Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

{"title":"Psychometric Properties of Turkish Instruments Assessing Social Cognition in Psychiatry and Neurology: A Systematic Review.","authors":"Doğukan Koçyiğit, Mehmet Eren Kilinç, Rana Nüve Yilmaz, Emre Mutlu, Yavuz Ayhan","doi":"10.5080/u27665","DOIUrl":"10.5080/u27665","url":null,"abstract":"<p><strong>Objective: </strong>Social cognitive processes are shaped by cultural norms, necessitating cultural adaptation and psychometric validation. This review systematically examines Turkish tools used to assess social cognition in neurology and psychiatry, summarizing their procedures and psychometric properties.</p><p><strong>Method: </strong>Following PRISMA 2020, we searched MEDLINE, Web of Science, Scopus, and YOKSIS for studies up to May 2024. Using SRAccelerator&rsquo;s Polyglot, we developed database-specific keywords and applied a PICOS-based search strategy. From 3,115 identified records, 157 studies met inclusion criteria. Among the Turkish tools used to assess social cognition in psychiatric disorders or neurological diseases, those with established validity and reliability, we extracted (i) task characteristics and (ii) psychometric properties.</p><p><strong>Results: </strong>A total of 31 tests and 15 scales were used across 157 studies, covering 37 diagnoses, 9 studies with family members, and 2 with highrisk groups. Psychometric properties were reported for 13 tests (41.9%) and 8 scales (53.3%). Four tools were developed in Turkish: The Humor Comprehension and Appreciation Test, the Test of Perception of Affect via Nonverbal Cues, the Dokuz Eyl&uuml;l Theory of Mind Index, and the Child- Adolescent KA-SI Empathic Tendency Scale. The most frequently used test was the Reading the Mind in the Eyes Test (52.2%), while the Dokuz Eyl&uuml;l Theory of Mind Index (45.8%) was the most used scale. The Faux Pas Test and the Observable Social Cognition Scale had stronger psychometric support. Internal consistency, test-retest, and inter-rater reliability were assessed in 75%, 55%, and 30% of tools, respectively, while various validity measures ranged from 45% (known-group validity) to 5% (ecological validity). No test assessed social perception. The only tool that uses moviebased material in Turkish was the Test of Perception of Affect Via Nonverbal Cues.</p><p><strong>Conclusion: </strong>This systematic review provides a comprehensive approach to Turkish social cognition tools in neuropsychiatry. Nearly half lack robust psychometric validation, and there is a critical gap in Turkish tools measuring social perception.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"414-426"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Symptom Dimensions and Psychosis Risk Factors with Functioning in First Episode Psychosis: A Six Months Prospective Study.","authors":"Sakine Aktaş, Umut Kirli","doi":"10.5080/u27345","DOIUrl":"10.5080/u27345","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the associations of the severity of different symptom dimensions and psychosis risk factors with the overall functioning levels in first-episode psychosis (FEP) patients over a 6-month follow-up period.</p><p><strong>Method: </strong>Psychosis symptom dimensions (positive, negative, depression, mania, attention and other cognitive), sociodemographic characteristics and environmental risk factors (alcohol-substance use, childhood traumas, current stressful life events) were prospectively assessed in 32 patients who were hospitalized for FEP during the six-month follow-up period. The associations of these variables with the longitudinal Global Assessment of Functioning (GAF) scores of these patients were analyzed using linear regression or repeated measures ANOVA.</p><p><strong>Results: </strong>The severity of positive, negative, depression and mania dimensions reduced (p<0.001) during the follow-up period, while no significant change was found in Stroop interference effect scores (F=0.4, p=0.53). FEP patients with substance or alcohol use had significantly worse functioning during the follow-up period (F=11.2, p=0.001; F=5.3, p=0.02, respectively), and those patients' functioning improved significantly less (F=10.0, p=0.002; F=4.3; p=0.04, respectively). Stroop test performance detected at the first month of the follow-up period significantly predicted the final general functioning scores of the follow- up [Stroop test word reading time (sec): B=-0.58 (-1.13-0.03); color telling speed (sec): B=-0.35 (-0.59-0.1); interference effect: B=-0.28 (-0.57-0.01)].</p><p><strong>Conclusion: </strong>The stable course and prognostic value of attention and other types of cognitive functioning in FEP patients is remarkable. Interventions for alcohol-substance use in FEP patients should be a part of routine practice.