Psikoloji Bölümü Makale Koleksiyonu
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Article A Composite Score for Dokuz Eylul Cognitive State Neurocognitivetest Battery: A Door-to-Door Survey Study with Illiterate, Low and High Educated Elderly in Turkey(2014) Kurt, Pınar; Keskinoğlu, Pembe; Yaka, Erdem; Uçku, Reyhan; Yener, GörsevThis study aimed to develop a composite score for the Turkish neuropsychological test battery named Dokuz Eylul Cognitive State for a large well educated and less educated elderly population, including those with mild cognitive impairment and dementia. Materials and Method: Dokuz Eylul Cognitive State total scores were obtained by summing scores acquired from individual Dokuz Eylul Cognitive State subtests to establish a total composite score. Control participants (n=363) were dwelling in the community and tested by means of a door-to-door survey. The utility of the total score was further tested in independent samples of dementia patients with various etiologic backgrounds (n=53) or mild cognitive impairment (n=53) participants. Results: Areas under the receiver operating characteristics curve in well and less educated dementia patients and healthy participants were found to be 0.931 and 0.954, respectively. A cut-off point of 72/73 of Dokuz Eylul Cognitive State for the well educated elderly had the highest sensitivity (83.8) and specificity (90.3), whereas a cut-off point of 49/50 for the less educated elderly had the highest sensitivity (91.2) and specificity (88.6). The Cronbach's values of the Dokuz Eylul Cognitive State for well educated and less educated elderly were higher than 0.8. Conclusion: These results support the validity of the Dokuz Eylul Cognitive State total score for the purpose of detecting and monitoring the progression of receiver operating characteristics and dementia in patients with different levels of education in clinical and research settingsArticle Citation - WoS: 14Citation - Scopus: 14A Cross-Cultural Investigation Into the Relationships Among Parental Support for Basic Psychological Needs, Sense of Uniqueness and Happiness(Routledge Journals, Taylor & Francis Ltd, 2014) Şimşek, Ömer Faruk; Demir, Melikşah; Simsek, Omer Faruk; Demir, MeliksahA significant number of empirical studies have reported that parental support for basic psychological needs is a robust correlate of adolescent happiness. Yet, less is known about the mechanisms responsible for this link. The present study proposed a model suggesting that personal sense of uniqueness explains why satisfaction of basic psychological needs in parent-child relationships is related to happiness. This mediational model was tested among late adolescents in Turkey and the United States. Analyses relying on structural equation modeling and bootstrapping supported the model in both cultures. Implications of the findings for theory and cross-cultural research are discussed. Directions for future research that could improve our understanding of the dynamic interplay between basic needs, sense of uniqueness and well-being are provided.Article Citation - WoS: 3Citation - Scopus: 4A Neural Marker of the Start-Gun in Interval Timing: Onset N1P2(American Psychological Association, 2019) Düzcü, Halil; Duzcu, HalilAlthough the neural markers of interval timing have been widely studied, the events that determine the onset and offset of an interval have only recently started to gain attention. In the present study, I compare the predictions of the perceptual (preonset and start-gun) and decisional bias hypotheses with respect to onset N1P2 amplitude, the point of subjective equality (PSE) and delta/theta activity. The onsets of the comparison intervals (CIs) were manipulated to begin earlier, later, or on-time with regard to a standard interval (SI). Results supported the start-gun account by demonstrating an increase in the N1P2 amplitude and delta power in the "early" and "late" onset conditions due to temporal mismatch. Delayed or premature initiation of timing with respect to the predicted temporal point were associated with rightward and leftward shifts in the PSEs of the "early" and "late" onset conditions, respectively. In addition to the observed increase in temporal prediction-related delta activity in the "early" and "late" onset conditions, higher theta power in the "early" onset suggested an additional neural response for unexpected events that might be linked to response caution. Moreover, the ramping activity during the CIs, namely the contingent negative variation (CNV), showed a