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Yıl:2020; Cilt: 7; Sayı: 1>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2020;7(1):37-41
Türkiyeli psikiyatrların transkraniyal manyetik uyarım tedavisine yönelik tutumları
BÖ Ünsalver, A Evrensel, GH Sayar, O Karamustafalıoğlu, N Tarhan
Üsküdar Üniversitesi, İstanbul
Transkraniyal Manyetik Uyarım (TMU) dünyada yaygın kullanılan tedavi yöntemlerinden biri değildir. Psikiyatrik tedaviler için ayrılan bütçenin kısıtlılığı yanısıra psikiyatristlerin TMU’ya dair bilgileri ve tutumları da TMU’nun yaygın kullanımını olumsuz etkileyebilir. Bu anket çalışmasında Türkiye’de çalışan psikiyatri asistanları ve uzmanlarının TMU’ya yönelik tutum ve bilgilerinin ölçülmesi amaçlanmıştır. Araştırmacıların geliştirdiği ve hekimlerin sosyodemografik bilgileri, TMU’ya yönelik bilgileri ve tutumlarını ölçen 26 soruluk anket psikiyatri asistan ve uzmanlarının üye olduğu kapalı bir e-posta grubuna yönlendirilmiştir. Örneklem 46 kadın ve 61 erkekten oluşuyordu. TMU’ya dair bilgi sahibi olmak, katılımcıların TMU’yu umut vaat eden bir tedavi yöntemi olarak görmesini, TMU’nun bir tedavi olarak yaygınlaşmasını onaylamayı ve TMU’nun etki mekanizması hakkında daha fazla bilgi sahibi olma isteğini istatistiksel anlamlı olarak etkiliyordu (p=0.006; p=0.019 and p=0.013);ancak, TMU’yu etkili bir tedavi yöntemi olarak kabul etmeyi, TMU’yu hastaları yanıltmaya yönelik bir tedavi olarak görmeyi ve TMU’yu sadece tedaviye dirençli olgularda kullanmayı anlamlı olarak (p=0.060, p=0.065, and p=0.136). Türkiye’den katılımcı hekimlerin çoğunun TMU’ya dair olumlu fikirleri olduğu ve TMU’ya dair daha fazla bilgi sahibi olmak istedikleri gözlemlendi. Bilimsel toplantılarda TMU’ya dair sunumların sayısını arttırmak ve asistanlık eğitimleri sırasında TMU uygulanan kliniklerde rotasyon imkanı sağlamak faydalı olabilir.
Attitudes of turkish psychiatrists regarding transcranial magnetic stimulation
Transcranial Magnetic Stimulation (TMS) is not widely used in the world. Besides financial constraints like limited allocation of funds for psychiatric clinics, psychiatrists’ knowledge and attitudes regarding TMS may limit its widespread use. Therefore, this survey study aimed to examine the knowledge and attitudes of Turkish psychiatrists towards TMS. An online survey that was developed by the researchers containing 26 questions about physicians’ demographic data and their knowledge and attitudes towards TMS was sent to a closed e-mail group of psychiatrists and assistant psychiatrists. The study sample comprised 46 women and 61 men. Having knowledge about TMS statistically significantly affected participants’ approaches to accept TMS as a promising treatment, approve the spread of TMS as a treatment modality, desire to have more information about the mechanism of action of TMS (p=0.006; p=0.019 and p=0.013, respectively), whereas it didn’t statistically significantly affect their approaches to accept TMS as an effective treatment method, consider TMS as a misleading treatment for patients, use TMS only in the treatment of treatment-resistant depression patients (p=0.060, p=0.065, and p=0.136, respectively). Most of the psychiatrists who completed the survey in Turkey had a positive view of TMS and wanted to increase their knowledge. It may be appropriate to increase the number of presentations on TMS therapy at psychiatry meetings and encourage residents to make observations in clinics where TMS is administered, during psychiatric residency.

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