Impulsivity and Quality of Life in Patients with Substance Use Disorder
Yıl 2024,
Cilt: 25 Sayı: 4, 421 - 429, 30.12.2024
Caner Yeşiloğlu
,
Lut Tamam
,
Mehmet Emin Demirkol
,
Hamdi Yılmaz
Öz
Objective: This study examines the impact of impulsivity on quality of life among individuals with Substance Use Disorder (SUD).
Method: The research was conducted on 45 substance users and 43 voluntary participants who applied to the Training and Research Hospital in Kırşehir between September and October 2023. The participants included 63 men and 25 women, with ages ranging from 18 to 67. The Barratt Impulsiveness Scale (BIS-11) and WHO Quality of Life Scale (WHOQOL-BREF) were used as measurement tools.
Results: The findings indicate that individuals with SUD have higher impulsivity and lower quality of life compared to the control group. Specifically, the strongest impact of impulsivity on quality of life was identified in the sub-dimensions of social relationships and psychological health.
Conclusion: High impulsivity negatively affects the quality of life of individuals diagnosed with SUD. This study supports the view that intervening in the levels of impulsivity in individuals diagnosed with SUD can improve the quality of life and enhance treatment compliance.
Kaynakça
- American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th ed. Arlington: American Psychiatric Association, 2013.
- Kaya E. Madde kullanım bozuklukları. Okmeydanı Medical Journal 2014; 30(2): 79-83.
- Laudet AB. The case for considering quality of life in addiction research and clinical practice. Addict Sci Clin Pract 2011; 6(1): 44-44.
- Pasareanu AR, Opsal A, Vederhus J, et al. Quality of life improved following in-patient substance use disorder treatment. Health Qual Life Outcomes 2015; 13: 35.
- Tracy EM, Laudet A, Min M, et al. Prospective patterns and correlates of quality of life among women in substance abuse treatment. Drug Alcohol Depend 2012; 124(3): 242-249.
- Feelemyer JP, Jarlais D, Arasteh K, et al. Changes in quality of life (WHOQOL-BREF) and addiction severity index (ASI) among participants in opioid substitution treatment (OST) in low and middle income countries: an international systematic review. Drug Alcohol Depend 2014; 134: 251-258.
- Manning V, Garfield J, Lam T, et al. Improved quality of life following addiction treatment is associated with reductions in substance use. J Clin Med 2019; 8(9): 1407.
- Best D. The role of abstinence and activity in the quality of life of drug users engaged in treatment. J Subst Abuse Treat 2013; 45(3): 273-279.
- Laudet AB, Stanick V. Predictors of motivation for abstinence at the end of outpatient substance abuse treatment. J Subst Abuse Treat. 2010; 38(4): 317-327.
- Wang Y, Zuo J, Hao V, et al. Quality of life in patients with methamphetamine use disorder: relationship to impulsivity and drug use characteristics. Front Psychiatry 2020; 11: 579302.
- Nigg JT. On the relations among self-regulation, self-control, executive functioning, effortful control, cognitive control, impulsivity, risk-taking, and inhibition for developmental psychopathology. J Child Psychol Psychiatry 2017; 58(4): 361-383.
- Uzbay İT. Madde bağımlılığı ve dopaminerjik sistem. Turkiye Klinikleri Journal of Internal Medical Sciences 2005; 1(47): 65-72.
- Moeller FG, Barratt ES, Doughertyet DM, al. Psychiatric aspects of impulsivity. Am J Psychiatry 2001; 158(11): 1783-1793.
- Halperin JM, Wolf LE, Pascualvaca DM, et al. Differential assessment of attention and impulsivity in children. J Am Acad Child Adolesc Psychiatry 1988; 27(3): 326-329.
- Moss HB, Yao JK, Panzak GL. Serotonergic responsivity and behavioral dimensions in antisocial personality disorder with substance abuse. Biol Psychiatry 1990; 28(4): 325-338.
- Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995; 51(6): 768-774.
- Özdemir PG, Selvi Y, Aydın A. Dürtüsellik ve tedavisi. Psikiyatride Güncel Yaklaşımlar 2012; 4(3): 293-314.
