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    Öğe
    Ayaktan Rehabilitasyon Merkezinde Takipli Alkol veya Madde Kullanım Bozukluğu Tanılı Hastalarda Yaşam Kalitesinin İncelenmesi
    (2024) Ünübol, Başak; Akülker, Gizem; Bilici, Rabia; Arpacıoğlu, Selim
    Amaç: Bu çalışmada Alkol veya Madde Kullanım Bozukluğu tanılarıyla BAHAR Merkezinden takip edilen hastaların yaşam kalitesi düzeylerinin değişiminin incelenmesi ve bu değişimde etkili faktörlerin araştırılması amaçlanmıştır. Yöntem: Ocak 2022- Haziran 2023 tarihleri arasında Alkol/Madde Kullanım Bozukluğu tanısıyla Erenköy BAHAR Merkezi’nde takipli hastalar ardışık olarak çalışmaya dahil edilmiştir. Rehabilitasyon merkezinde takibine başlanan hastalara Sosyodemografik Veri Formu ile birlikte Yaşam Kalitesi Ölçeği Kısa Formu (WHOQOL-BREF) ilk görüşmede ön- test olarak ve tedavisinin 6. ayında son-test olarak uygulanmıştır. Bulgular: Katılımcıların %82’si erkek, %18’i kadın, %44 oranında lise mezunu, %38’i bekar, %48’i çalışmıyor ve %76’sı ailesiyle yaşıyordu. WHOQOL-BREF Ölçeğinin Fiziksel Yaşam Kalitesi Alt Boyutu, Psikolojik Alt Boyutu, Sosyal Alt Boyutu Çevre Alt Boyutu ve Toplam “Son-Test” puan ortalamaların tümü “Ön-Test” puan ortalamalarından anlamlı şekilde farklı ve büyük saptandı. Sonuç: Rehabilitasyon sürecindeki hastaların programlarının yapılandırılması sırasında, yaşam kalitesini artırmaya yönelik müdahalelere daha çok yer verilmesi açısından klinik müdahale stratejilerinde de yol gösterici olabilir.
  • Küçük Resim
    Öğe
    Cognitive distortions as barriers to seeking smoking cessation treatment: a comparative study
    (2024) Arpacıoğlu, Selim; Erzincan, Erkal; Ergelen, Mine; Arpacıoğlu, Beyza; Paltun, Salih Cihat; Yalçın, Murat; Bilici, Rabia
    Background/Objectives: Despite the availability of effective pharmacotherapy and evidence-based treatments, a substantial proportion of smokers do not seek treatment. This study aims to explore the cognitive distortions associated with not seeking evidence-based smoking cessation treatment and to identify cognitive barriers. Methods: The research conducted in Istanbul between October and December 2017 employs a cross-sectional design and includes two groups: a treatment-seeking group comprising 156 patients diagnosed with tobacco use disorder and a non-treatment seeking group of 78 patients with tobacco use disorder who had never sought professional help for smoking cessation. A comprehensive data collection process was used, including sociodemographic information, cognitive distortion assessment using the cognitive distortions scale, a smoking-related cognitive distortions interview and the Fagerström Test for Nicotine Dependence. Results: While no significant sociodemographic differences were observed between the treatment-seeking and non-treatment-seeking groups, the study found that higher nicotine dependence was associated with a higher likelihood of seeking treatment. The treatment-seeking group displayed significantly higher levels of "all-or-nothing thinking" cognitive distortions related to smoking and smoking cessation. Conversely, the non-treatment-seeking group exhibited elevated levels of cognitive distortions such as "labeling", "mental filtering", "should statements" and "minimizing the positive" regarding receiving smoking cessation treatment. Conclusions: Understanding the cognitive distortions associated with treatment-seeking behavior for tobacco use disorder is crucial for developing targeted public-based interventions, public service announcements for tobacco use prevention and encouraging individuals to seek evidence-based treatment. Addressing these cognitive distortions can also potentially enhance the effectiveness of smoking cessation programs and reduce the global burden of tobacco-related diseases and mortality.
  • Küçük Resim
    Öğe
    Validity and reliability study of the Turkish version of the Addiction Severity Index
    (Kare Publishing, 2025) Bilici, Rabia; Ergelen Yalçın, Mine; Karabulut, Sercan; Arpacıoğlu, Mahmut Selim; Salavran, Sevdenur; Yılmaz, Emre
    Objective: The increasing prevalence of alcohol and substance use disorders (ASUD) worldwide has raised the demand for more efficient treatment and monitoring. Comprehensive assessment tools are crucial for evaluating substance use, as well as medical, legal, and psychosocial aspects to provide holistic care. The Addiction Severity Index (ASI) is a commonly used tool to assess these dimensions. The purpose of this research is to validate the ASI-Treatnet version in a sample from Turkiye. Method: The research was carried out at AMATEM clinics in Istanbul and Antalya, involving 141 patients who had been diagnosed with ASUD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. The ASI was translated into Turkish, and its reliability and validity were assessed through a methodology that included testing for test-retest and interrater reliability using Spearman-Brown correlation coefficients. Results: The results indicated high reliability for all subscales. Internal consistency was assessed through Cronbach’s alpha, resulting in an acceptable value of 0.82. Concurrent validity was established by examining the correlations with the Michigan Alcoholism Screening Test, the Drug Abuse Screening Test, and the Beck Depression Inventory, all of which demonstrated significant correlations with the ASI subscales. Conclusion: The study revealed that the Turkish adaptation of the ASI is a reliable and valid instrument for evaluating ASUD. Its strong correlations with established screening tools confirm its concurrent validity. The ASI’s multidimensional approach allows for a comprehensive assessment, facilitating individualized treatment planning and monitoring. Future research could explore expanded and online-adapted versions of the ASI to enhance its practicality.