Şimşek Gamze, Ünübol Başak, Bilici Rabia
Department of Psychiatry, Pendik State Hospital, İstanbul, Turkey.
Department of Psychiatry, University of Health Sciences, Erenköy Mental Health and Neurological Diseases Training and Research Hospital, İstanbul, Turkey.
Alpha Psychiatry. 2021 Nov 1;22(6):308-317. doi: 10.1530/alphapsychiatry.2021.21239. eCollection 2021 Nov.
Many neurobiological, genetic, environmental, and spiritual factors are involved in addiction etiology. This study aims to examine parental perceptions, attachment styles, and parental attitudes.
This is a cross-sectional study. Patients diagnosed with alcohol use disorder (AUD) were enrolled in the Addiction Clinic of the Erenköy Mental Hospital. The structured clinical interview for DSM-5 (SCID-5) was applied, and the sociodemographic data form, Adult Attachment Style, Family Life and Child Rearing Attitude Scale, and Parent Attachment Scale were administered to the participants.
It was determined that 21.5% of participants had depressive episode and anxiety disorder diagnoses; 15.4% of participants had children with a history of psychiatric treatment; 16.9% had children with a history of alcohol/substance use. The avoidant attachment score average of individuals with APD was found to be higher. The positive perception of parents participating in terms of care and protection toward their own parents was significant in all subdimensions with secure attachment. When the child-rearing attitudes of parents with secure attachment were examined, the dimensions of democratic attitude and recognition of equality were statistically significantly higher.
Parenting and attachment are associated with many steps of addiction. In the fight against addiction, it is very important to treat addiction as a family problem. The education and interventions to be made can be protective in terms of psychopathology and addiction issues, which may provide early intervention for these problems. In addition, constructive interventions related to family relationships are important in increasing the social support of people who are being treated for AUD.
成瘾病因涉及许多神经生物学、遗传、环境和精神因素。本研究旨在考察父母的认知、依恋风格和父母态度。
这是一项横断面研究。诊断为酒精使用障碍(AUD)的患者被纳入埃伦柯伊精神病院成瘾门诊。应用了DSM-5结构化临床访谈(SCID-5),并向参与者发放了社会人口统计学数据表、成人依恋风格、家庭生活和育儿态度量表以及父母依恋量表。
确定21.5%的参与者有抑郁发作和焦虑症诊断;15.4%的参与者有接受过精神科治疗的子女;16.9%的参与者有有酒精/物质使用史的子女。发现有反社会型人格障碍(APD)的个体的回避型依恋得分平均值更高。在所有具有安全依恋的子维度中,参与研究的父母对自己父母在关爱和保护方面的积极认知都很显著。当考察具有安全依恋的父母的育儿态度时,民主态度和平等认可维度在统计学上显著更高。
养育方式和依恋与成瘾的多个环节相关。在与成瘾作斗争中,将成瘾视为家庭问题来对待非常重要。所进行的教育和干预在心理病理学和成瘾问题方面可能具有保护作用,这可能为这些问题提供早期干预。此外,与家庭关系相关的建设性干预对于增加正在接受酒精使用障碍治疗者的社会支持很重要。