IMPACT OF THE NOVEL CORONAVIRUS PANDEMIC ON THE MENTAL STATE OF PEOPLE WITH DRUG DEPENDENCE SYNDROME
The topic of the influence of stressful factors during the pandemic of a new coronavirus infection on mental stability in people with substance dependence syndrome affects the most urgent problems of the COVID-19 pandemic and substance dependence today. In both cases, we are talking about a threat to the mental and physical health of the population. Social isolation, death of relatives, uncertainty of the future, fear of illness combined to be a new specific risk factor for the development of psychogenic disorders, as well as a trigger for deterioration of the condition already with existing mental disorders. The relationship between the development of psychodesadaptation disorders, as well as the aggravation of a history of mental disorders in patients with surfactant dependence syndrome with COVID-19 has been shown. Materials and Methods: The voluntary informed survey involved (n=122) patients aged 20 to 60 who underwent inpatient treatment at the Altai Regional Narcological Dispensary in Barnaul in February-October 2021. The clinical and psychological study was conducted using psychodiagnostic methods: the Mississippi scale of post-traumatic stress disorder (PTSD), civil version, and scales for the primary diagnosis of anxiety and depression by A. Beck. Results: according to the analysis of the questionnaire survey (n=122) of patients, 24% of the patients were ill with a new coronavirus infection. 39% of respondents claim that the virus has caused irreparable harm to their health and psyche. Among patients with the use of psychoactive substances, anxiety was detected in 81%, depression in 84%. Out of 122 people, 31.1% (38 hours) with addiction to psychoactive substances show signs of intense impact of the transferred psychotrauma due to forced restrictions on habitual life. In 48% of those who recovered from a new coronavirus infection, no manifestations of PTSD were found, but manifestations of depression were noted. Conclusions: According to clinical observation, 31.1% of the study participants experienced a negative psychological impact in conditions of isolation and quarantine measures during the COVID-19 pandemic. 39% of respondents believe that irreparable harm has been done to their psyche. The revealed manifestations of depression and anxiety, disorders in the mental sphere as a result of severe stress, corresponding to the criteria for PTSD, based on the material of the sample examined by us, allow us to conclude that there is a high prevalence of psycho-dysadaptation disorders in patients with substance dependence syndrome and who have undergone COVID-19. All this must be taken into account when carrying out medical and rehabilitation measures.