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Bir Toplum Ruh Sağlığı Merkezindeki Beceri Eğitimlerinin Günlük Yaşam Aktiviteleri ve Bilişsel Fonksiyonlara Katkısı

Yıl 2019, Cilt 11, Sayı , 1 - 8, 29.12.2019
https://doi.org/10.18863/pgy.534574

Öz

Çalışmamızda bir toplum ruh sağlığı merkezinde uygulanan beceri eğitimlerinin şizofreni, şizoaffektif bozukluk, bipolar bozukluk hastalarının bilişsel fonksiyonlarına ve günlük yaşam aktivitelerine olan katkısını araştırmak hedeflenmiştir. Çalışmamıza, Toplum Ruh Sağlığı Merkezinde uygulanan beceri eğitimlerine düzenli olarak katılan 39 hasta dâhil edilmiştir. Hastalara çalışmanın başında ve 6. ayın sonunda Montreal Bilişsel Değerlendirme Ölçeği, Lawton-Broody Enstrumental Günlük Yaşam Aktiviteleri Ölçeği uygulanmıştır. Uygulanan iki ölçekte de 6. ayın sonunda ölçülen puanlarda istatistiksel açıdan anlamlı düzeyde yükselme olduğu görülmüştür. Sonuç olarak uygulanan beceri eğitimlerinin hastaların bilişsel fonksiyonlarını geliştirdiği ve günlük yaşam aktiviteleri üzerinde olumlu katkıda bulunarak hastaların günlük aktivitelerini kendi başlarına yapmalarına imkân sağlayacağı ve sosyal ilişkilerinde daha aktif olmalarına yardımcı olduğu belirlenmiştir.

