INTERNALİZED STİGMATİZATİON AND QUALİTY OF LİFE OF PATİENTS İN A UNİT OF THE TREATMENT AND EDUCATİON CENTER FOR ALCOHOL AND SUBSTANCE DEPENDENCE
Keywords:
Alcohol and substance dependence, dependence, internalized stigmatization, quality of lifeAbstract
Objective: This study was carried out with the aim of determining the levels of internalized stigmatization and quality of life of alcohol or substance dependent patients hospitalized in the Treatment and Education Center for Alcohol and Substance Dependence of Manisa Mental Health Hospital and the psychiatry clinic of Hafsa Sultan Hospital, Celal Bayar University.
Methods: The sample of the study was composed of 111 individuals received outpatient treatment between March and June 2014 that fitted the inclusion criteria. The data were collected by Introductory Information form, the Mental Illness Internalized Stigmatization Scale and the WHOQOL BREF Quality of Life Scale. In the analysis of data, percentages, t-test, Mann Whitney U, chisquare and Pearson correlation were used.
Results: 93.7 % of the patients were male with a mean age of 30.6 years. It was found that patients over 22 years had higher scores on the internalized stigmatization scale and the subscales of alienation, stereotyping, and social withdrawal than patients less than 22 years. When patients’ scores on the internalized stigmatization scale were compared with their employment status, it was found that those who were unemployed scored higher on social withdrawal than those who were working.
Conclusion: As the patients’ scores on internalized stigmatization and the internalized stigmatization subscales increased, their quality of life decreased.
References
Katschnig H. Schizophrenia and quality of life. Acta Psychiatr Scand 2000; 102: 33-37.
Angermayer MC, Kilian R. Theoretical models of quality of life for mental disorders. Quality of Life in Mental Disorders, H Kat-schnig, H Freeman, N Sartorius (Ed), England, John Wiley&Sons, 1999: 19-30.
Welsh J, Buchsbaum D, Kaplan C. Quality of life of alcoholics and non alcoholics: Does excessive drinking make a difference in an urban setting? Quality of Life Research 1993; 2: 335-340.
Longabaugh R, Mattson R, Connors G, et al. Quality of life as an outcome variable in alcoholism treatment research. Journal of Studies Alcohol (Suppl 12) 1994; 55: 119-129.
Engin E. Bağımlı hastalara bakım veren hemşirelerin standartları. IV. Ulusal bağımlılık kongresi ve etkinlik haftası özet bildiri kitabı. 2007 Çeşme-İzmir.
Lahmek P, Berlin I, Michel L, et al. Determinants of improvement in quality of life of alcohol-dependent patients during an inpatient withdrawal programme. International Journal of Medical Sciences, 2009; 6: 160-167.
Pektaş İ, Bilge A, Ersoy MA. Toplum ruh sağlığı hizmetlerinde epidemiyolojik çalışmalar ve toplum ruh sağlığı hemşiresinin rolü. Anadolu Psikiyatri Dergisi 2006; 7: 43 – 48.
Yancar C. Madde bağımlılarında ikinci eksen ko-morbiditevekişiliközelliklerininbağımlılıkşiddeti ve yaşam kalitesine etkisinin değerlendirilmesi. Uzmanlık Tezi, İstanbul: Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Psikiyatri Bölümü, 2005.
Yapıcı A. Alkol bağımlılığında depresyon ve an-ksiyetenin yetiyitimi ve yaşam kalitesine etkisi. Uzmanlık Tezi, İstanbul: Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Psikiyatri Bölümü, 2006.
Çam O, Çuhadar D. Ruhsal hastalığa sahip bireylerde damgalama süreci ve içselleştirilmiş damgalama. Psikiyatri Hemşireliği Dergisi -Journal of Psychiatric Nursing 2011; 2:136-140.
VardarE.Alkol vemadde bağımlılığındadamgala-ma. Anadolu Psikiyatri Dergisi 2009; 10: 62-63.
Schomerus G,Lucht M,HolzingerA, etal.Thestig-ma of alcohol dependence compared with other mental disorders: A review of population studies. Alcohol and Alcoholism 2011; 46: 105–112.
Ritsher JB, Otilingam PG, Grajales M. Internalize stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research 2003; 121: 31-49.
Ersoy MA, Varan A. Ruhsal hastalıklarda içselleştirilmiş damgalanma ölçeği türkçe formunun güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi, 2007; 18: 163- 171.
