Yıl: 2013 Cilt: 23 Sayı: 4 Sayfa Aralığı: 335 - 344 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men

Öz:
Amaç: Bu çalışmanın amacı alkol ve eroin bağımlılığı olan iki ayrı grupta agresyon ve dürtüselliğin değerlendirilmesidir. Yöntem: Çalışmaya yatarak tedavi gören ardışık 94 alkol bağımlısı ve 78 eroin bağımlısı erkek hasta ile 63 sağlıklı kontrol alındı. Hastalar ve kontroller Buss-Perry Agresyon Ölçeği ve Barratt Dürtüsellik Ölçeği-11 ile değerlendirildi. Bulgular: Alkol ve eroin bağımlılarında dürtüsellik ve agresyon düzeyi kontrol grubundan daha yüksek saptandı. Gruplar arasında farklılık göstermeyen tek alt ölçek sözel agresyondu. Agresyon ve dürtüselliğin şiddeti hem alkol bağımlılarını hem de eroin bağımlılarını kontrol grubundan ayırt ediyordu. Agresyon ve dürtüselliğin alt ölçekleri bağımsız değişken olarak alındığında yaş, düşmanlık ve motor dürtüselliğin alkol bağımlılarını; fiziksel agresyon ve planlanmamış dürtüselliğinin eroin bağımlılarını kontrol grubundan ayırt ettiği görüldü. Agresyon ve dürtüsellik düzeyleri alkol ve eroin bağımlılarını birbiriden ayırt etmemekle birlikte alkol ve eroin bağımlılarında agresyon ve dürtüselliğin farklı boyutları kontrol grubundan ayırt ediciydi. Sonuçlar değerlendirilirken çalışma grubunun tedavi arayışındaki erkek hastalardan oluştuğu ve çalışmanın kesitsel yapısının dürtüsellik, agresyon ve bağımlılık arasındaki nedensellik ilişkisinin tanımlanmasını engelleyeceği dikkate alınmalıdır. Sonuç: Bulgular hem agresyon hem de dürtüselliğin madde bağımlılarının tedavisinde odaklanılması gereken önemli kavramlar olduğunu ve farklı madde bağımlılıklarında farklı alt boyutların dikkate alınması gerektiğini düşündürmektedir.
Anahtar Kelime:

Konular: Farmakoloji ve Eczacılık

Yatarak tedavi gören erkek alkol ve eroin bağımlısı iki grupta agresyon ve dürtüsellik

Öz:
Objective: The aim of this study was to evaluate the aggression and impulsivity in two different groups of men with alcohol or heroin dependency. Methods: Participants were consecutively admitted male alcohol (n=94) or heroin (n=78) dependent inpatients and healthy controls (n=63). Patients and healthy controls were investigated with the Buss– Perry Aggression Questionnaire and the Barratt Impulsiveness Scale, version 11. Results: Aggression and impulsivity scores were higher among both the alcohol and the heroin dependent groups than the healthy controls. Verbal aggression was the only subscale, which did not show significant differences between groups. Severity of impulsivity and aggression discriminated both alcohol dependents and heroin dependents from healthy controls. When subscales of aggression and impulsivity were taken as independent variables, current age, hostility and motor impulsiveness discriminated alcohol dependents, whereas physical aggression and non-planning impulsiveness discriminated heroin dependents from healthy controls. Thus, although aggression and impulsivity did not discriminate alcohol and heroin dependents from each other, and both aggression and impulsivity discriminated these groups from healthy controls, different dimensions of aggression and impulsivity discriminated these groups from healthy controls. Our study sample being restricted to male treatment-seeking patients and the cross- sectional nature of the study,, which may interfere with the identification of causal relationships between impulsivity, aggression and substance dependency, must be taken into consideration, when assessing these results. Conclusion: The results suggest that both aggression and impulsivity are important constructs on which to focus in the treatment of substance dependents, but different dimensions might be the center of attention for patients with different substances of dependence.
