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Öğe Alexithymia and Forgiveness Levels of Forensic Psychiatric Patients(Slack Inc, 2024) Polat, Hatice; Karakas, Sibel Asi; Ercel, Seyda; Tasci, GulayThe current cross-sectional study was performed to examine levels of alexithymia and forgiveness in forensic psychiatric patients. Data were collected between March 2022 and August 2022 at a high-security forensic psychiatric hospital affili-ated with a city hospital in Turkey. A personal information form prepared by the researchers, the Toronto Alexithymia Scale, and the Heartland Forgiveness Scale were used to obtain data. Participants comprised 132 forensic psychiatric patients who agreed to participate in the study. A significant negative correlation was found between alexithymia and forgiveness levels of participants (p < 0.01, r= -0.259). In other words, as alexithymia levels increased, participants were found to be less forgiving. In addition, results suggest that forensic psychiatric patients are suscep-tible to alexithymia and higher levels of forgiveness. Determining forgiveness and alexithymia levels of forensic psychiatric patients will contribute to the structuring of care to be offered to these patients. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.]Öğe Assessing Psychological Resilience and Stress Symptoms in Health Care Workers Following the 2023 Kahramanmaraş Earthquake(Cambridge Univ Press, 2025) Polat, Hatice; Ugur, Kerim; Sun, TunahanObjectives The study was conducted to assess the psychological resilience and stress symptoms in health care workers following the 2023 Kahramanmara & scedil; earthquake.Methods The study was completed with a sample size of 313 health care workers who experienced the earthquake and was carried out in a descriptive and correlational design. The Sociodemographic Data Form, Brief Psychological Resilience Scale (BPRS), and Traumatic Stress Symptom Scale-5 (TSSS-5) were used.Results The study found that 39.6% of health care workers were diagnosed with post-traumatic stress disorder, 41.2% of participants considered leaving their jobs after the earthquake, and 79.9% reported a decrease in job motivation (slight or a lot). It was determined that there was a negative correlation between the participants' BPRS scores and TSSS-5 scores (r:-0.523, P = 0.00).Conclusions In accordance with the findings of our study, it can be posited that traumatic stress symptoms diminished as the level of psychological resilience increased in health care workers who experienced the earthquake.Öğe Denetimli Serbestlik Polikliniğine Başvuran Madde Kullanım Bozukluğu Tanılı Bireylerde İntihar Davranışı(Galenos Yayınevi, 2021) Uğur, Kerim; Tamam, Lut; Demirkol, Mehmet Emin; Yıldız, Sevler; Kartal, Fatma; Kazğan, Aslı; Polat, HaticeAmaç: Bu çalışmada Denetimli Serbestlik (DS) Polikliniğine başvuran Madde Kullanım Bozukluğu (MKB) tanılıbireylerde psikolojik acı, çocukluk çağı ruhsal travmaları, aleksitimi, dürtüsellik ve psikolojik dayanıklılığın intihargirişimi ile ilişkisinin incelenmesi amaçlanmıştır.Yöntem: Çalışma DS Polikliniğine başvuran 120 kişi ve sağlıklı kontrol ile yapılmıştır. Tüm katılımcılara; SosyoDemografik Veri Formu, Çocukluk Çağı Ruhsal Travma Ölçeği (CTQ-28), Toronto Aleksitimi Ölçeği (TAÖ), PsikolojikAcı Ölçeği (PAÖ), Barratt Dürtüsellik ölçeği (BDÖ), Psikolojik Dayanıklılık ölçeği (PDÖ) uygulanmıştır.Bulgular: İntihar girişimi olan hastaların PAÖ, TAÖ, BDÖ, CTQ-28 ölçek puanlarının daha yüksek olduğu tespitedilmiştir. İntihar girişimi riskini tahmin etmek için kurulan modelde (forward stepwise) PAÖ, TAÖ-A, PDÖ-sosyalyeterlilik ve BDÖ-toplam değişkenlerinin modele anlamlı katkı yaptığı bulunmuştur. Anlamlı olan dört değişkeninintihar riskindeki değişimin % 65,6’sını açıkladığı tespit edilmiştir.Sonuç: MKB’lerde psikolojik acı, aleksitimi, dürtüsellik ve çocukluk çağı travmalarının yüksek, psikolojikdayanıklılığın daha düşük olmasının intihar riskini değerlendirmede öngörürücü etkenlerdir.Öğe Investigating social media addiction and impact of social media addiction, loneliness, depression, life satisfaction and problem-solving skills on academic self-efficacy and academic success among university students(Frontiers Media Sa, 2024) Aslan, Imran; Polat, HaticeIntroduction: The negative effects of post-COVID-19 restrictions have been detected in students' mental well-being due to internet addiction, changing habits, despair and uncertainty. Students' academic success is expected to be affected by social media addiction, loneliness, depression, life satisfaction, problem solving skills and academic self-efficacy factors. This study aimed to determine the level of social media addiction and the effects of these factors on the academic success of university students and define