Alkol Kullanım Bozukluğunda Çocukluk Çağı Travmatik Deneyimleri ile Obsesif İnançlar Arasındaki İlişki

Amaç: Bu çalışmada alkol kullanım bozukluğu (AKB) ve obsesif kompulsif spektrum bozuklukları arasında var olan benzerliklerden ve travmatik yaşantıların da bağımlılıkla olan yakın ilişkisinden yola çıkılarak, alkol kullanım bozukluğu tanılı hastalarda obsesif inanışlar ve çocukluk çağı travmalarının ilişkisinin, kontrol grubu ile karşılaştırılarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Alkol ve Madde Tedavi Merkezi (AMATEM) polikliniğine ayaktan ardışık olarak başvuru yapan 60 AKB olgusu ile aynı özelliklere sahip ve aynı bölgeden rastgele seçilen 56 sağlıklı kontrol grubunun verileri değerlendirilmiştir. Her iki gruba da DSM-5 için yapılandırılmış Klinik Görüşme (SCID-5), Obsesif İnanışlar Ölçeği-44 (OİÖ), Çocukluk Çağı Travmaları Ölçeği-28 (ÇÇT) , Hamilton Anksiyete Ölçeği (HAM-A) ve Hamilton Depresyon Ölçeği (HAM-D) uygulanmış, hasta grubuna bağımlılık şiddetini değerlendiren Bağımlılık Profil İndeksi yapılmıştır. Veriler SPPS 22 ile değerlendirilmiştir. Bulgular: AKB olgularında obsesif inanışlar, travmatik yaşantılar, depresyon ve anksiyete skorları anlamlı olarak kontrol grubundan yüksek saptanmıştır. Travmatik yaşantılar ile obsesif inanışlar arasında ise anlamlı bir ilişki tesbit edilmemiştir. Obsesif inanışların en önemli öngörücüleri anksiyete ve depresyon skorları olduğu görülmüştür. Sonuç: Bu çalışma alkol kullanım bozukluğu hastalarında obsesif inanışlar ile çocukluk çağı travmalarının ilişkisini değerlendiren ilk çalışma olması nedeniyle değerlidir. Bu alanda daha büyük örneklemde daha ileri analizler, tedavisi zor olan ve yinelemelerle giden bir bozukluk olan AKB için, risk faktörleri belirleme, önleyici müdaheleler oluşturma konusunda yararlı olacaktır.

Anahtar Kelimeler:

Obsessive beliefs, childhood traumatic experiences, alcohol use disorder

The Relationship Between Childhood Traumatic Experiences and Obsessive Beliefs in Alcohol Use Disorder

Objective: Based on the pathophysiological similarities between alcohol use disorder (AUD) and obsessive compulsive spectrum disorders, as well as the close association between traumatic experiences and addiction, the goal of this study was to assess the relationship between obsessive beliefs and childhood traumas in patients with alcohol use disorder by comparing them with the control group. Material and Method: The data of 60 AUD cases who applied to the Alcohol and Substance Treatment Center (AMATEM) outpatient clinic consecutively and 56 healthy control groups were evaluated. Structured Clinical Interview for DSM-5 (SCID-5), Obsessive Beliefs Questionnaire (OBS), Childhood Trauma Questionnaire (CTS), Hamilton Anxiety Inventory (HAM-A), and Hamilton Depression Inventory (HAM-D) were applied to both groups. The Addiction Profile Index, which evaluates the severity of addiction, was applied to the patient group. Data were evaluated with SPPS 22. Results: Obsessive beliefs, traumatic experiences, depression and anxiety scores were found to be significantly higher in AUD cases than in the control group. No significant relationship was found between traumatic experiences and obsessive beliefs. The most important predictors of obsessive beliefs were found to be anxiety and depression scores. Conclusion: The current study is valuable because it is the first study to evaluate the relationship between obsessive beliefs and childhood traumas in alcohol use disorder patients. Further analyzes in a larger sample in this area will be helpful in identifying risk factors and creating preventive interventions for AUD, a disorder that is difficult to treat and recurs.

Keywords:

Obsessive beliefs, childhood traumatic experiences, alcohol use disorder,

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