Cüneyt EVREN, Serap ÖZÇETİNKAYA, Dilara ÇAĞIL, Müge ÜLKÜ, FATMA YEŞİM CAN, ELİF MUTLU

Defense styles that are related with history of self-mutilation and suicide attempt in alcohol dependent inpatients

Amaç: Bu çalışmanın amacı, yatarak tedavi gören alkol bağımlılarında savunma biçimleri ile kendini yaralama davranışı ve özkıyım girişimi öyküleri arasındaki ilişkinin araştırılmasıdır. Yöntem: Katılımcılar, ardışık olarak yatışı yapılmış, yatarak tedavi gören 118 alkol bağımlısı hastadan oluşmuştur. Hastalar, Kendini Yaralama Davranışı Soru Formu ve Savunma Biçimleri Testi ile değerlendirilmiştir. Bulgular: Dışa-vurum, kendini yaralama davranışı öyküsü (KYDÖ) olan alkol bağımlısı hastalarda (n=53, %44.92) daha yüksekti ve daha genç olma ile birlikte, bu grupta KYDÖyü belirledi. Yüceltme, antisipasyon ve bastırma (ve toplam olgun savunma biçimi puanı) özkıyım girişimi öyküsü (ÖGÖ) olan alkol bağımlısı hastalarda (n=31, %28.44) daha düşüktü ve düşük antisipasyon, daha genç olma ile birlikte bu grupta ÖGÖyü belirledi. Sonuç: Çalışma sonuçlarına göre, yatarak tedavi gören genç alkol bağımlılarında kendini yaralama davranışları ve özkıyım girişimlerini azaltmak için terapiler, olgun savunma biçimlerinin kullanımının artırılmasına ve olgun olmayan savunma biçimlerinin kullanımının ise azaltılmasına odaklanmalıdır.

Yatarak tedavi gören alkol bağımlılarında kendini yaralama davranışı ve özkıyım girişimi öyküsü ile ilişkili savunma biçimleri

Objective: The aim of this study was to investigate the relationship of defense styles with history of selfmutilation (SM) and suicide attempt (SA) in alcohol dependent inpatients. Method: Participants were consecutively admitted 118 male alcohol dependent inpatients. Patients were investigated with the Self-Mutilative Behavior Questionnaire (SMBQ) and the Defense Style Questionnaire (DSQ). Results: Acting-out was higher in alcohol dependent patients with a history of SM (n=53, 44.92%) and predicted SM in this group, together with being younger. On the other hand, sublimation, anticipation and suppression (and total mature defense style score) were lower in alcohol dependent patients with suicide attempt history (n=31, 28.44%), but only low anticipation predicted suicide attempt history in this group together with being younger. Conclusion: These results show that to reduce self-mutilative behaviors and SAs among young alcohol dependent inpatients, therapies should focus on increasing the use of mature defense styles and decreasing the use of immature defense styles.

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