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UPPS-P Impulsive Behavior Scale for Children: Turkish Adaptation, Reliability and Validity Study.","authors":"Uğur Tekeoğlu, Esra Çöp, Hanife Avci","doi":"10.5080/u27468","DOIUrl":"10.5080/u27468","url":null,"abstract":"<p><strong>Objective: </strong>In this study we aimed to examine the Turkish validity and reliability of the UPPS-P Impulsive Behavior Scale for Children (UPPSP- C) and to investigate whether there is a relationship between the UPPSP- C subscales and Attention Deficit Hyperactivity Disorder (ADHD).</p><p><strong>Method: </strong>A total of 575 children aged 10-14 years were included in the study. The clinical sample of the study consisted of 50 children with ADHD who had not received treatment for at least 1 month and 525 children living in Sinop as the community sample. In order to investigate the test-retest reliability, UPPS-P-C was re-administered to 50 different children selected from the community sample.</p><p><strong>Results: </strong>Factor analysis displayed a five-factor model for the test. &lsquo;Lack of premeditation&rsquo; and &lsquo;Lack of perseverance&rsquo; had the highest ability to distinguish children with ADHD. The Cronbach &alpha; coefficient was found to be 0.894 for the UPPS-P-C. For the test-retest reliability of the UPPS-P-C, the correlation between the total and subscales of the two tests was examined using ICC, the Spearman&rsquo;s Rank Correlation Coefficient and Bland Altman graphs, and the reliability was good.</p><p><strong>Conclusion: </strong>Our findings show that the Turkish version of the UPPSP- C has good validity and reliability and is successful in screening for features related to impulsivity. It has been shown that the UPPS-P-C can be used for symptom profiling and severity assessment.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of the Turkish Form of the Personality Inventory for DSM-5.","authors":"Fikret Poyraz Çökmüş, Orkun Aydin, Serra Yüzeren, Didem Sücüllüoğlu Dikici, Siğnem Öztekin, Emine Özge Çöldür, Pınar Ünal Aydin, Ertuğrul Köroğlu, Ömer Aydemir","doi":"10.5080/u27791","DOIUrl":"https://doi.org/10.5080/u27791","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to establish the validity and reliability of the Turkish version of the DSM-5 Personality Inventory (PID-5) and to evaluate it by comparing it with categorical personality assessments obtained through the Structured Clinical Interview for DSM-III-R Axis II Personality Disorders Questionnaire (SCID-II-PQ).</p><p><strong>Methods: </strong>The sample consisted of 1736 participants, including 560 psychiatric patients diagnosed through clinical evaluation according to DSM-5 diagnostic criteria in a psychiatry outpatient clinic and 1176 healthy controls. In addition to the PID-5, a sociodemographic data form and the SCID-II-PQ were administered. Reliability was assessed using Cronbach&rsquo;s alpha coefficients for both domains and facets. Given the inventory&rsquo;s predefined domains and facets, confirmatory factor analysis (CFA) was conducted to examine structural validity. Convergent validity was tested through correlations between PID-5 domain and facet scores and both the dimensional scores and self-report questionnaire scores of the SCID-II-PQ.</p><p><strong>Results: </strong>The overall Cronbach&rsquo;s alpha coefficient for the inventory was 0.932, indicating high internal consistency. Confirmatory factor analysis indicated that the findings of the present study demonstrated a structure consistent with the personality domains identified in the original PID-5 study. At the facet level, higher RMSEA values were observed for the facets of &lsquo;emotional lability&rsquo; and &lsquo;manipulativeness&rsquo; , whereas the &lsquo;risk-taking&rsquo; facet showed lower fit indices compared to the other facets. In terms of discriminant validity, all domains and all facets except &lsquo;manipulativeness&rsquo; yielded higher mean scores among the patient group compared to healthy controls.</p><p><strong>Conclusions: </strong>The findings of this study indicate that the Turkish version of the PID-5 demonstrates generally acceptable levels of validity and reliability and may be used as an assessment tool for the dimensional evaluation of personality traits.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"227-235"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Anhedonia, Emotional Expression, and Emotion Regulation Difficulties in Individuals Diagnosed with Fibromyalgia.","authors":"Ezgi Selçuk Özmen, Aslı Enzel Koç, Çiçek Hocaoğlu, Erdal Akgöl","doi":"10.5080/u27576","DOIUrl":"10.5080/u27576","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the relationships between anhedonia, emotional expression ability and emotion regulation difficulties in individuals diagnosed with fibromyalgia (FM).</p><p><strong>Methods: </strong>82 patients with FM and 80 age, gender, and educationmatched healthy controls were included in this cross-sectional, descriptive study. Participants completed the Sociodemographic Data Form, Expressing Emotions Scale (EES), Difficulties in Emotion Regulation Scale&ndash;Short Form (DERS-16), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and the Clinician-Administered Turkish version of the Snaith-Hamilton Pleasure Scale (SHAPS-C-TR).