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Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki

Yıl 2012, Cilt: 32 Sayı: 1, 1 - 12, 24.12.2012

Öz

Alkol bağımlılığında, hastaların
yaşadıkları damgalanmayı içselleştirmeleri
ve buna eşlik depresif belirtiler hem hastaların
sosyal ve mesleksel açıdan verimli bir
hayat yaşamalarını engellemekte hem de
tedavi süreçlerini olumsuz etkilemektedir. Bu
araştırmada alkol bağımlılarının yaşadıkları
içselleştirilmiş damgalanma ve depresyon
ilişkisi ve demografik ve klinik değişkenlerin
içselleştirilmiş damgalanma üzerindeki etkisi
incelenmiştir. Çalışmaya yatarak ve ayaktan
tedavi gören 50 alkol bağımlılısı hasta
alınmıştır. Çalışmada demografik-klinik veri
formu, Ruhsal Hastalıklarda İçselleştirilmiş
Damgalanma Ölçeği (RHİDÖ) ve Beck
Depresyon Ölçeği (BDÖ) kullanılmıştır.
Sonuçlar içselleştirilmiş damgalanma puanı
ile BDÖ toplam puanı arasında pozitif yönde
bir ilişki olduğunu, yatarak tedavi görmenin,
düşük eğitim düzeyinin ve işsizliğin
içselleştirilmiş damgalanmayı olumsuz
yönde etkilediğini göstermektedir. Tartışma
bölümünde depresyon ve damgalanma
ilişkisi ele alınmış ve içselleştirilmiş damgalanma
ile ilişkili bulgular ilgili literatür
ışığında incelenmiştir.
Anahtar Kelimeler: Alkol, Bağımlılık,
Damgalanma, Depresyon

