Vіsnik Naukovih Doslіdžen' (Nov 2017)
ADDICTION IN PATIENTS WITH ANXIETY-PHOBIC DISORDERS (DIAGNOSIS AND TREATMENT)
Abstract
If in the clinical psychiatric practice the addictive behavior was considered mainly within the framework of the substantive (chemical) dependencies, in modern psychiatry the problems of the development of non-substitutional variants (psychological, behavioral or, as they are denoted, psychological dependencies: Internet addiction, compulsive overeating or vice versa, excessive passion for diet or a healthy lifestyle, shopoholism, workholism, gembling, sexual intercourse, and many others). The aim of the study – to conduct a clinical and psychopathological analysis of addictive behavior in patients with anxiety-phobic disorders. Materials and Methods. Clinical and psychopathological research (collection and analysis of anamnestic data, complaints and clinical condition of patients); the system of AUD IT-like tests for the comprehensive assessment of addictive status, as well as clinical and statistical methods for analyzing the data obtained (descriptive and comparative statistics, correlation analysis) using Excel and SPSS computer programs. The study involved 49 people with anxiety-phobic disorders (F 40.8) and 52 healthy subjects (control group). Results and Discussion. The analysis of the addictive status of the subjects involved included the estimation of the frequencies of addictive phenomena of varying degrees of severity, the additive potential of the objects of use, the mean values of the expressiveness of the addictive tendencies for the specific objects of use, the total index of addiction according to the aggregate data of the system of AUD IT-like tests, as well as the frequency and nature a combination of different types of addictions, analysis of the correlation between them. Conclusions. Patients with anxiety-phobic disorders are more prone to the formation of addictions: states of dependence on various objects of use are recorded in 57.1 % of patients, with p <0.0390. The most common variants of addiction in all groups of comparison depend on tobacco, food, internet and work / education, which reflect the general population trends of the addictive state of our society. Patients with anxiety and phobic disorders are prone to accumulation of addictions, that is to form the "combined" forms of dependencies (Is = 0.57), compared with practically healthy individuals (Is = 0.25). The most addictively dangerous objects, regardless of the comparison group, were tobacco, work / training and food, which were supplemented by other "specifically dangerous" for certain groups of comparison of objects of use.
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