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Comparison of Coping Mechanisms Between Alcoholics in Early Remission and Alcoholics in Remission at Least for 1 Year and Control Group

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Author(s): Şahinde Özlem Erden AKİ | Zehra ARIKAN | Sedat IŞIKLI

Journal: Nöropsikiyatri Arşivi
ISSN 1300-0667

Volume: 45;
Issue: 2;
Start page: 36;
Date: 2008;
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Keywords: Alcohol dependence | coping mechanisms | alcoholics anonymous

ABSTRACT
Objective: To compare coping mechanisms and appraisal of coping skills at various stages of remission in patients with alcohol dependence.Method: This was a cross sectional study comparing the results of 3 groups including group 1- patients with alcohol dependence and, group 2-patients with alcohol dependence and in remission for at least 1 year and group 3 – a control group consisting of healthy individuals without any history of substance use except smoking. Hamilton Depression Scale, Coping with Stress Scale, Problem Solving Inventory, Rosenbaum’s Learned Resourcefulness Inventory, Rotter’s Locus of Control Scale, Beck Depression Scale, Beck Hopelessness Scale, State- Trait Anxiety Inventory and Minnesota Multiphasic Personality Inventory (MMPI) were completed for all subjects.Results: The control group and persons with at least one year of remission used adaptive coping mechanisms more frequently. Factors associated with the degree of alcohol dependence, such ase age at the start of alcohol use and daily alcohol consumption were found to affect coping mechanisms and appraisal of coping skills. Persons attending Alcoholics Anonymous (AA) meetings were found to use an indirect coping mechanism (seeking help), which is an adaptive coping skill in our culture, more frequently and were found to have less hopelessness.Conclusion: The results implied that patients with alcohol dependence who have been in remission more than 1 year and subjects attending AA meetings use adaptive coping mechanisms more frequently. It suggests coping skills treatment and attendance at AA meetings would improve long- term outcomes of alcohol dependence. (Archives of Neuropsychiatry 2008; 45: 37-47)
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