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Original Article

Examination of Changes in Functionality and Social Adaptation in Patients Followed at an Addiction Rehabilitation Center (BAHAR) in Türkiye

Gizem Akülker,Başak Ünübol,Berhudan Şamar,Hüseyin Şık,Kursad Nuri Baydili
2026, 10(1), s:5-11

İntroduction: Alcohol and substance use disorders are conditions that can significantly affect all areas of an individual's life. Research in this field shows that addiction negatively impacts social adjustment and functioning. This study aims to examine the effects of addiction on social adjustment and functioning in patients followed in an addiction rehabilitation program.

Method: 103 patients who received treatment and follow-up at SBÜ Erenköy Ruh ve Sinir Hastalıkları EAH Addiction Rehabilitation Center and were diagnosed with Alcohol or Substance Use Disorder according to DSM-5 criteria, were included in the study. This study was designed as a pre-post test (6 months) comparison longitudinal research (Sociodemographic Data Form, Functional Assessment Short Test, Social Adaptation Self-Evaluation Scale).

Results: Comparisons between pre-post scale scores revealed a significant increase (p<0.001) in SASS scores. Significant decreases were observed in scores for autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, leisure activities, and total FAST (p<0.001) scores. Analysis of the relationships between change scores showed a strong negative correlation between changes in SASS scores and changes in FAST autonomy (ρ = -0.624, p < 0.001) and FAST total scores (ρ = -0.627, p < 0.001).

Conclusion: Findings indicate that as social adaptation improved, functional impairments decreased. Social adaptation and functionality should be considered essential parameters in both the treatment and monitoring of substance use disorders. The observed improvements in these areas among patients in follow-up suggest the effectiveness of rehabilitation programs and underscore their value in facilitating reintegration into society.

 


Original Article

Examining the Relationship Between Difficulty in Emotion Regulation, Impulsivity and ADHD Symptoms in Patients Diagnosed with Addiction

Gözde Yüksel,Cemal Onur Noyan
2026, 10(1), s:12-19

Objective: This study aims to examine the relationships between AttentionDeficit/Hyperactivity Disorder (ADHD) symptoms, impulsivity, difficulties in emotion
regulation, and addiction severity among patients diagnosed with substance use disorders
receiving inpatient treatment. Additionally, the study investigates the mediating roles of
impulsivity and difficulties in emotion regulation in the relationship between ADHD symptoms
and addiction severity.
Methods: This study was designed as a cross-sectional and correlational research. The sample
consisted of 100 voluntary participants aged between 18 and 60 years who were receiving
inpatient treatment at the AMATEM clinic of NP Brain Hospital and had been diagnosed with
alcohol or substance use disorder according to DSM-5 diagnostic criteria. Data were collected
using the Sociodemographic Information Form, Adult Attention-Deficit/Hyperactivity
Disorder Self-Report Scale (ASRS), UPPS Impulsive Behavior Scale, Difficulties in Emotion
Regulation Scale (DERS), and Addiction Profile Index (API). 2
Pearson correlation analysis was conducted to examine the relationships among variables.
Regression analyses were performed to determine the predictive effect of ADHD symptoms on
addiction severity. Bootstrap-based mediation analyses were used to test the mediating roles of
impulsivity and difficulties in emotion regulation, and a parallel multiple mediation model was
applied to evaluate the relative contribution of each mediator.
Findings: The correlation analysis revealed a significant positive relationship between ADHD
symptoms and addiction severity (r = 0.507, p <0.01). Regression analysis indicated that
ADHD symptoms significantly predicted addiction severity (β = 0.509, p <0.001). Bootstrap
mediation analyses demonstrated that difficulties in emotion regulation fully mediated the
relationship between ADHD symptoms and addiction severity (indirect effect = 0.192; 95% CI
[0.068–0.329]; mediation ratio = 72.68%). Among the impulsivity subdimensions, only
negative urgency showed a significant mediating effect in this relationship. In the parallel
multiple mediation model, when both impulsivity and difficulties in emotion regulation were
included simultaneously, difficulties in emotion regulation emerged as the dominant mediating
mechanism, whereas the indirect effect of impulsivity remained limited.
Conclusion: The findings indicate that ADHD symptoms are strongly associated with
addiction severity in individuals with substance use disorders and that difficulties in emotion
regulation play a central role in explaining this relationship. These results highlight the
importance of routine screening for ADHD symptoms in addiction treatment settings and
emphasize the need to integrate emotion regulation–focused interventions into treatment
programs. Addressing emotion regulation difficulties may enhance treatment outcomes by
reducing addiction severity and improving overall therapeutic effectiveness.


