The Factor of Emotional Non-Acceptance of the Disease in Patients Addicted to Synthetic Cathinones

Recently, synthetic cathinone addiction has spread globally, particularly among youth, due to the popularity of “club” drugs and stimulants. The patient’s motivation to quit psychoactive substances is crucial for effective treatment and rehabilitation. However, motivation for treatment is hindered by anosognosia, the inability of addicts to recognize their condition. Among the aspects of anosognosia, emotional non-acceptance of the disease is significant. The aim of the study is to identify socio-demographic and clinical parameters that are associated with emotional nonacceptance of the disease in patients with addiction to synthetic cathinones to determine psychotherapeutic targets of significance in the construction of rehabilitation programs. Based on the “Emotional non-acceptance of the disease” scale from the drug anosognosia questionnaire developed in 2020, groups of individuals with high and low scores were formed. These groups of patients were compared according to several clinical and socio-demographic parameters. Based on the conducted study, the significance of such factors as: presence of children, service in the army, craniocerebral trauma in the anamnesis and others. Thus, a high level of family support, sufficient material condition of the family and positive attitude of parents to the patient, as well as consistency between the roles of “parent” and “drug addict” are factors that contribute to the emotional acceptance of the disease (drug addiction). At the same time, the influence of clinical characteristics, such as the severity of residual-organic mental changes, personality transformation due to addictive behavior, can hinder emotional acceptance of the disease.

Antsyborov, A. V., Mrykhin, V. V. (2017). Synthetic cathinones “Bath salts”: Mechanism of action, toxicological aspects, clinic, addiction formation. Interaktivnaia nauka, 5 (15), 29–39. https://doi.org/10.21661/r-130075 (In Russian)

Blagov, L. N. (2009). The syndrome of absolute anosognosia in the clinic of chemical dependence. Narkologiia,  1 (85), 103–111. (In Russian)

Chai, S., Cho, Yo. (2011). Cognitions associated with recovery from alcohol dependence. Japanese Psychological Research, 53 (3), 327–332. https://doi.org/10.1111/j.1468-5884.2011.00473.x

Demina, M. V. (2005). Nosognosia disorder (“Illness alienation syndrome”) in alcoholism and heroin addiction (clinic, systematics, approaches to correction).  PhD dissertation (Medicine). Moscow. (In Russian)

Dunaev, A. N. (2006). Individual-psychological features of personality of patients with chronic alcoholism with different duration of psychotherapeutic remission.  PhD dissertation (Psychology). Rostov-on-Don. (In Russian)

Edlund, M. J., Unützer, J., Curran, G. M. (2006). Perceived need for alcohol drug and mental health treatment. Social Psychiatry and Psychiatric Epidemiology, 41 (6), 480–487. https://doi.org/10.1007/s00127-006-0047-1

Eryshev, O. F., Dubinina, B. V., Iovlev, B. V., Rybakova, T. G., Vuks, A. Ya., Eroshin, S. P. (2006). Predicting the duration of remission in the recovery treatment of patients with alcohol dependence at the stage of remission: Methodological recommendations.  St. Petersburg, V. M. Bekhterev Scientific Research Institute Press. (In Russian)

Gaboev, V. N. (2010). Alcoholic anosognosia — the leading psychopathological syndrome of chronic alcoholism. Meditsinskie nauki,  3, 19–23. (In Russian)

Goldsmith, R. J., & Green, B. L. (1988). A Rating Scale for Alcoholic Denial. The Journal of Nervous and Mental Disease,  176, 614-620.

Goldstein, R. Z., Craig, A. D., Bechara, A., Garavan, H. (2009). The neurocircuitry of impaired insight in drug addiction. Trends in Cognitive Sciences, 12 (9), 372–380. https://doi.org/10.1016/j.tics.2009.06.004

Gromova, I. A., Olifirovich, N. I. (2018). Peculiarities of parental family in substance addicts. Iuzhno-rossiiskii zhurnal sotsialʹnykh nauk,  19 (2), 132–141. (In Russian)

Gvalia, A. S. (2018). Psychological characteristics of conscripts in the period of adaptation. Skif. Voprosy studencheskoi nauki, 11 (27), 155–160. Available at: https://elibrary.ru/item.asp?id=37032146 (accessed: 30.11.2023). (In Russian)

Ha, J. H., Kim, S. Y., Bae, S. C., Bae, S., Kim, H., Sim, M., Lyoo, I. K., Cho, S. C. (2007). Depression and Internet addiction in adolescents. Psychopathology, 40 (6), 424–430. https://doi.org/10.1159/000107426

Il’yuk, R. D., Rybakova, Yu. V., Pushina, V. V., Gromyko, D. I., Lukin, V. A., Vuks, A. Ya., Krupitskiy, E. M. (2020). Research of anosognosis in opioid dependence. Results of application the questionnaire for a comprehensive assessment of anosognosis in patients with opioid dependence syndrome. Narkologiia, 11, 23–35. https://doi.org /10.25557/1682–8313.2020.11.23-35 (In Russian)

Jiloha, R. C. (2009). Social and сultural aspects of drug abuse in adolescents. Delhi Psychiatry Journal,  12 (2), 167–175.

Kachaev, A. K., Politov, V. V. (1984). Disease denial in chronic alcoholism. In: Klinika i patogenez alkogolʹnykh zabolevanii:  sb. nauch. trudov (pp. 164–170). Moscow. (In Russian)

Kulesh, S. I. (2004). Clinical and motivational aspects of addictive behavior in alcohol dependence.  PhD dissertation (Medicine). Novosibirsk. (In Russian)

Merkviladze, L. T. (2019). Current concepts of addictive personality. Psikhologiia i pedagogika v Krymu: Puti razvitiia,  1, 71–79. (In Russian)

Nishikawa, K. (2004). Research on the basic attributes and psychosocial factors of alcoholics and their families in relation with prognosis after a year of treatment. Japanese Journal of Alcohol Studies and Drug Dependence,  39 (6), 511–536.

Pal, H. R., Yadav, S., Joy, P. S., Mehta, S., Ray, R. (2003). Treatment nonseeking in alcohol users: A community-based study from North India. Journal of Studies on Alcohol, 64 (5), 631–633. https://doi.org/10.15288/jsa.2003.64.631

Piatnitskaia, I. N. (1997). Addiction: A guide for clinicians.  Moscow, Medicine Publ. (In Russian)

Poliak, O. B. (2008). Psychological defense mechanisms of drug addicts and their interrelation with personality traits. Izvestiia RGPU im. A. I. Gertsena,  55, 418–423. (In Russian)

Smychek, V. B., Ponomareva, E. N. (2013). Diagnosis of craniocerebral injuries. Meditsinskie novosti,  4 (223), 19–27. (In Russian)

Wells, J. E., Horwood, L. J., Fergusson, D. M. (2007). Reasons why young adults do or do not seek help for alcohol problems. Australian & New Zealand Journal of Psychiatry, 41 (12), 1005–1012. https://doi.org/10.1080/00048670701691218

Yoo, H. J., Cho, S. C., Ha, J., Yune, S. K., Kim, S. J., Hwang, J., Chung, A., Sung, Y. H., & Lyoo, I. K. (2004). Attention deficit hyperactivity symptoms and internet addiction. Psychiatry and clinical neurosciences, 58 (5), 487–494. https://doi.org/10.1111/j.1440-1819.2004.01290.x