Browsing by Author "Dikec, Gul"

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Citation - WoS: 1
Citation - Scopus: 1
Analysis of Substance Use and Mental Disorder Diagnoses in Adolescents With a History of Delinquency: a Cross-Sectional Study
(Springer, 2024) Dikeç, Gül; Dikec, Gul; Tas Soylu, Gulsenay; Bilac, Oznur; Uzunoglu, Gulcin; Ayakdas Dagli, Dilek; Hemşirelik Bölümü
This study aimed to evaluate substance use and comorbid mental disorders in delinquent adolescents presenting to a child and adolescent psychiatry outpatient clinic. This study included 47 adolescents aged 15-18 years and had a history of delinquency. Data were collected using the Addiction Profile Index Adolescent Form (API-A) and an information form. Results indicated that the adolescents' mean age is 16.11 +/- 1.05 years, 78.7% had committed crimes against property and 34.0% against the person, and 34.0% were also victims of crime. Mean API-A total scores indicated that their level of substance use was low. In addition, mean API-A total scores showed significant differences according to the adolescents' migration status, age, economic status, school attendance, mental disorder diagnosis, duration of mental disorder, and type of offense (p < 0.05). The benefit provided by timely and appropriate psychosocial interventions may have a key role in solving this problem for adolescents and improving their future as adults.
Citation - WoS: 0
Bibliometric Analysis of Publications on Stigmatization in Psychiatric Nursing Literature
(Kare Publ, 2024) Dikeç, Gül; Saritas, Merve; Oban, Volkan; Hemşirelik Bölümü
Objectives: In the past two decades, the number of publications on stigma has increased in the literature. This study aimed to conduct a bibliometric analysis of publications related to stigmatization in the psychiatric nursing literature. Methods: In this study, a search was performed on the PubMed database on September 11, 2022, with the Medical Searching Terms "(Stigmatization [Title OR Abstract] OR Social Stigma [Title OR Abstract]) OR (Stigma [Title OR Abstract] OR Stereotyping [Title OR Abstract] OR Discrimination [Title OR Abstract]) AND (Psychiatric Nursing [Title OR Abstract] OR Nursing [Title OR Abstract])." Between 1990 and 2022, 10,571 studies published in English, available in full text, and published in journals indexed with SCI, SSCI, and ESCI were found. Results: The number of published articles reached the highest number in 2020, with an increase of 4.05 times in 30 years; it was determined that 92.8% of the publications were of the descriptive study, and Happell was the most productive author in this field. Frequently, articles were published in the Journal of Psychiatric and Mental Health Nursing (n=762), Journal of Psychosocial Nursing and Mental Health Services (n=550), International Journal of Mental Health Nursing (n=480), Issues in Mental Health Nursing (n=445), and Journal of Advanced Nursing (n=429). It was determined that the top five most frequently repeated keywords were humans, female, psychiatric nursing, male, and adult, respectively. Conclusion: The findings obtained from this study can provide information about the number of publications, research types, researchers, and institutions, as well as give ideas for new research strategies in psychiatric nursing literature. Establishing cooperation between institutions and authors can guide psychiatric nurses in creating projects to reduce stigma.
