How do traumatic experiences affect relapse in alcohol and substance use disorders?

Yazici, Esra; Türker Mercandağı, Ebru; Yazici, Ahmet Bulent

doi:10.5505/kpd.2023.93764

How do traumatic experiences affect relapse in alcohol and substance use disorders?

Ebru Türker Mercandağı, (Başakşehir Çam ve Sakura Şehir Hastanesi, İstanbul, Türkiye)

Ahmet Bülent YAZICI, (Sakarya Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Sakarya, Türkiye)

Esra YAZICI (Sakarya Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Sakarya, Türkiye)

Klinik Psikiyatri Dergisi

6 1

Yıl: 2023 Cilt: 26 Sayı: 2 Sayfa Aralığı: 132 - 142 Metin Dili: İngilizce DOI: 10.5505/kpd.2023.93764 İndeks Tarihi: 05-07-2023

How do traumatic experiences affect relapse in alcohol and substance use disorders?

Öz:

Objective: Relapses are very common in Alcohol and Substance Use Disorders (ASUD). Although traumatic experiences are more common in patients with ASUD than in the normal population, its relationship with relapses has not been adequately studied. Method: Fifty-one patients who were hospitalized diagnosed with ASUD according to DSM 5 were included in the study. Sociodemographic Data Form, Impact of Events Scale-R (IES-R), Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Dissociative Experiences Scale (DES), Addiction Profile Index (API), The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) and Traumatic Experiences Checklist (TEC) were applied during their hospitalization. Patients were evaluated for relapse in the 6th month after discharge. Results: Relapse was observed in 60.8% of the participants. A statistically significant difference was found between the groups with and without relapse in terms of previous psychiatric treatment, number of traumatic events and severity, neglect, emotional and physical abuse, HAM-A and DES scores (p˂0.05). In the logistic regression analysis, it was found that not having previously applied for psychiatric treatment significantly predicted early relapses. Discussion: According to the study results, the previous psychiatric treatment seems to be associated with lower relapse rates. In contrast, traumatic experiences, anxiety, and dissociative symp- toms seem to be associated with higher relapse rates.

Anahtar Kelime:

Alkol ve madde kullanım bozukluklarında travmatik yaşantılar nüksleri nasıl etkiliyor?

Öz:

Amaç: Alkol ve Madde Kullanım Bozukluklarında (AMKB) nüksler çok yaygındır. AMKB hastalarında travmatik deneyimler normal popülasyona göre daha yaygın olmasına rağmen, relapslarla ilişkisi yeterince çalışılmamıştır. Yöntem: Çalışmaya DSM 5'e göre AMKB tanısı ile yatırılan 51 hasta dahil edildi. Sosyodemografik Veri Formu, Olayların Etkisi Ölçeği-R (OEÖ-R), Hamilton Depresyon Derecelendirme Ölçeği (HAM-D), Hamilton Anksiyete Derecelendirme Ölçeği (HAM-A), Disosiyatif Yaşantılar Ölçeği (DES), Bağımlılık Profil İndeksi (BAPI), Hastaneye yatışları sırasında Değişime Hazırlık Aşamaları ve Tedaviye İsteklilik Ölçeği (SOCRATES) ve Travmatik Deneyimler Kontrol Listesi (TDKL) uygulandı. Hastalar taburculuk sonrası 6. ayda nüksler açısından değerlendirildi. Bulgular: Katılımcıların %60, 8’inde nüks görüldü. Nüks olan ve olmayan gruplar arasında önceki psikiyatrik tedavi, travmatik olay sayısı ve şiddeti, ihmal, duygusal ve fiziksel istismar, HAM-A ve DES puanları açısından istatistiksel olarak anlamlı fark bulundu. (p˂0.05). Lojistik regresyon analizinde daha önce psiki- yatrik tedaviye başvurmamış olmanın erken dönem yinelemeleri anlamlı olarak yordadığı bulundu. Sonuç: Çalışma sonuçlara göre daha önce psikiyatrik tedaviye başvurmuş olmak daha düşük nüks oranları ile ilişkili görünmektedir. Buna karşılık travmatik deneyimler, anksiyete ve dissosiyatif semptomlar yüksek nüks oranları ile ilişkili gibi görünmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Türker Mercandağı E, Yazici A, Yazici E (2023). How do traumatic experiences affect relapse in alcohol and substance use disorders?. , 132 - 142. 10.5505/kpd.2023.93764
Chicago	Türker Mercandağı Ebru,Yazici Ahmet Bulent,Yazici Esra How do traumatic experiences affect relapse in alcohol and substance use disorders?. (2023): 132 - 142. 10.5505/kpd.2023.93764
MLA	Türker Mercandağı Ebru,Yazici Ahmet Bulent,Yazici Esra How do traumatic experiences affect relapse in alcohol and substance use disorders?. , 2023, ss.132 - 142. 10.5505/kpd.2023.93764
AMA	Türker Mercandağı E,Yazici A,Yazici E How do traumatic experiences affect relapse in alcohol and substance use disorders?. . 2023; 132 - 142. 10.5505/kpd.2023.93764
Vancouver	Türker Mercandağı E,Yazici A,Yazici E How do traumatic experiences affect relapse in alcohol and substance use disorders?. . 2023; 132 - 142. 10.5505/kpd.2023.93764
IEEE	Türker Mercandağı E,Yazici A,Yazici E "How do traumatic experiences affect relapse in alcohol and substance use disorders?." , ss.132 - 142, 2023. 10.5505/kpd.2023.93764
ISNAD	Türker Mercandağı, Ebru vd. "How do traumatic experiences affect relapse in alcohol and substance use disorders?". (2023), 132-142. https://doi.org/10.5505/kpd.2023.93764

APA	Türker Mercandağı E, Yazici A, Yazici E (2023). How do traumatic experiences affect relapse in alcohol and substance use disorders?. Klinik Psikiyatri Dergisi, 26(2), 132 - 142. 10.5505/kpd.2023.93764
Chicago	Türker Mercandağı Ebru,Yazici Ahmet Bulent,Yazici Esra How do traumatic experiences affect relapse in alcohol and substance use disorders?. Klinik Psikiyatri Dergisi 26, no.2 (2023): 132 - 142. 10.5505/kpd.2023.93764
MLA	Türker Mercandağı Ebru,Yazici Ahmet Bulent,Yazici Esra How do traumatic experiences affect relapse in alcohol and substance use disorders?. Klinik Psikiyatri Dergisi, vol.26, no.2, 2023, ss.132 - 142. 10.5505/kpd.2023.93764
AMA	Türker Mercandağı E,Yazici A,Yazici E How do traumatic experiences affect relapse in alcohol and substance use disorders?. Klinik Psikiyatri Dergisi. 2023; 26(2): 132 - 142. 10.5505/kpd.2023.93764
Vancouver	Türker Mercandağı E,Yazici A,Yazici E How do traumatic experiences affect relapse in alcohol and substance use disorders?. Klinik Psikiyatri Dergisi. 2023; 26(2): 132 - 142. 10.5505/kpd.2023.93764
IEEE	Türker Mercandağı E,Yazici A,Yazici E "How do traumatic experiences affect relapse in alcohol and substance use disorders?." Klinik Psikiyatri Dergisi, 26, ss.132 - 142, 2023. 10.5505/kpd.2023.93764
ISNAD	Türker Mercandağı, Ebru vd. "How do traumatic experiences affect relapse in alcohol and substance use disorders?". Klinik Psikiyatri Dergisi 26/2 (2023), 132-142. https://doi.org/10.5505/kpd.2023.93764