17 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.

    Pregabalin Treatment of a Patient With Complex Regional Pain Syndrome

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    BACKGROUND: Complex regional pain syndrome (CRPS) is a painful and disabling neurovascular condition. There is no consensus on the etiopathogenesis or the treatment. We present a patient with CRPS type 1 accompanied by a psychiatric disorder to discuss the relationship between CRPS and Psychiatric disease and to emphasize the response of this case to treatment with pregabalin. PATIENT DESCRIPTION: A 15-year-old girl presented with swelling, severe pain, edema, hyperesthesia, allodynia, and sweating changes in the left arm and was diagnosed as CRPS type 1. The presence of disturbed family relations was revealed on psychiatric examination, and a diagnosis of major depression was made. Her symptoms did not respond to selective serotonin reuptake inhibitors and noradrenergic and specific serotonergic antidepressives, gabapentin, or stellate ganglion blockage, but the patient's pain resolved with pregabalin. Symptom-oriented measures and psychiatric support enabled ongoing treatment. A social services evaluation led to her being placed in the care of social services to protect her from the chaotic and traumatic family life. CONCLUSION: Detailed psycological and psychiatric evaluation is recommended in individuals with CRPS because psychiatric support and improvement of associated psychosocial concerns in addition to pregabalin seems to facilitate treatments in some patients

    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

    Determination of Family Needs of Mothers of Children with Down Syndrome and Their Opinions Regarding Sense of Social Support

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    WOS: 000509362800002The aim of this study is to determine the family needs of mothers of children with Down-Syndrome and their opinions regarding sense of social support. Research participants are 20 mothers residing in Gaziantep city and having a child with Down-Syndrome. Having employed qualitative model, data for this study were collected from participant mothers via semi-structured interview and collected data were analyzed by content analysis. This study revealed that children with Down-Syndrome and their mothers want to be accepted in their social interactions. Mothers reported that their children are disadvantageous in benefiting from general education process and they emphasized their plea for support, especially from local administrations and nongovernmental organizations. Mothers are in need of education as regards the deficient skills of their children and the coping strategies against such deficiencies. They also reported their request for financial support to meet the needs of their Down-Syndrome children and benefit from better educational opportunities. Mothers added that they need support mostly in domains of education and social skills. Mothers reiterated their expectations from local administrations and nongovernmental organizations to hold social activities

    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
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