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Öğe " Beyin Göçü" Olgusunda Gençlerin Görüşleri: Öz-belirleme Kuramı Temelinde Bir İnceleme(2024) Atalan Ergin, Derya; Soysal, GamzeBrain drain has become an important issue for many countries. The brain drain of youth or well-educated people can have social and economic consequences for both the host countries and the countries of origin. This study aims to understand the motivations of educated youth for their decision to go abroad or stay in Turkey in the context of brain drain. This qualitative study was conducted using a theory-driven approach and a deductive process. A descriptive analysis within the themes of selfdetermination theory—'relatedness', 'competence', and 'autonomy'—was conducted. A total of 15 youths aged 18-23 years participated in the study (Ngirls=8, Nboys=6, Ntransgender=1). The semi-structured interview form contained 11 open-ended questions and each interview lasted almost 40 minutes. After transcribing the audio recordings, each researcher categorized youths’ responses under the themes of “relatedness”, “competence” and “autonomy”. The results showed that the need for relatedness is crucial for youths’ decision to stay in Turkey. However, the responses of the youth who wanted to go abroad tended to fall under the themes of "competence" and "autonomy". These findings may have drawn attention to the needs of youth and provided an opportunity to take various precautions in the educational and working environment before increasing levels of brain drain.Öğe Multigroup analysis of the relationship loneliness, fear of missing out, problematic internet usage and peer perception in gifted and normally developing adolescents(Current Psychology, 2022) Tatlı, Cemre; Atalan Ergin, DeryaThe current study examined the effects of Internet usage characteristics and peer perception on loneliness. The mediating role of Internet usage characteristics was examined in the relationship between loneliness and peer perception. The sample included 661 Turkish adolescents (Ngirls =379, 57.34%; Ngifted= 211, 31.92%) aged 11–18 years. Structural equation model analyzes were conducted to test the hypothesis model across the group. Moreover, multigroup structural model was conducted to test the differences of the relationships across gifted and normally developing adolescents. The results of the structural model showed that Internet use characteristics did not have a mediating role in the relationship between adolescents’ peer perception and loneliness. On the other hand, problematic Internet use had a full mediator role in the relationship between fear of missing out and loneliness. The results of the multigroup structural model emphasized the similar effects between the research variables in gifted and normally developing adolescents. The results were discussed with the effects of Internet use characteristics and peer perception on loneliness. We also pointed out that gifted and normally developing adolescents have similar social and technological outcomes and that these outcomes influence mental health.Öğe The Role of Resilience and Coping Strategies in Immigrant and Non-immigrant Adolescents’ Identity Development(British Journal of Counseling and Guidance, 2023) Atalan Ergin,Derya; Çok, Figen; Akgül, GülendamMigration-related risk factors may impact the association between coping strategies, resilience, and identity development, one of the fundamental developmental tasks in adolescence. We examined the relationship between resilience and coping strategies in immigrant and non-immigrant adolescents’ identity development. On a sample of Turkish adolescents (n = 399, 50.9% girls), we conducted six hierarchical regression models to predict identity dimensions from resilience and coping strategies. For both immigrants and non-immigrants, seeking social support predicted a more mature and successful identity while avoidance predicted less reconsideration of commitment. For non-immigrants, seeking social support and avoidance was associated with in-depth exploration whereas for immigrants, only seeking social support was linked to in-depth exploration. Additionally, resilience predicted a successful identity for immigrants. Results were discussed considering migration-related