BİLİŞSEL DAVRANIŞÇI YAKLAŞIMA DAYALI ÇEVRİM İÇİ PSİKOLOJİK DANIŞMANIN SAĞLIK KAYGISINI NASIL ETKİLEDİĞİNE İLİŞKİN DANIŞAN GÖRÜŞLERİ

Year 2023, Issue: 96, 26 - 40, 27.12.2023

Burak Aydın

https://doi.org/10.17753/sosekev.1367444

Abstract

Bu çalışmanın amacı, bilişsel davranışçı yaklaşıma dayalı olarak yapılandırılan çevrim içi psikolojik danışma müdahalesinin sağlık kaygısı üzerinde nasıl bir etki oluşturduğuna ilişkin danışan görüşlerini incelenmektir. Bu çalışmada nitel araştırma yöntemlerinden durum çalışması deseni kullanılmıştır. Araştırma katılımcılarını belirlemede amaçlı örnekleme yöntemlerinden ölçüt örnekleme tekniğine yer verilmiştir. Buna göre araştırmanın çalışma grubunu tanı almamış ancak sağlık kaygısı yüksek olan ve Bilişsel Davranışçı Terapi (BDT) temelli çevrim içi psikolojik danışma müdahalesine dâhil olan üç danışan oluşturmuştur. Araştırmada veri toplama aracı olarak araştırmacı tarafından geliştirilen yarı yapılandırılmış görüşme formu kullanılmıştır. Araştırma verilerinin analizi aşamasında tematik analiz yöntemine yer verilmiştir. Verilerin analizi deneme sürümü edinilen NVivo 12 paket programı ile yapılmıştır. Araştırmadan elde edilen bulgulara göre çevrim içi BDT müdahalesinin sağlık kaygısını azalttığı, daha gerçekçi düşünebilme ve bilişsel düşünce özelliklerini fark edebilme becerilerini artırdığı, sosyal ilişkileri olumlu yönde etkilediği, sorun çözme becerilerini artırdığı ve sağlık kaygısı dışındaki endişeleri de azaltmada etkili olduğu belirlenmiştir. Bunun yanında terapi seanslarına farklı yer ve mekânlardan katılabilme imkânı vermesi çevrim içi BDT müdahalesinin olumlu bir özelliği olarak değerlendirilmiştir. Ayrıca zamanı verimli kullanabilme olanağı ve yüz yüze terapiye göre daha düşük maliyetler gerektirmesi danışanlar tarafından ön plana çıkarılan diğer olumlu özelliklerdir. Bunların yanında internet kaynaklı oluşabilecek teknik aksaklıklar ve beden dilinin daha az fark edilmesi sonucu ortaya çıkabilecek dikkat dağınıklığı sorunu çevrim içi BDT müdahalesinin olumsuz yönleri olarak ortaya çıkmıştır. Çalışmanın bulgularından yola çıkılarak uygulama sahasında çalışan ruh sağlığı uzmanlarına ve araştırmacılara önerilerde bulunulmuştur.

Keywords

Sağlık kaygısı, Bilişsel davranışçı terapi, Çevrim içi psikolojik danışma

Consultant Opinions on the Effect of Online Psychological Counselling Based on the Cognitive Behavioral Approach on Health Anxiety

Abstract

This research aims to investigate the client's perceptions of the effects of an online psychological counselling intervention built on a cognitive behavioural framework on health anxiety. The status study pattern from qualitative research techniques was applied in this study. Research subjects are chosen using a criteria sampling methodology from purpose sampling techniques. Accordingly, the research's working group has not been diagnosed, but has created three consultants who have high health concerns and are involved in online psychological counseling intervention based on Cognitive Behavioral Therapy (CBT). The research used a semi-structured interview form developed by the researcher as a data collection tool. In the analysis of research data, the thematic analysis method was included. Analysis of the data was done with the NVivo 12 package program, which received the trial version. According to the research findings, the online CBT intervention reduces health anxiety, improves the skills of thinking more realistically and realising cognitive thinking characteristics, and has a positive effect on social relations. It has also been determined that it improves problem solving skills and is effective in reducing concerns other than health anxiety. The ability to attend therapy sessions from different locations was also seen as a positive aspect of the online CBT intervention. The advisors also emphasised the ability to use time productively and the lower costs compared to in-person therapy as two additional benefits. Additionally, the issue of internet-related technical issues and distractions brought on by less variance in body language have been identified as undesirable aspects of the online CBT session. The study's conclusions have produced recommendations for professionals in the field of application who study mental health.

Keywords

Health anxiety, Cognitive behavioral therapy, Online psychological counseling

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