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Yayın Psychological distress of breast cancer survivors during the Covid-19 pandemic and related factors: a controlled study(KARE Publication, 2023-07) Taş, Beyza; Anuk, Dilek; Akçinar Yayla, BernaOBJECTIVE: Although the prevalence of breast cancer is high among women, survival rates are increasing. How-ever, breast cancer survivors (BCS) continue to experience various psychological problems after their treatments and are also exposed to additional stressors, such as the current Coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to examine the psychological distress and related factors (social support, intolerance of uncertainty, coping strategies) of BCS during the COVID-19 pandemic and the role of breast cancer diagnosis in this process. METHODS: This study included 95 BCS and 87 healthy women. Sociodemographic Information Form and depression anxiety stress scale, social support scale, intolerance of uncertainty scale, and coping strategies short form scales were administered to the participants. T tests and regression analyses were performed to examine the relationships between the variables. RESULTS: There was no significant difference between the two groups in terms of depression and anxiety, but the stress of BCS was lower than that of healthy women. In the regression analysis, the diagnosis of breast cancer was not a predictor for depression and anxiety, but it was a significant predictor for stress. Com-mon predictors of increased depression, anxiety, and stress were decreased social support, increased uncertainty intolerance, and increased emotion-focused coping. CONCLUSION: Focusing on the development of intolerance of uncertainty, social support, and problem-focused coping strategies of psychological interventions for women BCS during epidemics such as COVID-19 may reduce their psychological distress while maintaining and increasing their psychological well-being.Yayın Genç ve yaşlı yetişkinlerdeki sosyal medya kullanımının psikolojik iyi oluş üzerindeki etkisi(Işık Üniversitesi Yayınları, 2023-04-10) Hanbay, Yağmur Hilal; Yıldırım, ElifGünümüzde sosyal medya (SM), insanların birbirleriyle iletişim ve etkileşimde olmasını sağlayan uygulamalar olarak tanımlanmaktadır. Bununla birlikte, SM’nin bazı olumsuz etkileri de gözlenmeye başlamıştır. Yapılan çalışmalar, SM kullanım sıklığının artmasıyla gençlerde psikolojik belirtilerin de artış gösterebildiği ve bu durumun psikolojik iyi oluşu olumsuz yönde etkileyebileceği yönündedir. Diğer bir taraftan, bilgi ve iletişim teknolojisi yoluyla sosyal etkileşimin yaşlı bireylerde psikolojik iyi oluşu arttırdığı öne sürülmekle birlikte, yaşlı yetişkinlerde SM kullanımının psikolojik iyi oluş üzerindeki etkileri konusunda bir fikir birliği bulunmamaktadır. Bu çalışmada SM kullanım özelliklerinin genç ve yaşlı yetişkinlerin psikolojik iyi oluşları üzerindeki etkisinin incelenmesi amaçlanmıştır. Nicel bir araştırma olan bu çalışmanın örneklemini 18-25 yaşları arasındaki 112 genç ve 65-85 yaş arasındaki 76 yaşlı yetişkin oluşturmaktadır. Katılımcılara SM Kullanım Formu, Beck Anksiyete Ölçeği, Psikolojik İyi Oluş Ölçeği Kısa Formu ve Beck Depresyon Ölçeği verilmiştir. Yapılan analizler sonucunda kullanım özelliklerinin yaş grupları arasında farklılık gösterdiği ve SM kullanımının psikolojik iyi oluş ile ilişkili olduğu; fakat yaşlı yetişkinlerde ilişkili olmadığı saptanmıştır. Bulgular, SM ve psikolojik iyi oluş arasındaki ilişkide yaşın etkili bir faktör olabileceğine işaret etmektedir. Buna ek olarak, SM kullanımının yaşlı bireylerin psikolojik iyi oluşlarını üzerinde etkisi olmayacağı fakat artmış SM kullanımının gençlerdeki psikolojik iyi oluşu olumsuz yönde etkileyebileceği öne sürülebilir.Yayın Neuroimaging findings related to panic disorder: a brief review(Klinik Psikoloji Araştırmaları Derneği, 2022-12-26) Kazancı, Dilara; Saltoğlu, Seren; Erdoğdu, EmelPanic disorder (PD) is defined by recurrent unanticipated panic attacks and anxiety of losing control, which negatively affects the patients’ quality of life. Various neuroimaging techniques allow to assess brain structure or function and therefore represent important tools to understand the mechanisms related to PD pathology. Current studies have highlighted neural differences between PD patients and healthy controls using MRI, PET, SPECT, or EEG. However, there is an urgent need to discuss findings from various investigations simultaneously in order to obtain a multidimensional understanding of PD pathology, which further allows identifying possible target regions for more effective treatment or prevention strategies. Therefore, the present work briefly reviewed PD