decision-related attenuation toward the end of an interval in the "late" onset. The latter finding was supported by the changes in offset N1P2 amplitude. The present study contributes to the interval-timing literature by presenting support in favor of the hypothesis that the onset N1P2 is a neural marker for the initiation of timing.Article A New Apraxia Test for Turkish Elderly; DEKODa(Ege University Press, 2016) Evlice, Ahmet; Kurt, Pınar; Kayserili, Gül; Keskinoğlu, Pembe; Uçku, Reyhan; Yener, GörsevIntroduction Apraxia refers to inability to perform skilled or learned acts, which cannot be explained by primary motor, sensory or comprehension impairments. The currently used foreign apraxia batteries are quite complex, lengthy and not compatible for uneducated people. This study aimed to develop a new, simple and short apraxia test for uneducated people. Method Subjects with Alzheimer's disease (AD) (n:38 ), mild cognitive impairment (MCI) (n:39) and healthy control group (n:263) participated to study. All participants were administered neuropsychological battery which included Yesavage geriatric depression scale, Barthel index, mini-mental status examination (MMSE), and DEKODa apraxia test (DEKODa). SPSS 20.0 was used to make comparisons of groups. Results The Yesavage geriatric depression scale, Barthel Index, MMSE and DEKODa were different from each other in almost all groups (p<0.001). In the comparison of MMSE and DEKODa scores used the Pearson correlation analysis, a significant correlation was found between each of the groups (p< 0.05). The cut-off value of DEKODa score was determined as 10, any score at or below 10 was indicating as Alzheimer's disease, and its sensitivity and specificity values were76.3% and 75% respectively. Discussion We described a new battery for apraxia, named as DEKODa, derived form a community based study designed for Turkish speaking elderly population. Lower scores of DEKODa than 10 points indicated AD. The scores for MCI subjects were similar to healthy elderly controls and different than AD. These finding imply that DEKODa can be useful for detecting AD diagnosis in elderly population.Article Citation - WoS: 62Citation - Scopus: 69A Roadside Study of Observable Driver Distractions(Taylor & Francis Inc, 2015) Sullman, Mark J. M.; Prat, Francesc; Taşçı Kuzu, Duygu; Sullman, Mark J. M.; Prat, Francesc; Tasci, Duygu KuzuObjective: This study investigated the prevalence of observable distractions while driving and the effect of drivers' characteristics and time-related variables on their prevalence. Methods: Using roadside observation, 2 independent observers collected data at 4 randomly selected locations in St. Albans, UK. Results: Of the 10,984 drivers observed, 16.8% were engaged in a secondary task, with talking to passengers being the most common distraction (8.8%), followed by smoking (1.9%) and talking on a hands-free mobile phone (1.7%). An additional 1.0% were observed talking on a handheld phone, and the rest of the distractions (e.g., texting, drinking) were recorded in less than 1% of the drivers observed. Gender-related differences were found for a number of different distractions (i.e., talking to passengers, drinking, and handheld mobile phone conversations), but age emerged as a significant predictor for most secondary tasks, including talking to passengers, smoking, hands-free mobile phone use, handheld mobile phone use, texting/keying numbers, drinking, and engagement in any type of distraction (all distractions combined). The overall pattern for age was that middle-aged and older drivers were less likely to be distracted than younger drivers. Conclusions: This work provides further evidence of the relatively high rate of distracted driving in the UK. The findings clearly indicate that younger drivers are more likely to drive distracted, which probably contributes to their higher crash rates.Article Citation - WoS: 2Citation - Scopus: 2A Theoretical Model Test of Emotional and Cognitive Reactions to Sexual Trauma(Springer, 2023) Salcioglu, Ebru; Kuzgun, Tubanur Bayram; Simsek, Omer FarukPeri- and post-trauma emotional and cognitive reactions play a pivotal role in PTSD. Illuminating the complex relationship among them necessitates a sound theoretical and statistical approach that ensures valid measurement and theory testing. Taking such an approach this study examined the relationships among peri-trauma sense of control and emotional reactions, post-trauma fear, helplessness, shame and guilt responses, and PTSD in 601 women with a history of perceived sexual