Browsing by Author "Ayhan, Cemile Hurrem"

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Childhood Traumas and Dissociative Experiences Among Individuals With Substance Use Disorders in Eastern Turkey
(Taylor & Francis inc, 2024) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem; Aktas, Sakine; Bayram, Zilan
Objective: The aim of this study was to determine the relationship between childhood trauma and dissociative experiences and t socio demographic factors affecting them among individuals with substance use disorders living in Eastern Turkey using a descriptive cross-sectional design. Methods: This study conducted with 173 individuals with substance use disorders treated at the SBU Van Training and Research Hospital Alcohol and Substance Addiction Treatment Centre (ASATC) in Eastern Turkey between April 2023 and June 2023. The research data were collected using the "Sociodemographic Information Form", "Dissociative Experiences Scale" and "Childhood Trauma Questionnaire". Results: The mean score of the childhood trauma questionnaire was 34.89 +/- 14.19. The mean score of the dissociative experiences scale of participants was 11.63 +/- 11.75. It was found that the mean score of sexual abuse subscale of the participants differed according to age, education status and family substance history. On the other hand, the mean score of the physical neglect subscale differed according to marital status. There was a weak positive correlation between dissociative experiences and emotional abuse, physical abuse, physical neglect, and total childhood trauma questionnaire score (p < .05). It was also found that childhood trauma was a significant predictor of dissociative experiences. Conclusion: Childhood trauma was found to increase dissociative experiences in substance-dependent individuals in Eastern Turkey.
Çocuk ve Ergenlerin Ruh Sağlığını Koruma ve Geliştirmede Önemli Bir Güç: Hemşireler
(2022) Buzlu, Sevim; Ayhan, Cemile Hurrem; Uluman, Özgü Tekin
Çocuk ve ergenlerin %10-20’si herhangi bir zamanda ruhsal bir rahatsızlığa maruz kalmakta ve sadece %25’i profesyonel yardım almaktadır. Bu dönemde görülebilecek ruhsal bozukluklar normal psikolojik gelişimi sekteye uğratarak çocuk ve gençlerin ideal işlevselliklerine erişmesini engelleyebilmektedir. Çocukluğun özel bir gelişim evresi olduğu ve çevresel faktörlerden etkileneceği de göz önünde bulundurulduğunda, ruh sağlığının geliştirilmesi ve ruhsal bozuklukların önlenmesinin önemi büyüktür. Çocuk ve ergenin ruh sağlığında koruyucu önlemler planlanırken çocuk ve ergenin gelişim aşaması, ruhsal bozukluklara karşı savunmasızlık derecesi, ruhsal bozukluğun nasıl ifade edildiği göz önünde bulundurulmalıdır. Dolayısıyla ruhsal bozuklukları anlamak ve koruyucu önlemleri belirlemek için gelişimsel bir bakış açısı gerekmektedir. Literatürde çocuk ve ergen ruh sağlığında koruyucu önlemler; tarama programları, ev ziyaretleri, ebeveyn eğitimleri, okul tabanlı programlar olarak belirtilmektedir. Bu derlemenin amacı; çocuk ve ergenlere yönelik koruyucu ruh sağlığı girişimleri, bu girişimlerin etkinliği ve hemşirelerin bu girişimlerdeki rolüne dikkat çekmektir.
Difficulties in Emotion Regulation and Attachment Styles Among Kurdish Individuals in Eastern Turkey With Substances Use Disorders
(Routledge Journals, Taylor & Francis Ltd, 2025) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Bayram, Zilan
The aim of this study was to investigate the relationship between attachment style and emotion dysregulation in Kurdish individuals with substance use disorders (SUDs) in Eastern Turkey, a non-Western, Islamic society, in a descriptive cross-sectional design. This study was conducted with 216 individuals with SUDs who were treated at the SBU Van Training and Research Hospital Alcohol and Substance Addiction Treatment Center in Eastern Turkey between April 2023 and June 2023. Almost half of the participants (44.5%, n = 96) were between 18 and 30 years old and almost all were men (96.3%, n = 208). The most commonly used substances were heroin (46.3%, n = 100), marijuana (28.7%, n = 62) and synthetic cannabinoids (7.9%, n = 12). The results showed that higher levels of emotion dysregulation were associated with increased avoidant attachment and anxious attachment style. The study found that anxious and avoidant attachment styles were a significant predictor of emotion dysregulation. These findings suggest that attachment styles may play an important role in emotion dysregulation in Kurdish individuals with SUDs. Future research should investigate whether interventions targeting attachment-based interventions could be effective in reducing emotion dysregulation in Kurdish individuals with SUDs.