Original Article

THE RELATIONSHIP BETWEEN DIGITAL TECHNOLOGY ADDICTION AND DAYTIME SLEEPINESS AMONG SECONDARY SCHOOL PUPILS STUDYING HEALTHCARE

Mine Ekinci,Elif Karahan
2026, 10(1), s:20-29

Objective: The aim of this study is to assess the relationship between high school students’ digital technology addiction and their sleep quality by determining these factors.
Method: This is a descriptive and correlational study. The study was conducted between April and May 2023 with 245 secondary school students studying in the Health Services department at a Vocational and Technical Anatolian High School in a province of the Marmara Region. Data were collected face-to-face using the Sociodemographic Data Form, the Digital Addiction Scale and the Cleveland Adolescent Sleepiness Questionnaire. Data analysis involved percentage and frequency distributions, the t-test for independent samples, ANOVA, the Pearson correlation test, and the Cronbach’s alpha reliability coefficient.
Findings: The mean total score on the Digital Addiction Scale for secondary school students was determined to be 3.02 ± 0.664. Significant differences were found among students in Year 9, those using digital devices for 8 hours or more daily, those using digital devices at night, those using digital devices for 3 hours or more at night, those going to sleep at 02:00 or later, and those waking up at night. The mean total score on the Cleveland Adolescent Sleepiness Questionnaire was determined to be 40.66 ± 10.016. Among female students, significant differences were found in those whose mothers were illiterate or had only completed primary school, those from middle-income families, those in Year 9, those with at least one failing grade, those using digital devices for 8 hours or more daily, those using digital devices at night, those using digital devices for 3 hours or more at night, those going to bed at 00:00, 01:00, 02:00 or later, and those sleeping for 9 hours or more or waking up at night, the difference was found to be statistically significant.
Conclusion: According to the study, it was observed that secondary school students have a moderate level of digital technology addiction and experience a sleepiness level close to moderate. Furthermore, as high school students’ digital technology addiction increases, so does their sleepiness. It is recommended that further research be conducted to examine various aspects of high school students’ digital technology addiction and that they be directed towards educational programmes designed to raise awareness regarding the mindful use of digital devices.


Original Article

Perceived Family Health and Social Media Addiction Among University Students: A Cross-Sectional Study

Ayşe Eslem Tiktaş Akçelik
2026, 10(1), s:30-39

The aim of this study was to examine the relationship between perceived family health and social media addiction among university students and to determine whether social media addiction levels differed according to selected sociodemographic variables. The study was conducted using a quantitative correlational survey design. The sample consisted of 205 university students studying in Türkiye. Data were collected online using the Sociodemographic Information Form, the Social Media Addiction Scale, and the Family Health Scale-Short Form. Frequency, percentage, mean, standard deviation, Cronbach’s alpha reliability analysis, Pearson correlation analysis, simple linear regression analysis, independent samples t-test, and one-way analysis of variance were used in data analysis. Tukey HSD post-hoc test was applied in cases where significant differences were found. The findings indicated a low-level, negative, and statistically significant relationship between perceived family health and social media addiction. In addition, perceived family health negatively and significantly predicted social media addiction. Social media addiction scores differed significantly according to gender and daily social media use duration; female students had higher social media addiction scores than male students. No significant difference was found according to age and number of siblings. The findings suggest that social media addiction among university students should be evaluated not only in terms of individual usage habits but also in relation to perceived family health and family-related variables.


Original Article

INTERNET ADDICTION AND EXCESSIVE DAYTIME SLEEPINESS AND QUALITY OF LIFE AMONG MEDICAL FACULTY STUDENTS

Nermin Gündüz,Özge Timur,Erkal Erzincan,Hatice Turan,Onur Gökçen,Fatma Eren,Aslıhan Polat
2017, 1(2), s:56-63

Objective: Considering the increasing use of the internet among university students, medical faculty students are thought to be particularly sensitive because of the time they spend on the internet and because of intensive practical and theoretical course schedules. In this study, we aimed to examine the prevalence of internet addiction and also relationship between internet addiction and excessive daytime sleepiness and quality of life. among the medicine faculty students. We aimed to examine the prevalence of internet addiction and also relationship between internet addiction and excessive daytime sleepiness and quality of life among medical faculty students.

