Yazar "Kuru, Tacettin" seçeneğine göre listele
Listeleniyor 1 - 20 / 25
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Acute central serous chorioretinopathy and psychological parameters: Chicken and egg dilemma(Gazi Eye Foundation, 2021) Kuru, Tacettin; Aslan, FatihPurpose: To investigate the relationship between Acute Central Serous Chorioretinopathy (CSCR) and psychological parameters. Methods: Acute CSCR patients, myopia patients and healthy volunteers compatible in terms of age and gender, were included in the study. Acute CSCR diagnosis is based on clinical evaluation, optic coherence, and fl uorescein angiography. All volunteers were evaluated using a sociodemographic form, State Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Health Anxiety Inventory (HAI) and Short Form 36 (SF-36). Results: We determined a higher mean trait anxiety level in the acute CSCR group (x = 44.33), compared to the control (x = 36.72, p = 0.048) and myopic (x = 35.22, p = 0.021) groups. There was no signifi cant difference between the groups in terms of state anxiety (p = 0.295), depression (p = 0.763), and health anxiety (p = 0.405). In addition, there was no difference between the groups in terms of sub-parameters of quality of life, such as physical functionality (p = 0.925), physical role limitation (p = 0.110), emotional role limitation (p = 0.474), vitality (p = 0.078), mental health (p = 0.532), social functionality (p = 0.335), pain (p = 0.352) and general health (p = 0.074). Conclusion: Our study results revealed the relationship between acute CSCR and anxiety. This relationship suggests that it is not a natural and temporary stress response caused by having any eye disease. © 2021 Gazi Eye Foundation. All rights reserved.Öğe Acute Central Serous Chorioretinopathy and Psychological Parameters: Chicken and Egg Dilemma(2021) Kuru, Tacettin; Aslan, FatihPurpose: To investigate the relationship between Acute Central Serous Chorioretinopathy (CSCR) and psychological parameters. Methods: Acute CSCR patients, myopia patients and healthy volunteers compatible in terms of age and gender, were included in the study. Acute CSCR diagnosis is based on clinical evaluation, optic coherence, and fl uorescein angiography. All volunteers were evaluated using a sociodemographic form, State Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Health Anxiety Inventory (HAI) and Short Form 36 (SF-36). Results: We determined a higher mean trait anxiety level in the acute CSCR group (x? = 44.33), compared to the control (x? = 36.72, p = 0.048) and myopic (x? = 35.22, p = 0.021) groups. There was no signifi cant difference between the groups in terms of state anxiety (p = 0.295), depression (p = 0.763), and health anxiety (p = 0.405). In addition, there was no difference between the groups in terms of sub-parameters of quality of life, such as physical functionality (p = 0.925), physical role limitation (p = 0.110), emotional role limitation (p = 0.474), vitality (p = 0.078), mental health (p = 0.532), social functionality (p = 0.335), pain (p = 0.352) and general health (p = 0.074). Conclusion: Our study results revealed the relationship between acute CSCR and anxiety. This relationship suggests that it is not a natural and temporary stress response caused by having any eye disease.Öğe An Examination of the 2D:4D Ratio, Handedness and Footedness in Attention Deficit Hyperactivity Disorder(2023) Kocaman, Orhan; Kara, Tayfun; Avşar, Pınar Aydoğan; Kuru, TacettinAim: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition more common in boys than girls, although this gender variation has yet to be explained. The purpose of this study was to examine hand 2D:4D ratios and their association with ADHD. The study was also intended to compare hand 2D:4D ratios according to hand and foot dominance in individuals with ADHD. Methods: 168 children were included in the study, 91 diagnosed with ADHD and 77 