- Kim YS, Cha B, Lee D, et al. The relationship between impulsivity and quality of life in euthymic patients with bipolar disorder. Psychiatry Investig 2013; 10(3): 246-252.
- Lee D, Cha B, CS Park, et al. Effects of resilience on quality of life in patients with bipolar disorder. J Affect Disord 2017; 207: 434-441.
- Gjervan B. ADHD symptoms are differentially related to specific aspects of quality of life. J Atten Disord. 2014; 18(7): 598-606.
- Quintero J. The impact of adult ADHD in the quality of life profile. J Atten Disord 2019; 23(9): 1007-1016.
- Rose MH, Nadler EP, Mackey ER. Impulse control in negative mood states, emotional eating, and food addiction are associated with lower quality of life in adolescents with severe obesity. J Pediatr Psychol 2018; 43(4): 443-451.
- Tamam L, Güleç H, Karatas G. Barratt Dürtüsellik Ölçeği Kısa Formu (BDÖ-11-KF) Türkçe uyarlama çalışması. Noro Psikiyatri Ars 2013;50(2):130.
- Eser E, Fidaner H, Fidaner C, et al. WHOQOL-100 ve WHOQOL-BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji Dergisi (3P Dergisi). 1999; 7(Suppl 2): 23-40.
- Chen CY, Storr CL. Alcohol use and health-related quality of life among youth in Taiwan. J Adolesc Health 2006; 39(5): 752-e9-e16.
- Khodabakhshi Koolaee A, Damirchi F. Comparing quality of life among female sex workers with and without addiction. J Client-Centered Nurs Care 2016; 2(4): 201-206.
- Group W. The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In: Quality of Life Assessment: International Perspectives. Cham: Springer, 1994.
- Laudet AB, Becker JB, White WL. Don't wanna go through that madness no more: quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Subst Use Misuse 2009; 44(2): 227-252.
- Blomqvist J. Paths to recovery from substance misuse: Change of lifestyle and the role of treatment. Subst Use Misuse 1996; 31(13): 1807-1852.
- Foster JH. Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinking. Addict Biol 1998; 3(3): 321-332.
- Rudolf H, Watts J. Quality of life in substance abuse and dependency. Int Rev Psychiatry 2002; 14(3): 190-197.
- Köksal B. Madde Bağımlılarında Dürtüsellik ve Saldırganlığın Incelenmesi (Yüksek lisans tezi). İstanbul: Marmara Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü,2016.
- Colpaert K, Maeyer JD, Broekaert E, et al. Impact of addiction severity and psychiatric comorbidity on the quality of life of alcohol-, drug-and dual-dependent persons in residential treatment. Eur Addict Res 2013; 19(4): 173-183.
- Meyrignac L, Bouati N, Sagne A, et al. Representations of their own sexuality and aging body by old people: phenomenological and psychodynamic approach. Geriatr Psychol Neuropsychiatr Vieil 2017; 15(3): 319-328.
- Mroczek B, Kurpas D, Gronowska M, et al. Psychosexual needs and sexual behaviors of nursing care home residents. Arch Gerontol Geriatr 2013; 57(1): 32-38.
- Deng C. Quality of life of heroin dependent patients with methadone maintenance therapy. J Sichuan Univ Med Sci Ed 2009; 40(3): 539-543.
- Zhang G, Liu H, Xue H et al. Analysis of quality of life and its influencing factors of heroin dependent patients with methadone maintenance therapy in Dehong prefecture, Yunnan province. Chin J Prev Med 2011; 45(11): 985-989.
Madde Kullanım Bozukluğu Olan Olgularda Dürtüsellik ve Yaşam Kalitesi
Yıl 2024,
Cilt: 25 Sayı: 4, 421 - 429, 30.12.2024
Caner Yeşiloğlu
,
Lut Tamam
,
Mehmet Emin Demirkol
,
Hamdi Yılmaz
Öz
Amaç: Bu çalışma, Madde Kullanımı Bozukluğu (MKB) olan bireylerde dürtüselliğin yaşam kalitesi üzerindeki etkisini göstermeyi amaçlamıştır.
