Evaluation of self-esteem, emotional eating, eating attitude, depression and anxiety levels before and after bariatric surgery: a one-year follow-up study

Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic Form, Rosenberg Self-Esteem Scale, Emotional Appetite Scale, Eating Attitude Test, Beck Depression Inventory, State-Trait Anxiety Scale I-II data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this study; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery.Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic Form, Rosenberg Self-Esteem Scale, Emotional Appetite Scale, Eating Attitude Test, Beck Depression Inventory, State-Trait Anxiety Scale I-II data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this study; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery

Dimensional Approach to Obsessive-Compulsive Disorder: Dimensional Obsessive-Compulsive Scale with Turkish Psychometric Properties

Amaç: Boyutsal Obsesyon Kompülsiyon Ölçeği (BOKÖ) obsesif kom-pülsif bozukluktaki (OKB) farklı belirti kümelerinin belirti şiddetlerini ölçen bir değerlendirme aracıdır. Bu çalışma kapsamında BOKÖ’nün Türkçe formunun psikometrik özellikleri değerlendirilmiştir. Yöntem: Hastanemiz, Dışkapı Yıldırım Beyazıt Psikiyatri Poliklinikle-rine ardışık olarak başvuran ve DSM-IV-TR tanı ölçütlerine göre OKB tanısı alan 96 kişi çalışmaya alınmıştır. Katılımcılara Boyutsal Obsesyon Kompülsiyon Ölçeği (BOKÖ), Yale-Brown Obsesyon Kompülsiyon Ölçeği (YBOKÖ), Padua Envanteri (PE) verilmiştir. Ölçek iç tutarlı-lığı için Cronbach Alfa katsayısı ve madde toplam bağıntı katsayılarına bakılmıştır. Faktör yapısını değerlendirmek için temel bileşenler analizi yapılmıştır. Bulgular: Ölçeğin iç tutarlılığını gösteren Cronbach Alfa değeri tüm öl-çek için 0,874’tü. Açıklayıcı faktör analizi sonuçları 4 faktörlü bir çözüm ortaya koymuştur: “bulaş”, “sorumluluk”, “kabul edilemez düşünceler”, “simetri” (cronbach alfa değerleri sırayla; 0,932, 0,933, 0,948, 0,921). BOKÖ toplam puanının; YBOKÖ, PE toplam puanı ve alt ölçek pu-anlarının her biri ile yüksek düzeyde bağıntılı olduğu tespit edilmiştir. Sonuç: Ölçek iç tutarlılık istatistiklerine bakıldığında tüm ölçek için iyi, alt ölçeklerin hepsi için mükemmel tutarlılık istatistikleri tespit edilmiş-tir. Ölçeğin faktör yapısı orijinalinde önerilen 4 faktörlü yapı ile tam bir uyum göstermiştir. Benzer ölçek ve alt ölçeklerle olan ilişkisi ölçek mad-delerinin iddia ettikleri yapıları değerlendirebildiğini düşündürmüştür. Şu haliyle BOKÖ’nün Türkçe sürümünün boyutsal OKB belirtilerini değerlendirmede etkin bir şekilde kullanılabileceği tespit edilmiştir.Objective: The Dimensional Obsessive Compulsive Scale (DOCS) is a measurement tool that examines the severity of thematically dis-tinct symptom domains of obsessive compulsive disorder (OCD). In this study we assess psychometric properties of the Turkish version of DOCS. Methods: Ninety six patients who presented consecutively to the Dışkapı Yıldırım Beyazıt outpatient unit and who were diagnosed with OCD according to the DSM-IV-TR criteria were enrolled in the study. The DOCS, Yale-Brown Obsessive Compulsive Scale (YBOCS), and Padua Inventory (PI) were completed by the participants. Internal con-sistency was estimated using Cronbach’s Alpha values and item-total correlations. Principal component analyses with Varimax rotation were used to assess latent factor structure . Results: Explanatory Factor Analyses (EFA) revealed a 4-factor solution for the DOCS. Chronbach’s alpha values for the whole scale, “contami-nation” sub-scale, “responsibility” sub-scale, “unacceptable thoughts”, and “symmetry” sub-scales were 0,874, 0,932, 0,933, 0,948, 0,921, re-spectively. There was a high correlation between It has been determined that there is high correlations between both total scores and sub-scales scores of DOCS, YBOCS and PI. Conclusions: Internal consistencies were high good for the total scale and very high perfect for the sub-scales. The factor structure and the contents of the factors were perfectly in line with the original scale (i.e. 4 factor). Positive correlations between DOCS, its sub-scales, and similar OCD scales suggest that the DOCS accurately measures the structures it claims to assess. Thus the DOCS Turkish version can measure di-mensional obsessive compulsive symptoms among the Turkish speaking OCD population

A comparison of symptom dimensions for obsessive compulsive disorder and obsessive compulsive-related disorders.

