Rehabilitation Studies for Individuals with Alcohol and Substance Use Disorders: Systematic Review

Yıl 2019, Cilt: 20 Sayı: 4, 241 - 252, 29.12.2019

Aydan Akkurt Yalçıntürk , Gül Dikeç , Elvan Emine Ata

Öz

The aim of this systematic review is to review the rehabilitation studies of alcohol and substance use disorders in the last decade. In this study, experimental studies published in PubMed and Turkish Psychiatric Index databases between 2008 and 2018 were searched. Thirteen experimental studies on alcohol and substance use disorders in PubMed (12) and Turkish Psychiatric Index (1). Eye Movement Desensitization and Reprocessing (EMDR), Biofeedback Therapy (2), Probation Dependence Program, Pet Therapy, Tai Chi, Lyric Analysis, Music Therapy, Motivational Interviewing, 28 Day Inpatient Rehabilitation Program, Smoking Cessation Treatment (2) and Episodic Future Thinking. Rehabilitation studies increased the individuals' readiness to quit substance, social skills, quality of life, positive future perception, stay abstinence, attendance to self-help programs after treatment and get professional help and improve their physical health. Rehabilitation studies for individuals with alcohol and substance use disorders are limited, and cost effective, continuous easy applied rehabilitation programs are needed and they could prevent relapses among these population. 

Anahtar Kelimeler

Alcohol dependence, substance abuse

Alkol ve Madde Kullanım Bozukluğu Olan Bireylere Yönelik Rehabilitasyon Çalışmaları: Sistematik Derleme

Öz

Bu derlemenin amacı, alkol ve madde kullanım bozukluklarında son on yılda yapılan rehabilitasyon çalışmalarını gözden geçirmektir. Çalışmada PubMed ve Türk Psikiyatri Dizini veri tabanlarında 2008-2018 tarihleri arasında yayınlanan deneysel çalışmalar tarandı. PubMed (12) ve Türk Psikiyatri Dizini (1) veri tabanlarında alkol ve madde kullanım bozukluğu olan bireylere uygulanan toplam 13 deneysel çalışmaya ulaşıldı. Çalışmalarda Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR), Biofeedback Terapisi (2), Denetimli Serbestlik Bağımlılık Programı, Hayvan Destekli Terapi, Tai Chi, Lirik Analiz, Müzik Terapi, Motivasyonel Görüşme, 28 Günlük Yatarak Rehabilitasyon Programı, Sigarayı Bırakma Tedavisi (2) ve Pozitif Gelecek Planları Oluşturma’nın kullanıldığı belirlendi. Rehabilitasyon çalışmalarının bireylerin maddeyi bırakmaya hazır oluş düzeyi, sosyal becerileri, yaşam kalitesi, olumlu gelecek algısı, ayık kalma süresi, tedavi sonrası kendi kendine yardım programlarına katılma ve profesyonel yardım alma oranlarında artmayı ve fiziksel sağlığında iyileşmeyi sağladığı saptandı. Alkol ve madde kullanım bozukluğu olan bireylere yönelik rehabilitasyon çalışmalarının sınırlı düzeyde olduğu, bu bireylere yönelik maliyet etkin, relapsları engelleyebilecek, sürekliliği olan, kolay uygulanabilecek ve ulaşılabilecek rehabilitasyon çalışmalarına gereksinim olduğu söylenebilir.

