Harm Perception and Result Awareness Study for Tertiary Prevention in Patients with Comorbidity of Substance Use Disorder and Bipolar Disorder

The long-term protective effect of self-awareness in substance use disorders, described as a type of brain disease, is currently being discussed and is called tertiary prevention. The aim of this study was to demonstrate the contribution of a positive psychotherapy program implemented in tertiary pr...

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Bibliographic Details
Main Authors: Nevzat Tarhan, Çiğdem Demirsoy, Aylin Tutgun-Ünal
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Psychiatry International
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Online Access:https://www.mdpi.com/2673-5318/6/1/19
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Summary:The long-term protective effect of self-awareness in substance use disorders, described as a type of brain disease, is currently being discussed and is called tertiary prevention. The aim of this study was to demonstrate the contribution of a positive psychotherapy program implemented in tertiary prevention by repeatedly measuring patients’ levels of harm perception and result awareness. A one-group pre-test–post-test experimental model was used according to the quantitative method. The sample of the study consisted of 44 patients who applied to AMATEM and were diagnosed with substance use disorder and/or alcohol use disorder and comorbid bipolar disorder. Two groups were formed by taking into account comorbidities: The first group consisted of 30 individuals with substance use disorder and/or alcohol use disorder. The second group consisted of 14 patients diagnosed with bipolar disorder together with substance use disorder. The data were collected with the Uskudar Harm Perception Scale (USHPS) and the Uskudar Result Awareness Scale (USRAS), developed by Tarhan, Demirsoy, and Tutgun-Ünal. As a result of the study, the pre-test and post-test scores of the patients differed, and their awareness levels increased after the psychotherapy program. According to the pre-test and post-test Cohen’s d calculations, the effect size of the difference between the two groups was high (d > 0.8). It was understood that the program and measurement tools contributed to the tertiary prevention studies.
ISSN:2673-5318