trauma exposure. Participants completed an online survey involving reliable and valid measures of perceived severity of sexual trauma, post-trauma fear due to a sense of ongoing threat to safety, and sense of helplessness in life, trauma-related shame, and guilt cognitions. A theoretical model was tested using Structural Equation Modeling. The measurement and structural models provided a good fit to the data. Levels of sense of control during trauma predicted peri-trauma distress levels. Peri-trauma emotions had direct effects on post-trauma fear, helplessness, and shame, but not on guilt cognitions. Fear, sense of helplessness, and shame had direct effects on PTSD and mediated the association between peri-trauma emotions and PTSD. Although guilt cognitions had direct effects on PTSD, they were not mediators. These findings suggested that peri-trauma emotions play a role in PTSD as long as they induce chronic fear for safety, a sense of helplessness in life, and shame. Trauma-focused psychological interventions designed to overcome fear and shame, reduce helplessness, and restore a sense of control over one’s life would be effective in improving PTSD in survivors of sexual violence. © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.Article Affective Reactions to One’s Whole Life: Preliminary Development and Validation of the Ontological Well-Being Scale(Springer, 2012) Şimşek, Ömer Faruk; Kocayörük, ErcanIn line with the perspective provided by the intentional paradigm which claims that the measures of subjective well-being (SWB), whether cognitive or affective, should refer to life itself, the Ontological Well-Being Scale (OWBS) has been operationalized. The research reported herein was aimed at developing and validating this psychometric tool in the assessment of individuals’ affective evaluations of their life within a three-time perspective. Five studies were conducted to confirm the factor structure of the OWBS and to assess its construct validity. Four factors were derived and validated, which were shown to relate to mental health indicators and personality in expected ways. It was found that this new construct, in contrast with the current measures, did not tap into the personality factors of extraversion and neuroticism. Incremental validity results showed that the OWBS explained additional variance in mental health indicators already captured by the current measures of SWB.Article Citation - WoS: 10An Exemplary Life?A Personal Construct Analysis of the Autobiography of Rudolf Hoess, Commandant of Auschwitz(Taylor & Francis Inc, 2014) Reed, Nick; Winter, David; Schulz, Joerg; Aslan, Esther; Soldevilla, Joan Miquel; Kuzu, Duygu; Reed, Nick; Winter, David; Schulz, Joerg; Aslan, Esther; Miquel Soldevilla, Joan; Kuzu, DuyguThis article analyzes the autobiography of Rudolf Hoess, commandant of Auschwitz. Textual grid, ABC, and self-characterization analyses of the autobiography are used to construe Hoess's writing. The textual grid analysis suggests that Hoess saw his adult self as being different from others but his young self as similar to Jews. Conflicts in self-construing are identified. The ABC analysis indicates that, from his perspective, it made sense for Hoess to choose not to leave the concentration camp service. The self-characterization analysis focuses on whether Hoess experienced Kellyan guilt and it suggests that he did, but in unexpected contexts.Article Citation - WoS: 23Citation - Scopus: 28An Integrative Perspective on the Interplay between Early Maladaptive Schemas and Mental Health: The Role of Self-Compassion and Emotion Regulation(Wiley, 2019) Yakın, Duygu; Gençöz, Tülin; Steenbergen, Laura; Arntz, Arnoud; Yakin, Duygu; Gencoz, Tulin; Steenbergen, Laura; Arntz, ArnoudObjectives We aimed to test whether negative emotion regulation difficulties and self-compassion mediate the relationship between early maladaptive schemas (EMSs) and symptoms of psychopathology and life satisfaction. Methods Data were collected from 296 adults (179 females, 117 males), whose age ranged from 17 to 52 years. The mediating roles of self-compassion and negative emotion regulation were examined via Hayes' procedure (PROCESS) for multiple mediation. Results Negative emotion regulation was the only mediator to psychopathological symptoms, with no additional role for self-compassion, whereas self-compassion mediated only to life satisfaction, with no additional role for negative emotion regulation. Conclusions The results provide evidence for unique mediating roles of negative emotion regulation