The Effect of Climate Crisis on Bipolar Disorder: a Qualitative Study About Experiences of Individuals Diagnosed With Bipolar Disorder
(Sage Publications Ltd, 2025) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem; Karan, Esra
Introduction: It can be said that the bipolar disorder is influenced by weather events. It is stated that climate change can have direct and indirect effects on bipolar disorder. Determining the impact of the climate crisis on individuals with bipolar disorder may assist in the development of preventive, protective and active treatment interventions for this group. Aim: The aim of this study was to determine the views and experiences of people with bipolar disorder about the impact of the climate crisis on their illness. Method: The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 11 participants and data collection was finalized. The study data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed. Results: Based on the statements of people with a bipolar diagnosis, the study formed the themes of emotional impact, negative physical impact, impact on daily life, impact on symptoms, negative impact on recovery and ways of coping. Conclusion: People with a bipolar diagnosis are negatively affected by the impact of the climate crisis in many areas. There is a need to develop intervention programmes to arm people with a bipolar diagnosis against the negative effects of the climate crisis.
Experiences in Accessing Treatment Among Females With Schizophrenia: a Qualitative Study From Turkey
(Mdpi, 2025) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem
Background/Objectives: The experiences of women with schizophrenia in accessing treatment are multifaceted and influenced by a variety of biological, psychological, and social factors. The goal of this study was to explore the experiences of women with schizophrenia in accessing treatment in Turkey. Methods: The study was conducted using the phenomenological method, one of the qualitative study methods. In-depth individual interviews were conducted with females with schizophrenia (>18 years) (n = 10). The study data were collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of accessing treatment. Voice recordings were transcribed, and categories, subthemes and themes were formed. Results: Five themes emerged: (1) shadows of obstacles; (2) resistance and adaptation (3) connection and solidarity; (4) unmet needs; and (5) alternative paths. Conclusions: This qualitative study on the experiences of accessing treatment among females with schizophrenia in Turkey reveals significant insights into the multifaceted challenges and barriers these women face. The findings indicate that gender-specific factors play a crucial role in shaping treatment experiences and outcomes. Female patients often encounter unique societal pressures, including stigma and domestic coercion, which can influence their treatment adherence and overall mental health outcomes. By addressing the specific barriers faced by women and implementing gender-responsive care strategies, healthcare systems can significantly improve treatment accessibility and outcomes for female patients with schizophrenia in eastern Turkey and beyond.
Microaggression Towards Mental Illness and Related Factors
(2025) Sukut, Özge; Bilgin, Hülya; Tanhan, Fuat; Ayhan, Cemile Hurrem; Aktas, Mehmet Cıhad; Arslan, Kadriye
Ruhsal hastalığı olan bireylere yönelik mikro saldırılar, bireylerin ruh sağlığını ve iyilik halini olumsuz etkileyen yaygın bir ayrımcılık biçimini temsil eder. Kısa ve sıradan sözlü, davranışsal veya çevresel aşağılamalar olarak tanımlanan bu mikro saldırılar, ruh sağlığı sorunları olan bireyler de dahil olmak üzere marjinal gruplara genellikle aşağılayıcı mesajlar iletir. Bu etkileşimlerin incelikli ancak zarar verici doğası, artan kaygı, depresyon ve sosyal izolasyon gibi derin psikolojik sonuçlara yol açabilir. Bu deneyimleri şekillendiren toplumsal ve kültürel bağlamları anlamak, ruhsal hastalığı olan bireylerin benzersiz ihtiyaçlarını ele alan etkili müdahaleler geliştirmek için esastır. Bu bağlamda tanımlayıcı ve kesitsel bir araştırma deseni olarak planlanan bu çalışma, genel toplumda ruhsal hastalığı olan bireylere yönelik mikro saldırganlık düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Kesitsel tipteki bu çalışma, çevrimiçi anket yoluyla ulaşılan ve çalışmaya katılmayı kabul eden 18 yaş üstü 312 bireyle amaçlı örnekleme yöntemi kullanılarak yürütülmüştür. Veriler sosyodemografik veri formu, Dini Dünya Görüşü Ölçeği, Etno kültürel Empati Ölçeği, Ruhsal Hastalıklara Yönelik Mikro Saldırganlık Ölçeği kullanılarak toplanmıştır. Yapılan regresyon analizi sonucunda kadın cinsiyet, yüksek ekonomik durum ve dini inançların ruhsal hastalıklara yönelik mikroagresyonun önemli birer yordayıcısı olduğu bulunmuştur.
