Opioid Ve Metamfetamin Kullanım Bozukluğu Tanılı Hastalarda Öz-Şefkat, İyi Oluş ve Bağlanma Özellikleri

Year 2024, , 313 - 319, 27.10.2024

Kübra Sezer Katar , Gamze Zengin İspir , Mustafa Danışman

https://doi.org/10.53446/actamednicomedia.1488050

Abstract

Amaç: Madde kullanım bozukluğu, tüm toplumu ilgilendiren ve çok yönlü ele alınması gereken kronik psikiyatrik bir rahatsızlıktır. Madde kullanım bozukluklarının gelişiminde ve devam etmesinde etkili olabilecek bir çok faktör bulunmaktadır. Bu çalışmada, opioid ve metamfetamin kullanan hastalarda öz-şefkat, iyi oluş kavramları incelenecek ve hastaların bağlanma stilleri araştırılacaktır. Ayrıca bu kavramların kontrol grubuyla karşılaştırılması hedeflenmiştir.
Yöntem: Çalışmamızda 30 opioid (OKB), 31 metamfetamin kullanım bozukluğu (MKB) tanılı hasta ile 30 kişiden oluşan kontrol grubu; sosyodemografik veri formu, Öz-Şefkat Ölçeği (ÖŞÖ), Psikolojik İyi Oluş Ölçeği (İOÖ) ve İlişki Ölçekleri Anketi (İÖA) ölçeklerini tamamlamıştır.
Bulgular: OKB grubunda İÖA-saplantılı bağlanma ile ÖŞÖ arasında negatif yönde (r = -0,537, p<0,01); MKB grubunda İÖA-kayıtsız, saplantılı ve güvenli bağlanma ile İOÖ arasında pozitif yönde anlamlı ilişkiler saptanmıştır (r = 0,428 – 0,499, p<0,05). Kontrol grubuyla yapılan karşılaştırmada, ÖŞÖ kontrol grubunda metamfetamin grubundan anlamlı olarak farklı (p=0,004), İOÖ kontrol grubunda hem metamfetamin hem de opioid grubundan anlamlı olarak farklı saptanmıştır (p<0,001). Gruplar arasında İÖA alt ölçek puan ortalamaları karşılaştırıldı. Gruplar arasında kayıtsız bağlanma puanları ortalamaları açısından istatistiki açıdan anlamlı fark yalnızca kontrol grubu ile metamfetamin grubu arasında saptandı. Kontrol grubu metamfetamin grubundan anlamlı derecede yüksekti.
Sonuç: Bulgularımız, madde kullanan bireylerde kontrol grubuna göre öz-şefkat ve iyi oluş seviyelerinin anlamlı olarak daha düşük olduğunu göstermiş; madde çeşidine göre iyi oluş ve öz-şefkat, bağlanma stilleri ile farklı ilişkiler kurmuştur. Madde kullanım bozuklukları literatüründe öz-şefkat ve bağlanma kavramları terapi hedefi olarak ele alınmalıdır.

Keywords

opioid, metamfetamin, madde kullanım bozukluğu, öz-şefkat, iyi oluş, bağlanma

Ethical Statement

Çalışma Sağlık Bilimleri Üniversitesi Ankara Eğitim ve Araştırma Hastanesi Etik Kurulu tarafından onaylanmıştır (tarih: 26/07/2023 no: E-23/1347).

Supporting Institution

yok

Thanks

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Self-compassion, Well-being, and Attachment Styles in Patients with Opioid and Methamphetamine Use Disorder

Abstract

Objective: Substance use disorder is a chronic psychiatric disorder that concerns the whole of society and needs to be assessed as multidimensional. Many factors may be effective in the development and maintanence of substance use disorders. We examined self-compassion, well-being concepts, and the attachment styles of the patients using opioid and methamphetamine.
Method: 30 opioid (OUD), 31 methamphetamine use disorder (MUD) and a control group consisting of 30 people; Sociodemographic Data Form, Self-Compassion Scale (SCS), Psychological Well-Being Scale (PWBS) and Relationship Scales Questionnaire (RSQ) completed the scales.
Results: There were significant correlation between the RSQ-preoccupied and SCS in the OUD group (r = -0.537, p <0.01) and significant correlations between preoccupied, dismissive and secure dimensions of RSQ and PWBS (r = 0.428 - 0.499, p <0.05). When we compared the control group with patients' groups, SCS was significantly different from the methamphetamine group (p = 0.004) and PWBS was significantly different from both methamphetamine and opioid groups (p <0.001). The statistically significant difference between the groups in terms of dismissive subdimension of RSQ was determined only between the control group and the methamphetamine group. The control group’s score was significantly higher than the methamphetamine group.
Conclusion: Our findings shows that self-compassion and well-being are significantly lower than the control group in the patient groups; According to the type of substance, well-being and self-compassion have established different relationships with attachment styles. In the literature on substance use disorders, the concepts of self-compassion and attachment should be considered as therapy targets.

Keywords

opioid, methamphetamine, substance use disorder, self-compassion, well-being, attachment

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