and self-compassion, depending on the outcome variable. That helps to understand how problems that may be identified in terms of positive and negative domains are related to EMSs, and allows to put forward potential strategies within the frame of schema therapy.Article Citation - WoS: 38Citation - Scopus: 37An Investigation of the Psychosocial and Demographic Determinants of Anxiety and Hopelessness during COVID-19 Pandemic(ANP Publishing, 2020) Erdogdu, Yesim; Kocoglu, Filiz; Sevim, CelilObjective: COVID-19, which has spread rapidly around the world since December 2019, has been defined as an infectious disease by the World Health Organization. Infection and mortality rates from COVID-19 are high and the COVID-19 pandemic has many negative impacts in health, economic and security fields. The aim of this study is therefore to examine the psychosocial and demographic determinants of anxiety and hopelessness during the COVID-19 pandemic among Turkish population. Method: The study group of the research consists of 1026 participants between the ages of 18 and 65 years. Personal Information Form, Beck Hopelessness Scale and Beck Anxiety Scale were used for data collection. Results: The majority of the participants reported that both national and global health, economic, and security precautions were not sufficient in fight against COVID-19 pandemic. About one in four participants had symptoms of moderate to severe anxiety and about one in three had symptoms of moderate to severe hopelessness. Women had significantly higher levels of anxiety compared to men. Participants who reported that the health, economics, and safety precautions were not adequate had higher levels of anxiety and hopelessness than those who reported that the precautions were adequate. Discussion: Given that the COVID-19 pandemic is associated with negative psychological and social consequences, the preventive programs for mental health should be promoted and the psychosocial support services should be made available to everyone in the society. © 2020 ANP Publishing. All rights reserved.Article Citation - Scopus: 90Anticipatory Fear and Helplessness Predict PTSD and Depression in Domestic Violence Survivors(American Psychological Association Inc. journals@apa.org, 2017) Salcioglu E.; Urhan S.; Pirinccioglu T.; Aydin S.; Salcioglu, E.; Urhan, S.; Pirinccioglu, T.; Aydin, S.Objective: Embracing the conceptual framework of contemporary learning theory, this study tested the hypothesis that anticipatory fear due to a sense of ongoing threat to safety and sense of helplessness in life would be the strongest determinants of PTSD and depression in domestic violence survivors. Method: Participants were 220 domestic violence survivors recruited consecutively from 12 shelters for women in Turkey (response rate 70%). They were assessed with the Semi-Structured Interview for Survivors of Domestic Violence, Traumatic Stress Symptom Checklist, Depression Rating Scale, and Fear and Sense of Control Scale. Results: Survivors were exposed to 21 (SD = 6.7) physical, psychological, and sexual violence stressors over 11.3 (SD = 8.8) years. They reported high levels of peritrauma perceived distress of and lack of control over stressor events. Approximately 10 months after trauma, many feared reliving the same domestic violence events, felt helpless, feared for their life, and felt in danger. PTSD and depression rates were 48.2% and 32.7%, respectively. The strongest predictors of PTSD and depression were fear due to a sense of ongoing threat to safety and sense of helplessness in life, which explained the largest amount of variances in these psychiatric conditions. Conclusion: The findings support the contemporary learning theory of traumatic stress and are consistent with findings of studies involving earthquake, war, and torture survivors. They imply that trauma-focused interventions designed to overcome fear, reduce helplessness, and restore sense of control over one's life would be effective in PTSD and depression in domestic violence survivors.Conference Object Citation - WoS: 4Citation - Scopus: 4Attachment and Depression: The Mediating Roles of Personal Life Projects and Emotional Intelligence(Springer, 2020) İnce, Başak; Şimşek, Ömer Faruk; Özbek, Levent; Ince, Basak; Simsek, Omer Faruk; Ozbek, LeventAttachment patterns between parent and child have been shown to make a great contribution to individuals' well-being including positive mood and depressive symptoms. Even though the relationship between difficulties in parental attachment and depression