Browsing by Author "Aktas, Sakine"

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Attachment Styles and Codependency Among Individuals With Substance Use Disorders in Eastern Turkey
(Routledge Journals, Taylor & Francis Ltd, 2025) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Tanhan, Fuat; Aktug, Yener
Substance use disorder (SUDs) is a currently important public health problem. Attachment styles and codependency are critical aspects to consider in understanding and addressing SUDs. This cross-sectional study aimed to examine the relation attachment style and codependency and affecting factors among individuals with substance use disorders in Eastern Turkey. Using purposive sampling method, 232 individuals with SUDs enrolled in Alcohol and Substance Addiction Treatment Center at Van located in eastern Turkey between June- August 2023. The Adult Attachment Style Scale and the Spann-Fischer Codependency Scale were used. Descriptive measures were used for analysis and Independent Samples T-test and Pearson's correlation coefficient for inferential analysis. Lastly, a multiple linear regression model was run to determine significant predictors of codependency. Variables significantly correlated with participants' attachment style included kind of substances, marital status. Participants' codependency was correlated with having children. There was a weak positive correlation between avoidant attachment style and codependency. A moderate positive correlation was found between anxious/ambivalent attachment style and codependency. Variables significantly correlated with participants' attachment style included kind of substances, marital status. Participants' codependency was correlated with having children. Through the analysis of multiple linear regression, it came to light that significant predictors of codependency in the final model could account for 24.1% of the variance in codependency. The results of the current study provide insight into the relations between substance use, attachment, and codependency. The results are useful for the treatment team in developing a care and treatment plan for individuals with SUDs.
Childhood Traumas and Dissociative Experiences Among Individuals With Substance Use Disorders in Eastern Turkey
(Taylor & Francis inc, 2024) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem; Aktas, Sakine; Bayram, Zilan
Objective: The aim of this study was to determine the relationship between childhood trauma and dissociative experiences and t socio demographic factors affecting them among individuals with substance use disorders living in Eastern Turkey using a descriptive cross-sectional design. Methods: This study conducted with 173 individuals with substance use disorders treated at the SBU Van Training and Research Hospital Alcohol and Substance Addiction Treatment Centre (ASATC) in Eastern Turkey between April 2023 and June 2023. The research data were collected using the "Sociodemographic Information Form", "Dissociative Experiences Scale" and "Childhood Trauma Questionnaire". Results: The mean score of the childhood trauma questionnaire was 34.89 +/- 14.19. The mean score of the dissociative experiences scale of participants was 11.63 +/- 11.75. It was found that the mean score of sexual abuse subscale of the participants differed according to age, education status and family substance history. On the other hand, the mean score of the physical neglect subscale differed according to marital status. There was a weak positive correlation between dissociative experiences and emotional abuse, physical abuse, physical neglect, and total childhood trauma questionnaire score (p < .05). It was also found that childhood trauma was a significant predictor of dissociative experiences. Conclusion: Childhood trauma was found to increase dissociative experiences in substance-dependent individuals in Eastern Turkey.
Difficulties in Emotion Regulation and Attachment Styles Among Kurdish Individuals in Eastern Turkey With Substances Use Disorders
(Routledge Journals, Taylor & Francis Ltd, 2025) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Bayram, Zilan
The aim of this study was to investigate the relationship between attachment style and emotion dysregulation in Kurdish individuals with substance use disorders (SUDs) in Eastern Turkey, a non-Western, Islamic society, in a descriptive cross-sectional design. This study was conducted with 216 individuals with SUDs who were treated at the SBU Van Training and Research Hospital Alcohol and Substance Addiction Treatment Center in Eastern Turkey between April 2023 and June 2023. Almost half of the participants (44.5%, n = 96) were between 18 and 30 years old and almost all were men (96.3%, n = 208). The most commonly used substances were heroin (46.3%, n = 100), marijuana (28.7%, n = 62) and synthetic cannabinoids (7.9%, n = 12). The results showed that higher levels of emotion dysregulation were associated with increased avoidant attachment and anxious attachment style. The study found that anxious and avoidant attachment styles were a significant predictor of emotion dysregulation. These findings suggest that attachment styles may play an important role in emotion dysregulation in Kurdish individuals with SUDs. Future research should investigate whether interventions targeting attachment-based interventions could be effective in reducing emotion dysregulation in Kurdish individuals with SUDs.
Relationships Among Internalized Stigma, Readiness To Change and Treatment Eagerness, and Recovery Among Individuals With Substance Use Disorder in Turkey
(Slack inc, 2024) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Aslan, Kadriye
PURPOSE: To investigate relationships among internalized stigma, readiness to change and treatment eagerness, and recovery among people with substance use disorder (SUD) (N = 131). METHOD:This This study used a cross-sectional and correlational research design. Multiple linear regression was used for analysis. RESULTS: A 1-unit increase in alienation and discrimination experiences led to 0.220- and 0.337-unit increases in readiness to change and treatment eagerness, respectively (p = 0.001); however, a 1-unit increase in stigma resistance led to a 0.306-unit decrease in recovery (p < 0.001). There was a negative correlation between internalized stigma and recovery and positive correlations between internalized stigma and readiness to change and treatment eagerness; however, there was no significant relationship between recovery and readiness to change and treatment eagerness. CONCLUSION: Early intervention programs targeting internalized stigma in individuals with SUD may improve readiness to change and treatment eagerness and recovery attitudes.
Treatment Adherence, Internalised Stigma and Recovery Among Individuals Diagnosed With Schizophrenia in Eastern Turkey
(Wiley, 2024) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Aktas, Sakine; Keskiner, Mehmet Sinan
Introduction and AimThis study aimed to assess the relationship between treatment adherence, internalised stigma, recovery and the mediating effect of internalised stigma on these relations in individuals diagnosed with schizophrenia.MethodThis study was conducted using a cross-sectional design. A purposive sample of 107 individuals diagnosed with schizophrenia receiving psychiatric outpatient care at outpatient clinics and community mental health services (CMHC) affiliated with SBU Van research and education hospital was recruited for this study. The data were collected by the following tools: sociodemographic data questionnaire, the internalised stigma in mental illnesses scale, the medication adherence rating scale and recovery assessment scale.ResultsThe study participants reported low levels of treatment adherence, high levels of internalised stigma and moderate levels of recovery. Furthermore, we found a weak negative correlation between internalised stigma and treatment adherence. There was a moderate negative correlation between internalised stigma and recovery. Additionally, it was found that internalised stigma has fully mediating effect on the relation between treatment adherence and recovery.Implications for PracticeThe results of this study can guide mental health nurses in developing tailored interventions and support programmes to improve this population's treatment adherence, recovery and overall mental health outcomes.