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

Yıl 2024, Cilt: 7 Sayı: 3, 313 - 319, 27.10.2024
https://doi.org/10.53446/actamednicomedia.1488050

Öz

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.

Etik Beyan

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

Destekleyen Kurum

yok

Teşekkür

-

Kaynakça

  • Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association; 2013.
  • Sezer Katar K, Kurtoğlu MB, Zengin İspir G, Danışman M. Resilience and traumatic childhood experiences of patients with opioid use disorder. Journal of Ethnicity in Substance Abuse. 1-13. doi:10.1080/15332640.2023.2278469
  • Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2(3):223-250. doi:10.1080/15298860309027
  • MacBeth A, Gumley A. Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review. 2012;32(6):545-552. doi:10.1016/j.cpr.2012.06.003
  • Neff KD, McGehee P. Self-compassion and psychological resilience among adolescents and young adults. Self and Identity. 2010; 9(3):225-240. doi:10.1080/15298860902979307
  • Gilbert P. Compassion: Conceptualisations, research and use in psychotherapy. Routledge; 2005.
  • Shahin MAH, Hamed SA, Taha SM. Correlation of self-compassion and spiritual well-being with drug craving in people with substance use disorders. Middle East Current Psychiatry. 2021;28:1-12. doi:10.1186/s43045-021-00132-6
  • Garner AR, Gilbert SE, Shorey RC, et al. A longitudinal investigation on the relation between self-compassion and alcohol use in a treatment sample: a brief report. Substance Abuse: Research and Treatment. 2020;14:1178221820909356.
  • Cardak M. Psychological well-being and Internet addiction among university students. Turkish Online Journal of Educational Technology-TOJET. 2013;12(3):134-141.
  • Ryff CD, Singer BH. Know thyself and become what you are: A eudaimonic approach to psychological well-being. Journal of Happiness Studies. 2008;9:13-39. doi:10.1007/s10902-006-9019-0
  • Irshad E, Karamat M. Psychological Well-Being in Drug Addicts. JL & Soc'y. 2012;42:55.
  • Visser M, Routledge L-A. Substance abuse and psychological well-being of South African adolescents. South African Journal of Psychology. 2007;37(3):595-615. doi:10.1177/008124630703700313
  • Carlson EA, Sroufe LA. Contribution of attachment theory to developmental psychopathology. 1995.
  • Schindler A, Thomasius R, Sack P-M, et al. Attachment and substance use disorders: A review of the literature and a study in drug dependent adolescents. Attachment & human development. 2005; 7(3):207-228. doi:10.1080/14616730500173918
  • McNally AM, Palfai TP, Levine RV, Moore BM. Attachment dimensions and drinking-related problems among young adults: The mediational role of coping motives. Addictive Behaviors. 2003;28(6):1115-1127. doi:10.1016/S0306-4603(02)00224-1
  • Magai C. Affect, imagery, and attachment: Working models of interpersonal affect and the socialization of emotion. 1999.
  • Shearer RD, Howell BA, Bart G, Winkelman TN. Substance use patterns and health profiles among US adults who use opioids, methamphetamine, or both, 2015-2018. Drug and Alcohol Dependence. 2020;214:108162. doi:10.1016/j.drugalcdep.2020.108162
  • Deniz M, Kesici Ş, Sümer AS. The validity and reliability of the Turkish version of the Self-Compassion Scale. Social Behavior and Personality: an international journal. 2008;36(9):1151-1160. doi:10.2224/sbp.2008.36.9.1151
  • Diener E. Assessing well-being: The collected works of Ed Diener. vol 39. Springer Science & Business Media. 2009.
  • Telef BB. Psikolojik iyi oluş ölçeği: Türkçeye uyarlama, geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2013;28(28-3):374-384.
  • Griffin DW, Bartholomew K. The metaphysics of measurement: The case of adult Attachment. 1994.
  • Sümer N, Güngör D. Yetişkin bağlanma stilleri ölçeklerinin Türk örneklemi üzerinde psikometrik değerlendirmesi ve kültürlerarası bir karşılaştırma. Türk Psikoloji Dergisi. 1999;14(43):71-106.
  • Pepping CA, Davis PJ, O'Donovan A, Pal J. Individual differences in self-compassion: The role of attachment and experiences of parenting in childhood. Self and Identity. 2015; 14(1):104-117. doi:10.1080/15298868.2014.955050
  • Raque-Bogdan TL, Ericson SK, Jackson J, Martin HM, Bryan NA. Attachment and mental and physical health: self-compassion and mattering as mediators. Journal of Counseling Psychology. 2011; 58(2):272. doi:10.1037/a0023041
  • Quinlan HM, Hadden KL, Storey DP. The Relationship Between Self-Compassion, Childhood Maltreatment and Attachment Orientation In High-Risk Adolescents. Youth & Society. 2022;54(5):890-906. doi:10.1177/0044118x211002857
  • Bartholomew K, Horowitz LM. Attachment styles among young adults: a test of a four-category model. Journal of Personality and Social Psychology. 1991;61(2):226.
  • Delvecchio E, Di Riso D, Lis A, Salcuni S. Adult attachment, social adjustment, and well-being in drug-addicted inpatients. Psychological reports. 2016;118(2):587-607. doi:10.1177/0033294116639181
  • Habibi M, Hosseini F, Darharaj M, et al. Attachment Style, Perceived Loneliness, and Psychological Well-Being in Smoking and Non-Smoking University Students. The Journal of Psychology. 2018/05/19 2018;152(4):226-236. doi:10.1080/00223980.2018.1446894
  • Marrero-Quevedo RJ, Blanco-Hernández PJ, Hernández-Cabrera JA. Adult Attachment and Psychological Well-Being: The Mediating Role of Personality. Journal of Adult Development. 2019/03/01 2019;26(1):41-56. doi:10.1007/s10804-018-9297-x
  • Barry CT, Loflin DC, Doucette H. Adolescent self-compassion: Associations with narcissism, self-esteem, aggression, and internalizing symptoms in at-risk males. Pers Individ Differ. 2015;77:118-123. doi:10.1016/j.paid.2014.12.036
  • Neff KD, Rude SS, Kirkpatrick KL. An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality. 2007;41(4):908-916. doi:10.1016/j.jrp.2006.08.002
  • Neff KD, Vonk R. Self‐compassion versus global self‐esteem: Two different ways of relating to oneself. Journal of personality. 2009;77(1):23-50. doi:10.1111/j.1467-6494.2008.00537.x
  • Zessin U, Dickhäuser O, Garbade S. The relationship between self‐compassion and well‐being: A meta‐analysis. Applied Psychology: Health and Well‐Being. 2015;7(3):340-364. doi: 10.1111/aphw.12051
  • Crowell JA, Fraley RC, Shaver PR. Measurement of individual differences in adolescent and adult attachment. Handbook of attachment: Theory, research, and clinical applications. 1999;2:635.
  • Mackintosh K, Power K, Schwannauer M, Chan SWY. The Relationships Between Self-Compassion, Attachment and Interpersonal Problems in Clinical Patients with Mixed Anxiety and Depression and Emotional Distress. Mindfulness. 2018/06/01 2018;9(3):961-971. doi:10.1007/s12671-017-0835-6

