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Travma sonrası stres bozukluğunda bilişsel süreçler

Cognitive processes in post-traumatic stress disorder

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Abstract (2. Language): 
Post-traumatic Stress disorder (PTSD) consists of a pattern of symptoms that include cognitive, affective, sensory and behavioral systems. In PTSD, the individual experiences disturbing emotions and sensations such as anxiety, panic, depression, anger, tension, high startle response and hypervigilance as a result of reexperiencing traumatic memories, flashbacks, attention difficulties, memory loss, nightmares and intrusive thoughts. The cognitive approach asserts that cognitions play a triggering and maintaining role for these symptoms and tries to explain them with the information processing framework. According to this approach, the traumatic event that is experienced is processed differently from daily, ordinary events. This different information processing strategy stands out in attention, memory, dissociation, cognitive beliefs, cognition-affect processes and coping strategies. In the present paper, research on how these constructs that are parts of the information processing in cognitive systems function in PTSD will be reviewed.
Abstract (Original Language): 
Travma Sonrası Stres Bozukluğu (TSSB), bilişsel, duygusal, duyusal ve davranışsal sistemlerin bir arada çalıştığı bir belirtiler örüntüsüne sahiptir. TSSB’de travmatik anıların yeniden yaşanması, geri dönüşler, dikkat sorunları, bellek kayıpları, kabuslar, takıntılı olumsuz düşünceler sonucunda kişi kaygı, panik, depresyon, öfke, gerginlik, irkilme, tetikte olma gibi rahatsız edici duygular ve duyumlar yaşar. Bilişsel yaklaşım bu belirti örüntüsünde bilişlerin başlatıcı ve sürdürücü bir rol oynadığını öne sürerek, belirtileri bilgi işleme sistemi çerçevesinde açıklamaya çalışır. Bu yaklaşıma göre yaşanan travmatik olay, bilgi işleme sisteminde gündelik sıradan olaylardan farklı bir biçimde işlenir. Bu farklı işlem şekli, dikkat, bellek, ayrışma, bilişsel inançlar, biliş-duygu süreçleri ve başa çıkma stratejilerinde kendini gösterir. Bu yazıda, bilişsel sistemin bilgi işleme sürecinde yer alan bu yapıların TSSB’de nasıl işledikleri ele alınmakta ve bu konularda yapılan çalışmalar gözden geçirilmektedir.
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