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Yayın Assessing the mediating relationships between psychological factors in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome(Routledge Journals, Taylor & Francis Ltd, 2024-04) İnci İzmir, Sevim Berrin; Aktan, Zekeriya Deniz; Ercan, Eyüp SabriThis study aims to investigate the predictive and mediating relationships between emotion dysregulation, internalizing disorders, family functionality, loneliness preference, and executive functions (EF) in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome (ADHD + CDS). This study included 176 children and adolescents (92 boys, 84 girls) who were diagnosed with ADHD + CDS according to the Diagnostic and Statistical Manual of Mental Disorders, the Fifth Edition criteria by a fellowship-trained child and adolescent psychiatrist, between ages 8 -12 (M = 10, SD = 1.52) with a convenience sampling method. The solitude scale for children, difficulties in emotion dysregulation scale, Child Behavior Checklist, Barkley Sluggish Cognitive Tempo Scale, Family assessment device, and CNS Vital Signs test were used. The results showed that difficulty in emotion regulation, preference for loneliness, internalizing disorders and CDS symptom severity did not have a mediating effect between family functionality and EF. Still, emotion dysregulation mediates the relationship between EF and internalizing disorders by itself and through loneliness preference. Also, preference for loneliness and emotion dysregulation had a mediating effect between family functionality and internalizing disorders. Finally, it was found that the effect of emotion regulation difficulty, loneliness preference, and internalizing disorders had a mediating role between CDS symptom severity and family functionality. In conclusion, the information obtained from this study on the etiology of CDS may guide future studies.Yayın The relationships of neuropsychological factors and loneliness preference in children with attention deficit hyperactivity disorder and cognitive disengagement syndrome(Routledge Journals, Taylor & Francis Ltd, 2025-04-03) İzmir, Sevim Berrin İnci; Aktan, Zekeriya Deniz; Ercan, Eyüp SabriThis study aimed to examine emotion dysregulation and internalizing disorders mediating the relationship between selective and sustained attention and loneliness preference in children diagnosed with attention deficit hyperactivity disorder (ADHD) and Cognitive Disengagement Syndrome (CDS). This study included 176 children and adolescents between ages 8 and 12. The solitude scale for children, Difficulties in Emotion Regulation Scale, Child Behavior Checklist, Barkley Sluggish Cognitive Tempo Scale, and CNS Vital Signs test were used. The results suggest that difficulties in emotion regulation and having an internalizing disorder had a mediating effect between difficulties in selective attention and preference for the loneliness of children with ADHD + CDS. Also, it was likely that the association between sustained attention and preference for loneliness is mediated by internalizing disorders. The results suggest that the social problems commonly exhibited by children with ADHD + CDS may be related to deficits in sustained and selective attention.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 Algılanan ebeveyn reddi ve borderline kişilik inançları arasındaki ilişkide reddedilme duyarlılığı ve öfkenin aracı rolü: cinsiyet temelli sıralı aracı etki modeli(İstanbul University Press, 2025-07-29) Önürme, Güneş Beyza; Akyunus, Miray; Ünver, BuketBilişsel kurama göre borderline kişilik bozuklukluğu, kökeni çocukluk çağı deneyimlerine dayanan kendine özgü işlevsiz inançlar ile karakterizedir. Çaresizlik, güvensizlik ve terkedilme korkusunu merkezine alan bu inançlar, yoğun öfke tepkileri ve davranışlarda aşırılıklar gibi belirtilere neden olmaktadır. Çocuklukta ebeveynden algılanan red, ilerleyen yıllarda reddedilme duyarlılığının gelişmesine, bu duyarlılık ise kişiler arası ilişkilerde algılanan red deneyimlerinde artışa yol açabilmektedir. Tekrarlayan reddedilme algısı hayal kırıklığı, acı ve öfke gibi tepkileri şiddetlendirebilir. Yıkıcı duygusal ve davranışsal tepkilerin ilişkilere verdiği zarar ise mevcut işlevsiz inançları pekiştirmektedir. Bu çalışmanın amacı, çocuklukta algılanan ebeveyn reddi ile borderline kişilik bozukluğu inançları arasındaki ilişkide reddedilme duyarlılığı ve sürekli öfkenin sıralı aracı etkisinin sınanmasıdır. Araştırma Türkiye toplumu örnekleminden 18-72 yaş arası 550 katılımcı ile yürütülmüştür. Sosyodemografik ve Kişisel Bilgi Formu, Yetişkin Ebeveyn Kabul-Red Ölçeği/Kısa Form, Yetişkin Reddedilme Duyarlılığı Ölçeği, Sürekli Öfke ve Öfke İfade Tarzı Ölçeği-Sürekli Öfke alt ölçeği ve Kişilik İnanç Ölçeği/Kısa Formu-Borderline Kişilik Bozukluğu alt ölçeği aracılığıyla çevrimiçi veri toplanmıştır. Araştırma bulguları hem anneden hem de babadan algılanan reddin, reddedilme duyarlılığı ve sürekli öfkenin sıralı aracılığıyla borderline kişilik bozukluğu inançlarını yordadığını göstermiştir. Ayrıca kadınlarda hem anneden hem de babadan algılanan reddin önce reddedilme duyarlılığını, ardından sürekli öfkeyi artırarak, borderline kişilik bozukluğu işlevsiz inançlarının gelişiminde rol oynadığını ortaya koymuştur. Erkeklerde ise, algılanan anne ve baba reddinin, reddedilme duyarlılığı ve borderline kişilik bozukluğu inançları ile anlamlı düzeyde ilişkili olduğu, ancak mevcut çalışmada önerilen sıralı aracı etki mekanizmasının yordayıcı gücünün olmadığı görülmüştür. Bu çalışma borderline kişilik özelliklerinin ve bilişsel işleyişinin cinsiyet temelli farklılıklarının anlaşılmasına katkı sağlamaktadır. Bulgular, kadınlarda işleyen mekanizmayı açıklamakla birlikte, erkeklerde alternatif modellerin test edilmesinin gerekliliğini ortaya koymaktadır.