healthy volunteers. All participants were evaluated via DSM-5 based psychiatric examinations, and their sociodemographic data were collected using forms prepared by the authors. The participants’ ADHD symptoms were assessed using the Conners’ Parent Rating Scale-Revised Short Form. 2D:4D ratios were determined by measuring the lengths of the bilateral second and fourth fingers using a digital compass. Hand and foot dominances were determined by evaluation in a clinical setting. The scores obtained were then compared. Results: Lower right and left hand 2D:4D ratios were determined in the individuals with ADHD than in the healthy controls (p=0.001 for both). No correlation was found between ADHD subscales and right or left hand 2D:4D ratios in the case group. No differences in 2D:4D ratios were also observed according to hand and foot dominances in the case group. Conclusion: This study produced important findings concerning whether hand 2D:4D ratios can be used as a marker of ADHD. We think that the data obtained may be of assistance to other studies assessing the phenotype characteristics of individuals with ADHD.Öğe 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 HakanAmaç: 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)Öğe Birth Order and Number of Siblings in Attention Deficit Hyperactivity Disorder: A Case Control Study(2024) Kocaman, Orhan; Kara, Tayfun; Avşar, Pınar Aydoğan; Kuru, TacettinAim: Studies addressing the etiology of Attention Deficit Hyperactivity Disorder (ADHD) in recent years have focused on family and birth-related factors.This study aimed to examine the relationship between Attention Deficit Hyperactivity Disorder (ADHD) and birth order and number of siblings. Method: A total of 239 participants, 135 children diagnosed with ADHD and 104 healthy children, were included in the study. All participants were evaluated through DSM-5-based psychiatric examinations, and their sociodemographic data forms were obtained. Conners’ Parent Rating Scale-Revised Short form (CPRS-RS) was also applied to the case group in order to determine the severity of ADHD symptoms. The findings were then compared using statistical methods. Results: No significant difference was observed between the individuals with ADHD and the healthy controls in terms of birth order or number of siblings (p= 0.252 and p= 0.222, respectively). A significant positive correlation was determined in the ADHD group between birth order and hyperactivity and oppositional subscales (r= 0.212, p= 0.022 and r= 0.231, p= 0.012, respectively). A significant positive correlation was also determined in the ADHD group between number of siblings and the oppositional subscale (r= 0.237, p= 0.009). Conclusions:In our study, no significant difference was observed between the ADHD and control groups in terms of birth order or number of siblings.It was observed that hyperactivity and defiance symptoms increased as birth order increased in children diagnosed with ADHD. Oppositional findings also increased in line with the number of siblings.We think that these findings should be taken into consideration in future research on ADHD.Öğe Characteristics and predictors of family accommodation in Turkish individuals with obsessive-compulsive disorder(2023) Kuru, Tacettin; Çelik Erden, Selime; Doğan, Veysel; Karakuş, KadirBackground/aim: Family accommodation (FA) is associated with disease severity and response to treatment rates in patients with obsessive-compulsive disorder (OCD) and is therefore particularly important in this patient group. This study investigated the structure of FA and associated factors in a Turkish society sample. Materials and methods: The study was carried out with 92 patients diagnosed with OCD for at least 1 year, who applied to Alanya ALKU Training and Research Hospital psychiatry outpatient clinic between February 2021 and March 2022. Sociodemographic data form, Family Accommodation