ObjectiveIn this study, it is aimed to determine obsessive compulsive-related disorders (OCRDs) comorbidity among the patients with obsessive compulsive disorder (OCD) and compare patients with OCD with or without comorbid OCRDs in terms of the severity of their OCD symptoms, symptom dimensions, and comorbidity with other axis I disorders.MethodsThe study included 90 patients diagnosed as having OCD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for OCRDs were used to determine the presence of OCRDs. In order to determine the symptom dimensions and severity of these individuals' OCD symptoms, we administered the Dimensional Obsessive Compulsive Scale (DOCS) and The Yale-Brown Obsessive Compulsive Scale (Y-BOCS).ResultsIn our study, 20% of the patients with OCD simultaneously met the criteria for at least one OCRD, we also found that a significantly greater proportion of this group were men. None of the mentioned disorders was associated with any symptom dimensions we evaluated using DOCS. In addition, no differences were found in the severity of OCD symptoms and comorbid axis I disorders between the group with comorbid OCRDs and the group without comorbid OCRDs.DiscussionThere was no significant relationship between the symptom dimensions of OCD and OCRDs. It is found that OCRD comorbidity does not increase the severity of OCD symptoms and the prevalence of an axis I diagnosis

The Emotional Appetite Questionnaire (EMAQ)'s Reliability And Validity and Relationship with Body Mass Index andEmotional Schemas

Amaç: Bu çalışmada yeme davranışı ve duygu ilişkisini değerlendirilmek için geliştirilmiş olan "Duygusal İştah Anketi"nin (DİA) Türkiye örneklemi için geçerlik ve güvenirlik analizlerinin yapılması amaçlanmıştır. DİA'nın duygusal şemalarla ve beden kitle indeksi ile ilişkisi de araştırılmıştır. Yöntem: Gönüllü üniversite öğrencileri ve sağlık çalışanları arasından 196 kişi çalışmaya alınmıştır. Araştırmaya alınma kriterlerini karşılayan gönüllülerden önce sosyo-demografik veri formunu doldurmaları istendi. DİA Türkçe formu, ölçeğin geçerlik açısından değerlendirilebilmesinde kullanılmak üzere daha önce Türkçe geçerlik ve güvenirliliği yapılmış olan Yeme Tutumu Testi (YTT) ve Leahy Duygusal Şema Ölçeği (LDŞÖ) verildi. DİA'nın güvenirliğini saptamak amacıyla test-tekrar test yönteminin gerektirdiği üzere ölçek, katılımcıların bir bölümüne 1 ay sonra tekrar verildi. Bulgular: DİA'nın güvenirlik çalışması için; ölçeğin iç tutarlılığı (Cronbach alfa r0.730), madde-toplam puan korelasyonu (0,195- 0,883), maddeler arası korelasyon katsayıları (0.141-0.725)ve test-tekrar test güvenilirliği değerlendirilmiş, DİA'nın yüksek düzeyde iç tutarlılığa sahip olduğunu gösterilmiştir. Ölçeğin test-tekrar test güvenilirliği için hesaplanan Pearson korelasyon katsayıları DİA'nın yüksek düzeyde güvenilirliğine kanıt oluşturmuştur. DİA'nın olumsuz toplam puanı ve Beden kitle indeksi (BKİ) arasında pozitif yönde anlamlı bir ilişki saptanmıştır (p 0.01). DİA olumlu toplam puanı ile BKİ arasında ise ters yönde anlamlı ilişkiler saptanmıştır (p0.01). Leahy Duygusal Şema Ölçeği(LDŞÖ) alt-boyutları puanları ile DİA alt boyut puanları arasında negatif yönde anlamlı ilişkiler elde edilmiştir (p0.05, p0.01). Sonuç: Çalışmamızdan elde ettiğimiz veriler DİA'nın duygusal yemek yemenin değerlendirilmesinde Türkiye örneklemi için geçerli ve güvenilir bir ölçüm aracı olduğunu göstermiştir. (Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 2014; 3: 171-181)Objective: In this study we aimed to implement the reliability and validity analyses of Emotional Appetite Questionnaire (EAQ) in Turkish sample, which has been developed for evaluating relationship between eating behavior and emotion. In addition we aimed to investigate the relationship between EAQ and emotional schemas and body mass index. Method: 196 university students and hospital staff voluntarily included to our study. Participants firstly asked to complete the socio-demographic data form. Turkish form of the EAQ, Eating Attitudes Test (EAT) and the Leahy Emotional Schema Scale (LESS) was given to criteria met participants. To determine the reliability of the scale as required by test-retest method, participants were given a section again after 1 month. Results: For reliability analysis of Turkish version of EAQ (TEAQ); internal consistency (Cronbach alfa r0.730), item-total score correlations (0,195-0,883), inter-item correlations (0.141-0.725) and test-retest reliability were assessed and it has shown to be that TEAQ has a high level of internal consistency. Pearson correlation coefficients were calculated for test-retest reliability analysis of TEAQ and obtained high degree evidence. Significant positive correlations (p< 0.01) determined between negative total scores of TEAQ and BMI scores. In addition significant negative correlations (p< 0.01) determined between positive total scores of TEAQ and BMI scores. Between Leahy Emotional Schema Scale (LESS) sub-dimensions scores and TEAQ subdimensions scores, significant negative relationships were obtained (p<0.05, p<0.01). Conclusion: As a result of the present study, DİA has showed that is a reliable and valid measurement tool for the evaluation of emotional eating in our data sample of Turkey. (Journal of Cognitive Behavioral Psychotherapy and Research 2014; 3: 171-181