difficultiesÖğe School belongingness as a mediator in the relationship between self-reported PTSD and cyber victimization: Sex Differences(2023) Atalan Ergin, Derya; Akgül, GülendamThe incidence of post-traumatic stress disorder (PTSD) has increased during the COVID-19 pandemic. Traumatized adolescents might cope with maladaptive strategies such as increased internet usage, which might be a risk for cyber victimization. We investigated the relationship between self-reported PTSD and cyber victimization and the mediator role of school belongingness in this relationship. The sample consisted of 292 adolescents ages 11-14 years old (M=12.53, SD=.71; Nfemale=165, 56.1%; Nmale=129, 43.9%). Results show that male are more likely to be cybervictims and have lower levels of school belongingness than female. Additionally, results supported the association between higher levels of PTSD and higher levels of cybervictimization. Traumatized adolescents with high levels of school belongingness are less likely to be cyber victims. These findings highlight the importance of school related personal and relational characteristics in promoting adolescent mental health.Öğe The pathway from grandparental support with childcare in the early years to child socioemotional outcomes in middle childhood: evidence from the Millennium Cohort Study(Taylor & Francis, 2023) Kallitsoglou, Angeliki; Atış Akyol, Nevra; Atalan Ergin, DeryaWe examined the pathway from grandparental childcare support at age 3 to child social and emotional outcomes at age 7 through maternal mental health and mother–child relationship at age 3 in a sample of n = 1495 biological mothers and their children from the UK’s Millennium Cohort Study. Structural equation modelling showed that time spent in the care of grandparents at age 3 was not associated with the child’s social and emotional outcomes at age 7 via maternal psychological distress or mother–child conflict and mother–child closeness. Maternal psychological distress at age 3 was associated with poor child social and emotional outcomes at age 7 both directly and indirectly via mother–child conflict and mother–child closeness. In the early years, grandparental childcare, as primary form of childcare arrangement, may not be significantly associated with maternal mental wellbeing or parenting capacity, which are both beneficial for child socioemotional development.Öğe School counselors' attitude toward online counseling services during the pandemic: The effects of resilience and digital self?efficacy(Wiley, 2021) Atalan Ergin, DeryaSchool counseling activities have been delivered online during the COVID?19 pandemic. This compulsory change has been associated with difficulties in school counseling services. The resilience and digital skills of school counselors are likely to influence the quality of counseling services and their attitude toward online work. Thus, we examined the role of resilience on their attitude toward online counseling services during the pandemic. We also looked at the role of digital skills on their attitudes toward online counseling. The sample consisted of 149 school counselors. We conducted structural equation modeling, in which the direct and indirect effects of resilience and digital self?efficacy was tested. The results suggested that higher resilience was significantly associated with better attitudes toward school counseling. Moreover, resilient school counselors had higher digital self?efficacy, which was associated with more positive attitudes toward online school counseling. The implications in terms of preservice and in?service education of school counselors and interventions to promote resilience were discussed.