Eyleme Dökme: İntihar Girişiminde Bulunan Bireylerin Deneyimlerinin İncelenmesi Üzerine Nitel Bir Araştırma

Bu araştırmanın amacı intihar girişiminde bulunan bireylerin bu süreci nasıl deneyimlediklerini anlamaya çalışmaktır. Bu amaçla son iki sene içerisinde intihar girişiminde bulunmuş, üniversite öğrencisi olan dört katılımcıyla yarı-yapılandırılmış görüşmeler gerçekleştirilmiştir. Görüşmelerde katılımcılar için intihar davranışının anlamına, süreçteki intihar düşüncelerine ve bu sürece dair yorumlamalarına odaklanılmıştır. Görüşmelerin analizi, bireyin deneyimini derinlemesine keşfetmeyi ve bu deneyime nasıl anlamlar yüklediğini anlamayı amaçlayan Yorumlayıcı Fenomenolojik Analiz yöntemi ile yapılmıştır. Analizler sonucunda dört tema elde edilmiştir: “Mesaj vermek”, “Yakın Birinin Eksikliği”, “Kontrol kaybı” ve “Anne karşı olumsuz duygular”. Temalar, Lacanyen psikanaliz yaklaşımı çerçevesinde tartışılmış ve bütün temalar, Başka ile ilişkilenme sonucunda eyleme dökme üzerinden açıklanmıştır. Katılımcıların Başka’ya olan mesajlarını simgesel düzen içerisinde iletmekte yani dile dökmekte başarısız oldukları düşünülmüştür. Bu anlamda, simgesel düzen içerisinde Başka’nın kendisine sağır olduğunu düşünen özne mesajını eylemleri üzerinden Başka’ya iletmeye çalışmıştır.Publisher's Versio

Kamplarda kalan Suriyeli sığınmacıların ruh sağlığı : karma yöntemli çalışma ile risk ve koruyucu faktörler

The aim of the present study was to investigate the possible risk factors and the coping resources during three phases of forced migration for mental health outcomes of Syrian asylum seekers in Turkey. 111 asylum seekers staying in three different camps were recruited by means of convenience sampling. The mixed-method research design was utilized. Participants were administered an interview package including informed consent form, socio-demographic form, semi-structured interview, Harvard Trauma Questionnaire Revised Part I and IV, Post-Migration Living Difficulties, Hopkins Symptom Checklist-25. Quantitative analyses revealed that young, female and unmarried asylum seekers were at-risk groups for mental health problems. Among pre-migration traumatic events, forced separation and loss of loved ones was found as a significant predictor for post-traumatic stress and depression whereas among post-migration living difficulties, loss of culture and support was observed as more impactful determinant of each symptom domain. Qualitative results indicated that participants reported using a number of resources which helped them to overcome the deleterious effects of their experiences, including differential social support from different resources, reliance on religious faith, a sense of commitment to a political cause of war and personal attitudes. The social, political and cultural realities specific to context were noted to be paid attention to understand asylum seekers’ experiences and their effects on them. The findings of the study were expected to have implications for intervention development targeting current stressors as well as traumatic events, and program and policy development aimed at improving life conditions and strengthening support systems of asylum seekers to promote coping.Ph.D. - Doctoral Progra

Yazılı dışavurum paradigmasının yinelenmesi ve genişletilmesi: boylamasına araştırma

The aim of the current study was to test the effectiveness of the written disclosure paradigm on psychological health, cognitive processing, dispositional and social factors and to improve the paradigm on the basis of the underlying mechanisms responsible for its benefits. Participants consisting of 73 Middle East Technical University students were randomly assigned to one of three groups to write during 30-min sessions on 3 consecutive days: (1) Guided Disclosure Group (GDG); (2) Standard Disclosure Group (SDG); (3) Control Group (CG). GDG wrote about their most upsetting life events according to exposure, cognitive reappraisal, and benefit-finding instructions, respectively. SDG wrote about their deepest thoughts and feelings related to their most upsetting life events. CG described familiar environments without including any emotion or opinion. All participants completed measures of psychological health (i.e., general psychological distress symptoms), cognitive processing (i.e., intrusive thoughts, avoidance, and appraisal of the event), dispositional (i.e., trait anxiety, alexithymia, coping styles) and social factors (i.e., perceived social support, and severity of negative life events) prior to the first writing session, following the third writing session, and a 1-month follow-up. It was expected that GDG would report more improvements in outcome measures, relative to SDG. In turn, SDG was expected to display greater improvements, relative to CG. All groups reported similar improvements in psychological distress symptoms, cognitive processing and alexithymia. The findings were discussed in terms of relevant literature.M.S. - Master of Scienc

