Alkol kullanım bozukluğu olan olguların sosyal destek sistemlerinin değerlendirilmesi
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Aile, sosyal çevre ve arkadaşlar alkol kullanım bozukluğu sürecinde ve tedavisinde etkin bir rol üstlenir. Buna karşın bağımlılık servislerinde yalnızca tedavi gören olgulara odaklanılmaktadır. Bu aile ve sosyal ağın tedavide ihmal edilmesine ve/veya gerekli rolü üstlenmemesine neden olmaktadır. Böylece ayıklığı sağlama ve sürdürme döneminde etkin bir rolü olan bu grup ihmal edilmektedir. Bu çalışmada alkol kullanım bozukluğu (AKB) bazı klinik özelliklerine göre sosyal destek sistemlerinin incelenmesi amaçlanmıştır. Yöntem: Ege Üniversitesi Tıp Fakültesi Bağımlılık Tedavi Biriminde yatarak tedavi gören olgular çalışmaya alındı. Bu vakalara DSM IV’ e göre yapılandırılmış SCID-1 uygulandı. AKB tanısı alan bireyler sosyodemografik bilgi formu, sosyal ağ listesi, algılanan arkadaş ölçeği(PSS_Fr) ve algılana aile ölçeğini (PSS_Fa) doldurdular: Olgular alkole başlama yaşlarına, ailelerinde psikiyatrik hastalık öyküsüne, medeni durumuna ve komorbid psikiyatrik hastalık varlığına göre gruplandırıldı. Ege Üniversitesi Tıp Fakültesi Bağımlılık Tedavi Biriminde yatarak tedavi gören olgular çalışmaya alındı. Bu vakalara DSM IV’ e göre yapılandırılmış SCID-1 uygulandı. AKB tanısı alan bireyler sosyodemografik bilgi formu, sosyal ağ listesi, algılanan arkadaş ölçeği(PSS_Fr) ve algılana aile ölçeğini (PSS_Fa) doldurdular: Olgular alkole başlama yaşlarına, ailelerinde psikiyatrik hastalık öyküsüne, medeni durumuna ve komorbid psikiyatrik hastalık varlığına göre gruplandırıldı. Bulgular: Bu araştırmaya 40 AKB olan birey alınmıştır. Sosyal ağdaki sırdaş sayısı ve algılanan aile desteği ölçeğinden alınan puan evlilerde bekârlara oranla daha yüksektir. Bu fark istatistiksel olarak da anlamlıdır. (sırasıyla 0.034; 0.035). Akraba sayısı, AKB komorbid anksiyete bozukluğu olan grupta yalnızca AKB, AKB komorbid majör depresif bozukluk ve çoğul madde kulanım bozukluğu gösteren gruplara göre daha fazla bildirilmiştir. Bu fark istatistiksel olarak anlamlıdır (0.018). DSM-IV tanılarına, alkole başlama yaşları, ebeveynlerin eğitim düzeylerine ve ailelerinde psikiyatrik hastalık varlığına göre incelediğimizde gruplar arasında istatistiksel düzeyde anlamlı bir fark saptanmamıştır. Bu araştırmaya 40 AKB olan birey alınmıştır. Sosyal ağdaki sırdaş sayısı ve algılanan aile desteği ölçeğinden alınan puan evlilerde bekârlara oranla daha yüksektir. Bu fark istatistiksel olarak da anlamlıdır. (sırasıyla 0.034; 0.035). Akraba sayısı, AKB komorbid anksiyete bozukluğu olan grupta yalnızca AKB, AKB komorbid majör depresif bozukluk ve çoğul madde kulanım bozukluğu gösteren gruplara göre daha fazla bildirilmiştir. Bu fark istatistiksel olarak anlamlıdır (0.018). DSM-IV tanılarına, alkole başlama yaşları, ebeveynlerin eğitim düzeylerine ve ailelerinde psikiyatrik hastalık varlığına göre incelediğimizde gruplar arasında istatistiksel düzeyde anlamlı bir fark saptanmamıştır. Sonuç: Evli alkol kullanım bozukluğu olan bireyler bekârlar alkol kullanım bozukluğu olan bireylere oranla daha fazla sırdaş sayısı ve daha çok aile desteği bildirmişlerdir. Ancak daha çok sayıda olgunun yer aldığı çalışmalara ihtiyaç vardır. Evli alkol kullanım bozukluğu olan bireyler bekârlar alkol kullanım bozukluğu olan bireylere oranla daha fazla sırdaş sayısı ve daha çok aile desteği bildirmişlerdir. Ancak daha çok sayıda olgunun yer aldığı çalışmalara ihtiyaç vardır.
