexual abuse CTQ scores. Conclusion Children with SA history has structural abnormalities in threat detection, orientation and response circuit. SA victims with no psychiatric diagnosis have a high probability of psychiatric problems with a possible contribution of these aberrations. SA cases that do not have a diagnosis must not be overlooked as they may have structural changes in emotion related brain regions. Careful follow-up is needed for all of all SA cases.
Positive psychology (PP) interventions are treatment methods or intentional activities aiming to develop positive feelings, behaviors or cognitions. This study was conducted to determine the effect on mental well-being, life attitude and depression levels of PP program applied to patients diagnosed with depression. The pre, post and follow-up test were conducted as a quasi-experimental study. Patients who diagnosis of depression for at least 6 months constituted the population of the study, and a total of 53 patients, 26 were in the experimental and 27 in the control group. Data were collected using Personal Information Form,Beck Depression Inventory,Warwick-Edinburgh Mental Well-Being Scale and Life Attitude Profile Scale. After the analysis,it has been determined that the online PP program is effective in reducing the level of depression, increasing mental well-being and developing a positive life attitude. It is recommended that the PP program be used by psychiatric nurses in the treatment of depression and the execution of studies comparing online positive psychology practices with face-to-face positive psychology practices are recommended.
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