their interactions with each other. Methods: Four hundred nineteen questionnaires were collected between October-December 2022 at Bingol University, Turkiye. Descriptive statistics, independent t-test, One-Way ANOVA, correlation and multiple linear regression methods were used to analyze data with the help of the SPSS 22 software. Results: Middle level grade (GPA) average (71,17 +/- 9,69 out of 100), low level social support from friends and family members (34,6%), spending more than 4 h on social media (42,5%), middle level social media addiction, moderate depression level (51,31%-PHQ > 10), mild loneliness and slight dissatisfaction with life were found among students. Furthermore, high academic self-efficacy, moderate agreement with academic performance and good problem-solving skills were indicated in the survey results. Significant differences, such as higher life satisfaction among males and higher depression among females, were measured. Academic self-efficacy scale, problem solving skills and satisfaction with life had a negative correlation with social media addiction and depression, while a positive correlation with academic performance measures. Problem solving skills, satisfaction with life, fourth class vs. others and living alone vs. others were positive predictors of the academic self-efficacy. Meanwhile, loneliness was a negative predictor of the academic self-efficacy, while higher problem-solving skills and being female were positive factors leading to a higher GPA. Discussion: The fact that the participants were only students from Bingol University limits the ability to generalize the results. Policymakers could implement social and problem-solving skills training to develop better academic programs and cognitive-behavioral therapy for students' academic success.Öğe Investigation of Optic Nerve Sheath Diameter, Intraocular Pressure, and Dry Eye in Patients with Borderline Personality Disorder: The Role of Childhood Trauma(Mdpi, 2025) Sun, Tunahan; Cakar, Demet Dursun; Yesiloglu, Caner; Demirkol, Mehmet Emin; Tamam, Lut; Ugur, Kerim; Polat, HaticeBackground/Objectives: Borderline personality disorder (BPD) is a psychiatric disorder characterized by emotional instability, impulsive behavior, and impaired interpersonal relationships. It is associated with a high prevalence of childhood trauma and neurobiological changes. This study aimed to compare ophthalmologic parameters, namely, optic nerve sheath diameter, intraocular pressure, and dry eye, in patients with BPD with healthy controls and to investigate the relations between these parameters and childhood trauma. Methods: This study included 51 female patients with BPD between the ages of 18 and 35 years, who were not using psychotropic medication, and 51 healthy controls matched for age and educational level. Optic nerve sheath diameter, intraocular pressure, and tear break-up time were measured, and trauma history was evaluated using the Childhood Trauma Questionnaire-Short Form. Independent t-test and Pearson correlation analysis were used in statistical analyses. Results: Patients with BPD were found to have significantly higher mean optic nerve sheath diameter scores (left: 3.94 +/- 0.43, right: 3.97 +/- 0.47) compared with healthy controls (left: 3.76 +/- 0.44, right: 3.78 +/- 0.45) (p < 0.05). The groups showed no significant difference in intraocular pressure and dry eye parameters (p > 0.05). A significant positive correlation was noted between emotional abuse scores and the optic nerve sheath diameter of the left eye in patients with BPD (p < 0.05; r = 0.364). Conclusions: An increased optic nerve sheath diameter may be a potential peripheral biomarker reflecting chronic stress or changes in intracranial physiology in patients with BPD. This increase is particularly associated with a history of emotional abuse. Ophthalmological parameters may contribute to understanding the neurobiological basis of BPD and serve as peripheral biomarkers or indicators of neurobiological changes.Öğe Investigation of the Relationship Between Family Accommodation, Alexithymia, and Emotional Regulation Difficulty in Obsessive-Compulsive Disorder(Korean Neuropsychiatric Assoc, 2025) Kartal, Fatma; Polat, Hatice; Kurt, AydinObjective The aim of the study is to explore the relationship between family accommodation, emotion regulation difficulties, and alexithymia in obsessive-compulsive disorder (OCD). Methods The study group consisted of 107 individuals diagnosed with OCD, while the control group included 151 healthy individuals. Sociodemographic data form, Yale-Brown Obsessive Compulsive Scale (YBOCS), Family Accommodation Scale-Patient Version (FAS-PV), Toronto Alexithymia Scale (TAS), and Difficulties in Emotion Regulation Scale (DERS) were used to