Browsing by Author "Dikec, Gul"

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Citation - WoS: 3
Citation - Scopus: 3
An International Multicenter Mental Health Standardized Patient Simulation on Nursing Students? Beliefs Toward Mental Health Conditions
(Elsevier Science inc, 2023) San, Eda Ozkara; Dikec, Gul; Ata, Elvan E.
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.
Citation - WoS: 9
Citation - Scopus: 7
Experiences of Hearing Parents of Children With Hearing Loss: a Qualitative Study
(Mdpi, 2023) Dikec, Gul; Turk, Eda; Yuksel, Esin; Celebi, Kubra; Ozdemir, Meltem
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: 2
Citation - Scopus: 1
Analysis of Substance Use and Mental Disorder Diagnoses in Adolescents With a History of Delinquency: a Cross-Sectional Study
(Springer, 2024) Baysan Arabaci, Leyla; Dikec, Gul; Tas Soylu, Gulsenay; Bilac, Oznur; Uzunoglu, Gulcin; Ayakdas Dagli, Dilek
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.
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.
Citation - WoS: 3
Citation - Scopus: 3
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) Dikec, Gul; Ozer, Duygu
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: 3
Qualitative and Artificial Intelligence-Based Sentiment Analysis of Turkish Twitter Messages Related To Autism Spectrum Disorders
(Springernature, 2023) Göksel, Pelin; Oban, Volkan; Dikec, Gul; Usta, Mirac Baris
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.
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.
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.
Relationship Between Resilience, Secondary Traumatic Stress and Work-Related Factors Among Mental Health Professionals
(Kare Publ, 2025) Dikec, Gul; Tokatlıoglu, Tugba Sahın; Çetinkaya, Saadet
Objectives: Resilience is the ability to maintain or rapidly recover mental health under stress. Mental health profes- sionals are often exposed to workplace stress through violence, emotional labor, restrictions, and traumatic stories. Secondary traumatic stress results from being affected by others’ traumatic experiences. Examining the relationship between resilience and secondary traumatic stress among mental health professionals is therefore essential. Methods: This descriptive study was conducted between February and April 2022. Data were collected using the Per- sonal Information Form, the Resilience Scale for Adults, and the Secondary Traumatic Stress Scale. Participants included 212 psychiatric and mental health nurses, 28 psychiatrists, 14 psychologists, and six social workers. Results: A significant positive relationship was found between resilience and secondary traumatic stress. The regres- sion model, including secondary traumatic stress, gender, educational status, willingness to work in mental health, job satisfaction, and unit of work, significantly predicted resilience. Conclusion: Secondary traumatic stress and work-related factors, such as willingness and satisfaction with working in mental health and the unit of work, were found to play an essential role in resilience. Institutional support and supervision may strengthen resilience, while reducing secondary traumatic stress can enhance motivation and well- being. Institutions are recommended to implement strategies that address these factors to improve both resilience and professional effectiveness.
Citation - WoS: 3
Citation - Scopus: 3
Which Factors Affect Internalized Stigmatization in Adolescents With Mental Disorders?
(Wiley, 2022) Dikec, Gul; Bilac, Oznur; Kardelen, Cansin; Sapmaz, Sermin Yalin; Kandemir, Hasan
Purpose: The aim of this descriptive study was to determine the factors affecting internalized stigmatization of adolescents with mental disorders. Method: The study data were collected in a university hospital between August 1, 2020 and July 30, 2021 (n = 123), using a Personal information form and the Internalized Stigmatization of Mental Illness-Adolescent Form (ISMI-AF). Results: Gender and the number of hospitalizations were determined to be independent variables with explanatory power in the ISMI-AF, and in the model created with these variables, it was determined that these variables explained 18% of the change in the total points of the ISMI-AF. Conclusions: It could be recommended that psychosocial programs are developed with the aim of decreasing internalized stigmatization and increasing the psychological resilience of adolescents.
'I Feel Like the Burden of the World Is on My Shoulders': A Phenomenological Qualitative Study on the Life Experiences of Adult Children of Parents with Schizophrenia
(BMC, 2025) Pehlivan Saribudak, Tugba; Dag, Zeynep; Ozturk, Ayse; Dikec, Gul
BackgroundStudies investigating the experiences of adult children of parents with schizophrenia (ACPS) are limited, and no qualitative study examining this issue in T & uuml;rkiye has been previously conducted. This study aimed to examine the life experiences of ACPS providing primary care.MethodsThis phenomenological qualitative study was conducted with 14 ACPS in acute clinics of a regional psychiatric hospital in Istanbul between March and August 2024. Data were collected through in-depth interviews and analyzed using Colaizzi's seven-step analysis method.ResultsData analysis revealed five main themes: (1) Difficult beginning of life, (2) Being a caregiver without receiving care, (3) Emotional storm, (4) Disruption of the flow of life, and (5) Coping. The study found that adult children who cared for their parents could not remember their childhood, had to grow up early without parents, and experienced violence. Adult children had difficulty carrying the burden of care, experienced various emotions at the same time, and care disrupted their lives. They were both using adaptive and maladaptive coping methods.ConclusionsThis study determined that ACPS experienced significant childhood stressors and difficulties providing care in adult life that changed the flow of their daily lives while challenging their ability to cope. Psychiatric nurses have essential tasks to support ACPS in coping with difficult life experiences and reducing their care burdens. They should inform ACPS about schizophrenia, regularly monitor their mental health, and implement initiatives that will protect or improve their mental health.Clinical trial registrationNot applicable.
