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Master Thesis Anxiety and Its Stimuli in the Protagonists of Thomas Hardy's Tess of the D'urbervilles and Charles Dickens' Great Expectations: a Study From a Psychological Perspective(2017) Hammadi, Omar; Aras, GökşenBu tez, İngiliz edebiyatının iki ana karakteri, Tess of the D'Urbervilles'deki Tess ve Great Expectations'daki Pip'i incelemeyi amaçlamaktadır. Çalışmada Freud'un endişe kavramı ve savunma mekanizması ve bu kavramların eserde nasıl yansıtıldığı analiz edilmektedir. İki karakter, bu tezde de gösterildiği gibi, belirli davranış ve tutumları açısından hem benzer hem de farklıdır. Örneğin, ikisinin de sorunlarla dolu çocuklukları ele alınmıştır. Tess, erkek egemen dünyaya adımının, kardeşleri için mükemmel bir fırsat olduğuna inanmaktadır. Karakterlerin bakış açısı incelendiğinde, ilgili eserlerdeki diğer karakterlerden daha fazla duygusal oldukları görülür ve bu durum okuyucuların psikolojik kaygı kavramını ve bu kavramın Freudcu kaygı anlayışındaki olası yansımalarını görmelerini sağlar. Karakteri psikolojik açıdan tanımlayan bu hikayede, ana karakter Tess, John ve Joan Durbeyfield'in en büyük çocuğu ve son derece fakir bir ailenin üyesidir. Papaz Tringham ile kazara gerçekleşen bir karşılaşmada, tüm ailenin yaşam biçimi değişir ve papaz John'un ailesinin 'Urbervilles`in şövalye geleneğinden gelen köklü soyunun kalan son temsilcisi' olduğu ortaya çıkar. Great Expectations, ana karakteri Pip'in çocukluğundan olgunluğa geçiş hikayesine odaklanmaktadır. Great Expectations, ana karakterin bağımsızlığı ve iç dünyasında yaşananları yansıtmaktadır. Bu tezde, Pip'in hayatı, Freud'un endişe kavramı açısından incelenmektedir. Pip, herhangi bir erkek çocuğunun başarabileceğinden daha fazlasını istemektedir. Great Expectations'da ahlak, sevgi, para ve sosyal statüden kaynaklanan çelişkiler bulunmaktadır. Bu faktörler, birinci şahıs anlatıcısı Pip'in zihinsel yolculuğunun analiz edilmesine olanak sağlamaktadır. Tezde, romanın ana karakteriyle ilgili bu konuların, kaygıyla ilgili sorunlara ait olduğu vurgulanmıştır. Çalışma aynı zamanda farklı nedenlerden ortaya çıkan çeşitli kaygı düzeyleri, onların farklı yaşlar üzerindeki etkileri ve bu karakterleri, bu psikolojik sorun karşısında daha savunmasız hale getiren çeşitli faktörlere ilişkin bir değerlendirme sunmaktadır. Tez, okuyucunun bu karakterlerin yaşamında yer alan endişenin farklı aşamalarını anlamasını sağlar. Aynı zamanda yazarların, bu karakterlerdeki benzer ve farklı psikolojik bakış açılarını kullanımını yansıtır. Çalışmada, bu karakterlerin yaşamlarında, ailelerinde, maddi durumlarında, problemlerinde ve önemsedikleri meselelerde farklılıkları olduğunu fakat endişeye karşı geliştirdikleri tutumlarında benzerlikler olduğu tartışılır ve farklı durumlara karşılık veriş biçimleri, Freud'un derslerinde ortaya koyduğu fikri yansıtır. Bu tez, bu iki ana karakterde endişeye katkıda bulunan farklı faktörler olduğu sonucuna varır. Ancak, bu iki eserin sonucuna bakıldığında, merkezlerindeki karakterlerin deneyimlerinden farklı şeyler öğrendikleri görülür.Article Citation - Scopus: 1Anxiety and Depression After Cesarean: Non-Pharmacological Evidence Based Practices;(Dokuz Eylul University, 2022) Terzioğlu,F.; Gençbaş,D.; Boztepe,H.; Doğu,N.; Akdeniz,C.; Yüceer,B.The purpose of this review is to examine the non-pharmacological evidence-based practices of anxiety and depression after a cesarean section delivery. Postpartum anxiety and depression have increased in the last decade, the rates of postpartum depression are around 13% worldwide. In the postpartum period, women may experience anxiety and depression due to the operation they have undergone; such as being in an unfamiliar environment, facing new technological equipment and encounters with the medical teams, the post-operative pain, the new roles women undertake as mothers. One of the factors that increase anxiety and depression in the postpartum period is the type of delivery. In Turkey, the rate of cesarean delivery is comparatively high, which is approximately 52%. Anxiety and depression