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Article Citation - WoS: 5Citation - Scopus: 3The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients With Insomnia Disorder: a Path Model(Springer/plenum Publishers, 2023) Turkarslan, Kutlu Kagan; Cinarbas, Deniz Canel; Perogamvros, LamprosPurpose Researchers have proposed that multiple factors such as hyperarousal, conditioning, worrying, or cortical arousal play roles in the predisposition to, initiation, and perpetuation of insomnia disorder. Previously, only a few studies investigated the differential effects of intrusive visual imagery (IVI) and intrusive verbal thoughts (IVT) on pre-sleep arousal or insomnia severity. The aim of the current cross-sectional study was to examine these effects as well as the moderator role of visual imagery ability (VIA) on the relationship between IVI and pre-sleep arousal.Methods A path model comprising the variables of IVI, IVT, pre-sleep arousal, and insomnia severity was tested with 166 of 1444 participants (M-age = 25.5, SD = 5.26) who were identified as having insomnia disorder based on a 12-question form corresponding to DSM-5 criteria for insomnia disorder and Insomnia Severity Index scores (>= 8). The moderator role of VIA on the relationship between IVI and pre-sleep arousal was evaluated with a moderation analysis.Results It was found that IVI (beta = 0.44, p < .001), but not IVT (beta = 0.15, p = .12), significantly predicted pre-sleep arousal and pre-sleep arousal (beta = 0.44, p < .001) significantly predicted insomnia severity. In addition, the indirect effect of IVI via pre-sleep arousal (IE = 0.19, p < .001) on insomnia severity was significant. Finally, the moderator role of VIA on the relationship between IVI and pre-sleep arousal (p = .07) was not significant.Conclusions IVI may play a more important role in insomnia disorder than IVT. Interventions targeting pre-sleep visual imagery can help poor sleepers alleviate insomnia severity.Correction The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients With Insomnia Disorder: a Path Model ( Oct , 2023 , 10.1007/S10608-023-10442-0)(Springer/plenum Publishers, 2024) Turkarslan, Kutlu Kagan; Cinarbas, Deniz Canel; Perogamvros, Lampros[No Abstract Available]Article Citation - WoS: 4Citation - Scopus: 2Partner Phubbing and Sleep Quality: Serial Mediation Models With Relationship Satisfaction and Perceived Stress(Sage Publications inc, 2024) Dikdere, Busra; Turkarslan, Kutlu KaganThe increasing integration of technology into our lives has been affecting our daily routines and even our sleeps. Being a relatively new concept, phubbing refers to the act of overly engaging with one's phone while dismissing those around in the social settings. In this context, partner phubbing involves individuals exhibiting this neglect in the presence of their romantic partners. Evidence suggests that higher partner phubbing may lead to lower relationship satisfaction and higher perceived stress. The aim of the present cross-sectional study was to examine whether relationship satisfaction and perceived stress mediate the relationship between partner phubbing and sleep quality. Four hundred twenty-three individuals (females = 78.5%, M-age = 29.19, SD = 6.87) participated in the study and completed the measures of partner phubbing, relationship satisfaction, perceived stress, and sleep quality. The results of the serial mediation analyses showed that partner phubbing was not a direct predictor of sleep quality. However, the relationship between partner phubbing and sleep quality was mediated by the four indirect paths through relationship satisfaction (beta = 0.04, p < .05), perceived stress (beta = 0.09, p < .05), relationship satisfaction-perceived stress (beta = 0.02, p < .05), and perceived stress-relationship satisfaction (beta = 0.00, p < .05). The findings suggest that partner phubbing may diminish sleep quality by reducing relationship satisfaction and increasing perceived stress levels. Alternatively, perceived stress exacerbated by partner phubbing could reduce relationship satisfaction, which eventually worsens sleep quality. Digital detox programs, group interventions, emotion-focused couple interventions, and stress management training can help overcome the effects of partner phubbing on sleep quality.Article Citation - WoS: 4Citation - Scopus: 3Insomnia Severity Predicts Psychiatric Symptoms: a Cross-Sectional Study Investigating the Partial Mediations of Worry and Rumination(Routledge Journals, Taylor & Francis Ltd, 2024) Turkarslan, Kutlu Kagan; Cinarbas, Deniz Canel; Canel Çınarbaş, DenizObjective: Insomnia as a disorder on its own or as a symptom of other mental disorders can lead to significant distress and lower quality of life. By exacerbating negative affect and emotion dysregulation, poor sleep and insomnia can contribute