Self-Determination and Psychological Adaptation in Forcibly Displaced People

According to the UN Refugee Agency, as of 2018 approximately 70 million people were forcibly displaced because of intrastate and interstate conflicts. A majority of those people endured significant hardships, and a consensus is growing among researchers that forcibly displaced people have gone through potentially traumatic experiences that challenge their well-being and health. Consequently, a large amount of research focuses on their mental health concerns, whereas research focusing on their will to normalize their lives and grow after a traumatic migration is scarce. In this article, we highlight the efforts by forcibly displaced people to normalize their lives, pointing out the strengths they show in dealing with adverse migration and postmigration conditions and how they sustain their well-being and integrity. To this end, self-determination theory (SDT), a theory of human motivation, development, and well-being, proposes that autonomy, competence, and relatedness are basic universal needs that are required for integrated personality development and well-being. This study is a literature review that aims to apply SDT to forcibly displaced people’s adaptation process, to identify the factors that potentially hinder or facilitate how displaced people satisfy their psychological needs, and to examine how they engage in a variety of behaviors to cultivate more autonomy, competence, and relatedness. SDT principles are used to highlight the potential venues in their postmigration adaptation, recovery, and growth

Ruminasyonun, içsel çalışan modellerin ve psikolojik yardım almaya yönelik tutumların üniversite öğrencilerinin psikolojik belirtilerine katkısı.

Purpose of the study is to examine the relationship of ruminative tendency, internal working models of attachment (Self-Model and Other-Model) and help seeking attitudes (Positive Beliefs and Negative Beliefs) with psychological symptoms among the university students. In scope of the current research, the mediation role of rumination in the relationship between internal model of self and psychological symptoms was examined. By applying convenient sampling procedure, six hundred and ten university students were included into the current study from 9 different state universities in Ankara and Istanbul. Turkish version of Relationship Questionnaire (Bartholomew & Horowitz, 1991), Relationship Scale Questionnaire (Griffin & Bartholomew, 1994), Brief Symptom Inventory (Derogatis, 1992), Ruminative Response Scale (Nolen-Hoeksema & Marrow, 1991) and Attitudes toward Seeking Psychological Help - Shortened (Türküm, 2001) were delivered to the university students at university campuses. Multiple regression analyses were implemented to evaluate the research hypotheses. The results revealed that rumination, internal model of others, and negative beliefs about psychological help significantly predicted the increase in psychological symptoms of Turkish university students. Positive beliefs about psychological help did not relate to psychological symptoms of university students for the current set of data. In addition to this, rumination mediated the relationship between internal model of self and psychological symptoms of university students. The research findings were discussed by relying on the previous research premises.M.S. - Master of Scienc

A Systematic Review of The Effectiveness, Content, and Usage Patterns of Mobile Mental Health Interventions on Smartphone Platforms for Anxiety Symptoms

This systematic review aims to examine the content, usage pattern and efficacy of mobile mental health interventions in reducing anxiety symptoms. A search of 10 electronic databases returned 44 408 studies in total and 27 studies met the inclusion criteria, including 4460 participants in total. The rate of attrition was 27% (SD = 22) among the participants who initiated the app use. The rate of significant reductions in measures of anxiety symptoms was 87% from within-subjects pretest to posttest assessments, yet this rate dropped to 46% when compared to a waitlist/control group. A vast majority of the studies used cognitive and/or behavioral interventions (N = 26, 96%), a few studies included professional support (N = 11, 41%), a structured form of delivering the interventions (N = 8, 30%) or tailored it to users’ needs (N = 6, 22%). Few studies reported the actual time spent on the app per week (N = 4, M = 63.76, SD = 62.17). The mobile mental health interventions were effective in reducing anxiety symptoms, yet this effectiveness eroded compared to control groups. There is a need to develop consistent ways of reporting the usage patterns and testing evidence-based interventions other than cognitive behavioral treatments

The contribution of rumination and internal working models of attachment to psychological symptoms

This study examined the relations of ruminative tendency and internal working models of attachment (Self-Model and Other-Model) to psychological symptoms among the Turkish university students. The sample comprised of 610 university students with 288 female and 319 male participants (3 unknown). The results revealed that both rumination and internal working models (self-model and other-model) significantly correlated with the higher level of psychological symptoms. However, after controlled for the impact of rumination, the relationship of self-model and psychological symptoms was no longer significant. Therefore, ceasing the rumination is suggested as a coping strategy to deal with psychological symptoms

Attitudes towards seeking psychological help among a sample of Turkish university students: the roles of rumination and internal working models

The current study investigates how attitudes towards seeking psychological help relate to internal working models of attachment (self-model and other-model) and ruminative tendencies. The study includes 589 Turkish university students (278 females, 308 males and 3 unknown) by implementing a convenient sampling procedure. The average age of the participants was 22.4 years (SD = 2.2). Participants were administered the Attitudes toward Seeking Psychological Help-Short, the Relationship Questionnaire and the Rumination Scale. The results of the study indicate that the other-model and rumination have a relationship to women's help-seeking attitudes whereas the self-model has a relationship to men's help-seeking attitudes. The results are discussed in light of the related literature

Gender, attachment orientations, rumination, and symptomatic distress: Test of a moderated mediation model

The present study examined rumination as a fundamental cognitive mechanism mediating the risk factors in insecure attachment orientations to symptomatic distress, and gender was tested as moderator of this mediation mechanism. A sample of Turkish university students composed of 278 females and 308 males (N = 586, M-age = 22.43i SDage = 2.21) completed the self-report measures. Mediation and moderation analyses performed based on linear regression models partially supported the research hypotheses. Attachment orientations and rumination significantly predicted an increase in symptomatic distress. Rumination fully mediated the effect of secure and preoccupied attachment orientations, and partially mediated the effect of fearful-avoidant attachment on distress. Dismissive-avoidant attachment was related neither to rumination nor to symptomatic distress. Nonsignificant moderator findings supported equivalent mediation models for women and men, despite significant gender differences in levels of attachment, rumination, and distress. Rumination is a significant feature of preoccupied and fearful-avoidant attachment, and mediates their effects on distressed moods in the Turkish cultural contex

Stenting for Stenosing Takayasu Aortitis Following Carotid Artery Stenosis in a 32-Year-Old Patient

Takayasu arteritis is a chronic granulomatous vasculitis with multivessel involvement, causing significant mortality and morbidity in affected individuals. A 32-year-old patient with severe right common carotid stenosis underwent expanded polytetrafluoroethylene graft interposition to the carotid artery. A bare Wallstent endoprosthesis (Boston Scientific Medi-Tech, Natick, MA) was implanted for the abdominal aortic stenosis incidentally diagnosed during follow-up 1 year after the carotid operation while the disease was inactive. Close follow-up of the activity of the vasculitic process is warranted owing to the progression of the vascular lesions or formation of de novo lesions in Takayasu disease

Attachment Orientations: Predicting Psychological Distress in German and Turkish Samples

This study examined the relationship between attachment orientations and psychological distress, as well as cultural moderation in this relationship, among 241 university students from Germany and Turkey. Attachment orientations predicted the elevation of psychological distress in both samples. Attachment anxiety in the German sample and attachment avoidance in the Turkish sample showed stronger association with the elevation in psychological distress. The results and potential implications for counseling research and practice are discussed