Abstract - The Perceived Effectiveness of Supervision in Cognitive Behavioral Therapy Training

Psikoterapi ruhsal rahatsızlık veya sorunları sözel etkileşim yoluyla çözme tekniğine verilen genel addır. Bilişsel davranışçı terapi (BDT) günümüzde psikoterapi alanında önde gelen yaklaşımlardan birisidir. Bu çalışmanın amacı, BDT eğitimi alan ruh sağlığı çalışanlarının kuramsal ve süpervizyon eğitimlerinin kendi kişisel gelişim ve pratik uygulamalarına ne kadar katkıda bulunduğuna dair algılarını değerlendirmektir. Bu amaçla BDT kuramsal eğitimini tamamlamış, çalışmaya katılmayı kabul eden 54 ruh sağlığı çalışanlarına 18 maddeden oluşan bir anket uygulanmıştır. Uygulanan anket Academy of Cognitive Therapy (ACT) tarafından sertifikalandırılmış üç süpervizör tarafından oluşturulmuştur. Katılımcıların ruh sağlığı alanında çalışma süreleri ortalama 7,6 yıl; psikoterapi yapma süresi ortalama 4,8 yıl, BDTyi bir psikoterapi yöntemi olarak kullanma süresi ortalama 3,2 yıldır. Kuramsal eğitime ortalama 55,4 saat, süpervizyon eğitimine ortalama 69,1 saat katılmışlardı. Kuramsal eğitim sürecinde aldıkları eğitimin BDT uygulamalarına katkısını, katılımcıların %79,6'sı epeyce ve çok fazla olarak cevaplarken, kişisel gelişimlerine katkısını katılımcıların %59,2'si epeyce ve çok fazla olarak cevapladı. Süpervizyon sürecinde aldıkları eğitimin BDT uygulamalarına katkısını katılımcıların %92,6'sı epeyce ve çok fazla olarak cevaplarken, kişisel gelişim anlamında katkısını katılımcıların %70,4' ü epeyce ve çok fazla olarak cevapladı. Terapist olabilmek için tamamlanması gerekli olan kuramsal ve süpervizyon eğitimlerinden, eğitime katılanlar tarafından, bu derece yüksek oranda fayda görüldüğü bildirilmesi, ülkemizdeki terapi eğitimleri ve terapist yetişmesi adına umut vericidir. Çalışmamızda kuraumsal eğitimden fayda görülse de, süpervizyon alındığı takdirde fayda görmenin artacağı terapistlerin kendi gözlemleriyle de doğrulanmıştır. (Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 2016; .:...-...)The Perceived Effectiveness of Supervision in Cognitive Behavioral Therapy Trainingdurations of theoretical and supervision trainings the participants had participated were 55.4 hours and 69.1 respectively. Seventy-nine point six of the participants reported that the theoretical training had contributed to their CBT practice at “quite” to “too much” levels. Fifty-nine point two of the participants reported that the same training contributed to their personal development at “quiet” to “too much” levels. For the supervision training these perceived contributions were 92.6 % and 70.4% respectively. That the therapists reported high degree of satisfaction with the theoretical and supervision trainings they need to accomplish is promising about the psychotherapy training in Turkey. Besides, results of this study suggest that although theoretical training is o