Anahtar Kelime:

Konular: Farmakoloji ve Eczacılık
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Moeller FG, Barrat ES, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. Am J Psychiatry 2001;158(1):1783-93.
  • 2. Mitchell JM, Fields HL, D’Esposito M, Boettiger CA. Impulsive responding in alcoholics. Alcohol Clin Exp Res 2005;29(12):2158-69.
  • 3. Kirby KN, Petry NM, Bickel WK. Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. J Exp Psychol Gen 1999;128(1):78-87.
  • 4. Coffey SF, Gudelski GD, Saladin ME, Brady KT. Impulsivity and rapid discounting of delayed hypothetical rewards in cocaine-dependent individuals. Exp Clin Psychopharmacol 2003;11(1):18-25.
  • 5. Butler GK, Montgomery AM. Impulsivity, risk taking and recreational “ecstasy” (MDMA) use. Drug Alcohol Depend 2004;76(1):55-62.
  • 6. Acton GS. Measurement of impulsivity in a hierarchical model of personality traits: implications for substance use. Subst Use Misuse 2003;38(1):67-83.
  • 7. Tarter RE, Kirisci L, Feske U, Vanyukov M. Modeling the pathways linking childhood hyperactivity and substance use disorder in young adulthood. Psychol Addict Behav 2007;21(2):266-71.
  • 8. Quinn PD, Harden KP. Differential changes in impulsivity and sensation seeking and the escalation of substance use from adolescence to early adulthood. Dev Psychopathol2013;25(1):223-39.
  • 9. Bjork JM, Hommer DW, Grant SJ, Danube C. Impulsivity in abstinent alcohol-dependent patients: relation to control subjects and type 1-/type 2-like traits. Alcohol 2004;34(2- 3):133-50.
  • 10. Kollins SH. Delay discounting is associated with substance use in college students. Addict Behav 2002;28(6):1167-73.
  • 11. Verdejo-García A, Lawrence AJ, Clark L. Impulsivity as a vulnerability marker for substance-use disorders: review of findings from high-risk research, problem gamblers and genetic association studies. Neurosci Biobehav Rev 2008;32(4):777-810.
  • 12. Hayaki J, Stein MD, Lassor JA, Herman DS, Anderson BJ. Adversity among drug users: relationship to impulsivity. Drug Alcohol Depend 2005;78(1):65-71.
  • 13. Chamorro J, Bernardi S, Potenza MN, Grant JE, Marsh R, Wang S, et al. Impulsivity in the general population: A national study. J Psychiatr Res 2012;46(8):994-1001.
  • 14. Evren C, Durkaya M, Evren B, Dalbudak E, Cetin R. Relationship of relapse with impulsivity, novelty seeking and craving in male alcohol-dependent inpatients. Drug Alcohol Rev 2012;31(1):81-90.
  • 15. De Wit H. Impulsivity as a determinant and consequence of drug use: a review of underlying processes. Addict Biol 2009;14(1):22-31.
  • 16. Jakubczyk A, Klimkiewicz A, Topolewska-Wochowska A, Serafin P, Sadowska-Mazuryk J, Pupek-Pyzioł J, et al. Relationships of impulsiveness and depressive symptoms in alcohol dependence. J Affect Disord 2012;136(3):841-7.
  • 17. Evren C, Cinar O, Evren B, Celik S. Relationship of self- mutilative behaviours with severity of borderline personality, childhood trauma and impulsivity in male substance- dependent inpatients. Psychiatry Res 2012;200(1):20-5.
  • 18. Tremblay PF, Dozois DJA. Another perspective on trait aggressiveness: Overlap with early maladaptive schemas. Pers Individ Dif 2009;46(5-6):569-74.
