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Öğe Determination of distress, emotional eating and internalized weight bias levels of Turkish pregnant women(Taylor & Francis Inc, 2023) Celik, Gulay; Yilmaz, Emine; Nazik, Feyza; Unver, HacerThis study was conducted to determine the stress, emotional eating and weight bias levels of Turkish pregnant women. The study sample was composed of 210 pregnant women, who met the research inclusion criteria and admitted to the obstetrics and gynaecology outpatient clinics of Bingol Hospital for Obstetrics and Gynaecology. Research data were collected between December 2018 and June 2019, using face-to-face interview technique. Personal Information Form, Tilburg Pregnancy Distress Scale (TPDS), Internalised Weight Bias Scale (IWBS), and Emotional Eating sub-scale items of the Netherlands Eating Behaviour Questionnaire used to collect data. In our study, 47.9% of pregnant women were found to be overweight or obese according to the pre-pregnancy body mass index (BMI) average. Pregnant women experience a moderate level of stress, emotional eating and weight bias. It was found that there was a statistically significant relationship between the weight bias score averages and the emotional eating and stress score averages of the pregnant women (p < .05). In our study, stress, emotional eating and weight bias score averages of pregnant women in the 3rd trimester were found to be higher than that of the pregnant women in the 2nd trimester (p < .05). It has been determined that nearly 1in 2 pregnant women was overweight or obese, when BMI level of the women increased, weight stigma and emotional eating of them also increased. IMPACT STATEMENT What is already known on this subject? To be overweight or obese pre-pregnancy is risk for pregnancy complications and adverse birth outcomes. What do the results of this study add? It is important to inform nurses about the relationship between stress, weight bias, eating disorders, and obesity; moreover, care should be providing with the awareness that pregnant women with obesity are at greater risk in terms of these factors. It is of great importance to provide the necessary training and counselling by nurses to ensure the psychological adaptation of pregnant women to childbirth and the postpartum period. Besides, any disadvantage or disparity between overweight and obese pregnant women in the care process should be eliminated, and all pregnant women, regardless of their body size, should have equal access to supportive prenatal and postnatal care. What are the implications of these findings for clinical practice and/or further research? It is of great importance to providing training and consultation by nurses on coping with stress and stigma and eating during pregnancy in order to ensure psychological adjustment of the pregnant women to childbirth and the postpartum period, which are at risk in terms of stress, emotional eating and weight bias factors.Öğe The effect of hope on the treatment adherence of schizophrenia patients(2018) Kavak, Funda; Yilmaz, EmineAim: This study was conducted to determine the effects of hope on treatment adherence in schizophrenia patients. Material and Methods: Between January 2018 and May 2018, 250 adult patients were diagnosed with schizophrenia at a mental health and illness hospital. The study included 105 patients who were in remission without sampling and who were open to communication and collaboration and who agreed to participate in the study. In the data collection, the Descriptive Properties Form, the Herth Hope Scale and the Morisky Treatment Adherence Scale were used by the researchers. In the analysis of data, percentage distribution, arithmetic mean, independent samples t-test, Mann Whitney U test, Kruskal Wallis, ANOVA, and Correlation models were used. Results: In the study, it was found that 60.95% of schizophrenia patients had low treatment adherence. Herth hope scale total score average was 39.20±8.49 in the patients who participated in the study. In the present study, there was a statistically positive correlation between the Herth hope scale subscale and the total score average and the total score average of the Morisky treatment compliance scale (p<.05). Conclusions: As a result of the research, it was determined that schizophrenia patients are incompatible with treatment and hope levels are low. As the hope of schizophrenia patients increases, their adherence to treatment is also increasing. Increasing the awareness of the psychiatric nurses to the concept of hope can help the patient to act as a supportive internal force.