FACTORS DETERMINING THE SEVERITY OF ANOSOGNOSIA IN PATIENTS WITH DEPENDENCE ON SYNTHETIC CATHINONES ON AN EXAMPLE OF THE “NON-ACCEPTANCE OF SOBRIETY” SCALE

This article presents an analysis of the relationship between sociodemographic, clinical, and psychological characteristics and the lack of readiness for sobriety in patients with synthetic cathinone addiction. Patient motivation to stop using psychoactive substances plays a critical role in treatment success. Anosognosia, or lack of awareness of one’s condition, complicates the formation of this motivation. The lack of readiness for sobriety is one key element of anosognosia. Seventy patients with synthetic cathinone addiction were examined. The methods used included: 1) clinical and psychological methods with a specially developed registration form; 2) experimental psychological methods, including the “Anosognosia in Addiction” questionnaire (R. D. Ilyuk et al., 2020), the “Addiction Severity Index” (EuropASI — Russian version) (T. McLellan, D. Karise, 1979), the “Rehabilitation Potential Assessment Scale” (T. N. Dudko et al., 2006), the “Personality Differential” (Factor O) (E. M. Bazhin, A. M. Etkind, 1983), and the “Family Environment Scale” (S. Yu. Kupriyanov, 1985). Correlation and regression analyses identified sociodemographic, clinical, and psychological factors influencing the degree of rejection of sobriety. The results allowed for the identification of risk group criteria and psychotherapeutic targets for specialists addressing anosognosia in patients with synthetic cathinone addiction.