10 research outputs found

    The effects of group based cognitive behavioral therapy on self- compassion, social anxiety and ruminative thought style of turkish youth transitional age: a controlled study on university students

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    Objective: Social anxiety disorder (SAD), is characterized by the fear of being negatively evaluated or showing symptoms of anxiety in social environments or performance conditions which usually leads to avoidance behavior. It is known that changing negative thoughts and replacing them with alternatives have an important place in its treatment. In Cognitive Behavioral Therapy, the focus is mainly on the person's negative thoughts about himself. Group Based Cognitive Behavioral Therapy (CBGT) is a frequently used therapy model in anxiety disorders, including social anxiety. The aim of this study is to examine the effect of CBGT on the social anxiety levels of university students with elevated SAD symptoms, as well as on their ruminative thinking styles and self-compassion.Methods: Liebowitz Social Anxiety Scale (LSAS) was applied to 1200 students. Thirty students who had highest social anxiety levels were selected. The selected students were assigned to the experimental and placebo groups. CBGT was applied to the experimental group, and communication-based group therapy was applied to the placebo group.Results: There is a significant difference between pretest and posttest of the LSAS and rumination levels of the experimental group. In addition, LSAS and rumination post-test levels were found to differ significantly according to the group. There was no significant difference in self-compassion levels.

    The Effects of Psychodrama and Cognitive Behavioral Therapy-Based Group Work on Test Anxiety

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    The objective of this research is analyzing comparatively the positive effects of the group counseling practices performed by using the psychodrama techniques in company with the cognitive -behavioral techniques on reducing the exam anxiety of the students. The research having two experimental groups and a control group is a quasi-experimental study based on pretest-posttest design. The research is performed with the students of a private school in Istanbul attending the 10th and the 11th classes. At the end of the practice and evaluation, 32 students having the maximum exam and trait-continuity anxiety levels have been chosen. Randomly 10 students for cognitive behavioral therapy group; 11 students for psychodrama group; and 11 students for control group have been assigned. Exam anxiety thats the dependent variable of the research has been measured by using Exam Anxiety Inventory. Trait and continuity anxiety levels have been measured by Trait-Continuity Anxiety Scale as the other dependent variables of the research. Scales have been given to the experimental and control groups as pretests. By the researcher 10 sessions of psychological consultation by using the psychodrama techniques for the first experimental group; and 8 sessions of psychological consultation by using cognitive behavioral therapy techniques for the second experimental group have been performed. For the control group, no work has been done. After the practices, the scales have been given again as the last test. The data obtained as a result of the experimental work has been analyzed by applying the Kruskal Wallis-H test, Mann Whitney-U test and Wilcoxon test. According to the obtained data it is observed that; compared to the control group, the psychological consultation practices performed by using the psychodrama techniques have been effective on exam anxiety total point, perception, delusion and trait anxiety points. No effect has been detected on continuity anxiety points. On the other hand, it is observed that compared to the control group, the psychological consultation practices performed by using the cognitive behavioral techniques have been effective on exam anxiety total point, perception and delusion. But no affect has been detected on trait and continuity anxiety points. In the analyses relating to comparison; in terms of total exam anxiety, perception, delusion sublevel and trait anxiety points of the students, psychodrama techniques applied in the first group have been more affective with reference to the cognitive behavioral techniques applied in the second group. No meaningful difference has been detected when two experimental groups have been compared according to continuity anxiety points. [JCBPR 2017; 6(1.000): 22-30

    Comparison of death anxiety and state-trait anxiety levels in mothers of disabled children and non-disabled children