Method: This study was carried out among the students of Erzurum Atatürk University Medical Faculty. In this cross-sectional study, sociodemographic data form created by researchers, Young Internet Addiction Scale, SF-36 and Epworth Sleepiness Scale were applied after the signing of the voluntary affirmation document to the medical faculty students.

Results: A total of 274 medical faculty students from various classes were included in the study. 61,32% of the students were found to have internet addiction. 53.28% of them were at mild level, 8,04% of them were at moderate level. There was a positive correlation between internet addiction scale total score and epworth sleepiness scale total score. There was negative correlation between internet addiction and each subscale of SF 36.

Conclusion: This study is the first study to evaluate internet addiction, excessive daytime sleepiness and quality of life among medical faculty students. In our study group internet addiction was determined as one of the reasons for excessive daytime sleepiness. That’s why we must focus on the treatment of internet addiction which is a serious problem in social context in recent years.


Original Article

Validity and Reliability of the Turkish Version of the Bergen Facebook Addiction Scale among University Students

Zeynep Ülke,Cemal Onur Noyan,Nesrin Dilbaz
2017, 1(1), s:16-25

Objective: The objective of this study was to adapt the “Bergen Facebook Addiction Scale (BFAS)” developed by Adreassen et al (1) into Turkish, and to evaluate the reliability and validity of the Turkish version of the Bergen Facebook Addiction among university students.
Method: The study was conducted in 2015 at Uskudar University and Yeditepe University (Istanbul-Turkey) with a total of 300 students from different majors and age groups. The draft scale was finalized after being translated and corrected by experts in the relevant fields. To determine the validity of the scale; factor analysis was performed and the results revealed that, of the 6 items reflecting the six core elements. It was detected that all items were distinctive with respect to relationship of each item with its related factor. Reliability level was determined by test – retest and internal consistency analysis. In addition, to test the criterion dependence validity of the scale, the correlation between the data gathered from Bergen Facebook Addiction Scale was analyzed respectively with data collected from the Smartphone Addiction Scale, Facebook Use Variance and Facebook Addiction Self-evaluation.
Results: The internal consistency coefficient was calculated using the Cronbach’s Alpha formula and gave a result of crα= .89. The 3-week test-retest validity Cronbach’s alpha was .76 for the six-item Bergen Facebook Addiction Scale. The factor analysis and testretest results confirmed the reliability and validity of the 6-item scale.
Conclusion: Bergen Facebook Addiction Scale is able to measure reliably, and the scale is a valid and reliable tool to be employed in a clinical environment to predict addiction levels of individuals regarding Facebook use in the Turkish society as well.


Original Article

Treatment And Approaches On Acute Agitation Among in Patients in a Private Psychıatry Hospital

Aslı Enez Darçın,Cemal Onur Noyan,Serdar Nurmedov,Hasan Kaya,Nesrin Dilbaz
2017, 1(1), s:26-32

Aim: It is aimed to determine the association between the indications of acute agitation call, applied treatment, applied restraint and seclusion with the
sociodemographical and clinical characteristics of psychopathology.
Method: Among inpatients in a private psychiatry hospital, medical records of whom has a form filled for acute agitation between June 2013-April 2014 examined
retrospectively, 137 medical records enrolled. Acute intervation form and brief psychiatric rating scale points that had been filled in the same day were determined.
Results: In the duration of the study acute agitation call applied for 16.4% of inpatients, 1.9% were restrained, 8% were secluded and 9.4% were given acute medication.
While the applied physical restraint and seclusion rates did not differ during the day, drug applications were found in higher rates during daytime hours (p<0.05). According to the hours of application, the duration of physical restraints were constant throughout the day while the duration of seclusions were longer in the night hours (p<0.05). The most common causes of acute agitation were aggression, threat of violence and treatment rejection. There was no difference approaches to acute agitation in terms of the diagnosis. The majority of selected drug treatments for acute agitation were intramuscular injections. No association was found between scale scores and the duration of any application.
Conclusion: Lower rates of restraints in our study could be associated with that the sample of this study was chosen from a private psychiatry hospital. There is need
for further training among treatment team and studies in this area to shed light on the development of approaches.