Öğe The effect of mindfulness on negative automatic thoughts in cannabis users: a cross-sectional study(Taylor & Francis Inc, 2021) Budak, Funda Kavak; Ersogutcu, Filiz; Yilmaz, EminePurpose: This study was conducted to determine the effect of mindfulness on negative automatic thoughts in cannabis users. Method: The sample size of this cross-sectional study was determined as 60 patients through power analysis. The study was completed with 81 patients. Descriptive characteristics form, mindful attention awareness scale, and automatic thoughts questionnaire-negative was used as the data collection tools. Results: It was determined that the total mean score of the participants was 32.25 +/- 14.09 (low) on the mindful attention awareness scale and 105.52 +/- 26.63 (high) in the automatic thoughts questionnaire-negative. Mindfulness levels of the participants statistically accounted for negative automatic thoughts by 47% (p<0.05). Conclusion: In the study, it was found that there was a negative correlation between mindfulness and negative automatic thoughts in cannabis users.Öğe The effect of psychoeducation given to psychiatry nurses on level of knowledge, attitudes, and practices regarding physical restraint: A randomized controlled study(Wiley, 2019) Kavak, Funda; Yilmaz, Emine; Okanli, Ayse; Aslanoglu, ErenPurpose This study aims to determine the effect of psychoeducation, given to nurses working in a psychiatry clinic, on level of knowledge, attitudes, and practices regarding physical restraint. Design and Methods This study was conducted with a randomized-controlled-study design. A total of 111 nurses were recruited and randomly assigned to experimental (n = 53) and control (n = 58) groups. The experimental group received psychoeducation, while no intervention was applied to the control group. This study was conducted in a psychiatric hospital located in the Eastern Anatolia of Turkey. A Descriptive Form and the Levels of Knowledge, Attitudes, and Practices of Nurses Regarding Physical Restraints Questionnaire were used to collect data. Findings Statistically significant differences were found between the pretest and posttest total mean scores on the level of knowledge (P = .000), attitudes (P = .000), and practices (P = .000) of the nurses in the control group and the study group. Practice Implications An increase in the level of knowledge and positive improvement in attitudes and practices were observed in the nurses who received psychoeducation. Providing nurses with psychoeducation on physical restraint can positively contribute to improving their level of knowledge and to eliminating their negative attitudes and practices on this subject.Öğe The effect of stigma on depression levels of Turkish women with infertility(Wiley, 2019) Yilmaz, Emine; Kavak, FundaPurpose This study was conducted to determine the effect of stigma on depression levels of women with infertility in Turkey. Design and Methods It was completed in the Infertility Polyclinic of the Health Research and Application Center in Eastern Turkey between 1 November 2017 and 31 January 2018. The population of the study consisted of all women who applied to the relevant unit between these dates and received infertility treatment. This study was completed with 121 infertile women. To gather data, the researchers used personal information questionnaires, Infertility Stigma Scale, and the Beck Depression Inventory. Findings The mean score for the stigma level was 60.79 +/- 2.03 and for depression, it was 28 +/- 1.08. A positive significant relationship was found among the scales (P < 0.05). The levels of depression and stigma were moderate, and the stigma had a negative impact on depression. Practice Implications Based on these results, nurses with counseling and trainer roles should be aware of the psychological issues faced by infertile individuals and psychiatric counseling should become a part of the diagnostic process for infertility treatment.Öğe The effect of yoga on clinical insight and medication adherence in patients with schizophrenia - A randomized controlled trial(Elsevier Science Inc, 2019) Budak, Funda Kavak; Yilmaz, EmineIntroduction: Schizophrenia is a chronic mental illness characterized by symptoms including hearing voices or seeing objects that do not exist, weak emotional reactions, and inadequate social relations. Schizophrenia is a long-term disease that is usually treated with anti-psychotic drugs. However, medication alone is insufficient for the treatment of patients with schizophrenia and alternative methods are needed. The aim of this study was to determine the effect that yoga has on the clinical insight and medication adherence