Derleme
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Davranışsal Bağımlılıklara Yönelik Müdahalelere İlişkin Bir Derleme

Yıl 2023, Cilt: 10 Sayı: 3, 356 - 375, 30.09.2023
https://doi.org/10.31682/ayna.1152083

Öz

Bağımlılıklar, kontrol kaybına ve çoklu olumsuz sonuçlara yol açmaktadır. Madde kullanımı içermeyen bağımlılıklar ilgi görmeye başlamış ve bu tür bağımlılıkların iyileştirilmesi için sunulan müdahaleler yaygınlaşmıştır. Bu derleme, davranışsal bağımlılıklar için uygulanan müdahalelerin etkilerini ele alarak konuya dikkat çekmek amacıyla yapılmıştır. Davranışsal bağımlılıklara yönelik müdahaleleri ele alan çalışmaları belirlemek için 2021 yılı Eylül ve Aralık ayları arasında Pubmed, ScienceDirect, Türk Psikiyatri Dizini, TR Dizin veri tabanlarında 2010 yılı sonrası yayımlanmış Türkçe ve İngilizce çalışmalar “davranışsal bağımlılık”, “müdahale”, “etkililik” anahtar kelimeleri girilerek taranmıştır. Davranışsal bağımlılıklara ilişkin makalelerin kaynakçaları taranmış, derleme ve betimsel çalışmalar dışta bırakılmıştır. Tarama sonucunda 26 çalışma araştırma kapsamına alınmıştır. Ele alınan çalışmalar incelendiğinde; farmakolojik çalışmaların yaygın olmadığı, yaygınlıkla bilişsel-davranışçı yaklaşımlar temelinde psikoterapötik müdahalelerin çalışıldığı, bireysel müdahalelerdense katılımcıların grup olarak alınması yaklaşımının benimsendiği, ayrıca danışanların yaşamlarında yapılacak düzenlemelerin kullanılabildiği, uygulanan müdahalelerin bağımlılık puanlarında anlamlı bir azalma ile sonuçlandığı ve uzun süreli izlemenin önemli olduğu görülmektedir. Davranışsal bağımlılık kapsamında daha fazla araştırma yapılması daha etkili uygulamaların sunulmasına katkı sağlayabilir. Davranışsal bağımlılıklara eşlik eden çeşitli psikiyatrik durumlar ve eş zamanlı bağımlılıkların varlığının, müdahalelere olumlu ve olumsuz etkileri göz önünde tutulmalıdır. Yurt içinde davranışsal bağımlılıklara yönelik müdahalelerin etkilerini inceleyen araştırmalara gereksinim olduğu görülmektedir.

Kaynakça

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  • Afriwilda, M. T. ve Mulawarman, M. (2021). The effectiveness of motivational interviewing counseling to improve psychological well-being on students with online game addiction tendency. Islamic Guidance and Counseling Journal, 4(1), 106–115. https://doi.org/10.25217/igcj.v4i1.1235
  • Alavi, S. S., Maracy, M. R., Jannatifard, F. ve Eslami, M. (2011). The effect of psychiatric symptoms on the internet addiction disorder in Isfahan's University students. Journal of Research in Medical Sciences, 16, 793–800.
  • Alavi, S. S., Maracy, M. R., Jannatifard, F., Eslami, M. ve Haghighi, M. (2010). A survey relationship between psychiatric symptoms and internet addiction disorder in students of Isfahan universities. Scientific Journal of Hamadan University of Medical Sciences and Health Services, 17, 57–65.
  • Alegria, A., Bernardi, S. ve Blanco, C. (2010). Pathological gambling: obsessive-compulsive disorder or behavioral addiction? Revista Colombiana de Psiquiatria, 39, 133–142.
  • Amerikan Psikiyatri Birliği (2013). Ruhsal bozuklukların tanısal ve sayımsal elkitabı (5. Basım) (DSM-V) (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
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A Review on Interventions for Behavioral Addictions

Yıl 2023, Cilt: 10 Sayı: 3, 356 - 375, 30.09.2023
https://doi.org/10.31682/ayna.1152083