MENTAL HEALTH OF SYRIAN ASYLUM SEEKERS IN TURKEY: THE ROLE OF PRE-MIGRATION AND POST-MIGRATION RISK FACTORS

Syrian people fleeing their countries due to internal conflicts can be at high risk for mental health problems because they have to deal with multiple stressor events like traumatic events, forced migration, and living difficulties. The aim of the present study was to investigate the relative contribution of pre-migration traumatic events and post-migration living difficulties to mental health outcomes of Syrian asylum seekers residing in Turkish camps. One hundred eleven asylum seekers, living in three different camps located on the Syrian border of Turkey were administered an interview package including informed consent form, socio-demographic form, Harvard Trauma Questionnaire Revised Part I and IV, Post-Migration Living Difficulties and Hopkins Symptom Checklist-25. Hierarchical regression analyses yielded that loss of loved ones among pre-migration traumatic events was found as a significant predictor for post-traumatic stress and depression whereas loss of culture and support among post-migration living difficulties was observed as more impactful determinant of each psychological problem. The findings of the study were expected to have implications for intervention development targeting current stressors as well as traumatic events, and program and policy development aimed at improving life conditions and strengthening support systems of asylum seekers to promote coping

Eyleme Dökme: İntihar Girişiminde Bulunan Bireylerin Deneyimlerinin İncelenmesi Üzerine Nitel Bir Araştırma

Bu araştırmanın amacı intihar girişiminde bulunan bireylerin bu süreci nasıl deneyimlediklerini anlamaya çalışmaktır. Bu amaçla son iki sene içerisinde intihar girişiminde bulunmuş, üniversite öğrencisi olan dört katılımcıyla yarı-yapılandırılmış görüşmeler gerçekleştirilmiştir. Görüşmelerde katılımcılar için intihar davranışının anlamına, süreçteki intihar düşüncelerine ve bu sürece dair yorumlamalarına odaklanılmıştır. Görüşmelerin analizi, bireyin deneyimini derinlemesine keşfetmeyi ve bu deneyime nasıl anlamlar yüklediğini anlamayı amaçlayan Yorumlayıcı Fenomenolojik Analiz yöntemi ile yapılmıştır. Analizler sonucunda dört tema elde edilmiştir: “Mesaj vermek”, “Yakın Birinin Eksikliği”, “Kontrol kaybı” ve “Anne karşı olumsuz duygular”. Temalar, Lacanyen psikanaliz yaklaşımı çerçevesinde tartışılmış ve bütün temalar, Başka ile ilişkilenme sonucunda eyleme dökme üzerinden açıklanmıştır. Katılımcıların Başka’ya olan mesajlarını simgesel düzen içerisinde iletmekte yani dile dökmekte başarısız oldukları düşünülmüştür. Bu anlamda, simgesel düzen içerisinde Başka’nın kendisine sağır olduğunu düşünen özne mesajını eylemleri üzerinden Başka’ya iletmeye çalışmıştır.Publisher's Versio

Mental Health of Syrian Asylum Seekers in Turkey: The Role of Pre-Migration and Post-Migration Risk Factors

Syrian people fleeing their countries due to internal conflicts can be at high risk for mental health problems because they have to deal with multiple stressor events like traumatic events, forced migration, and living difficulties. The aim of the present study was to investigate the relative contribution of pre-migration traumatic events and post-migration living difficulties to mental health outcomes of Syrian asylum seekers residing in Turkish camps. One hundred eleven asylum seekers, living in three different camps located on the Syrian border of Turkey were administered an interview package including informed consent form, socio-demographic form, Harvard Trauma Questionnaire Revised Part I and IV, Post-Migration Living Difficulties and Hopkins Symptom Checklist-25. Hierarchical regression analyses yielded that loss of loved ones among pre-migration traumatic events was found as a significant predictor for post-traumatic stress and depression whereas loss of culture and support among post-migration living difficulties was observed as more impactful determinant of each psychological problem. The findings of the study were expected to have implications for intervention development targeting current stressors as well as traumatic events, and program and policy development aimed at improving life conditions and strengthening support systems of asylum seekers to promote coping

Changes in Periodontal and Microbial Parameters after the Space Maintainers Application

Aim: This study aims to evaluate the clinical and microbiological changes accompanying the inflammatory process of periodontal tissues during treatment with space maintainers (SMs). Materials and Methods: The children were separated into fixed (Group 1, n = 20) and removable (Group 2, n = 20) appliance groups. A full periodontal examination, including probing pocket depth (PPD), bleeding on probing (BOP), and plaque index (PI), was performed. Anaerobic microorganisms in the crevicular fluid were detected with the culture method. Clinical and microbial evaluations were performed before (T0) applications. as well as at three (T1), and 9 months intervals (T2) after the application of the fixed or removable appliances. Results: The PI, PPD, and BOP scores at the testing sites of both groups increased significantly from before treatment (T0) to the 9 months' time frame (T2) (P < 0.05), The presence of anaerobic bacteria in the subgingival dental plaque increased from T0 (n = 13, 65%) to T1 (n = 16, 80%) in the fixed SM group, but not statistically significant. The same values were obtained in T1 and T2 (n = 16, 80%). Conclusion: Although, the results of this study demonstrate that the application of fixed or removable SM appliances in children induced an increase of clinical periodontal parameters, anaerobic microbiota consisting of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forshia were not observed in any of the samples in short-term. Further long-term and comprehensive investigations are necessary