ORIGINAL ARTICLE
Modern methods of diagnosing addiction to psychoactive substances: neurophysiological aspects
 
More details
Hide details
1
Ulyanovsk State University, Ulyanovsk, Russia
 
2
Moscow State University of the Civil Engineering, Moscow, Russia
 
3
Moscow University of the Ministry of Internal Affairs of Russia Named after V.Y. Kikot, Moscow, Russia
 
4
Moscow Region State University, Moscow, Russia
 
5
Sechenov First Moscow State Medical University, Moscow, Russia
 
6
Ogarev Mordovia State University, Saransk, Russia
 
 
Publication date: 2018-12-10
 
 
Electron J Gen Med 2018;15(6):em94
 
KEYWORDS
ABSTRACT
Objective:
The study of the features of the higher mental functions of the brain in patients suffering from addiction to psychoactive substances is very important for narcology. It is necessary not only to uncover the mechanisms of addiction, a complete understanding of the neurophysiological processes that determine the nature of the development and severity of the disease, but also to solve practical problems related to the development of treatment methods and the implementation of preventive measures.

Method:
In the study of patients, a specially designed map was used containing information on the hereditary and demographic characteristics, on the course of the disease, as well as on the socio-cultural status of patients. To determine the functional state of cortical activity in the process of perception of unconscious signals, a special technique was used. The obtained results were subjected to dispersive analysis and the significance of differences was calculated according to Student’s t-criterion.

Results:
An analysis of premorbid personality traits made it possible to establish the prevalence of instability, pathological conformity, and hysteroidal features in patients. It should be noted that a large percentage of the surveyed had a hereditary burden of alcoholism, mainly in the line of the father. Curiosity, passive submission, imitation of friends were among the motives of the first drug use. All patients in the process of addiction formed the following features: increased excitability, increasing effective disorders (depression, dysphoria), aggravated by exacerbation of craving for the drug, a decline in morals and ethics (egoism, deceit, indifference to one’s fate, hedonism, loss of sense of duty), disorders of the emotional-volitional sphere (emotional instability, hypersensitivity, vulnerability).

Conclusion:
The analysis of the duration of latent periods and magnitude of the amplitudes of the late positive R3OO wave in patients with heroin addiction revealed clear differences between the data obtained upon presentation of an unconscious neutral and motivationally significant word. Patients who use psychoactive substances, using the method of recording induced potentials of the brain, which is a sensitive indicator of the activity of brain structures in relation to the substance used, revealed a clear diffuse activation of the cerebral cortex in response to an unconscious verbal stimulus related to the motivation prevailing in patients, in particular to “heroin”. Such activation, as well as the difficult dying out of the developed reactions to an unconscious stimulus, indicate certain neurophysiological foundations of the mechanism underlying the changes in the motivational sphere and the stability of the pathological craving for the psychoactive substance.

 
REFERENCES (33)
1.
Ivanets NN, Vinnikova MA. Heroin addiction. Moscow: Medical practice. 2001.
 
2.
Beritov IS. Structure and function of the cerebral cortex. Moscow: Science. 1969.
 
3.
Erofeeva M, Khramtsova F. Social immunity youth. In Japanese Educational and Scientific Review. 2015;1(9):428-436.
 
4.
Klimenko TV. Addiction today. In Doctor. 1995;4:34-6.
 
5.
Boelen P. Intolerance of uncertainty and emotional distress following the death of a loved one. In Anxiety Stress Coping. 2010;23(4):471-8. https://doi.org/10.1080/106158... PMid:20455126.
 
6.
Kalinina NV, Salakhova VB, Artamonova EG, Efimova OI, Kalinin IV. Psychological Prevention Mechanisms of Minors’ Deviant Behavior. Eurasian Journal of Analytical Chemistry. 2017;12(Special Issue):663-72. https://doi.org/10.12973/ejac.....
 
7.
Kozlov AA., Elder TC. Psychological features of drug addicts. Journal of Neurology and Psychiatry. 1999;10:14-9.
 
8.
Makarov VV. Psychotherapy in narcology. Narcology. 2002;2:37-41.
 
9.
Pyatnitskaya IN. Addiction. Moscow: Medicine. 1994.
 
10.
Pyatnitskaya IN. Primary drug prevention. Narcology. 2002;8:19-25.
 
11.
Wroblewsky AG. Medico-social prognosis of some forms of drug addiction. Questions of Addiction. 1988;3:38-42.
 
12.
Belcher HM. Substance abuse in children- prediction, protection, and prevention. Pediatr Adolesc. Med. 1998;152(10):952-60.
 
