مقایسه ولع مصرف در افراد وابسته به الکل مبتلا و غیر مبتلا به اختلال استرس پس از سانحه در دوره پرهیز از مصرف

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روان‌شناسی بالینی، دانشکده علوم انسانی، دانشگاه علم و فرهنگ، تهران، ایران

2 کارشناس ارشد، گروه مشاوره مدرسه، دانشگاه علامه طباطبایی، تهران، ایران.

3 کارشناس ارشد، گروه روان‌شناسی، دانشگاه آزاد اسلامی واحد زنجان، زنجان، ایران.

4 دانشجوی کارشناسی ارشد، گروه روان‌شناسی شخصیت، دانشگاه آزاد اسلامی واحد علوم و تحقیقات، تهران، ایران.

چکیده

مقدمه: از دیدگاه سبب­شناسی یکی از موضوعات بالینی که سبب دشواری درمان اختلال استرس پس از سانحه می­شود، هم زمانی تشخیص این اختلال با اختلال سوءمصرف الکل می­باشد. افزایش فعالیت نورآدرنرژیک فصل مشترک هر دو اختلال است. پژوهش حاضر با هدف مقایسه ولع مصرف در افراد وابسته به الکل مبتلا و غیر مبتلا به اختلال استرس پس از سانحه در دوره پرهیز از مصرف انجام شد.
مواد و روش­ ها: مطالعه­ حاضر، پژوهشی توصیفی است. از جامعه مردان وابسته به الکل، 80 آزمودنی به روش داوطلبانه انتخاب و به واسطه آزمون غربالگری افرادی که بالاترین و پائین­ترین نمرات را با توجه به نقطه برش مفروض در آزمون استرس پس از سانحه کسب نمودند گزینش شدند. سپس نمونه مذکور جهت مقایسه در قالب دو گروه دارا و فاقد نشانگان تخصیص یافتند. پرسشنامه ولع مصرف توسط آنان تکمیل شد. داده­های جمع­آوری شده به کمک آزمون­های مجذورکای، تی مستقل و همبستگی پیرسون تحلیل شدند.
یافته­ ها: میانگین و انحراف معیار (با فاصله اطمینان 95/0) متغیر ولع مصرف در گروه اختلال استرس پس از سانحه
58/2 ± 72/11 و در گروه کنترل 24/2 ± 73/9 بود (01/0>p). بین میزان شدت نشانگان اختلال استرس پس از سانحه و ولع مصرف الکل ارتباط معنی­داری مشاهده شد (001>p).
 نتیجه­ گیری: یافته­ های این پژوهش لزوم توجه به اهمیت همبودی دو اختلال و نقش این همبودی در طرح­ریزی مداخلات پیشگیرانه و درمانی در حیطه اعتیاد را منعکس می­سازد.

کلیدواژه‌ها


عنوان مقاله [English]

A Comparison of Craving in Alcohol-Dependent Individuals with and without the Post-Traumatic Stress Disorder at the Phase of Usage Abstinence

نویسندگان [English]

  • B Pirnia 1
  • M Eslami 2
  • M Bazargan 3
  • P Sadeghi 4
1 PhD Student, Dept of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran.
2 Msc, Dept of School Counseling, Allameh Tabataba'i University, Tehran, Iran.
3 Msc, Dept of Psychology, Islamic Azad University, Zanjan Branch, Zanjan, Iran.
4 Msc Student, Dept of Personality Psychology, Islamic Azad University, Science and Research Brach, Tehran, Iran.
چکیده [English]

Introduction: In terms of etiology, one of the clinical topics which makes it difficult to treat the post-traumatic stress disorder is co-alcohol abuse. Increased noradrenergic activity is the intersection of both disorders. The present study was conducted with the aim of examining the relationship between posttraumatic stress disorder and alcohol usage craving index.
Materials and Methods: The present study was cross-sectional. There were two alcohol-dependent groups: in one group the participants had posttraumatic stress disorder symptoms, and in the other group the participants lacked posttraumatic stress disorder. Among the men who referred to Alcohol Anonymous Groups in Tehran, 80 participants that obtained the highest and the lowest scores based on the cut-off point of the posttraumatic stress disorder test were selected and assigned to the two groups of with and without posttraumatic stress disorder symptoms for comparison. Posttraumatic Stress Disorder Questionnaire and Usage Craving Questionnaire were completed by the participants. The collected data were analyzed using Chi-Square, independent t-test and Pierson correlation tests.
Results: The results showed that the mean [95% confidence interval (CI)] scores of craving in PTSD group was 11.72 (2.58) and in the control group it was 9.73 (2.24) with control (all P< 0.01). Also, a significant relationship was seen between the severity of posttraumatic stress disorder and alcohol usage craving (p<0.01).
Conclusion: The findings of the present study reflect the necessity of paying attention to the comorbidity of these two disorders and the role of this comorbidity in planning preventing and therapeutic interventions in the field of addiction.

کلیدواژه‌ها [English]

  • Posttraumatic Stress Disorder (PTSD)
  • Craving
  • Alcohol Use Disorder (AUD)
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