Scale-Patient Form (FAS-PF), Dimensional Obsessive-Compulsive Scale (DOCS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Acceptance and Action Questionnaire (AAQ-II) were applied to all of the cases. Relatives filled out the Sociodemographic Data. Results: The mean age of the patients was 32.11 ± 11.56 years. Sixty-nine (75%) of the patients were women. Fifty (54.3%) patients were married. All participants reported FA behavior at least once in the previous week. FA exhibited no significant variation by sex (p = 0.679) or marital status (p = 0.256). Significant positive correlation was determined between DOCS-T (r = 0.370, p < 0.001), AAQ-II (r = 0.261, p = 0.013), BDI (r = 0.235, p = 0.024) and BAI (r = 0.342, p = 0.001) scores and the FAS-PF. In the regression analysis, only OCD disease severity predicted FA [(? = 0.295, p = 0.036, 95% confidence interval (95% CI) = 0.02 to 0.55)]. Higher FA scores were obtained in this study (23.93 ± 15.28) compared to previous research in Western societies (14.3 ± 15.2). Conclusion: Clinicians should consider FA in the examination of OCD patients. High FA values for both frequency and severity suggest that interventions directed toward FA may be associated with more positive outcomes in outpatient Turkish patients with OCD. © TÜBİTAK.Öğe Coping skills and smartphone addiction in adolescents with ADHD: A predictive model and relationship(Routledge Journals, Taylor & Francis Ltd, 2025) Kara, Tayfun; Kocaman, Orhan; Avsar, Pinar Aydogan; Kuru, TacettinBackground: We sought to examine the relationship between smartphone addiction and coping skills in adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), together with potential predictive factors. Method: Two hundred seventy-five participants (144 diagnosed with ADHD and 131 healthy controls) were included in the study. All participants were evaluated via DSM-5-based psychiatric examinations. Smartphone addiction levels were assessed using the Smartphone Addiction Scale-Short Version (SAS-SV), and coping skills were evaluated using the Coping Scale for Children and Youth (CSCY). The scores were then subjected to statistical comparisons. Results: Higher SAS-SV scores were observed in the adolescents with ADHD compared to the control group (p = 0.047). Significant positive correlations were found between cognitive avoidance (CAV) (p < 0.001, r = 0.377) and behavioural avoidance (BAV) (p < 0.001, r = 0.297) in the ADHD group. In contrast, significant negative correlations were found with Problem-solving (PROB) (p = 0.001, r =-0.281) and assistance-seeking (ASK) (p = 0.013, r = -0.206). Following model analysis, CAV emerged as a significant positive predictor of SAS-SV scores, and PROB as a significant negative predictor (p =0.005 and p = 0.016, respectively). Conclusions: The decrease in coping skills in adolescents diagnosed with ADHD was associated with an increase in smartphone addiction. Additionally, increased cognitive avoidance and low problem-solving skills also predicted addiction.Öğe COVID-19 salgını sırasında anksiyete, koruyucu davranışlar ve ilişkili faktörler: Kesitsel bir çalışma(Alanya Alaaddin Keykubat Üniversitesi, 2020) Kuru, Tacettin; Uymaz, PelinAmaç: Bu çalışmada COVİD-19 pandemisi sırasında Türk toplumunda anksiyete, kişisel koruyucu davranışlar ve ilişkili faktörleri incelemeyi amaçlanmıştır.Hastalar ve Yöntem: Örneklemimizi 18-75 yaş arası, okur-yazar, çalışmaya gönüllü 617 birey oluşturmuştur. Araştırma onamı, amacı ve sorular soft ortamda bireylere bir link vasıtasıyla ulaştırılmış ve formlar yine soft ortamda cevaplanan anketlerin iletilmesiyle toplanmıştır. Verilerin toplanmasında, araştırmacılar tarafından oluşturulan COVİD-19 ile ilgili soruları ve sosyo-demografik verileri içeren form ve Durumluk-Sürekli Kaygı Envanteri (STAI-Durumluk) kullanıldı.Bulgular: Çalışmada 617 gönülle değerlendirilmiştir. Çalışmaya katılanların %59.48 (367)’i kadın, %40.52 (250)’si erkekti. Katılımcıların % 30.79 (190)‘unda yüksek seviyede kaygı düzeyleri saptanmıştır. Başlıca gerçekleştirilen kişisel koruyucu davranış yüksek oranda elleri sık sık yıkama şeklindedir. (%84.76). İkinci sıklıkta ise insanlarla en az bir metre mesafe koyma davranışıdır. (%8.6). Katılımcıların %5.02 (31)’i maske takmakta, %1.62 (10) kişi ise hiçbir koruyucu önlem almamaktadır. Çalışmada erkeklerde (p=0.008), tanılanmış kronik hastalığı olanlarda (p=0.003), yaşlılarda (p<0.001) ve daha düşük eğitim düzeyi olanlarda (p<0.001) daha yüksek kaygı düzeyleri saptanmıştır. Kişisel koruyucu davranışlardan kaçınıcı davranış yüksek kaygı düzeyi ile ilişkili bulunmuştur. Sonuç: Çalışmamızın sonuçları, COVID-19 salgınının fiziksel sonuçlarına ek olarak, psikolojik sonuçların da dikkate alınması gerektiğini göstermektedir. Çalışmamızda bazı alt gruplarda kaygı riski daha yüksek belirlenmiştir. Profesyonel desteğe ihtiyaç duyan insanlar tanımlanmalı ve psikolojik destek planlanmalıdır.Öğe Geriatric depression: A research foreign residents living in Alanya(Alanya Alaaddin Keykubat Üniversitesi, 2017) Yazan, Tevfik; Girgin, Ahmet; Kuru, TacettinAim: This study was done descriptivelyand cross-sectionally to determine the prevalence of depression in foreignresidents of over 65 years living in the Alanya province. Material and Method: The sample of theresearch was 200 people selected by easy sampling method from theover-65-year-old residents of Alanya with the permission of residence by 2016.Data were obtained using Geriatric Depression Scale Shorter Version (GDS).Results: According to the resultsobtained from this study, it was found that 45.5% of the residents who areolder than 65 years living in the study area were depressive. Although therewas no significant relationship among depression tendency, and age, maritalstatus and duration of living in Alanya (p>0.05), a significant relationshipwas found among gender, educational status, country of origin, duration of stayin Alanya during the year (p<0.05) anddepression tendency. Conclusion: Based on the Alanya example, researchingforeign residents in our country by various medical disciplines will guide tothe services to be provided and contribute to the developing health tourism.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, TacettinObjective: 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.Öğe Is Problematic Media Use a Marker for Aggression in Children with Attention Deficit/Hyperactivity Disorder?(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2023) Kara, Tayfun; Kocaman, Orhan; Avsar, Pinar Aydogan; Kuru, TacettinObjective: Attention Deficit/Hyperactivity Disorder (ADHD) is associated with a series of problems, including aggressive behavior and problematic media use (PMU). However, the literature concerning the relationship between PMU and aggressive behavior patterns in children diagnosed with ADHD is limited. This study examines the relationships between PMU and aggression in children with ADHD.Methods: One hundred sixty-two children aged 6-12 years diagnosed with ADHD were included in the study. All participants were assessed with DSM-5-based psychiatric evaluations. Aggressive behaviors in children were evaluated using the Children's Aggression Scale Parent Version (CAS-P). The children's screen use was scored using the Problematic Media Use Measure Short Form (PMUM-SF). The data obtained were compared using statistical methods.Results: A significant correlation at the p<.05 level was determined between PMU and the severity of ADHD (mild-moderate and severe). PMU was positively and statistically significantly correlated with verbal aggression (r = 0.422, p < 0.001), aggression against objects and animals (r = 0.367, p < 0.001), provoked physical aggression (r = 0.365, p < 0.001) and unprovoked physical aggression (r = 0.283, p < 0.001). In addition, PMU significantly (p <0.001) predicted verbal aggression, aggression against objects and animals, and provoked and unprovoked physical aggression.Conclusion: A positive correlation was observed between PMU in children and the risk of aggression in this group, and PMU predicted aggression. These findings may contribute to the formation of guidelines for intervention when problematic behaviors emerge in children diagnosed with ADHD.