Psychiatric Nurses' Experiences of Patient Violence on Acute Psychiatric Units in Turkey: a Qualitative Study
(Bmc, 2025) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Karan, Esra
Background Previous research has found that nurses working in psychiatric clinics in an environment where patient violence is common due to patient-nurse interactions. Mental health nurses are often subjected to violent and aggressive behavior from patients. The experiences of assault have inflicted physical and psychological stress on mental health nurses, adversely impacting the quality of patient treatment. This study aims to explore psychiatric nurses' experiences with patient-related violence. Methods A phenomenological descriptive design one of the qualitative methods guided this study that included 10 semi-structured interviews with a purposeful sample of 10 registered nurses who self-reported experiencing patient violence within acute care inpatient psychiatry in Turkey. The data was analyzed using inductive qualitative content analysis to create themes and categories within the research. The confirmability, transferability, credibility and consistency of the study were checked. Results Nurses reported experiencing physical, emotional and verbal violence. Thematic analysis of interview data found five themes as well as 14 subthemes: (i) Perceived Normalization of Violence; for many nurses violence was normal, because patients are mentally sick; (ii) Contributing factors to patient violence (iii) Impact of patient violence; (iv) Ways of coping with violence; (v) Strategies to Prevent Patient Violence. Conclusion This study provides comprehensive multidimensional insights into the causes, consequences and prevention of patient violence experienced by psychiatric nurses. The descriptions of nurses' experiences of violence illustrate the severity of violence and its negative impact on nursing care. Patient violence can be minimized if psychiatric nurses receive psychological support to cope with the emotions caused by the violence, focus on and address the facility's deficiencies and are trained in therapeutic interventions.
The Relation Between Self-Efficacy, Resilience, Acculturative Stress and Mental Health Problems in Syrian Youth: the Mediating Role of Acculturation Strategies
(Springer, 2024) Ayhan, Cemile Hurrem; Bilgin, Hulya
This study was conducted to determine the indirect effect of acculturation styles in the effect of self-efficacy, resilience and, acculturation stress on mental health problems among Syrian youth. The sample of the study consisted of 349 Syrian youth between the ages of 11-18 living in Istanbul, Turkey. Mediation analysis was used to test the indirect effect. As a result of the mediation tests, it was found that assimilation and integration mediate the relationship between self-efficacy and mental health problems; the relationship between psychological resilience and mental health problems is mediated only by integration. There was no indirect effect of acculturation styles on the relationship between acculturation stress and mental health problems. Considering the findings obtained from the study, it is thought that prevention and intervention programs can be created to increase the social awareness of individuals in the host society and to develop positive attitudes towards immigrant/refugee individuals.
Relationships Among Internalized Stigma, Readiness To Change and Treatment Eagerness, and Recovery Among Individuals With Substance Use Disorder in Turkey
(Slack inc, 2024) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Aslan, Kadriye
PURPOSE: To investigate relationships among internalized stigma, readiness to change and treatment eagerness, and recovery among people with substance use disorder (SUD) (N = 131). METHOD:This This study used a cross-sectional and correlational research design. Multiple linear regression was used for analysis. RESULTS: A 1-unit increase in alienation and discrimination experiences led to 0.220- and 0.337-unit increases in readiness to change and treatment eagerness, respectively (p = 0.001); however, a 1-unit increase in stigma resistance led to a 0.306-unit decrease in recovery (p < 0.001). There was a negative correlation between internalized stigma and recovery and positive correlations between internalized stigma and readiness to change and treatment eagerness; however, there was no significant relationship between recovery and readiness to change and treatment eagerness. CONCLUSION: Early intervention programs targeting internalized stigma in individuals with SUD may improve readiness to change and treatment eagerness and recovery attitudes.
