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Emotional Dysregulation in Substance Use Disorders and Role and Responsibilities of Nurses

Yıl 2018, Cilt: 19 Sayı: 1, 10 - 16, 31.03.2018

Öz

Emotions
have an important role to starting, using, maintenance and terminating of
substance use. Individuals may tend to use substance to reduce stress, to
relax, to control anxiety, or to change their feelings.
Especially,
individuals who have difficulty in regulating emotion can not cope with their
negative emotions, often have difficulties in controlling impulses and
orienting towards goal-oriented behaviors.
For individuals who
uses substance initially manage a critical state or crisis, eventually becomes
uncontrollable, and the individual finds itself in a vicious circle. This
ensures the continuity of substance dependence. At this point, this review has
been written to draw attention to the role and responsibilities of nurses in
managing emotional regulation, which is one of the important determinants of
relapses in dependent individuals, as it is thought that emotional regulation
is effective in preventing substance dependency.

Kaynakça

  • 1. Kimura M, Higuchi S. Genetics of alcohol dependence. Psychiatry Clin Neurosci. 2011;65(3):213–25. 2. Engin E, Savasan A. Investigation of Factors Affecting The Process of Psychotherapy of Alcohol Dependents. J Psychiatr Nurs. 2012;3(2):75–9. 3. Gordon AJ, Zrull M. Social networks and recovery: One year after inpatient treatment. J Subst Abuse Treat. 1991 Jan;8(3):143–52. 4. Evren C. Sosyal Anksiyete Bozukluğu ve Alkol Kullanım Bozuklukları. Psikiyatr Güncel Yaklaşımlar. 2010;2(4):473–515. 5. Bradizza CM, Stasiewicz PR, Paas ND. Relapse to alcohol and drug use among individuals diagnosed with co-occurring mental health and substance use disorders: A review. Clin Psychol Rev. 2006;26(2):162–78. 6. Gregory RJ, Chlebowski S, Kang D, Remen AL, Soderberg MG, Stepkovitch J, et al. A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychother Theory, Res Pract Train. 2008;45(1):28–41. 7. Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States. Arch Gen Psychiatry. 2007;64(7):830–42. 8. Ögel K. Sigara, Alkol ve Madde Kullanım bozuklukları: Tanı, Tedavi ve Önleme. İstanbul: Yeniden Yayınları.; 2010. 9. Gross JJ, Thompson RA. Emotion Regulation: Conceptual Foundations. In: Gross JJ, editor. Handbook of Emotion Regulation. New York: Guilford Press; 2007. p. 3–24. 10. Vingerhoets AJJM, Nyklíček I, Denollet J, editors. Emotion Regulation. Boston, MA: Springer US; 2008. 11. Gross JJ. The emerging field of emotion regulation: An integrative review. Rev Gen Psychol. 1998;2(3):271–99. 12. Leahy RL, Tirch D, Napolitano LA. Emotion Regulation in Psychotherapy: A Practitioner’s Guide. Leahy RL, Tirch D, Napolitano LA, editors. New York: Guilford Press; 2011. 13. Wenar C, Kerig P. Developmental Psychopathology From Infancy Through Adolescence. 5th ed. McGraw Hill Higher Education; 2005. 696 p. 14. Dickstein DP, Leibenluft E. Emotion regulation in children and adolescents: Boundaries between normalcy and bipolar disorder. Dev Psychopathol. 2006;18(4):1105–31. 15. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004;26(1):41–54. 16. Mennin DS, Heimberg RG, Turk CL, Fresco DM. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behav Res Ther. 2005;43(10):1281–310. 17. Cole PM, Martin SE, Dennis TA. Emotion regulation as a scientific construct: methodological challenges and directions for child development research. Child Dev. 2004;75(2):317–33. 18. Bonn-Miller MO, Vujanovic AA, Zvolensky MJ. Emotional dysregulation: association with coping-oriented marijuana use motives among current marijuana users. Subst Use Misuse. 2008;43(11):1653–65. 19. Tice DM, Bratslavsky E, Baumeister RF. Emotional Distress Regulation Takes Precedence Over Impulse Control: If You Feel Bad, Do It! J Pers Soc Psychol. 