THE IMPACT OF MIGRATION ON THE LIVES OF REFUGEES WITH CHRONIC RENAL FAILURE: A CASE STUDY

Öz

Aim: Eating disorders (ED) constitute a group of illnesses characterized by cognitive distortions related to one's weight and appearance. Cognitive Behavioral Therapy (CBT) is one of the treatment options for ED, as it addresses these distortions. CBT can be used as a standalone treatment or in conjunction with pharmacotherapy. In recent years, the prevalence of online platforms has significantly increased, and psychotherapeutic methods have found their place in these platforms. This systematic review aims to examine the effectiveness of Internet-Based Cognitive Behavioral Therapy (IB-CBT) in the treatment of eating disorders and the reasons for premature treatment discontinuation. Method: A total of 2169 studies were screened from Google Scholar, Wiley, Web Of Science, Springer Link, Scopus, Science Direct, and PubMed databases until December 31, 2023. Five randomized controlled trials investigating IB-CBT in the treatment of eating disorders were included in the review. Results: The results of the systematic review indicate that IB-CBT is effective and acceptable in the treatment of Bulimia Nervosa (BN), Binge Eating Disorder (BED), and Eating Disorder Not Otherwise Specified (EDNOS). The effectiveness of the treatment persists for up to one year post-treatment. However, there was no significant decrease in treatment discontinuation compared to face-to-face CBT. Conclusion: Despite eating disorders being a heterogeneous mental illness, the limited number of randomized controlled trials and the concentration of studies in only three subcategories suggest the need for further research in this field. Additionally, enriching studies with participants under the age of 18 with eating disorders is recommended.

Anahtar Kelimeler

• Kidney Eating Disorders
• Internet-Based Cognitive Behavioral Therapy
• Web-Based Cognitive Behavioral Therapy

Yeme Bozuklukları Tedavisinde İnternet Tabanlı Bilişsel Davranışçı Terapi: Sistematik Derleme

Öz

Amaç: Yeme bozukluğu (YB), hastaların kendi kilosu ve görünümü hakkında bilişsel çarpıtmalarla dikkat çeken bir hastalık grubudur. Bu nedenledir ki YB’de tedavi seçeneklerinden biri de bilişsel davranışçı terapi (BDT) yöntemidir. BDT tedavide tek başına kullanılabileceği gibi farmakoterapiye ek olarak da tercih edilebilir. Son yıllarda çevrimiçi platformların kullanım yaygınlığı oldukça artış göstermiştir. Psikoterapi yöntemleri de bu platformda yerini almışlardır. Bu sistematik derlemede yeme bozukluklarının tedavisinde İnternet Tabanlı-Bilişsel Davranışçı Terapi (İT-BDT) yönteminin etkinliğinin ve tedaviyi tamamlamadan bırakmanın sebeplerinin incelenmesi amaçlanmıştır. Yöntem: Çalışmaya Google Akademik, Wiley, Web Of Science, Springer Link, Scopus, Science Direct ve PubMed veri tabanında 31.12.2023 tarihine kadar taranan 2169 çalışmadan IB-CBT’nin yeme bozuklukları tedavisine yönelik 5 randomize kontrollü çalışma dâhil edilmiştir. Bulgular: Sistematik derlemenin sonucunda İT-BDT’nin bulimia nevrosa, tıkanırcasına yeme bozukluğu (TYB) ve başka şekilde sınıflandırılamayan yeme bozuklukları (BŞSYB) tedavisinde etkin ve kabul edilebilir olduğu, tedavi sonrası etkinliğinin 1 yıla kadar devam ettiği, diğer taraftan tedaviyi bırakmada yüz yüze BDT’ye kıyasla azalma olmadığı görülmüştür. Sonuç: Yeme bozukluklarının heterojen bir mental hastalık olmasına rağmen bu konuda yapılan randomize kontrollü çalışma sayısının az olması, incelenen çalışmaların sadece 3 alt başlıkta gerçekleştirilmesi, bu konuda daha fazla araştırmaya ihtiyaç duyulduğunu düşündürmektedir. Ayrıca araştırmaların 18 yaş altı yeme bozukluğu olan katılımcılarla zenginleştirilmesi önerilmektedir.

Anahtar Kelimeler

• Yeme Bozuklukları
• İnternet Tabanlı-Bilişsel Davranışçı Terapi
• Web Tabanlı-Bilişsel Davranışçı Terapi

Kaynakça

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