  • 19. Gerevich J, Bácskai E, Czobor P. Aggression levels in treatment seeking inpatients with alcohol-related problems compared to levels in the general population in Hungary. J Nerv Ment Dis 2007;195(8):669-72.
  • 20. Gerra G, Zaimovic A, Moi G, Bussandri M, Bubici C, Mossini M, et al. Aggressive responding in abstinent heroin addicts: neuroendocrine and personality correlates. Prog Neuropsychopharmacol Biol Psychiatry 2004;28(1):129-39.
  • 21. Roozen HG, van der Kroft P, van Marle HJ, Franken IH. The impact of craving and impulsivity on aggression in detoxified cocaine-dependent patients. J Subst Abuse Treat 2011;40(4):414-8.
  • 22. Bond AJ, Verheyden SL, Wingrove J, Curran HV. Angry cognitive bias, trait aggression and impulsivity in substance users. Psychopharmacology (Berl) 2004;171(3):331-9.
  • 23. Moffitt TE. Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev 1993;100(4):674-701.
  • 24. Skara S, Pokhrel P, Weiner MD, Sun P, Dent CW, Sussman S. Physical and relational aggression as predictors of drug use: gender differences among high school students. Addict Behav 2008;33(12):1507-15.
  • 25. Mann K, Ackermann K, Jung M, Morlock P, Mundle G. Aggressiveness, onset of dependence and treatment outcome in socially well-adapted alcoholics. Alcohol 1998;33(1):16-9.
  • 26. Jentsch JD, Taylor JR. Impulsivity resulting from frontostriatal dysfunction in drug abuse: implications for the control of behavior by reward-related stimuli. Psychopharmacology 1999;146(4):373-90.
  • 27. Patkar AA, Murray HW, Mannelli P, Gottheil E, Weinstein SP, Vergare MJ. Pre-treatment measures of impulsivity, aggression and sensation seeking are associated with treatment outcome for African-American cocaine- dependent patients. J Addict Dis 2004;23(2):109-22.
  • 28. Chiang SS, Schuetz CG, Soyka M. Role of aggressivity on reactivity and craving before and after cue exposure in recently detoxified alcoholics: Results from an experimental study. Eur Addict Res 2001;7(7):184-92.
  • 29. Roy A, Janal MN. Risk factors for suicide attempts among alcohol dependent patients. Arch Suicide Res 2007;11(2):211- 7.
  • 30. Sakelliadis EI, Papadodima SA, Sergentanis TN, Giotakos O, Spiliopoulou CA. Self-injurious behavior among Greek male prisoners: prevalence and risk factors. Eur Psychiatry 2010;25(3):151-8.
  • 31. Evren C, Cınar O, Evren B, Celik S. Self-mutilative behaviors in male substance-dependent inpatients and relationship with anger and aggression: mediator effect of childhood trauma. Compr Psychiatry 2012;53(3):252-8.
  • 32. García-Forero C, Gallardo-Pujol D, Maydeu-Olivares A, Andrés-Pueyo A. Disentangling impulsiveness, aggressiveness and impulsive aggression: an empirical approach using self-report measures. Psychiatry Res 2009;168(1):40-9.
  • 33. Seroczynski AD, Bergeman CS, Coccaro EF. Etiology of the impulsivity/aggression relationship: genes or environment? Psychiatry Res 1999;86(1):41-57.
  • 34. Critchfield KL, Levy KN, Clarkin JF. The relationship between impulsivity, aggression, and impulsive-aggression in borderline personality disorder: an empirical analysis of self-report measures. J Pers Disord 2004;18(6):555-70.
  • 35. Kirby KN, Petry NM. Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drugusing controls. Addiction 2004;99(4):461-71.
  • 36. Bácskai E, Czobor P, Gerevich J. Gender differences in trait aggression in young adults with drug and alcohol dependence compared to the general population. Prog Neuropsychopharmacol Biol Psychiatry 2011;35(5):1333-40.
