Review of Factors Affecting Remission in Narcological Patients

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Abstract

INTRODUCTION: Achievement of a sustained remission in patients with substance dependence syndrome is the main criterion of the quality of narcological treatment and a priority treatment task. The article presents a review of factors that influence remission in patients with mental and behavioral disorders resulting from use of psychoactive substances. Studies performed in the recent 15 years, consider the main five groups of factors for development and failure of remission: biological (gender, age, genetic parameters, organic lesions of the brain, etc.), narcological (course of the disease, age at the first use of a drug), personality and pathopsychological (cognitive disorders, comorbid mental disorders, mental trauma, etc.), social (employment, family and social situation, social support, etc.) and therapeutic factors (duration and methods of treatment, therapeutic alliance, etc.)..

CONCLUSION: There are basic factors of favorable prognosis of the course of narcological diseases that are confirmed from study to study: late onset of the disease, absence of a comorbid dependence syndrome and of a severe mental disorder, involvement in long-term treatment and rehabilitation programs that continue after remission.

About the authors

Tat'yana V. Agibalova

Moscow Research and Practical Centre for Narcology

Email: agibalovatv@mail.ru
ORCID iD: 0000-0003-1903-5265
SPIN-code: 2859-1293
ResearcherId: Q-3325-2016

MD, Dr. Sci. (Med.)

Russian Federation, Moscow

Viktoriya N. Nobatova

Moscow Research and Practical Centre for Narcology

Email: vika_nobatova@mail.ru
ORCID iD: 0000-0003-2757-1324
SPIN-code: 9721-0177

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Ol'ga D. Tuchina

Moscow Research and Practical Centre for Narcology

Author for correspondence.
Email: shtuchina@gmail.com
ORCID iD: 0000-0002-0683-9080
SPIN-code: 8420-3548
ResearcherId: AAG-2841-2019

Cand. Sci. (Psych.)

Russian Federation, Moscow

Egor V. Leonov

Ryazan State Medical University

Email: toxicity062@gmail.com
ORCID iD: 0000-0003-4624-5815
SPIN-code: 8297-1263
ResearcherId: AAR-1586-2021
Russian Federation, Ryazan

Aleksandr R. Pinegin

Ryazan Regional Clinical Narcological Dispensary

Email: dr.pinegin@mail.ru
ORCID iD: 0000-0002-3833-3148
SPIN-code: 4718-1398
ResearcherId: AAE-5249-2022
Russian Federation, Ryazan

El'mira I. Tukhvatullina

People’s Friendship University of Russia

Email: ellmira-gazi@bk.ru
ORCID iD: 0000-0001-5615-5421
ResearcherId: AAE-5341-2022
Russian Federation, Moscow

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Copyright (c) 2023 Agibalova T.V., Nobatova V.N., Tuchina O.D., Leonov E.V., Pinegin A.R., Tukhvatullina E.I.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


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