Types of Early Maladaptive Schema Coping Styles in Alcohol Use Disorders: A Research on the Perspective of Schema Therapy

Öz

The aim is to evaluate the relationship between alcohol use disorders and schema coping styles. Method: 248 people were. Subject group were consisted with 168 men inpatients of Bakırköy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Alcohol and Drug Research, Treatment and Training Center (AMATEM) who were diagnosed as alcohol use disorders and 80 men control group without any problems related to alcohol use or any other psychiatric diagnosis and selected randomly. Data collection tools were Young Rygh Avoidance Inventory, Young Compensation Inventory and Sociodemographic Data Form. Results: Schema avoidance and schema compensation scores of the people who have alcohol use disorders were significantly higher than the control group. Discussion: Understanding of alcohol use disorders in terms of schema therapy could be very useful tool for understanding of the reason of schema coping styles of this people and this will provide better treatment. 

Anahtar Kelimeler

• Alcohol use disorders,schema therapy,maladaptive schema,treatment

ALKOL KULLANIM BOZUKLUKLARINDA ERKEN DÖNEM UYUMSUZ ŞEMALARIN ÜSTESİNDEN GELME BİÇİMLERİ: ŞEMA TERAPİ ÇERÇEVESİNDE BİR ARAŞTIRMA

Öz

Amaç şema terapi açısından alkol kullanım bozukluğunun nedenlerini araştırmaktır. Yöntem: Çalışmaya 248 kişi katıldı. Katılımcı grubu Bakırköy Ruh Sağlığı ve Sinir Hastalıkları Eğitim Araştırma Hastanesi, Alkol ve Madde Bağımlılığı Araştırma Tedavi ve Eğitim Merkezi’nde (AMATEM) yatan alkol kullanım bozukluğu tanısı almış 168 erkek hastadan, karşılaştırma grubu alkol kullanım bozukluğu olmayan ve herhangi bir psikiyatrik tanısı bulunmayan, toplumdan tesadüfî olarak seçilen 80 erkekten oluştu. Katılımcılara Sosyodemografik Veri Formu, Young Rygh Kaçınma Ölçeği ve Young Telafi Ölçeği verildi. Sonuçlar: Alkol kullanım bozukluğu olan bireylerin şema kaçınma ve şema telafi puanlarının kontrol grubuna göre yüksek olduğu bulundu. Tartışma: Alkol kullanım bozukluğuna şema terapi çerçevesinde yaklaşmak, kişilerin alkol alınımına sebep olan şema sürdürücü stilin anlaşılmasını ve daha iyi bir tedavinin sağlanmasını sağlayacaktır.

Anahtar Kelimeler

• Alkol kullanım bozukluğu,şema terapi,uyumsuz şema,tedavi

Kaynakça

1. Alfasnos, L. (2009). The Early Maladaptive Schemas and their Correlations with the Psychiatric Symptoms and the Personality Accentuations for Palestinian Students. Phd. Thesis, Hamburg University, Psychology Faculty, Hamburg.
2. Dodes, LM. (2009). Addiction as a psychological symptom. Psychodynamic Practice; 15: 381-93.
3. Evren C, Çetin R, Durkaya M, Evren B, Çelik S., (2011). Lifetime PTSD and quality of life among alcohol-dependent men: Impact of childhood emotional abuse and dissociation. Psychiatry Res; 186: 85–90.
4. Gabbard, G.O. (1994). Psychodynamic Psychiatry in Clinical Practice (2nd ed.), p: 345-382, Washington, DC: American Psychiatric Press.
5. Griffiths, M., (2014). Early maladaptive Schemas in Devolepment of Addictive Disorders as Parts of the Complex Addiction Jigsaw, DOI: 10.5812/İJHRBA.16746.
6. Griffiths, M.D., Larkin, M., (2004). Editorial conceptualizing addiction: the case for a “complex systems” account. Addict Res Theory, 12(2):99–102, DOI:10.1080/1606635042000193211.
7. Karaosmanoglu, A., Soygüt, G., Tuncer, E., Derinöz, Z., Yeroham, R. (2005). Dance of the Schemas: Relations between parenting, schema over compensation and avoidance. Therapy Symposium I, Thessaloniki. Retrieved in December 13, 2013, from
8. http://www.psikonet.com/thessaloniki2005/dance_of_the_schemas_web_files /frame.htm

