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Alkol Kullanım Bozukluğunda Çocukluk Çağı Travmatik Deneyimleri ile Obsesif İnançlar Arasındaki İlişki

Year 2023, Volume: 5 Issue: 3, 138 - 143, 10.10.2023
https://doi.org/10.52827/hititmedj.1270671

Abstract

Amaç: Bu çalışmada alkol kullanım bozukluğu (AKB) ve obsesif kompulsif spektrum bozuklukları arasında var olan benzerliklerden ve travmatik yaşantıların da bağımlılıkla olan yakın ilişkisinden yola çıkılarak, alkol kullanım bozukluğu tanılı hastalarda obsesif inanışlar ve çocukluk çağı travmalarının ilişkisinin, kontrol grubu ile karşılaştırılarak değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Alkol ve Madde Tedavi Merkezi (AMATEM) polikliniğine ayaktan ardışık olarak başvuru yapan 60 AKB olgusu ile aynı özelliklere sahip ve aynı bölgeden rastgele seçilen 56 sağlıklı kontrol grubunun verileri değerlendirilmiştir. Her iki gruba da DSM-5 için yapılandırılmış Klinik Görüşme (SCID-5), Obsesif İnanışlar Ölçeği-44 (OİÖ), Çocukluk Çağı Travmaları Ölçeği-28 (ÇÇT) , Hamilton Anksiyete Ölçeği (HAM-A) ve Hamilton Depresyon Ölçeği (HAM-D) uygulanmış, hasta grubuna bağımlılık şiddetini değerlendiren Bağımlılık Profil İndeksi yapılmıştır. Veriler SPPS 22 ile değerlendirilmiştir.

Bulgular: AKB olgularında obsesif inanışlar, travmatik yaşantılar, depresyon ve anksiyete skorları anlamlı olarak kontrol grubundan yüksek saptanmıştır. Travmatik yaşantılar ile obsesif inanışlar arasında ise anlamlı bir ilişki tesbit edilmemiştir. Obsesif inanışların en önemli öngörücüleri anksiyete ve depresyon skorları olduğu görülmüştür.

Sonuç: Bu çalışma alkol kullanım bozukluğu hastalarında obsesif inanışlar ile çocukluk çağı travmalarının ilişkisini değerlendiren ilk çalışma olması nedeniyle değerlidir. Bu alanda daha büyük örneklemde daha ileri analizler, tedavisi zor olan ve yinelemelerle giden bir bozukluk olan AKB için, risk faktörleri belirleme, önleyici müdaheleler oluşturma konusunda yararlı olacaktır.

