Relationship between Guilt, Shame and Treatment Motivation in Individuals with Opioid Addiction

Abstract

Objective: This study aims to identify best practices in combating addiction by thoroughly examining the relationship between opioid addiction and feelings of guilt, shame, and treatment motivation. Method: The sample of the study consists of 288 patients diagnosed with opioid addiction according to DSM-5 criteria by psychiatrists at Balıklı Rum Hospital. The scales used in the study were the Sociodemographic Form, the Guilt-Shame Scale, and the Treatment Motivation Questionnaire. Results: There is a significant relationship between the level of guilt and internal motivation, confidence in treatment and treatment motivation and between shame and internal motivation and general treatment motivation. When the regression coefficients are analyzed, it is seen that only guilt scores are a significant predictor of treatment motivation scores. The shame variable does not have a significant effect. The participants' mean scores of guilt were found to be significantly higher than their mean scores of shame. Conclusion: The study revealed a significant link between guilt and various aspects of treatment motivation, while shame showed a less pronounced association. Participants reported higher mean scores for guilt compared to shame, emphasizing the potentially greater relevance of guilt in influencing treatment motivation. Focusing on psychodrama and psychoeducational group studies for the treatment of opioid addiction can make it easier for the individual to express difficult negative emotions and develop awareness within the group.

Keywords

• heroin addiction
• guilt
• shame
• treatment motivation

Opioid Bağımlılığı Tanısı Alan Bireylerde Suçluluk, Utanç ve Tedavi Motivasyonu Arasındaki İlişki

Öz

Amaç: Bu çalışma, opioid bağımlılığı ile suçluluk, utanç duyguları ve tedavi motivasyonu arasındaki ilişkiyi derinlemesine inceleyerek, bağımlılıkla mücadeledeki en iyi uygulamaları belirlemeyi amaçlamaktadır. Yöntem: Araştırmanın çalışma grubu Özel Balıklı Rum Hastanesi Vakfı’na başvuran, opioid bağımlılığı tanısı almış 288 hastadan oluşmaktadır. Araştırmanın veri toplama araç̧ları Sosyodemografik Bilgi Formu, Suçluluk-Utanç Ölçeği, Tedavi Motivasyonu Anketidir. Bulgular: Suçluluk ile içsel motivasyon, tedaviye güven ve tedavi motivasyonu arasında anlamlı ilişki olduğu; utanç ile içsel motivasyon düzeyleri ve genel tedavi motivasyonu arasında anlamlı ilişki olduğu belirlenmiştir. Regresyon katsayıları incelendiğinde ise, sadece suçluluk puanlarının tedavi motivasyonu puanları üzerinde anlamlı bir yordayıcı olduğu görülmektedir. Katılımcıların suçluluk puan ortalamaları, utanç puan ortalamalarından anlamlı şekilde yüksek bulunmuştur. Sonuç: Suçluluk ile tedavi motivasyonunun çeşitli yönleri arasında önemli bir bağlantı ortaya konulmuştur. Katılımcıların, suçluluk düzeyleri konusunda utanç düzeylerine kıyasla daha yüksek bulunmuştur, bu da suçluluğun tedavi motivasyonunu etkileme potansiyelinde daha büyük bir rol oynayabileceğini göstermektedir. Eroin bağımlılığı tedavisi için psikodrama ve psikoeğitim grup çalışmalarına odaklanmak, bireyin zorlanan olumsuz duygularını ifade etmesini ve grup içinde farkındalık geliştirmesini kolaylaştırabilir.

Anahtar Kelimeler

• eroin bağımlılığı
• suçluluk
• utanç
• tedavi motivasyonu

Kaynakça

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