Öğe Level of selective serotonin reuptake inhibitorrelated sexual dysfunction in men and women(2022) Burhan, Hüseyin Şehit; Kuru, TacettinObjective: 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.Öğe OTİZM SPEKTRUM BOZUKLUĞU TANILI ÇOCUKLARDA DOĞUM SIRASI VE HASTALIĞIN ŞİDDETİ ARASINDAKİ İLİŞKİ: VAKA KONTROL ÇALIŞMASI(2024) Kara, Tayfun; Kocaman, Orhan; Avşar, Pınar Aydoğan; Kuru, TacettinAmaç: Son yıllarda otizm spektrum bozukluğu (OSB) olgularının artan prevalansı araştırmacıların OSB ile ilişkili faktörlere odaklanmasına yol açmıştır. Çalışmamızda OSB'li çocuklarda doğuma dair parametreler ve hastalığın belirti şiddeti arasındaki ilişkiyi incelemeyi amaçladık. Gereç ve Yöntemler: Çalışmaya 213’ü OSB tanılı ve 152’si sağlıklı kontrol olmak üzere toplam 365 katılımcı çocuk alındı. Tüm katılımcılar DSM-5 temelli psikiyatrik muayene ile değerlendirildi. Katılımcıların sosyodemografik verileri araştırmacılar tarafından hazırlanan formlar ile elde edildi. Vaka grubuna ilave olarak OSB belirti şiddetini değerlendirmek için Çocukluk Çağı Otizm Değerlendirme Ölçeği (ÇODÖ) uygulandı. Elde edilen bulgular istatistiksel yöntemler ile karşılaştırıldı. Bulgular: Çalışmamızda OSB tanılı çocuklarda kontrol gurubuna kıyasla daha yüksek baba yaşı (p=0,047), 3,74 kat yüksek erkek cinsiyet oranı (p<0,001), daha düşük gelir düzeyi (p=0,054), daha düşük anne ve baba eğitim düzeyleri (sırasıyla, p=0,004 / p=0,009) olduğu görülmüştür. Etkilenen çocuğun doğum sırası ve sağlıklı çocukların doğum sıraları arasında anlamlı farklılık saptanmamıştır (p=0,363). Etkilenen çocuğun doğum sırası ve toplam çocuk sayısı ile ÇODÖ skorları arasında anlamlı ilişki görülmemiştir (sırasıyla, r=0,085 p: 0,279 / r=0,101 p=0,203). Sonuç: Çalışmamızda doğum sırası ile OSB varlığı ve şiddeti arasında ilişki saptanmamıştır. Ancak OSB’li ailelerde ileri baba yaşı, düşük sosyoekonomik düzey ve eğitim düzeyi olduğu görülmüştür. Bu bulguların OSB'nin nedenlerine ilişkin gelecekteki araştırmalarda dikkate alınması gerektiğini düşünmekteyiz. Çalışmamızın, OSB'deki klinik heterojenliğe katkıda bulunan bu mekanizmanın anlaşılmasını ilerletmek için önemli etkileri vardır.Öğe Predictors of anxiety, depression and health anxiety in COVID-19 infected patients with lung involvement in inpatient units(Bayrakol Medical Publisher, 2022) Karandere, Faruk; Kuru, Tacettin; Kara, TayfunAim: Although numerous community-based studies and case reports have been published on COVID-19 and its psychological effects, studies involving hospitalized patients are limited. The purpose of the present study was to evaluate indicators associated with anxiety, depression, and health anxiety in patients with COVID-19 pneumonia. Material and Methods: One hundred ninety-eight patients hospitalized with diagnoses of COVID-19 pneumonia were included in the study. Participants' sociodemographic characteristics and initial presentation variables were obtained from hospital records and information forms. Severity of lung involvement (SLI) was obtained from thoracic computed tomography (CT) records. The Hospital Anxiety and Depression Scale (HADS), and Whiteley Index-7 (WI-7) were applied to all participants. Results: HADS-A levels were higher among female patients than among men (p=0.003). Higher WI-7 scores were determined in patients with mild SLI compared to those with moderate-severe SLI (p=0.012). HADS-A scores were higher in patients with primary symptoms of dyspnea, and HADS-D scores were higher in participants with primary symptoms of cough (p=0.026 and p=0.008, respectively). Discussion: Female gender, severity of lung involvement, and symptoms of dyspnea and cough were identified as clinical indicators in terms of mental health evaluation. We think that our results will be a guide for determining the psychiatric support requirements of COVID-19 patients.