Alkol Kullanım Bozukluğu Olan Hastalarda Öfke ve Agresyonun Ortaya Çıkışında Üstbilişin Rolü

Abstract

Objective: In this study, weaimed to investigate metacognitive functions, anger and aggression and the relationship in patients with alcohol dependence. It is to have information about which metacognitive beliefs plays a role in the emergence of anger and aggression in people with alcohol dependence. Method: The patient group diagnosed with Alcohol Use Disorder (AUD) according to DSM-5 (n = 72) and the control group without any psychiatric diagnosis (n = 71) were included in the study. Sociodemographic data form, Alcohol Use Disorders Identification Test (AUDIT), Metacognition Questionnaire (MCQ-30), Trait Anger and Anger Expression Scale (STAXI) and Buss-Perry’s Aggression Questionnaire (AQ) were used. Results: In the AUD group, the MCQ-30, STAXI trait anger, anger out and anger in, and AQ scores were found to be significantly higher than the control group (p<0,001, p<0,001, p=0,018, p<0,001, p=0,001 and p=0,001, p<0,001, respectively). When comparing the correlation coefficients of MCQ-30 and other scales between the groups, a difference was found between the AUD group, trait anger and physical aggression (z=2,035; p=0,042 ve z=2,120; p=0,034, respectively). As a result of the regression analysis performed in our study, it was found that the need to control thoughts is the most metacognitive beliefs that predicts aggression in people with AUD(β=0.567,t(66)= 4,034, p<0.001,pr2=0.20). Conclusion: Metacognitive beliefs are highly affected in people with AUD and they cause more anger and aggression. It has been shown that the need to control thoughts plays an important role in the emergence of anger.