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Yıl:2019; Cilt: 20; Sayı: 4>> Özet
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Bağımlılık Dergisi; 2019;20(4):241-252
Alkol ve Madde Kullanım Bozukluğu Olan Bireylere Yönelik Rehabilitasyon Çalışmaları: Sistematik Derleme
AA Yalçıntürk, G Dikeç, EE Ata
Sağlık Bilimleri Üniversitesi, İstanbul
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.
Rehabilitation Studies for Individuals with Alcohol and Substance Use Disorders: Systematic Review
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

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