Psychopathological variants of drug-induced psychoses related to the period of committing socially dangerous acts
|
Full Text:
Subscribers Only
|
Suggested citation:
Gilenko MV, Gulyaeva VYu. [Psychopathological variants of drug-induced psychoses related to the period of committing socially dangerous acts]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(5):4-10. Russian
In this retrospective study pursuing the objective of systematizing psychotic disorders typical for forensic psychiatric practice, we examined 28 adult males, who committed socially dangerous acts while in a state of psychosis due to drug use. It has been established that most psychoses are associated with the use of synthetic cannabinoids and cathinones; psychoses develop more often in a state of intoxication than within the framework of withdrawal syndrome. The clinical picture of psychoses is more often represented by polymorphic symptoms (57.1%), less often – schizophrenic (21.4%), delusional (10.7%) or hallucinatory (7.1%). In the group of predominantly polymorphic psychotic disorders, it is possible to differentiate states with a leading delirious syndrome, hallucinatory-paranoid and polymorphic proper; in the group of mainly schizophrenic-like psychotic disorders – states with the predominance of affective-delusional disorders, oneiroid confusion of consciousness, the syndrome of mental automatism; in the group of mainly delusional disorders – acute and prolonged psychoses. The described variants of psychoses are compared with psychopathological mechanisms of committing socially dangerous acts; it is established that the most often socially dangerous acts are committed according to mechanisms with delusional motivation.
Keywords intoxication psychosis; socially dangerous act; forensic psychiatric examination
1. Tomlinson MF, Brown M, Hoaken PNS. Recreational drug use and human aggressive behavior: a comprehensive review since 2003. Aggress Violent Behav. 2016;27(5):9–29. DOI: https://doi.org/10.1016/j.avb.2016.02.004 2. Kuypers K, Verkes RJ, van den Brink W, et al. Intoxicated aggression: Do alcohol and stimulants cause dose-related aggression?A review. Eur Neuropsychopharmacol. 2020;30:114–47. DOI: https://doi.org/10.1016/j.euroneuro.2018.06.001 3. Fiorentini A, Cantù F, Crisanti C, et al. Substance-Induced Psychoses: An Updated Literature Review. Front Psychiatry. 2021;12:694863. DOI: https://doi.org/10.3389/fpsyt.2021.694863 4. Fedotov IA, Kvatron D, Shustov DI. [Substance-induced psychosis and schizophrenia: the interaction point]. Rossijskij mediko-biologicheskij vestnik im. akad. I.P. Pavlova [I.P. Pavlov Russian Medical Biological Herald]. 2020;(4). (In Russ.) URL: https://cyberleninka.ru/article/n/indutsirovannye-narkoticheskimi-veschestvami-psihozy-i-shizofreniya-tochki-soprikosnoveniya (accessed on: 12.08.2023). 5. Afanas'eva NA, Berezovskaja MA, Korobicina TV, et al. [Clinical and dynamic features of intoxication psychoses caused by the use of modern synthetic psychoactive substances]. Sibirskij vestnik psihiatrii i narkologii [Siberian herald of psychiatry and addiction psychiatry]. 2017;3(96):78–83. (In Russ.) DOI: https://doi.org/10.26617/1810-3111-2017-3(96)-78-83 6. Afanas'eva NA, Korobicina TV, Pichugina JuA, et al. [Clinical and syndromological features of intoxication psychoses due to the use of modern synthetic psychoactive substances]. Sibirskij vestnik psihiatrii i narkologii [Siberian herald of psychiatry and addiction psychiatry]. 2021;2(111):46–53. (In Russ.) DOI: https://doi.org/10.26617/1810-3111-2021-2(111)-46-53 7. Dubatova IV, Stojakin IV, Karnauh KA, Safronenko AV. [Structural-dynamic analysis of clinical manifestations and features of psychotic disorders therapy in users of “designer” drugs]. Sibirskij vestnik psihiatrii i narkologii [Siberian herald of psychiatry and addiction psychiatry]. 2018;1(98):36–41. (In Russ.) DOI: https://doi.org/10.26617/1810-3111-2018-1(98)-36-41 8. Kinkul'kina MA, Vinnikova MA, Severcev VV. [Psychotic disorders associated with the use of synthetic cathinones: a review of the literature]. Narkologija [Narcology]. 2021;(7):52–60. (In Russ.) DOI: https://doi.org/10.25557/1682-8313.2021.07.52-60 9. Klimenko TV, Kozlov AA, Igumnov SA, Shahova SM. Psihicheskie i povedencheskie rasstrojstva pri upotreblenii i zavisimosti ot sinteticheskih kannabinoidov (jepidemiologija, diagnostika, klinika, terapija i profilaktika): Monografija. Moscow: FGBU “NMICPN im. V.P. Serbskogo” Minzdrava Rossii; 2022. р. 124–8. (In Russ.) 10. Vdovin AS. [Сlinical variants of psychosis associated with the use of synthetic cannabinoids]. Narkologija [Narcology]. 2022;(8):49–55. (In Russ.) DOI: https://doi.org/10.25557/1682-8313.2022.08.49-55 11. Severcev VV, Vinnikova MA. Psihozy, svjazannye s upotrebleniem sinteticheskih katinonov: kliniko-dinamicheskie osobennosti, podhody k lecheniju. In: NG Neznanov, editor. Vserossijskij kongress s mezhdunarodnym uchastiem “Psihonevrologija: Vek XIX – Vek XXI”, posvjashhennyj 115-letiju FGBU “NMIC PN im. V.M. Behtereva” Minzdrava Rossii i 165-letiju so dnja rozhdenija V.M. Behtereva (12–13 maja 2022 goda, Sankt-Peterburg). Saint Petersburg: NMIC PN im. V.M. Behtereva; 2022. р. 194–6. (In Russ.) 12. Markov AV, Shamrej VK, Kurasov ES, Kolchev AI. [Features of clinical manifestations of psychotic disorders in synthetic cathinones users]. Vestnik nevrologii, psihiatrii i nejrohirurgii [Bulletin of Neurology, Psychiatry and Neurosurgery]. 2022;(8):564–71. (In Russ.) DOI: https://doi.org/10.33920/med-01-2208-01 13. Vinnikova MA, Skryabin VYu. [Clinical variants of psychoses in patients using synthetic cannabinoids (Spice)]. Zh Nevrol Psikhiatr Im SS Korsakova. 2020;120(8):23–6. (In Russ.) DOI: https://doi.org/10.17116/jnevro202012008123 14. Mal'ceva MM, Kotov VP. Opasnye dejstvija psihicheski bol'nyh: psihopatologicheskie mehanizmy i ih profilaktika. Moscow: Medicina; 1995. 256 р.
DOI: http://dx.doi.org/10.34757/1560-957X.2023.27.5.001
Article Metrics
Metrics powered by PLOS ALM