Yöntem: Araştırma, Eylül 2023 ve Ekim 2023 tarihleri arasında, Kırşehir'de bulunan Eğitim ve Araştırma Hastanesi'ne başvuran 45 alkol-madde kullanıcısı ve 43 gönüllü katılımcı üzerinde gerçekleştirilmiştir. Katılımcılar arasında yaşları 18 ile 67 arasında değişen 63 erkek ve 25 kadın bulunmaktadır. Araştırmanın ölçüm araçları olarak Barratt Dürtüsellik Ölçeği (BDÖ-11) ve WHO Yaşam Kalitesi Ölçeği (WHOQOL-BREF) kullanılmıştır.
Bulgular: MKB tanılı bireylerin kontrol grubuna göre daha yüksek dürtüselliğe ve daha düşük yaşam kalitesine sahip olduğunu göstermiştir. Özellikle, dürtüselliğin yaşam kalitesi üzerindeki en güçlü etkisi sosyal ilişkiler ve psikolojik sağlık alt boyutları arasında tespit edilmiştir.
Sonuç: Dürtüselliğin yüksek olması MKB tanılılaron yaşam kalitesine olumsuz etki etmektedir. Bu çalışma, MKB tanılı bireylerde dürtüsellik düzeylerine müdahalenin, yaşam kalitesini iyileştirebileceği ve tedaviye uyumu artırabileceği görüşünü desteklemektedir.
Etik Beyan
Etik onay alındıktan sonra gönüllülük esası ile veri toplanmıştır. Makale başka bir dergiye yüklenmemiştir.
Destekleyen Kurum
Destekleyen kurum yoktur
Teşekkür
Özel notumuz yoktur
Kaynakça
- American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th ed. Arlington: American Psychiatric Association, 2013.
- Kaya E. Madde kullanım bozuklukları. Okmeydanı Medical Journal 2014; 30(2): 79-83.
- Laudet AB. The case for considering quality of life in addiction research and clinical practice. Addict Sci Clin Pract 2011; 6(1): 44-44.
- Pasareanu AR, Opsal A, Vederhus J, et al. Quality of life improved following in-patient substance use disorder treatment. Health Qual Life Outcomes 2015; 13: 35.
- Tracy EM, Laudet A, Min M, et al. Prospective patterns and correlates of quality of life among women in substance abuse treatment. Drug Alcohol Depend 2012; 124(3): 242-249.
- Feelemyer JP, Jarlais D, Arasteh K, et al. Changes in quality of life (WHOQOL-BREF) and addiction severity index (ASI) among participants in opioid substitution treatment (OST) in low and middle income countries: an international systematic review. Drug Alcohol Depend 2014; 134: 251-258.
- Manning V, Garfield J, Lam T, et al. Improved quality of life following addiction treatment is associated with reductions in substance use. J Clin Med 2019; 8(9): 1407.
- Best D. The role of abstinence and activity in the quality of life of drug users engaged in treatment. J Subst Abuse Treat 2013; 45(3): 273-279.
- Laudet AB, Stanick V. Predictors of motivation for abstinence at the end of outpatient substance abuse treatment. J Subst Abuse Treat. 2010; 38(4): 317-327.
- Wang Y, Zuo J, Hao V, et al. Quality of life in patients with methamphetamine use disorder: relationship to impulsivity and drug use characteristics. Front Psychiatry 2020; 11: 579302.
- Nigg JT. On the relations among self-regulation, self-control, executive functioning, effortful control, cognitive control, impulsivity, risk-taking, and inhibition for developmental psychopathology. J Child Psychol Psychiatry 2017; 58(4): 361-383.
- Uzbay İT. Madde bağımlılığı ve dopaminerjik sistem. Turkiye Klinikleri Journal of Internal Medical Sciences 2005; 1(47): 65-72.
- Moeller FG, Barratt ES, Doughertyet DM, al. Psychiatric aspects of impulsivity. Am J Psychiatry 2001; 158(11): 1783-1793.