Kaynakça

  • Alonso, J., Buron, A., Rojas-Farreras S., Graff, R., Haro, J.M., Girolamo, G., Bruffaerts, R., Kovess, V., Matshinger, H. & Vilagut, G. (2009). Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders 118, 180-186.
  • Amerikan Psikiyatri Birliği. Mental Bozuklukların Tanısal ve Sayımsal El Kitabı, 4. baskı (DSM-IV) (1994) E., Köroğlu. (Çeviri Editörü), Hekimler Yayın Birliği. Ankara.
  • Angermeyer, M.C. (2003). The stigma ofmental illness from the patient's view - an overview. Psychiatrische Praxis, 30 (7), 358-366.
  • Anthony, J.C., Arria, A.M. & Johnson, E.O. (1995). Epidemiological and public health issues for tobacco, alcohol, and other drugs. In J.M. Oldham & M.B. Riba (Eds.), Review of Psychiatry, 14, American Psychiatric Press.
  • Beck, A., Ward, C., Mendelson, M. , Mock, J. & Erbaugh, J. (1991). An inventory for measuring for depression. Archive of General Psychiatry, 4, 561-571.
  • Brockington, I.F., Hall, P., Levings, J. & Murphy, C. (1993). The community's tolerance of the mentally ill. The British Journal of Psychiatry, 162, 93-99.
  • Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6, 65 -72.
  • Byrne, P. (2001). Psychiatric stigma. British Journal of Psychiatry, 178: 281-284 Corrigan, P. (1998). The impact of stigma on severe mental illness. Cognitive Behavavior Practice, 5, 201-222.
  • Corrigan, P., Markowitz, F.E., Watson, A., Rowan, D. & Kubiak M.A. (2003). An attribution model of public discrimination towards people with mental illness. Journal of Health and Social Behaviour, 44, 162 -179.
  • Corrigan, P.W., Larson, J.E. & Kuwabara, S.A. (2010), Social psychology of stig¬ ma formental illness: public stigma and self-stigma. In: Maddux, J.E., Tangley, J.P. (Eds.), Social Psychological Foundations of Clinical Psychology, Guilford Press, New York.
  • Corrigan, P.W., Rafacz, J. & Rusch N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research, 189, 339-343.
  • Crips, A.H., Gelder, M.G., Rix, S., Meltzer, H.I. & Rowlands, O.J. (2000). The stigmatization of people with mental illness. The British Journal of Psychiatry, 177, 4-7.
  • Ersoy, M.A. & Varan, A. (2007). Ruhsal hastalıklarda içselleştirilmiş damgalanma ölçeği Türkçe Form'unun güvenilirlik ve geçerlilik çalışması, Türk Psikiyatri Dergisi, 18(2), 163-171.
  • Florez, J.A. (2003). Considerations on the stigma of the mental illness. The Canadian Journal of Psychiatry, 48, 645-650.
  • Foster, J.H., Peters, T.J. & Kind, P. (2002) Quality of life, sleep, mood and alcohol consumption: a complex interaction. Addiction Biology, 7(1), 55-65.
  • Goodwin, D.W. (1989). Alcoholism. In H.I. Kaplan & B.J. Sadock (Eds.). Comprehensive Textbook of Psychiatry/V, Williams & Wilkins.
  • Heeren, T., Edwards, E.M., Dennis, J.M., Rodkin, S., Hingson, R.W. & Rosenbloom, D.L. (2008). A comparison of results from an alcohol survey of a prerecruited internet panel and the national epidemiologic survey on alcohol and related conditions. Alcoholism: Clinical and Experimental Research, 32(2), 222-229.
  • Hisli, N. (1998). Beck Depresyon Envanteri'nin geçerliği üzerine bir çalışma. Türk Psikoloji Dergisi, 6(22), 118-126. Hisli, N. (1989). Beck Depresyon Envanteri'nin üniversite öğrencileri için geçerliği ve güvenilirliği. Türk Psikoloji Der¬ gisi, 6, 3-13.
  • İnce, A., Doğruer, Z. & Türkçapar, H.M. (2002) Erken ve geç başlangıçlı erkek alkol bağımlılarında sosyodemografik, klinik ve psikopatolojik özelliklerin karşılaştırılması. Klinik Psikiyatri Der¬ gisi, 5, 82-91.
  • Luoma, J.B., Twohig, M.P., Waltz, T., Hayes, S.C., Roget, N., Padilla, M. & Fisher, G. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviours. 32(7), 1331-1346.
  • Lee, S., Lee, M.T.Y., Chiu, M.L.Y. & Kleinman A. (2005). Experience of social stigma by people with schizophrenia in Hong Kong. The British Journal of Psychiatry, 186, 153-157.
  • Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C. & Nuttbrock, L. (1997). On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38 (2), 177-190.
  • Luty, J.S. & Gerewal, P. (2002). A survey of British public's attitudes towards drug dependence. Journal of Substance Use, 7, 93 -95.
  • Mukherjee, R., Fialho, A., Wijetunge, A., Checinski, K. & Surgenor, T. (2002). The stigmatization of psychiatric illness. Psychiatric Bulletin, 26, 178-181.
  • Penn, D.L. & Martin, J. (1998). The stigma of severe mental illness: Some potential solutions for a recalcitrant problem. Psychiatric Quarterly. Special Issue: New Frontiers in the Psychiatric Rehabilitation of Schizophrenia, 69, 235-247.
  • Perlick, D.A., Rosenheck, R.A., Clarkin, J.F., Sirey, J.A., Salahi, J., Struening, E.L. & Link B.G. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar effective disorder. Psychiatric Services, 52, 1627-1632.
  • Ritsher, J.B., Otilingam, P.G. & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Ressearch, 121, 31 -49.
  • Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M.G. & Angermeyer, M.C. (2011a). The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol and Alcoholism, 46(2), 105-112.
  • Schomerus, G., Corrigan P.W., Klauer, T., Kuwert P., Freyberger, H.J. & Lucht M. (2011b). Self-stigma in alcohol dependence: Consequences for drinking-refusal self-efficacy. Drug and Alcohol Dependence, 114, 12-17.
  • Semple, S.J., Grant, I . & Patterson, T.L. (2005). Utilization of drug treatment programs by methamphetamine users: The role of social stigma. The American Journal on Addictions, 14, 367-380.
  • Smith, M. (2002). Stigma. Advances in Psychiatric Treatment, 8, 317-325.
  • Taris, W.T. (2002). Unemployment and Mental Health: A Longitudinal Perspective. International Journal of Stress Management, 9, 43-57.
  • Vauth, R., Kleim, B., Wirtz, M. & Corrigan, P.W. (2007). Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatric Services, 58: 875-884.
  • Wahl, O.F. (1999). Mental health consumers' experience of stigma. Schizophrenia Bulletin, 25 (3), 467-478.

Internalized Stigma in Alcohol Dependence: Association with Depression

Yıl 2012, Cilt: 32 Sayı: 1, 1 - 12, 24.12.2012

Öz

The internalized stigma and depressive

symptoms in alcohol dependency could have

negative impacts on patient’s social and

occupational life and treatment processes. The

main aims of this research are to examine the

relation between internalized stigma and

depression and to determine the effects of

demographic and clinical variables on

internalized stigma in alcohol dependency.

