Motivational Personality Sphere and Psychoemotional Features in Patients with Drug Addiction Disorders at Different Stages of the Treatment and Rehabilitation Process (Part I)

0

Abstract

The aim of the study was to analyze dynamic changes in the motivational and psychoemotional features of patients with drug addiction disorders at different stages of the treatment and rehabilitation process (TRP). The study involved 226 patients (163 men and 63 women) with narcological disorders. The following scales were used: Socrates, DASS-21 and GSE. Using the Socrates scale, results were obtained indicating: 1) significantly higher scores on the Ambivalence subscale at the early and recovery stages of the TRP in patients diagnosed with alcohol dependence (p≤0.05); 2) significantly higher scores on the total score (p≤0.001), the Ambivalence subscale (p≤0.05), and the Action subscale (p≤0.05) (p≤0.05) at the restorative and stabilizing stages of LRP, typical for women. Evaluation of the features of the DASS-21 revealed: 1) the presence of signs of moderate depression in patients with drug dependence (p≤0.01) and mild stress (p≤0.01) at the early stage of TRP were determined; 2) at the restorative stage of TRP, a higher level of depression (p≤0.01), anxiety (p≤0.05) and stress (p≤0.001) was detected in the group of patients with drug dependence. The analysis of the results obtained will make it possible to provide targeted assistance to patients with drug use disorders and increase the effectiveness of psychological and psychotherapeutic interventions in clinical practice.

General Information

Keywords: drug addiction disorders, alcohol dependence, drug addiction, patient, motivation, self-efficacy, psychoemotional features, treatment and rehabilitation process

Journal rubric: Interdisciplinary Studies

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2024140215

Funding. The study was conducted on the basis of National Research Center on Addictions — branch, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation within the framework of the State task “Development of personalized treatment and medical rehabilitation programs for patients with substance dependence syndrome taking into account their clinical, neurophysiological and genetic profile in inpatient settings with determination of the influence of brain-derived neurotrophic factor (BDNF) on remission for-mation”.

Received: 17.01.2024

Accepted:

For citation: Fadeeva E.V., Lanovaya A.M. Motivational Personality Sphere and Psychoemotional Features in Patients with Drug Addiction Disorders at Different Stages of the Treatment and Rehabilitation Process (Part I) [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2024. Vol. 14, no. 2, pp. 199–218. DOI: 10.17759/psylaw.2024140215. (In Russ., аbstr. in Engl.)

