Alkol Kullanım Bozukluğu Olan Hastalarda Öfke ve Agresyonun Ortaya Çıkışında Üstbilişin Rolü

Abstract

Amaç: Bu çalışmada alkol bağımlılığı olan hastalarda üstbiliş işlevleri ve üstbilişin öfke ve agresyon ile ilişkisi araştırılmıştır. Alkol bağımlılığı olan hastalarda öfke ve agresyonun ortaya çıkmasında hangi üstbilişsel inançların rol oynadığı hakkında bilgi sahibi olmak amaçlanmıştır. Gereç ve Yöntem: Çalışmaya DSM-5'e gore Alkol Kullanım Bozukluğu (AKB) tanısı alan hasta grubu (n=72) ile herhangi bir psikiyatrik tanısı olmayan kontrol grubu (n=71) dahil edildi. Sosyodemografik veri formu, Alkol Kullanım Bozuklukları Tanıma Testi (AKBTT), Üstbiliş Ölçeği (ÜBÖ-30), Sürekli Öfke ve Öfke İfade Tarzı Ölçeği (SÖ-ÖİTÖ) ve BussPerry Agresyon Ölçeği (AÖ) kullanılmıştır. Bulgular: AKB grubunda ÜBÖ-30 toplam, SÖ-ÖİTÖ sürekli öfke, öfke dışa ve öfke içe ve AÖ toplam puanları kontrol grubuna göre anlamlı olarak yüksek bulundu (sırasıyla p<0,001, p<0,001, p=0,001, p=0,001 ve p<0,001). Gruplar arasında ÜBÖ-30 ve diğer ölçeklerin korelasyon katsayıları karşılaştırıldığında, AKB grubunda sürekli öfke ve fiziksel agresyon arasında farklılık saptanmıştır (sırasıyla z=2,035; p=0,042 ve z=2,120; p=0,034). Çalışmamızda yapılan regresyon analizi sonucunda, AKB olan kişilerde agresyonu yordayan en önemli üstbilişsel inancın düşünceleri kontrol etme ihtiyacı olduğu bulunmuştur (β=0.567,t(66)= 4.034, p<0.001,pr2 =0.20). Sonuç: Üstbilişsel inançlar AKB olan kişilerde yüksek oranda etkilenir ve daha fazla öfke ve agresyona neden olur. Öfkenin ortaya çıkmasında düşünceleri kontrol etme ihtiyacının önemli bir rol oynadığı gösterilmiştir

Keywords

• Alkol bağımlılığı
• Üstbiliş
• Öfke
• Agresyon

The Role of Metacognition in The Emergence of Anger and Aggression in Patients with Alcohol Use Disorder

Abstract

Objective: In this study, weaimed to investigate metacognitive functions, anger and aggression and the relationship in patients with alcohol dependence. It is to have information about which metacognitive beliefs plays a role in the emergence of anger and aggression in people with alcohol dependence. Method: The patient group diagnosed with Alcohol Use Disorder (AUD) according to DSM-5 (n = 72) and the control group without any psychiatric diagnosis (n = 71) were included in the study. Sociodemographic data form, Alcohol Use Disorders Identification Test (AUDIT), Metacognition Questionnaire (MCQ-30), Trait Anger and Anger Expression Scale (STAXI) and Buss-Perry’s Aggression Questionnaire (AQ) were used. Results: In the AUD group, the MCQ-30, STAXI trait anger, anger out and anger in, and AQ scores were found to be significantly higher than the control group (p<0,001, p<0,001, p=0,018, p<0,001, p=0,001 and p=0,001, p<0,001, respectively). When comparing the correlation coefficients of MCQ-30 and other scales between the groups, a difference was found between the AUD group, trait anger and physical aggression (z=2,035; p=0,042 ve z=2,120; p=0,034, respectively). As a result of the regression analysis performed in our study, it was found that the need to control thoughts is the most metacognitive beliefs that predicts aggression in people with AUD(β=0.567,t(66)= 4,034, p<0.001,pr2=0.20). Conclusion: Metacognitive beliefs are highly affected in people with AUD and they cause more anger and aggression. It has been shown that the need to control thoughts plays an important role in the emergence of anger.

Keywords

• alcohol dependence
• metacognition
• anger
• aggression

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