Effect of Childhood Trauma on Substance Users’ Attitudes of Coping with Stress

Öz

Objective: This study seeks to examine the effects of childhood traumas on substance users’ attitudes of coping with stress. Method: This descriptive study seeking relationship was conducted with 133 individuals diagnosed with substance use and receiving treatment in the alcohol and substance treatment centre and closed psychiatry clinics of a mental health hospital located in Turkey. Results: The mean age of first substance use of the participants included in the study was 17.8 ± 4.7. The participants got the highest score from the emotional neglect subscale of the Childhood Trauma Questionnaire (12.83 ± 3.46). Individuals in the study got the highest score from the religious coping subscale of the Coping Orientation to Problems Experienced Inventory (13.39 ± 2.71). Childhood traumatic experiences were found to be effective in the development of coping attitudes including denial, behavioural disengagement, use of emotional social support, substance use, and acceptance. Conclusion: Childhood traumatic experiences of substance users have an effect on their dysfunctional coping attitudes. It is recommended that psychiatric nurses include primary, secondary, and tertiary protective approaches towards childhood traumas in their work on combating addiction.

Anahtar Kelimeler

• Substance use
• childhood trauma
• coping with stress
• nursing

Madde Kullanıcılarının Stresle Başa Çıkma Tutumlarında Çocukluk Travmalarının Etkisi

Öz

Amaç: Bu çalışma, çocukluk çağı travmalarının madde kullanıcılarının stresle başa çıkma tutumları üzerindeki etkilerini incelemeyi amaçlamaktadır. Yöntem: İlişki arayan tanımlayıcı tipteki bu araştırma, Türkiye'de bulunan bir ruh sağlığı hastanesinin alkol ve madde tedavi merkezi ve kapalı psikiyatri kliniklerinde madde kullanımı tanısı alan ve tedavi gören 133 kişi ile yürütülmüştür. Bulgular: Araştırmaya dahil edilen katılımcıların ilk madde kullanım yaş ortalamasının 17.8 ± 4.7 olduğu belirlenmiştir. Katılımcıların Çocukluk Dönemi Örselenme Yaşantıları Ölçeği’nden en yüksek puanı duygusal ihmal alt ölçeğinden aldığı saptanmıştır (12.83 ± 3.46). Araştırmadaki bireylerin Başa Çıkma Tutumları Değerlendirme Ölçeği’nin dini başa alt ölçeğinden en yüksek puanı aldıkları belirlenmiştir (13.39 ± 2.71). Çocukluk çağı travmatik yaşantılarının inkar, davranışsal olarak geri çekilme, duygusal sosyal destek kullanımı, madde kullanımı ve kabullenme gibi başa çıkma tutumlarının gelişiminde etkili olduğu bulundu. Sonuç: Madde kullanıcılarının çocukluk çağı travmatik yaşantıları, onların işlevsel olmayan başa çıkma tutumları üzerinde etkilidir. Psikiyatri hemşirelerinin bağımlılıkla mücadele çalışmalarında çocukluk çağı travmalarına yönelik birincil, ikincil ve üçüncül koruyucu yaklaşımlara yer vermeleri önerilmektedir.

Anahtar Kelimeler

• Madde kullanımı
• çocukluk çağı travması
• stresle başa çıkma
• hemşirelik

Kaynakça

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