has been well demonstrated, there is still a need for understanding the mediating factors of this relationship. In this regard, the aim of the present study was to examine the mediating effects of personal life projects as a narrative construct, and emotional intelligence on the relationship between attachment to parents and depression using structural equation modeling (SEM). For this purpose, 512 high school students (218 female, 294 male) with the mean age of 15.71 (SD = .97) were recruited. Participants were asked to fill out a questionnaire package including measurements of parental attachment, personal life projects, emotional intelligence, and depressive symptoms. Findings provided empirical support that personal life projects and emotional intelligence together fully mediate the relationship between attachment to parents and depression. Results further showed that attachment to parents contributes to personal life projects both directly and also through emotional intelligence. The implications of the findings for clinical work and the enhancement of well-being are discussed and directions for future research are outlined.Article Auditory Event Related Delta Responses Are Reduced in Patients with Mild Cognitive Impairment(Hindawi Publishing, 2014) Kurt, Pınar; Emek Savaş, Derya Durusu; Batum, Kübra; Turp, Bilge; Güntekin, Bahar; Karşıdağ, Sibel; Gülmen Yener, GörsevBackground. Event-related oscillations (ERO) may provide a useful tool for the identification of cognitive deficits in mild cognitive impairment (MCI) and Alzheimer's disease (AD). In the present study, we investigate peak-to-peak amplitude of auditory eventrelated delta oscillations of MCI subjects. Method. The study included twenty-two consecutive patients with MCI recruited in neurology clinic and 21 age- and education-matched normal elderly controls. A classical auditory oddball paradigm was used in the experiments. EEG was recorded from F3, Fz, F4, C3, Cz, C4, P3, Pz, P4, O1, Oz, and O2 locations. The maximum peak-to-peak amplitudes for each subject's averaged delta response (0.5-2.2 Hz) were measured. Results. The amplitudes between groups differed significantly at the frontal and mid-centroparietal locations. ANOVA on delta responses revealed a significant effect for groups (F(1.41) = 4.84, P = 0.033), indicating a larger delta response for healthy controls than MCI subjects. Post hoc comparisons revealed that peak-to-peak delta response was significantly larger for healthy controls than for MCI over electrode sites F3, Fz, F4, Cz, C4, and Pz. Discussion. Event-related delta frequency band seems to be the most affected oscillatory response in cognitive impairment due to AD. Therefore, it deserves to be investigated as a candidate electrophysiological biomarker in further studies.Article Bağlanma Stilleri ile Ebeveyn Çatışma Algısının Aleksitimi Üzerindeki Yordayıcı Rolü ve Ebeveyn Aldatmasının Düzenleyici Etkisi(Iğdır Üniversitesi, 2020) Tunç, Pervin; Karabulut, Cemile CeylanBu çalışmanın amacı, yetişkin bireylerde, bağlanma stilleri ve anne-baba çatışması algısının aleksitimi düzeyleri üzerindeki yordayıcı rolününün ve anne-baba aldatmasının düzenleyici etkisinin incelenmesidir. Bu araştırmanın örneklemi, 294 kadın, 73 erkek olmak üzere toplam 367 (n=374) yetişkin katılımcıdan oluşmuştur. Veriler, katılımcılardan online olarak toplanmıştır. Bu kesitsel araştırmada Çocukların Evlilik Çatışmasını Algılaması Ölçeği-Yetişkin Formu, Yakın İlişkilerde Yaşantılar Envanteri-II ve Toronto Aleksitimi Ölçeği kullanılmıştır. İstatistiksel analizler için SPSS 21 kullanılmıştır. Analiz sonucuna göre erkek katılımcıların Toronto Aleksitimi Ölçeği Duygularını İfade Etme Zorluğu alt boyutundan aldıkları puanların kadınlara göre daha yüksek olduğu bulunmuştur. Katılımcıların, partneri aldatma durumunun aleksitimi düzeyi üzerinde pozitif yordama etkisine sahip olduğu bulunmuştur. Bununla birlikte, katılımcıların kaçınmacı ve kaygılı bağlanma düzeylerinin de aleksitimi düzeyi üzerinde pozitif yordama etkisine sahip olduğu bulunmuştur. Klinisyenlerin, aleksitimi ve sonuçları hakkında daha fazla bilgi sahibi olması daha etkili koruyucu ve tedavi stratejileri sağlayacaktır.Article Belief and Knowledge: Types of Knowledge and Degrees of Belief(Common Ground Publishing, 2011) Özakpınar, YılmazHuman knowledge, such as: experience; opinion; impression; inference; intuition; insight; feeling; introspective awareness; reasoned conclusion; ideology; plan of an engineering construction; scientific theory, is essentially belief since one cannot be certain