Travmatik yaşantısı olan yetişkinlerde travma sonrası stres bozukluğu ve travma sonrası gelişim: boylamsal bir çalışma

TÜBİTAK SOBAG15.01.201

Yetişkinlerde travmatik olay yaşama yaygınlığı, travma sonrası stres bozukluğu ve travma sonrası gelişim'in değerlendirilmesi

TÜBİTAK SOBAG Proje15.08.2009The aim of this study was to examine the prevalence of various traumatic life events and Post Traumatic Stress Disorder (PTSD) among adults living in Erzincan, Ankara and Kocaeli provinces in Turkey. The relationship of socio-demographic characteristics, type of traumatic event and its characteristics and personality traits with PTSD and Post Traumatic Growth (PTG) were also evaluated. The study was conducted with a sample of 1253 adults, from a stratified cluster sample provided by the Turkish Statistical Institute. The research instrument containing a sociodemographic information form, the Post Traumatic Diagnostic Scale, Post Traumatic Growth Inventory, Basic Personality Traits Inventory and Brief Symptom Checklist was administered to participants in their homes by trained interviewers. The results showed that 84%(n= 1055) of participants reported experiencing at least one traumatic event. Six hundred and seventy five (64%) of these were female and 389 (36%) were male. Compared to females, males reported accidents, physical violence, war experiences, being imprisoned and torture events more often. The rates of PTSD in the whole sample was 9.9%(n=124). Females had a significantly higher rate of PTSD (77.4%) as compared to males (%22.6). Furthermore, the prevalence of PTSD varied for different types of traumatic events. PTSD rates following human made/deliberate traumatic events (39.6%) and death/illness (24.9%) were higher than the rates following accidents (14.8%) and natural disasters (13.3%). After controlling for the effects of sociodemographic variables, low extraversion, high agreeableness and high neuroticism significantly predicted the severity of post traumatic stress reactions. From among the event related variables, the impact of the traumatic event and the degree of functional impairment due to the event, experiencing death/illness and human made/deliberate events rather than accidents amd natural disasters 15 and experiencing more traumatic events appeared as significant predictors of post traumatic stress reactions. For PTG, after controlling for the effects of sociodemographic variables, agreeableness, openness to experience and conscientiousness appeared as significant predictors. From among the event related variables, the impact of the traumatic event, the severity of post traumatic stress reactions, and experiencing human made/deliberate, death/illness and natural disasters rather than accidents were related to PTG. The findings of the study are discussed in the scope of the existing literature and suggestions for the planning of mental health services and trauma training programs are offered

Türkiye'de ülke içinde yerinden edilme sorunu: tespitler ve çözüm önerileri = The problem of internal displacement in Turkey: assessment and policy proposals

Bu rapor, Doç. Dr. A. Tamer Aker (psikiyatr, Kocaeli Üniversitesi), Yrd. Doç. Dr. A. Betül Çelik (siyaset bilimci, Sabancı Üniversitesi), Dilek Kurban (hukuk doktoru, TESEV), Doç. Dr. Turgay Ünalan (nüfusbilimci, Hacettepe Üniversitesi) ve Yrd. Doç. Dr. H. Deniz Yükseker'den (sosyolog, Koç Üniversitesi) oluşan TESEV Ülke İçinde Yerinden Edilme Araştırma ve İzleme Grubu tarafından hazırlanmıştır. Grup, yerinden edilmeyi çatışma ortamının keskinleştirdiği devlet merkezli düşünüşün ve çeşitli ideolojik kamplaşmaların ötesinde, yurttaşlık haklarının yeniden tesisi ve toplumsal rehabilitasyon eksenlerinde ve insani boyutları bağlamında ele almaktadır

Coming to Terms with Forced Migration: Post-Displacement Restitution of Citizenship Rights in Turkey

During the armed conflict in the Eastern and Southeastern Anatolian regions of Turkey between 1984 and 1999, a large wave of internal displacement took place. In the mid-1990s, national human rights organizations prepared reports to bring to public attention that hundreds of thousands of people had been evicted from their rural homes. However, at that time the displacement did not attract the attention that it deserved from the media and public opinion in Turkey. Most importantly, public institutions did not take any measures to address the problems of internally displaced persons (“IDPs”).Based on an analysis of secondary sources and qualitative fieldwork, this book assesses this phenomenon within a conceptual framework at both national and international levels as well as within the political and socio-economic circumstances specific to Turkey

