DEPRESIJA, ANKSIOZNOST I STRES KOD ZAVISNIKA OD ALKOHOLA

Stevan V Barać; Medo Gutić; Branimir  Vukčević; Teodora  Safiye; Branimir  Radmanović; Milan  Đorđić; Marija  Sekulić; Dalibor  Stajić; Stefan  Joksimović; Danijela D. Đoković; Snežana Samardžić

doi:10.5937/mckg56-35057

Stevan V Barać Kabinet za forenzičku psihijatriju, KC Kragujevac, Klinika za psihijatriju
Medo Gutić Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Kragujevac, Srbija; Javna zdravstvena ustanova Dom zdravlja „Dr Branko Zogović“ Plav, Crna Gora
Branimir Vukčević Ugostiteljsko-turistička škola sa domom učenika, Vrnjačka Banja, Srbija
Teodora Safiye Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Kragujevac, Srbija
Branimir Radmanović Klinika za psihijatriju, UKC Kragujevac, Kragujevac, Srbija; Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Kragujevac, Srbija
Milan Đorđić Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za veštine komunikacije, etiku i psihologiju, Kragujevac, Srbija
Marija Sekulić Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za higijenu i ekologiju, Kragujevac, Srbija
Dalibor Stajić Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za higijenu i ekologiju, Kragujevac, Srbija
Stefan Joksimović Klinika za onkološku hirurgiju, Institut za onkologiju i radiologiju Srbije, Beograd, Srbija
Danijela D. Đoković Klinika za psihijatriju, UKC Kragujevac, Kragujevac, Srbija
Snežana Samardžić Filozofski fakultet,Univerzitet PIM, Banja Luka, Republika Srpska, Bosna i Hercegovina

DOI: https://doi.org/10.5937/mckg56-35057

Ključne reči: alkoholizam, stres, anksioznost, depresija

Sažetak

SAŽETAK

Cilj. Cilj istraživanja bio je ispitati nivo depresivnosti, anksioznosti i stresa kod zavisnika od alkohola, odnosno utvrditi razlike u nivou depresivnosti, anksioznosti i stresa između grupe ispitanika sa dijagnozom F10.1 i grupe ispitanika sa dijagnozom F10.2, kao i utvrditi razlike u sociodemografskim karakteristikama i zdravstvenom stanju između grupa ispitanika sa dijagnozom F10.1 i F10.2.

Metode. Istraživanje je sprovedeno kao neeksperimentalna, opservaciona studija preseka. Istraživanje je sprovedeno u Univerzitetskom Kliničkom centru Kragujevac u Klinici za Psihijatriju, tokom januara 2021. godine. Uzorak je činilo 110 ispitanika oba pola, starosti od 18 do 65 godina, raspoređenih u dve grupe. Prvu grupu su činili ispitanici sa dijagnozom zavisnosti od alkohola (F10.2), a drugu ispitanici sa dijagnozom zloupotrebe alkohola (F10.1).

Rezultati. Istraživanje je pokazalo da kod zavisnika od alkohola postoje klinički značajni i teži simptomi depresije, da su simptomi bili u pozitivnoj korelaciji sa nivoom doživljavanja stresa, te da je kratkotrajni stres blažeg intenziteta povezan sa povremenom zloupotrebom alkohola, dok je prolongirani stres bio prediktor zavisnosti od alkohola. Nije utvrđena statistički značajna povezanost zavisnosti od alkohola i zloupotrebe alkohola sa anksioznošću. Takođe je utvrđeno, da je zavisnost od alkohola povezana sa određenim sociodemografskim karakteristikama poput pola i bračnog statusa, nivoa obrazovanja, radnog statusa, kao i sa zdravstvenim stanjem i brojem hospitalizacija.

Zaključak. Ovim istraživanjem smo pokazali koliko je stres zastupljen i važan u genezi alkoholizma, potom pozitivnu korelaciju depresije i zavisnosti od alkohola, kao i značaj sociodemografskih karakteristika u genezi istih.

Ključne reči: alkoholizam, stres, anksioznost, depresija

Biografija autora

Stevan V Barać, Kabinet za forenzičku psihijatriju, KC Kragujevac, Klinika za psihijatriju

Diplomirani pravnik,

Strukovni medicinski tehničar,

Apsolvent psihologije

Reference

World Health Organization. The world health report 2001 – Mental Health: New Understanding, New Hope; 2001: 10.

World Health Organization. Strengthening mental health promotion, Fact sheet No 220; WHO; 2001.

Mchugh KR, Weiss R. Alcohol use disorder and depressive disorders. Alcohol Research: Current Reviews 2019; 40(1): e1–

Wetterling T, Junghanns K. Psychopathology of alcoholics during withdrawal and early abstinence. European Psychiatry 2000; 15(8): 483–8.

Pavkovic B, Zaric M, Markovic M, Klacar M, Huljic A, Caricic A. Double screening for dual disorder, alcoholism and depression. Psychiatry Research 2018; 270: 483–9.

Smith JP, Randall CL. Anxiety and alcohol use disorders: Comorbidity and treatment considerations. Alcohol Research: Current Reviews 2012; 34(4): 414–31.

Dyer LM, Board G, Hogarth L, et al. State anxiety and alcohol choice: Evidence from experimental and online observational studies. Journal of Psychopharmacology 2020; 34(1): 1237–49.

Dohrenwend BP. The role of adversity and stress in psychopathology: Some evidence and its implications for theory and research. Journal of Health and Social Behavior 2000; 41: 1–19.

Sinha R. How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berlin) 2001; 158: 343–59.

Sinha R. Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences 2008; 1141: 105–30.

