Специфіка психопатологічної симптоматики у осіб з алкогольною залежністю, різним психотравматичним досвідом та рівнем психосоціального стресу

Abstract

In order to understand the ways of modification of existing therapeutic and rehabilitation strategies taking into account the confounding stressaction on the specificity of psychopathological manifestations in persons with alcohol dependence, an analysis of the peculiarities of the severity and clinical variability of psychopathological symptoms in persons with different psychotraumatic experiences and levels of psychosocial stress was conducted. It was established that the severity of the symptoms of alcohol dependence directly correlates with the expressiveness of manifestations of depression, interpersonal sensitivity, obsessive-compulsive and paranoid symptoms, phobic anxiety, psychoticism and somatization, which, in its turn, has a close interdependence with the level of psychosocial stress. In combatants, a significant increase in the severity of psychopathological symptoms with an increase in the level of psychosocial stress, and, accordingly, the severity of alcohol dependence, is observed on the basis of depression and obsessive-compulsive response, somatization, interpersonal sensitivity and psychoticism. Reducing severity of psychopathological manifestations with increasing stress was recorded as manifestations of hostility. The growth of expressiveness of paranoyality occurs in cases of mild or severe stress, with a decrease at a moderate level of psychosocial stress. In displaced persons with alcohol dependence, there is a reliable tendency to increasing the expressiveness of manifestations of depression, interpersonal sensitivity, paranoyality and psychoticism with an increase in the level of stress. For the local inhabitants with alcohol dependence, the regularity of increase of expressiveness of all investigated psychopathological manifestations combining with increase of severity of psychosocial stress is characteristic. Among persons with alcohol dependence with the corresponding level of psychosocial stress, the severity of obsessive-compulsive symptoms, manifestations of interpersonal sensitivity and phobic anxiety is greater among combatants and displaced persons; hostility and paranoyality - in combatants; depression - indisplaced persons. The obtained data allow to state that an important factor determining the peculiarities of the severity and variety of psychopathological symptoms in persons with alcohol dependence is the severity of the pathological influence of the psychotraumatic experience and the level of psychosocial stress.