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References

  • Obeid S, Akel M, Haddad C, et al. Factors associated with alcohol use disorder: the role of depression, anxiety, stress, alexithymia and work fatigue-a population study in Lebanon. BMC public health 2020;20(1):1-11.
  • Carvalho AF, Heilig M, Perez A, Probst C, Rehm J. Alcohol use disorders. Lancet 2019;394(10200);781-792.
  • Volkow ND, Wang GJ, Fowler JS, Tomasi D, Telang F, Baler R. Addiction: decreased reward sensitivity and increased expectation sensitivity conspire to overwhelm the brain’s control circuit. Bioessays 2010;32(9):748-755.
  • Vannemreddy P, Slavin K. Nucleus accumbens as a novel target for deep brain stimulation in the treatment of addiction: a hypothesis on the neurochemical and morphological basis. Neurol India 2019;67(5): 1220.
  • Koob GF, Volkow ND. Neurocircuitry of addiction. Neuropsychopharmacology 2010;35(1); 217-238.
  • Domi E, Xu L, Toivainen S, et al. A neural substrate of compulsive alcohol use. Sci Adv 2021;7(34):1-12
  • Corbit LH & Janak PH. Habitual alcohol seeking: neural bases and possible relations to alcohol use disorders. Alcohol Clin Exp Res 2016;40(7):1380-1389.
  • Schmitz JM. The interface between impulse-control disorders and addictions: are pleasure pathway responses shared neurobiological substrates?. Sexual Addiction & Compulsivity 2005;12(2-3):149-168.
  • Guinle MIB, Sinha R. The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women. Alcohol Res 2020;40(2):05.
  • Olatunji BO, Ebesutani C, Tolin DF. A bifactor model of obsessive beliefs: Specificity in the prediction of obsessive-compulsive disorder symptoms. Psychol Assess 2019;31(2):210–225.
  • Tolin DF, Woods CM, & Abramowitz JS. Relationship between obsessive beliefs and obsessive–compulsive symptoms. Cognit Ther Res 2003;27:657-669.
  • Bahceci B, Bagcioglu E, Çelik FH, et al. The role of obsessive beliefs in patients with major depressive disorder. Int J Psychiatry Clin Pract 2014;18(1):37-40.
  • Shams G, Milosevic I. A comparative study of obsessive beliefs in obsessive-compulsive disorder, anxiety disorder patients and a normal group. Acta Med Iran 2015;301-310.
  • Boysan M, Besiroglu L, Çetinkaya N, Atli A, Aydin A. The Validity and Reliability of the Turkish Version of the Obsessive Beliefs Questionnaire-44 (OBQ-44). Noro Psikiyatr Ars 2010;47(3):216.
  • Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994;151(8):1132-6
  • Şar V, Öztürk E, & İkikardeş E. Validity and reliability of the Turkish version of Childhood Trauma Questionnaire (CTQ). Turkiye Klinikleri Journal of Medical Sciences. 2012;32(4):1054–1063.
  • Ögel K, Evren C, Karadağ F, Gürol DT. The development, validity, and reliability of the Addiction Profile Index (API). Turk Psikiyatri Derg 2012; 23(4):263-75.
  • First MB. Structured Clinical Interview for the DSM (SCID). The Encyclopedia of Clinical Psychology 2014:1-6.
  • Elbir M, Alp Topbaş Ö, Bayad S, et al. Adaptation and Reliability of the Structured Clinical Interview for DSM-5-Disorders - Clinician Version (SCID-5/CV). Turk Psikiyatri Derg 2019;30(1):51-56.
  • Murthy P, Shadakshari D, Mahadevan J, Chand PK. Management of Alcohol Use Disorder in Patients With Alcoholic Liver Disease. J Clin Exp Hepatol 2022;12(6):1514-1526.
  • Randazza MP, McKay D, Bakhshaie J, Storch EA, Zvolensky MJ. Unhealthy Alcohol Use Associated with Obsessive-Compulsive Symptoms: The Moderating Effects of Anxiety and Depression. J Obsessive Compuls Relat Disord 2022;32: 100713.
  • Subramaniam M, Abdin E, Vaingankar J, et al. Obsessive-Compulsive Disorder in Singapore: Prevalence, Comorbidity, Quality of Life and Social Support. Ann Acad Med Singap 2020;49(1):15-25.
  • Tolin DF, Worhunsky P, Maltby N. Are “obsessive” beliefs specific to OCD? : a comparison across anxiety disorders. Behav Res Ther 2006;44(4):469-80.
  • Destrée L, Brierley ME, Albertella L, Jobson L, Fontenelle LF. The effect of childhood trauma on the severity of obsessive-compulsive symptoms: A systematic review. J Psychiatr Res 2021;142:345-360.
  • Moustafa AA, Parkes D, Fitzgerald L, et al. The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: An integrative review. Curr Psychol 2021;40:579-584.
  • Briggs ES, Price IR. The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: the role of anxiety, depression, and experiential avoidance. J Anxiety Disord 2009;23(8):1037-1046.
  • Viar MA, Bilsky SA, Armstrong T, Olatunji BO. Obsessive beliefs and dimensions of obsessive-compulsive disorder: An examination of specific associations. Cognit Ther Res 2011;35:108-117.

The Relationship Between Childhood Traumatic Experiences and Obsessive Beliefs in Alcohol Use Disorder

Year 2023, Volume: 5 Issue: 3, 138 - 143, 10.10.2023
https://doi.org/10.52827/hititmedj.1270671

Abstract

Objective: Based on the pathophysiological similarities between alcohol use disorder (AUD) and obsessive compulsive spectrum disorders, as well as the close association between traumatic experiences and addiction, the goal of this study was to assess the relationship between obsessive beliefs and childhood traumas in patients with alcohol use disorder by comparing them with the control group.
Material and Method: The data of 60 AUD cases who applied to the Alcohol and Substance Treatment Center (AMATEM) outpatient clinic consecutively and 56 healthy control groups were evaluated. Structured Clinical Interview for DSM-5 (SCID-5), Obsessive Beliefs Questionnaire (OBS), Childhood Trauma Questionnaire (CTS), Hamilton Anxiety Inventory (HAM-A), and Hamilton Depression Inventory (HAM-D) were applied to both groups. The Addiction Profile Index, which evaluates the severity of addiction, was applied to the patient group. Data were evaluated with SPPS 22.
Results: Obsessive beliefs, traumatic experiences, depression and anxiety scores were found to be significantly higher in AUD cases than in the control group. No significant relationship was found between traumatic experiences and obsessive beliefs. The most important predictors of obsessive beliefs were found to be anxiety and depression scores.
Conclusion: The current study is valuable because it is the first study to evaluate the relationship between obsessive beliefs and childhood traumas in alcohol use disorder patients. Further analyzes in a larger sample in this area will be helpful in identifying risk factors and creating preventive interventions for AUD, a disorder that is difficult to treat and recurs.