</p><p><strong>Results: </strong>Higher SHAPS-C-TR scores (OR=1.836, 95% CI: 1.501&ndash; 2.245; p&lt;0.001) and BAI scores (OR=1.120, 95% CI: 1.020&ndash;1.230; p=0.017) were significantly associated with FM diagnosis. Conversely, higher EES scores were negatively associated with FM diagnosis (OR=0.941, 95% CI: 0.896&ndash;0.988; p=0.015). Even after controlling for depression, individuals with FM exhibited significantly higher anhedonia scores (F (1.159)=295.10, p&lt;0.001, &eta;&sup2;=0.623).</p><p><strong>Conclusion: </strong>Elevated levels of anhedonia and anxiety were significantly associated with FM, whereas greater emotional expressiveness appeared to be a protective factor. These findings underscore the importance of psychological assessment and interventions in FM management.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"62"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Intolerance of Uncertainty and Psychological Resilience with Quality of Life in Patients with Obsessive Compulsive Disorder: A Comparative Study.","authors":"Ahmet Uzun, Selçuk Özdin, Kerem Laçiner, Ömer Böke, Gökhan Sarisoy, Aytül Karabekiroğlu, Hatice Özyildiz Güz","doi":"10.5080/u27660","DOIUrl":"10.5080/u27660","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the relationship between intolerance of uncertainty (IU), psychological resilience (PR), and quality of life (QoL) in patients with obsessive-compulsive disorder (OCD).</p><p><strong>Method: </strong>A total of 144 participants (72 patients with OCD and 72 matched healthy controls) were included. Participants completed the Intolerance of Uncertainty Scale (IUS), the Resilience Scale for Adults (RSA), the Short-Form 36 (SF-36), the Hamilton Anxiety Rating Scale (HARS), the Hamilton Depression Rating Scale (HDRS), and the Yale- Brown Obsessive Compulsive Scale (Y-BOCS).</p><p><strong>Results: </strong>The groups were matched for age, gender, and socioeconomic status (p&gt;0.05). The OCD group had significantly higher IU scores and lower QoL scores across all SF-36 domains compared to controls. In the OCD group, all QoL subscales showed a significant negative correlation with total IUS scores (strongest for vitality: r=-0.676, p&lt;0.001) and a significant positive correlation with total RSA scores (strongest for vitality: r=0.619, p&lt;0.001). Regression analyses indicated that PR, illness duration, and symptom severity (Y-BOCS) were significant predictors of QoL, explaining 15.9% to 55.3% of the variance in key mental health-related QoL domains.</p><p><strong>Conclusion: </strong>QoL in OCD patients is significantly impaired compared to healthy individuals. This impairment is strongly associated with higher IU, lower psychological resilience, and greater symptom severity.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"627-638"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation, Validity, and Reliability Study of the Generalized Anxiety Disorder Stigma Scale into Turkish.","authors":"Umut Çivgin","doi":"10.5080/u27654","DOIUrl":"10.5080/u27654","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study is to adapt the Generalized Anxiety Disorder Stigma Scale to Turkish and to determine its psychometric properties. This scale, which can be used for anyone showing generalized anxiety symptoms, has two sub-scale consisting of 9 statements (personal stigma and perceived stigma).</p><p><strong>Method: </strong>After the translation, 659 participants were included in the study via convenience sampling. The demographic information form, the Generalized Anxiety Disorder Stigma Scale, the Internalized Stigma of Mental Illness Scale, and the Depression Anxiety Stress Scale-21 were presented to the participants as a questionnaire set.</p><p><strong>Results: </strong>Cronbach&rsquo;s alpha coefficient, test-retest and item total correlation findings were obtained for reliability. Cronbach&rsquo;s alpha values of the scale were 0.78 for the personal stigma sub-scale and 0.87 for the perceived stigma sub-scale. In the analyses conducted for testretest reliability, the findings showed that the Spearman correlation coefficients were 0.70 for the personal stigma sub-scale and 0.79 for the perceived stigma sub-scale. The results indicated that the scale possesses reliability. Confirmatory factor analysis was applied for validity. Similar to the original scale, it was observed that the factor loadings were clustered in two sub-dimensions, but it was decided to remove 2 items from the scale, making it a form consisting of 18 items in total.</p><p><strong>Conclusion: </strong>As a result, the findings obtained show that the scale has reliable and valid psychometric properties. The scale can be used in both research and clinical applications to measure stigma specifically for generalized anxiety symptoms.