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    Cognitive distortions as barriers to seeking smoking cessation treatment: a comparative study
    (2024) Arpacıoğlu, Selim; Erzincan, Erkal; Ergelen, Mine; Arpacıoğlu, Beyza; Paltun, Salih Cihat; Yalçın, Murat; Bilici, Rabia
    Background/Objectives: Despite the availability of effective pharmacotherapy and evidence-based treatments, a substantial proportion of smokers do not seek treatment. This study aims to explore the cognitive distortions associated with not seeking evidence-based smoking cessation treatment and to identify cognitive barriers. Methods: The research conducted in Istanbul between October and December 2017 employs a cross-sectional design and includes two groups: a treatment-seeking group comprising 156 patients diagnosed with tobacco use disorder and a non-treatment seeking group of 78 patients with tobacco use disorder who had never sought professional help for smoking cessation. A comprehensive data collection process was used, including sociodemographic information, cognitive distortion assessment using the cognitive distortions scale, a smoking-related cognitive distortions interview and the Fagerström Test for Nicotine Dependence. Results: While no significant sociodemographic differences were observed between the treatment-seeking and non-treatment-seeking groups, the study found that higher nicotine dependence was associated with a higher likelihood of seeking treatment. The treatment-seeking group displayed significantly higher levels of "all-or-nothing thinking" cognitive distortions related to smoking and smoking cessation. Conversely, the non-treatment-seeking group exhibited elevated levels of cognitive distortions such as "labeling", "mental filtering", "should statements" and "minimizing the positive" regarding receiving smoking cessation treatment. Conclusions: Understanding the cognitive distortions associated with treatment-seeking behavior for tobacco use disorder is crucial for developing targeted public-based interventions, public service announcements for tobacco use prevention and encouraging individuals to seek evidence-based treatment. Addressing these cognitive distortions can also potentially enhance the effectiveness of smoking cessation programs and reduce the global burden of tobacco-related diseases and mortality.
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    Sociodemographic and clinical factors of dropout from inpatient detoxification treatment in patients with opioid use disorders
    (Pacini Editore Srl, 2024) Çetiner Akgül, Rahime Dicle; Ergelen, Mine; Arpacıoğlu, Selim; Yalçın, Murat
    Background: Completing detoxification treatment and receiving maintenance treatment are crucial for long term fa-vorable results. However, dropout rates in addiction treatment are quite high. This study was designed to determine the rate of remaining in inpatient detoxification treatment in patients with opioid use disorder (OUD) and to examine the sociodemographic and clinical characteristics associated with dropout from treatment, thereby providing more effective management of the treatment process. Methods: We conducted a prospective short-term follow-up study with 115 patients diagnosed with OUD and receiving inpatient treatment. Sociodemographic Data Form, SCID-I, Addiction Profile Index (API), Substance Craving Scale (SCS) and Perceived Stress Scale (PSS) were administered to the patients. Results: 44.6% of the patients dropped out of the inpatient treatment program. No significant difference was found in terms of sociodemographic characteristics between patients who dropped out and those who remained in the treatment. In terms of clinical characteristics, the rate of dropout from the treatment was significantly higher in those with comorbid psychiatric conditions, and those without regular outpatient clinic visits (p<0.05). The API “Severe Craving” subscale was significantly higher in the group that dropped out and was predictive for dropout from the treatment. Conclusions: The results of our study provided important conclusions in terms of understanding the clinical conditions and risk factors associated with dropout from inpatient detoxification treatment for OUD patients in our country. We believe that these results con-tribute to the evaluation and treatment processes of OUD patients to increase treatment compliance.

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