Kaynakça

  • 1. Akel BS, Öksüz Ç, Karahan S, Düger T, Kayihan H. (2012) Reliability and validity of milliken activities of daily living scale (MAS) in measuring activity limitations of a turkish population. Scand J Occup Ther. 19: 315-21.
  • 2. Artero S, Ancelin M-L, Portet F, Dupuy A, Berr C, Dartigues J-F, et al. (2008) Risk profiles for mild cognitive impairment and progression to dementia are gender specific. J Neurol Neurosurg Psychiatry. 79: 979-84.
  • 3. Bostock E, Kirkby KC, Garry MI, Taylor BV. (2017) Systematic Review of Cognitive Function in Euthymic Bipolar Disorder and Pre-Surgical Temporal Lobe Epilepsy. Front Psychiatry. 8: 133.
  • 4. Bowie CR, Harvey PD. (2005) Cognition in schizophrenia: impairments, determinants, and functional importance. Psychiatr Clin North Am 28: 613-33.
  • 5. Coentre R, Levy P, Figueira ML. (2011) Early intervention in psychosis: first-episode psychosis and critical period. Acta Med Port. 24: 117-26.
  • 6. Corrigan PW, Druss BG, Perlick DA. (2014) The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest. 15: 37-70.
  • 7. Demirkol, ME, Tamam, L. (2016). Treatment Adherence in Psychiatric Disorders. Psikiyatride Guncel Yaklasimlar, 8 (1), 85-93.
  • 8. Dixon LB, Dickerson F, Bellack AS, Bennett M, Dickinson D, Goldberg RW, et al. (2009) The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophr Bull. 36: 48-70.
  • 9. Freitas S, Simões MR, Alves L, Santana I. (2012) Montreal Cognitive Assessment: influence of sociodemographic and health variables. Arch Clin Neuropsychol. 27: 165-75.
  • 10. Galasko D, Bennett D, Sano M, Ernesto C, Thomas R, Grundman M, et al. (1997) An inventory to assess activities of daily living for clinical trials in Alzheimer's disease. Alzheimer Dis Assoc Disord. 11:33-9.
  • 11. Granholm E, Holden J, Link PC, McQuaid JR. (2014) Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: Improvement in functioning and experiential negative symptoms. J Consult Clin Psychol. 82: 1173-85.
  • 12. Guo X, Zhai J, Liu Z, Fang M, Wang B, Wang C, et al. (2010) Effect of antipsychotic medication alone vs combined with psychosocial intervention on outcomes of early-stage schizophrenia: a randomized, 1-year study. J. Arch Gen Psychiatry. 67: 895-904.
  • 13. Halder S, Mahato AK. (2015) Cognitive Impairment in Schizophrenia: An Overview of Assesment and Management. Assessment and Management. Int. J. Indian Psychol. 2: 64–72 .
  • 14. Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. (2009) The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys. Epidemiol Psichiatr Soc. 18: 23–33.15. çe16. Kurtz MM, Mueser KT. A meta-analysis of controlled research on social skills training for schizophrenia (2008). J Consult Clin Psychol. 76: 491-504.
  • 17. Lawton M, Brody E. (1988) Instrumental Activities of Daily Living (IADL) Scale. Self-rated version. Incorporated in the Philadelphia Geriatric Center. Multilevel Assessment Instrument (MAI). Psychopharmacol Bull. 24:789-91.
  • 18. McGorry PD, Nelson B, Goldstone S, Yung AR. (2010) Clinical staging: a heuristic and practical strategy for new research and better health and social outcomes for psychotic and related mood disorders. Can. J. Psychiatry 55: 486-97.
  • 19. McGurk SR, Mueser KT, Watkins MA, Dalton CM, Deutsch H.(2017) The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs. Psychiatr Rehabil J. 40:79-86.
  • 20. McGurk SR, Twamley EW, Sitzer DI, McHugo GJ, Mueser KT. (2007) A meta-analysis of cognitive remediation in schizophrenia. Am J Psychiatry. 164: 1791-802.
  • 21. Mental health: facing the challenges, building solutions. Report from the WHO European Ministerial Conference on Mental Health, Helsinki, Finland, January22. 2005. In: Mental health: facing the challenges, building solutions Report from the WHO European Ministerial Conference on Mental Health, Helsinki, Finland, January 2005. World Health Organization, 2005.
  • 23. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. (2005) The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. 53: 695–9.
  • 24. Ozdilek B, Kenangil G. (2014) Validation of the Turkish Version of the Montreal Cognitive Assessment Scale (MoCA-TR) in patients with Parkinson’s disease. Clin Neuropsychol. 28: 333-43.
  • 25. Randall JR, Vokey S, Loewen H, Martens PJ, Brownell M, Katz A, et al. (2015) A systematic review of the effect of early interventions for psychosis on the usage of inpatient services. Schizophr Bull. 41: 1379-86.
  • 26. Şahin Ş, Elboğa G (2019). "Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri." Cukurova Medical Journal 44.2: 1-1.
  • 27. The World Health Report (2001): Mental health: New understanding, New hope. World Health Organization, Geneva, Switzerland.
  • 28. Turkiye Cumhuriyeti Ruh Sağlığı Politikası (2006). TC Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Ankara.
  • 29. Uçok A, Atlı H, Çetinkaya Z, Kandemir P. (2002) Şizofreni hastalarında bütüncül yaklaşımlı grup tedavisinin yaşam kalitesine etkisi: bir yıllık uygulama sonuçları. Nöropsikiyatri Arşivi. 39: 113-8.
  • 30. Yildiz M, Veznedaroglu B, Eryavuz A, Kayahan B. (2004) Psychosocial skills training on social functioning and quality of life in the treatment of schizophrenia: A controlled study in Turkey. Int J Psychiatry in Clin Prac. 8: 219-25.
  • 31. Lecomte T, Abidi S, Garcia-Ortega I, Mian I, Jackson K, Jackson K, et al. (2017) Canadian treatment guidelines on psychosocial treatment of schizophrenia in children and youth. Can J Psychiatry. 62: 648-55.