after cesarean section develop due to fear and concern such as the complications that may occur during and after the mother's anesthesia, the possibility delaying breastfeeding her baby, and experiencing pain. Non-pharmacological evidence-based applications such as reiki, acupressure, hand and foot massage, yoga, reflexology, aromatherapy, skin to skin care, nursing care protocols were found to be effective in studies conducted to reduce anxiety and depression after cesarean-section. Nurses who have critical roles and responsibilities in pre-and post-cesarean care practices are recommended to include these evidence-based non-pharmacological practices in routine care practices. © 2022, Dokuz Eylul University. All rights reserved.Master Thesis Günübirlik çocuk cerrahi hasta annelerinde kaygı düzeyinin belirlenmesi: Ankara Çocuk Sağlığı Hastalıkları Hematoloji Onkoloji Eğitim Araştırma Hastanesi örneği(2016) Ulutürk, Mehmet; Törüner, Ali MeteÇalışmanın birinci bölümünde günübirlik cerrahi kavramı, çocuk cerrahisindeki tarihçesi, yararları, uygulandığı durumlar ve aşamaları hakkında bilgi verilmiştir.İkinci bölümde kaygı kavramı, tarihçesi, türleri, belirtileri, sürdüren etkenler ve bozukluğunun belirtileri hakkında bilgi verilmiştir. Üçüncü bölümde araştırmanın amacı, yöntemi, evren ve örneklemi, kapsam ve sınırlılıkları, demografik bulgular, hipotez ve farklılıkları, bilgilendirilmiş/bilgilendirilmemiş günübirlik cerrahi çocuk hasta annelerinin kaygı düzeyini belirleyip birbiriyle karşılaştırılması, sonuç ve önerilerden bahsedilmiştir. Bu tez çalışmasındaki amaç, günübirlik cerrahi uygulanacak çocuk annelerinin, uygulanacak cerrahi işlemi öncesi kaygı düzeyini değerlendirmek ve bu değerlendirmeyi yaparken de günübirlik cerrahi vakayı planlayan cerrah, anestezi hekimi ve cerrahi klinik hemşiresi tarafından bilgilendirilmiş anne ve bilgilendirilmeyen anne olarak iki gruba ayrılmış olan anne kaygı düzeylerini belirleyip karşılaştırmaktır. Araştırma verileri nicel araştırma yöntemlerinden, anket tekniği ile toplanmıştır. Ankette, toplam 53 soru bulunmaktadır. Bunların 20 tanesi STAI FORM TX – I(Durum kaygı ölçeği), 20 tanesi STAI FORM TX – 2(Sürekli kaygı ölçeği) ve 13 tanesi de demografik durum bilgilerine aittir. Bu araştırma, Ankara ili Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesinde günübirlik cerrahi uygulanan, anketi eksiksiz ve uygun olarak dolduran 200 çocuğun annesiyle yapılmıştır. Anket çalışmasında, araştırma örneklemi için basit rastgele örnekleme yöntemi kullanılmıştır. Bu araştırma 06/07/2015 - 19/11/2015 tarihleri arasında, çocuk cerrahi polikliniğinde ya da çocuk acil servisinde, cerrah tarafından değerlendirilerek 'Günübirlik cerrahi ameliyat olabilir.' tanısı konulan ve ailesinin günübirlik cerrahi uygulamasına onay verdiği 'Günübirlik Cerrahi Çocuk Hasta Annelerinde Kaygı Düzeyinin Değerlendirilmesi Anketi'ni cevaplamayı kabul eden anneler üzerinde yapılmıştır. Anketlerden elde ettiğimiz verilerin analizi için, SPSS 17,0( Statistical Package for the Social Sciences) ve Microsoft Office Excell programı kullanmıştır. Araştırmanın analizinden elde edilen sonuçları, Ankara ili Çocuk Sağlığı Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesinde çocuğu günübirlik cerrahi ameliyatı olan günübirlik cerrahi çocuk hasta anneleri üzerinde genelleyebilsek de Ankara il sınırları içinde bulunan diğer hastanelerde günübirlik cerrahi ameliyat olan çocuk hasta anneleri üzerinde genelleme yapılması doğru değildir.Master Thesis Virginia Woolf'un Mrs. Dalloway ve To The Lighthouse Adlı Romanlarında Savaşın Etkisi ve Yaşam ve Toplumdaki Değişiklikler(2021) Al-tameemı, Aaesha Nıhad Khaleel; Aras, GökşenBu tez, Virginia Woolf'un Mrs. Dalloway ve To The Lighthouse adlı romanlarını incelemektedir. Tez, Woolf'un adı geçen romanlarının, bireylerin olumlu tutumlarını devam ettirme çabalarına rağmen kolektif bir acı atmosferini yansıttığını ortaya koymaktadır. Her iki romanında da Woolf, Birinci Dünya Savaşı sonrası hayatta kalanların normale dönme ve yaşam kalitelerini arttırma çabalarını aktarmaktadır. Woolf, eserlerinde benliği etkili