related neuroimaging studies published between 2012 and 2021. Relevant articles were searched using a combination of keywords relevant to various neuroimaging techniques (e.g., MRI, MRS, PET, EEG, fNIRS) and to PD (e.g., panic, anxiety, panic disorder). Studies involving patients with comorbid conditions other than agoraphobia and participants aged under 18 were excluded. A total of 20 studies fulfilling inclusion criteria were considered in this review. Most of the reviewed studies point to structural and functional neural changes in regions of the proposed fear network mostly including the hippocampi, thalamic nuclei, amygdala, anterior cingulate corti, insulae and other frontal lobe regions. Such neural changes in PD are thought to result in a hypersensitive fear network affecting normal emotional processing. Finally, studies showed that different treatments can partly reverse these changes, which significantly improves the quality of life in PD patients.Yayın Turkish validity and reliability study of the childhood illness attitude scale(Routledge, 2025-03) Aktan, Zekeriya Deniz; İnci İzmir, Sevim Berrin; Ünlü, Beyza; Yılmaz Kahraman, İpek SuSevere forms of health anxiety cause serious dysfunction in people’s lives. Childhood Illness Attitude Scales (CIAS) is an assessment tool used to evaluate childhood health anxiety yet has not been validated for use in Turkey. The study aimed to examine the psychometric properties and factor structure of the Turkish version of the CIAS (CIAS-TR). The scale was administered to 306 children aged between 8 and 15 years. In addition to the CIAS-TR, participants were asked to complete the Screen for Child Anxiety-Related Emotional Disorders (SCARED) and the Pediatric Quality of Life Inventory (PedsQL). To measure test-retest reliability, CIAS-TR was completed by participants 15 days later. Results demonstrated good psychometric properties with high internal consistency and test-retest reliability. A positive correlation with SCARED and a negative correlation with PedsQL. Results from Confirmatory Factor Analysis suggested that a four-factor model best fit the data. The findings of the study indicate that the Turkish adaptation of the CIAS is an appropriate tool for assessing health anxiety in children.Yayın EMDR Flash technique in adolescents with depression: a twelve-week follow-up study(Sage Publications Inc, 2024-07) İnci İzmir, Sevim Berrin; Çitil Akyol, CananThis study aims to investigate the specific effects of the EMDR Flash Technique on adolescents with depression. This follow-up study consists of 32 adolescents, 12-17 years of age (M = 14.34, SD = 1.56), including 7 males and 25 females. They were evaluated with Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present, the Beck Depression Inventory (BDI), and Children Revised Impact of Event Scale-8 (Cries-8). These were administered at baseline, at the end of the 4th and 12th weeks of treatment. The EMDR Flash Technique which can be utilized in the preparation phase of Eye Movement Desensitization and Reprocessing (EMDR) to reduce the intensity of highly distressing memories rapidly and relatively painlessly was applied for 12 weeks, one session per week as a free-standing intervention. Also, the EMDR Flash Technique can be effective in decreasing the rate of noncompliance and drop-outs of adolescents. The baseline means of total BDI scores decreased from 48.19 to 2.16 at the end of the 12th week of treatment. Also, the CRIES scores decreased from 31.78 to 0.44 at the end of the 12th week of treatment. In addition, the baseline means of SUD scores decreased from 9.53 to zero at the end of the 12th week of treatment. Overall, our results underscore the effectiveness of the EMDR-Flash Technique in adolescents with depression. Depression is a significant mental health concern for adolescents due to its early onset and chronic nature. Depression can be observed in conjunction with PTSD, and sometimes, depressive symptoms may transform into traumatic experiences. EMDR is an 8-stage protocol that includes history taking, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation, used to alleviate the effects of traumatic experiences. It is hypothesized that unpleasant and traumatic events are stored in a dysfunctional way, and it promotes an adaptive processing and resolution of the traumatic experience. The goal of EMDR is to achieve an adequate processing of negative experiences and to create new adaptive information. The EMDR Flash Technique (FT) is utilized in the preparation phase of EMDR to reduce the intensity of highly distressing memories rapidly and relatively painlessly. Although a few studies have shown that the FT is