Sevim Buzlu

Effectiveness of Individual Psychoeducation on Recurrence in Bipolar Disorder; A Controlled Study

This research was conducted as an controlled experimental study which aimed to determine the effectiveness of individual psychoeducation program on recurrence rate during 1year follow up period. The study included eighty-two patients who had been diagnosed with bipolar disorder. There were no hospitalizations in intervention group, while 7.3% of control patients experienced hospitalizations; recurrence rates were 18.9% in the intervention group patients and 34.1% in the control group patients, but statistical significant difference between the groups was not found. Four sessions of individual psychoeducation may have some positive effects but seem to be ineffective for preventing recurrences in patients with bipolar disorder during one year prospective follow up.

Effects of Aggression Replacement Training on Problem Solving, Anger and Aggressive Behaviour among Adolescents with Criminal Attempts in Turkey: A Quasi-Experimental Study

The research was conducted by a pretest and post-test conducted in a quasi-experimental design which aimed to determine effectiveness of Aggression Replacement Training (ART) on problem solving, anger and aggressive behaviour among adolescents with criminal attempts in Turkey. The study included 65 adolescents with criminal attempts (32 intervention, 33 control). There was no difference between the groups in terms of average age (16.13±1.10 in the experimental group and 16.21±0.89 in the control group). After the intervention, the experimental group showed significantly decreased Trait Anger levels (t=1.906; P=0.033), increased Anger Control scores (t=2.522; P=0.008), decreased Physical Aggression scores (t=1.925; P=0.031), decreased Hostility scores (t=2.496; P=0.009), increased Social Problem Solving total scores (t=2.937; P=0.005). Increased Anger Control scores were found to be significant when compared with the control group (t=2.273, P=0.026). These results showed that ART was effective on problem solving, anger and aggressive behaviour and can be used to develop positive behaviours among adolescents with criminal attempts.

Psychoeducation in Bipolar Disorder

Psikoegitim hastalik ve tedavisi ile iliskili sistematik, yapilandirilmis ve ogretici bilgi olarak tanimlanmaktadir. Hastada istendik davranis degisikligi olusturmada egitim yontem ve tekniklerinin kullanildigi, egitimsel ve psikososyal amaclari olan calismalardir. Bipolar bozukluk hastalari icin psikoegitim, hastalik ve tedavisi hakkinda bilgilenme, hastaliga karsi tutum, tedavi uyumu, belirtilerin iyilesmesi, depresif ve hipo(manik) ataklari onleme, hastanede yatis suresini ve sayisini azaltma, sosyal ve mesleki islevsellikte duzelme, intihar riskini azaltma ve yasam kalitesini yukseltmeye ve ailenin tedaviye katkisi uzerine odaklanmistir. Psikoegitim, grup psikoegitimi ya da bireysel psikoegitim olmak uzere diger tedavilere ek olarak uygulanabilmektedir. Bipolar bozuklukta psikoegitimin otimik hastalara verilmesi dikkat daginikliginin engellenmesi ve ogrenmenin saglanmasi icin gereklidir. Kolay uygulanabilir, maliyeti dusuk, hasta ve hasta ailelerinin gereksinimlerine yonelik psikoegitim programlari hazirlamada ve uygulamada psikiyatri hemsireleri uygun bir konuma sahiptirler.