Öz

Addictions lead to loss of control and multiple negative consequences. Non-substance-related behavioral addictions are receiving attention as an emerging concept, and interventions for behavioral addictions are becoming widespread. This review was conducted to draw attention to the issue by addressing the effectiveness of interventions for behavioral addictions. In order to identify studies examining interventions for behavioral addictions published in Turkish or English and after 2010 in Pubmed, ScienceDirect, Turkish Psychiatry Index, and TR Index databases, the keywords “behavioral addiction”, “intervention”, and “effectiveness” were entered and scanned between September and December 2021. The bibliographies of the articles on behavioral addictions were scanned, and review and descriptive studies were excluded. As a result, 26 studies were included in the review. When the studies are examined, it is seen that pharmacological studies are not common, psychotherapeutic interventions based on cognitive-behavioral approaches are mainly studied, a group approach is adopted, interventions that deal with various life arrangements can be used, the applied interventions make a significant difference, and longterm follow-up is important. Interest in behavioral addictions may contribute to the presentation of more effective practices. The positive and negative effects of various psychiatric conditions accompanying behavioral addictions and the presence of concurrent addictions on interventions should be considered. There seems to be a need for studies testing interventions for behavioral addictions in our country.

Kaynakça

  • Abbott, M., Bellringer, M., Vandal, A. C., Hodgins, D. C., Battersby, M. ve Rodda, S. N. (2017). Effectiveness of problem gambling interventions in a service setting: A protocol for a pragmatic randomised controlled trial. BMJ Open, 7(3), 1–10. https://doi.org/10.1136/bmjopen-2016-013490
  • Afriwilda, M. T. ve Mulawarman, M. (2021). The effectiveness of motivational interviewing counseling to improve psychological well-being on students with online game addiction tendency. Islamic Guidance and Counseling Journal, 4(1), 106–115. https://doi.org/10.25217/igcj.v4i1.1235
  • Alavi, S. S., Maracy, M. R., Jannatifard, F. ve Eslami, M. (2011). The effect of psychiatric symptoms on the internet addiction disorder in Isfahan's University students. Journal of Research in Medical Sciences, 16, 793–800.
  • Alavi, S. S., Maracy, M. R., Jannatifard, F., Eslami, M. ve Haghighi, M. (2010). A survey relationship between psychiatric symptoms and internet addiction disorder in students of Isfahan universities. Scientific Journal of Hamadan University of Medical Sciences and Health Services, 17, 57–65.
  • Alegria, A., Bernardi, S. ve Blanco, C. (2010). Pathological gambling: obsessive-compulsive disorder or behavioral addiction? Revista Colombiana de Psiquiatria, 39, 133–142.
  • Amerikan Psikiyatri Birliği (2013). Ruhsal bozuklukların tanısal ve sayımsal elkitabı (5. Basım) (DSM-V) (E. Köroğlu, Çev.). Hekimler Yayın Birliği.
  • Andreassen, C. S., Griffiths, M. D., Gjertsen, S. R., Krosbakken, E., Kvam, S. ve Pallesen, S. (2013). The relationships between behavioral addictions and the five-factor model of personality. Journal of Behavioral Addictions, 2(2), 90–99. https://doi.org/10.1556/JBA.2.2013.003
  • APA. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV TR). American Psychiatric Association.
  • Aydın, İ. E. (2016). Üniversite öğrencilerinin sosyal medya kullanımları üzerine bir araştırma: Anadolu Üniversitesi örneği. Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 35, 373–386.
  • Baykan, N. (2014). Anne-baba tutumları ile internet bağımlılık düzeyi arasındaki ilişkinin incelenmesi [Yayımlanmamış Yüksek Lisans Tezi]. Yeditepe Üniversitesi.
  • Billieux, J., Schimmenti, A., Khazaal, Y., Maurage, P. ve Heeren, A. (2015). Are we overpathologizing everyday life? E tenable blueprint for behavioral addiction research. Journal of Behavioral Addictions, 4(3), 119–123. https://doi.org/10.1556/2006.4.2015.009