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

Yıl 2024, Cilt: 7 Sayı: 3, 313 - 319, 27.10.2024
https://doi.org/10.53446/actamednicomedia.1488050

Öz

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.

Kaynakça

  • Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association; 2013.
  • Sezer Katar K, Kurtoğlu MB, Zengin İspir G, Danışman M. Resilience and traumatic childhood experiences of patients with opioid use disorder. Journal of Ethnicity in Substance Abuse. 1-13. doi:10.1080/15332640.2023.2278469
  • Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2(3):223-250. doi:10.1080/15298860309027
  • MacBeth A, Gumley A. Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review. 2012;32(6):545-552. doi:10.1016/j.cpr.2012.06.003
  • Neff KD, McGehee P. Self-compassion and psychological resilience among adolescents and young adults. Self and Identity. 2010; 9(3):225-240. doi:10.1080/15298860902979307
  • Gilbert P. Compassion: Conceptualisations, research and use in psychotherapy. Routledge; 2005.
  • Shahin MAH, Hamed SA, Taha SM. Correlation of self-compassion and spiritual well-being with drug craving in people with substance use disorders. Middle East Current Psychiatry. 2021;28:1-12. doi:10.1186/s43045-021-00132-6
  • Garner AR, Gilbert SE, Shorey RC, et al. A longitudinal investigation on the relation between self-compassion and alcohol use in a treatment sample: a brief report. Substance Abuse: Research and Treatment. 2020;14:1178221820909356.
  • Cardak M. Psychological well-being and Internet addiction among university students. Turkish Online Journal of Educational Technology-TOJET. 2013;12(3):134-141.
  • Ryff CD, Singer BH. Know thyself and become what you are: A eudaimonic approach to psychological well-being. Journal of Happiness Studies. 2008;9:13-39. doi:10.1007/s10902-006-9019-0
  • Irshad E, Karamat M. Psychological Well-Being in Drug Addicts. JL & Soc'y. 2012;42:55.
  • Visser M, Routledge L-A. Substance abuse and psychological well-being of South African adolescents. South African Journal of Psychology. 2007;37(3):595-615. doi:10.1177/008124630703700313
  • Carlson EA, Sroufe LA. Contribution of attachment theory to developmental psychopathology. 1995.
  • Schindler A, Thomasius R, Sack P-M, et al. Attachment and substance use disorders: A review of the literature and a study in drug dependent adolescents. Attachment & human development. 2005; 7(3):207-228. doi:10.1080/14616730500173918
  • McNally AM, Palfai TP, Levine RV, Moore BM. Attachment dimensions and drinking-related problems among young adults: The mediational role of coping motives. Addictive Behaviors. 2003;28(6):1115-1127. doi:10.1016/S0306-4603(02)00224-1
  • Magai C. Affect, imagery, and attachment: Working models of interpersonal affect and the socialization of emotion. 1999.
  • Shearer RD, Howell BA, Bart G, Winkelman TN. Substance use patterns and health profiles among US adults who use opioids, methamphetamine, or both, 2015-2018. Drug and Alcohol Dependence. 2020;214:108162. doi:10.1016/j.drugalcdep.2020.108162
  • Deniz M, Kesici Ş, Sümer AS. The validity and reliability of the Turkish version of the Self-Compassion Scale. Social Behavior and Personality: an international journal. 2008;36(9):1151-1160. doi:10.2224/sbp.2008.36.9.1151
  • Diener E. Assessing well-being: The collected works of Ed Diener. vol 39. Springer Science & Business Media. 2009.
  • Telef BB. Psikolojik iyi oluş ölçeği: Türkçeye uyarlama, geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2013;28(28-3):374-384.
  • Griffin DW, Bartholomew K. The metaphysics of measurement: The case of adult Attachment. 1994.