The validity and reliability study of the Turkish version of the Brief Social Phobia Scale

ozdel, kadir/0000-0002-3712-9444; Orsel, Sibel/0000-0003-0184-7038; Ozdemir, Ilker/0000-0002-3531-3280; KURU, ERKAN/0000-0003-1949-4007WOS: 000461499800008OBJECTIVES: Social anxiety disorder (SAD) can be described as a clear and constant fear of the individual for being judged by others in the social milieu and being mocked by others. Although SAD is a treatable disorder, there is a diagnostic confusion due to many factors such as the difficulty in recognizing the symptoms of the disease. There are several scales currently available for SAD symptom measurement; however, some of them are long scales and should be answered by the patient and do not include physiologic manifestations. The Brief Social Phobia Scale (BSPS), which is a scoring system scored by the clinician, has an important place among these scales. There are three different subscales, which are fear, avoidance, and physiological symptoms on the BSPS. The aim of this study is to test the validity and reliability of the Turkish version of the BSPS. METHODS: The BSPS, sociodemographic data form, Liebowitz Social Anxiety Scale (LSAS), Spielberger State-Trait Anxiety Inventory (STAI I-II), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Global Assessment of Functioning (GAF) Scale were applied to 55 patients with social phobia (31 males, 24 females) who met the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) criteria. Internal consistency of the scale was measured and the factor analysis was performed after applying Kaiser Meyer Olkin and Bartlett tests to assess the construct validity. To test the concurrent validity of the scale, Pearson correlation coefficient was computed between the BSPS and the LSAS. Its correlation with STAI I-II, BDI, BAI, and GAF was also investigated. RESULTS: The Turkish version of the BSPS showed sufficient internal consistency. As a result of the factor analysis, a five-factor structure that accounts for 71.4% of the total variance was obtained and the loading of factors differs from the original study. Moderately strong correlation was found between the BSPS and the LSAS scores. There was a mild correlation between the total score of the BSPS and the STAI-I and BDI. There was a moderate correlation between the total scale score of the BSPS and the STAI-II and BAI scores. CONCLUSIONS: As a result of the validity and reliability studies, it has been determined that the Turkish version of the BSPS can be used as a valid and reliable measurement tool in detecting SAD. It was found that there were unique anxiety findings that distinguish SAD from the other anxiety disorders. It is thought that the inclusion of such important symptoms within the applied scale will also benefit clinical practice

Reasoning with Inductive Argument Test: A Study of Validity and Reliability

Reasoning with Inductive Argument Test:A Study of Validity and Reliability Objective: The aim of our study is to research reliability and validity and to evaluate the usability of Turkish version of Reasoning with Inductive Argument Test (RIAT) in Turkish healty population. Method: 51 healty volunteers who work in Ankara Dıskapi Yildirim Beyazit Research and Training Hospital participated in this study. Reasoning with Inductive Argument Test (RIAT) was translated into Turkish by three clinical good knowledge of English. Participants were given a sociodemographic data form, and RIAT were performed by clinicians. To test the reliability of the Turkish version of RIAT, Cronbach’s alpha coefficient was calculated and the halving method was used for the test. Results: The internal consistency of the Reasoning with Inductive Argument Test (RIAT) items, Cronbach’s alpha internal consistency coefficient measurements of 0.73 was found to be statistically significant. Spearman-Brown coefficient that determines the reliability of the whole test r=0.74 was found. Kurtosis values of all the items was below 1.5 and the percentages in the second evaluation were mainly lower. At the same time, both change in belief between self produced RIAT options and given RIAT options (p=0.02, z=-2296) as well as changes in beliefs between related and unrelated items for Obsessive Compulsive Disorder (OCD) difference (p=0.03, z=-2.199) were significant. Conclusion: The preliminary data obtained from the study of reliability and validity of the scale shows that ‘Reasoning with Inductive Argument Test’ supports reliability and validity in Turkish population