to the initiation and maintenance of mental disorders. The aim of this cross-sectional study was to investigate the relationship between insomnia severity and overall psychiatric symptoms (anxiety, depression, obsessive-compulsive symptoms, somatization, phobic anxiety, hostility, interpersonal sensitivity, paranoid ideation, and psychoticism), and the mediational roles of worry and rumination in this relationship. Method: The data was collected from a community sample of 1444 participants (females 69.39%, M-age=27.95, SD=9.37) who completed self-report measures of insomnia severity, worry, rumination, and psychiatric symptoms. The mediational roles of worry and rumination were tested with mediation analysis using the PROCESS Macro. Results: It was found that insomnia severity (beta=0.20, p<.001) significantly predicted psychiatric symptoms directly and via worry and rumination (beta=0.33, p<.001), meaning that worry and rumination partially mediated the relationship between insomnia severity and psychiatric symptoms. The findings were similar after controlling for smoking status, daily screen time, coffee consumption in the evening, weekly exercise frequency, and pre-sleep screen time. Conclusions: Interventions targeting the reduction of insomnia severity and maladaptive emotion regulation strategies (e.g., worry and rumination), as well as the enhancement of adaptive emotion regulation strategies (e.g., positive refocusing and mindfulness), may alleviate the adverse effects of insomnia on psychiatric symptoms.Article Citation - WoS: 1Citation - Scopus: 2Envious Gazes and Evil Eye Beads: a Self-Psychological Perspective on the Evil Eye(Taylor & Francis inc, 2024) Turkarslan, Kutlu Kagan; Kozak, Ekin DogaThe evil eye, the harmful effects of the envious gaze, is a common superstitious belief in many societies around the world, including Turkey. Since ancient times, people have developed a wide variety of practices and rituals to ward off the evil eye. It is generally believed that the evil eye is motivated by one of the most challenging emotions, envy. The discussion of envy has a long history in psychoanalysis. Unfortunately, psychoanalytic self-psychology has neglected envy and confined it to the concept of fragmentation products. This paper aims to contribute a self-psychological understanding of an envy-related cultural concept, the evil eye. The evil eye-related phenomena in Turkey, such as the harmful potential of gazes, the use of talismans and amulets for protection, and the fear of praising and exhibition, are discussed from a self-psychological perspective. Several short clinical vignettes delineating the evil eye in clinical practice are presented.Article Citation - WoS: 2Citation - Scopus: 3Transference Interpretation and Psychotherapy Outcome: a Systematic Review of a No-Consensus Relationship(Spr Italia, 2024) Yilmaz, Meltem; Turkarslan, Kutlu Kagan; Zanini, Ludovica; Hasdemir, Dilara; Spitoni, Grazia Fernanda; Lingiardi, VittorioDespite its well -established importance in psychoanalytic theory, there is a scarcity of empirical evidence on the relationship between a therapist's transference interpretation (TI) and therapeutic outcome. The current scientific literature shows no consensus on the existence and nature of such an association. Therefore, the present study aimed to systematically review the literature on the link between TI and outcomes in psychodynamic psychotherapies. The American Psychological Association PsycInfo, MEDLINE, and the Web of Science Core Collection were selected as the primary databases for the literature search. Studies were included if they measured the frequency/concentration of TI in psychodynamic psychotherapy [ e.g ., transference focused psychotherapy (TFP), supportive -expressive therapy] or compared a treatment group ( e.g ., high in TI and TFP) with a control group ( e.g. , low in TI supportive therapy) in an adult population with psychiatric symptoms. Out of 825 retrieved abstracts, 25 articles (21 studies) were included in the final synthesis. 13 out of 21 (62%) studies showed a significant improvement in at least one therapy outcome measure following the use of TI. The present systematic review also revealed high heterogeneity across studies in terms of TI measurement, outcome assessment ( e.g ., psychiatric symptoms, dynamic change, interpersonal functioning, therapeutic alliance), study design ( e.g ., experimental, quasi -experimental, naturalistic), patient population ( e.g ., anxiety disorders, personality disorders), and types of treatment ( e.g ., TFP, supportive -expressive therapy), preventing researchers from asserting solid conclusions. The results strongly highlight the urgent need for highquality research to understand which types of patients, how, and when TIs could be effective throughout the therapy process.
