Yaşam Döngüsü ve Günlük Rutinler: Madde Kullanımının Öncesi ve Sonrasında Bireysel Yaşam Pratikleri Üzerine Bir İnceleme

Year 2024, Issue: 12, 305 - 344, 15.09.2024

Musa Gürel , Emre Bilgiseven , İlker Aktürk , Ömer Miraç Yaman

https://doi.org/10.56720/mevzu.1481342

Abstract

Bu çalışma, madde kullanımının bireylerin günlük yaşam döngülerine, sosyal ilişkilerine ve mesleki performanslarına olan etkilerini incelemeyi amaçlamıştır. Çalışma, madde kullanımının günlük yaşamdaki yeri, kullanım öncesi ve sonrası bireylerde yaşanan değişimleri ve bireylerin ideal yaşam algılarında meydana gelen değişiklikleri ortaya çıkarmayı hedeflemektedir. Nitel araştırma yöntemiyle 17 katılımcıyla yarı yapılandırılmış mülakatlar kullanılarak veriler elde edilmiştir. Katılımcılarla yapılan görüşmelerde, madde kullanımının günlük yaşam ve rutinlere etkisi, sosyal ve mesleki yaşamdaki rolü, zaman ve mekân boyutları, fiziksel ve duygusal duruma etkisi ve ideal yaşam tasavvuru şeklinde beş ana tema ortaya çıkmıştır. Bu temaların analiziyle ortaya çıkan araştırmanın sonuçlarına göre; madde kullanımının bireylerin kişisel özgünlüklerini ve toplumdaki işlevlerini ciddi şekilde kısıtladığını, madde kullanımı öncesi ve sonrasındaki duygusal geçişlerin bireyin psikolojik ve sosyal hayatında derin olumsuz etkilere neden olduğu, sosyal ve mesleki rollerinde performans düşüklüğü yaşattığı, kullanım sonrası işten ayrılmaların arttığı ve sosyal ilişkilerin zayıfladığı görülmektedir. Ayrıca sağlık durumu ve kişisel bakım ihmal edilmekte, bu durum günlük yaşamlarını, sosyal ve aile ilişkilerini derinden etkilemektedir. Genel olarak, madde kullanımının bireylerin günlük yaşam rutinlerinin merkezinde olduğu ve bunun sonucunda aile, arkadaş ve sosyal faaliyetlere katılımın azaldığı görülmektedir. Bu bağlamda, sosyal destek sistemlerinin etkinliklerinin gözden geçirilmesi ve bireylerin günlük yaşam rutinlerine uyum sağlayacak şekilde müdahalelerin tasarlanması gerekmektedir.

Keywords

Bağımlılık, Sosyal İşlevsellik, Madde Kullanımı, Rehabilitasyon, Yaşam Kalitesi

Life Cycle and Daily Routines: An Examination of Individual Living Practices Before and After Substance Use

Abstract

This study aims to examine the effects of substance use on individuals' daily life cycles, social relationships, and professional performance. It focuses on the role of substance use in daily life, changes experienced by individuals before and after use, and alterations in their perceptions of an ideal life. Using qualitative research methods, data was collected through semi-structured interviews with 17 participants. The interviews revealed five main themes: the impact of substance use on daily life and routines, its role in social and professional life, its effects on time and space dimensions, physical and emotional states, and perceptions of an ideal life. The analysis of these themes showed that substance use severely restricts personal uniqueness and societal functions. Emotional transitions before and after substance use lead to significant negative effects on psychological and social life, decrease performance in social and professional roles, increase job resignations, and weaken social relationships. Furthermore, neglect of health and personal care was observed, deeply affecting daily life and family and social relations. Overall, substance use is central to individuals' daily routines, reducing participation in family, friend, and social activities. The study suggests revising the effectiveness of social support systems and designing interventions that align with individuals' daily routines.