Anahtar Kelimeler

alkol bağımlılığı, madde bağımlılığı, rehabilitasyon

Kaynakça

• 1.TUBİM. Türkiye Uyuşturucu Raporu. https://www.tuseb.gov.tr/enstitu/tacese/yuklemeler/ekitap/maddebagimliligi/2017_turkiye_uyusturucu_raporu.pdf (10.08.2019’da ulaşıldı).
• 2. Karataşoğlu S. Sosyal politika boyutuyla madde bağımlılığı. Türk İdare Dergisi 2013; 476: 321-352.
• 3. Şengül C, Herken H. Serotonin, noradrenalin, dopamin ve antidepresan ilaçlar. Türkiye Klinikleri J Neurol Special Topics 2010; 3: 112-116.
• 4. Erükçü Akbaş G, Mutlu E. Madde bağımlılığı tedavisi gören kişilerin bağımlılık ve tedavi deneyimleri. Toplum ve Sosyal Hizmet 2016; 27(1):101-122.
• 5. Özbay Y, Yılmaz S, Büyüköztürk Ş, ve ark. Madde bağımlılığı: temiz bir yaşam için bireyin güçlendirilmesi. Addicta: The Turkish Journal on Addictions 2018; 5: 81−130.
• 6. Vardar E, Karaca E. Bağımlılık tedavisini terk nedenlerinin değerlendirilmesi. Bağımlılık Dergisi. 2015; 90: 70-77.
• 7. Centre for Reviews and Dissemination. Systematic reviews: CRD’s guidance for undertaking reviews in health care. Centre for Reviews and Dissemination. University of York, 2009.
• 8. Contalbrigo L, De Santis M, Toson M, et al. The efficacy of dog assisted therapy in detained drug users: a pilot study in an ıtalian attenuated custody ınstitute. Int J Environ Res Public Health 2017; 14(7): 683.
• 9.Giorgi I, Ottonello M, Vittadini G, Bertolotti G. Psychological changes in alcohol-dependent patients during a residential rehabilitation program. Neuropsychiatric Disease and Treatment 2015; 11:2989–2996.
• 10. Reid MS, Fallon B, Sonne S, Flammino F, et al. Smoking cessation treatment in community-based substance abuse rehabilitation programs. J Subst Abuse Treat 2008; 35(1): 68-77.
• 11. Reid MS, Jiang H, Fallon B, Sonne S, et al. Smoking cessation treatment among patients in community-based substance abuse rehabilitation programs: exploring predictors of outcome as clues toward treatment improvement. Am J Drug Alcohol Abuse 2011; 37(5): 472-478.
• 12. Blondell RD., Frydrych LM., Jaanimagi U., Ashrafioun L, et al. A randomized trial of two behavioral interventions to improve outcomes following inpatient detoxification for alcohol dependence. J Addict Dis 2011; 30(2): 136-48.
• 13. Penzlin AI, Siepmann T, Illigens BM, et al. Heart rate variability biofeedback in patients with alcohol dependence: a randomized controlled study. Neuropsychiatr Dis Treat 2015; 9(11):2619-2627.
• 14. Snider SE, LaConte SM, Bickel WK. Episodic future thinking: expansion of the temporal window in individuals with alcohol dependence. Alcohol Clin Exp Res 2016; 40(7):1558-1566.
• 15. Silverman MJ. Effects of live and educational music therapy on working alliance and trust with patients on detoxification unit: a four-group cluster-randomized trial. Subst Use Misuse 2016; 51(13): 1741-1750.
• 16. Silverman MJ. Effects of a single lyric analysis intervention on withdrawal and craving with inpatients on a detoxification unit: a cluster-randomized effectiveness study. Subst Use Misuse 2016; 51(2):241-249.
• 17. Zhu D, Xu D, Dai G, et al. Beneficial effects of Tai Chi for amphetamine-type stimulant dependence: a pilot study. Am J Drug Alcohol Abuse 2016; 42(4):469-478.18. Penzlin AI, Barlinn K, Illigens BM, et al. Effect of short-term heart rate variability biofeedback on long-term abstinence in alcohol dependent patients – a one-year follow-up. BMC Psychiatry 2017; 17: 325.
• 19. Schäfer I, Chuey-Ferrer L, Hofmann A, et al. Effectiveness of EMDR in patients with substance use disorder and comorbid PTSD: study protocol for a randomized controlled trial. BMC Psychiatry 2017; 17(1): 95.