Fidaner H, Elbi H, Fidaner C, ve ark. WHO-QOL Türkçe versiyonu çalışması: Odak grup görüşmeleri. 3P Dergisi 1999; 7: 48-55.
UNDOC (United Nations Office on Drug and Crime), https://www.un-odc.org, (9 Temmuz 2015’te ulaşıldı).
The WHOQOL Group: The development of the World Health Organisation Quality of Life Instrument (The WHOQOL). In: Orley J and Kuyken W, eds. International Perspectives. Heidelberg: Springer Verlag, 1994: 41-61.
Hasin DS, Stinson FS, Ogbum E, Grant BF. Preve-lance, correlates, disability and comorbitiy of DSM-IV alcohol abuse and dependence in the United States: Resuts from the national epidemiologic survey on alcohol and related conditions. ArchivesofGeneralPsychiatry2007;64:830-842.
İnce A, Doğruer Z, Türkçapar HM. Erken ve geç başlangıçlı erkek alkol bağımlılarında sosyodemografik, klinik ve psikopatolojik özelliklerin karşılaştırılması. Klinik Psikiyatri Dergisi 2002; 5: 82-91.
Asan Ö, Tıkır B, Okay İT, Göka E. Bir AMATEM birimine başvuran alkol ve madde kullanım bozukluğu olan hastaların sosyodemografik ve klinik özellikleri. Bağımlılık Dergisi 2015; 16: 1-8.
Karpman B. Women and Alcohol. İçinde N. Uysal, (Çev. Ed.). 1997. Ankara: Doruk Yayımcılık.
Alpay N. Kadında Bağımlılık. II. Ulusal Alkol ve Madde Bağımlılığı Kongresi Özet Bildiri Kitabı, Bodrum: 2005.
Altıntoprak E. Kadınlar ve Bağımlılık. VII. Ulusal Alkol ve Madde Bağımlılığı Kongresi Özet Bildiri Kitabı, Belek- Antalya: 2011.
Eser E. Sağlıkla ilgili yaşam kalitesinin kavramsal temeli ve ölçümü. Sağlıkta Birikim Dergisi 2006; 1: 1-5.
Ely M, Hardy R, Longfort NT, Wadsworth ME. Gender differences in the relationship between alcohol consumption and drink problems are largely accounted for by body water. Alcohol and Alcoholism 1999; 34: 894-902.
Yapıcı A. Alkol bağımlılığında depresyon ve anksiyetenin yetiyitimi ve yaşam kalitesine etkisi. Uzmanlık Tezi, İstanbul: Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Psikiyatri Bölümü, 2006.
Altıntoprak E, Akgür SA, Yüncü Z, ve ark. Kadınlarda alkol kullanımı ve buna bağlı sorunlar. Türk Psikiyatri Dergisi 2008; 19: 197-208.
Foster JH, Marshall EJ, Hooper RL, Peters TJ. Measurement of quality of life in alcohol-dependent subjects by a cancer symptoms checklist. Alcohol 2000; 20(2): 105-110.
Donovan D, Mattson ME, Cisler RA, et al. Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol 2005; 15: 119-139
Volk R, Cantor S, Steinbauer J, Cass A. Alcohol use disorders, consumption patterns, and health-related quality of life of primary care patients. Alcoholism Clinical and Experimental Research 1997; 21: 899-905.
Foster JH, Marshall EJ, Peters TJ. Predictors of relapse to heavy drinking in alcohol dependent subjects following alcohol detoxification - the role of quality of life measures, ethnicity, social class, cigarette and drug use. Addiction Biology 1998; 3: 333–343.
Wahl OF. Mental health consumers’ experience of stigma. Schizophrenia Bulletin1999;25:467-478.
Angermeyer MC. The stigma of-mental illness from the patient’s view - an overview. Psychiatrische Praxis 2003; 30: 358-366.
Corrigan P, Markowitz FE, Watson A, et al. An attribution model of public discrimination towards people with mental illness. Journal of Health and Social Behaviour 2003; 44: 162 -179.
Alonso J, Buron A, Rojas-Farreras S, et al. Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders 2009; 118: 180-186.
Taris WT. Unemployment and mental health: A longitudinal perspective. International Journal of Stress Management 2002; 9: 43-57.
Akvardar Y. Alkol bağımlılığı ve yaşam kalitesi. I. Yaşam Kalitesi Sempozyumu Özet Kitabı. 2004: 38.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Dependence
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
...