Öğe Parent-Adolescent Conflict Process and the Relationship with Adolescents' Problematic Internet Usage(2022) Atalan Ergin, DeryaErgenlik, ebeveyn-ergen arasındaki ilişkilerin daha karmaşık hale geldiği bir dönemdir. Ergenler anne babalarından daha fazla özerklik talep ederken, ebeveynler kendi beklentileri ve ergenlerin talepleri arasında denge kurmaya çalışırlar. Bu değişimler ebeveyn-ergen arasında daha yoğun ve sık çatışmalara neden olabilir. Çatışmaların artışı ise ergenin problemli davranışları ile ilişkilendirilebilir. Bu araştırma iki bölümden oluşmaktadır: Çalışma 1’in örneklemi 173 ergen oluşturmaktadır (101 kız, %58.4, 72 erkek, %41.6). Çatışmanın ayrıntılı incelenmesinde cinsiyetin ana ve ortak etkisinin belirlenmesi amacıyla iki-yönlü ANOVA kullanılmıştır. Çalışma 2’nin örneklemi 221 ergen oluşturmaktadır (107 kız, %48.4, 113 erkek, %51.4). Ebeveyn ve ergenin birlikte geçirdikleri zamanın miktarının ve çatışma konularının Problemli İnternet Kullanımı (PİK) üzerindeki yordayıcılığı hiyerarşik regresyon analizi kullanılarak incelenmiştir. Bulgular çatışma üzerinde ebeveyn ve ergenin cinsiyetinin ortak etkisini göstermektedir. Kız-anne ve oğlan-baba arasındaki çatışmalar daha olumlu yollarla çözülmektedir. Ayrıca, ebeveynleriyle daha fazla zaman geçiren ergenlerin PİK düzeyleri daha düşüktür. Ancak internet konusunda yapılan tartışmalar PİK’in yüksek düzeyiyle ilişkili bulunmuştur. Bu çalışma, ergenin kendi cinsiyetinden ebeveyniyle geçirdiği etkileşimin önemini ortaya koymaktadır. Ek olarak, ebeveyn-ergen etkileşimi PİK üzerinde koruyucu bir faktörken, internet hakkındaki çatışmalar risk faktörüdür.Öğe Multigroup analysis of the relationship loneliness, fear of missing out, problematic internet usage and peer perception in gifted and normally developing adolescents(2022) Tatlı, Cemre; Atalan Ergin, DeryaThe current study examined the effects of Internet usage characteristics and peer perception on loneliness. The mediating role of Internet usage characteristics was examined in the relationship between loneliness and peer perception. The sample included 661 Turkish adolescents (Ngirls =379, 57.34%; Ngifted= 211, 31.92%) aged 11–18 years. Structural equation model analyzes were conducted to test the hypothesis model across the group. Moreover, multigroup structural model was conducted to test the differences of the relationships across gifted and normally developing adolescents. The results of the structural model showed that Internet use characteristics did not have a mediating role in the relationship between adolescents’ peer perception and loneliness. On the other hand, problematic Internet use had a full mediator role in the relationship between fear of missing out and loneliness. The results of the multigroup structural model emphasized the similar effects between the research variables in gifted and normally developing adolescents. The results were discussed with the effects of Internet use characteristics and peer perception on loneliness. We also pointed out that gifted and normally developing adolescents have similar social and technological outcomes and that these outcomes influence mental health.Öğe Ergenlerde Bağlanma, Dürtüsellik ve Ana-Baba Aracılığının Problemli İnternet Kullanımına Etkisi(2022) Atalan Ergin, Derya; Kapçı; Emine GülBu çalışmanın temel amacı ergenlerde dürtüsellik, ana-baba aracılığı ve bağlanma biçimlerinin Problemli Internet Kullanımı (PİK) üzerindeki doğrudan ve dolaylı etkisini sınamaktır. Çalışmaya Ankara’nın üç farklı ilçesinde bulunanokulların altıncı, yedinci ve sekizinci sınıflarında öğrenim gören toplam 708 ergen katılmıştır (x?yaş = 12.50, SS = 1.04, Noğlan = 359 , %52.2, Nkız = 338, %47.8). Veriler “İşlevsel Olmayan İnternet Kullanımı Ölçeği”, “İnternet Kullanımında Ana-Baba Aracılığı Ölçeği” “İlişki Ölçekleri Anketi” ve “Conners-Wells Ergen Öz Bildirim Ölçeği- Hiperetkinlik/Dürtüsellik Alt Ölçeği” kullanılarak toplanmıştır. Verilerin analizinde yapısal eşitlik modelinden yararlanılmıştır. Bir hipotez model ve bir alternatif model test edilmiştir. Sonuçlar hipotez modeli desteklemiştir. Bağlanma biçimlerinin, dürtüselliğin ve ana-baba aracılığının PİK üzerinde doğrudan etkisi olduğu görülmüştür. Kayıtsız bağlanma ve PİK arasındaki ilişkide, hem dürtüsellik hem de ana-baba aracılığının tam aracı rolü gösterilmiştir. Korkulu bağlanmanın PİK üzerindeki etkisinde ise ana-baba aracılığı tam aracı rolde bulunmuştur. Kurulan model PİK’in daha iyi anlaşılması ve önlenmesinde dürtüsellik ile ana-baba aracılığının etkisi hakkında bilgi sağlamaktadır.