Validation Study of the Turkish Version of the Craving Typology Questionnaire (CTQ) in Male Alcohol-Dependent Patients

Erkek alkol bağımlısı hastalarda Aşerme Tipoloji Ölçeği'nin (CTQ) Türkçe versiyonunun geçerlilik çalışmasıAmaç: Alkol aşermesi alkol kullanım bozukluğunun çekirdek belirtilerinden biri olarak görülmektedir ve alkol bağımlısı hastalarda kaymanın güçlü bir öngörücüsüdür. Aşerme Tipoloji Ölçeği (CTQ), aşermenin üç yönlü psikobiyolojik modeline göre (ödül, rahatlama ve obsesif aşerme) aşermenin boyutsal öz-derecelendirme değerlendirmesine izin verir. Çalışmanın amacı ayaktan ve yatarak tedavi gören alkol kullanım bozukluğu (AKB) hastalarından oluşan bir örneklemde CTQ'nun Türkçe versiyonunun psikometrik özelliklerini değerlendirmekti.Yöntem: Katılımcılar ayaktan ve yatarak tedavi görmekte olan 157 alkol kullanım bozukluğu hastasından oluşmaktaydı. Katılımcılar CTQ ile hem total aşerme ve hem de onun obsesif ve kompulsif bileşenlerini değerlendiren maddeleri içeren Obsesif Kompulsif İçme Ölçeği (OKİÖ) ile değerlendirildi.Bulgular: Obsesif, rahatlama ve ödül aşerme bileşenleri sırasıyla toplam varyansın %27.91, %8.17 ve %7.23'ünü oluşturmaktaydı. Ödül aşermesi yerine, madde 7 ve madde 8 obsesif aşermede ve madde 10 ise rahatlama aşermesinde bulunmaktaydı. Cronbach's ? katsayısı obsesif aşerme için 0.87, rahatlama aşermesi için 0.64 ve ödül aşermesi için 0.42 idi. Maddeler kendi alt ölçekleri ile orta derecede ilişkiliydi. Aşermenin bütün tipleri OKİÖ ve OKİÖ'nin obsesif boyutu ile orta derecede ilişkiliyken OKİÖ'nün kompulsif boyutuyla hafif derecede ilişkiliydi. Sonuç: Bu bulgular CTQ'nun Türkçe versiyonunun AKB hastaları arasında aşermenin üç boyutunu ölçen geçerli ve güvenilir bir araç olduğunu desteklemektedir.

Erkek alkol bağımlısı hastalarda Aşerme Tipoloji Ölçeği'nin (CTQ) Türkçe versiyonunun geçerlilik çalışması

Validation study of the Turkish version of the Craving Typology Questionnaire (CTQ) in male alcohol-dependent patientsObjective: Alcohol craving is considered a core symptom of alcohol use disorder and a strong predictor of relapse in alcohol-dependent adults. The Craving Typology Questionnaire (CTQ) allows dimensional selfrating assessment of craving according to a three-pathway psychobiological model of craving (reward, relief, and obsessive craving). Aim of the present study was to evaluate psychometric properties of the Turkish version of the CTQ in a sample of inpatients and outpatients with alcohol use disorder (AUD). Method: Participants included 157 inpatients and outpatients with AUD. Participants were evaluated with the CTQ and the Obsessive-Compulsive Drinking Scale (OCDS), which includes items to evaluate both total craving and its obsessive and compulsive components. Results: The obsessive, relief, and reward craving components accounted for 27.91%, 8.17% and 7.23% of total variance, respectively. Items 7 and 8 were included in obsessive craving and item 10 was included in relief craving instead of reward craving. Obsessive craving had a Cronbach's ? of 0.87, whereas the coefficients were 0.64 for relief craving and 0.42 for reward craving. Items were moderately correlated with their subscales. All types of craving were moderately correlated with OCDS and the obsessive dimension of OCDS, whereas they were mildly correlated with the compulsion dimension of OCDS.Conclusion: Our findings confirm the Turkish version of the CPQ to be a reliable and valid instrument that measures three dimensions of craving among patients with AUD.