Evaluation of Renal Functions of Inpatients With Mental Disorders
(Slack inc, 2024) Dikec, Mehmet; Dikec, Gul; Ata, Elvan Emine; Ozer, Duygu
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.
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.
Bir Vakıf Üniversitesindeki Hemşirelik Öğrencilerine Uygulanan Akran Bağımlılık Programının Madde Tüketimine Etkisi: Yarı Deneysel Çalışma
(2025) Dikec, Gul; Savaş, Metehan Savaş Mete; Kılıç, Sude; Vargel, Çağla; Yazgan, İlknur
Amaç: Bu çalışmanın amacı, bir vakıf üniversitesinde öğrenim gören ve bağımlılık yapıcı madde kullanan bir grup hemşirelik bölümü öğrencilerine uygulanan Akran Bağımlılık Programının, öğrencilerin madde tüketim oranları üzerinde etkisini belirlemektir. Yöntem: Çalışma tek grup, ön-test, son-test, yarı deneysel çalışma deseninde yapıldı. Veriler İstanbul’daki bir vakıf üniversitesinde, 2023-2024 eğitim ve öğretim yılı bahar yarıyılında araştırmacılar tarafından literatür doğrultusunda hazırlanan Bilgi Formu ile toplandı. Bir afiş hazırlanarak öğrencilere program ve araştırma duyuruldu. Çalışmaya katılmayı kabul eden öğrencilere, Akran Bağımlılık Programı uygulandı. Akran Bağımlılık Programı, bağımlılık ile ilgili bir seminer ve ardından broşür dağıtımı, daha sonra üniversite girişinde açılan akran standı ve akran danışmanlık gruplarından oluşmaktadır. Program araştırmacılar tarafından oluşturuldu. Çalışma, örneklemini madde kullandığını bildiren 27 hemşirelik öğrencisi oluşturdu. Verilerin analizinde ki-kare ve non-parametrik testlerinden Wilcoxon İşaretli Sıra testi kullanıldı. Bulgular: Katılımcıların yaş ortalaması 20,96 (1,53), %63’ü kadın, %33,3’ü üçüncü sınıf öğrencisi, %70,4’ü ekonomik durumunu orta algılamaktaydı. Akran Bağımlılık Programı öncesi ve sonrası hemşirelik öğrencilerinin madde tüketim oranları arasında istatistiksel olarak anlamlı fark saptanmadı. Sonuç: Gelecek çalışmalarda standardize edilmiş araçlar ve ölçümlerle yapılandırılmış akran programlarının ya da daha önce madde kullanan akranların liderliğindeki programların etkinliği incelenmelidir.
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) Dikec, Gul; Oban, Volkan; Usta, Mirac Baris
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: 5
Citation - Scopus: 5
Syrian Refugees' Experiences While Receiving Mental Health Services and Psychiatric Nursing Care: a Qualitative Study
(Wiley, 2024) Ozturk, Gizem; Timarcioglu, Kuebra; Dikec, Gul; Karali, Ece; Nacaroglu, Hamza; Cakir, Hanife; Seren, Arzu Kader Harmanci
Aim: This study examined the experiences of Syrian refugees in a community centre in Turkiye as they access mental health services and receive psychiatric nursing care.Design: A qualitative design was adopted in the study.Methods: Data were collected from southern Turkiye between November and December 2021. The researchers conducted three semi-structured focus group interviews. Colaizzi's phenomenological method was followed to analyse the qualitative data. A total of 19 Syrian refugees participated in the focus group interviews.Results: Three key themes related to immigrants' experiences of receiving mental health services and nursing care were identified: barriers to receiving mental health services, coping with negative experiences in Turkiye and satisfaction with mental health services. The participants identified the barriers they experienced while receiving health services as those pertaining to language, discrimination and stigmatization. They also mentioned the methods of coping with these negative experiences in Turkiye. Despite their negative experiences, they expressed satisfaction with the mental health services they received, especially psychiatric nursing care.Conclusions: This study determined that Syrian refugees face barriers in accessing and receiving mental health services. They stated that mental health professionals in Turkiye approach them with empathy, particularly those in psychiatric nursing. Healthcare professionals may be trained in culturally sensitive care to increase awareness.
Citation - WoS: 1
Citation - Scopus: 1
The Relationship Between Stress, Anxiety, and Depression Levels and Pseudobulbar Affect in Patients With Multiple Sclerosis
(Routledge Journals, Taylor & Francis Ltd, 2022) Ozer, Duygu; Ata, Elvan Emine; Dikec, Gul; Demir, Serkan
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.
Citation - WoS: 8
Citation - Scopus: 8
Evaluation of the Use of Diverse Mental Health Simulation in Nursing Students' Learning Experience an International Multisite Study
(Lippincott Williams & Wilkins, 2021) Ozkara, Eda; Dikec, Gul; Ata, Elvan Emine; Sendir, Merdiye
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.
The Safety and Efficacy of Psychosocial Adherence Interventions in Young People With Early Psychosis: a Systematic Review
(Mdpi, 2022) Dikec, Gul; Brown, Ellie; Bressington, Daniel; Thompson, Andrew; Gray, Richard
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.
Development of the Medical Adherence Scale in Adolescents Using Psychotropic Medication and Evaluation of Validity and Reliability in Turkish Population
(Elsevier Science inc, 2024) Dikec, Gul; Bilac, Oznur; Sonkaya, Hilal Isleyen; Aydemir, Omer
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.