T.C. SAÄLIK BAKANLIÄI BakÄ±rkÃ¶y Prof. Dr. Mazhar Osman Ruh ...

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uygulanan diğer tedavi yöntemlerinden de kaynaklanıyor olabilir. Çalışmamızda bulduğumuz bu sonuçlarla; bilişsel rehabilitasyonun tek başına değil; rehabilitasyonda uygulanan diğer yöntemlere ek olarak, daha uzun süre, sistematik ve sık aralıklarla uygulanmasını önerebiliriz. 92
SUMMARY Cognitive impairments are the core feature of chronic schizophrenia since the time of Bleuler and Kraepelin. Schizophrenia is generally viewed as a neurodevelopmental cognitive disorder characterized by relatively stable neuropsychological deficits. These deficits are present at disease onset, stable over time. Cognitive deficits are thought to play a central role in the social disability and other problems in daily living experienced by patients with schizophrenia. Furthermore, cognitive appears to be associated with negative symptoms of schizophrenia. İmpaired cognition may be a “rate-limiting factor” in the succes of psychological interventions for schizophrenia (eg work rehabilitation, social skills training, vocational rehabilitation). Although there is evidence that atypical antipsychotic drugs may produce some improvement in selectede areas of cognitive performance, antipsyhotic medications do not eliminate cognitive deficits. Thus, ameloriation of neurocognitive deficits has been posited to be an important treatment goal in schizophrenia.. To address the problem of cognitive impairment in schizophrenia, a range of cognitive remediation programs has been developed and evaluated over the past 40 years. Cognitive remediation aims to rehabilitate impaired cognitive functions. These programs employ a variety of methods, such as drill and practice exercises, teaching strategies to improve cognitive functioning, compensatory strategies to reduce the effects of persistent cognitive impairments, and group discussions. A variant of the cognitive process targeting approach is included as acomponent in a more comprehensive psychosocial treatment modality, Integrated Psychological Treatment for Schizophrenic Patients (IPT Brenner et al,1992). IPT is a highly structured group- theraphy approach that is conducted in 30 -to 60-minute sessions two or three times per week in groups of five or seven patients. It includes five subprograms. The first three subprograms are the cognitive component of IPT. They are named Cognitive Differentiation, Social Perception and Verbal Communication, and they target cognitive abilities thought to be prerequisites to effective social interaction. The fourth and fifth subprograms, Social Skills and Interpersonal Problem Solving, target the more behavioral level of social interaction. The aim of the present study is to assess the effect of cognitive differentiation and social perception sub programs on symptom control, psychosocial functioning and cognitive domains among patients with schizophrenia. Sixty outpatients meeting DSM-IV criteria for schizophrenia participated. Forty-five subjects were selected from the population of schizophrenia outpatients who were in remission at the time of the study at Bakırköy Psychiatry and Neurological Sciences Research and Education Hospital – Day Hospital and Rehabilitation Center and fifteen subjects with schizophrenia diagnosis who were in remission at the time of the study were recruited from Schizophrenia Friends Association. The inclusion criteria were (a) age between 18 and 45 years, (b) diagnosis of schizophrenia (DSM-IV), (c) to be literate d) to accept to give informed consent. Exclusion criteria were (a) IQ below 85, (b) organic cerebral diseases, (c) 93
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T.C. SAĞLIK BAKANLIĞI Bakırköy
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İÇİNDEKİLER GİRİŞ VE AMAÇ..
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Şizofreninin negatif ve pozitif be
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GENEL BİLGİLER Şizofreni sözcü
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zayıf ya da daha çok negatif beli
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ve hastaneye yatırılan şizofreni
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güvenlik için geri çekilme negat
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süreli bellek (40) alanlarında,
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Yukarıda açıklandığı gibi şi
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güçlükleri vardır (45). Bu konu
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kullanma yeteneğindeki bozukluklar
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kronik hastalık seyri göstermeye
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genel olarak prefrontal lob ile ili
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Spence ve arkadaşlarının yaptık
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dismetri modelinde patofizyolojiden
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Sıklıkla negatif belirtili hastal
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Amerikan Ulusal Ruh Sağlığı Ens
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kapasitesinin sınırlı olmasına
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yansıtmaktadır. Bu grupların ilk
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Bilişsel düzenlemenin etkinliğin
Page 41 and 42: İkinci tip kısır döngü, birinc
Page 43 and 44: materyal kullanılmalıdır. İlk b
Page 45 and 46: Egzersizde yardımcı terapistler r
Page 47 and 48: 2. adım: Yorumlama ve Tartışma:
Page 49 and 50: 5-Kişilerarası problem çözme Bu
Page 51 and 52: YÖNTEM VE GEREÇLER Bu araştırma
Page 53 and 54: üzerindeki etkisi değerlendirilir
Page 55 and 56: Eğer hasta B formunun alıştırma
Page 57 and 58: eşleme kategorisi değiştirilmekt
Page 59 and 60: şeklindedir. 4. kartta ise farklı
Page 61 and 62: Çalışma ve kontrol gruplarındak
Page 63 and 64: Çalışma ve kontrol gruplarının
Page 65 and 66: Çalışma ve kontrol gruplarının
Page 67 and 68: 2- Şizofreni Hastaları için Yaş
Page 69 and 70: toplam puan ortalamaları tedavi ö
Page 71 and 72: 3)Sözel bellek süreçleri testi S
Page 73 and 74: 5-Wisconsin Kart Eşleme Testi (WKE
Page 75 and 76: 6- Stroop Testi: Stroop Testi Çal
Page 77 and 78: 4)Sosyal İşlevsellik Ölçeği D
Page 79 and 80: 9)WKET Düzelme Miktarı WKET Düze
Page 81 and 82: 7.6 arasında bildirilmektedir (31)
Page 83 and 84: istatistiksel olarak anlamlı bulun
Page 85 and 86: ve stresle başa çıkma becerileri
Page 87 and 88: BTY’nin dördüncü alt bölümü
Page 89 and 90: SONUÇ Çalışmanın sonucunda ça
Page 91: haftada iki kez BTY bilişsel alt p
Page 95 and 96: The results from our study suggest
Page 97 and 98: 16- Brenner H, Roder V, Hodel B, Li
Page 99 and 100: 47- Harvey PD., Lombardi J, Leibman
Page 101 and 102: 75-Joyce E, Hutton S, Mutsatsa S, G
Page 103 and 104: 103- Wykes T, van der Gaag M (2001)
Page 105 and 106: EKLER 1-Şizofreni hastaları sosyo
Page 107 and 108: 107
Page 109 and 110: 109
Page 111 and 112: 111
Page 113 and 114: 113
Page 115 and 116: Hastanın Adı, Soyadı: Tarih: Has
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T.C. SAÄLIK BAKANLIÄI BakÄ±rkÃ¶y Prof. Dr. Mazhar Osman Ruh ...