13.
Kostandov EA. The perception of emotions. Moscow: Medicine. 1977.
 
14.
Adelekan ML, Odejide OA. The reliability and validity of the WHO student drug-use questionnaire among Nigerian students. Drug and Alcohol Depend. 2002;24(3):245-9. https://doi.org/10.1016/0376-8....
 
15.
Dmitrieva TB, Drozdov FZ, Kogan BM. Clinical neurochemistry in psychiatry. Moscow: RIO SSC SSP them. V.P. Serbian. 1998.
 
16.
Kaplan GI, Sadok BJ. Clinical Psychiatry: Moscow; 1994.
 
17.
Krent D, Melhem N, Donohoe B, Walker M. The Incidence and Course of Depression in Bereaved Youth 21 Months after the Loss of a Parent to Suicide, Accident, or Sudden Natural Death. Am. Journal Psychiatry. 2009;166:786-94. https://doi.org/10.1176/appi.a... PMid:19411367 PMCid:PMC2768496.
 
18.
Nikityuk DB, Miroshkin DV. Immune structures with increased physical exertion. Morphology. 2008;133(2):85-90.
 
19.
Shcherbakova OI, Chernykh AK, Balahanova DK, Midova VO. Stress control practices for mental balance improvement in academic sports. Teoriya i Praktika Fizicheskoy Kultury. 2018;9(1):22-3.
 
20.
Aleksandrovsky YuA. Border mental disorders: a guide for doctors. Moscow: GEOTAR-Media. 2007.
 
21.
Erofeeva M. Interaktion der sozialen Geschlechtsrolle. Eastern European Scientific Journal. 2014. Retrieved from http://www.auris-verlag.de/med....
 
22.
Jind L, Elklit A, Christiansen D. Cognitive schemata and processing among parents bereaved by infant death. Journal Clin. Psychol. Med. Settings. 2010;17(4):366-77. https://doi.org/10.1007/s10880....
 
23.
Korolenko CP. Addictive behavior. General characteristics and patterns of development. Review of psychiatry and medical psychology. 1991;1:8-15.
 
24.
Kuo JR, Linehan MM. Disentangling emotion processes in borderline personality disorder: physiological and self- reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. Journal Abnorm. Psychol. 2009;118:531-44. https://doi.org/10.1037/a00163... PMid:19685950.
 
25.
Anokhin SP. The generality of the pathogenetic mechanisms of alcoholism and drug addiction and ways to find means to treat these diseases. Pharmacology and Toxicology. 1990;53(4):4-9.
 
26.
Efimova ОI, Salakhova VB, Mikhaylova IV, Gnedova SB, Chertushkina TA, Agadzhanova ER. Theoretical review of scientific approaches to understanding crisis psychology. Mediterranean Journal of Social Sciences. 2015;2:3-11.
 
27.
Feldner MT, Monson CM, Friedman MJ. Critical Analysis of Approaches to Targeted PTSD Prevention: Current Status and Theoretically Derived Future Directions. Behav. Modif. 2007;31(1):80-116. https://doi.org/10.1177/014544... PMid:17179532.
 
28.
Klimenko TV. Social and biological causes of drug addiction. Doctor. 1992;12:33-5.
 
29.
Krasnov VN. Affective spectrum disorders. Moscow: Practical medicine. 2011.
 
30.
Nikityuk DB, Miroshkin DV, Bukavneva NS. Clinical and anthropological approaches. Morphological statements. 2008;1(2):56-62.
 
31.
Shcherbakova OI. Formation managers stress management skills. Modern training and coaching: new opportunities in business and education. Moscow: Russian University of Economics. 2017.
 
32.
Pyatnitskaya IN. Clinical Addiction Medicine. St. Petersburg: Medicine. 1975.
 
33.
Salakhova VB, Kalinina NV, Belinskaya DB, Aygumova ZI, Tkhugo MM. Education as a factor of raising the adaptation potential in a delinquent personality. Man in India. 2017;97(3):1-13.
 
eISSN:2516-3507
Journals System - logo
Scroll to top