Оценка тревожности у пациентов с зависимостью от алкоголя и наркотиков на различных этапах лечебно-реабилитационного процесса с учетом гендерных особенностей и наркологического диагноза
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Горецкая Т.А., Лановая А.М., Фадеева Е.В. Оценка тревожности у пациентов с зависимостью от алкоголя и наркотиков на различных этапах лечебно-реабилитационного процесса с учетом гендерных особенностей и наркологического диагноза // Российский психиатрический журнал. 2024. №2. С. 61-72.
В обсервационном когортном исследовании с целью оценки личностной и ситуативной тревожности у лиц с наркологическими расстройствами на различных этапах лечебно-реабилитационного процесса были обследованы 83 пациента с зависимостью от алкоголя и наркотиков. Сочетание зависимости от психоактивных веществ с тревогой и депрессией у пациентов с психическими и поведенческими расстройствами достаточно распространено в клинической практике организаций, оказывающих медицинскую помощь по профилям «психиатрия» и «психиатрия-наркология». Использование валидных и надежных инструментов психологической и клинической диагностики на различных этапах лечебно-реабилитационного процесса с учетом гендерных различий позволит отслеживать динамику изменений психоэмоционального состояния пациентов с наркологическими расстройствами для персонификации терапевтических вмешательств.
Ключевые слова тревожность; зависимость от алкоголя; зависимость от наркотиков; наркологические расстройства; гендерные особенности
1. Yang X, Fang Y, Chen H, et al. Global, regional and national burden of anxiety disorders from 1990 to 2019: results from the Global Burden of Disease Study 2019. Epidemiol Psychiatr Sci. 2021;30:e36. DOI: https://doi.org/10.1017/S2045796021000275 2. Stein DJ, Scott KM, de Jonge P, Kessler RC. Epidemiology of anxiety disorders: from surveys to nosology and back. Dialogues Clin Neurosci. 2017;19(2):127–36. DOI: https://doi.org/10.31887/DCNS.2017.19.2/dstein 3. Edwards J, Pananos AD, Thind A, et al. Anderson KK. A Bayesian approach to estimating the population prevalence of mood and anxiety disorders using multiple measures. Epidemiol Psychiatr Sci. 2021;30:e4. DOI: https://doi.org/10.1017/S2045796020001080 4. Psikhiatriya: Natsional'noe rukovodstvo. Kratkoe izdanie. TB Dmitrieva, VN Krasnov, NG Neznanov, et al., editors. Moscow: GEOTAR-Media; 2019. 624 р. (In Russ.) 5. Trevozhno-fobicheskie rasstroistva u vzroslykh. Klinicheskie rekomendatsii. Rossiiskoe obshchestvo psikhiatrov. 2021. URL: https://cr.minzdrav.gov.ru/recomend/455 (accessed on: 11.03.2024). (In Russ.) 6. Nevroticheskie, svyazannye so stressom i somatoformnye rasstroistva, vydelyaemye v Mezhdunarodnoi klassifikatsii boleznei 10-go peresmotra. In: YuA Aleksandrovskii, NG Neznanov, editors. Psikhiatriya: Natsional'noe rukovodstvo. Mosсcow: GEOTAR-Media; 2022. p. 147–60. (In Russ.) 7. Yasin YJ, Banoub JAM. GBD 2016 Alcohol Collaborators. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2018;392(10152):1015–35. DOI: https://doi.org/10.1016/S0140-6736(18)31310-2 8. Vrednoe upotreblenie alkogolya, alkogol'naya zavisimost' i psikhicheskie rasstroistva: obzor fakticheskikh dannykh ob ikh vzaimosvyazi i kompleksnykh metodakh lecheniya. Vsemirnaya organizatsiya zdravookhraneniya. 2020. URL: https://iris.who.int/bitstream/handle/10665/358075/WHO-EURO-2020-3571-43330-65371-rus.pdf?sequence=3 (accessed on: 11.03.2024). (In Russ.) 9. World Drug Report 2023. UNODC. United Nations publication. 2023. URL: https://www.unodc.org/res/WDR-2023/WDR23_Exsum_fin_DP.pdf (accessed on: 11.03.2024). 10. Kirzhanova VV. Epidemiologiya narkomanii. In: Narkologiya: Natsional'noe rukovodstvo. NN Ivanуts, MA Vinnikovа, editors. Moscow: GEOTAR-Media; 2024. р. 23–39. (In Russ.) DOI: https://doi.org/10.33029/9704-8363-3-NNG-2024-1-848 11. Hasin DS, Grant BF. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1609–40. DOI: https://doi.org/10.1007/s00127-015-1088-0 12. Lai HMX, Cleary M, Sitharthan T, Hunt GE. Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: A systematic review and meta-analysis. Drug Alcohol Depend. 2015;154:1–13. DOI: https://doi.org/10.1016/j.drugalcdep.2015.05.031 13. Bedina IA. Sindrom zavisimosti i komorbidnye trevozhnye rasstroistva. In: Narkologiya: Natsional'noe rukovodstvo. NN Ivanеts, MA Vinnikovа, editors. Moscow: GEOTAR-Media; 2024. р. 565–71. (In Russ.) DOI: https://doi.org/10.33029/ 9704-8363-3-NNG-2024-1-848 14. Morris EP, Stewart SH, Ham LS. The relationship between social anxiety disorder and alcohol use disorders: a critical review. Clin Psychol Rev. 2005;25(6):734–60. DOI: https://doi.org/10.1016/j.cpr.2005.05.004 15. Smith JP, Randall CL. Anxiety and alcohol use disorders: comorbidity and treatment considerations. Alcohol Res. 2012;34(4):414–31. PMID: 23584108 16. Mancheño-Velasco C, Narváez-Camargo M, Dacosta-Sánchez D, et al. Examining Profiles and Treatment Outcomes in Dual Diagnosis: Comparison of Coordinated Treatment With Mental Health Services Versus Addiction Center Alone: A Real-World Data Analysis. J Dual Diagn. 