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    A randomized controlled trial of the effect of cognitive behavioral therapy-based self-help psychotherapy books on anxiety and depressive symptoms: A bibliotherapy study
    (Kare Publ, 2024) Yasar, Alisan Burak; Gundogmus, Ibrahim; Tasdelen, Rumeysa; Taygar, Afra Selma; Uludag, Esra; Akca, Erdogdu; Yavuz, Kaasim Fatih
    Objective: The aim of this study is to compare the effects of self-help psychotherapy books based on cognitive behavioral therapy (CBT) approaches on anxiety and depressive symptoms, with those of a placebo psychology book and a control group receiving only antidepressant treatment. Method: The current study was conducted with 110 patients admitted to the psychiatric outpatient clinic, diagnosed with depressive disorder and anxiety disorder. The study utilized a book each from CBT, Schema Therapy, Cognitive Therapy, Acceptance and Commitment Therapy, and a placebo book. Participants' depressive symptoms were evaluated using the Beck Depression Inventory (BDI), and their anxiety symptoms with the Beck Anxiety Inventory, both before and after the intervention. Results:The median age of participants was 34.71 +/- 10.40, and 80% were female. The difference in BDI decrease between books was found to be statistically significant as a result of a mixed design Analysis of Variance (ANOVA). Although the difference in depression scores between the books was not statistically significant according to time in post hoc analyses, when all groups with the books were considered, the difference in depression scores was statistically significant compared to the decrease seen in the group that received only antidepressant treatment, according to the planned contrast analysis. When the analysis was repeated, excluding the group receiving antidepressant treatment, similar results were found in the placebo book group. Conclusion: When compared to the placebo book group and the usual treatment group, self-help books written within the framework of CBT approaches are significantly effective in reducing depressive scores in patients diagnosed with depression and anxiety disorder. Further research is needed to observe the long-term effects of these books.
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    A Randomized-Controlled Trial of EMDR Flash Technique on Traumatic Symptoms, Depression, Anxiety, Stress, and Life of Quality With Individuals Who Have Experienced a Traffic Accident
    (Frontiers Media Sa, 2022) Yasar, Alisan Burak; Konuk, Emre; Kavakci, Oender; Uygun, Ersin; Gundogmus, Ibrahim; Taygar, Afra Selma; Uludag, Esra
    The Flash Technique of Eye Movement Desensitization and Reprocessing (EMDR) is widely recognized for its effectiveness in reducing the effects of emotional responses associated with traumatic memories. Using a randomized-controlled trial methodology, this study attempts to establish the efficacy of the EMDR Flash Technique. This study's sample includes volunteers who were involved in traffic accidents and were given the randomized EMDR Flash Technique and Improving Mental Health Training for Primary Care Residents (mhGAP) Stress management module. The participants were given a socio-demographic data form, the Depression-Anxiety-Stress 21 scale (DASS-21), the Impact of Event Scale-Revised (IES-R), and the WHOQOL Quality of Life scale. Participants were evaluated using measurements taken before and after the application, as well as a one-month follow-up. The mean age of the participants was 36.20 (11.41) years and 82.1% (n = 32) were female. The DASS-21 Anxiety (eta(2) = 0.085), IES-R Intrusion (eta(2) = 0.101), Avoidance (eta(2) = 0.124), Total (eta(2) = 0.147), and WHOQOL-BREF Psychological (eta(2) = 0.106) score improvements of the EMDR Flash Technique group were shown to be statistically significant when compared to the mhGAP group. However, no statistically significant difference in the DASS-21 Depression, Stress, Impact of Event Scale-Revised Hyperarousal WHOQOL-BREF General Health, Physical, Social Relationships, and Environment component scores was reported between the two groups. The present study's findings clearly demonstrate that the EMDR Flash technique, when applied to persons involved in traffic accidents, is successful in improving anxiety, intrusion, avoidance, total traumatic stress, and mental quality of life symptoms for at least 1 month. We believe that these findings will improve the reliability and applicability of the EMDR Flash Technique, which was tested for the first time in a clinical randomized-controlled trial (RCT).