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Pseudotumor Cerebri Associated with Lithium Use.","authors":"Özge Türkoğlu, Hafize Nalan Güneş, Ayşe Elif Anil Yağcioğlu","doi":"10.5080/u27484","DOIUrl":"10.5080/u27484","url":null,"abstract":"<p><p>Pseudotumor cerebri (PC), also known as idiopathic intracranial hypertension, is characterized by increased intracranial pressure in the presence of normal brain imaging and cerebrospinal fluid analysis. Papilledema, headache and visual loss are frequently observed clinical signs and symptoms. Although the pathogenesis of pseudotumor cerebri is not known exactly, different risk factors have been identified. Drugs such as growth hormone, tetracycline and retinoic acid have been reported to be associated with PC. Additionally, in the literature, there are case reports indicating the development of PC associated with lithium use. The aim of this case report is to discuss a 26-year-old patient who was started on lithium with a diagnosis of bipolar disorder and presented to the emergency service with complaints of headache and visual loss 4 months after the initiation of treatment and was diagnosed with PC associated with lithium use. It is important to be aware of the risk of PC development in patients treated with lithium and to rapidly evaluate patients in this respect in case of clinical symptoms such as headache and vision problems because of the risk of permanent vision loss. Keywords: Intracranial Hypertension, Lithium, Papilledema, Pseudotumor Cerebri.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Depressive Symptoms, Alexithymia, Emotion Regulation and Empathy in Adolescents with Social Anxiety Disorder.","authors":"Merve Onat, Ayda Beril Nas Ünver, Hanife Avci, Gülser Şenses Dinç, Esra Çöp, Aynur Pekcanlar Akay","doi":"10.5080/u27657","DOIUrl":"10.5080/u27657","url":null,"abstract":"<p><strong>Objective: </strong>The aim of our study was to determine the relationship between depressive symptoms, alexithymia, emotion regulation difficulties and empathy in adolescents with social anxiety disorder and to compare the findings with healthy controls.</p><p><strong>Method: </strong>Our study included a total of 100 adolescents aged 12-18 years, consisting of 50 with social anxiety disorder (SAD) who applied to the child and adolescent psychiatry outpatient clinic between June 2022 and November 2022, and 50 healthy controls. Participants were evaluated with Beck Depression Inventory, Social Anxiety Scale for Adolescents, Toronto Alexithymia Scale, Difficulties in Emotion Regulation Scale and Basic Empathy Scale.</p><p><strong>Results: </strong>Alexithymia, depressive symptoms and emotion regulation difficulties were significantly higher in adolescents diagnosed with social anxiety disorder compared to healthy controls, but no significant difference was found in empathy skills. The severity of social anxiety disorder was significantly related to depressive symptoms, alexithymia, and emotion regulation difficulties. Logistic regression analysis revealed maternal age, depressive symptoms, and alexithymia as the factors associated with social anxiety disorder in adolescents.</p><p><strong>Conclusion: </strong>Our study shows that depressive symptoms, alexithymia, and emotion regulation difficulties may be observed in adolescents with social anxiety disorder, and it is important to consider these factors in clinical assessment and intervention processes.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Illness Representations and Metacognitive Beliefs in Mood in People with Type 2 Diabetes: A study from the COVID-19 Period.","authors":"Didem Acar, Özlem Sertel Berk","doi":"10.5080/u27707","DOIUrl":"10.5080/u27707","url":null,"abstract":"<p><strong>Objective: </strong>Diabetes poses a significant global health threat due to its increasing prevalence and associated comorbidities, straining healthcare systems worldwide. Depression and anxiety are frequent comorbidities in individuals with diabetes, and their underlying mechanisms have been a subject of research. This study investigated the influence of metacognitions and metacognitions about symptom control (MaSC) on depression and anxiety in people with type 2 diabetes (T2D), specifically examining their effects beyond illness representations.</p><p><strong>Method: </strong>Conducted during the COVID-19 pandemic, this study involved 153 T2D patients. Participants completed the Hospital Anxiety and Depression Scale (HADS), Brief Illness Perception Questionnaire (B-IPQ), Metacognitions Questionnaire-30 (MCQ-30), Metacognitions about Symptom Control Scale-Revised (MaSCS-R), and the Protection Motivation Theory Scale for COVID-19 Preventive Behaviors.</p><p><strong>Results: </strong>Hierarchical regression analysis showed that after controlling for socio-demographic variables, fear of COVID-19, and illness representations, negative metacognitions about symptom control predicted 2% of anxiety and 4% of depression; metacognitions predicted 10% of anxiety and 9% of depression.</p><p><strong>Conclusion: </strong>Metacognitions predicted both depression and anxiety, supporting the Self-Regulatory Executive Function (S-REF) model. Metacognitive therapy could be an alternative for managing emotional distress in T2D patients and may contribute to future research.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}