  • 37. Clark L, Robbins TW, Ersche KD, Sahakian BJ. Reflection impulsivity in current and former substance users. Biol Psychiatry 2006;60(5):515-22.
  • 38. Nielsen DA, Ho A, Bahl A, Varma P, Kellogg S, Borg L, et al. Former heroin addicts with or without a history of cocaine dependence are more impulsive than controls. Drug Alcohol Depend 2012;124(1-2):113-20.
  • 39. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinical Version. Washington D.C. and London. American Psychiatric Press, Inc, 1997.
  • 40. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinical Version. Corapcıoglu A, Aydemir O, Yildiz M, Esen A, Koroglu E. (Translation editors). Ankara. Hekimler Yayın Birliği, 1999. (Turkish)
  • 41. Buss AH, Perry M. The aggression questionnaire. J Pers Soc Psychol 1992;63(3):452-9.
  • 42. Evren C, Cinar O, Celik S, Evren B. Reliability and Validity of Turkish Version the Buss-Perry’s Aggression Questionnaire in Male Alcohol Dependent Inpatients. Dusunen Adam Journal of Psychiatry and Neurological Science 2011;24(4):283-95.
  • 43. Patton JH, Stanford M S, Barratt ES. Factor structure of the Barratt Impulsiveness Scale. J Clin Psychol 1995;51(6):768- 74.
  • 44. Mitchell SH. Measures of impulsivity in cigarette smokers and non-smokers. Psychopharmacology 1999;146(4):455-64.
  • 45. Moeller FG, Dougherty DM, Barratt ES, Oderinde V, Mathias CW, Harper RA, et al. Increased impulsivity in cocaine dependent subjects independent of antisocial personality disorder and aggression. Drug Alcohol Depend 2002;68(1):105-11.
  • 46. Stanford MS, Greve KW, Boudreaux JK, Mathias CW, Brumbelow JL. Impulsiveness and risk-taking behavior: Comparison of high school and college students using the Barratt Impulsiveness Scale. Pers Individ Dif 1996;21(6):1073- 5.
  • 47. Gulec H, Tamam L, Gulec MY, Turhan M, Karakus G, Zengin M, et al. Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11. Klinik Psikofarmakoloji Bulteni-Bulletin of Clinical Psychopharmacology 2008;18(4):251-8. (Turkish)
  • 48. Ramirez JM. Justification of aggression in several Asian and European Countries with different religious and cultural background. International Journal of Behavioral Development 2007;31(1):9-15.
  • 49. Fujihara T, Kohyama T, Andreu JM, Ramirez JM. Justification of interpersonal aggression in Japanese, American, and Spanish students. Aggr Behav 1999; 25(3):185-95.
  • 50. Fishbein DH, Krupitsky E, Flannery BA, Langevin DJ, Bobashev G, Verbitskaya E, et al. Neurocognitive characterizations of Russian heroin addicts without a significant history of other drug use. Drug and Alcohol Dependence 2007;90(1):25-38.
  • 51. Krakowski M, Czobor P. Gender differences in violent behaviors: relationship to clinical symptoms and psychosocial factors. Am J Psychiatry 2004;161(3):459-65.
  • 52. Bácskai E, Czoborb P, Gerevicha J. Heavy drinking as a differential predictor of physical aggression in clinical and general populations. Prog Neuropsychopharmacol Biol Psychiatry 2008;32(3):668-72.
  • 53. Scherwitz LW, Perkins LL, Chesney MA, Hughes GH, Sidney S, Manolio TA. Hostility and health behaviors in young adults: the CARDIA study. Am J Epidemiol 1992;136(2):136-45.
  • 54. Ramírez JM, Andreu JM. Aggression, and some related psychological constructs (anger, hostility, and impulsivity); some comments from a research project. Neurosci Biobehav Rev 2006;30(3):276-91.