collect data. Results In our study, it was found that the median DERS and TAS scores of the participants were significantly higher in the OCD group than in the control group. A moderate positive correlation was found between FAS-PV and the total score of YBOCS (p=0.002, r=0.302). Statistically significant, low to moderate, positive correlations were observed between FAS-PV and the total score of DERS (p=0.001, r=0.319). Furthermore, a statistically significant, moderate to low correlation was found between YBOCS and the total score of DERS. A positive and substantial influence on FAS-PV is provided by the YBOCS variable (B=0.571, p=0.01). Conclusion In conclusion, this study found that difficulty in emotion regulation and alexithymia levels were higher in individuals with OCD compared to healthy controls, and that family accommodation was related to both difficulties in emotion regulation and alexithymia. Finally, it was determined that difficulty in emotion regulation has a mediating effect in the relationship between family accommodation and alexithymia. It is suggested that longitudinal studies be conducted to further support the data presented by this study. Psychiatry Investig 2025;22(12):1368-1378Öğe Investigation of the relationship between forensic psychiatry patients' violent behaviors and levels of treatment adherence and hope(Ugur, Kerim, 2021) Polat, Hatice; Ugur, KerimINTRODUCTION: This study was conducted to examine the relationship between violent behaviors of forensic psychiatry patients and their adherence to treatment and level of hope. METHODS: This study used a descriptive and correlational research design. July 2020 October 2020 data of the study was collected and a total of 134 patients participated in the study. A personal information form, Morisky Adherence Scale, Taylor crime violence Rating Scale and Herth Hope Scale were used for data collection. RESULTS: It was determined that 40.3% of the patients participating in the study exhibited moderate violent behavior, 63.4% had low levels of adherence to treatment and hope levels were 40.14±21.80. It was determined that there was a negative significant relationship between the levels of hope and treatment adherence of violent behavior of patients (p<0.05). DISCUSSION AND CONCLUSION: It was determined that most forensic psychiatry patients had low adherence treatment and moderate violent behavior, and that there was a negative association between patients ' violent behavior and their level of hope and adherence to treatment.Öğe Psychological rigidity, alexithymia and treatment motivation in individuals diagnosed with substance use disorder(Taylor & Francis Inc, 2024) Polat, Hatice; Ugur, Kerim; Yildiz, SevlerObjective: In this study, we examined the relationship between psychological rigidity, alexithymia, and treatment motivation in individuals diagnosed with substance use disorder (SUD). Methods: 164 patients diagnosed with SUD who were admitted to Alcohol and substance addiction treatment outpatient clinic were included in the study. Sociodemographic data form, Acceptance and Action Questionnaire-II (AAQ-II), Toronto Alexithymia Scale (TAS-20), Treatment Motivation Questionnaire (TMQ) were applied to all participants. Results: A significant positive relationship was found between the TAS total dimension and all its sub-dimensions and the AAQ-II total score (p < 0.01). A statistically significant difference was found between both TMQ total scores and AAQ-II total scores, depending on the participants' alexithymia status (p < 0.05). Conclusions: It was determined that individuals with SUD who participated in this study were prone to alexithymia and had moderate levels of psychological rigidity and treatment motivation.Öğe The relationship of suicidal ideation with psychological pain and anger rumination in patients with major depressive disorder(Elsevier, 2021) Uğur, Kerim; Polat, HaticeObjectıve The study was conducted to determine the association between ruminating anger and mental pain with suicidal ideation in patients diagnosed with major depression disorder. Methods The study with 156 patients diagnosed with major depressive disorder was carried out in a cross-sectional study design. Personal Information Form, Reflection on Anger Scale, Psychological Pain Scale and Beck Depression Scale were used. Results It was concluded that there was a statistically equal directional and linear relationship between the Meebunney and Beck depression scores of all patients diagnosed with a major depressive disorder and the total reflective anger score and its sub-dimensions. Suicidal attempts and psychological pain and depression levels were found to be effective in the increase in suicidal ideation in the patients with major depressive disorder. Conclusions Studies with larger samples are recommended to determine the factors that may pose a risk of suicidal ideation in patients diagnosed with majör depressive disorder.