成瘾患者与自我的关系以及对预计住院时间的预测

Alina-Maria Lescai, Mihaela Anghele, Alexia Anastasia Baltă, Aurelian Dumitrache Anghele, L. Dragomir, Bogdan Ciubara
{"title":"成瘾患者与自我的关系以及对预计住院时间的预测","authors":"Alina-Maria Lescai, Mihaela Anghele, Alexia Anastasia Baltă, Aurelian Dumitrache Anghele, L. Dragomir, Bogdan Ciubara","doi":"10.18662/brain/15.1/540","DOIUrl":null,"url":null,"abstract":"Addictions are physical and/or psychological dependency disorders characterized by repetitive and compulsive behaviours in which the individual has difficulty controlling impulses. In this study, behaviours are defined as chronic alcohol or substance use. Thus, compulsions will generate negative consequences on a person's quality of life. Among the causes of addiction are genetic and biological factors, environmental factors, trauma, abuse, lack of emotional support, stress, social pressures, poor coping mechanisms, social and cultural factors. \nMaterial and method \nIn this study, part of a larger study, 81 patients diagnosed with toxic-nutritional liver cirrhosis, chronic alcohol users, aged between 32 and 68 years were included. The study period was of two years, and anamnestic data (number of hospitalization days, hospitalization frequency) were collected for the period 2015-2022. In order to carry out the linear research, SPSS statistical software was used. Patients, after obtaining consent, were administered a psychological questionnaire designed to assess unconditional self-acceptance, based on the hypothesis that low self-tolerance generates self-destructive behaviours, i.e. addictions. \n  \nResults \nThe necessary statistical steps were followed in order to check the database and it was possible to obtain correlations between the number of hospitalization days, the hospitalization frequency and the scores obtained in the questionnaire. Finally, it was possible to generate a simple linear regression prediction with the number of hospitalisation days /inpatient frequency as the dependent variable and the test score as the independent variable. \nThe results showed that as unconditional self-acceptance decreases (decreasing score), the hospitalization duration or the number of patient presentations to the doctor increases. \nConclusions \nUnconditional self-acceptance, environmental tolerance, coping mechanisms have a major impact on the patient's well-being and compliance with treatment. Psychosomatic disorders accompany the addiction patient to a much greater extent than the diagnosis made by clinicians. This demonstrates the need for a diagnostic tool, the lack of collaboration with the psychiatrist, ultimately generating costs on the health system and reducing the quality of the patient’s life. \nIn order to optimise the diagnosis, a tool within the clinician's reach (internal medicine doctor, gastroenterologist, etc.) and a real collaboration with the psychiatrist or clinical psychologist is necessary.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Addiction Patient’s Relationship to Self and Predictions on the Estimated Hospitalization Duration\",\"authors\":\"Alina-Maria Lescai, Mihaela Anghele, Alexia Anastasia Baltă, Aurelian Dumitrache Anghele, L. Dragomir, Bogdan Ciubara\",\"doi\":\"10.18662/brain/15.1/540\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Addictions are physical and/or psychological dependency disorders characterized by repetitive and compulsive behaviours in which the individual has difficulty controlling impulses. In this study, behaviours are defined as chronic alcohol or substance use. Thus, compulsions will generate negative consequences on a person's quality of life. Among the causes of addiction are genetic and biological factors, environmental factors, trauma, abuse, lack of emotional support, stress, social pressures, poor coping mechanisms, social and cultural factors. \\nMaterial and method \\nIn this study, part of a larger study, 81 patients diagnosed with toxic-nutritional liver cirrhosis, chronic alcohol users, aged between 32 and 68 years were included. The study period was of two years, and anamnestic data (number of hospitalization days, hospitalization frequency) were collected for the period 2015-2022. In order to carry out the linear research, SPSS statistical software was used. Patients, after obtaining consent, were administered a psychological questionnaire designed to assess unconditional self-acceptance, based on the hypothesis that low self-tolerance generates self-destructive behaviours, i.e. addictions. \\n  \\nResults \\nThe necessary statistical steps were followed in order to check the database and it was possible to obtain correlations between the number of hospitalization days, the hospitalization frequency and the scores obtained in the questionnaire. Finally, it was possible to generate a simple linear regression