WoS İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12416/8653
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Article Travma Sonrası Stres Bozukluğu Hastalarında Üstbilişlere İlişkin İnançlar(Klinik Psikiyatri dergisi, 2019) Yazihan, Nakidil; Yelboga, ZekeriyaAmaç: Üstbiliş (metacognition) kavramı, bilişleri kontroleden, düzenleyen ve değerlendiren üst düzey bilişselyapı, bilgi ve süreçler olarak tanımlanabilir. Çalışmanınamacı Travma Sonrası Stres Bozukluğu (TSSB)hastalarında hangi üstbiliş süreçlerinin kullanıldığını,üstbilişlerin çeşitli semptomlarla nasıl bir ilişki içindeolduğunu araştırmaktır. Yöntem: Örneklem, 52 TSSBhastası (yaş ortalaması=31,67±6,54) ve 54 sağlıklı (yaşortalaması=29,00±6,61) katılımcıdan oluşmuştur.Üstbiliş süreçlerini değerlendirmek amacıyla Üstbiliş-30ölçeği; semptom taraması yapmak amacıyla RuhsalBelirti Tarama Listesi uygulanmıştır. Bulgular: Elde edilenveriler MANCOVA kullanılarak analiz edilmiştir. Analizsonuçlarına göre üzüntü ve zihinsel ruminasyonlarıntehlikeli, kontrolünün güç ve olumsuz olduğuna ilişkininançları içeren “kontrol edilemezlik ve tehlike”; bazıdüşüncelerin kontrol edilmesi ve bastırılması gerektiğineilişkin inançları içeren “düşünceleri kontrol”; kişininbellek ve dikkat mekanizmalarına olan güvensizliğineilişkin inançları içeren “bilişsel güven” alt boyutlarındaTSSB grubu anlamlı olarak daha yüksek puan almıştır.Buna karşın üzüntü ve ruminasyonun işlevsel olduğunadair maddelerin yer aldığı “olumlu inanç” boyutlarındaise TSSB grubu daha düşük puan almıştır. Sonuç: Travmahastaları üzüntü ve ruminasyonun kendileri için olumsuzsonuçları olduğunu düşünmekte, bazı düşüncelerinintehlikeli olduğu için baskılanması ve kontrol edilmesigerektiğine inanmaktadırlar. Hastalarda başta obsesif,depresif ve psikotik belirtiler olmak üzere tüm semptomlardaki artış patolojik tarzda üstbiliş faaliyetlerininartması şeklinde yansımıştır. Travma hastalarında obsesifdüşünceler, öfke-düşmanlık, kişiler arası duyarlılık belirtileri daha büyük oranda hastaların düşüncelerinin tehlikeli olduğu ve kontrol edilmesi gerektiğine ilişkinüstbilişlerle ilişkili gözükmektedir.Article Citation - WoS: 3Citation - Scopus: 4Demans Hastalarında Ajitasyonun Bakım Veren Yüküne Etkisi(Gunes Kitabevi Ltd Sti, 2014) Altunöz, Umut; Baştu, Gülbahar; Ozel Kızıl, Erguvan Tugba; Altıntaş, H Özge; Çelik, Nazlı Durmaz; Ozel, Erguvan Tugba; Ozel-Kizil, Erguvan Tugba; Bastug, Gulbahar; Bafituğ, Gülbahar; Altintafi, H. Özge; Durmaz, NazlGiriş: Bu çalışmanın amacı demans hastalarına bakım veren yakınlarında ajitasyonun öznelbakım veren yüküne etkisinin depresif belirtiler, bilişsel işlevler, demans süresi, bakım verenin yaşı, eğitimi, cinsiyeti gibi diğer etmenlerle birlikte araştırılmasıdır. Gereç ve Yöntem: Araştırmaya toplam 49 demans hastası (Ort. yaş: 76.5; Ss: 5.6) ve 49 bakım vereni katılmıştır. Verilerin toplanmasında, hastalara Standardize Mini Mental Test ve CornellDemansta Depresyon Ölçeği, bakım verenlere ise Cohen-Mansfield Ajitasyon Envanteri, Bilişsel Kayıp için Bilgilendiriciye Uygulanan Anket ve Zarit Bakıcı Yükü Ölçeği uygulanmıştır. Bulgular: Bakım verenin cinsiyeti ve yakınlık türü ile Zarit Bakıcı Yükü Ölçeği puanları açısından istatistiksel olarak anlamlı fark bulunmadığı gibi Standardize Mini Mental Test ve Cornell Demansta Depresyon Ölçeği puanları, bakım verenin eğitim süresi, hastanın yaşı, eğitim süresi vehastalık süresi ile de anlamlı korelasyon bulunmamıştır. Zarit Bakıcı Yükü Ölçeği ile Cohen-Mansfield Ajitasyon Envanteri puanı, bakım veren yaşı ve Bilişsel Kayıp için Bilgilendiriciye UygulananAnket puanı arasında anlamlı korelasyon saptanmıştır. Lineer regresyon analizinde ise bakıcı yükünün yalnızca ajitasyon puanı ile ilişkili olduğu bulunmuştur. Sonuç: Bu çalışmada elde edilen sonuçlar demans hastalarında Cohen-Mansfield AjitasyonEnvanteri ile değerlendirilen ajitasyon sıklığının öznel bakım veren yükünü belirleyen temel faktörolduğuna işaret etmektedir. Bakım verme işinin kolaylaştırılması için psikofarmakolojik tedavilerinyanı sıra bakım verenlere yönelik psikososyal girişimler de etkili olmaktadır. Ülkemizde ajitasyonayönelik müdahaleler içeren evde ve gündüz bakım hizmetlerinin, bakım verenlere yönelik psikososyal destek ve bilgilendirme programlarının yaygınlaştırılması gereklidir.Article Effects of Communication Competency and Self-Esteem on Gaming Addiction Symptoms(Turkish Green Crescent Soc, 2022) Topcu-bulut, Merve; Şaliş, İrem; Bulut, Merve TopcuGaming behavior has become more and more popular, but there has not been any research that considers the relationship between communication competency, self-esteem, and internet gaming addiction symptoms. The main aim of the ongoing study was to assess the associations between internet