Öğe The Effect of Alexithymia, Metacognitive Beliefs and Self-Efficacy on Disability in Patients With Schizophrenia: A Cross-Sectional Study(Wiley, 2026) Polat, Hatice; Ugur, Kerim; Sun, TunahanIntroduction Schizophrenia is a chronic mental disorder and one of the leading causes of disability worldwide, with greater levels of disability being associated with lower general self-efficacy. Reducing disability and enhancing self-sufficiency in individuals diagnosed with schizophrenia are among the primary goals of treatment and care. Aim This study aimed to examine the effects of alexithymia and metacognitive beliefs on self-efficacy levels and disability in individuals diagnosed with schizophrenia. Methods The study was conducted with 145 individuals under the age of 30 (67 individuals diagnosed with schizophrenia and 78 healthy controls) using a descriptive and correlational design. Data were collected using a sociodemographic data form, the Toronto Alexithymia Scale (TAS-20), the Metacognition Questionnaire (MCQ-30), the General Self-Efficacy Scale (GSES) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Results Compared to the control group, the patient group demonstrated significantly higher TAS-20, MCQ-30 and WHODAS 2.0 scores, and significantly lower GSES scores (p < 0.05). The patients' total MCQ-30 scores were significantly associated with both WHODAS 2.0 and GSES scores (p < 0.05); however, TAS-20 did not mediate the relationship between MCQ-30 and WHODAS 2.0 (p > 0.05), whereas it showed a significant mediating effect in the relationship between MCQ-30 and GSES (p < 0.05). Discussion Patients exhibited higher disability and lower general self-efficacy than the control group. Cognitive-behavioural and metacognitive therapeutic approaches targeting alexithymia may contribute to improved functioning and reduced disability in individuals with schizophrenia. Implications for Practice The findings improve understanding of factors related to disability and diminished general self-efficacy in individuals with schizophrenia and may inform the development of targeted psychosocial interventions. Relevance Statement Self-efficacy and disability are key determinants of recovery in schizophrenia. By demonstrating the roles of alexithymia and metacognitive beliefs, this study provides a conceptual framework to guide clinical practice and supportive care strategies.Öğe The effect of cyberchondria on anxiety and surgical fear levels in surgical oncology patients(Springer, 2025) Polat, Hatice; Kapikiran, Gurkan; Kartal, MertThis study was conducted to examine the relationship between cyberchondria, surgical fear and anxiety in patients undergoing oncological surgery. This descriptive study was conducted with 163 patients in the general surgery clinics of a university hospital in T & uuml;rkiye between January and December 2023. The study revealed that mean total scores of cyberchondria, surgical fear and anxiety scales were moderate with values of 39.87 +/- 12.66, 45.84 +/- 19.80, and 28.83 +/- 11.76, respectively. A moderately significant positive correlation was observed between cyberchondria and surgical fear and anxiety levels (r:0.688, and r:0.684; p = 0.000, respectively), while a strongly significant positive relationship was found between surgical fear and anxiety levels (r: 0.759, p = 0.000). The results also demonstrated that 47% of patients' fear of surgery could be attributed to the independent variable of cyberchondria (R2: 0.470). The results demonstrated that 46% of the variance in anxiety levels could be attributed to the cyberchondria independent variable (R2: 0.468). The pervasive use of the internet has given rise to a growing tendency among individuals to seek disease-related information online. The study found that the patients exhibited moderate levels of cyberchondria, with an increase in the tendency corresponding to an increase in surgical fear and anxiety. It is recommended that healthcare professionals share detailed information with patients in a way that does not encourage them to engage in excessive online medical research and allocate sufficient time to patients to alleviate their surgical anxiety and fear.