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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV1347

The Ethnocultural Context of Alcohol Dependence in Women

THE ETHNOCULTURAL CONTEXT OF ALCOHOL DEPENDENCE IN WOMEN

Women of Tuvan ethnicity with alcohol dependence have high rates of paternal hereditary alcoholism, psychotic presentations, occupational and parenting losses, and readmission, alongside low treatment motivation and rehabilitation potential.

The aim was to compare the clinical, psychological, and social characteristics of the development and course of alcohol dependence in women of Tuvan and Russian ethnicity and to determine the rehabilitation potential of Tuvan women with alcohol dependence. The sample consisted of 66 Russian and 78 Tuvan female patients diagnosed with ICD-10 F10.2 (dependence syndrome); patients were recruited from the Clinic of the Tomsk Mental Health Research Institute and addiction clinics in the Republic of Tuva. Abstract logical reasoning, generalization processes, and consistency of judgment were assessed using the pictogram technique (Khersonsky 1988; Venger 2003). Groups were compared using the Mann–Whitney U test, and Spearman’s r and Kendall’s tau tests were used for correlation analysis. Among the Tuvan female patients, 66.6% had no regular employment or worked in unskilled jobs, 76.7% had changed jobs three or more times because of alcohol use, 57.6% had a substantial paternal family history of alcoholism, and 45% had been deprived of their parental rights. Seventy percent of patients had received repeated treatment at an addiction clinic, and 16.7% had been hospitalized for psychotic symptoms such as alcohol withdrawal delirium or alcoholic hallucinosis. The poster indicates that psychotic presentations reached a prevalence of 16.7% after 5 to 6 years of dependent use and identifies severe forms of alcohol-related amnesia and low alcohol tolerance as features of the developmental pattern of dependence in Tuvan women. Reasons for stopping alcohol use included a marked deterioration in physical health (alcoholic hepatitis, myocardial dystrophy, neuropathy) in 43.3% and stressful situations at home or in the workplace in 33.3%; 36.7% sought treatment under pressure from those around them and with the expectation of a short hospital stay, while 33.3% intended to abstain from alcohol only for a limited period, generally no longer than one year. The authors state that the clinical, psychopathological, and adverse social consequences of alcohol abuse indicate an unfavorable developmental pattern in Tuvan women, and that cross-cultural studies make it possible to compare the effectiveness of prevention and rehabilitation measures across ethnic and gender groups.

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