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Karabağ savaşı örnekleminde travma sonrası stres bozukluğu ve alkol kullanım bozuklukları birlikteliği

Comorbidity of posttraumatic stress disorder and alcohol use disorders in a sample of Karabagh war veterans

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The aim of this study was to investigate the association between posttraumatic stress disorders and alcohol use disorders developing after conflict in a group of Azerbaijeni veterans who had participated in Karabagh war. A total of 134 cases who had participated in Karabagh war and was referred to Baku Central Military Hospital Psychiatry Service because of psychiatric complaints were included in the study. Of all the cases, 46 and 88 were diagnosed to have posttraumatic stress disorders and another Axis I anxiety disorder (control group), respectively, after clinical examination and Structured Clinical Interwiev for DSM-IV (SCID-I). There were no significant differences between the posttraumatic stress disorders group and control group with respect to age, education level, marital status and living place. The rate of alcohol use disorder in posttraumatic stress disorders group was higher than that of the group with another anxiety disorder. It was shown that the presence of posttraumatic stress disorder among the soldiers who had participated in Karabagh war increased the ratio of alcohol use disorders. The presence of posttraumatic stress disorders may be a triggering factor for alcohol use disorders. It is suggested that patients with posttraumatic stress disorders should be examined in detail with respect to the presence of alcohol use disorders.
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Abstract (Original Language): 
Bu çalışmada, Karabağ savaşına katılan bir grup Azeri asker arasında çatışma sonrası gelişen travma sonrası stres bozukluğu ile alkol kullanımı bozuklukları arasındaki ilişkinin araştırılması amaçlanmıştır. Karabağ savaşına katılan ve psikiyatrik yakınmaları nedeniyle Bakü Merkezi Asker Hastanesi psikiyatri polikliniğine sevk edilen 134 olgu çalışmaya alınmıştır. Klinik görüşme ve uygulanan DSM-IV Eksen I Bozuklukları İçin Yapılandırılmış Klinik Görüşme Formu (SCID-I) sonrası olguların 46’sı travma sonrası stres bozukluğu tanısı, 88’i Eksen I’de başka bir anksiyete bozukluğu (kontrol grubu) tanısı almış- tı. Travma sonrası stres bozukluğu gelişen olgular ile kontrol grubu arasında yaş, eğitim düzeyi, medeni durum, yaşadığı yer yönünden farklılık olmadığı bulunmuştur. Travma sonrası stres bozukluğu gelişen grupta alkol kullanım bozukluğu oranı bir başka anksiyete bozukluğu bulunan gruptan daha yüksek bulunmuştur. Karabağ savaşına katılan askerler arasında travma sonrası stres bozukluğu varlığının alkol kullanım bozuklukları oranını artırdığı gösterilmiştir. Travma sonrası stres bozukluğu varlığı alkol kullanım bozukluğu için bir tetikleyici olabilir. Travma sonrası stres bozukluğu bulunan hastaların alkol kullanım bozuklukları açısından daha ayrıntılı değerlendirilmesinin yararlı olacağı öngörülmüştür.
FULL TEXT (PDF): 
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  • 4
212-215
  • Turkish

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