about its validity or correspondence to reality or truth. There are degrees of belief regarding empirically based knowledge. In this context, belief is equivalent to probability. There are potentially limitless ways of obtaining new evidence for or against a belief about the empirical world. When someone has faith in the truth of a religious tenet or of an ideology, that means he is not interested in testing it, and this provides for this person a subjective certainty. In everyday life we implicitly try to test our opinions and beliefs about the events in the empirical world although it is not always possible due to the pressure of time or our biases. In those areas of knowledge where a person professes faith, on the other hand, it is either impossible to test, as it is the case in having faith in a religious tenet, or there is refusal to test as it is the case with believing in an ideology. It is argued that the conflict of religion and science on any matter is philosophically absurd although it is an historical fact, because knowledge based on faith and scientific knowledge are not alternatives of each other: the first is not testable by the observations in the empirical world and held to be certain, and the second is testable and held to be only probable.Article Belirsiz Kayıp: Belirsizlikle Yaşamayı Öğrenmek(Türk Psikologlar Derneği, 2018) Özgeldi, Emel Bayraktar; Gölge, Zeynep BelmaTemelleri Pauline Boss’un 1970’li yıllardaki çalışmalarına dayanan Belirsiz Kayıp Teorisi alışılmamış bir kayıp türünü açıklamaktadır. Ölüm yoluyla yaşanan kayıp ve yasın aksine, bu olağan dışı deneyimde kayıp kişinin varlığı veya yokluğu hep belirsiz kalmakta; dolayısıyla kayıp yakınlarında yüksek düzeylerde stres ve travmaya yol açarak ilişkilerde çatışma ve rollerde karmaşayla sonuçlanmaktadır. Yaşanan bu belirsizlik durumu kapanış olasılığını ortadan kaldırdığından, yas süreci ve bilişsel beceriler de engellenmektedir. Fiziksel ve psikolojik olmak üzere iki türü bulunan belirsiz kayıp olgusu aile sistemlerini derinden sarsan bağlamsal ve ilişkisel bir sorundur. Geleneksel yas yaklaşımlarının veya klinik modellerin etkisiz kaldığı belirsiz kayıpta, üzerine yoğunlaşılması gereken en önemli alanlar anlamlandırma ve belirsizlik toleransıdır. Bununla beraber, sosyal bağlamın ön plana çıktığı bu olağan dışı kayıp türünde bireysel müdahalelerden ziyade ailesel müdahaleler gerekmekte; bu alanda çalışan uzmanların ise kapanış veya çözüm aramak yerine, bireylerin dayanıklılığını artıracak yaklaşımlara ve yöntemlere yönelmesi önerilmektedir. Bu bakımdan, ilgili uzmanların kullanılacak tedavi yaklaşımlarını belirlerken belirsiz kayıp olgusu, temel önermeleri, kavramları, türleri ve önerilen altı kılavuz ilkeyi göz önünde bulundurması önemlidir.Article Beta Oscillatory Responses in Healthy Subjects and Subjects with Mild Cognitive Impairment(Elsevier, 2013) Güntekin, Bahar; Emek Savaş, Derya Durusu; Kurt, Pınar; Gülmen Yener, Görsev; Başar, ErolThe aim of the present study was to investigate the role of beta oscillatory responses upon cognitive load in healthy subjects and in subjects with mild cognitive impairment (MCI). The role of beta oscillations upon cognitive stimulation is least studied in comparison to other frequency bands. The study included 17 consecutive patients with MCI (mean age = 70.8 ± 5.6 years) according to Petersen's criteria, and 17 age- and education-matched normal elderly controls (mean age = 68.5 ± 5.5 years). The experiments used a visual oddball paradigm. EEG was recorded at 30 cortical locations. EEG-evoked power, inter-trial phase synchronization, and event-related beta responses filtered in 15–20 Hz were obtained in response to target and non-target stimuli for both groups of subjects. In healthy subjects, EEG-evoked beta power, inter-trial phase synchronization of beta responses and event-related filtered beta responses were significantly higher in responses to target than non-target stimuli (p b 0.05). In MCI patients, there were no differences in evoked beta power between target and non-target stimuli. Furthermore, upon presentation of visual oddball paradigm, occipital electrodes depict higher beta response in comparison to other electrode sites. The increased beta response upon presentation of target stimuli in healthy subjects implies that beta oscillations could shift the system to an attention state, and had important function in cognitive activity. This may, in future, open the way to consider beta activity as an important operator in brain cognitive processes.Article Betrayal