Comparative Analysis of Personality-Related and Value-and-Meaning-Related Characteristics of Narcological Patients and Healthy Individuals (Abstainers) in Terms of Tertiary Prevention

Abstract

INTRODUCTION: Achievement of absolute sobriety, its maintenance and preservation are the main tasks of the stage of tertiary prophylaxis of narcological patients.

AIM: To perform a comparative analysis of personality- and value-and-meaning-related characteristics of narcological patients with syndrome of addiction to psychoactive substances, with similar characteristics of healthy individuals without significant experience in use of alcohol and other psychoactive substances (absolute and relative abstainers).

MATERIALS AND METHODS: The age, gender, level of education, experience in use of nicotine in the past and present, leading coping strategies, levels of religiosity and magic thinking have been studied.

RESULTS: Two diametrically opposite images of abstainers were identified: on the one end individuals with higher level of education and lower levels of religiosity and magic thinking, and on the other — individuals with lower level of education, but higher levels of religiosity and magic thinking. The group of abstainers is in general characterized by absence of the experience in nicotine use.

CONCLUSION: Taking into account personality- and value-and-meaning-related characteristics helps more accurately determine the goals and directions of psychotherapeutic and rehabilitation measures, to differentiate patients according to rehabilitation programs, increases the level of motivation and adherence to treatment, which in turn leads to a longer and stable remission.

Keywords

abstainer / coping strategies / magic thinking / rehabilitation programs / religiosity / remission / alcohol addiction syndrome / drug addiction syndrome

References

[1] Kirzhanova VV, Grigorova NI, Kirzhanov VN, et al. Deyatel’nost’ narkologicheskoy sluzhby v Rossiyskoy Federatsii v 2017–2018 godakh: Analiticheskiy obzor. Moscow; 2020. (In Russ).

[2] Киржанова В.В., Григорова Н.И., Киржанов В.Н., и др. Деятельность наркологической службы в Российской Федерации в 2017–2018 годах: Аналитический обзор. М.; 2020.

[3] Zykov OV, editor. Profilaktika patologicheskikh form zavisimogo povedeniya. Vol. III. Lechebnaya subkul’tura: tekhnologii profilaktiki retsidiva (tretichnaya profilaktika). Moscow; 2010. P. 41. (In Russ).

[4] Зыков О.В., ред. Профилактика патологических форм зависимого поведения. Т. III. Лечебная субкультура: технологии профилактики рецидива (третичная профилактика). М.; 2010. С. 41.

[5] Bekhtel’ EE. Donozologicheskiye formy zloupotrebleniya alkogolem. Moscow: Meditsina; 1986. (In Russ).

[6] Бехтель Э.Е. Донозологические формы злоупотребления алкоголем. М.: Медицина; 1986.

[7] Potrebleniye alkogolya v Rossii. Sotsiologicheskiy analiz [Internet]. Moscow: Institute of Sociology RAS; 2011. Available at: https://www.isras.ru/publ.html?id=2384. Accessed: 2022 July 12. (In Russ).

[8] Потребление алкоголя в России. Социологический анализ [Интернет]. М.: Институт социологии РАН; 2011. Доступно по: https://www.isras.ru/publ.html?id=2384. Ссылка активна на 12 июля 2022.

[9] Kopytov AV, Obiyedkov VG, Skugarevskaya EI. Cognitive model of risk for alcohol dependence development in young age. Zdravookhranenie (Minsk). 2011;(9):42–6. (In Russ).

[10] Копытов А.В., Объедков В.Г., Скугаревская Е.И. Когнитивная модель риска возникновения алкогольной зависимости в молодом возрасте // Здравоохранение (Минск). 2011. № 9. С. 42–46.