bir biçimde açıklama çabasını tanımlarken aynı zamanda karışık duygularından bir senfoni bestelemektedir. Woolf her iki romanında da yarattığı karakterler aracılığıyla savaşın acısını kurgusal bir biçimde aktarmaktadır. Woolf, Mrs. Dalloway adlı romanında savaş travmasını ve bu travmanın savaş nedeniyle bir daha evlerine dönemeyenlerin akrabaları, arkadaşları ve sevdikleri üzerindeki yıkıcı etkilerini ortaya koymaktadır. Woolf'un otobiyografik bir eseri olarak okunan To The Lighthouse adlı romanı ise savaş travmasından acı dolu bir kurtuluşun hikâyesini ve Woolf'un roman türünde ortaya koyduğu yenilikleri yansıtmaktadır.Master Thesis Üniversite Öğrencilerinde Primer Dismenoreyi Belirleyen Biyopsikososyal Faktörlerin İncelenmesi(2023) Öksüz, Canan; Topal, Cansu Akdağ; Boztepe, HandanDysmenorrhea is a widespread problem in women's health that has a detrimental impact on many facets of life and quality of life. In addition to being one of the most prevalent gynecological problems in women, dysmenorrhea is affected by many factors. This study, conducted on university students, aimed to examine the biopsychosocial factors determining primary dysmenorrhea, the nature of which is quite complex. This descriptive cross-sectional study was conducted at Atılım University between 01.11.2022 and 20.12.2022. The sample size was determined using the sampling calculation formula, and a totl of 339 students participated in the study. Dysmenorrhea Data Collection Form, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Multidimensional Scale of Perceived Social Support (MSPSS), Adverse Childhood Experience Questionnaire (ACEs), PainCatastrophizing Scale (PCS), and Visual Analog Scale (VAS) were used as data collection tools. The mean VAS score on which the students indicated the severity ofdysmenorrhea they have experienced between 0-10 was found to be 6.2±2.3. BAI mean score was 20.5±13.5, BDI mean score was 18.6±11.2, MSPSS mean score was 65.9±16.2, ACEs mean value was 1.5±1.1, and PCS mean value was 19.3±13.9. When the findings were analyzed, it was determined that onset of pain (t=3.37, p<0.001), age at menarche (t=- 3.21, p<0.05), PCS (t=16.98, p<0.001), BDI (t=5.13, p<0.05) and BAI (t=7.53, p<0.001) variables showed a significant relationship with iv primary dysmenorrhea. Age, grade, smoking status, alcohol consumption, body mass index, menstrual cycle, number of menstrual days, MSPSS, and ACEs variables in the model were found to have no significant relationship with primary dysmenorrhea (p>0.05). The data appears to suggest that primary dysmenorrhea could be related to biological and psychological factors. It is thought that the lack of a relationship between negative childhood experiences and perceived social support, which are among the social factors included in our model, and primary dysmenorrhea is due to the relatively high Multidimensional Scale of Perceived Social Support scores of the students and the relatively low scores of the Adverse Childhood Experience Questionnaire. Nurses should be aware of the biopsychosocial dimensions of primary dysmenorrhea in order to provide comprehensive assessment, education and counseling to women. Keywords: Anxiety, depression, dysmenorrhea, obstetric nursing, pain catastrophizing, social supportArticle Citation - WoS: 40Citation - Scopus: 53Impacts of Covid-19 Pandemic Period on Depression, Anxiety and Stress Levels of the Healthcare Employees in Turkey(Elsevier Ireland Ltd, 2021) Tengilimoglu, Dilaver; Zekioglu, Aysu; Tosun, Nurperihan; Isik, Oguz; Tengilimoglu, OnurThe COVID-19 pandemic has turned into a public health issue since December 2019 and has risen in all countries in the world. The healthcare employees taking part in the pandemic will eventually be affected by the process. The aim of the study is to determine the levels of the anxiety, depression, and stress of the healthcare employees during the COVID-19 pandemic in Turkey. As the data collection tool, an e-survey was used. In the first section, Depression, Anxiety and Stress Scale (DASS-21) was used. In the second section of the survey, the problems experienced by the healthcare employees during the pandemic and their working media were aimed to be defined. In the last section, the socio-demographic features of the employees were investigated. 