Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay

Abstract Background Cognitions associated with craving and substance use are important contributors for the psychological theories of Substance use disorders (SUD), as they may affect the course and treatment. In this study, we aimed to validate Turkish version of two major scales ‘Beliefs About Sub...

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Main Authors: Melike Küçükkarapınar, Hale Yapici Eser, Vahap Ozan Kotan, Merve Yalcinay-Inan, Rifat Tarhan, Zehra Arikan
Format: Article
Language:English
Published: BMC 2018-08-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13011-018-0166-1
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author Melike Küçükkarapınar
Hale Yapici Eser
Vahap Ozan Kotan
Merve Yalcinay-Inan
Rifat Tarhan
Zehra Arikan
author_facet Melike Küçükkarapınar
Hale Yapici Eser
Vahap Ozan Kotan
Merve Yalcinay-Inan
Rifat Tarhan
Zehra Arikan
author_sort Melike Küçükkarapınar
collection DOAJ
description Abstract Background Cognitions associated with craving and substance use are important contributors for the psychological theories of Substance use disorders (SUD), as they may affect the course and treatment. In this study, we aimed to validate Turkish version of two major scales ‘Beliefs About Substance Use’(BSU) and ‘Craving Beliefs Questionnaire’(CBQ) in patients with heroin use disorder and define the interaction of these beliefs with patient profile, depression and anxiety symptoms, with an aim to use these thoughts as targets for treatment. Methods One hundred seventy-six inpatients diagnosed with heroin use disorder and 120 participants in the healthy comparison group were evaluated with CBQ, BSU, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and sociodemographic data questionnaire. Patient group was also evaluated with Addiction Profile Index. Reliability and validity analysis for scales were conducted. Linear regression analysis was conducted to evaluate the determinants of BSU and CBQ scores. Results Cronbach alpha level was 0.93 for BSU and 0.94 for CBQ. Patient group showed significantly higher CBQ, BSU, BAI and BDI scores (p < 0.001). BSU score significantly correlated with API-substance use profile score, API-diagnosis, BAI, BDI and CBQ (p < 0.005), whereas CBQ scores significantly correlated with API-diagnosis, API-impact on life, API-craving, API-total score, BSU, BAI, BDI and amount of cigarette smoking (p < 0.002). Number of previous treatments and age of onset for substance use were not correlated with either BSU or CBQ. BAI and BDI scores significantly predicted BSU score, however only BDI score predicted CBQ score (p < 0.003). Conclusions Craving beliefs were highly correlated with addiction profile. Anxiety and depression are significant modulators for patients’ beliefs about substance use and depression is a modulator for craving and maladaptive beliefs, validating emotion-cognition interplay in addiction.
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spelling doaj.art-2b208dd4c3934f15b3e8181abd6e7e292022-12-22T01:45:09ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2018-08-0113111110.1186/s13011-018-0166-1Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplayMelike Küçükkarapınar0Hale Yapici Eser1Vahap Ozan Kotan2Merve Yalcinay-Inan3Rifat Tarhan4Zehra Arikan5Department of Psychiatry, Muş State HospitalKoç University School of Medicine, İstanbul, Turkey & Koç University Research Center for Translational Medicine (KUTTAM)Department of Psychiatry, Ankara Numune Training and Research HospitalDepartment of Psychiatry, Koç University HospitalDepartment of Psychiatry, Ankara Numune Training and Research HospitalDepartment of Psychiatry, Gazi University, Faculty of MedicineAbstract Background Cognitions associated with craving and substance use are important contributors for the psychological theories of Substance use disorders (SUD), as they may affect the course and treatment. In this study, we aimed to validate Turkish version of two major scales ‘Beliefs About Substance Use’(BSU) and ‘Craving Beliefs Questionnaire’(CBQ) in patients with heroin use disorder and define the interaction of these beliefs with patient profile, depression and anxiety symptoms, with an aim to use these thoughts as targets for treatment. Methods One hundred seventy-six inpatients diagnosed with heroin use disorder and 120 participants in the healthy comparison group were evaluated with CBQ, BSU, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and sociodemographic data questionnaire. Patient group was also evaluated with Addiction Profile Index. Reliability and validity analysis for scales were conducted. Linear regression analysis was conducted to evaluate the determinants of BSU and CBQ scores. Results Cronbach alpha level was 0.93 for BSU and 0.94 for CBQ. Patient group showed significantly higher CBQ, BSU, BAI and BDI scores (p < 0.001). BSU score significantly correlated with API-substance use profile score, API-diagnosis, BAI, BDI and CBQ (p < 0.005), whereas CBQ scores significantly correlated with API-diagnosis, API-impact on life, API-craving, API-total score, BSU, BAI, BDI and amount of cigarette smoking (p < 0.002). Number of previous treatments and age of onset for substance use were not correlated with either BSU or CBQ. BAI and BDI scores significantly predicted BSU score, however only BDI score predicted CBQ score (p < 0.003). Conclusions Craving beliefs were highly correlated with addiction profile. Anxiety and depression are significant modulators for patients’ beliefs about substance use and depression is a modulator for craving and maladaptive beliefs, validating emotion-cognition interplay in addiction.http://link.springer.com/article/10.1186/s13011-018-0166-1Beliefs about substance useCraving beliefs questionnaireHeroinOpioid use disorder
spellingShingle Melike Küçükkarapınar
Hale Yapici Eser
Vahap Ozan Kotan
Merve Yalcinay-Inan
Rifat Tarhan
Zehra Arikan
Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
Substance Abuse Treatment, Prevention, and Policy
Beliefs about substance use
Craving beliefs questionnaire
Heroin
Opioid use disorder
title Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
title_full Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
title_fullStr Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
title_full_unstemmed Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
title_short Assessing the validity and reliability of the Turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder: demonstrating valid tools to assess cognition-emotion interplay
title_sort assessing the validity and reliability of the turkish versions of craving beliefs and beliefs about substance use questionnaire in patients with heroin use disorder demonstrating valid tools to assess cognition emotion interplay
topic Beliefs about substance use
Craving beliefs questionnaire
Heroin
Opioid use disorder
url http://link.springer.com/article/10.1186/s13011-018-0166-1
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AT haleyapicieser assessingthevalidityandreliabilityoftheturkishversionsofcravingbeliefsandbeliefsaboutsubstanceusequestionnaireinpatientswithheroinusedisorderdemonstratingvalidtoolstoassesscognitionemotioninterplay
AT vahapozankotan assessingthevalidityandreliabilityoftheturkishversionsofcravingbeliefsandbeliefsaboutsubstanceusequestionnaireinpatientswithheroinusedisorderdemonstratingvalidtoolstoassesscognitionemotioninterplay
AT merveyalcinayinan assessingthevalidityandreliabilityoftheturkishversionsofcravingbeliefsandbeliefsaboutsubstanceusequestionnaireinpatientswithheroinusedisorderdemonstratingvalidtoolstoassesscognitionemotioninterplay
AT rifattarhan assessingthevalidityandreliabilityoftheturkishversionsofcravingbeliefsandbeliefsaboutsubstanceusequestionnaireinpatientswithheroinusedisorderdemonstratingvalidtoolstoassesscognitionemotioninterplay
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