[11] Rosoff DB, Clarke T–K, Adams MJ, et al. Educational attainment impacts drinking behaviors and risk for alcohol dependence: results from a two-sample Mendelian randomization study with ~ 780,000 participants. Molecular Psychiatry. 2021;26(4):1119–32. doi: 10.1038/s41380-019-0535-9

[12] Rosoff D.B., Clarke T.–K., Adams M.J., et al. Educational attainment impacts drinking behaviors and risk for alcohol dependence: results from a two-sample Mendelian randomization study with ~ 780,000 participants // Molecular Psychiatry. 2021. Vol. 26, № 4. P. 1119–1132. doi: 10.1038/s41380-019-0535-9

[13] Kholmogorova AB, Garanyan NG. Kognitivno-bikhevioral’naya psikhoterapiya. In: Bokovikova AM, editor. Osnovnyye napravleniya sovremennoy psikhoterapii. Moscow: Kognito-Tsentr; 2000. P. 224–67. (In Russ).

[14] Холмогорова А.Б., Гаранян Н.Г. Когнитивно-бихевиоральная психотерапия. В кн.: Боковикова А.М., ред. Основные направления современной психотерапии. М.: Когнито-Центр; 2000. С. 224–267.

[15] Dawkins R. The God Delusion. Moscow.: KoLibri; 2016.

[16] Докинз Р. Бог как иллюзия. М.: КоЛибри; 2016.

[17] Bayramova EE, Enikolopov SN. Adaptatsiya metodiki opredeleniya urovnya magicheskogo myshleniya M. Ekblada i L.Dzh. Chapmana na russkoyazychnoy vyborke. Psychiatry (Moscow). 2016;(1):40–6. (In Russ).

[18] Байрамова Э.Э., Ениколопов С.Н. Адаптация методики определения уровня магического мышления М. Экблада и Л.Дж. Чапмана на русскоязычной выборке // Психиатрия. 2016. № 1. С. 40–46.

[19] George L, Neufeld RW. Magical ideation and schizophrenia. Journal of Consulting and Clinical Psychology. 1987;55(5):778–9. doi: 10.1037//0022-006x.55.5.778

[20] George L., Neufeld R.W. Magical ideation and schizophrenia // Journal of Consulting and Clinical Psychology. 1987. Vol. 55, № 5. P. 778–779. doi: 10.1037//0022-006x.55.5.778

[21] Eckblad M, Chapman LJ. Magical Ideation as an Indicator of Schizotypy. Journal of Consulting and Clinical Psychology. 1983;51(2):215–25. doi: 10.1037//0022-006x.51.2.215

[22] Eckblad M., Chapman L.J. Magical Ideation as an Indicator of Schizotypy // Journal of Consulting and Clinical Psychology. 1983. Vol. 51, № 2. P. 215–225. doi: 10.1037//0022-006x.51.2.215

[23] Bryun EA, Koshkina EA, Rychkova OV, et al. Sovremennyye podkhody v organizatsii mediko-sotsial’noy reabilitatsii narkologicheskikh bol’nykh. Metodicheskiye rekomendatsii. Moscow; 2013. (In Russ).

[24] Брюн Е.А., Кошкина Е.А., Рычкова О.В., и др. Современные подходы в организации медико-социальной реабилитации наркологических больных. Методические рекомендации. М.; 2013.

[25] Igumen Iona (Zaymovskiy). Pravoslavnaya Tserkov’ i programma «12 shagov». 2005. [Internet]. Available at: http://metanoia.msdm.ru/programma-12-shagov.html. Accessed: 2022 July 12. (In Russ).

[26] Игумен Иона (Займовский). Православная Церковь и программа «12 шагов». 2005. [Интернет]. Доступно по: http://metanoia.msdm.ru/programma-12-shagov.html. Ссылка активна на 12.07.2022.

[27] Kun Tomas. Struktura nauchnykh revolyutsiy. Moscow: Progress; 1975. (In Russ).

[28] Кун Томас. Структура научных революций: М.: Прогресс; 1975.

RIGHTS & PERMISSIONS

Eco-Vector