Contribution of Skills Training in a Community Mental Health Center to Daily Living Activities and Cognitive Functions

Yıl 2019, Cilt 11, Sayı , 1 - 8, 29.12.2019
https://doi.org/10.18863/pgy.534574

Öz

The aim of this study was to investigate the contribution of skill training provided in a community mental health center to cognitive functions and activities of daily living of patients with schizophrenia, schizoaffective disorder or bipolar disorder. Our study included 39 patients, who regularly attended the skill training carried out in a community mental health center. The patients were administered the Montreal Cognitive Assessment (MoCA) test and the Lawton Instrumental Activities of Daily Living (IADL) scale at the beginning of the study and at the end of 6th month. A statistically significant increase was observed at the end of 6th-month scores of both scales compared to their baseline values.  As a conclusion, the skill training help patients improve their cognitive functions and they are assumed to enable patients to perform their daily activities on their own by having a positive contribution to their activities of daily living and to help them become more active in their social relationships.

Kaynakça

  • 1. Akel BS, Öksüz Ç, Karahan S, Düger T, Kayihan H. (2012) Reliability and validity of milliken activities of daily living scale (MAS) in measuring activity limitations of a turkish population. Scand J Occup Ther. 19: 315-21.
  • 2. Artero S, Ancelin M-L, Portet F, Dupuy A, Berr C, Dartigues J-F, et al. (2008) Risk profiles for mild cognitive impairment and progression to dementia are gender specific. J Neurol Neurosurg Psychiatry. 79: 979-84.
  • 3. Bostock E, Kirkby KC, Garry MI, Taylor BV. (2017) Systematic Review of Cognitive Function in Euthymic Bipolar Disorder and Pre-Surgical Temporal Lobe Epilepsy. Front Psychiatry. 8: 133.
  • 4. Bowie CR, Harvey PD. (2005) Cognition in schizophrenia: impairments, determinants, and functional importance. Psychiatr Clin North Am 28: 613-33.
  • 5. Coentre R, Levy P, Figueira ML. (2011) Early intervention in psychosis: first-episode psychosis and critical period. Acta Med Port. 24: 117-26.
  • 6. Corrigan PW, Druss BG, Perlick DA. (2014) The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest. 15: 37-70.
  • 7. Demirkol, ME, Tamam, L. (2016). Treatment Adherence in Psychiatric Disorders. Psikiyatride Guncel Yaklasimlar, 8 (1), 85-93.
  • 8. Dixon LB, Dickerson F, Bellack AS, Bennett M, Dickinson D, Goldberg RW, et al. (2009) The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophr Bull. 36: 48-70.
  • 9. Freitas S, Simões MR, Alves L, Santana I. (2012) Montreal Cognitive Assessment: influence of sociodemographic and health variables. Arch Clin Neuropsychol. 27: 165-75.
  • 10. Galasko D, Bennett D, Sano M, Ernesto C, Thomas R, Grundman M, et al. (1997) An inventory to assess activities of daily living for clinical trials in Alzheimer's disease. Alzheimer Dis Assoc Disord. 11:33-9.
  • 11. Granholm E, Holden J, Link PC, McQuaid JR. (2014) Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: Improvement in functioning and experiential negative symptoms. J Consult Clin Psychol. 82: 1173-85.
  • 12. Guo X, Zhai J, Liu Z, Fang M, Wang B, Wang C, et al. (2010) Effect of antipsychotic medication alone vs combined with psychosocial intervention on outcomes of early-stage schizophrenia: a randomized, 1-year study. J. Arch Gen Psychiatry. 67: 895-904.
  • 13. Halder S, Mahato AK. (2015) Cognitive Impairment in Schizophrenia: An Overview of Assesment and Management. Assessment and Management. Int. J. Indian Psychol. 2: 64–72 .
