The efficacy of complementary and traditional practice on psychiatric patients with depression symptoms: A meta- analysis study.

PURPOSE: This study examined the effect sizes of the complementary and traditional practices on the depressive symptom levels in psychiatric patients DESIGN AND METHODS: The "Health Evidence™ Quality Assessment Tool" and "Comprehensive Meta-Analysis 3" program was used. FINDINGS: A total of 81 studies with 5934 patients were included. The effect size of the complementary and traditional methods applied to psychiatric patient on depressive symptoms was calculated as d = 0.718 (p = 0.000). According to Cohen, studies have moderate effect size. PRACTICE IMPLICATIONS: Complementary and traditional practices were found to be significant and effective on depressive symptoms in psychiatric patients.

Child sexual abuse knowledge/attitude scale for parents: Reliability and validity of the Turkish version.

PURPOSE: The aim of this study was to determine the validity and reliability of the Turkish version of the child sexual abuse knowledge/attitude scale for parents (CSAKAS). DESIGN AND METHODS: This methodological study was carried out with 193 parents in between February and May 2018. FINDINGS: The validity and reliability of the six-factors structure scale were confirmed. The Cronbach's alpha coefficient of the whole scale is 0.793, the item-total score correlations ranged between 0.341 and 0.719 and the test-retest coefficient was 0.841. PRACTICE IMPLICATIONS: The CSAKAS Turkish scale was found to be a valid and reliable tool that can be used to evaluate the knowledge and attitudes of parents about child sexual abuse.

Evaluation of the Effectiveness of Psychoeducation Given to Children with Parental Psychiatric Disorders.

This study was aimed to determine the effectiveness of psychoeducation program which was developed to improve the coping skills and to increase the psychological resistance of 12-18 years children/adolescents whose parents' have psychiatric disorders. The study was carried out between May 2018 - November 2019 with children of patients who applied to the outpatient clinic and inpatient treatment at Istanbul University - Cerrahpasa, Cerrahpasa Faculty of Medicine Department of Psychiatry. Total of 40 children (experiment = 20 and control = 20), participated in the study. Data were collected using Personal Information Form, Adolescent Psychological Resilience Scale and Kidcope. The mean age of the children/adolescents in the experimental group was 14.05 ± 1.90, 50% was male and the mean age of the control group was 15.35 ± 2.08, and 55% were male. It was determined that the mean duration of psychiatric disorders were 11.50 ± 6.39 years and 40% of the psychiatric diagnosis was schizophrenia in the experimental group, and the mean duration psychiatric disorders were 6.10 ± 5.16 years and 30% of the psychiatric diagnosis was a depression in the control group. After psychoeducation, the total scores of scales in the experimental group showed an increase compared to the control group and a significant difference in a statistical context. It was found that children/adolescents participating in the psychoeducation program had increased psychological resilience levels and improved coping skills. This result shows that the psychoeducation program for children/adolescents with psychiatric disorders in their parents is effective.

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level.

PURPOSE: This research is conducted to evaluate the effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level. DESIGN AND METHODS: The research is designed as a randomized controlled trial with a pretest and posttest control group and repeated measures. Assertiveness training was carried out for a total of 8 weeks with the experimental group. FINDINGS: Assertiveness training in schizophrenic patients was found to be effective in increasing the functional remission and assertiveness levels of patients. PRACTICE IMPLICATIONS: Assertiveness training in schizophrenia should be implemented by psychiatric nurses within the scope of rehabilitation services.

Examination of sexual functions and depressive symptoms among infertile and fertile women.

OBJECTIVE: To examine the sexual functions and depressive symptoms of infertile and fertile women. METHODS: This study was conducted between October 2015 and April 2016 using a descriptive, cross-sectional and comparative design. The sample of this study consisted of 96 infertile and 96 fertile women. The data were collected using an information form, the Beck Depression Inventory and the Index of Female Sexual Function. The data were analyzed The Mann-Whitney U test, chi-square test, and Spearman's correlation analysis. RESULTS: The rate of sexual dysfunction (87.5% vs. 69.8%) and the Index of Female Sexual Function total score (31.8 ± 7.8 vs 35.7 ± 6.3) were significantly higher in infertile women than fertile women (p=0.003, p<0.001, respectively). The sexual satisfaction and discomfort during sexual intercourse subscales of the Index of Female Sexual Function were significantly lower among infertile women than fertile women (p<0.001 for all); however, no significant difference was observed in the sexual intercourse/libido score of the Index of Female Sexual Function between infertile and fertile women (p=0.590). The correlation coefficients between the Beck Depression Inventory total score and the total and subscale scores of the IFSF did not significantly differ between infertile and fertile women (p>0.05 for all). CONCLUSION: The sexual dysfunction rate among infertile women was higher than that among fertile women. Sexual functions decreased when depressive symptoms increased for both infertile and fertile women.