  • Sümer N, Güngör D. Yetişkin bağlanma stilleri ölçeklerinin Türk örneklemi üzerinde psikometrik değerlendirmesi ve kültürlerarası bir karşılaştırma. Türk Psikoloji Dergisi. 1999;14(43):71-106.
  • Pepping CA, Davis PJ, O'Donovan A, Pal J. Individual differences in self-compassion: The role of attachment and experiences of parenting in childhood. Self and Identity. 2015; 14(1):104-117. doi:10.1080/15298868.2014.955050
  • Raque-Bogdan TL, Ericson SK, Jackson J, Martin HM, Bryan NA. Attachment and mental and physical health: self-compassion and mattering as mediators. Journal of Counseling Psychology. 2011; 58(2):272. doi:10.1037/a0023041
  • Quinlan HM, Hadden KL, Storey DP. The Relationship Between Self-Compassion, Childhood Maltreatment and Attachment Orientation In High-Risk Adolescents. Youth & Society. 2022;54(5):890-906. doi:10.1177/0044118x211002857
  • Bartholomew K, Horowitz LM. Attachment styles among young adults: a test of a four-category model. Journal of Personality and Social Psychology. 1991;61(2):226.
  • Delvecchio E, Di Riso D, Lis A, Salcuni S. Adult attachment, social adjustment, and well-being in drug-addicted inpatients. Psychological reports. 2016;118(2):587-607. doi:10.1177/0033294116639181
  • Habibi M, Hosseini F, Darharaj M, et al. Attachment Style, Perceived Loneliness, and Psychological Well-Being in Smoking and Non-Smoking University Students. The Journal of Psychology. 2018/05/19 2018;152(4):226-236. doi:10.1080/00223980.2018.1446894
  • Marrero-Quevedo RJ, Blanco-Hernández PJ, Hernández-Cabrera JA. Adult Attachment and Psychological Well-Being: The Mediating Role of Personality. Journal of Adult Development. 2019/03/01 2019;26(1):41-56. doi:10.1007/s10804-018-9297-x
  • Barry CT, Loflin DC, Doucette H. Adolescent self-compassion: Associations with narcissism, self-esteem, aggression, and internalizing symptoms in at-risk males. Pers Individ Differ. 2015;77:118-123. doi:10.1016/j.paid.2014.12.036
  • Neff KD, Rude SS, Kirkpatrick KL. An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality. 2007;41(4):908-916. doi:10.1016/j.jrp.2006.08.002
  • Neff KD, Vonk R. Self‐compassion versus global self‐esteem: Two different ways of relating to oneself. Journal of personality. 2009;77(1):23-50. doi:10.1111/j.1467-6494.2008.00537.x
  • Zessin U, Dickhäuser O, Garbade S. The relationship between self‐compassion and well‐being: A meta‐analysis. Applied Psychology: Health and Well‐Being. 2015;7(3):340-364. doi: 10.1111/aphw.12051
  • Crowell JA, Fraley RC, Shaver PR. Measurement of individual differences in adolescent and adult attachment. Handbook of attachment: Theory, research, and clinical applications. 1999;2:635.
  • Mackintosh K, Power K, Schwannauer M, Chan SWY. The Relationships Between Self-Compassion, Attachment and Interpersonal Problems in Clinical Patients with Mixed Anxiety and Depression and Emotional Distress. Mindfulness. 2018/06/01 2018;9(3):961-971. doi:10.1007/s12671-017-0835-6
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Araştırma Makaleleri
Yazarlar

Kübra Sezer Katar 0000-0001-7184-7960

Gamze Zengin İspir 0000-0003-3936-6619

Mustafa Danışman 0000-0002-7403-8840

Yayımlanma Tarihi 27 Ekim 2024
Gönderilme Tarihi 22 Mayıs 2024
Kabul Tarihi 10 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 3

Kaynak Göster

AMA Sezer Katar K, Zengin İspir G, Danışman M. Opioid Ve Metamfetamin Kullanım Bozukluğu Tanılı Hastalarda Öz-Şefkat, İyi Oluş ve Bağlanma Özellikleri. Acta Med Nicomedia. Ekim 2024;7(3):313-319. doi:10.53446/actamednicomedia.1488050

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