9. Ögel, K., Tamar, D., Çorapçıoğlu, A. vd., (2001). “Lise Gençleri Arasında Tütün, Alkol ve Madde Kullanım Yaygınlığı”. Türk Psikiyatri Dergisi, S.12, s. 47-52.
10. Rafaeli, E., Bernstein D. P., Young, J. (2011). Schema Therapy: The CBT Distinctive Features Series. New York: Routledge.
11. Rockville, M.D, (2011). Substance Abuse and Mental Health Services Administration. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings.
12. Roper, L., Dickson, J. M., Tinwell, C., Booth, P. G., McGuire, J. (2010). Maladaptive Cognitive Schemas in Alcohol Dependence: Changes Associated with a Brief Residential Abstinence Program, Cognitive Therapy and Research, 34, 207–215.
13. Shorey, R. C., Anderson, S. E., Stuart, G. L. (2012). Gender Differences in Early Maladaptive Schemas in a Treatment-seeking Sample of Alcohol-dependent Adults, Substance Use & Misuse, 47(1), 108-116.
14. Shorey, R. C., Anderson, S., Stuart, G. L. (2014). The Relation between Antisocial and Borderline Personality Symptoms and Early Maladaptive Schemas in a Treatment Seeking Sample of Male Substance Users, Clinical Psychology and Psychotherapy, 21(4), 341-351.
15. Simpson TL, Miller WR.,(2002). Concomitance between childhood sexual and physical abuse and substance use problems: A review, Clinical Psychology Review; 22/ 1, p 27–77.
16. Soygüt, G., Karaosmanoğlu, A., Çakır, Z. (2009). Erken Dönem Uyumsuz Şemaların Değerlendirilmesi: Young Şema Ölçeği Kısa Form – 3’ün Psikometrik Özelliklerine İlişkin Bir İnceleme, Türk Psikiyatri Dergisi, 20 (1): 75-84.
17. Trincas, R., Ottoviani, C., Couyoumdjian, A., Tenore, K., Spitoni, G., Mancini, F., (2014). Specific Dysphoric Symptoms are Predicted by Early Maladaptive Schemas, Hindawi Publishing Corporation The Scientific World Journal; ID 231965.
18. Ünal, E. (2014). The Effects of Child Abuse and Neglect on Psychopathological Symptomatology: The Roles of Early Maladaptive Schemas and Schema Coping Processes, Master Thesis, Middel East Technical University, Department of Psychology.
19. Wu P, Bird HR, Liu X, Duarte CS, Fuller C, Fan B, Shen S, Canino GJ., (2010). Trauma, posttraumatic stress symptoms, and alcohol-use initiation in children. J Stud Alcohol Drugs; 71:326.
20. Wu NS, Schairer LC, Dellor E, Grella C.,(2009). Childhood trauma and health outcomes in adults with comorbid substance abuse and mental health disorders, Addictive Behaviors; 35/1, p:68–71.
21. Yeltepe, H., (2010). Alkol ve Madde Bağımlılığı Tedavisi Gören Yetişkinlerde Düzenli Egzersizin Depresyon ve Yaşam Kalitesine Etkisi. Doktora Tezi, İstanbul: Marmara Üniversitesi.
22. Young, J., Lindemann, M. (2002). An integrative schema-focused model for personality disorders. R. L. Leahy ve E. T. Dowd (Eds.), Clinical Advances in Cognitive Psychotherapy: Theory and Application, p: 93-109, New York: Springer Publishing Company.
23. Young, J. E., Klosko, J. S., Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.
24. Young, J.E. (2003). Young Rygh Avoidance Inventory (YRAI). Under: http://www.schematherapy.com/id42.htm[14.04.2005]
25. Young, J. E. (2006a). Young Compensation Inventory: Informal Clinical Scoring Instructions.: http://www.schematherapy.com/id114htm[14.04.2005]
26. Young, J. E. (2006b). Young-Rygh Avoidance Inventory: Informal Clinical Scoring. Under: http://www.schematherapy.com/id113htm [14.04.2005]