No abstract

Purpose The present study aimed to evaluate the effect of medication adherence on psychosocial adjustment to body weight, image, and self‐esteem in patients with schizophrenia. Design and Methods This cross‐sectional and correlational study consisted of 154 patients with schizophrenia registered in a Community Mental Health Center. Findings The patients had moderate psychosocial adjustment to body weight, image, and self‐esteem, and 56.5% had poor medication adherence. There was a significant positive correlation between participants' medication adherence and psychosocial adjustment to body weight, image, and self‐esteem. Practice Implications Psychiatric nurses should support patients regarding medication adherence, and psychosocial adjustment to body weight, image, and self‐esteem.

Objective: Many individuals with cigarette addiction are known for beginning to smoke cigarettes during adolescence years. In this study, we aimed to present the clinical outcomes of smoking cessation project conducted in an Anatolian school in Kartal district of Istanbul, Turkey. Methods: Social and motivational studies were carried out on adolescent smokers after scanning in terms of smoking in an Anatolian school and 44 of these adolescents who are clinical requirements were evaluated and followed by Chest disease and child and adolescent mental health for six months. Carbonmonoxide (CO) measurements in the expiratory air and carboximeter (piCO smokerlyzer, Bedfont Scientific Ltd, England) were made at the first visit and follow-up. Simultaneously, K-SADS PL (Schedule for Schizophrenia and Affective disorders for School Age Children) was administered diagnostically in mental health evaluation. Results: A total of 44 adolescents, 13 girl (29.5%) and 31 boy (70.5%), with a mean age of 17.31 were followed up. The mean age of initiation of cigarette smoking was 14.2 ± 1 and 32 (82.7%) adolescent were found to have at least one smoker in their home. While 22.7% of adolescents did not try smoking cessation, 77.3% of them did. Six of these adolescents indicated that they did not smoke during the six months; 55.5% of these adolescents have at least one mental illness; the most common diagnoses were 25.0% (n = 11) of ADHD (Attention Deficit Hyperactivity Disorder) and 20% (10) of MD (Major Depression). While depression was significantly frequent in girls (p = 0.043), the frequency of ADHD was not significant in terms of gender. Depression presence was associated with early onset of cigarette smoking in males (p = 0.019), but not with females (p = 0.394). There was a statistically significant correlation between smoking cessation effort and age in the follow-up period (p = 0.022), and earlier adolescents stated that they wanted to quit smoking more. While there is no significant association between smoking cessation effort and mental disease, there was a statistically close relation with parent and sibling smoking (p = 0.07) and significant correlation with motivation and smoking cessation effort (p = 0.016). Conclusions: Smoking cessation work in adolescents is much more difficult than in adults. Biological and social factors and peer impact influence interventions. In our study, very few adolescents stated to quit smoking for 6 months, and the rate of psychiatric illnesses among adolescents and the presence of individuals smoking at home were found to be quite high. It has been the result of these factors also affecting the success of adolescents to start smoking and to quit smoking.

Giriş: Önceki çalışmalar, COVID-19 pandemisi sırasında sağlık çalışanlarında stres, kaygı düzeyleri ve depresif semptomların normal popülasyona göre daha yaygın olduğunu göstermiştir. Çalışmamızın amacı, hastalığı sevdiklerine ve başkalarına bulaştırma konusunda belirgin kaygı yaşayan sağlık çalışanlarının depresyon, kaygı ve stres düzeylerini, baş etme stratejilerini ve öz-anlayış düzeylerini karşılaştırmaktır. Yöntem: Çalışmamız Mayıs 2020'de yapılmıştır. Örneklemi COVID-19 pandemisi sırasında aktif olarak çalışan 113 sağlık profesyoneli oluşturmuştur. Araştırma ölçekleri Google Forms programı aracılığıyla elektronik ortama aktarılmış ve katılımcılara ulaştırılmıştır. Bulgular: Çalışmamızda sağlık çalışanlarının kaygılarının en önemli nedeninin hastalığı sevdiklerine bulaştırmak olduğu saptanmıştır. Hastalığı sevdiklerine bulaştırma kaygısı olan kişilerin, hastalığı sevdiklerine bulaştırma kaygısı olmayanlara göre daha işlevsel başa çıkma stratejileri kullandıkları, depresyon, kaygı ve stres düzeylerinin daha düşük olduğu ve öz-şefkat düzeylerinin daha yüksek olduğu bulundu. Sonuç: Hastalığı sevdiklerine bulaştırma kaygısı taşıyan sağlık çalışanlarında bu kaygının işlev kaybından çok işlevsel bir etkisi olabileceği gözlemlendi. Sağlık profesyonellerini depresyon, kaygı ve stresten korumak için bireylerin öz-anlayış becerilerini ve işlevsel başa çıkma stratejilerini kazanmalarına yönelik çalışmalar yapılmalıdır.

Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic Form, Rosenberg Self-Esteem Scale, Emotional Appetite Scale, Eating Attitude Test, Beck Depression Inventory, State-Trait Anxiety Scale I-II data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this study; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery.