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Öğe Evaluating the Social Anxiety Depression Levels and Accompanying Psychosocial Problems in Children Diagnosed with Enuresis(Springernature, 2022) Oztorun, Zeynep Yilmaz; Beser, Nalan Gordeles; Oztorun, Kenan; Arabaci, Leyla BaysanIntroduction: This study was conducted to evaluate the accompanying psychosocial problems in enuresis as well as the social anxiety-depression levels in children diagnosed with enuresis. Methods: This descriptive study investigating depression and social anxiety levels of children diagnosed with enuresis was carried out with 167 children who were followed up for at least six months following their enuresis diagnosis. All participating children had no other physical or mental illnesses and were aged five years or older. Data were collected using three measurement tools and evaluated using descriptive. correlational analyzes. Results: In this study, 69.4% of the children diagnosed with enuresis were aged 7-12 years. 38.3% of their parents used reward, while 37.1% preferred punishment as a method for toilet training their children. The children's depression and social anxiety mean scores were 21.48 +/- 7.29 and 54.58 +/- 8.84, respectively. A strong positive correlation was found between the children's mean depression and social anxiety scores (r=0.677, p<0.001). The median depression scores of children were found to be statistically significantly different according to the children's type of family, night sleep characteristics, type of enuresis, school success, and family life (p<0.05). Those with fragmented families (p=0.049). who did not sleep deeply at night (p=0.031), who slept for about 5-7 hours a day (p<0.01), and those whose school success was negatively affected by enuresis (p=0.021) and those who were exposed to negative family life (p=0.034) all obtained statistically significantly higher median depression scores. Conclusion: Children with enuresis had low depression and moderate social anxiety and their depression increased as their social anxiety increased. The children experienced psychosocial difficulties due to enuresis. When treating children with enuresis, it is necessary to consider both the affected child and their families through the adoption of a holistic approach, and also to evaluate the children both physically and psychosocially.Öğe Profiles of the Patient Who Had Compulsory Hospitalization in a District Psychiatric Hospital(W B Saunders Co-Elsevier Inc, 2017) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Bozkurt, Sati; Uzunoglu, Gulcin; Tas, GulsenayOBJECTIVE: It aims to examine the profiles of patients who were treated with compulsory hospitalization between 2011 and 2015 in a district psychiatric hospital. METHOD: In this retrospective and cohort study, hospital records gathered from 202 adult patients who were treated with compulsory hospitalization in units with a bed between 2011 and 2015 in a district psychiatric hospital were examined. In this study, profiles and socio-demographic features of the patients with compulsory hospitalization were evaluated by 23 closed-end and open-ended questions prepared by researchers. In data analysis, Monte Carlo Chi-square test and number-percentage distribution were used. FINDINGS: 57.4% of examined cases was female and mean average was 38.88 +/- 13.06. Of examined cases, 18.8% was people graduated from high school or university and it was detected that 81.7% didn't have any regular job during the compulsory hospitalization. Of which 55.9% has not gotten married and 12.4% was divorced, 48.0% of the population has been living with their parents, sibling or/and their relatives and 17.8% has been living alone or in the nursing home. Of which 59.9% of the cases which were diagnosed with psychosis, 38.1% with psychotic relapse, 22.8% with medication regulation, 22.8% with excitation (expansiveness) and 15.8% having the risk of self mutilation and damage his/her environment were admitted to compulsory hospitalization. Of these cases, the relative or custodian of 74.2%, employee of nursing home of 9.4%, law-enforcement officers of 5.4% and medical staff of 4.0% gave hospitalization approval. While not having any history for alcohol-substance abuse, it was established that 10.9% of the population had a problematic juridical records. Of the cases, hospitalization of 75.7% came to end with recovery/discharge and 20.3% was over with the demand of his/her relative/custodian, 1.5% of the cases escaped from the hospital. CONCLUSION: Patients whose majority was female, person who has never gotten married or was divorced and has low educational level don't have any regular job and live with their relatives. In addition, their relatives made the majority of these patients admit to hospital because of the history of psychotic diagnose and psychotic relapses. According to these results, it is recommended that patients will receive an effective treatment in order to protect the right to decide their own treatment. (C) 2017 Elsevier Inc. All rights reserved.Öğe The determination of parent attitude and childhood trauma in adolescent pushed into crime(Klinik Psikiyatri Dergisi, 2019) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Uzunoglu, Gulcin; Bilac, Oznur; Ozan, ErolObjective: This study was conducted to determine parent attitude and childhood traumas of adolescents pushed into crime who came to the policlinic of child and adolescent psychiatry for judicial evaluation. Method: Of this descriptive cross-sectional study sample was included 45 adolescents aged between 13 and 18 years, came with their parents to the psychiatric outpatient clinic of child, pushed into crime. Data were collected with Introductory Information Form, Childhood Trauma Questionnaire, Parents Attitude Research Instrument Scale. To evaluation of the data, descriptive statistics, Mann-Whitney-U, Kruskal Wallis Variance analysis and Pearson correlation analysis were used. Results: 84.4 % of adolescent who joined the research were 15-17 age, 60.0% of them were male and 57.8% of them were not unable to continue schooling. The mean of trauma questionnaire of adolescent was found 54.42 +/- 7.53 (middle). It was found that sexual abuse's median points of adolescent who were unable to continue schooling, had a poor commination with father, and physical abuse's median points of adolescent who lived with their family, and physical neglect's median points of adolescent who graduated from primary school, and emotional abuse's median points of adolescent whose father showed irrelevant attitude, and emotional neglects' median points of adolescent who have three or more sisters/brothers, whose mothers showed unbalanced and inconsistent attitude were higher than other's significantly (p<0.05). Discussion: Adolescent who pushed into crime experienced middle level childhood trauma. The repressive-irrelevant parental attitude, unable to continue schooling, poor communication with the father, being in the crowded family, having psychiatric diagnosis from childhood are predictors of childhood mental trauma.Öğe The levels of anxiety, depression and alexithymia in individuals diagnosed with diabetes and the affecting factors(Klinik Psikiyatri Dergisi, 2021) Degirmencioglu, Arife Zuhal; Arabaci, Leyla Baysan; Beser, Nalan GordelesObjective: This study aims to determine the levels of anxiety, depression and alexithymia in individuals diagnosed with diabetes and the affecting factors. Method: The study consisted of 208 patients aged 18 and over diagnosed with diabetes that have been receiving relevant treatment for at least 6 months and had no other chronic diseases. The patients had been registered in the internal medicine outpatient department of a training and research hospital for follow-up between January 15 and June 30, 2018 and had agreed to participate in the study. Results: In the study 61.1% of the patients were females, 57.7% were between 45-64 years old and 81.3% were married. A moderate-level of anxiety and alexithymia as well as a low-level of depression were found in the patients who reported adverse changes in their lives following the diagnosis of diabetes. A statistically significant relationship was found between the levels of anxiety, depression and alexithymia in the patients (p<0.001). Discussion: Patients diagnosed with diabetes should be regularly assessed for psychological distress such as anxiety, depression and alexithymia, as well as physical symptoms. Health professionals, especially nurses should support diabetic patients in developing strategies to cope with and manage these health problems.