Trauma, Dissociative Experiences and Dysfunctional Family Dynamics: Flashbacks, Self-Harming Behaviors and Suicide Attempts in Post-Traumatic Stress Disorder and Dissociative Disorders(Effect Publishing Agency (EPA), 2021) Öztürk, Erdinç; Erdoğan, BarışhanBetrayal trauma consists of negative life experiences in which the victims are close to the traumatizing people as well as institutions for which they rely upon protection, support, resources and survival. In most cases, it operates as a dynamic of dysfunctional families which are described as pathologically-structured patterns of thoughts, emotions and behaviors, which function as violence-oriented negative child-rearing styles and generate childhood traumas. Trauma-related psychopathologies frequently discussed with these notions tend to be correlated to a high risk of self-harming behaviors and suicide attempts. It is, thus, of great importance to comprehend, explain and approach suicide attempts in trauma-related psychopathologies such as post-traumatic stress disorder and dissociative disorders by taking the dysfunctional familial dynamics and succeeding betrayal trauma both in clinical and forensic settings. Thus, in this review, betrayal trauma, dissociative experiences and dysfunctional family dynamics were discussed in terms of the dissociogenic reactions directed to them as well as flashbacks, suicide attempts and self-harming behaviors.Article Citation - WoS: 3Citation - Scopus: 3Case-Based Surveillance Study in Judicial Districts in Turkey: Child Sexual Abuse Sample from Four Provinces(Wiley, 2018) Sofuoğlu, Zeynep; Nalbantcılar Cankardaş, Sinem; Oral, Resmiye; İnce, Başak; Sofuoglu, Zeynep; Cankardas Nalbantcilar, Sinem; Oral, Resmiye; Ince, BasakChild sexual abuse is a universal public health problem. Although studies have reported that 11% to 37% of children have been sexually abused in Turkey, no accurate information is available. Thus, this study aims to investigate child sexual abuse cases registered in legal databases in select provinces in Turkey to improve our epidemiological understanding of regionally reported cases. The sample of this study consists of child sexual abuse cases filed with courthouses in four provinces in Turkey under Articles 103 and 104 of the Turkish Criminal Law, between October 2010 and October 2011. Retrospective review of these case files revealed 1,005 cases, 86% female, and 45.7% both sexually abused and exposed to other forms of abuse. Sexual abuse was often accompanied by physical abuse. Regarding the relationship of the perpetrator to the victim, 14.3% of perpetrators were found to be family members. There was also a significant relationship between child's gender and perpetrator's relationship to the victim; boys were abused mostly by strangers (55.7%) and girls by their peers (54.9%).Article Celiac disease and COVID-19 pandemic : should we worry?(Univ Catholique Louvain-UCL, 2020) Gökden, Y.; Hot, S.; Adas, M.; Koç Öğütmen, Deniz; Atak, S.; Hot, Ayşe BegümBackground and study aims : The Coronavirus Disease 2019 (COVID-19) epidemic especially worries people with chronic diseases the entire world. In this study, the frequency, and clinical course of COVID-19 infection in patients with Celiac disease (CD) were investigated. CD patients' adherence to purchasing gluten free products (GFPs), the strict diet, and how patients' anxiety affects CD symptoms during the COVID-19 outbreak were also examined.Patients and methods : A detailed-questionnaire was administered by telephone, and e-mail to the CD patients to determine the status of these patients in obtaining GFPs, and dietary compliance during the COVID-19 pandemic. State and trait anxiety levels of patients were evaluated using the State-trait Anxiety Inventory- (STAI) scale. Additionally, whether patients with CD were diagnosed with COVID-19, and if diagnosed, their clinical course of the disease were investigated.Results : One hundred and one patients were included in the study. The total number of patients who could obtain GFPs decreased significantly in the pandemic than before the pandemic. The patients' state anxiety index was 40.7 +/- 7.9, and the trait anxiety index was 44.5 +/- 8.5, and all patients were evaluated as mildly anxious. During the pandemic, two female patients were diagnosed with COVID-19.Conclusion : CD patients did not have any additional risk compared to other individuals in terms of becoming infected with COVID-19 for patients under gluten free diet, and these patients will have a similar clinical course as individuals without CD.