  • Black, D. (2013). Behavioural addictions as a way to classify behaviours. Canadian Journal of Psychiatry, 58(5), 249–251. https://doi.org/10.1177/070674371305800501
  • Chebbi, P., Koong, K. S., Liu, L. ve Rottman, R. (2000) Some observations on internet addiction disorder research. Journal of Information Systems Education, 11(3-4), 97–104.
  • Cowlishaw, S., Merkouris, S., Dowling, N., Anderson, C., Jackson, A. ve Thomas, S. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database of Systematic Reviews, 11, 1465–1858. https://doi.org/10.1002/14651858.CD008937.pub2
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  • Kardefelt-Winther, D., Heeren, A., Schimmenti, A., Rooij, A., Maurage, P., Carras, M., Edman, J., Blaszynski, A., Khazaal, Y. ve Billieux, J. (2017). How can we conceptualize behavioral addiction without pathologizing common behaviors? Addiction, 112, 1709–1715. https://doi.org/10.1111/add.13763
  • Khazaei, F., Khazaei, O. ve Ghanbari-H, B. (2017). Positive psychology interventions for internet addiction treatment. Computers in Human Behavior, 72(C), 304–311. https://doi.org/10.1016/j.chb.2017.02.065
  • Kim, S. M., Han, D. H., Lee, Y. S. ve Renshaw, P. F. (2012). Combined cognitive behavioral therapy and bupropion for the treatment of problematic online game play in adolescents with major depressive disorder. Computers in Human Behavior, 28(5), 1954–1959.
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  • Kwon, M. S. ve Yu, J. S. (2020). Development and effect of a smartphone overdependence prevention program for university students based on self-determination theory. Journal of Korean Academy of Nursing, 50(1), 116–131. https://doi.org/10.4040/jkan.2020.50.1.116
  • Leong, S. L., Vanneste, S., Lim, J., Smith, M., Manning, P. ve Ridder, D. (2018). A randomised double-blind placebo-controlled parallel trial of closed-loop infraslow brain training in food addiction. Scientific Reports, 8(1), 1-9. https://doi.org/10.1038/s41598-018-30181-7
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  • Lindenberg, K., Halasy, K. ve Schoenmaakers, S. (2017). A randomized efficacy trial of a cognitive-behavioral group intervention to prevent internet use disorder onset in adolescents: The protect study protocol. Contemporary Clinical Trials Communications, 6, 64–71. https://doi.org/ 10.1016/j.conctc.2017.02.011
  • Longabaugh, R. ve Magill, M. (2011). Recent advances in behavioral addiction treatments: Focusing on mechanisms of change. Current Psychiatry Report, 13(5), 382–389. https://doi.org/10.1007/s11920-011-0220-4
  • Mallorqui-Bague, N., Lozano-Madrid, M., Forcano, L., Diaz-Lopez, A., Galera, A., Fernandez-Carrion, R., Granero, R., Jimenez-Murcia, S., Corella, D., Pinto, X., Cuenco-Royo, A., Bullo, M., Salas-Salvado, J., Torre, R. ve Fernandez-Aranda, F. (2021). Effects of a psychosocial intervention at one year follow-up in a predimed plus sample with obesity and metabolic syndrome. Scientific Reports, 11(1), 1–12. https://doi.org/10.1038/s41598-021-88298-1
  • Mann, K., Keifer, F., Schellekens, A. ve Dom, G. (2017). Behavioural addictions: classification and consequences. European Psychiatry, 44, 187–188. https://doi.org/10.1016/j.eurpsy.2017.04.008
  • Männikkö, N., Billieux, J. ve Kääriäinen, M. (2015). Problematic digital gaming behavior and its relation to the psychological, social and physical health of Finnish adolescents and young adults. Journal of Behavioral Addictions, 4(4), 281–288. https://doi.org/10.1556/2006.4.2015.040
  • Marks, I. (1990). Behavioral (non-chemical) addictions. British Journal of Addictions, 85(11), 1389–1394. https://doi.org/10.1111/j.1360-0443.1990.tb01618.x
  • Noble, E. P., Zhang, X., Ritchie, T., Lawford, B. R., Young, R. M. ve Sparkes, R. S. (1998). D2 dopamine receptor and GABA-A receptor beta3 subunit genes and alcoholism. Psychiatry Research, 81, 133–147. https://doi.org/10.1016/S0165-1781(98)00084-5
  • Oei, T. P. S., Raylu, N. ve Lai, W. W. (2018). Effectiveness of a self-help cognitive behavioral program for problem gamblers: A randomised controlled trial. Journal of Gambling Studies, 34(2), 581–595. https://doi.org/10.1007/s10899-017-9723-1
