Psikoloji Bölümü Tez Koleksiyonu
https://hdl.handle.net/11655/228
2024-03-28T15:59:00ZÇocukluk Çağı Travmalarının Psikolojik Belirtiler ile İlişkilerinde Savunma Mekanizmalarının Aracı Rollerinin İncelenmesi
https://hdl.handle.net/11655/34737
Çocukluk Çağı Travmalarının Psikolojik Belirtiler ile İlişkilerinde Savunma Mekanizmalarının Aracı Rollerinin İncelenmesi
Mermertaş, Baver Merih
In this thesis, the relationships between childhood traumas, defense mechanisms and psychological symptoms, which have an important place in clinical practice, are examined with hypotheses created from a theoretical and clinical perspective and for specific purposes. The sample of the study consisted of 610 participants between the ages of 20-45, of whom 503 (82.5%) were women, 101 (16.6%) were men, and 6 (1%) were not specified. Demographic Information Form, Childhood Trauma Questionnaire, The Defense Style Questionnaire-40, Symptom Check List (SCL-90-R) were applied to the participants, respectively. SPSS 25.0 was used to analyze the data. Pearson Product-Moment Correlation Coefficient Analysis, Hierarchical Multiple Linear Regression Analysis and Hayes' (2018) PROCESS Macro Model 4 analysis were used to analyze the data. According to the results of the analysis; emotional abuse, emotional neglect, and sexual abuse were found to predict psychological symptoms when demographic characteristics and other types of abuse and neglect were controlled. Physical abuse and physical neglect, on the other hand, predicted psychological symptoms when demographic characteristics were controlled, but lost statistical significance when other types of abuse and neglect were controlled. When demographic characteristics and other defense mechanisms are controlled; it has been observed that immature, neurotic and mature defense mechanisms predict depressive symptoms. In terms of individual defense mechanisms; projection, autistic fantasy, passive aggression, isolation, somatization, humor, displacement, and undoing predicted depressive symptoms. Obsessive compulsive symptoms, on the other hand, are predicted by immature, neurotic and mature defense mechanisms, while in terms of individual defense mechanisms, isolation, undoing, passive aggression, autistic fantasy, somatization and humor have been found to be predictors of obsessive compulsive symptoms. While the mediating role of immature defense mechanisms in the relationship between childhood traumas and psychological symptoms was found to be significant, it was observed that neurotic and mature defense mechanisms did not mediate this relationship. The findings were discussed in the light of the literature. Finally, the limitations of the study and suggestions for future studies were evaluated and the clinical implications of the study were discussed.
2024-01-01T00:00:00ZDoğum Sonrası Depresyon Belirtileri ile Sosyal Destek ve Duygulanım Arasındaki İlişkilerin Nicel ve Nitel Açıdan İncelenmesi
https://hdl.handle.net/11655/34604
Doğum Sonrası Depresyon Belirtileri ile Sosyal Destek ve Duygulanım Arasındaki İlişkilerin Nicel ve Nitel Açıdan İncelenmesi
Bakırcı, Miyase Büşra
Since the advent of clinical observation and prognosis in the field of medicine, health-related texts have addressed postpartum mood changes with various definitions. In its most recent form, Postpartum Depression (PPD) is characterized by a depressive mood, loss of pleasure, decreased energy, slowed movement, changes in sleep and appetite, decreased sexual desire, and suicidal thoughts, occurring typically between 4-6 weeks and 1 year after childbirth. PPD affects the physical and mental health of both mothers and babies and can lead to adverse outcomes. This study explored the concept of social support, a fundamental factor influencing PPD, by considering the type, source, and content of social support and investigating the role of affect in the relationship between social support and postpartum depression. The study was conducted with 226 mothers living in Turkey who had given birth in the last year. For data collection, a Demographic Information Form, Edinburgh Postnatal Depression Scale, Multidimensional Scale of Perceived Social Support, Social Support Behaviors Scale, and Information-Based Social Support and Emotion Form were utilized. SPSS 26.0 was used for quantitative analysis, while content analysis was used for qualitative data. Received and perceived social support were found to predict postpartum depression symptoms, with no moderator effects observed for the source and frequency of support. The research delved into quantitative and qualitative differences between needed and received support, revealing that receiving less support at the required frequency predicted PPD symptoms. Analyzing thematic differences of support received and needed, the study highlighted emotions like inadequacy, guilt, disgust, disappointment, anxiety, sadness, and calmness. The discrepancy between ideal and actual levels of emotions regarding received support emerged as a predictor of postpartum depression symptoms. The results were discussed in light of existing literature, addressing the implications of the study for clinical and social policies, limitations, and suggestions for future research.
