ВИВЧЕННЯ ЗЛОВЖИВАННЯ ПСИХОАКТИВНИМИ РЕЧОВИНАМИ СЕРЕД СТУДЕНТІВ МЕДИЧНИХ ВИЩИХ НАВЧАЛЬНИХ ЗАКЛАДІВ
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i2.15320Ключові слова:
зловживання психоактивними речовинами, психічні розлади, оцінювання ймовірностіАнотація
РЕЗЮМЕ. Значний зв’язок між психологічним дистресом і зловживанням психоактивними речовинами підкреслює необхідність комплексного втручання, спрямованого як на психічне здоров’я, так і на саму проблему зловживання серед студентів-медиків. У роботі проведено оцінювання ймовірності виникнення зловживання психоактивними речовинами шляхом побудови математичної моделі.
Мета – оцінити ймовірність виникнення зловживання психоактивними речовинами, а також розглянути сучасні підходи до профілактики зловживання психоактивними речовинами серед студентів медичних вищих освітніх закладів.
Матеріал і методи. Дослідження проведено серед 523 студентів медичних вищих навчальних закладів. Дані про особливості вживання психоактивних речовин та наявність психічних розладів отримано за допомогою анкетування, тестування, клінічних інтерв’ю, психодіагностичних методик.
Висновки. Задача оцінювання ймовірності виникнення зловживання психоактивними речовинами може бути розв’язана шляхом побудови математичної моделі. Оскільки це завдання належить до категорії задач бінарного вибору, то застосування класичних залежностей неможливе, тому використання функцій логістичного та стандартного нормального розподілів дає можливість побудови адекватних моделей.
Посилання
Agaiev NA, Kokun OM, Pishko IO, et al. Zbirnyk metodyk dlia diahnostyky nehatyvnykh psyhichnykh staniv viiskovosluzhbovtsiv: Metodychnyi posibnyk [Collection of methods for diagnosing negative mental conditions in military personnel: Methodological instructions]. K.: YDTS GP ZSU; 2016. Ukrainian.
Niranjjan R, Nancy S, Gayathri S, Arulvijayavani S. Mental health status and substance abuse among medical students in Karaikal, Puducherry, India. Bioinformation. 2024 Mar 31;20(3):292–296. DOI: 10.6026/973206300200292. DOI: https://doi.org/10.6026/973206300200292
Sysko NM. Psykholohichna profilaktyka narkotychnoi zalezhnosti uchniv profesiinotekhnichnykh navchalnykh zakladiv [Psychological prevention of drug addiction among students of vocational and technical educational institutions]. Khmelnytskyi; 2015. Ukrainian.
Zhuravel T. et al. Poperedzhennia vzhyvannia psykhoaktyvnykh rechovyn [Prevention of psychoactive substances use]. Kyiv; 2019. Ukrainian.
Stadnik AV, Melnyk YB. Opytuvalnyk zahalnoho zdorovia [General health questionnaire]. 2023. DOI: 10. 26697/sri.krpoch/stadnik.melnyk.5.2023. Ukrainian.
Montazeri A, Harirchi AM, Shariati M. et al. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and Quality of LifeOutcomes. 2003. 1(1):66. DOI: 10.1186/1477-7525-1-66. DOI: https://doi.org/10.1037/t61327-000
Jandac T, Stastna L. Analysis of the Relationship between Psychiatric and Addiction-Related Disorders in Patients of an Outpatient Addiction Treatment Clinic for Children and Adolescents. Children. 2024;11(4):414. DOI: 10.3390/children11040414. DOI: https://doi.org/10.3390/children11040414
Montanari L. Comorbidity of substance use and mental disorders in Europe. The European Journal of Public Health. 2024;34(Supplement_3). DOI: 10.1093/eurpub/ ckae144.524. DOI: https://doi.org/10.1093/eurpub/ckae144.524
Psykhichni rozlady i rozlady povedinky (F00-F99) / Klas V MKB-10 [Mental and behavioral disorders (F00-F99) / Class V ICD-10]. Kyiv; 2015. Ukrainian.