Bir Nefroloji Kliniğinde İstenen Psikiyatri Konsültasyonlarının Değerlendirilmesi
(2022) Çalışkan, Mahinur Betül; Dikeç, Mehmet; Yılmaz, Mürvet; Ata, Elvan Emıne; Dikec, Gul
Amaç: Bu çalışma, bir eğitim ve araştırma hastanesinin nefroloji\rkliniğinde yatarak tedavi edilen hastalara istenen psikiyatri\rkonsültasyonlarını incelemek amacıyla yapıldı.\rYöntem: Tanımlayıcı, retrospektif desende yapılan bu çalışmanın\rörneklemini bir eğitim ve araştırma hastanesinin nefroloji kliniğinde\rOcak 2016-Eylül 2019 tarihleri arasında yatarak takip edilen ve\rpsikiyatri konsültasyonu istenen 64 hasta oluşturdu. Hastaların dosya\rkayıtları incelenerek, hastalığa ve psikiyatri konsültasyonlarına\rilişkin özellikler değerlendirildi.\rBulgular: Konsültasyon istenen 64 hastanın %60.9’unun erkek;\rhastaların yaş ortalamasının 54.65±15.63 olduğu saptandı. Hastaların\r%47.7’sinin kronik böbrek ve %46.7’sinin akut böbrek hastalığı\rtanıları ile yatarak takip edildiği, %23.4’ünde retinopati ek tanısının\rbulunduğu belirlendi. Araştırmaya dahil edilen hastaların,\r%40.6’sına ajitasyon ve %28.1’ine depresif belirtiler ön tanısı ile\rkonsültasyon istendiği belirlenirken; hastaların konsültasyon sonrası\r%38.9’una uyum bozukluğu ve %22.2’sine duygudurum bozukluğu\rtanıları konulduğu saptandı. Konsültasyon sonrası hastaların\r%39.1’ine antipsikotik ilaç reçete edildiği saptandı. Hastaların\rpsikiyatri başvuru sayısıyla kreatinin ve potasyum değerleri arasında\rnegatif ve orta dereceli anlamlı bir ilişki bulunurken, konsültasyon\ristem sayısıyla FT4 değeri arasında ise negatif ve zayıf anlamlı ilişki\rsaptandı (p<0.05).\rSonuç: Bu çalışmada taranan hastaların çok küçük bir örneklemine\rpsikiyatri konsültasyonu istendiği belirlendi. Böbrek hastalıkları olan\rbireylerde biyopsikososyal süreçlerde belirgin problemler\ryaşanmasına bağlı olarak hastaların bütüncül değerlendirilmesi ve\rtedavi ekibi ile iş birliği içinde bakımının sağlanması önemlidir.\rHastaların nefroloji kliniğine kabulünden itibaren ruhsal\rdeğerlendirmelerinin yapılmasının yanı sıra gerektiğinde ruh sağlığı\rçalışanlarından konsültasyon istenmesi oldukça önemlidir.
Çocuk ve Ergen Psikiyatrisinde Elektrokonvulsif Tedavi
(2022) Dikec, Gul; Özer, Duygu
Çocukluk ve ergenlik döneminde görülen ciddi ruhsal bozuklukların tedavisinde kullanılan etkili yöntemlerden biri elektrokonvülsif tedavi (EKT)dir. Çocuk ve ergen psikiyatrisinde EKT uygulamasının etki ve yan etki açısından yetişkinlerden farklı sonuçlar elde edilmemesine rağmen; ruh sağlığı çalışanlarının, EKT ile ilgili sınırlı bilgi düzeyi ve EKT’e yönelik olumsuz tutumlarından dolayı çocuk ve ergenlerde EKT’yi tercih etmekten çekinebilmektedirler. Çocuk ve ergen psikiyatrisinde EKT uygulaması ile ilgili verilerin sıklıkla olgu sunumları ile sınırlı olması, çocuk ve ergenlerde EKT uygulamasının her yönü ile değerlendirildiği bir yazıya ulaşılamaması nedeniyle, bu derleme ile çocuk ve ergenlerde EKT uygulaması, EKT’nin yasal boyutu ve hemşirelik bakımı konusunda güncel literatüre katkı sağlanacağı düşünülmektedir.
