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- Title
Peculiarities of comorbid addictions in neurotic disorders.
- Authors
Maruta, N.O.; Kolyadko, S.P.; Denysenko, M.M.; Kalenska, G.Y.; Fedchenko, V.Y.
- Abstract
Introduction Under contemporary social circumstances, there is a tendency to increasing of amount of persons disposed to addictive behavior (AB) as a mean to remove psychoemotional tension and to solve their significant problems. This tendency raises in patients with neurotic disorders (ND) that influences on clinical manifestations of the pathology and impedes diagnosis and timely care for this category of patients. Aim To investigate AB in the structure of neurotic disorders (F44.7, F40.8, F48.0). Methods Assessment of personal addictive status with AUDIT-like tests to detect disorders related to substance and non-substance abuse; 109 patients with ND (main group) and 52 persons without ND (control group) were examined. Results It was revealed that patients with ND had significantly higher risk of AB formation (59.73% compared with 21.15% in healthy persons; P < 0.0001). According to the group comparison, in patients with ND levels of AB expression on parameters of “Job” (12.06 points), “Food” (11.98 points), “Internet” (11.10 points), “TV” (8.82 points), “Shopping” (6.59 points) were significantly higher than in healthy persons (9.73; 9.23; 9.00; 7.38; 4.25 points, respectively; P < 0.05). However, levels of keenness on computer were significantly higher in healthy persons (3.48 points) than in patients with ND (2.34 points; P < 0.05). AB connected with substance abuse was not registered in the groups. Conclusions The results suggest that the patients use AB in forms of food, Internet, job, TV, shopping dependencies as a subconscious mechanism substituting unsatisfied needs and decreasing motivation-emotional tension under conditions of a frustration conflict.
- Subjects
NEUROSES diagnosis; PEOPLE with neurosis; COMPULSIVE behavior; COMORBIDITY; CONTROL groups; PSYCHIATRIC research
- Publication
European Psychiatry, 2016, Vol 33, pS470
- ISSN
0924-9338
- Publication type
Article
- DOI
10.1016/j.eurpsy.2016.01.1367