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Yıl:2020; Cilt: 58; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2020;58(3):2-6
İntravenöz Kullanımı Olan ve Olmayan Opiyat Kullanım Bozukluğu Hastalarında Kişilik, Mizaç Özellikleri ve Dürtüsellik Düzeyleri
A Erdoğan, B Cinemre, B Kulaksızoğlu, MM Kuloğlu
Akdeniz Üniversitesi, Antalya
Amaç: Bu çalışmada, intravenöz (IV) yolla opiyat kullanımı olan ve IV yol dışında opiyat kullanım bozukluğu olan hastaların dürtüsellik düzeylerinin, mizaç özelliklerinin ve kişilik özelliklerinin karşılaştırılması amaçlanmıştır. Yöntem: Bu çalışma Akdeniz Üniversitesi Alkol ve Madde Bağımlılığı Araştırma ve Uygulama Merkezi’nde (AMBAUM) yapılmış, tanımlayıcı ve kesitsel tipte bir çalışmadır. Araştırmaya opiyat kullanım bozukluğu tanısı alan 18-40 yaş arası 35 IV opiyat kullanan ve 35 IV dışı yöntemlerle opiyat kullanan toplam 70 hasta alındı. Kontrol grubu olarak 35 sağlıklı gönüllü alındı. Tüm katılımcılara yarı yapılandırılmış Sosyodemografik Veri Formu, Buss Perry Agresyon Ölçeği (BPAÖ), Barratt Dürtüsellik Ölçeği-11 (BDÖ-11), Memphis, Pisa, Paris, San Diego Mizaç Değerlendirmesi Özbildirim Anketi (TEMPS-A) ve SCID-II kişilik envanteri uygulandı. Bulgular: Opiyat kullanım bozukluğu olan gruplarda dürtüsellik ve agresyon düzeyleri ile antisosyal kişilik bozukluğu (ASKB) oranı kontrol grubuna göre anlamlı düzeyde yüksek bulundu. IV opiyat kullanımı olan ve olmayan gruplarda dürtüsellik düzeyleri, agresyon düzeyleri, mizaç ve kişilik özellikleri yönünden anlamlı fark saptanmadı. Sonuçlar: Opiyat kullanım bozukluğu ile dürtüsellik ve agresyon düzeylerinin yüksekliği ve ASKB tanısı alma oranı arasında anlamlı bir ilişki olduğu tespit edildi. Ancak IV opiyat kullanan ve IV dışı yöntemlerle opiyat kullananlar arasında dürtüsellik, mizaç ve kişilik yönünden anlamlı bir farklılık olmadığı tespit edildi. IV opiyat kullanımının nedenleri ve sonuçları ile ilgili daha geniş ve kapsamlı çalışmalar gerekmektedir.
Personality, Temperament Traits and Impulsivity Levels in Opiate Use Disorder Patients With and Without Intravenous Use
Objective: The aim of this study is to investigate the impulsivity level, temperament and persona- lity traits in patients with and without intravenous (IV) opiate use. Method: This is a descriptive and cross-sectional study conducted at Akdeniz University Alcohol and Substance Addiction Research and Application Center (AMBAUM). The study included 70 patients aged between 18-40 years who were diagnosed with opiate use disorder according to the diagnos- tic criteria of the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5). 35 patients were using IV opiates and 35 patients were using non-IV opiates. The control group consisted of 35 healthy volunteers with similar socio-demographic characteristics. The control group had no history of subs- tance use during their lifetime. A semi-structured sociodemographic data form, Buss Perry Aggression Scale (BPAS), Barratt Impulsivity Scale-11 (BIS-11), Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A) and SCID-II personality inventory were administered all participants. Results: Impulsivity, aggression and antisocial personality disorder (ASPD) were significantly hi- gher in all opiate groups compared to the control group. There was no significant difference in impulsi- vity, aggression, temperament and personality characteristics in groups with and without IV opiate use. Conclusion: High impulsivity and aggression and a high rate of ASPD were associated with opia- te use disorder. However, there was no significant relationship between IV opiate use and impulsivity, temperament, and personality.

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