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Information × Registration Number 0311U003137, 0107U001645 , R & D reports Title Elaboration of the clinical protocols of diagnostics and therapy of drug use mental disorders mixed with other mental diseases through the model of affective disorders, schizophrenia and organic damage of the brain popup.stage_title Вивчити розповсюдженість, реальні можливості та потребу в допомозі хворим з психічними і поведінковими розладами внаслідок вживання психоактивних речовин, коморбідних з психічною патологією іншого походження на моделі афективних розладів, шизофренії та органічного ураження головного мозку Head Ignatov Mykhail, Registration Date 31-01-2011 Organization Ukrainian research institute of social and forensic psychiatry Ministry of Public Health of Ukraine popup.description2 The aim of the research phase: to explore domestic and foreign experience in diagnosis, therapy and rehabilitation of patients with drug abuse disorders comorbid with another mental pathology; explore the real level of need of medical care in outpatient and inpatient facilities of Substance Abuse Treatment. Methods: analytical, clinical psyhopatolohich-nyy, pathopsychological, diagnostic. The results: At the first stage of the study was analyzed more than 200 sources (books, papers, manuals) to study the prevalence of comorbid disorders, analysis of domestic and foreign experience of diagnosis, treatment and rehabilitation of patients with drug abuse disorders, comorbid mental pathology in another origin. Summing up the research materials can be stated that currently the world psychiatric literature emphasizes a number of methodological problems in studying the problems of psychiatric and drug komorbidnosti, including topical following: 1. Uncertainty treatment strategy for patients with comorbid disorders (therapy, focused on "Home" disorder, "parallel" treatment of comorbid disorders, integrated treatment). Lack of sufficient evidence of effectiveness psyhofarmakoterapiyi. 2. The uncertainty of diagnostic criteria for substance abuse disorders in psychiatric patients. 3. Using the "broad" criteria for drug violations leads to what komorbidnist becomes more common than a single diagnosis. Such an approach with accurate registration of all substance abuse including nicotine and caffeine evaluation forms, when almost 90% of patients with serious mental disorder are "double", "triple" or "multiple" diagnosis. 4. In the field of epidemiological studies of comorbid disorders is no common opinion about the period that should be assessed - all life, the last year or the current time. 5. In terms of clinical evaluation remains difficult differentiation of depression and anxiety as symptoms of depression and anxiety, both syndromes. Atypical course of drug treatment clinics and mental disorders in patients with syndrome differentiation difficult depending on the use of harmful effects. 6. In terms of scientific study of the problem komorbidnosti considerable difficulties in assessing the research section provides criteria for ICD-10, which provided precise elements of "pure" disorders and is recommended to exclude those from studies of patients whose primary disorder is complicated by abuse or dependence on psychoactive substances. Product Description popup.authors Ігнатов Михайло Юрійович Коваль Зоя Олександрівна Лебедєв Дмитро Сергійович Лобанов Сергій Олегович Орловська Яся Володимирівна Оськіна Валентина Миколаївна Тищенко Галина Миколаївна Трофімчук Георгій Євгенович popup.nrat_date 2020-04-02 Close