2076 healthcare employees participated in the study. The results showed that the major cause of the anxiety or stress among healthcare employees comes from the fear to contaminate the COVID-19 virus to their families (86.9%). It was observed that the levels of depression, anxiety and stress of female employees are higher than that of male employees (p < 0.003). The highest depression, anxiety and stress levels of healthcare employees come from the pandemic, emergency, and internal services (p < 0.001). Health managers and policymakers need to make a move immediately to find solutions for the physical and psychological needs of the health employees. On the other hand, in order to minimize the risk, preparation of the work power plans beforehand and inclusion of obligatory referral chain into health services can be suggested.Article Citation - WoS: 10Citation - Scopus: 8Beyond expectations: disease duration and psychological burden in psoriatic arthritis(Springer Heidelberg, 2023) Kilic, Gamze; Kilic, Erkan; Tekeoglu, Ibrahim; Sargin, Betul; Cengiz, Gizem; Balta, Nihan Cuzdan; Nas, KemalThis study aims to investigate the relationship between disease duration and psychological burden in PsA and to identify the risk factors associated with psychological distress. Patients with PsA who met CASPAR classification criteria enrolled by Turkish League Against Rheumatism (TLAR)-Network. Patients were categorized into three groups based on disease duration: early stage (< 5 years), middle stage (& GE; 5, < 10 years), and late stage (& GE; 10 years). All patients underwent clinical and laboratory assessment using standardized protocol and case report forms. The associations between psychological variables and clinical parameters were assessed by a multivariate analysis. Of the 1113 patients with PsA (63.9% female), 564 (%50.7) had high risk for depression and 263 (%23.6) for anxiety. The risk of psychological burden was similar across all PsA groups, and patients with a higher risk of depression and anxiety also experienced greater disease activity, poorer quality of life, and physical disability. Multivariate logistic regression revealed that female gender (OR = 1.52), PsAQoL (OR = 1.13), HAQ (OR = 1.99), FiRST score (OR = 1.14), unemployment/retired (OR = 1.48) and PASI head score (OR = 1.41) were factors that influenced the risk of depression, whereas the current or past enthesitis (OR = 1.45), PsAQoL (OR = 1.19), and FiRST score (OR = 1.26) were factors that influenced the risk of anxiety. PsA patients can experience a comparable level of psychological burden throughout the course of their disease. Several socio-demographic and disease-related factors may contribute to mental disorders in PsA. In the present era of personalized treatment for PsA, evaluating psychiatric distress can guide tailored interventions that improve overall well-being and reduce disease burden.Article Citation - WoS: 29Citation - Scopus: 32Effects of Exercise Training on Anxiety in Diabetic Rats(Elsevier, 2019) Caliskan, Hasan; Akat, Firat; Tatar, Yakup; Zaloglu, Nezahet; Dursun, Ali Dogan; Bastug, Metin; Ficicilar, HakanDiabetes mellitus (DM) is a common health problem, which manifests itself with chronic hyperglycemia and impaired insulin action. The prevalence of anxiety disorders tends to be high in the diabetic population. Exercise has a well-known anxiolytic effect, also demonstrated on rodents, but the effect of exercise on the DM-induced anxiety is still unknown. Female, Wistar albino rats were randomly divided into four groups (n=8) (C; EX; DM; DM+EX). DM was induced by injection (i.p.; 50 mg/kg) of Streptozotocin (STZ). Rats exercised in moderate intensity on the treadmill (15m/min; 5 degrees; 30 min) for 5 weeks. Anxiety-like behavior (ALB) was evaluated by Open field test (OFT) and Elevated Plus Maze (EPM). According to OFT, central time and central entry have