Keywords

Addiction, Social Functionality, Substance Use, Rehabilitation, Quality of Life

References

• Acar, Burak & vd. Alkol/Madde bağımlısı bireylerin tedavi süreçlerinde ve motivasyonlarında sosyal destek sistemlerinin etkisi, Bağımlılık Dergisi, 2022, 23(4):452-463, DOI: 10.51982/bagimli.1061425.
• Adams, Gary A., King, Lynda A., & King, Daniel W. Relationships of job and family involvement, family social support, and work-family conflict with job and life satisfaction. Journal of Applied Psychology, 1996, 81, 411-420. https://doi.org/10.1037/0021-9010.81.4.411.
• Akcan, A. & vd. İstanbul’da suç zanlısı kadınlarda cezaevi öncesi alkol ve madde kullanma sıklığı ve özellikleri. Bağımlılık Dergisi, 2000, 1, 9–13.
• Badiani, Aldo. Substance-specific environmental influences on drug use and drug preference in animals and humans. Current Opinion in Neurobiology, 2013, 23, 588-596. https://doi.org/10.1016/j.conb.2013.03.010.
• Bard, Nathalia & vd. Stigma and prejudice: the experience of crack users. Revista Latino-Americana De Enfermagem, 2016, 24(0). https://doi.org/10.1590/1518-8345.0852.2680.
• Billing, Lawrence & Ersche, Karen. Cocaine’s appetite for fat and the consequences on body weight. The American Journal of Drug and Alcohol Abuse, 2015, 41, 115 - 118. https://doi.org/10.3109/00952990.2014.966196.
• Blank, David L., & Fenton, John W. (1989). Early employment testing for marijuana: Demographic and employee retention patterns. In S. W Gust & J. M. Walsh (Eds.), Drugs in the workplace: Research and evaluation data (National Institute on Drug Abuse Research Monograph No. 91, pp. 139-150), 1989.
• Creswell, John W. Nitel Araştırma Yöntemleri Beş Yaklaşıma Göre Nitel Araştırma ve Nitel Araştırma Deseni [Qualitative ınquiry and research design choosing among five approaches] (6.baskı) [3rd ed.], (M.Bütün & S.B.Demir, Çev. Ed./Trans. Ed.), Ankara: Siyasal Kitabevi, 2021.
• Crutchfield, Robert D., & Gove, Walter R. Determinants of drug use: A test of the coping hypothesis. Social Science & Medicine, 1984, 18(6), 503–509. https://doi.org/10.1016/0277-9536(84)90008-x
• Danışmaz Sevin, Meryem & Erbay, Ercüment. AMATEM’de İkinci Kez Tedavi Gören Madde Bağımlılarının Madde Kullanımına İlişkin Yaşam Deneyimleri. Addicta: The Turkish Journal on Addictions, 2019, 6, 689−714. http://dx.doi.org/10.15805/addicta.2019.6.3.0059.
• Das, Jai & vd. Interventions for adolescent substance abuse: an overview of systematic reviews. Journal of Adolescent Health, 2016, 59(4), S61-S75. https://doi.org/10.1016/j.jadohealth.2016.06.021.
• Delaney, Liam & vd. The distribution of wellbeing in Ireland. Irish journal of psychological medicine, 2009, 26(3), 119–126. https://doi.org/10.1017/S0790966700000409
• Diehl, Alessandra & vd. Criminality and Sexual Behaviours in Substance Dependents Seeking Treatment. Journal of Psychoactive Drugs, 2016, 48, 124 - 134. https://doi.org/10.1080/02791072.2016.1168534.
• Diotaiuti, Pierluigi & vd. Internet addiction in young adults: the role of impulsivity and codependency. Frontiers in Psychiatry, 2022, 13. https://doi.org/10.3389/fpsyt.2022.893861.
• Tyagi, Divya. Drugs and its harmful effects. Medical Science, 2014, 6(21), 65-70
• Ergin, Meryem & vd. Madde kullanıcılarının iş ve çalışma yaşamına katılımı üzerine nitel bir değerlendirme. Turkish Studies-Economy, 2023, 18(3), 775-791. https://dx.doi.org/10.7827/TurkishStudies.68248