  • 14. Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. (2009) The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys. Epidemiol Psichiatr Soc. 18: 23–33.15. çe16. Kurtz MM, Mueser KT. A meta-analysis of controlled research on social skills training for schizophrenia (2008). J Consult Clin Psychol. 76: 491-504.
  • 17. Lawton M, Brody E. (1988) Instrumental Activities of Daily Living (IADL) Scale. Self-rated version. Incorporated in the Philadelphia Geriatric Center. Multilevel Assessment Instrument (MAI). Psychopharmacol Bull. 24:789-91.
  • 18. McGorry PD, Nelson B, Goldstone S, Yung AR. (2010) Clinical staging: a heuristic and practical strategy for new research and better health and social outcomes for psychotic and related mood disorders. Can. J. Psychiatry 55: 486-97.
  • 19. McGurk SR, Mueser KT, Watkins MA, Dalton CM, Deutsch H.(2017) The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs. Psychiatr Rehabil J. 40:79-86.
  • 20. McGurk SR, Twamley EW, Sitzer DI, McHugo GJ, Mueser KT. (2007) A meta-analysis of cognitive remediation in schizophrenia. Am J Psychiatry. 164: 1791-802.
  • 21. Mental health: facing the challenges, building solutions. Report from the WHO European Ministerial Conference on Mental Health, Helsinki, Finland, January22. 2005. In: Mental health: facing the challenges, building solutions Report from the WHO European Ministerial Conference on Mental Health, Helsinki, Finland, January 2005. World Health Organization, 2005.
  • 23. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. (2005) The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. 53: 695–9.
  • 24. Ozdilek B, Kenangil G. (2014) Validation of the Turkish Version of the Montreal Cognitive Assessment Scale (MoCA-TR) in patients with Parkinson’s disease. Clin Neuropsychol. 28: 333-43.
  • 25. Randall JR, Vokey S, Loewen H, Martens PJ, Brownell M, Katz A, et al. (2015) A systematic review of the effect of early interventions for psychosis on the usage of inpatient services. Schizophr Bull. 41: 1379-86.
  • 26. Şahin Ş, Elboğa G (2019). "Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri." Cukurova Medical Journal 44.2: 1-1.
  • 27. The World Health Report (2001): Mental health: New understanding, New hope. World Health Organization, Geneva, Switzerland.
  • 28. Turkiye Cumhuriyeti Ruh Sağlığı Politikası (2006). TC Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Ankara.
  • 29. Uçok A, Atlı H, Çetinkaya Z, Kandemir P. (2002) Şizofreni hastalarında bütüncül yaklaşımlı grup tedavisinin yaşam kalitesine etkisi: bir yıllık uygulama sonuçları. Nöropsikiyatri Arşivi. 39: 113-8.
  • 30. Yildiz M, Veznedaroglu B, Eryavuz A, Kayahan B. (2004) Psychosocial skills training on social functioning and quality of life in the treatment of schizophrenia: A controlled study in Turkey. Int J Psychiatry in Clin Prac. 8: 219-25.
  • 31. Lecomte T, Abidi S, Garcia-Ortega I, Mian I, Jackson K, Jackson K, et al. (2017) Canadian treatment guidelines on psychosocial treatment of schizophrenia in children and youth. Can J Psychiatry. 62: 648-55.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Araştırma
Yazarlar

Gülçin ELBOĞA
FACULTY OF MEDICINE
0000-0003-3903-1835
Türkiye


Şengül KOCAMER ŞAHİN (Sorumlu Yazar)
FACULTY OF MEDICINE
0000-0002-5371-3907
Türkiye


Abdurrahman Altındağ
0000-0001-5531-4419

Yayımlanma Tarihi 29 Aralık 2019
Kabul Tarihi 13 Mart 2019
Yayınlandığı Sayı Yıl 2019, Cilt 11, Sayı

Kaynak Göster

AMA Elboğa G. , Kocamer Şahin Ş. , Altındağ A. Bir Toplum Ruh Sağlığı Merkezindeki Beceri Eğitimlerinin Günlük Yaşam Aktiviteleri ve Bilişsel Fonksiyonlara Katkısı. Psikiyatride Güncel Yaklaşımlar. 2019; 11: 1-8.

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