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Öğe Cognitive Distortions as Barriers to Seeking Smoking Cessation Treatment: A Comparative Study(Mdpi, 2024) Arpacioglu, Selim; Erzincan, Erkal; Ergelen, Mine; Arpacioglu, Beyza; Paltun, Salih Cihat; Yalcin, Murat; Bilici, RabiaBackground/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 Fagerstr & ouml;m 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.Öğe Effect of Education and Social Anxiety on Acoustic, Perceptual and Aerodynamic Parameters of Adult Females(Springer India, 2022) Duymaz, Yasar Kemal; Surmeli, Mehmet; Erzincan, Erkal; Deveci, Ildem; Canakci, Hasan; Yilmaz, Ayse Ash Sahm; Oysu, CagatayIn this study, we hypothesized that social anxiety disorder would be more common in women with lower education levels and that this could have a negative effect on acoustic parameters. A total of eighty-eight (88) healthy female volunteers were enrolled into the study. These volunteers were divided into two groups, which were categorized as those with graduation from elementary school or below (Group A, n = 42) and those with graduation from high school or above (Group B, n = 46). Personal anxiety and avoidance for all participants were evaluated using The Liebowitz Social Anxiety Scale. All subjects also underwent acoustic and aerodynamic voice analysis for evaluation of their objective voice quality and function. Additionally, the GRBAS scale was used for perceptual analysis. Social anxiety scores were higher in group A than group B (p < 0.05). In aerodynamic sound analysis, maximal phonation time was lower in group A than group B (p < 0.05). In perceptual sound analysis, the mean values of the GRBAS parameters for group B were lower than group A (p < 0.05). Mean F0 of Group-B was higher than Group-A in acoustic analysis (p < 0.05). However, there was no statistical difference in jitter, shimmer, NHR and HNR between the groups (p > 0.05). In this study, social anxiety and education has been shown to have an effect on voice in women. As the level of education increases, social anxiety decreases, and both maximum phonation time and fundamental frequency increase.Öğe Effects of COVID-19 Outbreak on Children's Mental Health : A Comparative Study with Children Diagnosed and Isolated from Their Parents(KOREAN NEUROPSYCHIATRIC ASSOC, RN 522, G-FIVE CENTRAL PLAZA 1685-8 SEOCHO 4-DONG, SEOCHO-GU, SEOUL 137-882, SOUTH KOREA, 2021) Kılınçel, Şenay; Tarımtay Altun, Feray; Nuryüz, Özgecan; Tan, Ezgi; Erzincan, Erkal; Kılınçel, Mehmet Oğuzhan; Yazıcı, Esra; Ayaz, MuhammedObjective The COVID-19 outbreak has negatively affected children in many ways. This study aimed to compare the psychological responses of children exposed to different levels of stress during the COVID-19 outbreak. Methods The anxiety levels, negative thoughts, and quality of life of COVID-19-positive children with COVID-19-positive parents (Child+ group, n=17), COVID-19-negative children who are separated from COVID-19-positive parents (Parent+ group, n=59), and a control group (n=64) were compared. The participants completed the Screen for Child Anxiety and Related Disorders (SCARED), Children’s Negative Cognitive Errors Questionnaire (CNCEQ), and Pediatric Quality of Life Inventory (PedsQL). Results The statistical analysis revealed that the Parent+ group recorded higher SCARED and CNCEQ scores and lower PedsQL scores in comparison with the control group. No statistically significant difference was found between the scores of the Child+ and control groups. Furthermore, high CNCEQ scores and low PedsQL scores in the Parent+ group predicted an increase in their SCARED scores. Conclusion Our study indicates that separating children from their parents during the COVID-19 outbreak negatively influences their mental health and increases their anxiety levels.Öğe Erenköy Ruh ve Sinir Hastalıkları Hastanesi Sigara Bırakma Polikliniği Sonuçları: Bilişsel Davranışçı Müdahale ve Farmakoterapi Etkinliğinin İncelenmesi(TURKISH GREEN CRESCENT SOC, SEPETCILER KASRIKENNEDY CAD NO 3 SARAYBURNU, FATIH, ISTANBUL, 34110, TURKEY, 2019) Arpacıoğlu, Selim; Ünübol, Başak; Erzincan, Erkal; Bilici, RabiaNicotine addiction is a dangerous health problem that causes illness and death worldwide. In this study, we aimed to determine the factors affecting successful smoking cessation in patients who attended a smoking cessation clinic and received pharmacotherapy with cognitive behavioral intervention. Successful smoking cessation was defined as quitting smoking for six months. Data on sociodemographic and smoking characteristics were collected from 102 patients who attended the clinic between November 2017 and February 2018 and met the inclusion criteria, including moderate to high nicotine dependency. The rate of smoking cessation was found to be 65.7% at the three-month follow-up and 47.1% at the six-month follow-up. Those who quit smoking were more likely to be older than those who did not. Working in a smoking environment was found to have a negative effect on quitting. Quit rates were significantly associated with receiving pharmacological treatment for sufficient time and the number of control interviews (p<0.05). Relapse rates at the one-year follow-up found that 11.8% and 35.3% of the patients, respectively, did not return to smoking. There was no statistically significant difference in the six-month smoking cessation rate and one-year relapse rates between Nicotine Replacement Therapy (NRT) and non-NRT treatments.Öğe PSYCHIATRIC SYMPTOMS IN COVID-19 PATIENTS AND FACTORS ASSOCIATED WITH THESE SYMPTOMS: COULD PERIPHERAL INFLAMMATION MARKERS BE ONE OF THEM ?(2024) Gökçen, Onur; Akkuş, Merve; Erturhan, Selman; Erzincan, Erkal; Bardakçı, AlperenOBJECTIVE: In addition to respiratory symptoms, there have been reports of increased psychiatric symptoms in COVID-19 patients. In this study, it is aimed to reveal the psychiatric symptoms seen in COVID-19 patients. We also investigated the relationship between these psychiatric symptoms and peripheral inflammatory markers. MATERIAL AND METHODS: The patients were evaluated with \"Interview Forms\" specially created by the researchers for the study. DSM-V Acute Stress Disorder Scale (ASDS); Perceived Stress Scale-10 (PSS-10); State-Trait Anxiety Inventory (STAI-T/S); and finally Hospital Anxiety and Depression Scale (HADS) were used to determine patients' acute and perceived stress levels, depression and anxiety symptoms, state and generalized anxiety levels, and how these psychiatric symptoms were affected by different social conditions. D-dimer, fibrinogen, lymphocytes, CRP (C-reactive protein) and ferritin levels were taken into account as inflammatory markers. RESULTS: Our study included 108 inpatients and 31 outpatients with COVID-19. The ASDS, STAI State Scale, and HADS depression scale scores of inpatients patients were found to be higher compared to outpatient patients. Increased fibrinogen levels in blood tests were found to predict higher acute stress disorder scores. HAD-Depression subscale and fibrinogen levels were also found to be positively correlated with each other. CONCLUSIONS: Stress, depression and anxiety symptoms accompany COVID-19. In addition, high fibrinogen levels may be associated with psychiatric symptoms. Psychiatric symptoms are indirectly affected by physical illnesses. We can say that a pandemic that causes fear and anxiety all over the world may suppress the immune system in individuals and the suppressed immune system may indirectly make the infection more complicated.