Psikoloji Bölümü Yayın Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12416/417
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Article Citation - WoS: 8Citation - Scopus: 8Dimensions of Agitation Based on the Cohen-Mansfield Agitation Inventory in Patients With Dementia(Turkiye Sinir ve Ruh Sagligi dernegi, 2015) Altunoz, Umut; Baştuğ, Gülbahar; Ozel Kizil, Erguvan Tugba; Kirici, Sevinc; Bastug, Gulbahar; Bicer Kanat, Bilgen; Sakarya, Aysegul; Turan, Engin; Kanat Biçer, Bilgen; PsikolojiObjective: The aim of this study was to investigate the dimensions of agitation in dementia patients using the Turkish version of the Cohen-Mansfield Agitation Inventory (CMAI-T). Materials and Method: The study included 100 patients diagnosed as dementia, according to the DSM-IV-TR. The CMAI-T was administered to the patients' caregivers via face-to-face interviews. The Standardized Mini Mental State Examination (SMMSE) was used to assess cognitive functions. The severity of depression and the functional state of the patients were assessed using the Cornell Scale for Depression in Dementia (CSDD) and the Functional Activities Questionnaire (FAQ). Principal component analysis and varimax rotation were used to determine the factor structure of the CMAI-T. Results: Factor analysis of the CMAI-T indicated a 3-factor structure: physically aggressive agitation, verbal agitation, and physically non-aggressive agitation. In 92% of the patients there >= 1 was agitation behavior during the previous 2 weeks. The CMAI-T total and factor scores were negatively correlated with the SMMSE scores, and positively correlated with the CSDD and the FAQ scores. Conclusions: The CMAI-T yielded 3 factors (physically aggressive agitation, verbal agitation, and physically non-aggressive agitation), which indicated the scale had construct validity Agitation behaviors were associated with cognitive dysfunction, symptoms of depression and general level of functioning. Additional research is necessary to identify the predictors of these dimensions in different dementia samples, and to determine the efficacy of therapeutic interventions.Article The effect of agitation on caregivers’ burden in patients with dementia(2014) Özel Kizil, Erguvan Tuğba; Altintafi, H. Özge; Bafituğ, Gülbahar; Durmaz, Nazli; Altunöz, UmutIntroduction: The purpose of this study was to examine the effect of agitation on caregiver relatives’ subjective burden together with other possible factors such as depressive symptoms, cognitive functions, duration of dementia, and caregivers’ age, education and gender. Materials and Method: The participants were 49 patients with dementia (mean age: 76.5; SD: 5.6) and their caregivers. Standardized Mini Mental Test and Cornell Scale for Depression in Dementia were administered to the patient. Cohen-Mansfield Agitation Inventory, Informant Questionnaire of Cognitive Decline in the Elderly and Zarit Burden Scale were administered to the ca-regivers. Linear regression analysis was used to examine the effects of the variables on caregiver burden. Results: There was neither a significant difference between gender and type of caregiver in terms of Zarit Burden Scale points, nor a significant correlation between Zarit Burden Scale scores and Standardized Mini Mental Test, Cornell Scale for Depression in Dementia, age and education of the patient, education of the caregiver or duration of dementia. Significant correlations between Zarit Burden Scale scores and caregivers’ age, Informant Questionnaire of Cognitive Decline in the Elderly and Cohen-Mansfield Agitation Inventory scores were found. Linear regression analysis showed a relationship only between agitation and caregiver burden. Conclusion: Patients’ agitation frequency which was assessed by Cohen-Mansfield Agitation Inventory was the basic factor in determining subjective caregiving. In addition to psychopharma-cological treatment, psychosocial interventions for caregivers are effective. In our country, dayca-re and homecare services, as well as supportive and educative psychosocial programs including interventions for agitation, should be improved.Article Citation - WoS: 31Citation - Scopus: 32Oral Trail Making Task as a Discriminative Tool for Different Levels of Cognitive Impairment and Normal Aging(Oxford Univ Press, 2013) Bastug, G.; Ozel-Kizil, E. T.; Sakarya, A.; Altintas, O.; Kirici, S.; Altunoz, U.The Trail Making Test (TMT) is a useful measure of executive dysfunction in elderly subjects. This study aims to investigate the discriminative validity of the oral version of the TMT (OTMT), which can be administered to subjects with visual or motor disabilities, in elderly patients with Mild Cognitive Impairment (MCI; n = 30), Alzheimer's disease (AD; n = 30), and healthy controls (HCs; n = 25). The WAIS-R Digit Span Backwards Subscale, written form of the Trail Making Task, the Clock Drawing Test, the AD Assessment Scale-Cognitive Subscale, and the OTMT were also administered to all participants in order to examine the concurrent validity of the OTMT. The OTMT part B discriminated between patients with MCI, AD, and HC correctly. The OTMT completion time was not correlated with age, but was negatively correlated with education. In conclusion, the OTMT (mostly part B) is a valid and practical measurement tool for different levels of cognitive impairment, especially for patients with visual or motor disabilities for whom the classical written form is not feasible.