2001;80(1):53–67. 20. Ricketts T, Macaskill A. Gambling as emotion management: developing a grounded theory of problem gambling. Addict Res Theory. 2003;11(6):383–400. 21. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev. Elsevier B.V.; 2010;30(2):217–37. 22. Berking M, Margraf M, Ebert D, Wupperman P, Hofmann SG, Junghanns K. Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence. J Consult Clin Psychol. 2011;79(3):307–18. 23. Yılmaz A, Can Y, Bozkurt M, Evren C. Alkol ve Madde Bağımlılığında Remisyon ve Depreşme. Psikiyatr Guncel Yaklasimlar - Curr Approaches Psychiatry. 2014;6(3):243–56. 24. Davis C, Strachan S, Berkson M. Sensitivity to reward: Implications for overeating and overweight. Appetite. 2004;42(2):131–8. 25. Yalçın M, Eşsizoğlu A, Akkoç H, Yaşan A, Gürgen F. Dicle Üniversitesi Öğrencilerinde Madde Kullanımını Belirleyen Risk Faktörleri. Klin Psikiyatr. 2009;12:125–33. 26. Stuart GW, Sundeen SJ. Principles and Practice of Psychiatric Nursing. 10th ed. Elsevier; 1991. 27. Sutherland I, Shepherd JP. Social dimensions of adolescent substance use. Addiction. 2001;96(3):445–58. 28. Yıldırım ZE, Sütcü ST, Kuruluş Ö, Değirmenci M, Altıntoprak E. Bağımlılık Şiddetinin Yordayıcıları Olarak Duygu Düzenleme Güçlüğü ve Üstbiliş. Düşünen Adam. 2017;30(Ek Sayı 1). 29. Stasiewicz PR, Bradizza CM, Gudleski GD, Coffey SF, Schlauch RC, Bailey ST, et al. The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addict Behav. Elsevier Ltd.; 2012;37(4):469–76. 30. Holahan CJ, Moos RH, Holahan CK, Cronkite RC, Randall PK. Drinking to cope and alcohol use and abuse in unipolar depression: A 10-year model. J Abnorm Psychol. 2003;112(1):159–65. 31. Zvolensky MJ, Bernstein A, Marshall EC, Feldner MT. Panic attacks, panic disorder, and agoraphobia: associations with substance use, abuse, and dependence. Curr Psychiatry Rep. 2006 Aug;8(4):279–85. 32. Simons JS, Carey KB. Risk and vulnerability for marijuana use problems: the role of affect dysregulation. Psychol Addict Behav. 2002 Mar;16(1):72–5. 33. Gonzalez A, Zvolensky MJ, Vujanovic AA, Leyro TM, Marshall EC. An evaluation of anxiety sensitivity, emotional dysregulation, and negative affectivity among daily cigarette smokers: Relation to smoking motives and barriers to quitting. J Psychiatr Res. Elsevier Ltd; 2008;43(2):138–47. 34. Taylor GJ, Bagby RM, Parker JD. Disorders of Affect Regulation. Cambrigde: Cambrigde Universty Press; 1997. 35. Schreiber LR, Grant JE, Odlaug BL. Emotion regulation and impulsivity in young adults. J Psychiatr Res. 2012;46(5):651–8. 36. Akerjordet K, Severinsson E. Emotional intelligence in mental health nurses talking about practice. Int J Ment Health Nurs. 2004;13(3):164–70. 37. McQueen ACH. Emotional intelligence in nursing work. J Adv Nurs. 2004;47(1):101–8. 38. Montes-Berges B, JM A. Exploring the relationship between perceived emotional intelligence, coping, social support and mental health in nursing students. J Psychiatr Ment Heal Nurs. 2007;14(2):163–71. 39. Savasan A, Engin E, Ayakdas D. The Lifestyle Changes And Relaps Of Addicted Patients Discharged From Amatem. J Psychiatr Nurs. 2013;4(2):75–9. 40. Şimşek N. Madde Kullanım Bozukluğu Olan Birey ve Ailesinin Hemşirelik Bakımı. Psikiyatr Hemşireliği Derg -. 2010;1(2):96–9. 41. Fırıncık S. Madde ve Bağımlılık. In: Gürhan N, editor. Ruh Sağlığı ve Psikiyatri Hemşireliği. Ankara: Nobel Tıp Kitapevi; 2016. p. 621–60. 42. Çam O, Engin E. Madde Bağımlılığı. In: Ruh Sağlığı ve Hastalıkları Hemşireliği Bakım Sanatı. İstanbul: İstanbul Medikal Yayıncılık; 2014. p. 449–83. 43. Sungur MZ. İki Uçlu Bozuklukta Bilişsel Davranışçı Terapilerin Yeri ve Önemi. 2013;41–4. 44. Videbeck SL. Addiction. In: Psychiatric Mental Health Nursing. 7th ed. Wolters Kluwer; 2017. p. 366–84.

