Current features of formation of alcohol dependence on men as the basis of their rehabilitation

Abstract

Aim of work. To study modern psychological and clinical-psychopathological features of formation of alcohol dependence in men as basis their rehabilitation.Materials and methods. The study carried out comprehensive clinical-psychopathological and psychodiagnostic survey of 150 male patients aged 20 55 years, in which according diagnostic criteria of ICD-10, syndrome of alcohol dependence was established. 94 patients were treated at Kharkiv Regional Clinical Narcological Hospital No. 9, and 56 patients at Clinic of Psychiatry and Narcology of Military Medical Clinical Center of Northern Region.Results of research. In 35.2±1.5% of civilian patients and 40.2±1.9% of military men, interspersed with domination of dysphoric-explosive component, in 43.5±2.1% and 35.1±1.6 % of alcohol dependent, respectively, anxiety-depressive component in 21.6±1.1% of civilian and 24.7±1.4% of military aggressive component of intoxication.For civilians, main motive alcohol abuse was for company, to support friend, a desire obtain physical and psychological satisfaction from action of alcohol. For military, main motive was eliminate combat stress, drown out pain, to get rid of important military memories, the desire level off with alcohol, negative emotional experiences (tension, anxiety, fear, anguish).In surveyed soldiers with alcohol addiction there is complete and obvious manifestation of stress disorder, compared with civilians who have slight manifestation and lack of traumatic stress.The surveyed patients are dominated by non-constructive forms of coping strategies.Based on data obtained during work we systematized modern predictors of formation of alcohol addiction in men in modern conditions, which are considered as targets of psycho-correction and psycho-educational effects in construction of system of rehabilitation of patients.Conclusions1. Clinical and psychopathological features of formation of alcohol dependence in men, in aspect of their rehabilitation, are specific depending on predominant personally significant motives of alcohol use, loss of situational control, dysphoria, affective reactions, anxiety and depressive disorders.2. Pathological psychological predictors of formation of alcohol addiction in men are effectiveness of behavior, conflict, prevalence of non-constructive forms of coping strategies. The main factor of risk of alcohol dependence in military is complete and obvious manifestation of stress disorder