Öğe Psikiyatri polikliniği: Şizofreni tedavisi bağlamında kesitsel bir çalışma(Alanya Alaaddin Keykubat Üniversitesi, 2018) Kuru, Tacettin; Türkçapar, M.HakanAmaç: Bu çalışmanın amacı; Eğitim ve Araştırma Hastanesi Psikiatri Polikliniğine başvuran hastaların sosyodemografik özelliklerini araştırmak ve Şizofreni tanısı alan hastaların tedavi ve takip sonuçlarını değerlendirmektir. Gereç ve Yöntem: Psikiyatri polikliniğine yapılan 2707 başvuru değerlendirildi. Ayrıca şizofreni hastalarına poliklinik şartlarında uygulanan tedaviler incelendi. Bulgular: Araştırma süresince psikiyatri polikliniğine toplam 2707 başvuru yapılmıştır. Çalışmaya alınan hastaların 649’u (%24) şizofreni ve diğer psikotik bozukluklar,506’sı (%18,7) depresif bozukluklar, 389’u (%14,4) anksiyete bozuklukları, 117’si (%4,3) bipolar bozukluklar tanısı almıştı. Şizofreni hastalarının 347’si (%62) tek ilaç kullanıyordu. Bu hastaların 287’si (%51,3) atipik antipsikotik, 60’ı (%10,7)ise tipik antipsikotik almaktaydı. Hastaların 205’i (%36,6) kombine antipsikotik kullanmaktaydı. Çalışmamızda şizofreni hastalarının %77,5’ine, tek başına veya kombinasyon şeklinde atipik antipsikotik reçetelendiğini saptadık. Sonuç: Psikiyatri poliklinikleri, psikiyatrik tedavinin en önemli çalışma alanlarıdır. Belirgin yeti yıkımına yol açan kronik hastalıkların, hastalığa özelleşmiş rehabilitasyon alanlarında değerlendirilmesi, psikiyatri polikliniklerinin hem hizmet hem de araştırma alanlarında daha etkin kullanımını sağlayacaktır. Şizofreni tedavisinde, literatüre uygun ancak tedavi protokollerine uymayan sonuçlar saptadık. Şizofreni tedavisinde, ilaç dışı tedavileri de içeren bütüncül tedavi yaklaşımına daha fazla dikkat çekilmelidir.Öğe Psychological inflexibility and obesity: Mediating factors in psychological health(2024) Burhan, Sebnem; Azizoglu, Sena Inal; Kuru, Tacettin; Burhan, Hüseyin ŞehitAim: 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.Öğe Reliability and Validity Study of the Turkish Version of the Acceptance and Action Questionnaire for University Students(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2021) Kuru, Tacettin; Karadere, Mehmet; Burhan, Huseyin; Safak, YasirObjective: There is increasing evidence that psychological inflexibility can be defined as the transdiagnostic concept of psychopathology.The aim of this study is to examine the reliability and validity of the Turkish version of the Acceptance and Action Questionnaire for University Students (AAQ-US) over a sample of university students. Methods: The study group consists of 189 students who study in different departments at a state university. A socio-demographic form, AAQ-US, Acceptance-Action Questionnaire-II (AAQ-II), Test Anxiety Inventory (TAI), Freiburg Mindfulness Inventory (FMI), and Depression-Anxiety-Stress-21 Scale (DASS-21) were applied. Results: The single factor and 12 item structure of the scale was confirmed. Results show the goodness-of-fit values (chi(2) = 72.802, df = 54, chi(2) / df = 1.35; RMSEA = 0.043; CFI = 0.95; TLI = 0.93; NNFI = 0.993, NFI = 0.980; SRMR = 0.071). The Cronbach's alpha coefficient for the scale was 0.932. Test-retest reliability coefficient was 0.75. The item-total correlations were between 0.584 and 0.785. AAQ-US shows a positively significant relationship with AAQ-II, DASS-21, TAI (and subscales), and a negatively significant relationship with FMI. Conclusion: The results of this study reveal that AAQ-US can be used as a reliable and valid scale for measuring psychological inflexibility in university students.