Öğe Health-related quality of life, depression, anxiety and sexual dysfunction in patients with testicular cancer(2021) Demirtaş, Türev; Temircan, ZekeriyaBackground and objective: Testicular cancer is one of the most common cancer types among young men. Although there is high percentage of cure rates for the patients, there is a lack of knowledge regarding health-related quality of life, psychological problems and sexual dysfunction. The aim of this study was to examine health-related quality of life, anxiety, depression and sexual dysfunction in patients with testicular cancer. Methods: Data were collected from 160 patients diagnosed with testicular cancer at age 20–60 years. The survey method was used to collect information. Results: The results showed that the mean scores of SF-12v2 physical component (p = 0.02), HADSanxiety (p < 0.011) and HADS-depression (p = 0.01) were significantly different between marital status groups. The mean scores of IIEF-5 were significantly different between income groups (p = 0.01) and employment status (p = 0.02). Participants who earned low income, had primary or lower education, and were not employed reported significantly poorer erectile function than their higher earning, higher educated and employed counterparts. Also, HADS anxiety and HADS depression scores were found to be moderate and positively correlated with IIEF-5 (p < 0.01). However, SF-12v2 physical component summary and mental component summary scores were negatively correlated with IIEF-5 (p < 0.01). Conclusion: The current study findings provided knowledge on health-related quality of life, anxiety, depression and sexual dysfunction in patients with testicular cancer. Health-related quality of life, psychological mental health and sexual life were poorer among the participants.Öğe The Moderating Role of Incarcerated Mothers’ Psychosocial Functioning on the Association Between Maternal Sensitivity and Their Co-Residing Toddlers’ Attachment(2022) İşcanoğlu, ZülalThe role of incarcerated mothers’ caregiving quality on their co-residing children’s development may not be fully understood without considering mothers’ psychosocial functioning. The current study aims to investigate the moderating role of incarcerated mothers’ psychosocial functioning (i.e., relationship with their outside children’s caregivers, psychological symptoms, and social support) on the associations between maternal sensitivity and their co-residing children’s attachment. The study sample consisted of 68 mothers and their 12- to 43-month-old co-residing children. Maternal sensitivity and child’s attachment were assessed based on a semi-structured mother–child interaction observation. Mothers reported their psychosocial functioning indicators that were determined based on the common distress factors that these mothers experience. Findings suggest that for the mothers who have the lowest relationship quality with their outside children’s caregivers, maternal sensitivity negatively predicts children’s disorganized attachment. Moreover, maternal sensitivity predicted children’s secure attachment positively and anxious attachment negatively only when maternal psychological symptoms were higher.Öğe Examining the Relationship between Depression, Anxiety and Stress in Kidney Cancer Patients(2022) Demirtaş, Türev; Temircan, ZekeriyaCancer of the kidney is one of the 10 most common cancers found globally. Overall, it is the fourth most common cancer in men and the eighth most common cancer in women. Many kidney cancer patients experience psychologic problems and reactions. The present study examined relationship between anxiety, depression, and perceived stress symptoms in kidney cancer patients. Cross-sectional data were obtained from the patients diagnosed with kidney cancer. All participants completed sociodemographic form, Hospital Anxiety and Depression form, and Perceived Stress Scale. Statistical analysis was exercised using the Student’s t-test, Chi-squared test (?2), Fischer’s exact test, ANOVA, Mann–Whitney U test, and Kruskal–Wallis one-way variance analysis. A total of 250 patients participated in the study. The mean age was 57.4 years (SD 6.4, range = 25–76 years). The majority of patients were males (73%) and married (218). Anxiety symptoms were determined in 91.2% patients, depression symptoms in 87.2% patients, and perceived stress symptoms in 93.6% patients. The mean scores of Hospital Depression and Anxiety Scale (HADS)-Anxiety, HADS-Depression, and HADS-Perceived Stress were significantly different between age (P < 0.05), gender (P < 0.05), and income groups (P < 0.001). Kidney cancer patients showed poorer psychologic health. The overall levels of anxiety, depression, and perceived stress symptoms were higher among the studied kidney cancer patients. Findings of the current study could improve both psychologic well-being of patients and health-related quality of life.