effective in adults, there is only one study to investigate the effectiveness of the FT in children and adolescents. This research, in determining the efficacy of the EMDR FT on adolescents with depression, particularly focused on depression symptoms and assessed the observed changes in these symptoms. It aims to evaluate the specific effects of EMDR-FT on adolescents with depression, providing a unique perspective compared to previous research that has mainly focused on broader mental health disorder indicators. It is hypothesized that EMDR-FT is an effective therapy for treating adolescents with Depression. In the present study, adolescents with depression showed significant improvements in symptom severity and their traumatic events impact levels decreased. As a result of our study, a 12-week EMDR-FT treatment was observed to be effective for adolescents with depression and in reducing and improving traumatic stress levels and depression. Our results underscore the effectiveness of the EMDR-FT in adolescents with depression.Yayın Treatment and long-term outcome of mental disorders: The grim picture from a quasi-epidemiological investigation in 54,826 subjects from 40 countries(Elsevier Ireland Ltd, 2025-06) Fountoulakis, Konstantinos N.; Karakatsoulis, Gregory; Abraham, Seri; Adorjan, Kristina; Uddin Ahmed, Helal; Alarcòn, Renato Daniel; Arai, Kiyomi; Auwal, Sani Salihu; Berk, Michael; Levaj, Sarah; Yılmaz Kafalı, HelinIntroduction: This study registered rates of specific treatment options for mental disorders as well as their long-term outcome. Material and methods: The history of mental disorders was used as a proxy for diagnosis. The data came from the COMET-G study (40 countries; 54,826 subjects, 64.73 % females, 35.45±13.51 years old). The analysis included descriptive statistics, Risk Ratios, t-tests, and ANCOVA's. Results: 24.14 % reported a history of any mental disorder (depression >12 %, non-affective psychosis and Bipolar disorder 1 % each, >20 % self-injury, >10 % had attempted suicide, 7.17 % illegal substance abuse). Most patients were not under any kind of treatment (59.44 %) and most were not receiving treatment as recommended (e.g. 90 % of Bipolar and 2/3 of psychotic patients). No treatment at all and psychotherapy as monotherapy were consistently related to poorer outcomes. In anxiety or depression, only antidepressant monotherapy and benzodiazepines, in Bipolar disorder only antipsychotic monotherapy in males and antidepressant monotherapy in females and in non-affective psychosis antipsychotics and psychotherapy in females only, were related to good outcomes. No treatment modality was related to a good outcome in those with a history of self-harm, suicidal attempts, or illegal substance use. Only depression and treatment with antidepressants were related to metabolic syndrome. Discussion: In the community, the overwhelming majority of mental patients do not receive appropriate treatment or, even worse, no treatment at all. The outcome is unfavourable for the majority and only a few selective treatment options seem to make a difference.Yayın Healing through art: a systematic review and meta-analysis of art therapy in children and adolescents with chronic illnesses(Taylor and Francis Ltd., 2025-11) Yıldız, Ecemnur; Akçinar, Berna; İnci Namlı, NurChildren and adolescents with chronic illnesses face elevated risks of psychological difficulties, including anxiety and reduced quality of life (QoL). Art therapy (AT) has emerged as a promising intervention. This study systematically reviews and analyzes the effectiveness of AT in improving QoL, anxiety, and pain in this population. A comprehensive search identified a total of 12 randomized controlled trials from 2000 to 2024, including 408 participants aged 0–18. Data were analyzed using Hedges’ g and a random-effects model. Quality assessments followed the Cochrane Risk of Bias 2 (RoB2) tool. Subgroup analyses explored potential moderators. QoL was analyzed separately by child and parent reports. AT showed a moderate, significant effect on child-reported QoL (Hedges’ g =.40, 95% CI [0.27; 0.53], p =.001) but a non-significant effect in parent reports (Hedges’ g =.43, 95% CI [−.03; 1.20], p =.21). A significant large effect was found for pain reduction (Hedges’ g = –.63, 95% CI [−1.19; −0.07], p =.03). For anxiety, AT had a large but non-significant effect (Hedges’ g = –.71, 95% CI [−2.24; 0.82], p =.23). Heterogeneity was substantial, but no significant publication bias was detected. AT appears promising for enhancing QoL, reducing pain in children with chronic illnesses. Further studies are needed to strengthen evidence and clarify clinical applications.