Patients who attended the study were receiving

outpatient and inpatient alcohol dependency

treatment. In this research demographic- clinic

data form, Internalized Stigma of Mental Illness

Scale (ISMI) and Beck Depression Inventory

were used. Results indicated that internalized

stigma was positively related to depression. In

addition, depression and outpatient treatment,

low educational level and unemployment were

found as the risk factors for internalized

stigma. Findings regarding the relation

between internalized stigma and depression

were discussed in reference to existing

literature.

Kaynakça

  • Alonso, J., Buron, A., Rojas-Farreras S., Graff, R., Haro, J.M., Girolamo, G., Bruffaerts, R., Kovess, V., Matshinger, H. & Vilagut, G. (2009). Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders 118, 180-186.
  • Amerikan Psikiyatri Birliği. Mental Bozuklukların Tanısal ve Sayımsal El Kitabı, 4. baskı (DSM-IV) (1994) E., Köroğlu. (Çeviri Editörü), Hekimler Yayın Birliği. Ankara.
  • Angermeyer, M.C. (2003). The stigma ofmental illness from the patient's view - an overview. Psychiatrische Praxis, 30 (7), 358-366.
  • Anthony, J.C., Arria, A.M. & Johnson, E.O. (1995). Epidemiological and public health issues for tobacco, alcohol, and other drugs. In J.M. Oldham & M.B. Riba (Eds.), Review of Psychiatry, 14, American Psychiatric Press.
  • Beck, A., Ward, C., Mendelson, M. , Mock, J. & Erbaugh, J. (1991). An inventory for measuring for depression. Archive of General Psychiatry, 4, 561-571.
  • Brockington, I.F., Hall, P., Levings, J. & Murphy, C. (1993). The community's tolerance of the mentally ill. The British Journal of Psychiatry, 162, 93-99.
  • Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6, 65 -72.
  • Byrne, P. (2001). Psychiatric stigma. British Journal of Psychiatry, 178: 281-284 Corrigan, P. (1998). The impact of stigma on severe mental illness. Cognitive Behavavior Practice, 5, 201-222.
  • Corrigan, P., Markowitz, F.E., Watson, A., Rowan, D. & Kubiak M.A. (2003). An attribution model of public discrimination towards people with mental illness. Journal of Health and Social Behaviour, 44, 162 -179.
  • Corrigan, P.W., Larson, J.E. & Kuwabara, S.A. (2010), Social psychology of stig¬ ma formental illness: public stigma and self-stigma. In: Maddux, J.E., Tangley, J.P. (Eds.), Social Psychological Foundations of Clinical Psychology, Guilford Press, New York.
  • Corrigan, P.W., Rafacz, J. & Rusch N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research, 189, 339-343.
  • Crips, A.H., Gelder, M.G., Rix, S., Meltzer, H.I. & Rowlands, O.J. (2000). The stigmatization of people with mental illness. The British Journal of Psychiatry, 177, 4-7.
  • Ersoy, M.A. & Varan, A. (2007). Ruhsal hastalıklarda içselleştirilmiş damgalanma ölçeği Türkçe Form'unun güvenilirlik ve geçerlilik çalışması, Türk Psikiyatri Dergisi, 18(2), 163-171.
  • Florez, J.A. (2003). Considerations on the stigma of the mental illness. The Canadian Journal of Psychiatry, 48, 645-650.
  • Foster, J.H., Peters, T.J. & Kind, P. (2002) Quality of life, sleep, mood and alcohol consumption: a complex interaction. Addiction Biology, 7(1), 55-65.
  • Goodwin, D.W. (1989). Alcoholism. In H.I. Kaplan & B.J. Sadock (Eds.). Comprehensive Textbook of Psychiatry/V, Williams & Wilkins.
  • Heeren, T., Edwards, E.M., Dennis, J.M., Rodkin, S., Hingson, R.W. & Rosenbloom, D.L. (2008). A comparison of results from an alcohol survey of a prerecruited internet panel and the national epidemiologic survey on alcohol and related conditions. Alcoholism: Clinical and Experimental Research, 32(2), 222-229.
  • Hisli, N. (1998). Beck Depresyon Envanteri'nin geçerliği üzerine bir çalışma. Türk Psikoloji Dergisi, 6(22), 118-126. Hisli, N. (1989). Beck Depresyon Envanteri'nin üniversite öğrencileri için geçerliği ve güvenilirliği. Türk Psikoloji Der¬ gisi, 6, 3-13.
  • İnce, A., Doğruer, Z. & Türkçapar, H.M. (2002) Erken ve geç başlangıçlı erkek alkol bağımlılarında sosyodemografik, klinik ve psikopatolojik özelliklerin karşılaştırılması. Klinik Psikiyatri Der¬ gisi, 5, 82-91.
  • Luoma, J.B., Twohig, M.P., Waltz, T., Hayes, S.C., Roget, N., Padilla, M. & Fisher, G. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviours. 32(7), 1331-1346.
  • Lee, S., Lee, M.T.Y., Chiu, M.L.Y. & Kleinman A. (2005). Experience of social stigma by people with schizophrenia in Hong Kong. The British Journal of Psychiatry, 186, 153-157.
  • Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C. & Nuttbrock, L. (1997). On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38 (2), 177-190.
  • Luty, J.S. & Gerewal, P. (2002). A survey of British public's attitudes towards drug dependence. Journal of Substance Use, 7, 93 -95.
  • Mukherjee, R., Fialho, A., Wijetunge, A., Checinski, K. & Surgenor, T. (2002). The stigmatization of psychiatric illness. Psychiatric Bulletin, 26, 178-181.
  • Penn, D.L. & Martin, J. (1998). The stigma of severe mental illness: Some potential solutions for a recalcitrant problem. Psychiatric Quarterly. Special Issue: New Frontiers in the Psychiatric Rehabilitation of Schizophrenia, 69, 235-247.
  • Perlick, D.A., Rosenheck, R.A., Clarkin, J.F., Sirey, J.A., Salahi, J., Struening, E.L. & Link B.G. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar effective disorder. Psychiatric Services, 52, 1627-1632.
  • Ritsher, J.B., Otilingam, P.G. & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Ressearch, 121, 31 -49.
  • Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M.G. & Angermeyer, M.C. (2011a). The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol and Alcoholism, 46(2), 105-112.
  • Schomerus, G., Corrigan P.W., Klauer, T., Kuwert P., Freyberger, H.J. & Lucht M. (2011b). Self-stigma in alcohol dependence: Consequences for drinking-refusal self-efficacy. Drug and Alcohol Dependence, 114, 12-17.
  • Semple, S.J., Grant, I . & Patterson, T.L. (2005). Utilization of drug treatment programs by methamphetamine users: The role of social stigma. The American Journal on Addictions, 14, 367-380.
  • Smith, M. (2002). Stigma. Advances in Psychiatric Treatment, 8, 317-325.
  • Taris, W.T. (2002). Unemployment and Mental Health: A Longitudinal Perspective. International Journal of Stress Management, 9, 43-57.
  • Vauth, R., Kleim, B., Wirtz, M. & Corrigan, P.W. (2007). Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatric Services, 58: 875-884.
  • Wahl, O.F. (1999). Mental health consumers' experience of stigma. Schizophrenia Bulletin, 25 (3), 467-478.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Elif Yıldırım Bu kişi benim