Objective: Family, friends and social environment play an important role during the alcohol abuse period and treatment. Despite this, the focus of alcohol treatment units is inpatients. This causes the families and social network to be overlooked and / or not to take the necessary role in the treatment. By this way this group, who has an important role in the provision and sustain of sobriety, is ignored. In this study, our objective is to research the social support systems of the alcohol use disorder (AUD) cases according to some socio-demographical aspects. Method: The inpatients in the Ege University Dependency Unit are taken as the cases. SCID-1 has been applied to these cases according to DSM IV. The cases having the AUD have filled the socio-demographic information form, social network list, perceived friend inventory (PSS_Fr) and perceived family inventory. (PSS_Fa) These cases have been classified according to the age of onset alcohol use, to the existence of any psychiatric disorder’s in their family, to the marital status, and to the existence of comorbid psychiatric disorders. The inpatients in the Ege University Dependency Unit are taken as the cases. SCID-1 has been applied to these cases according to DSM IV. The cases having the AUD have filled the socio-demographic information form, social network list, perceived friend inventory (PSS_Fr) and perceived family inventory. (PSS_Fa) These cases have been classified according to the age of onset alcohol use, to the existence of any psychiatric disorder’s in their family, to the marital status, and to the existence of comorbid psychiatric disorders. Results: 40 alcohol disorder inpatients were included in this study. The number of confidants in the social network and the PPS_Fa scores is higher in married subjects than singles. This difference is statistically significant. (0.034; 0.035 in order). The group, which has the AUD comorbid anxiety disorder, reported higher number of relatives compared to the groups, which have only AUD, AUD comorbid major depressive disorder and multiple substance use disorder. This difference is statistically significant. (0.018). The family support according to the marital status in terms of relative and confidant number and the difference between the single and married is statistically meaningful. In terms of DSM IV diagnosis, onset of alcohol, the parent’s educational levels, the existence of any psychiatric disorder’s there has not been detected any statistically meaningful difference. 40 alcohol disorder inpatients were included in this study. The number of confidants in the social network and the PPS_Fa scores is higher in married subjects than singles. This difference is statistically significant. (0.034; 0.035 in order). The group, which has the AUD comorbid anxiety disorder, reported higher number of relatives compared to the groups, which have only AUD, AUD comorbid major depressive disorder and multiple substance use disorder. This difference is statistically significant. (0.018). The family support according to the marital status in terms of relative and confidant number and the difference between the single and married is statistically meaningful. In terms of DSM IV diagnosis, onset of alcohol, the parent’s educational levels, the existence of any psychiatric disorder’s there has not been detected any statistically meaningful difference. Conclusion: The married individuals, who have the AUD, report more confidants and family support than singles. However, more studies with more subjects are needed. The married individuals, who have the AUD, report more confidants and family support than singles. However, more studies with more subjects are needed.
Objective: Family, friends and social environment play an important role during the alcohol abuse period and treatment. Despite this, the focus of alcohol treatment units is inpatients. This causes the families and social network to be overlooked and / or not to take the necessary role in the treatment. By this way this group, who has an important role in the provision and sustain of sobriety, is ignored. In this study, our objective is to research the social support systems of the alcohol use disorder (AUD) cases according to some socio-demographical aspects. Method: The inpatients in the Ege University Dependency Unit are taken as the cases. SCID-1 has been applied to these cases according to DSM IV. The cases having the AUD have filled the socio-demographic information form, social network list, perceived friend inventory (PSS_Fr) and perceived family inventory. (PSS_Fa) These cases have been classified according to the age of onset alcohol use, to the existence of any psychiatric disorder’s in their family, to the marital status, and to the existence of comorbid psychiatric disorders. The inpatients in the Ege University Dependency Unit are taken as the cases. SCID-1 has been applied to these cases according to DSM IV. The cases having the AUD have filled the socio-demographic information form, social network list, perceived friend inventory (PSS_Fr) and perceived family inventory. (PSS_Fa) These cases have been classified according to the age of onset alcohol use, to the existence of any psychiatric disorder’s in their family, to the marital status, and to the existence of comorbid psychiatric disorders. Results: 40 alcohol disorder inpatients were included in this study. The number of confidants in the social network and the PPS_Fa scores is higher in married subjects than singles. This difference is statistically significant. (0.034; 0.035 in order). The group, which has the AUD comorbid anxiety disorder, reported higher number of relatives compared to the groups, which have only AUD, AUD comorbid major depressive disorder and multiple substance use disorder. This difference is statistically significant. (0.018). The family support according to the marital status in terms of relative and confidant number and the difference between the single and married is statistically meaningful. In terms of DSM IV diagnosis, onset of alcohol, the parent’s educational levels, the existence of any psychiatric disorder’s there has not been detected any statistically meaningful difference. 40 alcohol disorder inpatients were included in this study. The number of confidants in the social network and the PPS_Fa scores is higher in married subjects than singles. This difference is statistically significant. (0.034; 0.035 in order). The group, which has the AUD comorbid anxiety disorder, reported higher number of relatives compared to the groups, which have only AUD, AUD comorbid major depressive disorder and multiple substance use disorder. This difference is statistically significant. (0.018). The family support according to the marital status in terms of relative and confidant number and the difference between the single and married is statistically meaningful. In terms of DSM IV diagnosis, onset of alcohol, the parent’s educational levels, the existence of any psychiatric disorder’s there has not been detected any statistically meaningful difference. Conclusion: The married individuals, who have the AUD, report more confidants and family support than singles. However, more studies with more subjects are needed. The married individuals, who have the AUD, report more confidants and family support than singles. However, more studies with more subjects are needed.
Açıklama
Anahtar Kelimeler
Psikoloji, Klinik
Kaynak
Bağımlılık Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
