Dergi Ara >>
Yıl:2005; Cilt: 1; Sayı: 47>> Özet
Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi Psikiyatri; 2005;1(47):10-17
Alkol Bağımlılığında Alt Tipler
BD Uluğ, Y Ayhan, A Ertuğrul, B Demir
Psikiyatri AD, Hacettepe Universitesi Tıp Fakültesi, ANKARA
Alkol bağımlılığının farklı klinik özellikler gösteren heterojen bir rahatsızlık olduğu kabul edilmektedir. Alkol bağımlılarını tiplendirme çabaları belirli özelliklere sahip hastaların ortak gruplarda toplanmasını ve böylece farklı özellikler taşıyan hastaların ayırt edilebilmesini hedeflemiştir. Tiplerin belirlenmesi hastalığın gelişimi ile ilgili bilgilerin artmasına ve tiplere özgü tedavi olanaklarının geliştirilmesine yardımcı olabilecektir. Tek bir değişkenin esas alındığı tek boyutlu tiplendirmelerde yaş, cinsiyet gibi özelliklere göre alkol bağımlıları tiplere ayrılmıştır. Birden çok değişken veya boyutun ele alındığı tiplendirme çabalarında ise bağımlılar birden fazla alanda elde edilen verilere göre tiplere ayrılırlar. Bu yazıda alkol bağımlılığı tiplendirmeleri ele alınacak, tiplendirmelerin amacı, yöntemi ve tarihçesine kısaca değinildikten sonra belli başlı tiplendirme çabaları hakkında bilgi verilecek, tiplerin geçerliliğini sınayan araştırmalardan bahsedilecektir.
The Subtypes of Alcohol Dependence
Alcohol dependence is a heterogenous disorder with different clinical characteristics. Classification of alcohol dependent patients aims to group patients with certain characteristics and identify those with differing features. Typological approaches are expected to enhance our knowledge about the disease process and to lead more sophisticated guidelines. There are univariate typologies which are based on single variable or domain. The most well-known and studied variables that are used in univariate typologies are sex, antisocial personality characteristics, age-of-onset of alcohol use disorders. The multivariate typologies use more than one domain or variable in classification. In this article the typologies of alcohol dependence are reviewed. The aims, methods and utility of classifications are described and moreover, most prominent typologies in literature and studies on their validity are summarized.

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