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    Effects of the EMDR Couple Protocol on Relationship Satisfaction, Depression, and Anxiety Symptoms
    (Springer Publishing Co, 2021) Dogan, Ceren Kurtay; Yasar, Alisan Burak; Gundogmus, Ibrahim
    The aim of the present study was to evaluate the effect of the eye movement desensitization and reprocessing (EMDR) Couple Protocol on the relationship-satisfaction, depression, and anxiety levels of couples. This protocol differs from standard EMDR procedures in that the partners are together in the treatment session, and engage in bidirectional stimulation simultaneously.The treatment targets are disturbing events that the couples have experienced together. Couples have the opportunity to accept, recognize, and witness each other's recovery process during the session.The EMDR Couple Protocol consists of eight phases, and it was developed for couples wanting to improve their relationship. The study sample consisted of 18 couples suitable for the application of the EMDR Couple Protocol. Treatment was provided by an EMDR Europe Level 2 EM DR psychotherapist to the couples. The mean number of sessions was 14.27 +/- 4.04.The couples showed significant improvement between pre-EM DR, post-EMDR, and at three months follow-up with large effect sizes for relationship satisfaction (eta(2) = 0.944), depression (eta(2) = 0.385), and anxiety (eta(2) = 0.258). The present study evaluating the effectiveness of the EMDR Couple Protocol showed a positive effect on the relationship-satisfaction, depression and anxiety symptoms of the couples. The EMDR Couple Protocol appeared to be safe and effective.
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    The Effects of Single Session EMDR Flash Technique Group Application on Traumatic Symptoms
    (Mediafarm Group, 2021) Yasar, Alisan Burak; Gundogmus, Ibrahim; Gunduz, Anil; Konuk, Emre
    Introduction: Flash Technique method is an EMDR (Eye Movement Desensatization and Reprocessing) protocol specifically developed. In this protocol, there is little contact with the traumatic memories and focus is substantially on positive memories. For this reason, it might be convenient for group applications. In this study, we aimed at measuring the effects of EMDR Flash Technique group application on traumatic memories. Method: The sample of the study consists of 36 participants. On this sample, one-session of 90-120 minutes EMDR Flash Technique was applied. Participants were evaluated with Impacts of Events Scale (IES), PTSD Checklist for DSM-5 (PCL-5) and Sociodemographic Variables Form before, one week later and one month later following the EMDR Flash Technique group application. Results: Comparison of Subjective Unit of Disturbance (SUD) and IES scores obtained from measurements conducted before (SUD=6.08 +/- 1.69, IES-R=24.52 +/- 11.57), one week after (SUD=3.75 +/- 1.90, IES-R=14.13 +/- 11.78) and one month after (SUD=2.83 +/- 2.00, IES-R=9.86 +/- 11.84) EMDR Flash Technique application revealed statistically significant difference (SUD: p<0.001, IES-R: p<0.001 ). In addition, a statistically significant difference was found in the comparison of pre-session (24.38 +/- 17.78) and one month after session (11.44 +/- 11.06) PCL-5 scores (p<0.001). Conclusion: In this study, the effects of EMDR Flash Technique application, which we thought to be easy to apply and less risky, were analyzed in a group consisting of 36 participants, and there were significant improvements in one-month follow-up scores in all of the three trauma measures. Examination of EMDR Flash Technique group application in other groups and with controlled long-term research may be a considerable option for future research.
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    Validity and Reliability of the Turkish Version of Generalized Anxiety Disorder Scale-Revised
    (Korean Neuropsychiatric Assoc, 2021) Gunduz, Anil; Gundogmus, Ibrahim; Sertcelik, Sencan; Engin, Betul Hacer; Isler, Aysel; Yasar, Alisan Burak; Gonul, Hatice
    Objective This study aims to assess the psychometric values of the Generalized Anxiety Disorder Scale-Revised (GADS-R) which measures the intensity and duration of worry, various coping and avoidance strategies to cope with worrying, and positive and negative metacognitive beliefs about worrying. Methods 114 patients with generalized anxiety disorder and 198 healthy controls were included in the study. These patients were diagnosed according to DSM-IV TR, and the primary diagnosis of the patients was generalized anxiety disorder which was confirmed via SCID I and II, subsequently. Sociodemographic form, GADS-R total and subscale scores, and Meta-Cognitions Questionnaire-30 (MCQ30), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder-7 Scale (GAD-7), and Penn State Worry Questionnaire (PSWQ) were used to assess validity, reliability and cut-off point. Results GADS-R total and subscale scores and MCQ-30, BDI, BAI, GAD-7, and PSWQ were found to be statistically higher in the patients with GAD compared to a healthy control group. GADS-R has five factors and showed relatively acceptable sensitivity and specificity for detecting anxiety disorders at a cut-off point of 1188. Conclusion The GADS-R is a valid and reliable scale that can be used in the Turkish population as an assessment tool.