Protocol for a randomized controlled trial: peer-to-peer Group Problem Management Plus (PM+) for adult Syrian refugees in Turkey

Background: A large proportion of Syrians have been exposed to potentially traumatic events, multiple losses, and breakdown of supportive social networks and many of them have sought refuge in host countries where they also face post-migration living difficulties such as discrimination or integration problems or both. These adversities may put Syrian refugees at high risk for common mental disorders. In response to this, the World Health Organization (WHO) developed a trans-diagnostic scalable psychological intervention called Problem Management Plus (PM+) to reduce psychological distress among populations exposed to adversities. PM+ has been adapted for Syrian refugees and can be delivered by non-specialist peer lay persons in the community. Methods: A randomized controlled trial (RCT) will be conducted with 380 Syrian refugees in Turkey. After providing informed consent, participants with high levels of psychological distress (scoring above 15 on the Kessler-10 Psychological Distress Scale (K10)) and functional impairment (scoring above 16 on the WHO Disability Assessment Schedule 2.0, or WHODAS 2.0) will be randomly assigned to Group PM+/enhanced care as usual (Group PM+/E-CAU) (n = 190) or E-CAU (n = 190). Outcome assessments will take place 1 week after the fifth session (post-assessment), 3 months after the fifth session and 12 months after baseline assessment. The primary outcome is psychological distress as measured by the Hopkins Symptom Checklist (HSCL-25). Secondary outcomes include functional impairment, post-traumatic stress symptoms, self-identified problems, and health system and productivity costs. A process evaluation will be conducted to explore the feasibility, challenges and success of the intervention with 25 participants, including participants, facilitators, policy makers and mental health professionals. Discussion: The treatment manual of the Syrian-Arabic Group PM+ and training materials will be made available through the WHO once the effectiveness and cost-effectiveness of Group PM+ have been established. Trial registration: Clinical Trial Registration: ClinicalTrials.gov Identifier NCT03960892. Unique protocol ID: 10/2017. Prospectively registered on 21 May 2019

5-psk_01_06_ing_marearthquakes.indd

strongly demonstrated the negative impacts of disaster trauma. Despite some methodological differences, studies clearly indicate that mental health problems related to earthquakes in Turkey are very prevalent and long lasting. Post Traumatic Stress Disorder (PTSD) and Major Depression (MD) are the most prevalent disorders in population-based and at-risk group studies. In various population-based studies, the PTSD prevalence ranged between 8% and 63% and the prevalence of MD was between 11% and 42%. On the other hand, PTSD prevalence was 2.7%-8.5% and MD was 1%-4.5% for atrisk populations, such as health professionals and rescue workers. These high rates show the importance and necessity of outreach practices. Additionally, the general population and some organizations and professionals have different requirements ranging from training to psychological support and treatment. These studies highlight the development of mental health services and policies. Turkey is situated in a disaster zone; thus, such knowledge could help prepare the nation's population and national policy for future disasters. In this review, first, mental health effects of disasters and some epidemiological findings of the Marmara earthquakes are discussed in light of the literature, and then mental health approaches and policies for disasters are briefly evaluate

Psychological Symptoms in Healthcare Providers of Patients with Hemodialysis

Objective: This study was aimed to investigate the psychological symptoms in the healthcare providers of patients with hemodialysis

Reliability and validity of the Schedule for Deficit Syndrome in schizophrenia

Reliability and Validity of the Schedule for Deficit Syndrome in Schizophreni

Using a delphi process to develop an effective train-the-trainers program to train health and social care professionals throughout Europe

Research has shown that developing a Train-the-Trainers (TTT) program is important if agencies are to implement guidelines, but the most effective way to deliver a TTT program remains unanswered. This article presents data from a 3-round Internet-based Delphi process, which was used to help develop consensus-based guidelines for a TTT programme to deliver to health and social care professionals throughout Europe a curriculum on traumatic stress. In Round 1, 74 experts rated the importance of statements relating to the TTT field and then reassessed their scores in the light of others' responses in subsequent rounds. Forty-one (67%) of 61 statements achieved consensus (defined as having a mean score >7 or < 3 on the 0–9 rating scales used and 70% of participants scoring 7 and above or 3 and below) for inclusion. Key TTT components included interactive and practical presentations, delivery to groups of 7–12 people over 2 days, external and local expert facilitation, course manuals, refresher courses, and supervision. The Delphi process allowed a consensus to be achieved in an area in which there are limitations in the current evidence