{"id":3238,"date":"2025-02-20T07:23:46","date_gmt":"2025-02-20T04:23:46","guid":{"rendered":"https:\/\/designingmedia.com\/medunit\/?p=3238"},"modified":"2025-05-28T17:56:13","modified_gmt":"2025-05-28T14:56:13","slug":"psikososyal-terapiler-bagisiklik-fonksiyonunu-duzeltir","status":"publish","type":"post","link":"https:\/\/necipyurddas.com\/tr\/psikososyal-terapiler-bagisiklik-fonksiyonunu-duzeltir\/","title":{"rendered":"Psikososyal Terapiler Ba\u011f\u0131\u015f\u0131kl\u0131k Fonksiyonunu D\u00fczeltir"},"content":{"rendered":"<p><strong>JAMA Psikiyatri dergisinde yay\u0131nlanan bir meta-analize g\u00f6re, psikososyal giri\u015fimlerin ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin i\u015fleyi\u015fini \u00f6nemli derecede etkiledi\u011fi rapor edildi.<\/strong><\/p>\n<p>Davis, California \u00dcniversitesi\u2019nden Ph.D. Grant Shields ve meslekta\u015flar\u0131, \u201cSonu\u00e7lar\u0131m\u0131z, en \u00e7ok BDT [bili\u015fsel-davran\u0131\u015f\u00e7\u0131 terapi] ve \u00e7oklu psikoterapileri i\u00e7eren m\u00fcdahaleler i\u00e7in tutarl\u0131yd\u0131.\u201d diye yazd\u0131. \u201c\u00dcstelik bulgular, kat\u0131l\u0131mc\u0131lar\u0131n ya\u015f\u0131, cinsiyeti veya m\u00fcdahale s\u00fcresine g\u00f6re farkl\u0131l\u0131k g\u00f6stermediler. Son olarak, bu ili\u015fkilerin tedavinin kesilmesinden sonra en az alt\u0131 ay devam etti\u011fini bulduk.\u201d ifadelerinde bulundu.<\/p>\n<p><strong>\u00c7al\u0131\u015fma nas\u0131l ger\u00e7ekle\u015fti?<\/strong><\/p>\n<p>Shields ve meslekta\u015flar\u0131, psikososyal bir m\u00fcdahalenin bir dereceye kadar ba\u011f\u0131\u015f\u0131kl\u0131k sa\u011fl\u0131\u011f\u0131 \u00fczerindeki etkilerini inceleyen plasebo kontroll\u00fc \u00e7al\u0131\u015fmalar\u0131 g\u00f6zden ge\u00e7irdiler. \u00c7al\u0131\u015fmalar\u0131n \u00e7o\u011fu, kanser veya HIV\u2019li ki\u015filerde psikososyal m\u00fcdahalelerin test edilmesini i\u00e7eriyordu.<\/p>\n<p>Eleme ve i\u00e7erme kriterleri uyguland\u0131ktan sonra analize, sekiz t\u00fcr terapiyi kapsayan 56 \u00e7al\u0131\u015fma dahil edildi. Sekiz m\u00fcdahale i\u00e7erisinde: hastalar\u0131n problemli davran\u0131\u015flar\u0131 anlamas\u0131na ve de\u011fi\u015ftirmesine yard\u0131mc\u0131 olmay\u0131 ama\u00e7layan davran\u0131\u015f terapisi, hastalara olumsuz d\u00fc\u015f\u00fcnceleri veya zihniyeti nas\u0131l de\u011fi\u015ftireceklerini \u00f6\u011freten bili\u015fsel terapi, bili\u015fsel ve davran\u0131\u015fsal terapilerin unsurlar\u0131n\u0131 birle\u015ftiren ve bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi BDT, BDT\u2019ye ek olarak telefonla takip gibi destekleyici m\u00fcdahaleler, yas veya destekleyici terapi, psikoe\u011fitim, di\u011fer psikoterapi (stres y\u00f6netimi gibi) veya \u00e7oklu m\u00fcdahaleler.<\/p>\n<p>\u00c7al\u0131\u015fmalarda ayr\u0131ca yedi ba\u011f\u0131\u015f\u0131kl\u0131k sistemi biyobelirteci de yer ald\u0131: proinflamatuar sitokin seviyeleri, anti inflamatuar sitokin seviyeleri, antikor seviyeleri, beyaz kan h\u00fccresi say\u0131lar\u0131, beyaz kan h\u00fccresi aktivitesi, viral y\u00fck (\u00f6rne\u011fin, HIV seviyeleri) ve postoperatif enfeksiyonlar gibi di\u011fer sonu\u00e7lar.<\/p>\n<p><strong>Bulgular neler?