Madde Kullanım Bozukluklarında Duygu Düzenleme Güçlüğü ve Hemşirelerin Rol ve Sorumlulukları

Yıl 2018, Cilt: 19 Sayı: 1, 10 - 16, 31.03.2018

Öz

Duygular,
madde kullanımının başlaması, devam etmesi, sürdürülmesi ve sonlandırılmasında
önemli bir yere sahiptir. Bireyler, stresini azaltmak, rahatlamak,
anksiyetesini kontrol etmek veya duygularını değiştirmek için madde kullanımına
yönelebilirler. Özellikle duygu düzenlemede güçlük yaşayan bireyler olumsuz
duyguları ile etkin baş edemez ve sıklıkla dürtü kontrolünü sağlama ve amaç
odaklı davranışlara yönelmede sorun yaşarlar. Bu bireylerde başlangıçta kritik
bir durumu ya da bir kriz durumunu yönetmek için başlanan madde kullanımı en
sonunda kontrol edilemez tarza dönüşür ve birey kendini bir kısır döngü
içerisinde bulur. Bu da, madde bağımlılığının devamlılığını sağlar. Bu noktada
madde bağımlılığını önlemede duygu düzenlemenin etkili olduğu düşüncesinden
yola çıkarak bu derleme, bağımlı bireylerde görülen relapsların önemli
belirleyicilerinden olan duygu düzenleme güçlüğü ve yönetiminde hemşirelerin
rol ve sorumluluklarına dikkat çekmek amacıyla yazılmıştır.