• Ertüzün, E. & vd. Boş Zaman Aktivitelerinin Madde Bağımlılığı Sürecindeki Rolüne İlişkin Nitel Bir Çalışma. Spor Bilimleri Dergisi, 2016, 27(2), 49–58. https://doi.org/10.17644/sbd.255151
• Fatseas, Melina & vd. Effects of anxiety and mood disorders on craving and substance use among patients with substance use disorder: An ecological momentary assessment study. Drug and alcohol dependence, 2018, 187, 242-248. https://doi.org/10.1016/j.drugalcdep.2018.03.008.
• Fooladi, Nasim, Jirdehi, Roohollah, & Mohtasham-Amiri, Zahra. Comparison of depression, anxiety, stress and quality of life in drug abusers with normal subjects. Procedia - Social and Behavioral Sciences, 2014, 159, 712-717. https://doi.org/10.1016/j.sbspro.2014.12.459
• Garcia, Federico E. The determinants of substance abuse in the workplace. The Social Science Journal, 1996, 33(1), 55–68. https://doi.org/10.1016/s0362-3319(96)90005-1
• García‐García, I., Horstmann & vd. Reward processing in obesity, substance addiction and non‐substance addiction. Obesity Reviews, 2014, 15(11), 853-869. https://doi.org/10.1111/obr.12221
• Goncy, Elizabeth A., & Mrug, Sylvie. Where and When Adolescents Use Tobacco, Alcohol, and Marijuana: Comparisons by Age, Gender, and Race. Journal of Studies on Alcohol and Drugs, 2013, 74(2), 288–300. https://doi.org/10.15288/jsad.2013.74.288
• Gürel, M., Bilgiseven, E, Y., Aktürk, İ., Yaman, M, Ö. A qualitative research on the process of drug addict individuals accessing substances. OPUS– Journal of Society Research, 2024, 21(1), 17-31
• Hall, W. & vd. Psychological morbidity and route of administration among amphetamine users in Sydney, Australia. Addiction, 1996, 91 1, 81-7. https://doi.org/10.1046/J.1360-0443.1996.9118110.X.
• Hamza, Eid, Gladding, Samuel & Moustafa, Ahmed A. The impact of adolescent substance abuse on family quality of life, marital satisfaction, and mental health in qatar. The Family Journal, 2021, 30(1), 85-90. https://doi.org/10.1177/10664807211000720
• Heyman, Gene. Quitting drugs: quantitative and qualitative features. Annual Review of Clinical Psychology, 2013, 9(1), 29-59. https://doi.org/10.1146/annurev-clinpsy-032511-143041
• Islam, Nazrul, Hossain, Kazi, Ahmed, Afsaruddin & Ahsan, Monira. Nutritional status of drug addicts undergoing detoxification: prevalence of malnutrition and influence of illicit drugs and lifestyle. The British journal of nutrition, 2002, 88 5, 507-13 . https://doi.org/10.1079/BJN2002702.
• Jeynes, Kendall & Leigh Gibson, E. The importance of nutrition in aiding recovery from substance use disorders: A review. Drug and alcohol dependence, 2017, 179, 229-239 . https://doi.org/10.1016/j.drugalcdep.2017.07.006.
• Johnson, Robert J., & Kaplan, H. B. Stability of Psychological Symptoms: Drug Use Consequences and Intervening Processes. Journal of Health and Social Behavior, 1990, 31(3), 277. https://doi.org/10.2307/2136892.
• Kandel, Denise B. & Yamaguchi, K. Job mobility and drug use: an event history analysis. American Journal of Sociology, 1987, 92(4), 836-878.
• Kaplan, Howard B. Self-attitudes and deviant behavior. Pacific Palisades, CA: Goodyear, 1975.
• Karpat, Volkan. Madde Kullanım Bozukluğu Olan Erkek Olgularda Saldırganlığın ve Kendine Zarar Verme Davranışının Yordanmasında Bağlanma ve Duygu Düzenleme Güçlüğünün Rolü (Alper, Yusuf, Ed.; pp. 1–147), 2018.