increased with in EX but not in DM+EX. There was no difference between C and DM. Central latency time didn't differ among groups. Unsupported rearing increased in both EX and DM+EX. There was no significant decrease in DM. Freezing time was significantly increased in the DM group. Exercise training reduced freezing time both in diabetic and non-diabetic animals. EPM results were similar. Time spent in open arm was increased significantly in exercise groups compared to their sedentary matches, and freezing time data were also parallel to OFT. Our study revealed that diabetes had shown an anxiogenic effect, which was not severe, and it only manifested itself on some behavioral parameters. Exercise training was reduced anxiety-like behavior both in diabetic and non-diabetic rats. However, because of the nature of exercise studies, it is hard to separate the anxiolytic effect of exercise from the alteration of locomotion.Article International Students' Adaptation in Ankara: The Mediating Roles of Anxiety and Self-Esteem(Pergamon-Elsevier Science Ltd, 2025) AlQaifi, FatenWith globalization, the appeal of studying abroad has grown among university students seeking better educational and career opportunities. However, adapting to a new culture often presents significant challenges, especially as international students face language barriers, cultural differences, and stressors that affect their anxiety, self-esteem, and identity development. Despite the importance of these factors, research on this topic in Turkey remains limited. This study addresses this gap by assessing general anxiety levels of students and examining the relationship between adaptation and identity development among international students, using cross-sectional quantitative methods and self-reported questionnaires. Data from 488 participants were analyzed using SPSS and SmartPLS. Results indicate that both anxiety and self-esteem partially mediate the relationship between identity development and adaptation. Anxiety negatively associates with both identity development and adaptation, while self-esteem shows positive associations with both. Proficiency level and previous travel experience were identified as significant factors influencing students' adaptation. These findings offer valuable insights for universities, policymakers, and other stakeholders in creating a supportive environment that enhances the adaptation experience of international students.Article A comprehensive investigation of biopsychosocial determinants influencing primary dysmenorrhea among university students(Routledge Journals, Taylor & Francis Ltd, 2024) Yalvac, Canan Oksuz; Topal, Cansu Akdag; Boztepe, HandanDysmenorrhea, characterized by pain and related symptoms, significantly impacts women's quality of life in work and education, prompting a comprehensive evaluation of associated factors. The objective of this study was to utilize structural equation modeling (SEM) to analyze and assess the biopsychosocial factors influencing dysmenorrhea among university students. Three hundred and thirty-nine university students were included in this cross-sectional descriptive study. Data were collected using the Participant Information Form, the Beck Anxiety Scale (BAS), the Beck Depression Scale (BDS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Adverse Childhood Experiences Scale (ACES), the Pain Catastrophizing Scale (PCS) and the Visual Analogue Scale (VAS). It was determined that the variables of pain onset (t = 3.24, p < .05) and age at menarche (t = -2.16, p < .05) showed a significant relationship with the model. The variables of the PCS (t = 16.87, p < .001), BDS (t = 3.06, p < .05), and BAS (t = 5.13, p < .001) showed a significant relationship with the model. Social factors in the model were examined, and a family history of dysmenorrhea and the ACES variables did not contribute significantly to the model (p > .05). The study indicates primary dysmenorrhea influenced by biological and psychological factors. Nurses should conduct holistic assessments and provide comprehensive care for affected women.