Treatment Adherence, Internalised Stigma and Recovery Among Individuals Diagnosed With Schizophrenia in Eastern Turkey
(Wiley, 2024) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Keskiner, Mehmet Sinan
Introduction and AimThis study aimed to assess the relationship between treatment adherence, internalised stigma, recovery and the mediating effect of internalised stigma on these relations in individuals diagnosed with schizophrenia.MethodThis study was conducted using a cross-sectional design. A purposive sample of 107 individuals diagnosed with schizophrenia receiving psychiatric outpatient care at outpatient clinics and community mental health services (CMHC) affiliated with SBU Van research and education hospital was recruited for this study. The data were collected by the following tools: sociodemographic data questionnaire, the internalised stigma in mental illnesses scale, the medication adherence rating scale and recovery assessment scale.ResultsThe study participants reported low levels of treatment adherence, high levels of internalised stigma and moderate levels of recovery. Furthermore, we found a weak negative correlation between internalised stigma and treatment adherence. There was a moderate negative correlation between internalised stigma and recovery. Additionally, it was found that internalised stigma has fully mediating effect on the relation between treatment adherence and recovery.Implications for PracticeThe results of this study can guide mental health nurses in developing tailored interventions and support programmes to improve this population's treatment adherence, recovery and overall mental health outcomes.
Treatment Experiences of Women Diagnosed With Substance Use Disorder in Eastern Turkey: a Qualitative Study
(Sage Publications Ltd, 2025) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem
Purpose: The aim of this study was to determine the addiction treatment experiences of women with substance use disorders in eastern Turkey with qualitative approach. Methods: The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 12 participants and data collection was finalized. The data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed. Results: Based on the statements of women with substance use disorders, several major themes in experiences of treatment: the path to healing, barriers and advantages. Barriers to treatment includedindividual barriers, institutional barriers and social barriers. Individuals' barriers divided into several categories such as custody issue, internalized stigma, lack of knowledge, economic difficulties, lack of social security and barriers to accessing treatment. Conclusion: While treatment can lead to improved functionality and recovery for women with substance use disorders, various competing factors can complicate these outcomes. The impact of intimate partner violence, social support, stigma, and cultural relevance all play critical roles in shaping treatment experiences. Addressing these complexities through integrated, women-centered approaches is essential for enhancing treatment outcomes and supporting the recovery journeys of women with substance use disorders.
Üniversite Öğrencilerinde Kronotip Depresyon, Anksiyete, Stres, İnternet Bağımlılığı ve Akademik Başarı Arasındaki İlişki
(2024) Ayhan, Cemile Hurrem; Tanhan, Fuat; Aktas, Mehmet Cıhad; Aktaş, Sakine
Bu çalışmanın amacı; üniversite öğrencilerinde kronotip, depresyon, stres, anksiyete, internet bağımlılığı ve akademik başarı arasındaki ilişkiyi tanımlayıcı kesitsel araştırma deseni ile değerlendirmektir. Çalışma 645 üniversite öğrencisi ile gerçekleştirildi. Veriler Bilgi Formu, Depresyon, Anksiyete, Stres-21 Ölçeği (DASÖ21), Young İnternet Bağımlılığı Ölçeği Kısa Formu (YİBÖ) ve Sabahçıl-Akşamcıl Anketi (SAKCA) kullanılarak toplandı. Veriler ortalama, sayı, yüzdelik ve bağımsız gruplarda t testi ve korelasyon ile analiz edildi. Öğrencilerin depresyon düzeylerinin orta, stres düzeylerinin hafif orta ve anksiyete düzeylerinin hafif orta olduğu belirlendi. Öğrencilerin Young İnternet Bağımlılık Ölçeği toplam puan ortalamalarına göre ortalama internet kullanıcısı oldukları belirlendi. Katılımcıların kronotiplerinin ara tip olarak değerlendirilebilecekleri saptandı. Kadın öğrencilerin stres ve anksiyete puanlarının erkek öğrencilere kıyasla istatistiksel açıdan anlamlı düzeyde yüksek olduğu belirlendi (p<0,05). YİBÖ toplam puan ortalaması ile depresyon, stres, anksiyete düzeyleri arasında pozitif yönde, zayıf ve anlamlı bir ilişki saptandı (p<0,001). Ayrıca YİBÖ toplam puan ortalaması ile Sabahçıl-Akşamcıl anketi puanı arasında zayıf düzeyde negatif yönde bir ilişki saptandı. Yapılan çalışma kronotiplerin öğrencilerin ruh sağlığı ve internet bağımlılığına yatkınlığı ile yakından ilişkili olduğunu ve internet bağımlılığının akademik başarı üzerinde önemli bir rol oynadığını göstermektedir.