• Kennett, Jeanette, Matthews, Steve & Snoek, Anke. Pleasure and Addiction. Frontiers in Psychiatry, (2013) 4. https://doi.org/10.3389/fpsyt.2013.00117
• Khantzian, Edward J. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard review of psychiatry, 1997, 4(5), 231–244. https://doi.org/10.3109/10673229709030550
• Küçükerdönmez, Özge, Urhan, Murat & Köksal, Eda. Alkol ve Madde Bağımlılığı Olan Bireylerde İştah, Beslenme Durumu ve Yaşam Kalitesi İlişkisi. Journal of Nutrition and Dietetics, 2018, 46(2), 147–156. https://doi.org/10.33076/2018.bdd.299
• Lehman, Wayne E., & Simpson, Dwayne D. Employee substance use and on-the-job behaviors. Journal of Applied Psychology, 1992, 77(3), 309–321. https://doi.org/10.1037/0021-9010.77.3.309
• Arabacı, Leyla Baysan, Daglı, Dilek Ayakdaş, & Taş, Gülsenay. Madde Kullanım Bozukluklarında Duygu Düzenleme Güçlüğü ve Hemşirelerin Rol ve Sorumlulukları, 2018.
• Lowenstein, Ludwig. Recent Research into the Direct Relationship between Criminality and Substance Abuse. International Journal of Adolescence and Youth, 2001, 9, 257 - 272. https://doi.org/10.1080/02673843.2001.9747882.
• Mahboub, Nadine, Rizk, Rana, Farsoun, Cynthia, & Vries, Nanne. Patterns and determinants of weight gain among people who use drugs undergoing treatment for recovery in lebanon. Nutrients, 2023, 15(4), 990. https://doi.org/10.3390/nu15040990.
• Martin, Jack K., Kraft, Joan M., & Roman, Paul M. Extent and Impact of Alcohol and Drug Use Problems in the Workplace, 1994.
• Miller, Melissa, Bershad, Anya & de Wit, Harriet. Drug effects on responses to emotional facial expressions: recent findings. Behavioural Pharmacology, 2015, 26(6), 571–579. https://doi.org/10.1097/FBP.0000000000000164
• Miller, Raissa M., Chan, Christian & Farmer, Laura B. Interpretative phenomenological analysis: a contemporary qualitative approach. Counselor Education and Supervision, 2018, 57(4), 240–254.
• Mota, Rojo, Gloria & vd. Evaluación del desempeño ocupacional en la vida cotidiana en adictos. Creación de un instrumento de medida: el ADO [Evaluation of occupational performance in everyday life in addicted population. Development of a measuring instrument: the ADO]. Adicciones, 2011, 23(1), 27–35.
• National Institute on Drug Abuse (NIDA). Time To Start Talking about Pre-Addiction. Retrieved from https://nida.nih.gov/about-nida/noras-blog/2022/07/time-to-start-talking-about-pre-addiction, 2022.
• Nurco David. A long-term program research on drug use and crime. Substance Use And Misuse, 1998, 33( 9): 1817-1837
• Owczarzak, Jill, & vd. A qualitative exploration of daily path and daily routine among people in Ukraine who inject drugs to understand associated harms. Substance Abuse Treatment, Prevention, and Policy, 2022, 17(1). https://doi.org/10.1186/s13011-022-00465-3
• Ögel, Kültegin. Sigara, Alkol ve Madde Bağımlılığı Tedavi Programı (SAMBA): Uygulayıcılar için kaynak kitapçık. İstanbul: Yeniden Yayınları, 2014.
• Parrott Andrew, Stuart, M. Ecstasy (MDMA), amphetamine and LSD: comparative mood profiles in recreational polydrug users. Hum Psychopharmacol, 1997, 12:501–4.
• Parrott, Andrew & Lasky, J. Ecstasy (MDMA) effects upon mood and cognition: before, during and after a Saturday night dance. Psychopharmacology, 1998, 139(3), 261–268. https://doi.org/10.1007/s002130050714