in patients with schizophrenia. Methods: This randomized controlled trial was conducted at the Community Mental Health Centre (CMHC). The study was conducted using a pretest / posttest and a control group. There were 50 patients with schizophrenia who participated, including 25 in the intervention group and 25 in the control group. The patients in the intervention group participated in group yoga practices every weekday for 8 weeks. No intervention was applied to the control group, and they received the CMHC's routine care. The Descriptive Characteristics Form, Birchwood Insight Scale, and Morisky Medication Adherence Scale were used to collect data. Results: The difference between the pretest and posttest mean scores for the insight and medication adherence scales was statistically significant in the intervention group (p < 0.01). There was also a statistically significant difference between the control group and intervention group for the pretest-posttest total mean scores on the insight and medication adherence scales (p < 0.01). Conclusion: Yoga appeared to be effective for increasing medication adherence and clinical insight in patients with schizophrenia. It is recommended that yoga should be integrated within the rehabilitation period.Öğe Effectiveness of Interventions in Reducing Substance-Related Stigma: A Systematic Review and Meta-Analysis of Randomized Controlled Trials(Taylor & Francis Inc, 2023) Gur, Ganime Can; Yilmaz, EmineThe purpose of this study was to undertake a quantitative analysis to determine the effectiveness of interventions designed in reducing different types of stigma (self-stigma, social stigma, and structural stigma) for the substance use. This study followed the Cochrane Handbook for Systematic Reviews of Interventions guideline. This study followed the Cochrane Handbook for Systematic Reviews of Interventions guideline. Systematic searches were conducted in PubMed, Science Direct, Web of Science, Scopus, and MEDLINE. These electronic databases were searched research published in English from date of their inception to July 15, 2021. Randomized controlled trials that evaluated interventions on stigma associated with substance use were included. Studies should include at least one stigma outcome involving self-stigma, social stigma, or structural stigmatization. Ten randomized controlled studies were included. The overall Hedges'g for the interventions' impact on reducing stigma was 0.301, 95%CI = [-0.154- 0.755], p = 0.195, that there was no statistically significant difference. However, the meta-analysis showed that interventions had no significant impact on self-stigma [0.682, 95% CI=(-0.015-1.380), p = 0.055] and social stigma [0.198, 95% CI=(-1.271-0.876), p = 0.718] but had a small but significant impact in favor of the experimental group on reducing structural stigma [0.360 (95% CI= 0.156-0.564), p = 0.00]. According to subgroup analyses, there was no difference in the effects of stigma according to the type of intervention, the number of sessions, or the type of group. The interventions for reducing stigma related to substance use are promising. It seems to have a small but significant positive impact on structural stigma.Öğe Effects of Mindfulness-Based Psychoeducation on the Internalized Stigmatization Level of Patients With Schizophrenia(Sage Publications Inc, 2020) Yilmaz, Emine; Kavak, FundaThe aim of this study was to determine the effects of mindfulness-based psychoeducation on internalized stigma in patients with schizophrenia. The patients were recruited from the community mental health centers. This quasiexperimental study was conducted using pretests and posttests with a control group. The participants were 69 patients with schizophrenia; 34 were part of the experimental group and 35 were part of the control group. The patients in the experimental group participated 2 days a week for 6 weeks in a total of 12 sessions which were given in the form of face-to-face group training. The difference between the scale mean posttest scores of the patients in the experimental and control groups was found to be statistically significant (p< .05). In the intragroup comparisons, a significant difference was found between the stigma mean scores in the experimental group (p< .05). It was concluded that mindfulness-based psychoeducation was effective in reducing stigma in patients with schizophrenia.