  • Ögel, K. (2021). Bağımlılık ve tedavisi temel kitabı. (Dördüncü Basım). IQ Kültür Sanat Yayıncılık
  • Pallesen, S., Lorvik, I. M., Bu, E. H. ve Molde, H. (2015). An exploratory study investigating the effects of a treatment manual for video game addiction. Psychological Reports, 117(2), 490–495. https://doi.org/10.2466/02.PR0.117c14z9
  • Park, J. H., Lee, Y. S., Sohn, J. H. ve Han, D. H. (2016). Effectiveness of atomoxetine and methylphenidate for problematic online gaming in adolescents with attention deficit hyperactivity disorder. Human Psychopharmacology: Clinical and Experimental, 31(6), 427–432. https://doi.org/10.1002/hup.2559
  • Perales, J. C., King, D. L., Navas, J. F., Schimmenti, A., Sescousse, G., Starcevic, V., Holst, R. J. ve Billieux, J. (2020). Learning to lose control: a process-based account of behavioral addiction. Neuroscience & Biobehavioral Reviews, 108, 771–780. https://doi.org/10.1016/j.neubiorev.2019.12.025
  • Petry, N. M., Blanco, C., Auriacombe, M., Borges, G., Bucholz, K., Crowley, T. J., Grant, B. F., Hasin, D. S. ve O’Brien, C. (2014). An overview of and rationale for changes proposed for pathological gambling in DSM-5. Journal of Gambling Studies, 30(2), 493–502. https://doi.org/10.1007/s10899-013-9370-0
  • Potenza, M. N. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101(1), 142–151. https://doi.org/10.1111/j.1360-0443.2006.01591.x
  • Potenza, M. N. (2014). Non-substance addictive behaviors in the context of DSM-5. Addictive Behaviors, 39(1), 1–4. https://doi.org/10.1016/j.addbeh.2013.09.004
  • Quinones, C. ve Griffiths, M. D. (2019). Reducing compulsive internet use and anxiety symptoms via two brief interventions: a comparison between mindfulness and gradual muscle relaxation. Journal of Behavioral Addictions, 8(3), 530–536. https://doi.org/10.1556/2006.8.2019.45
  • Robinson, T. W. ve Clark, L. (2015). Behavioral addictions. Current Opinion in Neurobiology, 30, 66–72. https://doi.org/10.1016/j.conb.2014.09.005
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  • Thege, B. K. (2017). The coping function of mental disorder symptoms: Is it to be considered when developing diagnostic criteria for behavioural addictions? Commentary to: How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction, 122(10), 1716–1717. https://doi.org/10.1111/add.13816
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  • Thomas, S. A., Merkouris, S. S., Browning, C. J., Radermacher, H., Feldman, S., Enticott, J. ve Jackson, A. C. (2015). The problem gambling research study (PROGRESS) research protocol: a pragmatic randomised controlled trial of psychological interventions for problem gambling. BMJ Open, 5(11), 1–16. https://doi.org/10.1136/bmjopen-2015-009385
  • Toneatto, T. (2016). Single-session interventions for problem gambling may be as effective as longer treatments. Addictive Behaviors, 52, 58–65. https://doi.org/10.1016/j.addbeh.2015.08.006
  • Uluğ, B. (2007). Alkol kullanımı ile ilişkili bozukluklar. İçinde C. Güleç ve E. Köroğlu (Edl.), Psikiyatri temel kitabı (ss. 161–172). HYB Basım Yayın.
  • Widyanto, L. L. ve Griffiths, M. (2006). ‘Internet Addiction’: a critical review. International Journal of Mental Health Addiction, 4, 31–51. https://doi.org/10.1007/s11469-006-9009-9
  • Yılmaz, A., Akaç, N., Karakaya, P. Ö. ve Sönmez, S. (2020). Sağlık bilimleri alanında öğrenim gören bireylerin bağımlılık kavramına ilişkin algıları: bir metafor analizi. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 22(2), 428–439.
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Toplam 71 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikoloji
Bölüm Kuramsal Derleme
Yazarlar

Ayşegül Sayan Karahan 0000-0002-5580-0617

Yayımlanma Tarihi 30 Eylül 2023
Gönderilme Tarihi 1 Ağustos 2022
Kabul Tarihi 19 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 3

Kaynak Göster

APA Sayan Karahan, A. (2023). Davranışsal Bağımlılıklara Yönelik Müdahalelere İlişkin Bir Derleme. AYNA Klinik Psikoloji Dergisi, 10(3), 356-375. https://doi.org/10.31682/ayna.1152083