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    Antidepresan kullanan ve kullanmayan obez kadınlarda bilişsel davranışçı grup terapisinin etkisi
    (2020) Karadere, Mehmet Emrah; Yazla, Ece; Burhan, Hüseyin Şehit; Turgal, Ebru; Kuru, Tacettin; Türkçarpar, Mehmet Hakan
    Amaç: Çalışmamızda obezitesi olan kadınlara uygulanan bilişsel davranışçı grup terapisinin (BDGT) kilo kaybı, depresyon ve anksiyete düzeylerine etkisini incelemeyi amaçladık ve antidepresan ilaç alan obezitesi olan kadınların tedavisinde de bilişsel davranışçı terapinin etkili olabileceğini göstermeyi planladık. Yöntem: Çalışmaya alınma ölçütlerine uyan 28 obez kadın olguya 14 seans BDGT uygulanmıştır. Terapi öncesi ve bitiminde ölçüm ve klinik ölçek uygulaması yapılmıştır. Terapiden altı ay sonra olguların ağırlıkları tekrar kaydedilmiştir. Olgular Sosyodemografik Bilgi Formu, beden kitle indeksi (BKİ) takibi, DSM-IV için Yapılandırılmış Klinik Görüşmesi (SCID-I), Durumluk-Sürekli Kaygı Ölçeği (DKÖ-SKÖ), Beck Depresyon Ölçeği (BDÖ), Kısa Form-36 (SF-36), SCL-90 Belirti Tarama Listesi (SCL-90) ile değerlendirilmiştir. Bulgular: On dört seanslık grup terapisinin sonunda hastaların ağırlıklarında ve BKİ’lerinde istatistiksel olarak anlamlı azalma saptanmıştır (p<0.001). Başlangıca göre terapi sonunda olguların BDÖ (p=0.009), SKÖ (p=0.020), SCL-90 (p=0.001), SF-36 fiziksel işlev (p=0.035), SF-36 genel sağlık (p=0.004), SF-36 sosyal işlev (p=0.034) puanlarında istatistiksel olarak anlamlı fark saptanmıştır. BKİ’lerinin terapi bitimden altı ay sonra yapılan ölçümleri ile terapi sonundaki ölçümleri arasında istatistiksel olarak anlamlı fark olmadığı saptanmıştır. Sonuç: Elde edilen bulgularla uyguladığımız yöntemin işe yaradığı söylenebilir. Buna göre, BDGT BKİ kontrolünde, ruhsal iyilik durumunun sağlanmasında ve yaşam kalitesinin iyileşmesinde obez kişiler için uygun bir tedavi yöntemidir. (Anadolu Psikiyatri Derg 2020; 21(3):269-276)
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    Öğe
    Investigation of the factors affecting the cognitive test anxiety in university students
    (Yerkure Tanitim & Yayincilik Hizmetleri A S, 2020) Burhan, Hüseyin Şehit; Karadere, Mehmet Emrah; Şafak, Yasir; Kuru, Tacettin
    Objective: The aim of the present study was to investigate the relationship between cognitive test anxiety sociodemographic data, anxiety and depressive symptoms and also the mediating role of depression level in the relationship between anxiety and cognitive test anxiety among university students. Method: The data were collected from 171 volunteer Turkish university students. Sociodemographic information form. Beck Depression Inventory, State and Trait Anxiety Inventory, Cognitive Test Anxiety Inventory were administered to the participants. Results: There was a statistically significant correlation between all scales used (p<0.01). Cognitive test anxiety was predicted by trait anxiety level, depressive symptom Intensity (p<0.05), but It was not predicted by state anxiety level (p=0.114). In mediation analysis, depression was a mediator between trait anxiety and cognitive test anxiety (p <0.05). Conclusion: Results will contribute to a better understanding of the relationship between different psychological variables such as anxiety and depression.