Öğe Effects of Relaxation Exercises and Music Therapy on the Psychological Symptoms and Depression Levels of Patients with Schizophrenia(W B Saunders Co-Elsevier Inc, 2016) Kayak, Funda; Unal, Suheyla; Yilmaz, EminePurpose: This study aims to identify the effects of relaxation exercises and music therapy on the psychological symptoms and depression levels of patients with chronic schizophrenia. Materials and methods: This semi-experimental study was conducted using pre- and post-tests with a control group. The study population consists of patients with schizophrenia who regularly attended community mental health centers in the Malatya and Elazig provinces of Turkey between May 2015 and September 2015. The study's sample consists of 70 patients with schizophrenia (n = 35 in the control group; n = 35 in the experimental group) who were selected randomly based on power analysis. The Patient Information Form, the Brief Psychiatric Rating Scale (BPRS) and the Calgary Depression Scale for Schizophrenia (CDSS) were used for data collection. Patients in the experimental group participated in relaxation exercises and music therapy 5 times a week for 4 weeks. The experimental group of 35 persons was divided into three groups of approximately 10-12 individuals in order to enable all participants to attend the program. No intervention was applied to the patients in the control group. The data were evaluated using percentage distribution, arithmetic means, standard deviations, Chi-square and independent samples t-tests. Results: The study found that patients in the experimental group showed a decrease in total mean scores on the BPRS and CDSS; the difference between the post-test scores of the experimental group and the post-test scores of the control group was statistically significant (p < 0.05). The practice of relaxation exercises and music therapy was proven to be effective in reducing schizophrenic patients' psychological symptoms and levels of depression. Conclusion: Relaxation exercises and music therapy can be used as a complementary therapy in the medical treatment of patients with chronic schizophrenia. (C) 2016 Elsevier Inc. All rights reserved.Öğe Mindfulness-based empathy training supported by Obese Simulation Suit: Randomized Controlled Trial(Springer, 2024) Gur, Ganime Can; Yilmaz, EmineNursing serves as the foundation of patient-centered healthcare services, and the empathetic connections formed between nurses and patients are integral to delivering quality care. In this context, the mental well-being and empathy levels of nurses significantly impact the efficiency of healthcare services and patient contentment. This study investigates the impact of mindfulness-based empathy training and obese simulation suits on nursing students' attitudes and empathy levels towards obese patients. The research, conducted as a randomized controlled trial, encompassed 84 nursing students and employed the Attitude Scale Towards Obese Patients, Jefferson Empathy Scale for Nursing Students, and Descriptive Information Form. Data analysis involved two-factor ANOVA for mixed measurements. The study revealed significant interaction effects between group and time concerning nursing students' attitudes towards obese individuals [F(1,70) = 43.281, p < 0.05] as well as their empathy levels towards obese individuals [F(1,70) = 15.657, p < 0.05]. The experimental group exhibited a noteworthy increase in both attitudes and empathy levels compared to the control group. Furthermore, Single Factor ANOVA for Repeated Measures revealed a statistically significant difference in the experimental group's attitudes and empathy scores across pretest, posttest, and follow-up assessments [p < 0.01, partial eta 2 = 0.492 and 0.186, respectively]. These findings underscore the effectiveness of these interventions in enhancing essential nursing competencies necessary for providing comprehensive patient care. Thus, integrating these methods into the curriculum is recommended to cultivate more positive attitudes and heightened empathy among nursing students, particularly concerning obese patients, throughout their educational journey.Öğe Stigma Resistance Scale: A Psychometric Study in a Turkish Mental Illness Sample(Slack Inc, 2023) Okanli, Ayse; Budak, Merve Inan; Yilmaz, Emine; Ozdemir, Yusuf OzayAccording to the results, acceptable adaptation values were computed (& chi;2/ SD = 1.840, root-mean-square error of approximation = 0.06, standardized root-mean-square residuals = 0.070, comparative fit index = 0.96). In light of the findings, it was concluded that the Turkish version of the Stigma Resistance Scale could be used as a reliable and valid tool in assessing stigma resistance of Turkish psychiatric patients. Health care professionals may use this instrument in clinical practice to identify patients with mental illness who are experiencing stigma. [Psychiatr Ann.
