Researcher:
Acartürk, Ceren

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Ceren

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Acartürk

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Acartürk, Ceren
Acartürk, Zeynep Ceren

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2020 - 202342

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    Social support and resilience among Syrian refugees: The mediating role of self-efficacy
    (Routledge Journals, Taylor & Francis Ltd, 2023) Pak, Sukufe; Yurtbakan, Taylan; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
    Refugees are exposed to potentially traumatic events before, during, and after the forced displacement. Related to these events, they are at risk of developing mental health problems. From a public-health perspective, it is important to investigate factors fostering resilience among refugee population. This study aimed to explore the mediation role of self-efficacy between social support and resilience among Syrian refugees living in Istanbul, Turkey. A cross-sectional survey of 339 Syrian refugees aged 18 and older was conducted between September 2018 and March 2019 in Istanbul. The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience, the Multidimensional Scale of Perceived Social Support (MSPSS) assessed social support, and self-efficacy was measured by the General Self-Efficacy Scale (GSE). The simple mediation model analysis showed the mediating effect of self-efficacy on the social support and resilience relationship. Among the demographic factors, males and individuals with higher education levels reported increased resilience. Findings illuminated the importance of self-efficacy in promoting resilience among refugee population. Implications were discussed in a culturally appropriate way to enhance self-efficacy among Syrian refugees.
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    Traumatic experiences, acculturation, and psychological distress among Syrian refugees in Turkey: the mediating role of coping strategies
    (Pergamon-Elsevier Science Ltd, 2021) Acar, İbrahim Hakkı; Yurtbakan, Taylan; Uygun, Ersin; Department of Psychology; N/A; N/A; Department of Psychology; Kurt, Gülşah; İlkkurşun, Zeynep; Acar, Büşra; Acartürk, Ceren; Teaching Faculty; Master Student; PhD Student; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; Graduate School of Social Sciences and Humanities; Graduate School of Social Sciences and Humanities; College of Social Sciences and Humanities; N/A; N/A; N/A; 39271
    Turkey hosts the largest number of refugees in the world. So far, many studies investigated the mental health problems among Syrian refugees in Turkey and other hosting countries. However, little attention has been paid to the acculturation process of Syrian refugees in Turkey. A crosssectional study was conducted with 409 Syrian refugees in Mardin, Turkey. Results showed that traumatic experiences depleted problem-focused, emotion-focused, and maladaptive coping strategies. Emotion-focused coping strategies mediated the relationship between traumatic experiences and maintenance of the heritage culture and adoption of the destination culture. To conclude, our findings underscore the importance of traumatic experiences and emotion-focused coping strategies for integration of Syrian refugees in Turkey. Psychosocial interventions enhancing emotion-focused coping capacities might mitigate the adverse impact of traumatic experiences on integration. We discussed the strengths and limitations of the study considering the current literature.
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    “Doing What Matters in Times of Stress” to decrease psychological distress during Covid-19: a rammed controlled pilot trial
    (Wolters Kluwer Medknow Publications, 2022) Uygun, Ersin; Karaoğlan Kahiloğulları, Akfer; Department of Psychology; Department of Psychology; N/A; Acartürk, Ceren; Kurt, Gülşah; İlkkurşun, Zeynep; Faculty Member; Teaching Faculty; Master Student; Department of Psychology; College of Social Sciences and Humanities; College of Social Sciences and Humanities; Graduate School of Social Sciences and Humanities; 39271; 368619; N/A
    Despite the increasing psychological distress during Covid-19, utilisation of face-to-face psychological interventions decreased profoundly. The aim of this study involving two parallel, two-armed pilot randomised controlled trials was to examine the effectiveness of a guided self-help intervention "Doing What Matters in Times of Stress" (DWM) in decreasing psychological distress in Turkish and Syrian participants. Seventy-four Turkish nationals and 50 Syrian refugee adults with psychological distress were randomly allocated to a DWM group or wait-list control group. The primary outcome measure was the Patient Health Questionnaire 9 postintervention. Secondary outcome measures were the Generalised Anxiety Disorder Scale, posttraumatic stress disorder (PTSD) Checklist for DSM-5, Generalized Self-Efficacy Scale and Acceptance and Action Questionnaire-II postintervention. Although this study was not powered to detect a significant effect for DWM postassessment between DWM and the control group, results showed a significant improvement in depression symptoms among Turkish participants in the DWM group (d = 0.46) and in PTSD symptoms among Syrian participants in the DWM group (d = 0.67) from pre- to postintervention assessment. These results indicate the potential of DWM to decrease mental health problems during the pandemic and importance of a fully powered, definitive controlled trial to examine its effectiveness both for the host community and refugees to reduce psychological distress during Covid-19.