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    Objective: This study aims to investigate the death anxiety and state-trait anxiety levels of mothers of disabled children and compare them with mothers of non-disabled children. Data obtained from this study will contribute to the planning of services provided to families of children with disabilities. Method: The sample group consisted of 80 mothers of disabled children attending rehabilitation and special education centers in the province of Gaziantep and 78 mothers of non-disabled children, 158 mothers in total. The study used a convenience sampling method. A sociodemographic information form, Abdel-Khalek's Arabic Scale of Death Anxiety (ASDA), and the State-Trait Anxiety Inventory (STAI) were used as assessment tools. Results: The results of this study indicate that mothers of disabled children have statistically significantly higher scores on the ASDA subscale of "fear related to other situations reminding death" than mothers of non-disabled children. Similarly, mothers of disabled children have significantly higher state and trait anxiety levels. Conclusion: Mothers of disabled children have higher death anxiety and state-trait anxiety levels than mothers of non-disabled children. These results suggest that having a disabled child increases mothers' psychological burden. We may assume that psychological support provided for mothers with disabled children will improve the quality of care they give to their children and consequently increase the quality of life of children and family

    Down sendromlu çocuğa sahip annelerin aile gereksinimlerinin belirlenmesi ve sosyal destek algılarına yönelik görüşleri

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    Bu çalışmada Down Sendromlu çocuğu olan annelerin gereksinimlerinin belirlenmesi ve sosyal destek algılarınayönelik görüşlerinin incelenmesi amaçlanmıştır. Çalışmanın katılımcıları Gaziantep ilinde yaşayan DownSendromlu çocuğa sahip 20 annedir. Nitel olarak desenlenen bu çalışmada yarı yapılandırılmış görüşme yoluylaannelerden elde edilen veriler içerik analizi ile değerlendirilmiştir. Çalışmada Down Sendromlu çocukların veannelerinin toplumsal yaşamlarında sosyal kabul görmek istedikleri tespit edilmiştir. Anneler çocuklarının geneleğitim sürecinden yararlanmalarının düşük olduğunu belirterek özellikle yerel yönetimler, sivil toplumkuruluşlarından destek beklediklerini vurgulamışlardır. Annelerin çocuklarının yetersizlik alanları ve buyetersizliklere yönelik neler yapabilecekleri gibi konularda bilgiye gereksinimleri vardır. Down Sendromluçocuklarının gereksinimlerini karşılamak ve daha iyi eğitim olanaklarından faydalanmak için maddi gereksinimleriolduğunu ifade etmişlerdir. Anneler en çok eğitim ve sosyal beceri alanında çocuklarının desteklenmeyegereksinimleri olduğunu belirtmişlerdir. Anneler, sosyal aktivitelerin düzenlenmesi için yerel yönetimler ve siviltoplum kuruluşlarından destek beklediklerini dile getirmişlerdir

    Electroconvulsive therapy in an adolescent with bipolar disorder, substance use, and body dysmorphic disorder comorbidity: case report

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    Our case report is on the use of electroconvulsive treatment (ECT) in an adolescent with Bipolar Disorder (BPD), Substance Use Disorder (SUD) and comorbid Body Dysmorphic Disorder (BDD). In our case, ECT was not considered at the first stage, but we encountered medication noncompliance and treatment resistance. Symptoms of body dysmorphic disorder completely disappeared after ECT, which is consistent with the literature. ECT is a treatment with a low side effect profile in treatment-resistant cases. In addition, it will be useful to increase the knowledge and experience of clinicians on ECT and to provide conditions for ECT in child and adolescent psychiatric clinics

    Perceptions of parental acceptance-rejection in type 1 diabetic and healthy children

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    Aim: The present study aimed to comparatively investigate the parental acceptance-rejection perceived by type 1 diabetic and healthy children and reported by their mothers. The number of studies investigating how mothers of children with chronic diseases cope with this situation is limited. Material and Methods: The study included 52 children (aged 8-15 years) with type 1 diabetes mellitus who were followed-up in an outpatient clinic of a state hospital in Gaziantep province and their mothers (n=52). A control group was formed of 52 healthy children (aged 8-15 years) who had no chronic diseases and were residents of Gaziantep province and their mothers (n=52). The perception of parental acceptance and rejection was assessed using the Parental Acceptance-Rejection Questionnaire (PARQ; child and mother versions). Results: The results of this study revealed that diabetic children felt lower levels of warmth/affection and higher levels of undifferentiated rejection as compared with healthy children. In addition, the undifferentiated rejection perception of mothers of diabetic children was higher than that of mothers of healthy children. Moreover, a significant inverse correlation was found between the parental attitude perceived by diabetic children and the parental attitude perceived by their mothers. Discussion: Diabetic children felt lower levels of warmth/affection and higher levels of undifferentiated rejection as compared with healthy children. Establishing further supportive and preventive studies within the frame of parental attitude, in particular, would enable effective management of a chronic disorder. The outcomes of this study, which investigated acceptance-rejection attitudes of mothers of type 1 diabetic children, may contribute to establish efficient and beneficial training programs for children with chronic diseases and for their families to maintain well-being and functionality