Stojanovic-Tasic Mirjana M, Virijevic M, Rakic K, et al. Use Of Psychoactive Substances Among Belgrade University Students With Diagnosed Somatic Or Mental Disoders. Praxis medica. 2025;52(2). DOI: 10.70949/pramed202502001S. DOI: https://doi.org/10.70949/pramed202502001S
Moran LV, Skinner JP, Shinn A, et al. Risk of Incident Psychosis and Mania With Prescription Amphetamines. American Journal of Psychiatry. 2024; 181(10):appiajp20230329. DOI: 10.1176/appi.ajp.20230329. DOI: https://doi.org/10.1176/appi.ajp.20230329
Abedi K. Schizophrenia and Other Psychotic Disorders Among the Visually Impaired. Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal. 2024;8(11):1-6. DOI: 10.26685/urncst.678. DOI: https://doi.org/10.26685/urncst.678
Zhylin M, Mendelo V, Karpenko Y, et al. Mental and Behavioural Disorders as a Result of Using Alcohol and Psychoactive Substances. Revista de cercetare si interventie socialf. 2023;81:117-128. DOI: 10.33788/rcis.81.7. DOI: https://doi.org/10.33788/rcis.81.7
Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv. Rev. Psychiatry. 1997;4(5):231-44. DOI: 10.3109/10673229709030550. DOI: https://doi.org/10.3109/10673229709030550
Belfiore CI, Galofaro V, Cotroneo D, et al. A Multi-Level Analysis of Biological, Social, and Psychological Determinants of Substance Use Disorder and Co-Occurring Mental Health Outcomes. Psychoactives. 2024;3(2):194-214. DOI: 10.3390/psychoactives3020013. DOI: https://doi.org/10.3390/psychoactives3020013
Adindu K, Otaniyen PN, Uchenna N, et al. The influence of social media on adolescent mental health and substance abuse patterns. World Journal of Advanced Research and Reviews. 2025;24(02):253-261. DOI: 10.30574/ wjarr.2024.24.2.3296. DOI: https://doi.org/10.30574/wjarr.2024.24.2.3296
ElBarazi AS. The Association Between Childhood Maltreatment and Post-Traumatic Stress Disorder (PTSD) Among Young Adults in Northern Syria. Journal of Child & Adolescent Trauma. 2025. DOI: 10.1007/s40653-025-00701-5. DOI: https://doi.org/10.1007/s40653-025-00701-5
Khvostychenko LOM., Trusei LH. The Role of the Family in the System Of Spiritual and Intellectual Upbringing of the Personality. Spiritual-intellectual upbringing and teaching of youth in the 21st century. 2025; 7. DOI: 10.58962/2708-4809.SIUTY.2025.12. DOI: https://doi.org/10.58962/2708-4809.SIUTY.2025.12
Jiang Y, Yu H, Zheng Q, et al. Effects of decision making and impulsivity on the addictive features of non-suicidal self-injury behaviors in adolescents with depressive disorder. BMC Psychiatry. 2024;24(1). DOI: 10.1186/s12888-024-06121-3. DOI: https://doi.org/10.1186/s12888-024-06121-3
Gilmartin T, Gurvich C, Dipnall JF, Sharp G. Using the alternative model of personality disorders for DSM-5 traits to identify personality types, and the relationship with disordered eating, depression, anxiety and stress. Journal of Eating Disorders. 2025;13(1). DOI: 10.1186/s40337-025-01204-2. DOI: https://doi.org/10.1186/s40337-025-01204-2
Hawsawi AA, Nixon N, Nixon E. Navigating the medical journey: Insights into medical students’ psychological wellbeing, coping, and personality. PLOS One. 2025;20(2). DOI: 10.1371/journal.pone.0318399. DOI: https://doi.org/10.1371/journal.pone.0318399
Uygun SD, Cop E, Ozdel K, et al. Investigation of the relationship of substance use disorders with hopelessness, anxiety sensitivity, impulsivity and sensation seeking personality traits in adolescents. The Journal of Clinical Psychiatry. 2020;23(2). DOI: 10.5505/kpd.2020.13008. DOI: https://doi.org/10.5505/kpd.2020.13008