___

  • Sinha R, O'Malley SS. Craving for alcohol: findings from the clinic and the laboratory. Alcohol Alcohol 34:223-230. [CrossRef]
  • Westerberg VS. Constituents of craving in a clinical alcohol sample. J Subst Abuse 2000; 12:415-423. [CrossRef]
  • Yoon G, Kim SW, Thuras P, Grant JE, Westermeyer J. Alcohol craving in outpatients with alcohol dependence: rate and clinical correlates. J Stud Alcohol 2006; 67:770-777. [CrossRef]
  • Anton RF. What is craving? Models and implications for treatment. Alcohol Res Health 1999; 23:165-173.
  • Skinner MD, Aubin HJ. Craving's place in addiction theory: contributions of the major models. Neurosci Biobehav Rev 2010; 34:606-623. [CrossRef]
  • Anton RF, Moak DH, Latham PK. The obsessive compulsive drinking scale: a new method of assessing outcome in alcoholism treatment studies. Arch Gen Psychiatry 1996; 53:225-231. [CrossRef]
  • Kranzler HR, Mulgrew CL, Modesto-Lowe V, Burleson JA. Validity of the Obsessive Compulsive Drinking Scale (OCDS): does craving predict drinking behavior? Alcohol Clin Exp Res 1999; 23:108-114. [CrossRef]
  • Roberts JS, Anton RF, Latham PK, Moak DH. Factor structure and predictive validity of the Obsessive Compulsive Drinking Scale. Alcohol Clin Exp Res 1999; 23:1484-1491. [CrossRef]
  • Bottlender M, Soyka M. Impact of craving on alcohol relapse during, and 12 months following, outpatient treatment. Alcohol Alcohol 2004; 39:357-361. [CrossRef]
  • Flannery BA, Poole SA, Gallop RJ, Volpicelli JR. Alcohol craving predicts drinking during treatment: an analysis of three assessment instruments. J Stud Alcohol 2003; 64:120-126. [CrossRef]
  • de Bruijn C, Korzec A, Koerselman F, van Den Brink W. Craving and withdrawal as core symptoms of alcohol dependence. J Nerv Ment Dis 2004; 192:494-502. [CrossRef]
  • Evren C, Cetin R, Durkaya M, Dalbudak E. Clinical factors associated with relapse in male alcohol dependents during six-month follow-up. Bulletin of Clinical Psychopharmacology 2010; 20:14-22.
  • Evren C, Durkaya M, Dalbudak E, Celik S, Cetin R, Cakmak D. Factors related with relapse in male alcohol dependents: 12 months follow-up study. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2010; 23:92-99. [CrossRef]
  • O'Brien CP, Childress AR, Ehrman R, Robbins SJ. Conditioning factors in drug abuse: can they explain compulsion? J Psychopharmacol 1998; 12:15-22. [CrossRef]
  • Carter BL, Tiffany ST. Cue-reactivity and the future of addiction research. Addiction 1999; 94:349-351. [CrossRef]
  • Martinotti G, Di Nicola M, Tedeschi D, Callea A, Di Giannantonio M, Janiri L. Craving Typology Questionnaire (CTQ): a scale for alcohol craving in normal controls and alcoholics. Compr Psychiatry 2013; 54:925-932. [CrossRef]
  • Rosenberg H. Clinical and laboratory assessment of the subjective experience of drug craving. Clin Psychol Rev 2009; 29:519-534. [CrossRef]
  • Flannery BA, Volpicelli JR, Pettinati HM. Psychometric properties of the Penn Alcohol Craving Scale. Alcohol Clin Exp Res 1999; 23:1289-1295. [CrossRef]
  • Evren C, Flannery B, Çelik R, Durkaya M, Dalbudak E. Validity and reliability of the Penn Alcohol Craving Scale (PACS), Turkish version, in male alcohol-dependent inpatients. Journal of Dependence 2008; 9:128-134. (Turkish)
  • Anton RF, Moak DH, Latham P. The obsessive compulsive drinking scale: a self-rated instrument for the quantification of thoughts about alcohol and drinking behavior. Alcohol Clin Exp Res 1995; 19:92-99. [CrossRef]
  • Evren C, Celik S, Evren B, Aksoy R. Validation study of the Turkish version of the Obsessive Compulsive Drinking Scale in male alcohol dependent inpatients. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2011; 24:1-12. [CrossRef]
  • Verheul R, van den Brink W, Geerlings P. A three-pathway psychobiological model of craving for alcohol. Alcohol Alcohol 1999; 34:197-222. [CrossRef]
  • Ferster CB, Culbertson S, Perrott Boren MC. Positive and negative reinforcers and punishment. In Ferster CB, Culbertson S, Perrott Boren MC (editors): Behavior Principles. Englewood Cliffs (NJ): Prentice-Hall Inc., 1975, 151-165.
  • First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinical Version. Washington DC and London: American Psychiatric Press, Inc.; 1997.
  • Corapcioglu A, Aydemir O, Yildiz M, Esen A, Koroglu, E. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinical Version. Ankara: Physicians' Publishing Union; 1999. (Turkish)
  • Anton RF. Obsessive-compulsive aspects of craving: development of the Obsessive Compulsive Drinking Scale. Addiction 2000; 95 (Suppl.2):211-217.
  • Moak DH, Anton RF, Latham PK. Further validation of the Obsessive-Compulsive Drinking Scale (OCDS). Relationship to alcoholism severity. Am J Addict 1998; 7:14-23. [CrossRef]
  • Figlie NB, Dunn J, Laranjeira R. Motivation for change in alcohol dependent outpatients from Brazil. Addict Behav 2005; 30:159- 165. [CrossRef]
  • Mann K, Kiefer F, Smolka M, Gann H, Wellek S, Heinz A. Searching for responders to acamprosate and naltrexone in alcoholism treatment: rationale and design of the PREDICT study. Alcohol Clin Exp Res 2009; 33:674-683. [CrossRef]
Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi-Cover
  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984
  • Yayıncı: Kare Yayıncılık