Öğe Türkiye Örnekleminde Nöropeptit Y Geni (NPY) Promotor Polimorfizmleri ve Alkol Bağımlılığı Arasındaki İlişki(Türk Psikiyatri Dergisi, 2020) Akel Bilgiç, Hayriye; Gürel, Şeref Can; Ayhan, Yavuz; Karahan, Sevilay; Karakaya, İbrahim; Babaoğlu, Melih; Karaaslan, İbrahim ÇağatayAmaç: Nöropeptid Y (NPY), merkezi sinir sisteminde yaygın olarakifade edilen; duygusal düzenleme, beslenme davranışı ve stres gibibirçok fizyolojik süreçte yer alan bir proteindir. Bazı toplumlarda, alkolbağımlılığı (AB) ve NPY geni üzerine yürütülen çalışmalarda, NPYvaryasyonlarının alkol tüketimini arttırdığı ve AB ile ilişkili olabileceğibulunmuştur. Bu çalışmada, NPY geni promotor polimorfizmleri ilealkol kullanımına bağlı fenotipler arasındaki ilişki araştırılmıştır.Yöntem: Çalışmaya AB tanısı konulan 252 hasta ve 165 sağlıklı bireydenoluşan toplam 417 erkek katılımcı dâhil edilmiş ve fenotipik verilertoplanmıştır. Polimeraz zincir reaksiyonu–restriksiyon fragman uzunlukpolimorfizmi (PZR/RFLP) ve DNA dizileme yöntemi kullanılarakNPY geninin promotor bölgesindeki iki polimorfizmin (rs16147ve rs17149106) genotiplendirmesi yapılmıştır. Bu çalışmada 384katılımcının verileri, genotipler ve AB tanısı, AB aile öyküsü, MichiganAlkolizm Tarama Testi (MATT) kullanılarak değerlendirilen AB şiddeti,sorunlu alkol kullanımına başlama yaşı, son altı ay için günlük tüketilenortalama ve yaşam boyu bir günde tüketilen maksimum alkol miktarıarasındaki olası ilişkiyi değerlendirmek için analiz edilmiştir.Bulgular: AB ve kontrol grupları arasında, rs16147 polimorfizmigenotip dağılımı açısından anlamlı bir fark bulunmuştur (p=0,025).Ancak hasta grubunda her iki polimorfizmin de alkol kullanımına bağlıfenotipler üzerinde bir etkisi bulunamamıştır.Sonuç: Çalışmamız, Türkiye kökenli bir örneklemde alkol bağımlılığınınNPY rs16147 polimorfizmi ile ilişkili olduğunu gösteren ilk çalışmadır.Öğe Associations between Turkish incarcerated mothers’ sensitivity and their co-residing children’s attachment: The moderating role of children’s temperament(Routledge, 2021) İşcanoğlu, Zülal; Uçanok, ZehraThis study investigated the associations between incarcerated mothers’ sensitivity and their co-residing children’s attachment security. Furthermore, the moderating role of children’s temperament on the associations between maternal sensitivity and children’s attachment security was examined. The study sample consisted of 84 incarcerated mothers (Mage = 29.9, SD = 5.6) and their 12- to 43-month-old (M = 25.3, SD = 8.3) children who co-resided with them in prison facilities. Maternal sensitivity and child’s attachment were assessed by observation of mother-child interaction using the Maternal Sensitivity Scale and the Turkish Toddler Attachment Sort-60, respectively. Mothers reported their children’s temperamental features (i.e. negative emotionality and effortful control) using the Early Childhood Behavior Questionnaire. Results showed that maternal sensitivity was related positively to children’s secure attachment and negatively to children’s disorganized attachment. Furthermore, children’s negative emotionality and effortful control moderated the associations between maternal sensitivity and children’s attachment. Specifically, maternal sensitivity negatively predicted children’s avoidant attachment only for children with low negative emotionality and with high effortful control. Additionally, maternal sensitivity negatively predicted children’s anxious attachment only for children with low effortful control. Results are discussed in terms of sample-specific experiences, contextual factors, and the differential susceptibility hypothesis.