2024-01-01T00:00:00ZKronik Rahatsızlıklarda Zihinselleştirmenin Rolüne İlişkin Bir Araştırma: Tip 1 Diyabet Hastalarında Zihinselleştirmenin Tedavi Uyumuyla İlişkisinin İncelenmesi
https://hdl.handle.net/11655/34598
Kronik Rahatsızlıklarda Zihinselleştirmenin Rolüne İlişkin Bir Araştırma: Tip 1 Diyabet Hastalarında Zihinselleştirmenin Tedavi Uyumuyla İlişkisinin İncelenmesi
Durna, Kadir Mert
Chronic diseases require periodic follow-up and support as complete recovery is not possible. That makes treatment adherence in chronic diseases quite important. This is also the case for Type 1 diabetes, which requires daily and even hourly control and intervention. Health belief model, which reveals that people's orientation towards health behaviors is related to their perceptions about the disease, has been developed to identify these health beliefs and then increase health behaviors. Mentalizing is the ability to link one's own and others' actions, behaviors and emotions to mental processes. Aim of this study is to examine the relationship between mentalizing and health beliefs with treatment adherence in type 1 diabetes.
For this purpose, 112 participants with type 1 diabetes aged 18-45 years were asked to complete Reflective Functioning Questionnaire (RFQ-4), Diabetes Specific Health Belief Model, Warwick-Edinburg Mental Well-Being Scale, Patient-Doctor Relationship Scale, Brief Health Literacy Screening Tool and Type 1 Diabetes Treatment Adherence Scale which is developed for this study. Data collection process was conducted online and anonymously.
According to results of statistical analysis, uncertainty subdimension of reflective functioning predicts treatment adherence through the mediation of health beliefs. Similar mediation relation was also found when uncertainty subdimension of RF predicted individuals' well-being. Beside, no mediation relation was found in the relationship between reflective functioning and health beliefs with patient-doctor relationship, health literacy and metabolic control. Treatment adherence has a negative relationship with uncertainty subdimension of RF and metabolic control, while it has a positive relationship with certainty subdimension of RF, well-being, health beliefs, patient-doctor relationship and health literacy.
Results show that mentalization affects treatment adherence through health beliefs. The same goes for well-being. Therefore, it can be expected that the application of mentalization-focused psychotherapies in treatment of type 1 diabetes will both increase treatment adherence and positively affect people's well-being.
2024-01-01T00:00:00ZBilişsel Davranışçı Terapi Süreçlerinin Duygu İşlemlemenin Ardışık Modeli Çerçevesinde Değerlendirilmesi
https://hdl.handle.net/11655/34579
Bilişsel Davranışçı Terapi Süreçlerinin Duygu İşlemlemenin Ardışık Modeli Çerçevesinde Değerlendirilmesi
Yüksel Şengün, Özge
Studies has shown the relationship between emotional experience and therapy outcome.
The sequence-oriented emotion processing model suggests that in successful therapies,
clients go through emotional experiences that are sequenced and differentiated over time.
This model, has not yet been tested in cognitive-behavioral therapy (CBT). In this study,
the inter-session course of emotional experiences and their relationship with process
variables were examined within a case series design. Video recordings of 78 sessions of
4 psychotherapy sessions from a naturalistic setting were divided into one-minute
segments. 3,314 minutes were observationally coded with the Classification of Affective
Meaning States (CAMS). The time-ordered relationships of the codes obtained from the
sessions with the Therapeutic Alliance Scale, Session Evaluation Scale, and Momentary
Negative Affective State Rating were examined with Simulation Modeling Analysis.
Between-client comparisons were examined with multinomial logistic regression analysis
based on multilevel modeling analysis. Results showed that when underlying emotional
difficulties and core beliefs were addressed beyond symptomatic relief, inter-session
emotion processing progressed in accordance with the sequence-oriented model of
emotion processing. In these cases, psychotherapy process measurements and in-session
emotional experiences were correlated and the well-being of the clients increased as the
therapy progressed. However, when the clients did not deepen on the presenting problems
an emotional processing did not emerge, well-being did not increase with the therapy and
no significant relationships were found between psychotherapy process measures and in-session experiences. The results obtained from multilevel modeling showed that the
sessions are more effective when clients had higher negative affect prior to session and
emotional processing had occurred within the session. This first research in which in-session emotional processing in CBT is examined at the micro level and the whole psychotherapy process is examined, indicates that emotional processing is an effective therapeutic mechanism in CBT.
Doktora tezine konu olan çalışma, TUBİTAK 2214-A Yurt Dışı Doktora Sırası Araştırma Burs Programı kapsamında yurtdışı burs desteği almıştır.
2024-01-01T00:00:00Z