Covıd-19 Döneminde Mültecilere Çevrim İçi Psikolojik Destek Sağlayan Ruh Sağlığı Profesyonellerinin Deneyimleri: Nitel Çalışma
(2023) Kurşun, Şeyma Gök; Uygun, Ersin; Dikec, Gul
Bu çalışmanın amacı, COVID-19 döneminde mültecilere yönelik ruh sağlığı desteği sunan profesyonellerin çevrim içi psikolojik destek deneyimlerinin incelenmesidir. Fenomenolojik desende yapılan bu çalışmada pandemi döneminde mültecilere çevrim içi psikolojik destek sağlayan ve Türkiye’de ikamet eden on ruh sağlığı profesyoneli ile derinlemesine çevrim içi görüşmeler yapıldı. Veriler tematik analiz yöntemi ile analiz edildi. Görüşmeden elde edilen veriler, beş ana tema ve on dokuz alt tema altında toplandı. Bu temalarda ruh sağlığı profesyonellerinin çevrim içi psikolojik desteğe yönelik ön yargıları ve bu sürece adaptasyon süreçleri; mültecilerle çalışırken çevrim içi psikolojik desteğin avantajları ve dezavantajları, çevrim içi psikolojik destek sürecinde yaşanan duygular ve bazı zor durumlardaki baş etme yöntemleri ile ilgili bulgular elde edildi. Ruh sağlığı profesyonellerinin bildirdiği zorlukların başında pandemi döneminde mültecilere sınırlı olanaklar dâhilinde çevrim içi psikolojik destek sunmaları ve dışsal sorunların psikolojik sorunların çevrim içi olarak çalışılmasında yarattığı güçlükler yer alırken; en önemli gereksinimleri çevrim içi ruh sağlığı hizmetini sürdürmenin inceliklerini öğrenme olduğu saptandı. Bu nedenle mültecilerle çalışan ruh sağlığı profesyonellerinin özellikle çevrim içi çalışırken daha fazla desteklenmeye ihtiyaçları olduğu ve alanda bu konuda gelecekte daha fazla çalışmanın yapılması gerektiği düşünülmektedir.
Citation - WoS: 0
Citation - Scopus: 0
Development of the Medical Adherence Scale in Adolescents Using Psychotropic Medication and Evaluation of Validity and Reliability in Turkish Population
(Elsevier Science inc, 2024) Dikeç, Gül; Bilac, Oznur; Sonkaya, Hilal Isleyen; Aydemir, Omer; Hemşirelik Bölümü
Purpose: Although treatment non -adherence is relatively high among adolescents, there is a need for standardized measurement tools that measure adherence to treatment in adolescents. This study aimed to develop a new measurement tool to assess the adherence to treatment of adolescents with mental disorders who use psychotropic medication. Methods: The data of this methodologically designed study were collected between 01.04.2022 and 01.07.2023 in the Department of Child and Adolescent Psychiatry of a university hospital in the Aegean Region of Turkey. The Medication Adherence Reporting Scale and Adolescent Medical Adherence Scale draft form were used for data collection. The scale items were formed from the themes, sub -themes, and statements in the qualitative study that the researchers had conducted with adolescents with mental disorders and their parents, clinicians' experiences, and systematic reviews and meta -synthesis in the literature. The study sample consisted of 95 adolescents with mental disorders. Exploratory factor analysis was performed with Varimax rotation to determine the factorial construct validity of the scale. Internal consistency analyses were performed in reliability analyses, and Cronbach's alpha coeff icient was used. Results: The mean age of the adolescents was 14.18 years (1.81); 50.5% were male, and 96.8% were attending school. When the mental disorder diagnoses were analyzed, 65.3% of the adolescents were being followed up with Attention De ficit and Hyperactivity Disorder diagnoses, and 58.8% were using stimulants. The 12 -item form of the Adolescent Medical Adherence Scale was found to have a three -factor structure with item -total correlation values ranging between 0.26 and 0.66, and these factors were named functionality, responsibility in treatment, and medication adherence. Factor loadings ranged between 0.44 and 0.86, and the items explained 62.98% of the total variance. The internal consistency coef ficients of the scale were between 0.69 and 0.83 for the subscales and 0.82 for the total scale. Conclusion: Based on the analysis and results used in this study, the Adolescent Medical Adherence Scale is a valid and reliable new measurement tool. Practice implications: This tool can be used in clinical settings to evaluate adolescents' treatment adherence and prognosis. Clinical studies conducted with adolescents can also determine adherence to treatment and affecting factors. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Citation - WoS: 1
Citation - Scopus: 1
Do We Learn To Internalize Stigma From Our Parents? Comparison of Internalized Stigmatization in Adolescents Diagnosed With Adhd and Their Parents
(Mdpi, 2022) Dikeç, Gül; Bilac, Oznur; Kardelen, Cansin; Sapmaz, Sermin Yalin; Hemşirelik Bölümü
This study compared internalized stigmatization levels of adolescents diagnosed with attention deficit and hyperactivity disorder (ADHD) with those of their parents. The study's data were collected from 107 adolescents diagnosed with ADHD and their parents between July 2020 and March 2021. The adolescents were followed up in the child and adolescent psychiatry outpatient clinic of a university hospital in western Turkey. The information forms for adolescents and parents, the Internalized Stigma of Mental Illness Scale-Adolescent Form (ISMI-AF) and the Parental Internalized Stigma of Mental Illness Scale (PISMI), were used to collect the data. There was no statistically significant difference between the total scores of internalized stigma and subscale mean scores of the adolescents and their parents (p > 0.05); only the subscale scores for stereotype endorsement were found to be significantly different (p < 0.05). PISMI scores affected ISMI-AF scores, which can be interpreted as parents' perspectives and attitudes toward stigmatization affecting adolescents. For ADHD, whose frequency is increasing daily, intervention studies should be conducted to reduce adolescents' and parents' internalized stigma and to enhance the educational outcomes of adolescents.