prediction with the number of hospitalisation days /inpatient frequency as the dependent variable and the test score as the independent variable. \\nThe results showed that as unconditional self-acceptance decreases (decreasing score), the hospitalization duration or the number of patient presentations to the doctor increases. \\nConclusions \\nUnconditional self-acceptance, environmental tolerance, coping mechanisms have a major impact on the patient's well-being and compliance with treatment. Psychosomatic disorders accompany the addiction patient to a much greater extent than the diagnosis made by clinicians. This demonstrates the need for a diagnostic tool, the lack of collaboration with the psychiatrist, ultimately generating costs on the health system and reducing the quality of the patient’s life. \\nIn order to optimise the diagnosis, a tool within the clinician's reach (internal medicine doctor, gastroenterologist, etc.) and a real collaboration with the psychiatrist or clinical psychologist is necessary.\",\"PeriodicalId\":504804,\"journal\":{\"name\":\"BRAIN. Broad Research in Artificial Intelligence and Neuroscience\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BRAIN. Broad Research in Artificial Intelligence and Neuroscience\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18662/brain/15.1/540\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18662/brain/15.1/540","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

成瘾是一种生理和/或心理依赖性疾病,其特点是重复性和强迫性行为,患者难以控制自己的冲动。在本研究中,行为被定义为长期使用酒精或药物。因此,强迫行为会对人的生活质量产生负面影响。成瘾的原因包括遗传和生物因素、环境因素、创伤、虐待、缺乏情感支持、压力、社会压力、应对机制不完善、社会和文化因素。材料和方法 本研究是一项大型研究的一部分,纳入了 81 名被诊断为中毒性营养性肝硬化的患者,他们长期饮酒,年龄在 32 岁至 68 岁之间。研究为期两年,收集了 2015-2022 年期间的国内数据(住院天数、住院频率)。为了进行线性研究,使用了 SPSS 统计软件。在征得同意后,对患者进行了心理问卷调查,目的是评估无条件的自我接纳,其假设是低自我容忍度会产生自毁行为,即成瘾。 结果 对数据库进行了必要的统计核对,得出了住院天数、住院频率和问卷得分之间的相关性。最后,以住院天数/住院频率为因变量,以测试得分为自变量,进行了简单的线性回归预测。结果表明,随着无条件自我接纳程度的降低(得分减少),住院天数或患者就诊次数会增加。结论 无条件自我接纳、环境容忍度、应对机制对患者的幸福感和治疗依从性有重大影响。与临床医生的诊断相比,心身疾病在更大程度上伴随着吸毒成瘾患者。这表明需要一种诊断工具,但缺乏与精神科医生的合作,最终会给医疗系统带来成本,降低患者的生活质量。为了优化诊断,有必要在临床医生(内科医生、消化科医生等)的能力范围内提供一种工具,并与精神科医生或临床心理学家开展真正的合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Addiction Patient’s Relationship to Self and Predictions on the Estimated Hospitalization Duration
Addictions are physical and/or psychological dependency disorders characterized by repetitive and compulsive behaviours in which the individual has difficulty controlling impulses. In this study, behaviours are defined as chronic alcohol or substance use. Thus, compulsions will generate negative consequences on a person's quality of life. Among the causes of addiction are genetic and biological factors, environmental factors, trauma, abuse, lack of emotional support, stress, social pressures, poor coping mechanisms, social and cultural factors. Material and method In this study, part of a larger study, 81 patients diagnosed with toxic-nutritional liver cirrhosis, chronic alcohol users, aged between 32 and 68 years were included. The study period was of two years, and anamnestic data (number of hospitalization days, hospitalization frequency) were collected for the period 2015-2022. In order to carry out the linear research, SPSS statistical software was used. Patients, after obtaining consent, were administered a psychological questionnaire designed to assess unconditional self-acceptance, based on the hypothesis that low self-tolerance generates self-destructive behaviours, i.e. addictions.   Results The necessary statistical steps were followed in order to check the database and it was possible to obtain correlations between the number of hospitalization days, the hospitalization frequency and the scores obtained in the questionnaire. Finally, it was possible to generate a simple linear regression prediction with the number of hospitalisation days /inpatient frequency as the dependent variable and the test score as the independent variable. The results showed that as unconditional self-acceptance decreases (decreasing score), the hospitalization duration or the number of patient presentations to the doctor increases. Conclusions Unconditional self-acceptance, environmental tolerance, coping mechanisms have a major impact on the patient's well-being and compliance with treatment. Psychosomatic disorders accompany the addiction patient to a much greater extent than the diagnosis made by clinicians. This demonstrates the need for a diagnostic tool, the lack of collaboration with the psychiatrist, ultimately generating costs on the health system and reducing the quality of the patient’s life. In order to optimise the diagnosis, a tool within the clinician's reach (internal medicine doctor, gastroenterologist, etc.) and a real collaboration with the psychiatrist or clinical psychologist is necessary.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信