- Halperin JM, Wolf LE, Pascualvaca DM, et al. Differential assessment of attention and impulsivity in children. J Am Acad Child Adolesc Psychiatry 1988; 27(3): 326-329.
- Moss HB, Yao JK, Panzak GL. Serotonergic responsivity and behavioral dimensions in antisocial personality disorder with substance abuse. Biol Psychiatry 1990; 28(4): 325-338.
- Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995; 51(6): 768-774.
- Özdemir PG, Selvi Y, Aydın A. Dürtüsellik ve tedavisi. Psikiyatride Güncel Yaklaşımlar 2012; 4(3): 293-314.
- Kim YS, Cha B, Lee D, et al. The relationship between impulsivity and quality of life in euthymic patients with bipolar disorder. Psychiatry Investig 2013; 10(3): 246-252.
- Lee D, Cha B, CS Park, et al. Effects of resilience on quality of life in patients with bipolar disorder. J Affect Disord 2017; 207: 434-441.
- Gjervan B. ADHD symptoms are differentially related to specific aspects of quality of life. J Atten Disord. 2014; 18(7): 598-606.
- Quintero J. The impact of adult ADHD in the quality of life profile. J Atten Disord 2019; 23(9): 1007-1016.
- Rose MH, Nadler EP, Mackey ER. Impulse control in negative mood states, emotional eating, and food addiction are associated with lower quality of life in adolescents with severe obesity. J Pediatr Psychol 2018; 43(4): 443-451.
- Tamam L, Güleç H, Karatas G. Barratt Dürtüsellik Ölçeği Kısa Formu (BDÖ-11-KF) Türkçe uyarlama çalışması. Noro Psikiyatri Ars 2013;50(2):130.
- Eser E, Fidaner H, Fidaner C, et al. WHOQOL-100 ve WHOQOL-BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji Dergisi (3P Dergisi). 1999; 7(Suppl 2): 23-40.
- Chen CY, Storr CL. Alcohol use and health-related quality of life among youth in Taiwan. J Adolesc Health 2006; 39(5): 752-e9-e16.
- Khodabakhshi Koolaee A, Damirchi F. Comparing quality of life among female sex workers with and without addiction. J Client-Centered Nurs Care 2016; 2(4): 201-206.
- Group W. The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In: Quality of Life Assessment: International Perspectives. Cham: Springer, 1994.
- Laudet AB, Becker JB, White WL. Don't wanna go through that madness no more: quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Subst Use Misuse 2009; 44(2): 227-252.
- Blomqvist J. Paths to recovery from substance misuse: Change of lifestyle and the role of treatment. Subst Use Misuse 1996; 31(13): 1807-1852.
- Foster JH. Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinking. Addict Biol 1998; 3(3): 321-332.
- Rudolf H, Watts J. Quality of life in substance abuse and dependency. Int Rev Psychiatry 2002; 14(3): 190-197.
- Köksal B. Madde Bağımlılarında Dürtüsellik ve Saldırganlığın Incelenmesi (Yüksek lisans tezi). İstanbul: Marmara Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü,2016.
- Colpaert K, Maeyer JD, Broekaert E, et al. Impact of addiction severity and psychiatric comorbidity on the quality of life of alcohol-, drug-and dual-dependent persons in residential treatment. Eur Addict Res 2013; 19(4): 173-183.
- Meyrignac L, Bouati N, Sagne A, et al. Representations of their own sexuality and aging body by old people: phenomenological and psychodynamic approach. Geriatr Psychol Neuropsychiatr Vieil 2017; 15(3): 319-328.
- Mroczek B, Kurpas D, Gronowska M, et al. Psychosexual needs and sexual behaviors of nursing care home residents. Arch Gerontol Geriatr 2013; 57(1): 32-38.
- Deng C. Quality of life of heroin dependent patients with methadone maintenance therapy. J Sichuan Univ Med Sci Ed 2009; 40(3): 539-543.
- Zhang G, Liu H, Xue H et al. Analysis of quality of life and its influencing factors of heroin dependent patients with methadone maintenance therapy in Dehong prefecture, Yunnan province. Chin J Prev Med 2011; 45(11): 985-989.