• 20. Aldemir E, Berk G, Coşkunol H. Denetimli Serbestlik Bağımlılık Programı’nın tedavi motivasyonu, ayıklık ve yaşam kalitesi üzerine etkileri: motivasyonel ve bireysel görüşme ile karşılaştırmalı bir çalışma. Arch Neuropsychiatry 2018; 55:261−270.
• 21. Stark MJ, Campbell BK. Drug use and cigarette smoking in applicants for drug abuse treatment. J Subst Abuse 1993; 5: 175–181.
• 22. Reid MS, Fallon B, Sonne S, et al. Implementation of smoking cessation treatment at substance abuse rehabilitation programs: smoking behavior and treatment feasibility across varied community based outpatient programs. J Addict Med 2007; 1: 154–160.
• 23. Anton RF, O’Malley SS, Ciraulo DA, et al. Combined pharmacotherapies and behavioral interventions for alcohol dependence; the COMBINE study; a randomized controlled trial. JAMA 2006; 295(17):2003–2017.
• 24.Schilling RF, El-Bassel N, Finch J, et al. Motivational interviewing to encourage self-help participation following alcohol detoxification. Res Soc Work Pract 2002; 12(6): 711–730.
• 25. Lin M, Ko J, Fan S, et al. Heart Rate Variability and the efficacy of Biofeedback in heroin users with depressive symptoms. Clinical Psychopharmmacology and Neuroscience 2016; 14(2): 168-176.
• 26. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry 2008; 62(47): 25-29.
• 27. Zheng W, Qiang L, Jingxia L, et al. Tai Chi for Schizophrenia: A Systematic Rewiew. Shanghai Arch Psychiatry 2016; 28(4):185-194.
• 28. Cheng SL, Sun HF, Yeh ML. Effects of an 8-week aerobic dance program on health-related fitness in patients with schizophrenia. J Nurs Res 2017; 25(6):429-435.
• 29. Kulu M, Özsoy F, Baykara S. Bağımlılıkta düzenli egzersizin benlik saygısına etkisi. Anatolian Journal of Psychiatry 2018; 19(3):244-249.
• 30. Li DX, Zhuang XY, Zhang YP, et al. Effects of Tai Chi on the protracted abstinence syndrome: a time trial analysis. Am. J. Chin. Med 2013; 41(1): 43–57.
• 31. Zambon A, SoaresPinto SP, Agostini D, et al. Alcohol-addictioninpatient: characteristics of patients and rehabilitation program. Minerva Med 2013; 104(2): 193–206.
• 32. Fiabane E, Ottonello M, Zavan V, et al. Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients. Neuropsychiatric Disease and Treatment 2017; 13: 2497–2504.
• 33. Atance CM, O’Neill DK. Episodic future thinking. Trends Cogn Sci 2001; 5: 533–539.
• 34. Paraskevaides T, Morgan CJA, Leitz JR, et al. Drinking and future thinking: acute effects of alcohol on prospective memory and future simulation. Psychopharmacology 2010; 208: 301–308.
• 35. Hohmann L, Bradt J, Stegemann T, Koelsch S. Effects of music therapy and music-based ınterventions in the treatment of substance use disorders: a systematic review. PLoS One 2017; 12(11): e0187363.
• 36. Silverman MJ. Effects of group-based educational songwriting on craving in patients on a detoxification unit: A cluster-randomized effectiveness study. Psychology of Music 2017; 47(2): 241-254.
• 37. Hwang E-Y, Oh S-H. A comparison of the effects of music therapy interventions on depression, anxiety, anger, and stress on alcohol-dependent clients: A pilot study. Music Med 2013; 5(3): 136–144.
• 38. Burger E, Stetina BU, Turner K, et al. Dog-assisted therapy in prison: Emotional competences and emotional status of drug-addicted criminal offenders. J. Vet. Behav 2011; 6(1): 79–80.
• 39. YEDAM. EMDR ve Bağımlılık. 2019. Erişim: http://www.yedam.org.tr/emdr-ve-bagimlilik (02.08.2019’da ulaşıldı).
• 40. Carletto S, Oliva F, Barnato M, et al. EMDR as Add-On Treatment for Psychiatric and Traumatic Symptoms in Patients with Substance Use Disorder. Front Psychol 2018; 8:23-33.