Citation - WoS: 0
Citation - Scopus: 0
Evaluation of Renal Functions of Inpatients With Mental Disorders
(Slack inc, 2024) Dikeç, Gül; Dikec, Gul; Ata, Elvan Emine; Ozer, Duygu; Hemşirelik Bölümü
The current study aimed to investigate the renal functions of inpatients with mental disorders. Data for this retrospective and descriptive study were collected from January 2021 to April 2021 from the records of patients who were hospitalized in the psychiatry clinic of a training and research hospital between 2018 and 2020. The study sample comprised hospital records of 376 patients. A significant negative relationship was determined between patients'glomerular filtration rate (GFR) and glucose level, duration of mental disorder, number of hospitalizations, and duration of medication use (p < 0.05). According to the analysis of patients' renal functions, mean GFR was statistically significantly lower in women with physical chronic diseases and diagnosed with personality disorders. Psychiatric-mental health nurses should evaluate and monitor renal functions of individuals with mental disorders and take precautions before kidney diseases develop.
Citation - WoS: 6
Citation - Scopus: 6
Evaluation of the Use of Diverse Mental Health Simulation in Nursing Students' Learning Experience an International Multisite Study
(Lippincott Williams & Wilkins, 2021) Dikeç, Gül; Dikec, Gul; Ata, Elvan Emine; Sendir, Merdiye; Hemşirelik Bölümü
Background: Simulated patients (SPs) in mental health nursing education provide a unique approach to assist student development in complex assessment skills. Purpose: The purpose of this international multisite study was to evaluate the use of two diverse mental health SP simulation scenarios on nursing students' satisfaction and self-confidence in learning to care for patients with mental health disorders in the United States (n = 70) and Turkey (n = 90). Methods: A multisite cross-sectional study design was used. Outcome measures included the Student Satisfaction and Self-confidence in Learning Scale and the adapted Simulation Effectiveness Tool Modified. Results were analyzed using independent I tests. Results: While students in the United States reported higher perceived self-confidence and satisfaction in learning, both student populations found the intervention effective to their learning (P<.05). Conclusion: Using SPs in mental health education allow students to practice their assessment skills learned in classroom and transfer them to the clinical area.
Citation - WoS: 1
Citation - Scopus: 1
Experiences of Hearing Parents of Children With Hearing Loss: a Qualitative Study
(Mdpi, 2023) Dikeç, Gül; Turk, Eda; Yuksel, Esin; Celebi, Kubra; Ozdemir, Meltem; Hemşirelik Bölümü
This qualitative study was carried out with a phenomenological design to determine the life experiences of the parents of children with hearing loss. The study sample consisted of twenty parents, who did not have hearing loss, of children with hearing loss registered in a special education and rehabilitation center. The data were collected through in-depth interviews in Istanbul between December and January 2022. Colaizzi's phenomenological interpretation method was used for qualitative data analysis. It was determined that parents of children with hearing loss experienced anxiety, sadness, and happiness during diagnosis. They needed more information at first, but then they gained knowledge in the process, and it took work to accept this process. They stated that having a child with hearing loss requires more time, responsibility, and effort than other children. This situation affects their social life, and they experience interpersonal conflicts. When parents were asked how they coped, they said they did it through prayer, social support, or time to themselves. It can be recommended to apply psychosocial intervention programs to the parents of children with hearing loss, especially their mothers, from the first diagnosis process.