  • 55. Carlson SR, Johnson SC, Jacobs PC. Disinhibited characteristics and binge drinking among university student drinkers. Addict Behav 2010;35(3):242-51.
  • 56. Parrott DJ, Giancola PR. Alcohol dependence and physical aggression: the mediating effect of dispositional impulsivity. In Brozner EY (editor). New Research on Alcohol Abuse and Alcoholism. Nova Science Pub Inc; 2006. p. 155-72.
  • 57. Prisciandaro JJ, Korte JE, McRae-Clark AL, Brady KT. Associations between behavioral disinhibition and cocaine use history in individuals with cocaine dependence. Addict Behav 2012;37(10):1185-8.
  • 58. Peters EN, Leeman RF, Fucito LM, Toll BA, Corbin WR, O’Malley SS. Co-occurring marijuana use is associated with medication nonadherence and nonplanning impulsivity in young adult heavy drinkers. Addict Behav 2012;37(4):420-6.
  • 59. Ersche KD, Turton AJ, Pradhan S, Bullmore ET, Robbins TW. Drug addiction endophenotypes: impulsive versus sensation-seeking personality traits. Biol Psychiatry 2010;68(8):770-3.
  • 60. Hogarth L. The role of impulsivity in the etiology of drug dependence: reward sensitivity versus automaticity. Psychopharmacology (Berl) 2011;215(3):567-80.
  • 61. Fossati A, Barratt ES, Borroni S, Villa D, Grazioli F, Maffei C. Impulsivity, aggressiveness, and DSM-IV personality disorders. Psychiatry Res 2007;149(1-3):157-67.
  • 62. Links PS, Heslegrave R, van Reekum R. Impulsivity: core aspect of borderline personality disorder. Journal of Personality Disorders 1999;13(1):1-9.
  • 63. Verheul R. Co-morbidity of personality disorders in individuals with substance use disorders. Eur Psychiatry 2001;16(5):274-82.
APA bozkurt m, Evren C, YILMAZ A, CAN F, ÇETİNGÖK S (2013). Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. , 335 - 344.
Chicago bozkurt muge,Evren Cuneyt,YILMAZ Alkin,CAN FATMA YEŞİM,ÇETİNGÖK SERA Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. (2013): 335 - 344.
MLA bozkurt muge,Evren Cuneyt,YILMAZ Alkin,CAN FATMA YEŞİM,ÇETİNGÖK SERA Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. , 2013, ss.335 - 344.
AMA bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. . 2013; 335 - 344.
Vancouver bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. . 2013; 335 - 344.
IEEE bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S "Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men." , ss.335 - 344, 2013.
ISNAD bozkurt, muge vd. "Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men". (2013), 335-344.
APA bozkurt m, Evren C, YILMAZ A, CAN F, ÇETİNGÖK S (2013). Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. Klinik Psikofarmakoloji Bülteni, 23(4), 335 - 344.
Chicago bozkurt muge,Evren Cuneyt,YILMAZ Alkin,CAN FATMA YEŞİM,ÇETİNGÖK SERA Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. Klinik Psikofarmakoloji Bülteni 23, no.4 (2013): 335 - 344.
MLA bozkurt muge,Evren Cuneyt,YILMAZ Alkin,CAN FATMA YEŞİM,ÇETİNGÖK SERA Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. Klinik Psikofarmakoloji Bülteni, vol.23, no.4, 2013, ss.335 - 344.
AMA bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. Klinik Psikofarmakoloji Bülteni. 2013; 23(4): 335 - 344.
Vancouver bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men. Klinik Psikofarmakoloji Bülteni. 2013; 23(4): 335 - 344.
IEEE bozkurt m,Evren C,YILMAZ A,CAN F,ÇETİNGÖK S "Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men." Klinik Psikofarmakoloji Bülteni, 23, ss.335 - 344, 2013.
ISNAD bozkurt, muge vd. "Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men". Klinik Psikofarmakoloji Bülteni 23/4 (2013), 335-344.