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3. The Influence of Metropolis Life in the Etiology and Symptoms of Conversion Disorder.

Author

Karacan, Fatma Akyüz, Yılmaz, Semra, Kaya, Oğuz, Gökalp, Peykan G., and Dokuz, Gonca

Subjects
ADVERSE childhood experiences, EMOTIONAL trauma, EXPERIENCE, SUICIDAL behavior, QUALITY of life, PSYCHOLOGY of women, QUESTIONNAIRES, METROPOLITAN areas, SOMATOFORM disorders, SYMPTOMS
Abstract

Copyright of Medical Journal of Bakirkoy is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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6. Evaluation of Perceived Stress, Social Support, and Emotional Eating in Bezmialem Faculty of Medicine Students: A Cross-sectional Study.

Author

PEZÜK, Ecem and DOKUZ, Gonca

Subjects
*SOCIAL support, *BECK Anxiety Inventory, *MEDICAL students, *MENTAL health, *BECK Depression Inventory, *COMPULSIVE eating, *EMOTIONAL eating
Abstract

Introduction: A balanced diet is essential for overall health because it provides necessary nutrients. Eating disorders present medical and psychological risks that affect one's quality of life. Emotional eating can result from negative situations. Studies show that sadness has a greater impact on food consumption than happiness, leading to a 30-48% appetite fluctuation. Stress not only affects psychological health and influences food choices. Social support, typically from family and friends, provides both physical and psychological aid, addressing fundamental social needs and positively impacting overall well-being. Medical students facing intense stress during clinical courses are considered a risk group for emotional eating due to stressors. Method: Our study was conducted with Bezmialem Vakıf University, Faculty of Medicine students. Data were collected using the Demographic form, Beck Anxiety Inventory, Beck Depression Inventory, Perceived Stress Scale, Social Support Scale, and Emotional Eating Scale. The resulting data were analyzed using IBM SPSS Statistics 22.0. Results: Among the students participating in the study (n=70), 35.7% were male and 64.3% were female. A significant positive correlation was observed between Perceived Stress and Emotional Eating Scales (r=0.246; p<0.05). Additionally, there was a significant positive correlation between Beck Anxiety and Depression Inventory and the Emotional Eating Scale (r=0.504; p<0.05, r=0.432; p<0.05, respectively). Furthermore, a significant negative correlation was found between the Social Support Scale and the Emotional Eating Scale (r=-0.272; p<0.05). Conclusion: The results of this study indicate that stressful lifestyles can have a real impact on the development of emotional eating problems among medical students. Medical schools should closely monitor the mental well-being of students and encourage them to develop healthy lifestyles, optimize coping styles, and establish sources of social support. [ABSTRACT FROM AUTHOR]

Published
2024

7. Impact of Smartphone Use on Cognitive Functioning: Role of Attachment.

Author

DAĞ, Sümeyra and DOKUZ, Gonca

Subjects
*COGNITIVE ability, *SMARTPHONES, *ATTACHMENT behavior, *NON-smokers, *SELF-evaluation
Abstract

Introduction: Attachment styles were developed by psychologist John Bowlby and Mary Ainsworth and are shaped by the way children interact with their parents. According to John Bowlby, attachment has a great influence on a child's later development and helps them develop without fear. Bartholomew and Horowitz divided attachment into secure and insecure sub-styles. Our hypothesis was that the duration of smartphone use is higher in individuals with insecure attachment (IA) and that this relationship is mediated by an attention deficit. Method: The intended target group for this study was university students. This study was assessed using a questionnaire that subjects could complete online. With a correlation coefficient of 0.20 between the scales, a minimum of 82 subjects were required for the study with 80% power at 95% confidence level. Results: This questionnaire made it possible to ask about daily smartphone use, the secure attachment (SA) and IA of the individuals. The individuals were divided into two groups, and the self-assessment of the frequency of everyday mistakes encountered in the areas of perception, memory, and action regulation was evaluated. As smartphone addiction scale scores increase, cognitive failures scale (CFS) score also increase. Resistant attachment and CFS averages of smokers were significantly higher than those of non-smokers (p=0.008; p=0.028). No significant difference was observed between smokers and non-smokers in terms of SA, avoidant attachment, and smartphone averages (p<0.05). No statistically significant relationship was observed between CFS and SA (p=0.157). The mean CFS of alcohol users was significantly higher than that of non-users (p=0.026) Conclusion: An individual's excessive smartphone use is not related to an individual's SA or IA. [ABSTRACT FROM AUTHOR]

Published
2024

8. Psikotik bozukluk hastalarında çocukluk çağı travmalarının ve bakımverici duygu ifadesi düzeylerinin stres duyarlılığına etkisinin araştırılması

Author

Dokuz, Gonca, Kuşcu, Mehmet Kemal, and Psikiyatri Anabilim Dalı

Subjects
Psychiatry, Emotion, Psychotic disorders, Caregivers, Stress, Psikiyatri, Child abuse
Abstract

GirişStres duyarlılığı, günlük yaşam olaylarına artmış duygusal ve davranışsal yanıt olarak tanımlanmaktadır. Travmatik yaşam olaylarının stres duyarlılığında artışa neden olarak, psikotik bozuklukların başlangıcında ve kötüleşmesinde rol oynadığı düşünülmektedir. Akut stres etkenlerinin yanı sıra yüksek duygu ifadesi gibi kronik psikososyal stresörlerin psikotik bozukluk hastalarında semptomların kötüleşmesinden sorumlu olduğu bilinmektedir. Bu konuda literatürde gündelik yaşam olaylarının niteliklerinin ve yüksek duygu ifadesinin etkilerinin incelendiği çalışma sayısı sınırlıdır. Çevresel stres etkenlerinin ve kişilerin öznel deneyimlerinin araştırıldığı çalışmalarda, gündelik yaşam sırasında anlık değerlendirmeler yapabilmeyi sağlayan deneyim örnekleme yönteminin kullanılması, sonuçların ekolojik geçerliliğini artırmaktadır. Çalışmamız ülkemizde psikiyatrik hastalıklarda deneyim örnekleme yönteminin kullanıldığı ilk araştırmadır. AmaçÇalışmamızın amacı, psikotik bozukluk hastalarında, çocukluk çağı travma öyküsünün ve bakım verici duygu ifadesi düzeylerinin, günlük yaşam deneyimleri karşısında verdikleri stres tepkileri, duygulanım ve psikotik belirti yoğunluğu ile ilişkisinin deneyim örnekleme yöntemi kullanılarak araştırılmasıdır. Ayrıca hastaların deneyimledikleri günlük yaşam olayları türleri ile gün içindeki duygulanımlar ve psikotik belirtiler arasındaki ilişkilerin incelenmesi amaçlanmıştır.YöntemÇalışmaya Marmara Üniversitesi Tıp Fakültesi Pendik EAH psikiyatri polikliniğine başvuran psikotik bozukluk tanısı ile izlenen 41 hasta dahil edilmiştir. Hastaların günlük yaşam deneyimleri, duygulanım ve psikotik belirtileri deneyim örnekleme yöntemi ile incelenmiştir. Ek tanıların dışlanması için SCID-I, hastalık şiddetini belirlemek için PANSS, çocukluk çağı travması öyküsünü değerlendirmek için Çocukluk Çağı Travmaları Ölçeği (CTQ-28), duygu ifadesi düzeylerini ölçmek için Duygu İfadesi Düzeyi Ölçeği (LEE) ve Duygu İfadesi Ölçeği (DİÖ) kullanılmıştır. BulgularBulgularımız yüksek çocukluk çağı travması ölçeği puanlarının günlük yaşam olaylarına bağlı stres, olumsuz duygulanım ve psikotik belirtiler ile pozitif yönde anlamlı ilişkisi olduğunu göstermektedir. Yüksek duygu ifadesi düzeylerinin bu üç değişken ile ilişkisi istatistiksel olarak anlamlı bulunamamıştır. Ancak yüksek duygu ifadesine sahip hastaların, gün içinde bakım vericileri ile geçirdikleri zaman dilimlerinde daha fazla aktivite ilişkili stres, olumsuz duygulanım ve psikotik belirti deneyimledikleri saptanmıştır. Günlük yaşam olayları tanımlamaları incelendiğinde en fazla sosyal deneyimlerin psikotik belirtiler ile ilişkili olduğu, bu ilişkinin yüksek CTQ puanlarından etkilendiği gözlenmiştir.SonuçPsikotik bozukluk hastalarında günlük yaşam deneyimleri, gün içindeki duygusal ve psikotik belirtilerin kötüleşmesine yol açabilmektedir. Bu ilişki geçmiş travmatik yaşam olaylarının etkisi ile şekillenmekte, bakım veren tutumlarından etkilenmektedir. Psikiyatrik hastalıklarda, kişilerin öznel deneyimleri hakkında kapsamlı bilgiler veren deneyim örnekleme yönteminin kullanımının yaygınlaşmasının, hastalıkların daha iyi anlaşılması konusunda klinisyenlere yol göstereceği düşünülmektedir. Anahtar kelimelerDeneyim örnekleme yöntemi, psikotik bozukluklar, duygu ifadesi, çocukluk çağı travması, stres duyarlılığı IntroductionStress sensitivity is defined as an increased emotional and behavioral response to daily life events. It is thought that traumatic life events play a role in the onset and deterioration of psychotic disorders, leading to increased stress sensitivity. It is known that chronic psychosocial stressors such as high expressed emotion as well as acute stress factors are responsible for the worsening of symptoms in psychotic disorder patients. In this respect, the number of studies examining the qualities of daily life events and the effects of high expressed emotion is limited in the literature. In the studies examining the environmental stress factors and subjective experiences of people, the use of experience sampling method that allows making instant assessments during everyday life increases the ecological validity of the results. Our study is the first to use experience sampling method in psychiatric disorders in our country. ObjectiveThe aim of our study is to investigate the relationship of childhood trauma history and caregiver expressed emotion levels with the stress reactions to daily life experiences, affect and psychotic symptom intensity in psychotic disorder patients using experience sampling method. It is also aimed to investigate the relationships between the types of daily life events experienced by patients and the affects in the day and psychotic symptoms.MethodsForty-one patients who applied to the psychiatric outpatient clinic of Marmara University Medical Faculty, Pendik Training and Research Hospital and were followed with the diagnosis of a psychotic disorder were included in the study. Daily life experiences, affects and psychotic symptoms of the patients were examined by experience sampling method. SCID-I to exclude additional diagnoses, PANSS to determine the severity of illness, Childhood Trauma Questionnaire (CTQ-28) to assess childhood trauma history, Level of Expressed Emotion Scale (LEE) and Expressed Emotion Scale to measure the levels of expressed emotion were used. ResultsOur findings indicate that high childhood trauma scale scores are positively significantly correlated with stress, negative affect and psychotic symptoms due to daily life events. The relationship between high expressed emotion levels and these three variables was not statistically significant. However, it is found that patients with high expressed emotion experienced more activity related stress, negative affect and psychotic symptoms during the time they spend with their caregivers in a day. When the definitions of daily life events were examined, it was observed that the most social experiences were related to psychotic symptoms and this relationship was affected by high CTQ scores.ConclusionDaily life experiences in patients with psychotic disorders may lead to worsening of emotional and psychotic symptoms throughout the day. This relationship is shaped by the effects of past traumatic life events and is influenced by caregiver attitudes. In psychiatric disorders, it is thought that the generality of the use of experience sampling method, which provides comprehensive information about the subjective experiences of people, will lead the clinicians to better understand the disorders. KeywordsExperience sampling method, expressed emotion, stress sensitivity, childhood trauma, psychotic disorders 134