  • Küçük Resim
    Öğe
    Level of selective serotonin reuptake inhibitorrelated sexual dysfunction in men and women
    (2022) Burhan, Hüseyin Şehit; Kuru, Tacettin
    Objective: Up to 80% of selective serotonin reuptake inhibitor (SSRI) users experience a kind of sexual dysfunction related to antidepressant treatment, which may cause discontinuation of the medication. This study aims to determine the level of reported sexual dysfunction of SSRI users and evaluate factors related to sexual dysfunction. Method: Sexual dysfunction, demographic variables, and depression level of 40 men and 40 women were evaluated by demographic data form, Beck Depression Inventory, and Psychotropic-Related Sexual Dysfunction Questionnaire. Results: According to the results of this study, there was no significant difference in the level of psychotropic-related sexual dysfunction for genders and marital status (p>0.05). There was no correlation level of sexual dysfunction and age or depression levels (p>0.05). Conclusion: Both men and women (young or older and single or married) may experience sexual dysfunction-related SSRIs. All SSRI users should be questioned and monitored for sexual dysfunction.
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    Öğe
    Psychological inflexibility and obesity: Mediating factors in psychological health
    (2024) Burhan, Sebnem; Azizoglu, Sena Inal; Kuru, Tacettin; Burhan, Hüseyin Şehit
    Aim: To explore the relationships between psychological factors, especially experiential avoidance (EA) and psychological inflexibility, and obesity, and to assess their mediating roles in the association between general psychological symptoms and obesity. Methods: The study employed Pearson correlation analysis and mediation analysis to examine relationships among Body Mass Index (BMI), the Acceptance and Action Questionnaire for Weight-Related Difficulties- Revised (AAQW-R), its subscales, and the General Health Questionnaire (GHQ12). Participants predominantly consisted of females, with a mean age of 39.3 years and an average BMI of 38.5. Results: Significant correlations were found between BMI, AAQW-R, and GHQ12 (p < 0.05). However, the correlation between BMI and AAQW-R-fc was not significant (p = 0.142). Mediation analysis revealed that AAQW-R fully mediated the relationship between GHQ12 and BMI, indicating a significant role of psychological factors in obesity. Conclusions: The findings highlight the importance of incorporating psychological elements, such as psychological inflexibility and EA, into obesity interventions. Addressing these factors may enhance the effectiveness of weight control strategies. Future research is encouraged to explore potential biological pathways linking obesity and psychological variables.
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    Öğe
    Reliability and Validity Study of the Turkish Version of the Acceptance and Action Questionnaire for Weight-Revised
    (2023) Burhan, Hüseyin Şehit; Kuru, Tacettin
    Being overweight, a severe public health problem, is associated with experiential avoidance. This study aims to examine the reliability and validity of the Turkish version of the Acceptance and Action Questionnaire for weight-revised (AAQW-R) in people with a BMI above 25. The sample consisted of 169 participants with a Body Mass Index (BMI) above 25. The participants who gave informed consent were asked to fill out a demographic form, AAQW-R (Acceptance and Action Questionnaire-2), AAQ-2, Weight Self- Stigma Questionnaire (WSSQ), and General Health Questionnaire (GHQ). Internal consistency and item-total correlation were evaluated using Cronbach’s alpha coefficient. Cronbach’s alpha coefficient was used to test the factor structure. The temporal stability was assessed with the test-retest method. AAQW-R has significant correlations with BMI, AAQ-2, WSSQ, and GHQ. CFA demonstrates a three- factor structure (?2=57.0, df=31; RMSEA=0.0714; RMSEA 90% CI lower bond=0.0411, RMSEA 90% CI upper bond=0.100, CFI=0.968; TLI=0.954). AAQW-R and subscales of AAQW-R have significant correlations with AAQ-2, AAQW-R, BMI, WSSQ, and GHQ (p<0.05). Correlation analysis stated temporal stability for all items in Spearman correlation analyses (p<0.05). According to the results of this study, AAQW-R is a reliable and valid scale that can measure experiential avoidance in the context of psychological flexibility among overweight and obese people.