ФАКТОРЫ ФОРМИРОВАНИЯ ДЛИТЕЛЬНЫХ РЕМИССИЙ У БОЛЬНЫХ АЛКОГОЛЬНОЙ ЗАВИСИМОСТЬЮ

Abstract

Alcohol dependence syndrome is the important modern medico-social issues. In recent years, the problem of achieving
 remission with alcohol dependence has been given great attention, both in Russia and abroad. The duration, persistence
 and quality of remission are the indicators of effectiveness of alcohol dependence therapy. The possibility of an objective
 prediction of the outcome of ongoing therapy, the duration of remissions and the likelihood of relapses of alcohol depend-
 ence are urgent needs. Despite a large number of scientific studies, there is no single idea of the factors influencing the
 formation of remissions in patients with alcoholic dependence syndrome. The article presents the modern view on the
 terms and stages of the remissions formation in alcohol dependence syndrome, clinical-psychopathologic structure of
 remissions. Diagnostic assessment of the remissions is examined according to the current classifications of ICD-10 and
 DSM-V. Biological, personal, social and therapeutic factors of the formation of long-term remissions in patients with
 alcohol dependence are analyzed. Comorbid affective disorders, in particular, depressive and anxiety-phobic disorders,
 cerebral pathology (traumatic, hypertonic, vertebrogenic genesis), nicotine dependence, are attributed to factors in-
 fluencing the stability of the clinical picture of remission and causing a high risk of recurrence. Modern approaches to
 the prognosis of remission in alcohol dependence on the basis of a complex biopsychosocial approach are presented.