García-Fernández M, Fuentes-Sánchez N, Escrig MA et al. Gender, emotion regulation, and cognitive flexibility as predictors of depression, anxiety, and affect in healthy adults. Current Psychology. 2025. DOI: 10.1007/s12144-024-07240-6. DOI: https://doi.org/10.1007/s12144-024-07240-6
Chih-Cheng Chang. Addiction stigma among people with opioid, amphetamine and alcohol use disorders. The International Journal of Neuropsychopharmacology. 2025;28(Supplement_1):i306-i306. DOI: 10.1093/ijnp/pyae059.543. DOI: https://doi.org/10.1093/ijnp/pyae059.543
Okoye N, Udeji RN, Ordu CN, et al. Negative Implications of Drug and Substance use on Mental Health. International Neuropsychiatric Disease Journal. 2024;21(4):18-25. DOI: 10.9734/indj/2024/v21i4439. DOI: https://doi.org/10.9734/indj/2024/v21i4439
Tan Tan Davani H. Emotional Regulation in Substance Uses Disorders and Their Generation. Bulletin of Taras Shevchenko Kyiv National University. Psychology. 2022;1(1(15)):61-64. DOI: 10.17721/BSP.2022.1(15).10. DOI: https://doi.org/10.17721/BSP.2022.1(15).10
Gautier M, Pabst A, Maurage P. Anger, Hostility, and Aggression in Severe Alcohol Use Disorder. Handbook of Anger, Aggression, and Violence. 2023. DOI: 10.1007/ 978-3-031-31547-3_48.
Chiu K, Stringaris A, Leigh E. Social anxiety symptoms and their relationship with suicidal ideation and depressive symptoms in adolescents: A prospective study. JCPP Advances. 2024;5(1). DOI: 10.1002/jcv2.12249. DOI: https://doi.org/10.1002/jcv2.12249
Hietapakka L, Sinervo T, Elovainio M. Patient-sharing relationships among primary healthcare professionals taking care of patients with mental health problems or substance abuse: the social network approach. International Journal of Integrated Care. 2023;23(S1):550. DOI: 10.5334/ijic.ICIC23553. DOI: https://doi.org/10.5334/ijic.ICIC23553
Elbogen E, Swanson J, Swartz MS, Van Dorn R. Medication nonadherence and substance abuse in psychotic disorders: impact of depressive symptoms and social stability. The Journal of nervous and mental disease. 2005;193(10):673-9. DOI: 10.1097/01.nmd.0000180742. 51075.70. DOI: https://doi.org/10.1097/01.nmd.0000180742.51075.70
Chattopadhyay A, Chawla N, Singh Sen M, et al. Unprotected Risky Sex Among Men with Opioid Dependence: Is More Needed to Be Done? Journal of Psychosexual Health. 2024;6(2). DOI: 10.1177/ 26318318241255777. DOI: https://doi.org/10.1177/26318318241255777
Bardini L, Roloff Krüger A, Moreno Xavier G, et al. Mental and Behavioral Disorders Associated with the Use of Psychoactive Substances and Alcohol: An Epidemiological Analysis in Southern Brazil. European Psychiatry. 2024; 67(S1):S831-S831. DOI: 10.1192/j.eurpsy.2024.1734. DOI: https://doi.org/10.1192/j.eurpsy.2024.1734
Silverman S. Identification of shared Gene/Drug and Gene/Disease genetic associations in a mental health/substance use disorder patient population across an addiction treatment network using Pharmacogenomic testing. Research Square. 2023. DOI: 10.21203/rs.3.rs-3253501/v1. DOI: https://doi.org/10.21203/rs.3.rs-3253501/v1
Trofimova I. The interplay between brain neurotransmitters and opioid systems in major depression and comorbid and generalized anxiety. The International Journal of Neuropsychopharmacology. 2025;28(Supplement_1): i79-i80. DOI: 10.1093/ijnp/pyae059.137. DOI: https://doi.org/10.1093/ijnp/pyae059.137
Sulthana HKP, Aravind S. Neuropsychological perspective on brain function in substance use disorder. Conference: Neuropsychological perspective on brain function in substance use disorder. March 2025. https://www.researchgate.net/publication/389695993_Neuropsychological_perspective_on_brain_function_in_substance_use_disorder.