References

  1. Agibalova T.V., Buzik O.Zh., Vinnikova M.A., Nenasteva A.Yu., Utkin S.I., Titkov M.S., Poplevchenkov K.N., Tuchina O.D. Psikhicheskie i povedencheskie rasstroistva, vyzvannye upotrebleniem alkogolya. Sindrom zavisimosti ot alkogolya. Klinicheskie rekomendatsii. Peresmotr 2022 goda [Mental and behavioral disorders caused by alcohol use. Alcohol dependence syndrome. Clinical guidelines. Revised 2022] [Elektronnyi resurs]. Narkologiya = Narcology, 2022. Vol. 21, no. 4, pp. 3–21. doi:10.25557/1682-8313.2022.04.3-21 (In Russ.).
  2. Agibalova T.V., Tuchin P.V., Tuchina O.D. Psikhoterapiya narkologicheskikh zabolevanii. In Ivanets N.N., Anokhina I.P., Vinnikova M.A. (Eds.). Narkologiya: natsional’noe rukovodstvo. 2nd ed. Moscow: GEOTAR-Media, 2016. 944 p. (In Russ.).
  3. Vinnikova M.A., Nenasteva A.Yu., Utkin S.I. Psikhicheskie i povedencheskie rasstroistva, vyzvannye upotrebleniem alkogolya. Alkogol’noe abstinentnoe sostoyanie (sindrom otmeny alkogolya). Klinicheskie rekomendatsii. Peresmotr 2022 goda [Mental and behavioral disorders due to use of alcohol. Alcohol withdrawal syndrome (Alcohol withdrawal). Clinical guidelines. Revised 2022] [Elektronnyi resurs]. Narkologiya = Narcology, 2022. Vol. 21, no. 2, pp. 3–13. doi:10.25557/1682-8313.2022.02.3-13 (In Russ.).
  4. Gofman A.G., Ponizovskiy P.A. O sochetanii depressivnykh rasstroistv s zavisimost’yu ot alkogolya [On comorbidity of depression and alcohol addiction]. Voprosy narkologii = Journal of Addiction Problems, 2017, no. 4-5, pp. 103–112. (In Russ.).
  5. Zolotareva A.A. Sistematicheskii obzor psikhometricheskikh svoistv shkaly depressii, trevogi i stressa (DASS-21) [Systematic review of the psychometric properties of the Depression Anxiety and Stress Scale-21 (DASS-21)] [Elektronnyi resurs]. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva = V.M. Bekhterev Review of Psychiatry and Medical Psychology, 2020, no. 2, pp. 26–37. doi:10.31363/2313-7053-2020-2-26-37 (In Russ.).
  6. Klimanova S.G., Berezina A.A., Trusova A.V., Podoliak D.V., Rybakova K.V., Krupitsky E.M. Vzaimosvyaz’ klinicheskikh kharakteristik patsientov s alkogol’noi zavisimost’yu s dominiruyushchei motivatsiei upotrebleniya alkogolya [The relationship between the clinical characteristics of patients with alcohol use disorder and drinking motives] [Elektronnyi resurs]. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva = V.M. Bekhterev Review of Psychiatry and Medical Psychology, 2022. Vol. 56, no. 4, pp. 63–76. doi:10.31363/2313-7053-2022-4-63-76 (In Russ.).
  7. Klimanova S.G., Trusova A.V., Kiselev A.S., Berntsev V.A., Gromyko D.I., Ilyuk R.D., Krupitsky E.M. Adaptatsiya russkoyazychnoi versii oprosnika dlya otsenki gotovnosti k izmeneniyam (SOCRATES) [Psychometric Properties and Factor Structure of the Russian Version of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)] [Elektronnyi resurs]. Konsul’tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2018. Vol. 26, no. 3, pp. 80–104. doi:10.17759/cpp.2018260305 (In Russ.).
  8. Korduban V.V., Buzik O.Zh., Agibalova T.V. Sravnitel’nyi analiz lichnostnykh i tsennostno-smyslovykh kharakteristik narkologicheskikh bol’nykh i zdorovykh lits (abstinentov) v aspekte tretichnoi profilaktiki [Comparative Analysis of Personality-Related and Value-and-Meaning-Related Characteristics of Narcological Patients and Healthy Individuals (Abstainers) in Terms of Tertiary Prevention] [Elektronnyi resurs]. Rossiiskii mediko-biologicheskii vestnik imeni akademika I.P. Pavlova = I.P. Pavlov Russian Medical Biological Herald, 2022. Vol. 30, no. 4, pp. 519–529. doi:10.17816/pavlovj109308 (In Russ.).
  9. Kulakov S. Rukovodstvo po reabilitatsii addiktov. 4th ed. Izdatel’skie resheniya, 2020. 468 p. (In Russ.).
  10. Miller W.R., Rollnick S. Motivatsionnoe konsul’tirovanie: kak pomoch’ lyudyam izmenit’sya [Motivational Interviewing]. Moscow: Eksmo, 2021. 544 p. (In Russ.).
  11. Nikolishin A.E., Chuprova N.A., Gofman A.G., Stepanov I.L., Kibitov A.O. Alkogol’naya zavisimost’ u patsientov s komorbidnoi depressiei: temp formirovaniya i klinicheskie osobennosti [Alcohol dependence in patients with comorbid depression: rate of development and clinical features] [Elektronnyi resurs]. Voprosy narkologii = Journal of Addiction Problems, 2020. no. 10 (193), pp. 45–60. doi:10.47877/0234-0623_2020_10_45 (In Russ.).
  12. Prochaska J., Norсross D., DiСlemente C. Psikhologiya pozitivnykh izmenenii. Kak navsegda izbavit’sya ot vrednykh privychek [Changing for Good. A Revolutionary Six-Stage Program for Overcoming Bad Habits and Moving Your Life Positively Forward]. Moscow: Mann, Ivanov i Ferber, 2013. 320 p. (In Russ.).
  13. Psikhicheskie i povedencheskie rasstroistva, vyzvannye upotrebleniem psikhoaktivnykh veshchestv. Sindrom zavisimosti ot psikhoaktivnykh veshchestv: Klinicheskie rekomendatsii. 2018. 72 p. (In Russ.).