Kaynakça

  • 1. Kimura M, Higuchi S. Genetics of alcohol dependence. Psychiatry Clin Neurosci. 2011;65(3):213–25. 2. Engin E, Savasan A. Investigation of Factors Affecting The Process of Psychotherapy of Alcohol Dependents. J Psychiatr Nurs. 2012;3(2):75–9. 3. Gordon AJ, Zrull M. Social networks and recovery: One year after inpatient treatment. J Subst Abuse Treat. 1991 Jan;8(3):143–52. 4. Evren C. Sosyal Anksiyete Bozukluğu ve Alkol Kullanım Bozuklukları. Psikiyatr Güncel Yaklaşımlar. 2010;2(4):473–515. 5. Bradizza CM, Stasiewicz PR, Paas ND. Relapse to alcohol and drug use among individuals diagnosed with co-occurring mental health and substance use disorders: A review. Clin Psychol Rev. 2006;26(2):162–78. 6. Gregory RJ, Chlebowski S, Kang D, Remen AL, Soderberg MG, Stepkovitch J, et al. A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychother Theory, Res Pract Train. 2008;45(1):28–41. 7. Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States. Arch Gen Psychiatry. 2007;64(7):830–42. 8. Ögel K. Sigara, Alkol ve Madde Kullanım bozuklukları: Tanı, Tedavi ve Önleme. İstanbul: Yeniden Yayınları.; 2010. 9. Gross JJ, Thompson RA. Emotion Regulation: Conceptual Foundations. In: Gross JJ, editor. Handbook of Emotion Regulation. New York: Guilford Press; 2007. p. 3–24. 10. Vingerhoets AJJM, Nyklíček I, Denollet J, editors. Emotion Regulation. Boston, MA: Springer US; 2008. 11. Gross JJ. The emerging field of emotion regulation: An integrative review. Rev Gen Psychol. 1998;2(3):271–99. 12. Leahy RL, Tirch D, Napolitano LA. Emotion Regulation in Psychotherapy: A Practitioner’s Guide. Leahy RL, Tirch D, Napolitano LA, editors. New York: Guilford Press; 2011. 13. Wenar C, Kerig P. Developmental Psychopathology From Infancy Through Adolescence. 5th ed. McGraw Hill Higher Education; 2005. 696 p. 14. Dickstein DP, Leibenluft E. Emotion regulation in children and adolescents: Boundaries between normalcy and bipolar disorder. Dev Psychopathol. 2006;18(4):1105–31. 15. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004;26(1):41–54. 16. Mennin DS, Heimberg RG, Turk CL, Fresco DM. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behav Res Ther. 2005;43(10):1281–310. 17. Cole PM, Martin SE, Dennis TA. Emotion regulation as a scientific construct: methodological challenges and directions for child development research. Child Dev. 2004;75(2):317–33. 18. Bonn-Miller MO, Vujanovic AA, Zvolensky MJ. Emotional dysregulation: association with coping-oriented marijuana use motives among current marijuana users. Subst Use Misuse. 2008;43(11):1653–65. 19. Tice DM, Bratslavsky E, Baumeister RF. Emotional Distress Regulation Takes Precedence Over Impulse Control: If You Feel Bad, Do It! J Pers Soc Psychol. 2001;80(1):53–67. 20. Ricketts T, Macaskill A. Gambling as emotion management: developing a grounded theory of problem gambling. Addict Res Theory. 2003;11(6):383–400. 21. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev. Elsevier B.V.; 2010;30(2):217–37. 22. Berking M, Margraf M, Ebert D, Wupperman P, Hofmann SG, Junghanns K. Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence. J Consult Clin Psychol. 2011;79(3):307–18. 23. Yılmaz A, Can Y, Bozkurt M, Evren C. Alkol ve Madde Bağımlılığında Remisyon ve Depreşme. Psikiyatr Guncel Yaklasimlar - Curr Approaches Psychiatry. 2014;6(3):243–56. 24. Davis C, Strachan S, Berkson M. Sensitivity to reward: Implications for overeating and overweight. Appetite. 2004;42(2):131–8. 