Project Number

yok

References

  • Obeid S, Akel M, Haddad C, et al. Factors associated with alcohol use disorder: the role of depression, anxiety, stress, alexithymia and work fatigue-a population study in Lebanon. BMC public health 2020;20(1):1-11.
  • Carvalho AF, Heilig M, Perez A, Probst C, Rehm J. Alcohol use disorders. Lancet 2019;394(10200);781-792.
  • Volkow ND, Wang GJ, Fowler JS, Tomasi D, Telang F, Baler R. Addiction: decreased reward sensitivity and increased expectation sensitivity conspire to overwhelm the brain’s control circuit. Bioessays 2010;32(9):748-755.
  • Vannemreddy P, Slavin K. Nucleus accumbens as a novel target for deep brain stimulation in the treatment of addiction: a hypothesis on the neurochemical and morphological basis. Neurol India 2019;67(5): 1220.
  • Koob GF, Volkow ND. Neurocircuitry of addiction. Neuropsychopharmacology 2010;35(1); 217-238.
  • Domi E, Xu L, Toivainen S, et al. A neural substrate of compulsive alcohol use. Sci Adv 2021;7(34):1-12
  • Corbit LH & Janak PH. Habitual alcohol seeking: neural bases and possible relations to alcohol use disorders. Alcohol Clin Exp Res 2016;40(7):1380-1389.
  • Schmitz JM. The interface between impulse-control disorders and addictions: are pleasure pathway responses shared neurobiological substrates?. Sexual Addiction & Compulsivity 2005;12(2-3):149-168.
  • Guinle MIB, Sinha R. The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women. Alcohol Res 2020;40(2):05.
  • Olatunji BO, Ebesutani C, Tolin DF. A bifactor model of obsessive beliefs: Specificity in the prediction of obsessive-compulsive disorder symptoms. Psychol Assess 2019;31(2):210–225.
  • Tolin DF, Woods CM, & Abramowitz JS. Relationship between obsessive beliefs and obsessive–compulsive symptoms. Cognit Ther Res 2003;27:657-669.
  • Bahceci B, Bagcioglu E, Çelik FH, et al. The role of obsessive beliefs in patients with major depressive disorder. Int J Psychiatry Clin Pract 2014;18(1):37-40.
  • Shams G, Milosevic I. A comparative study of obsessive beliefs in obsessive-compulsive disorder, anxiety disorder patients and a normal group. Acta Med Iran 2015;301-310.
  • Boysan M, Besiroglu L, Çetinkaya N, Atli A, Aydin A. The Validity and Reliability of the Turkish Version of the Obsessive Beliefs Questionnaire-44 (OBQ-44). Noro Psikiyatr Ars 2010;47(3):216.
  • Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994;151(8):1132-6
  • Şar V, Öztürk E, & İkikardeş E. Validity and reliability of the Turkish version of Childhood Trauma Questionnaire (CTQ). Turkiye Klinikleri Journal of Medical Sciences. 2012;32(4):1054–1063.
  • Ögel K, Evren C, Karadağ F, Gürol DT. The development, validity, and reliability of the Addiction Profile Index (API). Turk Psikiyatri Derg 2012; 23(4):263-75.
  • First MB. Structured Clinical Interview for the DSM (SCID). The Encyclopedia of Clinical Psychology 2014:1-6.
  • Elbir M, Alp Topbaş Ö, Bayad S, et al. Adaptation and Reliability of the Structured Clinical Interview for DSM-5-Disorders - Clinician Version (SCID-5/CV). Turk Psikiyatri Derg 2019;30(1):51-56.
  • Murthy P, Shadakshari D, Mahadevan J, Chand PK. Management of Alcohol Use Disorder in Patients With Alcoholic Liver Disease. J Clin Exp Hepatol 2022;12(6):1514-1526.
  • Randazza MP, McKay D, Bakhshaie J, Storch EA, Zvolensky MJ. Unhealthy Alcohol Use Associated with Obsessive-Compulsive Symptoms: The Moderating Effects of Anxiety and Depression. J Obsessive Compuls Relat Disord 2022;32: 100713.
  • Subramaniam M, Abdin E, Vaingankar J, et al. Obsessive-Compulsive Disorder in Singapore: Prevalence, Comorbidity, Quality of Life and Social Support. Ann Acad Med Singap 2020;49(1):15-25.
  • Tolin DF, Worhunsky P, Maltby N. Are “obsessive” beliefs specific to OCD? : a comparison across anxiety disorders. Behav Res Ther 2006;44(4):469-80.
  • Destrée L, Brierley ME, Albertella L, Jobson L, Fontenelle LF. The effect of childhood trauma on the severity of obsessive-compulsive symptoms: A systematic review. J Psychiatr Res 2021;142:345-360.
  • Moustafa AA, Parkes D, Fitzgerald L, et al. The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: An integrative review. Curr Psychol 2021;40:579-584.
  • Briggs ES, Price IR. The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: the role of anxiety, depression, and experiential avoidance. J Anxiety Disord 2009;23(8):1037-1046.
  • Viar MA, Bilsky SA, Armstrong T, Olatunji BO. Obsessive beliefs and dimensions of obsessive-compulsive disorder: An examination of specific associations. Cognit Ther Res 2011;35:108-117.
There are 27 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Seda Kiraz 0000-0001-9393-6921

Fatma Gül Helvacı Çelik 0000-0002-4802-9641

Project Number yok
Publication Date October 10, 2023
Submission Date March 24, 2023
Acceptance Date June 25, 2023
Published in Issue Year 2023 Volume: 5 Issue: 3

Cite

AMA Kiraz S, Helvacı Çelik FG. The Relationship Between Childhood Traumatic Experiences and Obsessive Beliefs in Alcohol Use Disorder. Hitit Medical Journal. October 2023;5(3):138-143. doi:10.52827/hititmedj.1270671