Öğe Reliability and Validity Study of the Turkish Version of the Acceptance and Action Questionnaire for Weight-Revised(2023) Burhan, Hüseyin Şehit; Kuru, TacettinBeing 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.Öğe Strengths and Difficulties Regarding Attention Deficit Hyperactivity Disorder: Correlation with Social Responsiveness and Disorder Severity(2024) Avşar, Pınar Aydoğan; Kara, Tayfun; Kocaman, Orhan; Kuru, TacettinObjective: Children with neurodevelopmental disabilities often experience social difficulties. Children with attention deficit hyperactivity disorder (ADHD) are more likely to experience peer rejection and cognitive, academic, family, and professional difficulties. This investigation aimed to identify the predictors of difficulties faced by children and adolescents with ADHD. Material and Methods: We established ADHD diagnoses based on DSM-5 criteria. Moreover, every participant had a diagnostic evaluation by a child and adolescent psychiatrist using the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS-PL) and a detailed sociodemographic form documented. Parents completed the Turgay DSM IV-Based Child and Adolescent Behavioural Disorders Screening and Rating Scale (T-DSM-IV-S), the Strengths and Difficulties Questionnaire (SDQ), and the Social Responsiveness Scale (SRS) for their children. Results: The study included 99 children, 59 in the ADHD group and 40 in the control group. There was no significant difference between the groups regarding gender and age. The mean scores of T-DSM-IV-S [Attention deficit (AD), Hyperactivity/impulsivity (H/I), Oppositional defiant disorder (ODD), Conduct disorder (CD)], SDQ, and SRS were significantly higher in the ADHD group than in the control group. Among the independent variables in the regression model, SRS total scores significantly predicted SDQ-total (? = 0.238, p = 0.033) and SDQ-emotion (? =0.439, p = 0.001) scores in the ADHD group. Conclusion: Children diagnosed with ADHD may have more receptive deficits in mutual interactions than their peers, which greatly impacts their social behaviors. Early social skills training for social functioning impairments may reduce the condition’s social impactÖğe The 2D:4D ratios in the mothers of children with attention deficit hyperactivity disorder(Elsevier Ireland Ltd, 2025) Kocaman, Orhan; Avsar, Pinar A. Y. D. O. G. A. N.; Kara, Tayfun; Kuru, TacettinBackground: Prenatal exposure to high levels of testosterone affects the development of the brain. The purpose of this study was to compare the mothers of children with attention deficit hyperactivity disorder (ADHD) and those of healthy children in terms of the digit ratio (2D:4D). It also examines the relationship between ADHD symptoms and the 2D:4D in mothers. Method: The mothers of 120 children with ADHD and of 61 healthy children were included in the study. 2D:4D were measured for both the patients and the healthy individuals, and sociodemographic data were examined. The mothers' ADHD symptoms were measured using the Adult ADHD Self-Report Scale (ASRS). The patient and control groups were compared in terms of 2D:4D values and ADHD symptoms. The relationship between 2D:4D and ADHD was also examined in the patient group. Results: Maternal right 2D:4D (p < 0.001) and left 2D:4D (p = 0.003) values in the ADHD group were significantly lower than in the control group mothers. No association was also observed between the left hand and right 2D:4D ratios of the mothers in the case group and the ASRS- Hyperactivity or Attention Deficit subscales. Conclusion: Our findings add to the literature examining the relationship between prenatal exposure to testosterone and ADHD. This study shows that the mothers of children with ADHD are exposed to greater prenatal testosterone. In addition, it does not support the hypothesis that prenatal exposure to testosterone in the mothers of children with ADHD plays a role in the development of ADHD symptoms. Further studies examining this relationship in mothers are now needed.
