The aim of the presented study was to conduct a Polish adaptation of the Decisional Balance Scale by W. Velicer et al. The attempt was also made to answer a question about the differences in the area of decisional balance in addicts who complete or break therapy, continue abstinence after treatment and those who return to drinking. Research was conducted on 397 alcohol addicted persons who begin a therapy. Patients who completed treatment were retested in the last week of stay at the Centre. A group of people maintaining abstinence one year after the start of therapy and those who returned to drinking were distinguished. The Decisional Balance Scale by Velicer et al. and the Motivation Questionnaire to Maintain Abstinence from Alcohol by Ziółkowski were used. Results. The Polish version of the Scale was found to be reliable and valid method. Principal component analysis identified 2 factors (like in original version). Differences within a single dimension of decisional balance between people who completed and those who broke therapy were noted. In the course of therapy an increase in decisional balance scale, advantage of arguments against drinking was proved.
This meta-analysis of published studies examines the fractional anisotropy coefficient of frontal and callosal microstructural abnormalities in alcohol addiction. Twelve articles (total Nalc = 230) were included. Eighteen of the examined data points concern changes in the corpus callosum, twenty-three point to alterations in frontal white matter tracts, and eleven described microstructural tracts having potential effects on cognitive functions such as short-term and working memory, decision making, selective attention, and visuospatial ability. The random effect models show a standardized mean difference in the particular fiber tracts in all studies: SMDall = 1.20, SMDcc = 1.26, SMDfwm = 1.17, SMDcog = 1.07. The heterogeneity ranges from very low (CC) to high (FWM). In summary, these results confirm and provide significant evidence that callosal and frontal microstructural abnormalities are present in the course of alcohol addiction. This findings also highlight the necessity to further examine patients’ cognitive functioning.
Purpose: The purpose of the study was to determine whether a link exists between early maladaptive schemas identified by Young et al. and depression in alcoholics. The relationships of schemas with selected alcohol dependence variables and suicidal thoughts in alcoholics were also checked. Material and methods: Seventy-seven alcohol addicts participated in the study – 19 women and 58 men. Young Schema Questionnaire (YSQ-S3), Beck’s Depression Inventory (BDI) and Michigan Alcoholism Screening Test (MAST) were used. Results: Based on the results obtained, 16 out of 18 schemas are positively and statistically correlated with depression among alcoholics. The strongest relationships were noted for emotional deprivation, social isolation/alienation and subjugation. Correlations between the schemas and the severity of addiction and the age of drinking initiation were also found. Differences in the intensity of some schemas occurred between people experiencing suicidal thoughts and people without these thoughts. Conclusions: There is a need to consider inclusion therapy focused on changing maladaptive schemas in alcoholics. This is especially true of the schemas of social isolation, emotional deprivation and subjugation. There is also a need for further research in this area.
PL
Cel: Celem przeprowadzonego badania było sprawdzenie, czy istnieje związek między wczesnymi nieadaptacyjnymi schematami wyróżnionymi przez Younga i współpracowników a depresją u osób uzależnionych od alkoholu. Podjęto też próbę odpowiedzi na pytanie o związki schematów z wybranymi zmiennymi dotyczącymi uzależnienia od alkoholu, a także występowaniem tendencji suicydalnych u alkoholików. Materiał i metody: W badaniu wzięło udział 77 osób uzależnionych od alkoholu – 19 kobiet oraz 58 mężczyzn. Zastosowano Kwestionariusz Schematów Younga (Young Schema Questionnaire, YSQ-S3), Skalę Depresji Becka (Beck’s Depression Inventory, BDI), Michigan Alcoholism Screening Test (MAST). Wyniki: Na podstawie otrzymanych wyników można stwierdzić, iż 16 z 18 schematów jest powiązanych dodatnio i istotnie statystycznie z poziomem depresji u osób uzależnionych od alkoholu. Najsilniejsze związki odnotowano w przypadku schematu deprywacji emocjonalnej, izolacji/wyobcowania i podporządkowania. Stwierdzono także związki schematów z głębokością uzależnienia oraz wiekiem rozpoczęcia picia. Różnice w natężeniu niektórych schematów występowały również między osobami doświadczającymi myśli samobójczych i osobami bez tych myśli. Wnioski: Należy rozważyć włączenie do terapii odwykowej pracy ukierunkowanej na zmiany destrukcyjnych schematów poznawczych występujących u osób uzależnionych. Dotyczy to zwłaszcza schematu izolacji społecznej, deprywacji emocjonalnej i podporządkowania. Istnieje również potrzeba prowadzenia dalszych badań tego obszaru problemowego.
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