Citation - WoS: 1
Citation - Scopus: 1
An International Multicenter Mental Health Standardized Patient Simulation on Nursing Students? Beliefs Toward Mental Health Conditions
(Elsevier Science inc, 2023) Dikeç, Gül; Dikec, Gul; Ata, Elvan E.; Hemşirelik Bölümü
Background: Negative beliefs can be a barrier to provide quality nursing care for persons living with mental health conditions. This international SP simulation study explored nursing students' beliefs toward persons with mental health conditions in the United States (US) and Turkey before and after participating in a mental health standardized patient simulation. Methods: A quasi-experimental study design was used in two settings in two countries. Measures included a socio-demographic survey and the Beliefs toward Mental Illness scale. Results were analyzed using paired sample t-test, independent t-test, and chi-square tests. Results: Students in the US had significantly lessened negative attitudes toward persons with mental health conditions when compared to the Turkey group. Conclusion: SP simulation may offer opportunities to improve nursing students' beliefs toward persons with mental health conditions.
Kayıptan Sonra Doğan Çocuk Olmak: Nitel Bir Araştırma
(2023) Boro, Fazilet Neslişah; Uygun, Ersin; Dikec, Gul
Çocuk kaybı insanın deneyimlenebileceği en ağır travmatik deneyimlerden biridir. Çocuk kaybı yaşayan ebeveynler yas süreçleri tamamladıktan sonra veya tamamlamadan dünyaya yeniden bir çocuk getirebilirler. Kaybın ardından dünyaya gelen çocuklar kayıptan sonraki çocuk olarak adlandırılmaktadır. Kayıp gerçeği ve yaslı ebeveynin tutumları kayıp sonrasında doğan çocuğun kimliğini ve ruhsal durumunu etkilemektedir. Bu araştırmada kayıp sonrasında doğan çocukların yaşam deneyimlerini derinlemesine anlamak üzere nitel araştırma yöntemi kullanıldı. Belirlenen araştırma yöntemi doğrultusunda kayıp sonrasında dünyaya gelen on katılımcı ile yarı-yapılandırılmış bireysel görüşme gerçekleştirildi. Araştırmada elde edilen veriler tematik analiz ile incelendi. Tematik analizin sonucunda “kayıp çocuğa dair”, “kayıptan sonra doğmanın yaşama etkisi”, “kayıp sonrasında doğan çocuk olmak” ve “yas” ana temaları belirlendi. “Kayıp çocuğa dair” ana temasında ölen kardeş ile ilgili bilgiler, eşya ve fotoğraflar, ölüm nedeni ve şeklini öğrenme, kardeş ile ilgili imge ve fanteziler, duygular ve temas ihtiyaçları yer almaktadır. “Kayıptan sonra doğmanın yaşama etkisi” ana teması altında kayıp sonrasında doğmanın bireylerin hem kimlik ve ruhsal gelişimlerine hem de meslek seçimlerine etkisi ve ebeveynlerinin tutumları bulgulandı. “Kayıp sonrasında doğan çocuk olmak” ana temasında bireylerin günah keçisi, teselli çocuk ya da armağan çocuk ile ilgili ifadeleri yer aldı. Son ana tema olan “yas”ta ise, katılımcılar ebeveynlerinin yası, kendi yasları ve bu yas ile baş etme deneyimleri ile ilgili bilgiler verdiler. Kayıp sonrasında dünyaya gelmek bireylerin kimlik, ruhsal durum ve meslek seçimine etki etmekte; bireyleri olumsuz ebeveyn tutumları ile karşı karşıya bırakabilmektedir. Çocuk kaybı olan ebeveynlerin yas süreçlerinin izlenmesi ve yeni çocuk sahibi olma süreçlerine rehberlik edilmesi önerilebilir.