<\/strong><\/p>\n<p>Genel olarak, herhangi bir psikososyal m\u00fcdahale alan kat\u0131l\u0131mc\u0131lar, psikososyal m\u00fcdahale almayanlara k\u0131yasla d\u00fc\u015f\u00fck viral y\u00fck gibi pozitif ba\u011f\u0131\u015f\u0131kl\u0131k sonu\u00e7lar\u0131nda %14,7\u2019lik bir art\u0131\u015f ve \u00f6rne\u011fin, proinflamatuar sitokinler gibi zararl\u0131 sonu\u00e7larda %18,0\u2019lik bir d\u00fc\u015f\u00fc\u015f ya\u015fad\u0131lar. Ba\u011f\u0131\u015f\u0131kl\u0131k g\u00f6stergelerindeki geli\u015fmeler \u00f6zellikle, BDT veya \u00e7oklu psikososyal m\u00fcdahaleler alan hastalar aras\u0131nda en g\u00fc\u00e7l\u00fcyd\u00fc. Biyobelirte\u00e7ler aras\u0131nda, proinflamatuar sitokinlerdeki azalma, psikososyal m\u00fcdahalelerle ili\u015fkili en g\u00fc\u00e7l\u00fc geli\u015fmeydi.<\/p>\n<p><strong>Sonu\u00e7lar nas\u0131l yorumlan\u0131yor?<\/strong><\/p>\n<p>\u201cKronik hastal\u0131klar\u0131 tedavi etmek i\u00e7in psikososyal m\u00fcdahalelerin etkinli\u011fi ve g\u00f6receli olarak kar\u015f\u0131lanabilirli\u011fi g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, psikososyal m\u00fcdahalelerin hastal\u0131k y\u00fck\u00fcn\u00fc azaltmak ve insan sa\u011fl\u0131\u011f\u0131n\u0131 iyile\u015ftirmek i\u00e7in ge\u00e7erli bir stratejiyi temsil edebilece\u011fini \u00f6neriyoruz. Yazarlar, ileriye d\u00f6n\u00fck olarak, psikososyal m\u00fcdahalelerin ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ve sa\u011fl\u0131k \u00fczerinde nispeten uzun s\u00fcreli, yararl\u0131 etkiler uygulad\u0131\u011f\u0131 mekanizmalar\u0131 ayd\u0131nlatmak i\u00e7in ek ara\u015ft\u0131rmalara ihtiya\u00e7 duyuldu\u011funu belirtti.<\/p>\n<p><strong>KAYNAK\u00c7A:<\/strong><\/p>\n<p>\u2013 Shields, G. S., Spahr, C. M., &amp; Slavich, G. M. Psychosocial interventions and immune system function: a systematic review and meta-analysis of randomized clinical trials. JAMA psychiatry, 77(10), 1031-1043. \u2013 Psychiatric News Alert . \u201cPsychosocial Therapies Found to Boost Immune Function\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>JAMA Psikiyatri dergisinde yay\u0131nlanan bir meta-analize g\u00f6re, psikososyal giri\u015fimlerin ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin i\u015fleyi\u015fini \u00f6nemli derecede etkiledi\u011fi rapor edildi. Davis, California \u00dcniversitesi\u2019nden Ph.D. Grant Shields ve meslekta\u015flar\u0131, \u201cSonu\u00e7lar\u0131m\u0131z, en \u00e7ok BDT [bili\u015fsel-davran\u0131\u015f\u00e7\u0131 terapi] ve \u00e7oklu psikoterapileri i\u00e7eren m\u00fcdahaleler i\u00e7in tutarl\u0131yd\u0131.\u201d diye yazd\u0131. \u201c\u00dcstelik bulgular, kat\u0131l\u0131mc\u0131lar\u0131n ya\u015f\u0131, cinsiyeti veya m\u00fcdahale s\u00fcresine g\u00f6re farkl\u0131l\u0131k g\u00f6stermediler. Son olarak, bu ili\u015fkilerin [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4628,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-3238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psikoloji"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/posts\/3238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/comments?post=3238"}],"version-history":[{"count":3,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/posts\/3238\/revisions"}],"predecessor-version":[{"id":5097,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/posts\/3238\/revisions\/5097"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/media\/4628"}],"wp:attachment":[{"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/media?parent=3238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/categories?post=3238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/necipyurddas.com\/tr\/wp-json\/wp\/v2\/tags?post=3238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}