gaming addiction symp- toms, self-esteem, and dimensions of communication competency. For this purpose, data were obtained from 455 individuals (47.7% females and 52.3% males) who reported that they are involved in gaming. In this study, participants were assessed with the following scale set: Sociodemographic Form, Internet Gaming Disorder Scale-Short Form, Communicative Competence Scale, and Rosenberg Self-Esteem Scale. Analyses indicated that the internet gaming disorder total score has a significant and negative correlation with self- esteem and dimensions of communication competency. Besides these results, self-esteem and listening com- petency of dimensions of communication competency have been found as a significant predictor of internet gaming disorder total score. In the literature, there has been only finite published research analyzing the dimensions of communication competency, self-esteem, and internet gaming disorder.Article Citation - WoS: 2The Mediator Role of Positive and Negative Affect in the Relationship Between Sleep Quality, Depressive Symptoms and Anxiety in Young Adults(Galenos Publ House, 2022) Yazihan, Naksidil; Tuna, Ezgi; Fidantek, HulyaObjective: It is known that individuals with poor sleep quality show significantly more depression and anxiety symptoms. It is important to investigate possible factors that may make individuals more vulnerable to develop depression and anxiety. For this purpose, the possible mediator roles of positive affect (PA) and negative affect (NA) in the relationship between sleep quality and depression- anxiety symptoms in young adults were tested by using multiple mediation analysis. Materials and Methods: The sample of the study consisted of 387 volunteer participants aged between 18 and 35 years (mean=22.83, standard deviation=3.20). Data consisting of Pittsburgh sleep quality index, positive and negative emotion scale, and brief symptom inventory were collected through an online computer-assisted protocol. Results: Significant positive correlations were found between low sleep quality scores and both depressive and anxiety symptoms. According to the two mediator variable models, low sleep quality influenced depressive symptoms indirectly through PA and NA, and anxiety through only NA. Alternative models of the results showed that depressive symptoms influenced sleep quality partially through PA and NA, while anxiety mediated this relationship only through PA. Conclusion: Alternative models tested to understand the direction of the relationship between depressive-anxiety symptoms and sleep quality. Although the results were significant, the explained variance was found to be less explanatory than the first and second models. The results of the study supported the idea that sleep quality, PA and NA should be targeted while developing prevention and intervention programs for depression and anxiety.Article Citation - WoS: 2Citation - Scopus: 3The Mediating Role of Cognitive Flexibility in the Relationship Between Metacognition and Psychological Health: a Study in a Non-Clinical Sample(Kare Publ, 2021) Aydin, Oyku; Kaynak, HandeObjective: Metacognition is a concept that refers to the awareness and control of individuals' cognitive processes. In this regard, metacognitive processes may promote cognitive flexibility. The present study investigates the impact of metacognitions on adults' psychological health and the mediating role of cognitive flexibility through bootstrap analysis. Method: The sample comprised of 212 university students. All volunteers had no history of psychiatric/neurological disorders and no use of medication affecting the central nervous system for the last six months. Participants were required to complete the Metacognitions Questionnaire-30, the General Health Questionnaire- 12, and the Cognitive Flexibility Inventory via an online survey. Results: According to the correlation analyses, cognitive flexibility was found to be negatively correlated with dysfunctional metacognition (r=-0.227, p<0.01) and poor psychological health (r=-0.397, p<0.01); dysfunctional metacognition was positively correlated with poor psychological health (r=0.399, p<0.01). We conducted mediation analyses via the bootstrapping method using a 95% confidence interval and 5000 bootstrap samples. The results showed that cognitive flexibility had a significant partial mediating role in the relationship between metacognition and psychological health [R-2=0.26, F(2, 209)=36.38, p<0.001]. Conclusion: The findings highlighted the importance of cognitive flexibility as an underlying mechanism through the relationship between metacognition and psychological health in a non-clinical sample. The results suggested the need to take "cognitive