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    Post-traumatic growth and its predictors among Syrian refugees in Istanbul: a mental health population survey
    (Elsevier B.V., 2020) Wen, Karen; McGrath, Michael; İlkkurşun, Zeynep; Fuhr, Daniela C.; Sondorp, Egbert; Cuijpers, Pim; Sijbrandij, Marit; Roberts, Bayard; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
    Aims: The negative mental health effects of exposure to trauma are well-documented. However, some individuals are theorized to undergo post-traumatic growth (PTG) after exposure to trauma, potentially experiencing positive psychological change across five domains: appreciation for life, relationships with others, new possibilities in life, personal strength, and spiritual change. PTG is less studied in forcibly displaced populations in low- and middle-income countries. This study aimed to explore levels of PTG and associated factors among Syrian refugee adults living in Istanbul, Turkey. Methods: A cross-sectional survey was conducted with 1678 respondents. This study analyzed PTG data from 768 individuals as measured by the Post-Traumatic Growth Inventory (PTGI). Descriptive analysis and univariate and multivariate least squares linear regression modeling were used. Factor analysis and Cronbach's alpha tests assessed the psychometric properties of the PTGI. Results: The sample exhibited a moderate level of PTG at 55.94 (SD=22.91, range 0–105). Factor analysis of PTGI revealed only four factors instead of five, and the PTGI yielded high internal reliability (Cronbach's α=0.90). PTG and post-traumatic stress disorder (PTSD) had a curvilinear relationship, with the highest PTG levels experienced by those with moderate PTSD levels. Five other variables were significantly associated with PTG: older age, less education, somatic distress, and history of an overnight stay at a health facility for mental health care were associated with lower PTG, while more years of education were associated with higher PTG. Conclusions: This study identified the role of the sociodemographic and psychological determinants that influence post-traumatic growth among Syrian refugees in Istanbul. These findings could be used to inform future research and programs seeking to understand PTG in refugees.
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    Caring for carers: a virtual psychosocial supervision intervention to improve the quality and sustainability of mental health and psychosocial support in humanitarian contexts
    (Cambridge University Press (CUP), 2022) Wells, R.; Alokoud, M.; Beetar, A.; Eldardery, H.; Elshazly, M.; Faruk, O.; Ginem, M. R.; Hadzi-Paylovic, D.; Jahan, S.; Joshi, R.; Klein, L.; Kurdi, L.; Mastrogiovanni, C.; Mozumder, M.; Lekkeh, S.; Nemorin, S.; Perry, K. Nicholson; Orabi, M.; Qasim, J.; Steel, Z.; Utah, H.; Uygun, E.; Wong, S.; Yan, L. (Fischer); Yousselr, R. Said; Zarate, A.; Rosenbaum, S.; Department of Psychology; N/A; N/A; Department of Psychology; N/A; Acartürk, Ceren; Almeamari, Fatima; İlkkurşun, Zeynep; Kurt, Gülşah; Tavakol, Mehri; Faculty Member; Master Student; Master Student; Teaching Faculty; Other; Department of Psychology; College of Social Sciences and Humanities; Graduate School of Social Sciences and Humanities; Graduate School of Social Sciences and Humanities; College of Social Sciences and Humanities; N/A; 39271; N/A; N/A; 368619; N/A
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    Addressing the mental health needs of those affected by the earthquakes in Türkiye
    (Elsevier, 2023) Kurt, Gülşah; Uygun, Ersin; Aker, A Tamer; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
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    Psychological problems and resilience among Syrian adolescents exposed to war
    (Elsevier, 2022) Uysal, Burcu; Yanık, Medaim; Taştekne, Feyzanur; Tüzgen, Esma; Altınışık, Esra; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
    There are very few holistic studies that consider a resilience and risk-oriented approach to Syrian adolescent refugees living in Turkey, and most of these studies have been conducted with relatively small samples. Furthermore, dissociation as a universal response to childhood trauma has been neglected by researchers in the study of Syrian adolescents. Therefore, this study aimed to correct this omission by investigating the level of psychological problems (especially dissociation) and resilience with the predictors of those levels, as reported by 430 Syrian adolescents aged between 12 and 18 in Turkey. The prevalence of the participants who had higher than the cut-off value in dissociation was 47.2% and in PTSD was 61.3%. Additionally, in the proportion of medium to severe levels, 72.8% of the participants had anxiety symptoms and 51.5% had depressive symptoms. The level of resilience among the adolescents was about average with 60.7% of the participants displaying moderate to exceptionally high resilience.While the high number of traumatic experiences and use of negative religious coping methods came to the fore as predictors of psychological problems, social support from family and friends and positive religious coping methods were the common predictors for the assessment of higher resilience. The findings from this study may be of assistance to the development of preventive intervention programs for adolescent refugees in general and Syrian adolescent refugees in particular.
