Objectives: This study aimed to examine the levels of technology addiction, depression, anxiety, and stress among nursing students in relation to certain variables. Methods: This analytical cross-sectional study included 251 nursing students. Data were collected using the Personal Data Form, the Technology Addiction Scale (TAS), and the Depression, Anxiety, and Stress Scale (DASS). Results: The average daily internet usage time of the students was 3.24 +/- 0.8 hours. The most common reason for connecting to the internet was to use social media applications (91.6%). The mean TAS score of the students was 49.07 +/- 13.96, the mean DASS score for depression was 14.17 +/- 4.99, for anxiety was 12.92 +/- 3.95, and for stress was 14.73 +/- 5.01. Male students' use of online games and websites was higher than female students (p=0.017, t=5.776). First-year students had significantly higher mean scores on the TAS (p=0.001, F=5.494) and the stress scale (p=0.001, t=8.755) compared to other grades. Conclusion: Based on these findings, it is recommended that universities implement preventive and educational programs to enhance mental health and reduce technology addiction.
Objectives: Multiple Sclerosis can lead to significant emotional and physiological challenges, especially during the initial phase following diagnosis. Emotional Freedom Technique, a self-administered intervention combining cognitive and somatic elements, may offer a complementary approach to conventional care. Methods: This randomized controlled trial included 36 participants diagnosed with Multiple Sclerosis within the last three months. The study was registered at ClinicalTrials.gov (NCT number: NCT04969562). Participants were allocated using block randomization to either an intervention group (n=18), which received six sessions of Emotional Freedom Technique in addition to routine care, or a control group (n=18), which received routine care only. Blinding was maintained during the sampling, allocation, data collection, and data analysis stages. Cognitive function was assessed using the Symbol Digit Modalities Test, and psychological distress was measured using the Subjective Units of Distress Scale, with assessments conducted at baseline and after the intervention. Within-group differences were analyzed using the Wilcoxon signed-rank test, and between-group differences were evaluated using the Mann-Whitney U test. Effect sizes (r) were calculated for the outcome variables. Results: No substantial differences were observed between the groups regarding depression, anxiety, or overall psychological distress following the intervention. However, participants in the intervention group demonstrated modest improvements in cognitive function (r=0.54), indicating a moderate-to-large effect size. Conclusion: The findings suggest that Emotional Freedom Technique may have positive effects on cognitive functioning and certain physiological indicators, even if its impact on emotional distress is limited in the short term.
Objectives: Eating disorders are a serious public health problem prevalent among adolescents, young adults, and women, and they have negative physical and psychological consequences. Art therapy can offer a safe space to understand the underlying dynamics of eating disorders and promote resilience. This study aims to examine the long-term group art psychotherapy process in individuals diagnosed with eating disorders and the problems experienced by these individuals through the artworks they produce. Methods: The study was conducted with 11 female patients with anorexia nervosa, bulimia nervosa, and binge eating disorder. Art therapy lasted for two years and consisted of a total of 58 sessions, held for 2 hours per week. The art psychotherapy interventions used were semi-structured and planned. Qualitative data were evaluated through artworks, video recordings, and session reports. The approach in this study was used as a psychotherapy method to activate various senses and facilitate the symbolic expression of emotions and thoughts, helping to uncover the underlying conflicts generating the symptoms and thereby supporting psychological growth and recovery. Results: Group interactions and artworks produced during therapy initially focused on symptoms but evolved into more in-depth individual sharing in the later phase. Through the artworks created during art psychotherapy, themes such as distorted body image, negative self-perception, loneliness, inhibited emotional expression, depressive mood, high anxiety, feelings of guilt, obsessive thinking, low functioning, relationship problems, sociocultural pressures on the body, cognitive distortions related to the body, and denial of sexuality emerged. By understanding these themes reflected in the artworks and their connections to symptoms during psychotherapy sessions, these problems could be addressed psychotherapeutically. Conclusion: Patients developed in-depth awareness of both themselves and others. It was observed that their functioning increased in various areas of life, such as returning to work and school. The study contributes to clinical practice by enhancing understanding of eating disorders and informing the development of effective psychological treatments.
Objectives: Sexual violence remains widely underreported, often described as the "tip of the iceberg,"due to survivors' fear, stigma, and uncertainty about seeking help. Although reporting rates in Indonesia have increased, the processes through which survivors decide to seek support remain insufficiently understood. This study aimed to explore the decision-making experiences of survivors of sexual violence in seeking help. Methods: A qualitative descriptive design was employed using purposive sampling. Participants were survivors of sexual violence who had sought help and had been screened for post-traumatic stress disorder (PTSD). Data were collected through in-depth interviews and analyzed using thematic analysis. Results: Seven interrelated themes emerged, including the chronological context of sexual violence experiences, survivors' initial ignorance of sexual violence, multidimensional life changes following trauma, self-denial after sexual violence, decision-making processes driven by the refusal to fall into depression, the role of support from trusted individuals, and survivors' experiences after seeking help. Conclusion:This study highlights the complexity of survivors' help-seeking decision-making and underscores the importance of trauma-informed and culturally sensitive mental health nursing care. Strengthening community education on sexual violence, supporting families in responding appropriately to disclosure, and developing targeted nursing interventions may facilitate survivors' recovery and engagement with professional services. Future research should further examine factors influencing help-seeking and evaluate the effectiveness of nursing interventions for survivors experiencing PTSD.
Objectives: HIV is a sexually transmitted virus. After infection, the sexual lives of individuals and their compatibility with their partners may be adversely affected.This study aimed to compare sexual self-consciousness, self-confidence, self-efficacy, sexual satisfaction, and dyadic adjustment between People Living With HIV (PLWH) and HIV-negative individuals. Methods:This case-control study was conducted with 52 PLWH and 225 HIV(-) individuals between June 1 and July 31, 2022. All individuals were asked to complete the Introductory Information Form, the Sexual Self-Consciousness Scale, the Sexual Self-Confidence Scale, the Sexual Self-Efficacy Scale, the New Sexual Satisfaction Scale, and the Revised Dyadic Adjustment Scale. Results: In PLWH, the mean scores of sexual self-confidence, sexual self-disclosure, sexual satisfaction, and self-centered sexual satisfaction were found to be significantly lower, whereas the mean score of sexual self-efficacy was higher than those of HIV(-) individuals. It was found that being single, living in an extended family, and living in a city center increased exposure to HIV. It was determined that sexual self-disclosure reduced exposure to HIV, whereas sexual awareness and sexual self-efficacy increased exposure to HIV. In PLWH, sexual self-consciousness was found to negatively affect sexual satisfaction; sexual self-confidence and dyadic adjustment were found to increase sexual satisfaction; and sexual satisfaction was found to positively affect dyadic adjustment. Conclusion: Living with HIV negatively affects self-confidence and satisfaction related to sexuality. Awareness and self-efficacy regarding sexuality increase, whereas sexual self-disclosure decreases after exposure to HIV. Integrating sexual health counseling that focuses on sexual self-confidence, self-disclosure, and couple dynamics into routine HIV care may contribute to improving sexual satisfaction and relationship adjustment in people living with HIV.