Eating Behaviors and Related Factors in Psychiatric Patients.

The aim of this study was to determine the risk of eating disorders and associated risk factors in individuals with psychiatric disorders. Patients who were hospitalized in a psychiatry clinic of the university hospital between the dates of February 2014 and July 2014 constitute sample for the study. The study sample consisted of a total of 216 patients. Data were collected using a questionnaire form and the Eating Attitude Test. The mean age of the patients was 37±0.5, and 56.9% of the patients were female. Problems in eating behavior were observed in 11.6% of the patients, and a statistically significant relationship was found between the risk of eating disorders and diagnosis, gender, exercise and self-perception of weight. The risk of eating disorders was more frequently observed in patients diagnosed with depression, in female patients with a self-perceived weight problem and do not exercise.

Females' Attitudes Toward Mental Illness: A Sample From Rural Istanbul, Turkey.

BACKGROUND: The beliefs, attitudes and behaviors of the society toward mentally ill patients may prevent these people from seeking help and accessing a successful treatment. OBJECTIVES: The current study aimed to investigate mental illness among Turkish females residing in rural areas and their attitudes toward mental illness. PATIENTS AND METHODS: The current study was inferential cross-sectional. The population of this study consisted of 1000 households registered at the primary healthcare centre in Ademyavuz area who met the study inclusion criteria. The sample size was 387 females. Using the simple random sample selection method, certain females living in these households were included in the study. The socioeconomic status of the population in this region is low and middle-class. The adult population of the region is 10,960. Females comprise 39.8% of Ademyavuz population. The prevalence of mental illness in the district is unknown. Data were collected by face-to-face interviews using a researcher made questionnaire and the opinions about mental illness scale (OMI) in autumn 2008. The interviews were conducted at the participants' houses and lasted for 20 - 30 minutes. The females gave their informed consent and were assured that their information would be treated as strictly confidential. RESULTS: The females in the rural research area had negative attitudes and stigmas about mental illness. The subject of the current study exhibited a total mean score of 155.6 ± 24.5 in terms of their attitudes toward mental illness. Mean scores in the unsophisticated benevolence sub-scale were 42.5 ± 8.2, 34.2 ± 7.9 in the authoritarianism sub-scale, 25.5 ± 6.3 in the mental illness ideology sub-scale, 34.0 ± 7.4 in the social restrictiveness sub-scale, and 20.0 ± 6.0 for the interpersonal etiology sub-scale. The current study found that individuals exhibited more positive attitudes towards mental illnesses as they got older ((Kvx2) = 19.42; P < 0.0001), married people exhibited a more positive attitude towards mental illnesses than singles did (Kvx(2) = 19.42; P < 0.0001), those who considered themselves to have a good economic status exhibited a more negative attitude towards mental illnesses compared to the ones who thought their economic status as poor or average (Kvx(2) = 5.11; P = 0.024). CONCLUSIONS: Nurses have an important role in creating and maintaining a mentally healthy society. It is advisable to provide the public with training and consultancy services within the context of primary healthcare services, especially during home visits to change the negative attitudes of individuals against the mentally ill and prevent approaches that promote social isolation and denouncement.

Care Burden Level and Mental Health Condition of the Families of Individuals With Mental Disorders.

This study was conducted to assess burden of care levels and the mental health of the family members providing care to persons with mental disorders. The data were collected using the Information Form, Burden Assessment Scale (BAS) and General Health Questionnaire-12 (GHQ) (N=243). Of the caregivers included in this study, 67.49% were found to be at risk, and 47.3% of the caregivers were found to be at a high risk of developing mental disorders like depression and anxiety. A positive and statistically significant relation was identified between the BAS scores and GHQ scores of the caregivers (r=0.498; p=0.001).

Internalized Stigma and Perceived Family Support in Acute Psychiatric In-Patient Units.

AIM: This descriptive study aims to identify the relationship between internalized stigma and perceived family support in patients hospitalized in an acute psychiatric unit. METHOD: The sample is composed of 224 patients treated in an acute inpatient psychiatric ward in Istanbul, Turkey. The data were collected using information obtained from the Internalized Stigma of Mental Illness Scale and Social Support from Family Scale. RESULTS: The mean age of the patients was 37±11.56years, and the mean duration of treatment was 6.27±5.81years. Most patients had been hospitalized three or more times. Of the total number of patients, 66.1% had been taken to the hospital by family members. We noted a statistically significant negative correlation between the total scores obtained from the perceived Social Support from Family Scale and the Internalized Stigma of Mental Illness Scale. CONCLUSION: The patients were observed to stigmatize themselves more when the perceived social support from their family had decreased.