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    Peer-provided psychological intervention for Syrian refugees: results of a randomised controlled trial on the effectiveness of problem management plus
    (BMJ Publishing Group, 2023) Graaff, Anne M.; Cuijpers, Pim; Twisk, Jos W.; Kieft, Barbara; Hunaidy, Sam; Elsawy, Mariam; Gorgis, Noer; Bouman, Theo K.; Lommen, Miriam J.; Bryant, Richard; Burchert, Sebastian; Dawson, Katie S.; Fuhr, Daniela C; Hansen, Pernille; Jordans, Mark; Knaevelsrud, Christine; McDaid, David; Morina, Naser; Moergeli, Hanspeter; Park, A-La; Roberts, Bayard; Ventevogel, Peter; Wiedemann, Nana; Woodward, Aniek; Sijbrandij, Marit; STRENGTHS consortium; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
    Background: The mental health burden among refugees in high-income countries (HICs) is high, whereas access to mental healthcare can be limited. Objective: To examine the effectiveness of a peer-provided psychological intervention (Problem Management Plus; PM+) in reducing symptoms of common mental disorders (CMDs) among Syrian refugees in the Netherlands. Methods: we conducted a single-blind, randomised controlled trial among adult Syrian refugees recruited in March 2019-December 2021 (No. NTR7552). Individuals with psychological distress (Kessler Psychological Distress Scale (K10) >15) and functional impairment (WHO Disability Assessment Schedule (WHODAS 2.0) >16) were allocated to PM+ in addition to care as usual (PM+/CAU) or CAU only. Participants were reassessed at 1-week and 3-month follow-up. Primary outcome was depression/anxiety combined (Hopkins Symptom Checklist; HSCL-25) at 3-month follow-up. Secondary outcomes included depression (HSCL-25), anxiety (HSCL-25), post-traumatic stress disorder (PTSD) symptoms (PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; PCL-5), impairment (WHODAS 2.0) and self-identified problems (PSYCHLOPS; Psychological Outcomes Profiles). Primary analysis was intention-to-treat. Findings: participants (n=206; mean age=37 years, 62% men) were randomised into PM+/CAU (n=103) or CAU (n=103). At 3-month follow-up, PM+/CAU had greater reductions on depression/anxiety relative to CAU (mean difference -0.25; 95% CI -0.385 to -0.122; p=0.0001, Cohen's d=0.41). PM+/CAU also showed greater reductions on depression (p=0.0002, Cohen's d=0.42), anxiety (p=0.001, Cohen's d=0.27), PTSD symptoms (p=0.0005, Cohen's d=0.39) and self-identified problems (p=0.03, Cohen's d=0.26), but not on impairment (p=0.084, Cohen's d=0.21). Conclusions: PM+ effectively reduces symptoms of CMDs among Syrian refugees. A strength was high retention at follow-up. Generalisability is limited by predominantly including refugees with a resident permit.Clinical implications: peer-provided psychological interventions should be considered for scale-up in HICs.
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    Have the covid-19 outbreak and related restrictions affected the right to mental health of people with severe mental health conditions?
    (Taylor & Francis, 2023) Nose, M.; Gastaldon, C; Purgato, M.; Ostuzzi, G.; Barbui, C.; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271
    The Coronavirus disease (COVID-19) outbreak, and the restrictions implemented by governments to limit its public health impact, may have determined a reduction of the right to mental health of people with severe mental health conditions, that is a limitation to adequate, human, and value-based mental healthcare, with rising inequalities in comparison with the general population. This systematic review was, therefore, conducted to collate evidence on the impact of the pandemic period on the mental health of individuals with pre-existing severe mental health conditions. of 3,774 retrieved citations, we selected 21 studies meeting the inclusion criteria. The majority of the included studies assessed trends in psychological symptoms over the pandemic period, then arguing that symptoms worsened for a number of reasons, including the risk of contracting the virus, the disruption of mental health services, and the feelings of loneliness and isolation associated with the restriction measures. Even though studies provided somewhat contradictory results, the majority of evidence indicates that people with pre-existing mental health conditions were more likely to report greater self-isolation distress, anxiety, depression, COVID-19-related perceived stress, and were more likely to voluntarily self-isolate than those without a mental health condition. These findings appeared to suggest that a combination of factors related to the pandemic itself and to the prevention and mitigation strategies were responsible for a reduction of the right to mental health of people with mental health conditions, with increased inequalities in comparison with the general population.
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    Group problem management plus for decreasing psychological distress in Syrian refugees in Turkey
    (Oxford Univ Press, 2020) Ilkkursun, Z.; Yurtbakan, T.; Troian, J.; Uygun, E.; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271