Citation - WoS: 10
Citation - Scopus: 10
Perceptions and Experiences of Adolescents With Mental Disorders and Their Parents About Psychotropic Medications in Turkey: a Qualitative Study
(Mdpi, 2022) Dikeç, Gül; Kardelen, Cansin; Gonzalez, Laura Pilz; Mohammadzadeh, Marjan; Bilac, Oznur; Stock, Christiane; Hemşirelik Bölümü
This descriptive phenomenological study aimed to evaluate the perception and experiences of adolescents with mental disorders and their parents about the use of and adherence to psychotropic medications. A total of 12 semi-structured interviews with adolescents between the ages of 12 to 18 who were attending an outpatient psychiatric clinic for children and adolescents and 12 interviews with parents were conducted between October 2021 and January 2022 in Manisa, Turkey. Colaizzi's phenomenological interpretation method was used for the analysis of the participants' statements. Our study highlights the main positive effects of psychotropic medication and barriers to medication intake and adherence. Positive effects included symptom management and health improvement. Barriers varied from those directly linked to medication effects (e.g., negative side effects or lack of perceived effect) to personal barriers (e.g., forgetting to take medication or feelings of not being oneself due to medication intake) and societal barriers. In general, the barriers were reflected in concerns related to long-term consequences, such as medication dependence, and in concerns about diminished life prospects. Possible recommendations to improve the use of and adherence to psychotropic medication among adolescents include educating adolescents and parents not only about treatment options but also about mental disorders.
Citation - WoS: 1
Citation - Scopus: 1
Protocol Registration and Reporting of Systematic Review and Meta-Analyses Published in Psychiatric and Mental Health Nursing Journals: a Descriptive Study
(Taylor & Francis inc, 2023) Dikeç, Gül; Ozer, Duygu; Hemşirelik Bölümü
Although it is not mandatory for systematic review and meta-analysis studies, protocol registration is essential in the prevention of biases. This study aims to investigate the protocol registration status and reporting of systematic reviews and meta-analyses published in psychiatric nursing journals. This descriptive study's data were obtained by scanning the 10 mental health and psychiatric nursing journals in which the studies of psychiatric nurses were most frequently published and by examining the systematic reviews and meta-analyses published between 2012-2022. A total of 177 completed studies have been reviewed. It was determined that 18.6% of the examined systematic reviews and meta-analyses had a protocol registration. Almost all (96.9%) of the registered studies were registered with PROSPERO, and 72.7% were registered prospectively. It was determined that the registration status of the studies changed statistically according to the country where the studies' authors were located. When the published studies were examined, it was determined that approximately one out of every five studies were registered. With the prospective registration of systematic reviews, biases could be prevented, and evidence-based interventions can be made based on the knowledge obtained.
Citation - WoS: 2
Citation - Scopus: 2
Qualitative and Artificial Intelligence-Based Sentiment Analyses of Anti-Lgbti Plus Hate Speech on Twitter in Turkey
(Taylor & Francis inc, 2023) Dikeç, Gül; Oban, Volkan; Dikec, Gul; Hemşirelik Bölümü
The aim of this study was to evaluate hate speech in Turkish LGBTI+-related tweets during a one-month period of artificial intelligence-based sentiment analyses. Turkish tweets related to LGBTI+, were retrieved using Python library Tweepy and were evaluated by sentiment analysis. The researchers then performed a qualitative analysis of the most frequently liked and retweeted tweets (n = 556). Sentiment analysis revealed that 69.5% of tweets were negative, 23.3% were neutral, and 7.2% were positive. The qualitative analysis was grouped under seven themes: LGBTI+ Club; Terrorism and Terrorist Organization Membership; Perversion, Illness, Immorality; Presence in History; Religious References; Insults; and Humiliation. The results of this study show that anti-LGBTI+ hate speech in Turkey is significant in terms of both quality and quantity. As LGBTI+ individuals are at risk for excess mental distress and disorders, it is important to understand the risks and other factors that ameliorate stress and contribute to mental health in social media.
