Cüneyt EVREN, Mine DURKAYA, ERCAN DALBUDAK, Selime ÇELİK, Rabia ÇETİN, Duran ÇAKMAK

Erkek alkol bağımlılarında depreşme ile ilişkili etkenler: 12 aylık takip çalışması

Amaç: Bu çalışmanın amacı, erkek alkol bağımlılarında yatarak tedavinin ardından, 12 aylık takipte alkol kullanımının depreşmesiyle ilişkili klinik değişkenlerin saptanmasıdır. Yöntem: Çalışmaya, ardışık olarak hastaneye yatırılmış 156 erkek alkol bağımlısı hasta katılmıştır. Yatarak tedaviden 12 ay sonra, bu hastalardan 102’sinin değerlendirilmesi mümkün olmuştur. Hastalar, başlangıçta, Belirti Tarama Listesi (SCL-90) ve Michigan Alkolizm Tarama Testi (MATT), 12 ay sonra ise PENN Alkol Aşerme Ölçeği (PAAÖ) ile değerlendirilmiştir. Bulgular: Yatarak tedavi görmüş 102 alkol bağımlısı hastanın %61.8’i (n=63) alkol kullanımı depreşmiş olarak değerlendirilmiştir. Sosyodemografik değişkenler gruplar arasında fark göstermemiştir. MATT ve SCL-90 genel şiddet puanı gruplar arasında fark göstermemiş iken, aşerme puanı depreşen grupta yüksek bulunmuştur. Depreşen gruptakilerin 12 aylık takip süresince daha az poliklinik kontrolüne geldikleri, Ayaktan Tedavi Programı’na (ATP) daha az katıldıkları, kendilerini korumak amaçlı daha az sosyal çevre değişikliği yaptıkları ve aşerme için daha az ilaç kullandıkları bulunmuştur. Aşerme şiddeti ve takipte ATP’ye katılmama, alkol bağımlılarında depreşmeyi belirlemiştir. Sonuç: Aşerme şiddeti ve ATP’ye katılmama depreşme ile ilişkili temel etkenlerdir. Aşerme giderici ilaç kullanımı ile birlikte ATP’ye düzenli katılımın sağlanması, hastaların alkol aşermesini tanımalarına ve onunla başetmelerine yardımcı olabilir.

Factors related with relapse in male alcohol dependents: 12 months follow-up study

Objective: Aim of this study was to evaluate clinical variables related with relapse to alcohol abuse during 12 months follow-up after inpatient treatment in male alcohol dependents. Method: Participants were 156 consecutively admitted male alcohol dependents. Among these patients, 102 were available at the evaluation that took place one year after the inpatient treatment. Patients were investigated with the Symptom Check List (SCL-90) and Michigan Alcoholism Screening Test (MAST) at baseline and with the PENN Alcohol Craving Scale (PACS) one year later, at follow-up. Results: Among 102 alcohol dependent inpatients, 61.8% (n=63) were considered as relapsed to alcohol abuse. Sociodemographic variables did not differ between groups. Mean scores of MAST and global severity index of SCL-90 did not differ significantly between groups, whereas craving score was higher in the relapsed group. Also the relapsed group had less polyclinic control, less attendance to the Outpatient Treatment Program (OTP), less changes in social environment for self protection and less use of anti-craving medications during one year follow-up. Severity of craving and not attending OTP during follow-up period predicted relapse in alcohol dependents. Conclusions: Severity of craving and not attending OTP seems to be the main factors related with relapse. Together with using anti-craving medications, regular attendance to OTP may help patients to recognize and manage with alcohol craving.

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