• Paulus, Martin P. & vd. Behavioral and functional neuroimaging evidence for prefrontal dysfunction in methamphetaminedependent subjects. Neuropsychopharmacology 2002, 26:53–63.
• Rasmussen, Mette & vd. Characteristics of patients in treatment for alcohol and drug addiction who succeed in changing smoking, weight, and physical activity: a secondary analysis of an rct on combined lifestyle interventions. European Addiction Research, 2020, 27(2), 123-130.
• Rawat, Humayra, Petzer, Stacey, & Gurayah, Thavanesi. Effects of substance use disorder on women's roles and occupational participation. South African Journal of Occupational Therapy, 2021, 51(1).
• Razali, Asbah, Razali & vd. Recidivism and quality of life among former drug addicts: a report based on prior studies. Open Journal of Social Sciences, 2015, 03(04), 44-49. https://doi.org/10.4236/jss.2015.34006.
• Roe, Laura & vd. Isolation, Solitude and Social Distancing for People Who Use Drugs: An Ethnographic Perspective. Frontiers in psychiatry, 2021, 11, 623032. https://doi.org/10.3389/fpsyt.2020.623032
• Ryb, Gabriel & vd. Risk perception and impulsivity: association with risky behaviors and substance abuse disorders. Accident; analysis and prevention, 2006, 38 3, 567-73. https://doi.org/10.1016/J.AAP.2005.12.001.
• Sabri, Farhana & Jencius, Marty. Psychological well-being of drug addicts in predicting treatment outcomes. Humanities & Social Sciences Reviews, 2020, 8(3), 400-406. https://doi.org/10.18510/hssr.2020.8343.
• Saunders, Nicholas. Ecstasy and the drug culture. London: Nicholas Saunders; 1995.
• Shedler, Jonathan & Block, Jack. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 45(5), 612–630.
• Shrier, Lydia A., Harris, Sion K., Kurland, Martha & Knight, John R. Substance Use Problems and Associated Psychiatric Symptoms Among Adolescents in Primary Care. Pediatrics, 2003, 111(6), e699–e705.
• Stein, Judith A. & vd. Effects of psychosocial and situational variables on substance abuse among homeless adults. Psychology of Addictive Behaviors, 2008, 22(3), 410–416. https://doi.org/10.1037/0893-164x.22.3.410
• Suvereni, Yaşar. Sağlık bilimlerinde nitel araştırmaların yeri ve önemi üzerine bir değerlendirme. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 2022, 12(1), 39-48.
• Tam, Cherry Hau-lin & vd. Hidden Drug Abuse in Hong Kong: From Social Acquaintance to Social Isolation. Frontiers in Psychiatry, 2018, 9. https://doi.org/10.3389/fpsyt.2018.00457
• Vicente, Jose & Magalhães, Fernando. Adaptation strategies: aesthetics of the linguistic codes used by drug addicts in portugal. European Scientific Journal Esj, 2021, 17(26), 1. https://doi.org/10.19044/esj.2021.v17n26p1.
• Volkow N. & vd. Association of dopamine transporter reduction with psychomotor impairment in methamphetamine abusers. Am J Psychiatry , 2001, 158, 377–82.
• Yeltepe, Hülya. Alkol ve madde bağımlılığı tedavisi gören yetişkinlerde düzenli egzersizin depresyon ve yaşam kalitesine etkisi, (Yayınlanmamış Doktora Tezi), Marmara Üniversitesi, İstanbul, 2010.
• Yıldırım, Ali & Şimşek, Hasan. Sosyal bilimlerde nitel araştırma yöntemleri. Ankara: Seçkin Yayınları, 2008.
• Zed, Nemaa Abo. Quality of life and its relationship to social alienation of drug addicts. Egyptian Journal of Social Work, 2022, 13(1), 1-20.