2024:20(3):266–278. DOI: https://doi.org/10.1080/15504263.2024.2323976 17. International Statistical Classification of Diseases and Related Health Problems Tenth Revision Volume 3 Alphabetical index. URL: https://mkb-10.com (accessed on: 11.03.2024). (In Russ.) 18. Spielberger CD, Gorsuch RL. Manual for the State-Trait Anxiety Inventory (Form Y) («Self-Evaluation Questionnaire»). Palo Alto, CA: Consulting Psychologists Press; 1983. 42 p. 19. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1970. 24 p. 20. Khanin YuL. Kratkoe rukovodstvo k shkale reaktivnoi i lichnostnoi trevozhnosti Ch.D. Spilbergera. Leningrad; 1976. 18 р. (In Russ.) 21. du Rocher A, Pickering AD. STAI-Anxiety and STAI-Depression Revisited: Differential Relationships with Affective Traits and Attentional Control. J Individ Differ. 2022;43(4):206–15. DOI: https://doi.org/10.1027/1614-0001/a000373 22. Hunt GE, Large MM, Cleary M, et al. Prevalence of comorbid substance use in schizophrenia spectrum disorders in community and clinical settings, 1990–2017: Systematic review and meta-analysis. Drug Alcohol Depend. 2018;191:234–58. DOI: https://doi.org/10.1016/j.drugalcdep.2018.07.011 23. Messer T, Lammers G, Müller-Siecheneder F, et al. Substance abuse in patients with bipolar disorder: A systematic review and meta-analysis. Psychiatry Res. 2017;253:338–50. DOI: https://doi.org/10.1016/j.psychres.2017.02.067 24. Castillo-Carniglia A, Keyes KM, Hasin DS, Cerdá M. Psychiatric comorbidities in alcohol use disorder. Lancet Psychiatry. 2019;6(12):1068–80. DOI: https://doi.org/10.1016/S2215-0366(19)30222-6 25. Hobden B, Bryant J, Carey M, et al. Finding the optimal treatment model: A systematic review of treatment for co-occurring alcohol misuse and depression. Aust N Z J Psychiatry. 2018;52(8):737–50. DOI: https://doi.org/10.1177/0004867418758922 26. Ghabrash MF, Bahremand A, Veilleux M, et al. Depression and Outcomes of Methadone and Buprenorphine Treatment Among People with Opioid Use Disorders: A Literature Review. J Dual Diagn. 2020;16(2):191–207. DOI: https://doi.org/10.1080/15504263.2020.1726549 27. Clark AE, Goodwin SR, Marks RM, et al. A Narrative Literature Review of the Epidemiology, Etiology, and Treatment of Co-Occurring Panic Disorder and Opioid Use Disorder. J Dual Diagn. 2021;17(4):313–32. DOI: https://doi.org/10.1080/15504263.2021.1965407 28. Volkow ND, Blanco C. Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention. World Psychiatry. 2023;22(2):203–29. DOI: https://doi.org/10.1002/wps.21073 29. Farrell M, Howes S, Bebbington P, et al. Nicotine, alcohol and drug dependence, and psychiatric comorbidity: Results of a national household survey. Br J Psychiatry. 2001;179(5):432–7. DOI: https://doi.org/10.1080/0954026021000045949 30. Kessler RC, Birnbaum H, Demler O, et al. The prevalence and correlates of nonaffective psychosis in the National Comorbidity Survey Replication (NCS-R). Biol Psychiatry. 2005;58(8):668–76. DOI: https://doi.org/10.1016/j.biopsych.2005.04.034 31. Kargin MI, Khurramov OG. Issledovanie psikhologicheskikh osobennostei lits s alkogol'noi i narkoticheskoi zavisimost'yu. Aktual'nye problemy i perspektivy razvitiya sovremennoi psikhologii [Current problems and prospects for the development of modern psychology]. 2019;(1):190–6. (In Russ.) 32. Vil'dgrube SA, Firsova GM. Psikhologicheskie osobennosti bol'nykh alkogolizmom i ikh dinamika v protsesse psikhoterapevticheskoi korrektsii. Zhurnal psikhiatrii i meditsinskoi psikhologii [Journal of Psychiatry and Medical Psychology]. 2019;2(46):91–6. (In Russ.) 33. Recław R, Chmielowiec K, Suchanecka A, et al. The Influence of Genetic Polymorphic Variability of the Catechol-O-methyltransferase Gene in a Group of Patients with a Diagnosis of Behavioural Addiction, including Personality Traits. Genes (Basel). 2024;15(3):299. DOI: https://doi.org/10.3390/genes15030299 34. Global status report on alcohol and health 2018. World Health Organization. URL: https://iris.who.int/handle/10665/274603 (accessed on: 11.03.2024). (In Russ.) 35. Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2019 national survey on drug use and health. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2020. HHS Publication No PEP20-07-01-001, NSDUH Series H-55. URL: https://www.samhsa.gov/data (accessed on: 11.03.2024). 36. Kirzhanova VV. Mirovye tendentsii potrebleniya alkogolya. In: Narkologiya: Natsional'noe rukovodstvo. NN Ivanеts, MA Vinnikovа, editors. Moscow: GEOTAR-Media; 2024. р. 40–9. (In Russ.) DOI: https://doi.org/10.33029/9704-8363-3-NNG-2024-1-848
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