health" into account while attempting to promote "psychological health."Article Investigation of Factors Affecting Noise Robustness in Voice Activity Detectors(Gazi Univ, Fac Engineering Architecture, 2023) Ozaydin, SelmaIn this manuscript, some voice activity detectors (VADs) in the literature were examined in terms of factors affecting their robustness under different acoustic noise conditions and in this context, the changes in detection accuracy rates according to changing noise conditions were tested. In this scope, the effect of situations such as whether the threshold value used in the decision phase in VAD methods is fixed or adaptive, the analysis window is short or long, the use of more than one feature vector together has been evaluated and analyzed comparatively. While three of the four different VAD detectors examined in this manuscript use feature vectors within the short-term analysis window while generating the decision result, one decides according to the measurement result of long-term spectral vectors. The VAD detectors in the article have been tested using the NOIZEUS noisy speech database. Thus, the performance of the analyzed VADs has been evaluated under different acoustic conditions using an extensive database that has already taken place in the literature. During the testing of the analyzed VADs, different input noise speech signals with environmental background noises between [15-0dB] such as restaurant, car, street, or station were tested. Tests were carried out using objective test measurement methods and the detection accuracy rate of each VAD method was measured. The results showed that each method gave different endurance performance in adverse environmental conditions.Article Citation - WoS: 1Citation - Scopus: 1Direct and Indirect Relationships Between Cognitive Flexibility and Covid-19 Related Psychological Distress: the Mediating Role of Maladaptive Cognitive Emotion Regulation Strategies(Klinik Psikiyatri dergisi, 2022) Sayinta, Senanur; Kocak, Hatice Nur; Kaynak, HandeObjective: The effects of the COVID-19 pandemic are remarkable on individuals' mental health. During the COVID-19 pandemic, there is an increase in mental health problems and psychological distress in uninfected healthy people. The present study aimed to examine the mediator role of maladaptive cognitive emotion regula-tion strategies in the relationship between cognitive fle-xibility and COVID-19 related psychological distress experienced during the current pandemic. Method: The sample consisted of 351 young adults (86% female and 14% male) who were not infected with COVID-19 aged between 18 to 25 years old. Participants completed the self-report questionnaires, including the Cognitive Flexibility Inventory, Cognitive Emotion Regulation Questionnaire, and COVID-19 Related Psychological Distress Scale. Mediation analysis estimated total, indi-rect, and direct effects between cognitive flexibility and COVID-19 related psychological distress. Results: The correlation analyses showed that cognitive flexibility -control dimension was negatively associated with both COVID-19 related psychological distress and maladaptive cognitive emotion regulation strategies. Also, maladap-tive cognitive emotion regulation strategies and COVID-19 related psychological distress was found to be posi-tively correlated. In the study sample, the results of the bootstrap mediation indicated that maladaptive cogni-tive emotion regulation strategies, including self-blame, acceptance, rumination, catastrophizing, and blaming others, fully mediated the relationship between cogni-tive flexibility -control and COVID-19 related psycholog-ical distress. Discussion: Our findings would help psy-chological interventions designed for COVID-19 unin-fected healthy people who have lower-level cognitive flexibility -control dimension by highlighting the promi-nence that the fewer people use maladaptive cognitive emotion regulation strategies, the less they feel COVID-19 related psychological distress.Article Remembered or Forgotten Stimuli: a Functional Magnetic Resonance Imaging Study on the Effects of Emotion(Kare Publ, 2020) Kilic, Betul; Ozcelik, ErolObjective: The first aim of this study is to examine why emotional events enhance memory for preceding stimuli. The second goal is to identify brain regions associated with remembering and forgetting by finding brain activation differences during encoding of remembered and forgotten stimuli. The third goal is to examine which brain areas are activated when studying emotional pictures compared to neutral ones. Method: In each trial, a picture of an object followed by an emotional or neutral picture from the Turkish culture were presented to 15 volunteers. The