Öğe The effect of functional remission and cognitive insight on criminal behavior in patients with schizophrenia(W B Saunders Co-Elsevier Inc, 2023) Polat, Hatice; Ugur, Kerim; Aslanoglu, Eren; Yildiz, Sevler; Yagin, Fatma HilalObjective: This study was planned to determine the relationship of functional remission with a criminal history and determine its effect on criminal behavior in patients with schizophrenia.Methods: This cross-sectional study was conducted with 132 patients with schizophrenia (66 with and 66 without a criminal history). Data were collected between November 2020 and April 2021 using a personal information form, the Functional Remission of General Schizophrenia (FROGS), the Taylor Crime Violence Rating Scale, the Beck Cognitive Insight Scale, and the Positive and Negative Syndrome Scale (PANSS) was used to collect data.Results: In terms of all scale variables, there were significant differences between the groups with and without a criminal history (p < 0.05). These differences were mostly clearly observed in the FROGS-social functionality (effect size: 16.79), PANSS-positive (effect size: 2.62) and FROGS-health and treatment (effect size: 2) subscales. Conclusions: In this study, it was determined that as the symptoms of the illness increased in schizophrenia, the patients' functional remission and insight decreased, and their tendency to commit crimes increased. Psychiatric nurses can plan therapeutic interventions to increase the functionality and insight levels of patients with schizophrenia.Öğe The Effect of Hope on Functional Recovery in Patients With Schizophrenia: A Cross-Sectional Study(Wiley, 2025) Ay, Eda; Polat, HaticeObjective To determine the effect of hope on functional recovery in individuals diagnosed with schizophrenia. Materials and Methods This correlational, cross-sectional study was conducted at the Psychiatry Outpatient Clinic of a hospital in eastern T & uuml;rkiye between June 2022 and January 2023. Data were collected using a personal information form, the Herth Hope Index (HHI), and the Functional Remission of General Schizophrenia (FROGS) scale. The study included 136 patients diagnosed with schizophrenia according to the DSM-5 diagnostic criteria. Data were analyzed using percentage distributions and mean values, as well as Pearson correlation and regression analyses. Results The mean total FROGS score of the patients was found to be 47.25 +/- 15.2, while the mean total HHS score was 45.22 +/- 22.63. A statistically significant positive correlation was identified between the mean scores of all subscales of the FROGS and HHS, as well as between their total scores (p < 0.05). Regression analysis revealed that the level of hope in patients with schizophrenia had a 60% effect on functional recovery (F = 203.61; R-2 = 0.603; p <= 0.001). Conclusion The findings of this study indicated that patients diagnosed with schizophrenia had moderate levels of hope but low functional recovery scores. Additionally, a significant and positive relationship was observed between hope and functional recovery, demonstrating that hope is an influential factor in enhancing functional recovery. Therefore, it is recommended that interventions aimed at increasing levels of hope be planned and implemented within treatment and rehabilitation programs.Öğe The impact of post-earthquake anxiety and depression on erectile dysfunction: A cross-sectional study after the February 6, 2023 Earthquakes in Turkiye(Kare Publ, 2026) Bugday, Muhammet Serdar; Akdemir, Ender; Ugur, Kerim; Cakmak, Battal Selcuk; Akbulut, Mehmet Levent; Polat, HaticeOBJECTIVE: This study aimed to evaluate the effects of the February 6, 2023, earthquakes in Turkiye on anxiety and depression levels and their impact on erectile dysfunction (ED). METHODS: A total of 164 men aged 25-55 were enrolled between July 15, 2024, and January 15, 2025. Ninety-seven patients who presented with ED after the earthquakes were included as the study group, and 67 healthy individuals without ED were enrolled as controls. All participants completed the Arizona Sexual Experiences Scale (ASEX), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), World Health Organization Quality of Life-BREF (WHO-QOL-BREF), and International Index of Erectile Function (IIEF-5). Statistical analyses were conducted using chi-square, t-tests, and ANOVA. RESULTS: There were no significant differences between the groups regarding age and marital status. Patients with ED had significantly higher ASEX, HAM-A, and HAM-D scores and significantly lower WHOQOL-BREF scores compared to controls (p=0.001). Among ED patients, 52 (53.6%) had severe ED, 40 (41.2%) had moderate, and 5 (5.2%) had mild symptoms. ASEX scores were significantly higher (p=0.01), and WHOQOL-BREF general health scores were significantly lower in patients with severe ED compared to those with milder forms (p=0.001). CONCLUSION: The February 6 earthquakes were associated with increased anxiety and depression and decreased quality of life in men, which significantly contributed to the prevalence and severity of ED. These findings highlight the importance of addressing sexual health as part of post-disaster psychosocial support.