    Associations between Computer Game Addiction and Attention Deficit and Hyperactivity Disorder - An Emprical Study

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    The aim of this study is to compare the video game addiction levels and habit of playing computer games between children with attention deficit hyperactivity disorder (ADHD) and healthy children. The study group consisted of 100 children aged between 10 and 13 years who were diagnosed with ADHD and who applied to the psychiatry clinic in the province of Istanbul. The control group consisted of 100 healthy children between the ages of 10 and 13 years with no psychiatric diagnoses and were matched with the study group in terms of sociodemographic characteristics. The Personal Information Questionnaire and the Computer Game Addiction Scale for Children (CGASC) were applied to the participants. Children with ADHD had significantly higher levels of video game addiction than healthy children. Video game addiction levels were found to be higher in children who play action, shooter, and racing games than those who did not play them. Furthermore, online gaming has been found to have a significant effect on the level of video game addiction

    Factors related to diagnostic persistence of attention deficit/hyperactivity disorder in Turkish children and adolescents

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    Objective: Attention-deficit/hyperactivity disorder (ADHD) is one of the most frequently occurring mental disorders in children and adolescents. The purpose of this study was to determine diagnostic persistence three years after the first clinical evaluation and to investigate the factors relating to diagnostic persistence in children and adolescents with ADHD. Methods: The study included 183 children and adolescents who were evaluated in the first admission. Of 183 children and adolescents, 142 children and adolescents were evaluated in the second admission and only the data of 142 children and adolescents were analysed in the study. Diagnostic persistence was defined as having met the full criteria for ADHD on second evaluation. Symptom severity of ADHD was determined using the Turgay DSM-IV-based Child and Adolescent Behavior Disorders Screening and Rating Scale-Parents Form (T-DSM-IV-S). Intelligence level was assessed through the Wechsler Intelligence Scale for Children-Revised. Results: Of the children included in the study, 77.5% (n=110) were determined to have ADHD diagnostic persistence. Low intelligence levels, younger age and higher T-DSM-IV-S inattention and conduct disorder scores were associated with diagnostic persistence. ADHD diagnosis in children and adolescents tends to continue at high rates. Conclusions: Determination of the risks related to ADHD diagnostic persistence may contribute to improved treatment planning and interventions

    The process of how mothers with down's syndrome children learn about the diagnosis: A qualitative research

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    Aim: Healthcare providers have an important role in notifying mothers about their children's handicap, in other words, the bad news. The mothers' acceptance of the newborns, adapting to the process and the family dynamics are thought to be affected by this first notification period, so it is assumed to be a very important period. There have been important speculations about notifications regarding the child's physical and psychological well-being and about the parent's unhappiness. It was found that there is insufficient literature about how and when the parents should be notified about their child's handicap; in fact, it was noticed that this topic was not covered in our country at all. In this light, the aim of this study is to determine how mothers who have children with Down's syndrome are notified, and how they prefer to be notified. Material and Method: In order to determine the mothers' preferences for the notification, a comprehensive literature survey, and interviews that are a qualitative method have been used. The participants consisted of 21 mothers whose children attended two different private rehabilitation centers in Istanbul and Karabuk. In analyzing the data, the "Interview Form" and the transcripts of the interview recordings were used. Consecutive coding from A1 to A21 was done to describe the participants. Results: The findings show that the mothers were not pleased with the first notifications and that they are critical of the current notification system. According to our results, various suggestions to doctors were done. Discussion: Informing mothers that they have a different child is an important task for doctors that will affect the relationship between thischild and the mother throughout their lives. For this reason, it is very important that doctors are knowledgeable and sensitive about the reporting proces
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