Psychiatric patients' perspective: nursing uniforms.

This paper studied and determined the importance of the design and color of selected uniforms of psychiatric nurses and evaluate their effects and implications for patients. In this descriptive study, a questionnaire developed by the researchers and a nursing uniforms catalog were used during the data collection stage of the research. There were 40.9% of the participants who told that the design and color of a nursing uniform is important and 31.5% of the participants selected white uniform color from the catalog for psychiatric nurses and 33.9% of the patients expressed that they find white nursing uniforms comforting.

Psychometric properties of the Turkish version of the Fraboni Scale of Ageism.

In this study, the reliability, validity, and psychometric properties of the Turkish version of the Fraboni Scale of Ageism were assessed. The psychometric properties of the scale were studied through a descriptive and correlational design. The study sample consisted of 231 healthy people living in the Marmara region of Turkey. In order to obtain three sets of data, a questionnaire was designed containing demographic questions and the Scale. The content validity index for the full scale was 0.98. The α coefficient for 25 items was 0.84, and the split-half reliability of the Fraboni Scale of Ageism was 0.81. The three factors represented 38.31% of the variance. In this study, we concluded that the Turkish version of the Fraboni Scale of Ageism is a suitable instrument for measuring ageism in the Turkish population.

Assessing time-management skills in terms of age, gender, and anxiety levels: a study on nursing and midwifery students in Turkey.

INTRODUCTION: The success of university students depends on their ability to utilize time properly and completely. Students are required to learn to manage time so that they are able to apply the same degree of efficiency in the profession they choose after completing their education. METHODS: This descriptive, cross-sectional study was conducted to determine nursing and midwifery students' time management skills in terms of their age, gender, and anxiety levels. The study population consisted of 1002 students, of which 584 students were selected for sampling. A Student Information Form, Time Management Inventory, and State-Trait Anxiety Inventory were used to collect data. RESULTS: Among the students, 89.9% were female, and the average age was 20.58 years (SD = 2.10). The average score of the Time Management Inventory was 87.79 (SD = 11.78), the mean score of the State Anxiety Inventory was 40.11 (SD = 10.84), and that of the Trait Anxiety Inventory was 43.95 (SD = 7.98). CONCLUSIONS: Nursing and midwifery students' time management skills are at mid-level point. Female students were able to manage time better than male students and the time management skills of the students decreased as the anxiety level increased.

Irrational beliefs and test anxiety in Turkish school adolescents.

The purpose of this descriptive and correlational study was to determine the extent to which irrational beliefs of students in early adolescents predict test anxiety. The study sample consisted of 557 students recruited from primary schools in Turkey. The Irrational Beliefs Scale for Adolescents (IBS-A) and the Test Anxiety scale were used as data-collection instruments. As a result of this study, there was a positive, significant correlation between mean scores on the Text Anxiety scale and total score, and the three subscale (demand for success, demand for comfort, and demand for respect) scores on the IBS-A. It was also found that demand for comfort and success are more statistically significant predictors of test anxiety levels of the students compared to demand for respect.

Raising an autistic child: perspectives from Turkish mothers.

PROBLEM: Autism is an illness with severe deficits in reciprocal social interactions, imagination, communication, and restricted or unusual behavioral repertories that affect all areas of a child's life such as daily living activities, home/school life, and relationships with family members and others. Yet, there is much to be learned about the impact of this disorder on parents' experiences, and ways in which their lives are altered and ways that they can be assisted to better manage the home environment. METHODS: The purpose of this study was to explore and categorize the experiences of mothers having an autistic child using a phenomenological design in the qualitative tradition. Semistructured interviews were conducted with 43 mothers regarding their experiences with their autistic children. Data were analyzed with deductive content analysis based on coding, and were grouped into categories based on common themes. The distributions of common responses in categories were presented as percentages. FINDINGS: Based on this qualitative study, mothers expressed feelings of burden and stress because of their child's behaviors associated with autism, as well as their own role and future expectations, and the complexity of care needed by their children at home. CONCLUSIONS: This study provided new knowledge about the difficulties and experiences of mothers of autistic children in Turkey. The results underscored the needs of mothers who require support from family members, healthcare organizations, and society. The findings support the need for training programs for mothers and parents conducted by nurses and other healthcare professionals who have special knowledge and skill to provide education and modeling of therapeutic interventions.