Published
2017

9. Investigation of the Effect of COVID-19 Epidemic on Obsessive Compulsive Disorder Patients and Its Relationship with Cognitive Level.

Author

KANLI, Şevval and DOKUZ, Gonca

Subjects
*COVID-19 pandemic, *OBSESSIVE-compulsive disorder, *CORONAVIRUS diseases, *COVID-19, *SUBSTANCE abuse relapse, *COGNITIVE flexibility, *SOCIAL distancing
Abstract

Introduction: Obsessive-compulsive disorder (OCD) is a chronic illness diagnosed by the presence of repetitive, unwanted thoughts, impulses or images (obsessions) and repetitive behaviors (compulsions). OCD has different subtypes. Contamination obsessions and excessive cleaning compulsion are the most common. Coronavirus disease 2019 (COVID-19) pandemic first started in China in December 2019 and is still spreading worldwide. Social distancing, quarantine, avoiding contamination can trigger obsessive symptoms. Therefore, patients with OCD may be more susceptible to COVID-19 fears than others and may be at risk of relapse of OCD symptoms. Our study investigates the impact of the pandemic on OCD symptoms. Method: In our study, an 18-question sociodemographic form, a 12-question Cognitive flexibility scale and 7-question Fear of COVID-19 Scale were filled in by 32 patients with a diagnosis of OCD. The 19-item Yale-Brown Obsession Compulsion scale was used to diagnose and assess the severity of the OCD symptoms. Additionally, 14-item Hamilton anxiety scale and 17-item Hamilton depression scale were evaluated while interviewing the patient for exclusion criteria. Results: The study reveals a moderately positive significant relationship among the Fear of COVID-19 Scale and q18 (r=0.34) (p=0.05). Also, the result of the examination demonstrates moderately negative significant relationship among obsession and cognitive flexibility scale (r=-0.38) (p=0.031). However, this research shows no significant relation between YBOS and flow cytometry standard. Conclusion: Our study was validated because patients who reported an increase in OCD symptoms had higher fear of COVID-19 than others. If the patients had been followed up with the YBOS scale before the pandemic, the change could have been seen more clearly. We will continue to collect data to get better results. [ABSTRACT FROM AUTHOR]

Published
2022

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