RESUMO
This cross-sectional study aimed to investigate the effect of the frequency of using pornography on psychogenic erectile dysfunction severity after controlling for other psychological factors. It then evaluated the mediating role of dyadic adjustment regarding this. This study included 66 young married heterosexual male patients who were diagnosed with psychogenic erectile dysfunction after organic causes were excluded. The patients filled out the form about demographics, the age of onset of pornography use, and the frequency of pornography use. All participants were evaluated using a comprehensive data form, the International Index of Erectile Function, the Dyadic Adjustment Scale, the Patient Health Questionnaire-Somatic, Anxiety, and Depressive Symptoms, the Perceived Stress Scale, and the Rosenberg Self-Esteem Scale. A significant strong negative correlation was determined between the International Index of Erectile Function scores and pornography use frequency (r = -0.535 and p < 0.001). Pornography use frequency and Dyadic Adjustment Scale scores were found to have a significant predictive effect on erectile dysfunction scores in hierarchical regression analysis after controlling for somatization, depression, and perceived stress, which are typically correlated with erectile dysfunction scores (Beta = -0.28, and 0.34 respectively, p = 0.02, and 0.01 respectively). The Sobel test conducted to evaluate the mediating effect of dyadic adjustment revealed that dyadic adjustment played a mediating role in the correlation between pornography use frequency and erectile dysfunction scores (z = -1.988 and p = 0.047, respectively). The most significant observation of this study was the specific causative effect of pornography use frequency on erectile dysfunction severity through dyadic adjustment, especially considering that the frequency of using pornography is a modifiable factor.
RESUMO
Objective: This study aimed to investigate the effects of anger and family functions on bullying behavior in adolescents and young adults who are followed up with the diagnosis of substance use disorder. Methods: A total of 100 patients, whose ages were between 15 and 25 years and who were diagnosed as having substance use disorder, were included as study participants. All participants were subjected to the Sociodemographic Data Form, Family Assessment Device, Trait Anger-Anger Expression Scale, and Bullying Tendency Scale. Results: It was found that there was a positive relationship between bullying tendency scores and trait anger and anger expression outward scores and a negative relationship with anger control scores. It was observed that there was a positive correlation between subdimension scores of problem solving, roles, and showing necessary attention with respect to family function dimensions and bullying tendency scores. In the multivariate regression model evaluating the predictive power of independent factors associated with bullying tendency, it was observed that anger control from anger subdimensions and problem solving from family function subdimensions had a predictive effect on bullying tendency, and the combination of these 2 factors explained 26% of bullying tendency scores. Conclusion: In this study, it was observed that most of the anger and family function dimensions were related to bullying tendency; in particular, the anger control difficulties and the problem-solving skills in the family were the factors that predicted bullying behavior. We think that addressing these factors that have an impact on bullying behavior in the treatment process will be important to regulate the relations with the outside world in this age group.
RESUMO
Objectives: This study aims to investigate the effect of childhood traumas on the disease severity in fibromyalgia and evaluate the mediating role of psychological resilience in this effect. Patients and methods: Between June 2017 and January 2018, this study included a total of 80 female patients (mean age: 31.9±4.0 years; range, 20 to 40 years) with fibromyalgia according to the 2010 American College of Rheumatology fibromyalgia diagnostic criteria. All patients were evaluated using the sociodemographic data form, Resilience Scale for Adults (RSA), Childhood Trauma Questionnaire (CTQ), and Fibromyalgia Impact Questionnaire (FIQ). Results: A positive correlation was observed between the FIQ and CTQ total scores, emotional abuse, physical abuse, and physical neglect scores. The FIQ was negatively correlated with the RSA scores. Path analysis conducted to evaluate mediating effect of psychological resilience revealed that psychological resilience had a mediator role in the correlation between FIQ and emotional abuse, physical abuse, and physical neglect scores. Conclusion: The main finding of this study is the protective effect of psychological resilience -improvable capacity to cope with early life traumas- on fibromyalgia symptoms that leads to negative functioning of several aspects.
RESUMO
PURPOSE: To investigate health anxiety-related factors in the early stages of pandemic in Turkey. DESIGN AND METHODS: This study included 1046 participants who responded to the online survey anonymously between 28 March and 04 April 2020. FINDINGS: Demographic data, postpandemic attitudes towards the elderly and precaution-taking behaviors were health anxiety-related factors. The main predictors of the health anxiety were the level of hopelessness, perception of self, time spent on social media, and following COVID-19 pandemic-related news. PRACTICE IMPLICATIONS: The results of this study are important in terms of understanding the health anxiety during the pandemic and providing data support for the proper interventions.