Citation - WoS: 3
Citation - Scopus: 4
Qualitative and Artificial Intelligence-Based Sentiment Analysis of Turkish Tweets Related To Schizophrenia
(Turkiye Sinir ve Ruh Sagligi dernegi, 2023) Dikeç, Gül; Oban, Volkan; Usta, Mirac Baris; Hemşirelik Bölümü
Objective: The aim of this study was to qualitatively examine Turkish tweets about schizophrenia in respect of stigmatization and discrimination within a one-month period and to conduct emotional analysis using artificial intelligence applications. Method: Using the keyword 'schizophrenia,' Turkish tweets were gathered from the Python Tweepy application between December 19, 2020 and January 18, 2021. Features were extracted using the Bidirectional Encoder Representations from Transformers (BERT) method and artificial neural networks and tweets were classified as positive, neutral, or negative. Approximately 5% of the tweets were qualitatively analyzed, constituting those most frequently liked and retweeted. Results: The study found that, of the total of 3406 schizophrenia-related messages shared in Turkey over a period of one-month, 2996 were original, and were then retweeted a total of 1823 times, and liked by 25,413 people. It was determined that 63.4% of the tweets shared about schizophrenia contained negative emotions, 28.7% were neutral, and 7.71% expressed positive emotions. Within the scope of the qualitative analysis, 145 tweets were examined and classified under four main themes and two sub-themes; namely, news about violent patients, insult (insulting people in interpersonal relationships, insulting people in the news), mockery, and information. Conclusion: The results of this study showed that the Turkish tweets about schizophrenia, which were emotionally analyzed using artificial intelligence were found often to contain negative emotions. It was also seen that Twitter users used the term schizophrenia, not in a medical sense but to insult and make fun of individuals, frequently shared the news that patients were victims or perpetrators of violence, and the messages shared by professional branch organizations or mental health professionals were primarily for conveying information to the public.
Citation - WoS: 2
Qualitative and Artificial Intelligence-Based Sentiment Analysis of Turkish Twitter Messages Related To Autism Spectrum Disorders
(Springernature, 2023) Dikeç, Gül; Oban, Volkan; Dikec, Gul; Usta, Mirac Baris; Hemşirelik Bölümü
Background: The aim of our study was to conduct an emotional analysis of Turkish Twitter messages related to autism spectrum disorders (ASD). Methods: An emotion analysis was performed using quantitative and qualitative analysis methods on Turkish Twitter messages shared between November 2021 and January 2022 that contained the words "autism" and "autistic." Results: It was found that 81.5% of the 13,042 messages that constituted the sample of this study contained neutral emotions. The most frequently used words in Twitter messages were autism, a, universe, strong, patience, warriors, and happy. The qualitative analysis revealed three main themes. These themes were: "experiences," "informing society and awareness," and "humiliation." Conclusion: In this study, it was found that Turkish Twitter messages related to autism, which were analyzed using artificial intelligence-based emotion analysis, often contained neutral emotions. While the content of these messages, often shared by parents, was related to experiences, and the messages shared by pediatric psychiatrists and rehabilitation center employees were informative in nature, it was determined that the word "autism" was used to insult, which is outside of its medical meaning.
Citation - WoS: 0
Citation - Scopus: 0
The Relationship Between Stress, Anxiety, and Depression Levels and Pseudobulbar Affect in Patients With Multiple Sclerosis
(Routledge Journals, Taylor & Francis Ltd, 2022) Dikeç, Gül; Ata, Elvan Emine; Dikec, Gul; Demir, Serkan; Hemşirelik Bölümü
Background Pseudobulbar affect (PBA) has recently been added to the list of mental disorders commonly observed in patients with Multiple Sclerosis (MS). The emotional changes experienced by MS patients may be associated with other mental problems and adversely affect disease prognosis. However, there are limited studies in the international and national literature on this subject. Aim This study aimed to evaluate the relationship between PBA and stress, anxiety, and depression levels in patients with MS. Design This is a descriptive, relational, and cross-sectional study. Methods A total of 442 MS patients followed in the neurology outpatient clinic of a hospital and registered with the MS Society in Turkey participated in this study. Data were collected using a personal information form, the Turkish version of the Center for Neurologic Study-Lability Scale (CNS-LS), and the Depression Anxiety Stress Scale (DASS). Results In this study, 63.3% of the patients had PBA, 21% had extremely severe depression, 41.6% had extremely severe anxiety, and 24.9% had severe stress. Correlation analysis revealed weak positive correlations between CNS-LS total score and DASS subscale and total scores. Depression, anxiety, and stress levels accounted for 22.5% of the variation in CNS-LS total score. Conclusion The results of this study indicate that a majority of MS patients in Turkey experience PBA, depression, anxiety, and stress, and that PBA is positively associated with depression, anxiety, and stress. Impact statement This study, indicates that should be increased consultation-liaison psychiatry services in Turkey, and MS patients should benefit from comprehensive psychiatric services.
