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Dragan Babić, Osman Sinanović, Marko Martinac (Mostar, Tuzla) UTJECAJ ALKOHOLIZMA NA NAČIN IZRAŽAVANJA I KONTROLU AGRESIVNOSTI U RATNIH VETERANA OBOLJELIH OD KRONIČNOG POSTTRAUMATSKOG STRESNOG POREMEĆAJA Tisućljećima
je poznato da se agresivnost kao simptom javlja u brojnim psihićkim
poremećajima i bolestima, a posljednjih desetljeća sve se ćešće
spominje i proućava pojava agresivnog ponašanja povezanog s posttraumatskim
stresnim poremećajem (PTSP) koji je posljedica katastrofalne ratne
traume. Cilj ovog istraživanja je analizirati utjecaj alkoholizma
na naćin izražavanja i kontrolu agresivnosti u ratnih veterana oboljelih
od kronićnog PTSP. Ispitivanim uzorkom obuhvaćeno je 240 ratnih
veterana s kronićnim PTSP. Ispitanici su podijeljeni u dvije grupe.
PTSP grupa (n=147) i kontrolna grupa koju su ćinili oboljeli koji
su uz PTSP imali pridružen alkoholizam (n=93). U ovom istraživanju
korišten je sljedeći psihološki instrumentarij: Harvard trauma upitnik
za dijagnosticiranje PTSP (HTQ); Upitnik za samoocjenu agresivnosti
(STAXI); Profil indeks emocija (PIE); Upitnik za autodijagnostiku
alkoholizma (CAGE). Dobiveni rezultati pokazuju da ispitanici koji
imaju PTSP komorbidan s alkoholizmom imaju jaće izraženu deprivaciju,
agresivnost (P<0.001) i opozicionalnost (P<0.05) u odnosu
na ispitanike u kojih PTSP nije udružen s alkoholizmom (PIE). U
ispitanika koji uz PTSP imaju dijagnosticiran alkoholizam postoji
statistićki znaćajnije izražena agresivnost na svim subskalama u
odnosu na ispitanike koji uz PTSP nemaju dijagnosticiran alkoholizam:
trenutno stanje agresivnosti, opće stanje agresivnosti, agresivnost
pri nepravednom tretmanu, agresivnost usmjerena prema vani i agresivnost
usmjerena prema unutra (p<0.001); agresivnost pri nespecifićnoj
provokaciji i opće izražavanje agresivnosti (p<0.05) (STAXI).
Ispitanici koji su imali PTSP udružen s alkoholizmom pokazuju veći
stupanj agresivnosti u odnosu na ispitanike koji uz PTSP nemaju
dijagnosticiran alkoholizam. IMPACT OF ALCOHOLISM ON MODE OF EXPRESSION AND CONTROL OF AGGRESSION IN THE WAR VETERANS SUFFERING FROM CHRONIC POSTTRAUMATIC STRESS DISORDER For
thousands of years it has been known that aggression as a symptom
appears in numerous psychiatric disorders and diseases. During the
last decade the appearance of the aggressive behavior related to
the posttraumatic stress disorder (PTSD) has been frequently investigated,
often associated with war trauma. The goal of this study is to analyze
the impact of alcoholism on a way war veterans suffering from chronic
PTSD express and control aggression. The sample included 240 war
veterans with chronic PTSD. The subjects were divided in two groups.
PTSD group (n=147) and controlled group composed of those suffering
from alcoholism in addition to PTSD (n=93). In this study, the following
psychological instruments were used: The Harvard trauma questionnaire
for PTSD diagnosis (HTQ); the questionnaire for self-evaluation
of aggression (STAXI); The Profile Index Emotion (PIE); questionnaire
for auto-diagnosis of alcoholism (CAGE). The obtained results indicate
that subjects who have PTSD with co-morbid alcoholism are more deprived,
aggressive (p<0.001) and oppositional (p<0.05) in comparison
to subjects whose PTSD is not combined with alcoholism (PIE). The
aggression is statistically more expressed in subjects with PTSD
who have also been diagnosed with alcoholism on all subscales in
comparison to subjects with PTDS who have not been diagnosed with
alcoholism: the current state of aggression, the general state of
aggression, aggression towards an unfair treatment, aggression directed
inwards and outwards (p<0.001); aggression towards nonspecific
provocation and a general way of expressing aggression (p<0.05)
(STAXI). Subjects that had PTSD combined with alcoholism show a
higher degree of aggression in comparison to subjects with PTDS
who are not diagnosed with alcoholism. Prof.
dr. med.sc. Dragan Babić1, neuropsihijatar, Prof. dr. med.sc. Osman
Sinanović2, neuropsihijatar, Dr. Marko Martinac3, psihijatar |
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