effect of the succeeding pictures on the remembering of preceding stimuli was examined. The participants studied the stimuli in the magnetic resonance scanner and, meanwhile, brain images were taken. The memory performances of the participants were measured with the recognition test administered one week later. Results: Behavioral results suggest that emotion has no effect on memory for preceding stimuli. Functional magnetic resonance imaging results indicate that remembered stimuli compared to forgotten ones caused more activation in left inferior frontal gyrus and left superior medial gyrus. Emotional pictures create more activation in the - mid-temporal gyrus and supramarginal gyrus compared to neutral images. Conclusion: Brain structures in which activations are observed in remembered stimuli compared to forgotten ones (left inferior frontal gyrus and left superior medial gyrus) are responsible for the semantic elaboration and associative memory formation. Thus, it can be concluded that object pictures are remembered because they are processed more deeply. Besides, activations are observed in the areas known to be related to the processing of emotional face expressions when emotional and neutral pictures are compared.Article Citation - WoS: 11Citation - Scopus: 12Relationship of Internet Gaming Disorder Severity With Symptoms of Anxiety, Depression, Alexithymia, and Aggression Among University Students(Kare Publ, 2019) Evren, Cuneyt; Evren, Bilge; Dalbudak, Ercan; Topcu, Merve; Kutlu, NilayObjective: The aim of the present study was to evaluate the relationship of Internet gaming disorder severity with alexithymia and aggression among university students, while controlling for effects of anxiety and depressive symptoms. Method: The study was conducted with an online survey among 987 volunteer university students in Ankara. Participants were evaluated by administering the Toronto Alexithymia Scale (TAS-20), the Buss-Perry Aggression Questionnaire (BPAQ), the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), and the depression and anxiety subscales of the 90-Item Symptom Checklist-Revised (SCL-90-R). Results: Scores for the different scales mildly correlated with one other. In hierarchical linear regression analysis, both alexithymia (particularly the dimensions "difficulty identifying feelings" [DIF] and "externally-oriented thinking" [EOT]) and aggression (physical aggression) predicted the severity of Internet gaming disorder symptoms, together with severity of depressive symptoms. Conclusion: These findings suggest that among university students, the severity of alexithymia, particularly in its dimensions DDF and EOT, is related with the severity of Internet gaming disorder, together with aggression, particularly physical aggression, and depression.Article Citation - WoS: 16Citation - Scopus: 16Severity of Dissociative Experiences and Emotion Dysregulation Mediate the Relationship Between Childhood Trauma and Internet Addiction Symptom Severity Among Young Adults(Kare Publ, 2019) Evren, Cuneyt; Evren, Bilge; Dalbudak, Ercan; Topcu, Merve; Kutlu, Nilay; Elhai, Jon D.Objective: The first aim of the present study was to evaluate the relationship between childhood trauma and Internet addiction (IA) symptom severity. The second aim was to evaluate the mediator effects of dissociative experiences and emotion dysregulation on this relationship. Method: We conducted the study using an online survey with 920 university student participants. Participants were evaluated with the Internet Addiction Test (IAT), Dissociative Experiences Scale (DES), Childhood Trauma Questionnaire (CTQ-28), and Difficulties in Emotion Regulation Scale (DERS). Results: Compared with participants evidencing low IA risk (n=806, 87.6%), those with high IA risk (n=114, 12.4%) had a longer duration of daily Internet use and a higher rate of problems related to Internet use. The high IA risk group was connected to the Internet less through a smartphone and more through computer use. In addition, scale scores (DES, DERS and CTQ-28) were higher among the group with high IA risk. Scale scores were mildly to moderately correlated with each other. In linear regression analysis, childhood trauma (particularly emotional abuse and physical neglect) was related to severity of IA symptoms. Severity of dissociative experiences and emotion dysregulation mediated the childhood trauma-IA symptom relationship. Conclusion: These findings suggest relations between the severity of childhood trauma, particularly emotional abuse and physical neglect dimensions, and severity of IA symptoms among Turkish young adults. Severity of dissociative experiences and emotion dysregulation may also partially mediate this relationship.