Ruhsal Bozukluğu Olan Bireylerin Fiziksel Sağlık Durumları: Kesitsel Bir Çalışma
(2022) Gümüş, Funda; Atli, Abdullah; Dikec, Gul
Amaç: Ruhsal bozukluğu olan bireylerin pek çok fiziksel hastalığının olmasına rağmen bu konu ülkemizde yeterince incelenmemiştir. Bu çalışma bir üniversite hastanesinin psikiyatri kliniğinde ayaktan takip edilen hastaların fiziksel sağlıklarının belirlenmesi amacıyla kesitsel ve tanımlayıcı araştırma deseninde yapıldı. Yöntem: Çalışmaya 137 birey katıldı. Çalışmada verilerin toplanmasında Bilgi Formu kullanıldı. Hastaların fiziksel sağlık davranışlarının değerlendirilmesinde; madde kullanımı, sağlığı geliştiren davranışlar, egzersiz, beslenme, uyku, öz bakım, ağız hijyeni, boşaltım ve cinsel yaşamlarına ilişkin sorular soruldu ve hastaların boy, kilo, beden kitle indeksi, yaşam bulguları ölçüldü. Bulgular: Bu çalışmaya katılan hastaların %21,9’unun bir fiziksel hastalığı olduğu, günlük ortalama 8,24±2,24 saat uyudukları, hastaların %59,9’unun uyandığında kendini dinlenmiş hissetmediği bulundu. Katılımcıların boşaltım alışkanlıkları değerlendirildiğinde %55,5’inin günde bir kez defakasyona çıktığı belirlendi. Katılımcıların %55,5’inin cinsel yaşamlarından memnun olmadığı, %80,3’ünün herhangi bir kontraseptif yöntem kullanmadığı belirlendi. Hastaların ağrı durumları değerlendirildiğinde %33,6’sının ağrı yaşadığı; en sık yaşanan ağrının %13,9 ile baş ağrısı olduğu belirlendi. Katılımcıların Beden Kitle İndekslerinin (BKI) ortalama 25,26±4,94 olduğu belirlendi. Sonuç: Ruhsal bozukluğu olan bireylerin fiziksel sağlıklarının geliştirilmesinde, hastaların sağlıklı yaşam alışkanlıklarının tanımlanması, davranış değişikliği yaratan psikososyal müdahalelerden yararlanılması önerilebilir.
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Citation - Scopus: 0
The Safety and Efficacy of Psychosocial Adherence Interventions in Young People With Early Psychosis: a Systematic Review
(Mdpi, 2022) Dikeç, Gül; Brown, Ellie; Bressington, Daniel; Thompson, Andrew; Gray, Richard; Hemşirelik Bölümü
Background: The role of antipsychotic medication in supporting young people in their recovery from early psychosis is complex and controversial. It is common for young people, often given antipsychotic medication for the first time, to express a choice to stop treatment, potentially increasing the risk of relapse and admission to hospital. Our systematic review aimed to evaluate the safety and effectiveness of psychosocial interventions to enhance antipsychotic medication adherence in young people with early psychosis. Methods: We reviewed studies using any experimental design of psychosocial interventions specifically focused on enhancing adherence with antipsychotic medication in young people with early psychosis. Cochrane CENTRAL Register, Medline, Embase, PsychINFO and CINAHL were searched on 19 November 2021 without time restriction. Studies were assessed for quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Results: Our initial search identified 3469 documents. Following title, abstract and full-text screening, we included three published studies and one unpublished experimental study that met our inclusion criteria. Outcome data were available for three studies that tested adherence-coping-education, adherence therapy, and a health dialogue intervention, all having a positive effect on medication adherence. None of the trials reported data on the safety of the experimental interventions. Conclusion: There is a paucity of evidence from high-quality randomized controlled trials that establish the safety and effectiveness of any type of psychosocial intervention to enhance medication adherence in young people with early psychosis. Further high-quality trials are warranted. This review was registered on the Open Science Framework prior to undertaking out initial searches.