Deniz Akyıl Sokullu Bu kişi benim

Özcan Köknel Bu kişi benim

Yayımlanma Tarihi 24 Aralık 2012
Gönderilme Tarihi 24 Aralık 2012
Yayımlandığı Sayı Yıl 2012 Cilt: 32 Sayı: 1

Kaynak Göster

APA Yıldırım, E., Akyıl Sokullu, D., & Köknel, Ö. (2012). Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki. Studies in Psychology, 32(1), 1-12.
AMA Yıldırım E, Akyıl Sokullu D, Köknel Ö. Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki. Studies in Psychology. Haziran 2012;32(1):1-12.
Chicago Yıldırım, Elif, Deniz Akyıl Sokullu, ve Özcan Köknel. “Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki”. Studies in Psychology 32, sy. 1 (Haziran 2012): 1-12.
EndNote Yıldırım E, Akyıl Sokullu D, Köknel Ö (01 Haziran 2012) Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki. Studies in Psychology 32 1 1–12.
IEEE E. Yıldırım, D. Akyıl Sokullu, ve Ö. Köknel, “Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki”, Studies in Psychology, c. 32, sy. 1, ss. 1–12, 2012.
ISNAD Yıldırım, Elif vd. “Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki”. Studies in Psychology 32/1 (Haziran 2012), 1-12.
JAMA Yıldırım E, Akyıl Sokullu D, Köknel Ö. Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki. Studies in Psychology. 2012;32:1–12.
MLA Yıldırım, Elif vd. “Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki”. Studies in Psychology, c. 32, sy. 1, 2012, ss. 1-12.
Vancouver Yıldırım E, Akyıl Sokullu D, Köknel Ö. Alkol Bağımlılığında İçselleştirilmiş Damgalanma: Depresif Belirtilerle İlişki. Studies in Psychology. 2012;32(1):1-12.

Psikoloji Çalışmaları / Studies In Psychology / ISSN- 1304-4680