  14. Roshchina O.V., Rozin A.I., Schastnyi E.D., Bokhan N.A. Klinicheskoe znachenie komorbidnosti affektivnykh rasstroistv i alkogol’noi zavisimosti [Clinical value of comorbidity of affective disorders and alcohol dependence] [Elektronnyi resurs]. Byulleten’ sibirskoi meditsiny = Bulletin of Siberian Medicine, 2019. Vol. 18, no. 4, pp. 110–118. doi:10.20538/1682-0363-2019-4-110-118 (In Russ.).
  15. Ruzhenkova V.V., Ruzhenkov V.A., Khamskaya I.S. Russkoyazychnaya adaptatsiya testa DASS-21 dlya skrining-diagnostiki depressii, trevogi i stressa [Russian adaptation of the DASS-21 for screening and diagnosis of depression, anxiety and stress] [Elektronnyi resurs]. Vestnik psikhiatrii, nevrologii i neirokhirurgii = Bulletin of Neurology, Psychiatry and Neurosurgery, 2019, no. 10, pp. 39–46. doi:10.33920/med-01-1910-06 (In Russ.).
  16. Sivolap Yu.P., Krupitsky E.M., Mendelevich V.D., Rybakova K.V., Vinnikova M.A., Egorov A.Yu., Usov G.M. Dvoinoi diagnoz: “depressiya” i “rasstroistvo upotrebleniya alkogolya” [Dual diagnosis: depression and alcohol use disorder] [Elektronnyi resurs]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry, 2021. Vol. 121, no. 7, pp. 135–140. doi:10.17116/jnevro2021121071135 (In Russ.).
  17. Fadeeva E.V. Dizain i metodologiya issledovaniya po izucheniyu motivatsii k sokhraneniyu trezvosti u patsientov s narkologicheskimi zabolevaniyami na razlichnykh etapakh lechebno-reabilitatsionnogo protsessa [Design and methodology of the study assessing motivation for maintaining sobriety in patients with addiction disorders at various stages of treatment and rehabilitation process]. Voprosy narkologii = Journal of Addiction Problems, 2023. Vol. 35, no. 3, pp. 98–115. (In Russ.).
  18. Cheesman A., Read J.P. Prospective Pathways from Affect to Drug Outcomes: Refusal Self-Efficacy in the Context of Peer Influences. Substance Use & Misuse, 2023. Vol. 58, no. 1, pp. 1–11 doi:10.1080/10826084.2023.2236209
  19. Fernández S.D., Miranda J.J.F., Pastor F.P., Muñoz F.L. Gender and addiction and other mental disorders comorbidity: sociodemographic, clinical, and treatment differences. Archives of Women’s Mental Health, 2023. Vol. 26, no. 5, pp. 639–650. doi:10.1007/s00737-023-01353-w
  20. International Standards for the Treatment of Drug Use Disorders: Revised edition incorporating results of field-testing. 2020 [Elektronnyi resurs]. World Health Organization. URL: https://www.who.int/publications/i/item/international-standards-for-the-treatment-of-drug-use-disorders (Accessed 01.12.2023).
  21. Lovibond S.H., Lovibond P.F. Manual for the Depression Anxiety and Stress Scales. 2nd ed. Sydney: Psychology Foundation of Australia, 1995. 42 p.
  22. Luszczynska A., Scholz U., Schwarzer R. The general self-efficacy scale: multicultural validation studies. Journal of Psychology, 2005. Vol. 139, no. 5, pp. 439–457. doi:10.3200/JRLP.139.5.439-457
  23. McHugh R.K., Weiss R.D. Alcohol Use Disorder and Depressive Disorders. Alcohol Research: Current Reviews, Vol. 40, no. 1. doi:10.35946/arcr.v40.1.01
  24. Miller W.R. Tonigan J.S. Assessing drinkers’ motivations for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 1996. Vol. 10, no. 2, pp. 81–89. doi:10.1037/0893-164X.10.2.81
  25. Plata M.G., Laghi F., Zammuto M., Pastorelli C. Refusal self-efficacy and alcohol-related behaviours in community samples: a systematic review and meta-analysis. Current Psychology, Vol. 42, no. 9, pp. 29349–29376. doi:10.1007/s12144-022-03954-7
  26. Ruiz S.M., Oscar-Berman M., Kemppainen M.I., Valmas M., Sawyer R.S. Associations Between Personality and Drinking Motives Among Abstinent Adult Alcoholic Men and Women. Alcohol and Alcoholism, 2017. Vol. 52, no. 4, pp. 496–505. doi:10.1093/alcalc/agx016
  27. Volkow N.D., Blanco C. Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention. World Psychiatry, 2023. Vol. 22, no. 2, pp. 203–229. doi:10.1002/wps.21073

Information About the Authors

Eugenia V. Fadeeva, PhD in Psychology, Head, Department of Preventive Care, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Associate Professor, Department of Clinical and Forensic Psychology, Faculty of Legal and Foren-sic Psychology, Moscow State University of Psychology & Education; Associate Researcher, De-partment of Treatment of Inpatients with Addictive Disorders, V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Moscow, Russia, ORCID: https://orcid.org/0000-0001-5411-9611, e-mail: nscnfadeeva@mail.ru

Alesya M. Lanovaya, Researcher of the Department of Preventive Care, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Moscow, Russia, ORCID: https://orcid.org/0000-0002-4255-7953, e-mail: alesya.lan@gmail.com

Metrics

Views

Total: 2
Previous month: 0
Current month: 2

Downloads

Total: 0
Previous month: 0
Current month: 0