McEwen BS. Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews 2007; 87: 873–904.

Barros Guinle MI, Sinha R. The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women. Alcohol Research 2020; 40(2): 05.

Subbie-Seanz de Viteri S, Pandey A, Pandey G, et al. Pathways to post-traumatic stress disorder and alcohol dependence: Trauma, executive functioning, and family history of alcoholism in adolescents and young adults. Brain and Behavior 2020; 10: e01789.

Vujčić I, Safiye T, Milikić B, Popović E, Dubljanin D, Dubljanin E, Dubljanin J, Čabarkapa M. Coronavirus Disease 2019 (COVID-19) Epidemic and Mental Health Status in the General Adult Population of Serbia: A Cross-Sectional Study. Int J Environ Res Public Health. 2021; 18(4): 1957.

Columb D, Hussai R, O' Gara C. Addiction psychiatry and COVID-19: impact on patients and service provision. Irish Journal of Psychological Medicine 2020; doi:10.1017/ipm2020.47.

Ustan G. Determining depression and related factors in a society affected by COVID-19 pandemic. International Journal of Social Psychiatry 2020; 00(0): 1–

Avery RA, Tsang S, Seto WYE, Duncan GE. Stress, anxiety, and change in alcohol use during the COVID-19 pandemic: findings among adult twin pairs. Frontiers in Psychiatry 2020; 11: 571084.

Stanton R, To GQ, Khalesi S, et al. Depression, anxiety and stress during COVID-19:Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults, International Journal of Environmentaln Research and Public Health 2020; 17: 4065.

McPhee MD, Keough MT, Rundle S, et al. Depression, environmental reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic. Frontiers in Psychiatry 2020; 11.

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. (2nd. Ed.) Sydney: Psychology Foundation, 1995.

Jovanović V, Gavrilov-Jerković V, Žuljević D, Brdaric D. Psihometrijska evaluacija Skale depresivnosti, anksioznosti i stresa–21 (DASS–21) na uzorku studenata u Srbiji [Psychometric Evaluation of Depression, Anxiety and Stress-21 Scale (DASS-21) On a Student Sample in Serbia]. Psihologija 2014; 4759: 93–112.

World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA 2013; 310: 2191–4.

Faul F, Erdfelder E, Lang A G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007; 39(2): 175–91.

MKB-10. Klasifikacija mentalnih poremećaja i poremećaja ponašanja. Dijagnostički kriterijumi za istraživanje. Beograd: Zavod za udžbenike i nastavna sredstva; 1998.

Kranzler HR, Soyka M. Diagnosis and pharmacotherapy of alcohol use disorder: A review. JAMA 2018 ; 320: 815–24.

Erol A, Karpyak VM. Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and future research considerations. Drug and Alcohol Dependence 2015; 156: 1–13.

Bernards S, Graham K, Kuendig H, Hettige S, Obot I. ‘I have no interest in drinking’: a cross-national comparison of reasons why men and women abstain from alcohol use. Addiction 2009; 104: 1658–68.

de Visser RO, McDonnell EJ. ‘That’s OK. He’s a guy’: a mixed-methods study of gender double-standards for alcohol use. Psychol. Health 2012; 27: 618–39.

Nolen-Hoeksema S, Hilt L. Possible contributors to the gender differences in alcohol use and problems. J Gen Psychol 2006; 133: 357–74.

Stewart S, Swain S. Assessment and management of alcohol dependence and withdrawal in the acute hospital: concise guidance. Clinical Medicine 2012; 12(3): 266–71.

Mann ER, Reginald G, Govani RS. The epidemiology og alcoholic liver disease. National Institute on Alcohol Abuse and Alcoholism Publication; 2004.

Nunes EV. Substance abuse and depression. Program and abstracts of the American Psychiatric Association 156th Annual Meeting. San Francisco, 17-22 S103A. California; 2003.

Zins M, Guéguen A, Kivimaki M, Singh-Manoux A, Leclerc A, Vahtera J, Westerlund H, Ferrie JE, Goldberg M. Effect of retirement on alcohol consumption: Longitudinal evidence from the French Gazel Cohort Study. PLoS ONE 2011; 6(10): e26531.

Kahler CW, Ramsey SE, Read JP, Brown RA. Substance Induced and independent major depressive disorder in treatment-seeking alcoholics: associ- ations with dysfunctional attitudes and coping. J Stud Alcohol 2002; 63(3): 363–71.

Abulseoud OA, Karpyak VM, Schneekloth T, Hall-Flavin DK, Loukianova LL, Geske JR, Biernacka JM, Mrazek DA, Frye MA. A retrospective study of gender differences in depressive symptoms and risk of relapse in patients with alcohol dependence. Am J Addict 2013; 22: 437–42.

Lau-Barraco C, Skewes MC, Stasiewicz PR. Gender differences in high-risk situations for drinking: are they mediated by depressive symptoms? Addict Behav 2009; 34: 68–74.

Cox BJ, Swinson RP, Shulman ID, Kuch K, Reichman JT. Gender effects and alcohol use in panic disorder with agoraphobia. Behaviour Research and Therapy 1993; 31: 413–6.

Liu SW, Lien MH, Fenske NA. The effects of alcohol and drug abuse in the skin. Clinics in Dermatology 2010; 28: 391–9.

Anthenelli R, Grandison R. Effects of Stress on Alcohol Consumption. Alcohol Res 2012; 34(4): 381–2.

Safiye T, Vukčević B. Dimenzije opšteg psihološkog distresa i starost kao prediktori prokrastinacije kod studenata. Psihološka istraživanja, 2020; 23(2): 187-200.