Öğe The Pathway to Care of Patients With SUD Who Presented at Addiction Treatment Centers (AMATEM) in Turkey(Taylor & Francis, 2019) Karakaya, İbrahim; Saçaklı, Gamze; Bilici, Rabia; Ogel, KulteginAim: Recent studies have shown that alcohol and drug use in Turkey is rising year on year. In order to prevent and treat substance use disorder (SUD), many Alcohol and Drug Research, Treatment and Training Centres (AMATEM) have been established in Turkey. The purpose of this study was to investigate the pathway to care of patients who presented at AMATEM. Method: A total 235 patients with SUD between16-69 age groups who presented at AMATEMs in 2017 were included in this study. A sociodemographic form and a structured selfreport questionnaire consisting of 36 items assessing the pathways of care were given to all the patients. Data were analysed with descriptive statistics using SPSS software. Results: The majority of the patients included in the study were single (55%) and male (96%). Patients mostly had a secondary school level of education (51%) and social security (65%). The majority of the patients stated that they used more than one substance (44%), opiates (20%) or alcohol (18%). Conclusion: This is the first study evaluating the pathway of care in patients with SUD in Turkey. It was observed that a significant majority of patients with SUD presented to AMATEMs and patients who applied to different health institutions stated that they were mostly informed about SUD and AMATEM. There were also patients with negative attitudes towards AMATEMs and non-medical treatment seeking behavior other than AMATEM. Families, relatives and friends of patients with SUD have an important place in reaching the treatment.Öğe A New Danger in Our Midst: Krokodil (Desomorphine) Addiction(Turkish Green Crescent Soc, 2019) Karakaya, İbrahimThe use of addictive synthetic substances is ever-increasing both in Turkey and throughout the world, and new substances are emerging over time. Just as these substances can be re-synthesized, they can also be in the form of known illicit and home-produced substances. Having the active ingredient of desomorphine, krokodil has been known for many years as an addictive synthetic substance whose illegal production and use has increased in recent years. As cases of krokodil use have been reported from many places in the world, especially from regions geographically close to Turkey, this substance must be viewed as a potential threat to the country. The aim of this study is to examine desomorphine in detail and to raise awareness of this substance among healthcare professionals, primarily those working in the area of addiction.Öğe Effects of Nitric Oxide Synthase-1 Exon 1f-VNTR Gene Polymorphism on the Clinical Symptoms of Alcohol Dependence, Impulsivity and Comorbid Attention Deficit Hyperactivity Disorder(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2019) Karakaya, İbrahim; Gürel, Şeref Can; Ayhan, Yavuz; Kaşifoğlu, Mehmet Ali; Karahan, Sevilay; Babaoğlu, Melih; Demir, BaşaranObjective: We planned to compare individuals with alcohol dependence (AD) and healthy controls on the frequency of NOS1 exon 1f-VNTR gene polymorphism and to investigate the effects of this polymorphism on the clinical symptoms of alcohol dependence, impulsiveness and comorbid attention deficit hyperactivity disorder (ADHD) symptoms. Method: A total of 282 participants consisting of 153 patients and 129 age and gender matched healthy individuals were inluded in the study. All participants were evaluated with Structured Clinical Interview for DSM-IV Axis 1 disorders (SCID-I) and Michigan Alcohol Screening Test (MAST), Barratt Impulsiveness Scale (BIS-11), UPPS Impulsive Behavior Scale, Adult Attention Deficit and Hyperactivity Diagnosis Scale (ADHDS), Family History Research Diagnostic Criteria (FHDRC). The QF-PCR fragment protocols were used for genetic analyses. Allele fragments of <= 176 bp and >176 bp sizes were separated and 3 different genotypes were determined as the SS, SL and LL. Associations of these genotypes with symptoms of AD severity, impulsiveness and comorbid ADHD were investigated. Results: The AD and control groups did not differ significantly on the basis of NOS1 exon 1f-VNTR gene polymorphism. Also, significant correlations between this polymorphism and symptoms of AD severity, impulsiveness and ADHD were not determined. Conclusion: Results of our study do not indicatea significant association between the NOS1 exon 1f-VNTR genotypes and AD, subgroups of AD, impulsiveness or comorbid ADHD semptoms.