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Details

Autor(en) / Beteiligte
Titel
Theory of mind, aggression and impulsivity in patients with synthetic cannabinoid use disorders: a case-control study/Sentetik kannabinoid kullanim bozuklugu hastalarinda zihin kurami, agresyon ve durtusellik: Olgu-kontrol calismasi
Ist Teil von
  • Anadolu psikiyatri dergisi, 2019-02, Vol.20 (1), p.5
Ort / Verlag
Anadolu Psikiyatri Dergisi
Erscheinungsjahr
2019
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
  • Objectives: To compare patients with synthetic cannabinoid use disorder with healthy controls in terms of impulsivity, aggression, and theory-of-mind skills, and to identify the correlation between the level of mentalizing skills and aggression and impulsivity. Methods: The study included 80 outpatients who applied to the Erenkoy Mental Health Training and Research Hospital, Sancaktepe Addiction Treatment Outpatient Counselling Training and Rehabilitation Centre (BADEM), and were diagnosed with the synthetic cannabinoid use disorder according to the DSM-5 diagnosis criteria, and 50 healthy volunteers without substance use disorders. The study tools were the Reading the Mind in the Eyes Test, Addiction Profile Index, Beck Depression Inventory, Beck Anxiety Inventory, Barratt Impulsiveness Scale, and Buss-Perry Aggression Questionnaire. Results: The scores obtained from Beck Depression Inventory and Beck Anxiety Inventory by the patients' group were significantly higher than the control group. Although the total scores from Buss-Perry physical and verbal aggression subscales were significantly higher in the patient group, the anger and hostility subscale scores did not differ between the groups. The motor Barratt score was significantly higher in the patients' group than the control group. No significant difference was found between the groups in terms of Barratt attention, non-planning Barratt, and total Barratt scores. There was also no significant difference between the groups in terms of the Reading the Mind in the Eyes scores. A positive correlation was observed between Buss-Perry and Barratt scores. There was no significant correlation between the scores from both scales and the Reading the Mind in the Eyes scores. Conclusion: The patients with SC use disorder are frequently inclined to suffer from anxiety and depression, and may have an increased aggression. It was concluded that the aggression and impulsivity observed in those people might be associated with each other, whereas they have no correlation with the theory-of-mind skills. Keywords: theory of mind, mentalizing, synthetic cannabinoids, aggression, impulsivity Amac: Bu calismada sentetik kannabinoid (SK) kullanim bozuklugu olan hastalar ile saglikli kontrolleri durtusellik, agresyonve zihin kurami becerileri acisindan karsilastirmak ve bu hastalarda zihinsellestirme beceri duzeyi ile agresyon ve durtusellik arasindaki iliskinin saptanmasi amaclanmistir. Yontem: Calismaya Erenkoy Ruh ve Sinir Hastaliklari Egitim ve Arastirma Hastanesi Sancaktepe Bagimlilik Ayakta Tedavi Danisma Egitim ve Rehabilitasyon Merkezi'ne (BADEM) ayaktan basvuran, DSM-5 tani olcutlerine gore SK kullanim bozuklugu tanisi konulan 80 hasta ve madde kullanimi olmayan 50 saglikli gonullu alindi. Ornekleme Veri Toplama Formu, Gozlerden Zihin Okuma Testi, Bagimlilik Profil Indeksi, Beck Depresyon Olcegi, Beck Anksiyete Olcegi, Barrat Durtusellik Olcegi, Buss- Perry Saldirganlik Olcegi uygulandi. Bulgular: Beck Depresyon Olcegi ve Beck Anksiyete Olcegi puani hasta grubunda kontrol grubuna gore anlamli olarak daha yuksek bulundu. Buss-Perry fiziksel ve sozel saldirganlik alt olcekleri ve toplam puani hasta grubunda anlamli olarak daha yuksek saptanirken, ofke ve dusmanlik alt olcek puanlari gruplar arasinda farklilik gostermedi. Motor Barrat puani SK kullanan grupta kontrol grubuna gore anlamli derecede daha yuksek bulundu. Barrat dikkat, tasarlanmamis Barrat ve toplam Barrat puanlari bakimindan gruplar arasinda anlamli fark saptanmadi. SK kullanan grup ve kontrol grubu gozlerden zihin okuma puanlari acisindan da anlamli derecede farkli bulunmadi. Buss-Perry ile Barrat puanlari arasinda pozitif korelasyon saptandi. Her iki olcek puanlari ile zihin okuma arasinda istatistiksel olarak anlamli bir iliski bulunamadi. Sonuc: Bu calismada elde edilen sonuclar, SK kullanim bozuklugu olan hastalarda anksiyete ve depresyonun sik eslik ettigini ve bu kisilerin saldirganliklarinin artmis olabilecegini dusundurmektedir. Bu kisilerde gozlenen saldirganlik ve durtuselligin birbiriyle iliskili olabilecegi, ama zihin kurami becerileri ile iliskilerinin olmadigi sonucuna varilmistir. Anahtar sozcukler: Zihin kurami, mentalizasyon, sentetik kannabinoidler, agresyon, durtusellik

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