Akademik Veri Yönetim Sistemi
16th International Congress on Psychopharmacology & Child and Adolescent Psychopharmacology, Antalya, Türkiye, 23 - 26 Nisan 2025, ss.311, (Özet Bildiri)
BACKGROUND AND AIM: Substance use disorder (SUD) is a public health problem worldwide. Treatment
motivation is an important factor in addiction treatment in terms of not starting treatment, dropping out, and
relapses, and affects the course of treatment. The aim of the study is to examine the effect of hospitalization type,
sociodemographic characteristics, substance use characteristics and addiction severity on the treatment motivation
of the compulsory and voluntary inpatient groups through Article 432 of the Turkish Civil Code.
METHODS: 200 people who agreed to participate in the study were included in the study. People were included in
the study after completing 14 days of detoxification treatment. Sociodemographic and clinical data form, Addiction
Profile Index (API) and clinical form (API-K) and Treatment Motivation Questionnaire (TMQ) were applied to the
participants. Statistical significance was taken as p<0.005.
RESULTS: In our study, it was found that the compulsory group was younger and sub-dimensions such as craving,
impact on life, addiction severity, impulsivity, depression and anxiety were lower than the voluntary group.
It was found that the intrinsic motivation, help seeking and tma-total scores of the voluntary hospitalization group
were significantly higher than the compulsory group. The extrinsic motivation of the compulsory patients was
found to be significantly higher than the voluntary group. Trust in treatment was similar between the two groups.
When the API and API-K were compared between the two groups, excitement seeking behavior was found to be
similar, while all other subscales were found to be significantly higher in the voluntary group.
The TMQ scores of the four groups formed according to the severity of addiction and the type of hospitalization
were compared with each other. Significant differences were found between the groups in intrinsic motivation,
extrinsic motivation and tma-total scores. It was found that intrinsic motivation and tma-total scores were
significantly lower in the compulsory and low-severity patient group than in the other groups. It was found that
extrinsic motivation was significantly higher in the compulsory and high-severity patient group than in the other
groups. It was found that the help seeking of the voluntary and severely addicted patients was very close to
statistical significance.
When the correlation of the sociodemographic variables of the compulsory group with TMQ was examined, it was
determined that the extrinsic motivation and help-seeking were higher in individuals receiving compulsory
treatment who had a family history of substance use.
CONCLUSIONS: The fact that intrinsic motivation increases if the addiction severity of patients receiving
compulsory treatment is high, but extrinsic motivation does not increase if the addiction severity is low, reveals the
importance of addiction severity in motivation, independent of the type of hospitalization.
It has been shown that the type of hospitalization and the severity of addiction affect motivation dimensions. It was
found that family history and living with the family increased extrinsic motivation in compulsory hospitalized
patients. Increasing family support for patients with SUD and conducting motivational interviews aimed at showing
the negative effects of substance use on their lives are important in the initial stage of addiction treatment.
Keywords: Addiction, voluntary, motivation, compulsory