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Yıl:2021; Cilt: 3; Sayı: 3>> Özet
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Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi; 2021;3(3):203-210
Bağlanma Biçimleri ve Kişilik Özelliklerinin Eroin Kullanım Bozukluğu ile İlişkisi
TT Uğurlu, F F Ateşçi, G Zengin, Ç Tekkanat
Pamukkale University, Denizli
En sık kullanılan bağımlılık yapıcı maddelerden biri olarak eroin kullanan hastalarda güvensiz bağlanma stilleri ve psikopatolojik kişilik özellikleri daha sık görülmektedir. Bununla birlikte, eroin kullananlarda bağlanma stilleri ile kişilik özellikleri arasındaki ilişki net değildir. Çalışmanın amacı, eroin kullanım bozukluğu tanısı alan hastaların bağlanma stilleri ve kişilik özelliklerinin sağlıklı kontrollerle karşılaştırılmasıdır. Minnesota Çok Yönlü Kişilik Envanteri (MMPI) test geçersizliği ve veri eksikliği nedeniyle eroin kullanım bozukluğu tanısı alan 52 olgunun 23'ünün verileri çalışma dışı bırakıldı ve çalışma 29 vaka ile tamamlandı. Aynı nedenlerle 47 kontrolden 13'ünün verileri çalışma dışı bırakılarak, benzer yaş ve cinsiyetteki 34 sağlıklı birey çalışmaya dahil edildi. Katılımcılara sosyodemografik veri formu, MMPI ve Yakın İlişkilerde Yaşantılar Envanteri II (YİYE-II) uygulandı. Hipokondriazis, depresyon, histeri, psikopatik sapma, paranoya, şizofreni ve sosyal içe dönüklük alt ölçekleri vaka grubunda anlamlı olarak daha yüksek saptanmıştır. Vaka grubunda kaygılı bağlanma histeri, depresyon, şizofreni, paranoya, psikasteni ve sosyal izolasyon ile ilişkili bulunurken, kaçıngan bağlanma ise psikasteni ve sosyal izolasyon ile ilişkili bulunmuştur. Yaşamın ilk yıllarında gelişen bağlanmanın yanı sıra, doğuştan gelen ancak özellikle ergenlik döneminde çevresel faktörlerle gelişen kişilik özelliklerinin eroin bağımlılığı için daha yordayıcı olduğu görülmüştür.
Relationship of Attachment Styles and Personality Traits With Heroin Use Disorder
Insecure attachment styles and psychopathological personality traits are observed more frequently in patients who use heroin as one of the most frequently used addictive substances. Nevertheless the relationship between attachment styles and personality traits in heroin users is not clear. The aim of the study is compare attachment styles and personality traits of patients diagnosed with heroin use disorder with those of the healthy controls. The data of 23 of 52 cases diagnosed with heroin use disorder due to Minnesota Multiphasic Personality Inventory (MMPI) invalidity and lack of data were excluded and the study was completed with 29 cases. With the exclusion of the data of 13 of the 47 controls for the same reasons, 34 healty individuals of similar age and gender were included in the study. The sociodemographic data form, MMPI and Experiences in Close Relationships-Revised (ECR-R) were applied on the participants. Hypochondriasis, depression, hysteria, psychopathic deviate, paranoia, schizophrenia and social introversion were observed to be higher in the patient group. Ambivalent attachment was determined to be related with hysteria, depression, schizophrenia, paranoia, psychasthenia and social introversion in the patient group; avoidant attachment was determined to be related with psychasthenia and social introversion. In addition to the attachment that developed in the first years of life, personality traits that were innate but developed with environmental factors especially during adolescence were found to be more predictive for heroin addiction.

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