25. Yalçın M, Eşsizoğlu A, Akkoç H, Yaşan A, Gürgen F. Dicle Üniversitesi Öğrencilerinde Madde Kullanımını Belirleyen Risk Faktörleri. Klin Psikiyatr. 2009;12:125–33. 26. Stuart GW, Sundeen SJ. Principles and Practice of Psychiatric Nursing. 10th ed. Elsevier; 1991. 27. Sutherland I, Shepherd JP. Social dimensions of adolescent substance use. Addiction. 2001;96(3):445–58. 28. Yıldırım ZE, Sütcü ST, Kuruluş Ö, Değirmenci M, Altıntoprak E. Bağımlılık Şiddetinin Yordayıcıları Olarak Duygu Düzenleme Güçlüğü ve Üstbiliş. Düşünen Adam. 2017;30(Ek Sayı 1). 29. Stasiewicz PR, Bradizza CM, Gudleski GD, Coffey SF, Schlauch RC, Bailey ST, et al. The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addict Behav. Elsevier Ltd.; 2012;37(4):469–76. 30. Holahan CJ, Moos RH, Holahan CK, Cronkite RC, Randall PK. Drinking to cope and alcohol use and abuse in unipolar depression: A 10-year model. J Abnorm Psychol. 2003;112(1):159–65. 31. Zvolensky MJ, Bernstein A, Marshall EC, Feldner MT. Panic attacks, panic disorder, and agoraphobia: associations with substance use, abuse, and dependence. Curr Psychiatry Rep. 2006 Aug;8(4):279–85. 32. Simons JS, Carey KB. Risk and vulnerability for marijuana use problems: the role of affect dysregulation. Psychol Addict Behav. 2002 Mar;16(1):72–5. 33. Gonzalez A, Zvolensky MJ, Vujanovic AA, Leyro TM, Marshall EC. An evaluation of anxiety sensitivity, emotional dysregulation, and negative affectivity among daily cigarette smokers: Relation to smoking motives and barriers to quitting. J Psychiatr Res. Elsevier Ltd; 2008;43(2):138–47. 34. Taylor GJ, Bagby RM, Parker JD. Disorders of Affect Regulation. Cambrigde: Cambrigde Universty Press; 1997. 35. Schreiber LR, Grant JE, Odlaug BL. Emotion regulation and impulsivity in young adults. J Psychiatr Res. 2012;46(5):651–8. 36. Akerjordet K, Severinsson E. Emotional intelligence in mental health nurses talking about practice. Int J Ment Health Nurs. 2004;13(3):164–70. 37. McQueen ACH. Emotional intelligence in nursing work. J Adv Nurs. 2004;47(1):101–8. 38. Montes-Berges B, JM A. Exploring the relationship between perceived emotional intelligence, coping, social support and mental health in nursing students. J Psychiatr Ment Heal Nurs. 2007;14(2):163–71. 39. Savasan A, Engin E, Ayakdas D. The Lifestyle Changes And Relaps Of Addicted Patients Discharged From Amatem. J Psychiatr Nurs. 2013;4(2):75–9. 40. Şimşek N. Madde Kullanım Bozukluğu Olan Birey ve Ailesinin Hemşirelik Bakımı. Psikiyatr Hemşireliği Derg -. 2010;1(2):96–9. 41. Fırıncık S. Madde ve Bağımlılık. In: Gürhan N, editor. Ruh Sağlığı ve Psikiyatri Hemşireliği. Ankara: Nobel Tıp Kitapevi; 2016. p. 621–60. 42. Çam O, Engin E. Madde Bağımlılığı. In: Ruh Sağlığı ve Hastalıkları Hemşireliği Bakım Sanatı. İstanbul: İstanbul Medikal Yayıncılık; 2014. p. 449–83. 43. Sungur MZ. İki Uçlu Bozuklukta Bilişsel Davranışçı Terapilerin Yeri ve Önemi. 2013;41–4. 44. Videbeck SL. Addiction. In: Psychiatric Mental Health Nursing. 7th ed. Wolters Kluwer; 2017. p. 366–84.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Derleme
Yazarlar

Leyla Baysan Arabacı

Dilek Ayakdaş Dağlı

Gülsenay Taş

Yayımlanma Tarihi 31 Mart 2018
Kabul Tarihi 3 Mart 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 19 Sayı: 1

Kaynak Göster

AMA Baysan Arabacı L, Ayakdaş Dağlı D, Taş G. Madde Kullanım Bozukluklarında Duygu Düzenleme Güçlüğü ve Hemşirelerin Rol ve Sorumlulukları. Bağımlılık Dergisi. Mart 2018;19(1):10-16.

Bağımlılık Dergisi - Journal of Dependence