Van Baal ST, Walasek L, Verdejo GA, Jakob H. Impulsivity and Self-Control as Timeless Concepts: A Conceptual Analysis of Intertemporal Choice. Decision. 2025. DOI: 10.1037/dec0000257. DOI: https://doi.org/10.1037/dec0000257
Das P. Association between Stress, Depression, Anxiety and Coping Styles. Conference: 13 th Global Conference on Business and Social Sciences. URL: http://gcbss.org/CIMSSR2022/index.html 17th - 18th June 2022 DOI: https://doi.org/10.35609/gcbssproceeding.2022.1(102)
Linn BK, Zhao J, Bradizza CM. Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems. Journal of Clinical Psychology. 2021. DOI: 10.1002/jclp.23279. DOI: https://doi.org/10.1002/jclp.23279
Adibifar M, Manouchehri A, Salahian A, Nasrollahi B. The Role of Social Support and Childhood Abuse in Sexual Addiction. KMAN Counseling and Psychology Nexus. 2025. 3:1-8. DOI: 10.61838/kman.hp.psynexus.3.3. DOI: https://doi.org/10.61838/kman.hp.psynexus.3.3
Regier DA, Farmer ME, Rae DS, et al. Comorbidity of Mental Disorders With Alcohol and Other Drug Abuse: Results From the Epidemiologic Catchment Area (ECA) Study. JAMA The Journal of the American Medical Association. 1990;264(19):2511-8. DOI: 10.1001/jama. 1990.03450190043026. DOI: https://doi.org/10.1001/jama.1990.03450190043026
Tanarsuwongkul S, Liu J, Spaulding M, et al. Associations between social determinants of health and mental health disorders among U.S. population: a cross-sectional study. Epidemiology and Psychiatric Sciences. 2025;34. DOI: 10.1017/S2045796024000866. DOI: https://doi.org/10.1017/S2045796024000866
Prince JD. Substance Use Disorder and Violence Among People with Severe Mental Illness in the United States. Psychiatric Quarterly. 2024;95(2):1-12. DOI: 10.1007/ s11126-024-10077-8. DOI: https://doi.org/10.1007/s11126-024-10077-8
Varino F, Duarte TA, Silva FS, et al. Cannabis Use and Its Interaction with Anxiety Disorders. European Psychiatry. 2024;67(S1):S423-S424. DOI: 10.1192/j.eurpsy. 2024.876. DOI: https://doi.org/10.1192/j.eurpsy.2024.876
Mohanty MG, Nayak MR, Mahanta D. Cannabinoid-induced psychotic disorder: A descriptive study. Odisha Journal of Psychiatry. 2023;18(1):44-48. DOI: 10.4103/OJP.OJP_9_22. DOI: https://doi.org/10.4103/OJP.OJP_9_22
Regier PS, Costa Macedo de Arruda TC, Sinko L, et al. Factors associated with cognitive flexibility in people with opioid-use disorder: a pilot study. Frontiers in Psychiatry. 2024;15. DOI: 10.3389/fpsyt.2024.1505391. DOI: https://doi.org/10.3389/fpsyt.2024.1505391
Oryshchyn-Buzhdyhan L. Matematychni metody v psykholohii [Mathematical methods in psychology]. Lvivskyi derzhavnyi universytet vnutrishnikh sprav. 2018. URL: https://www.researchgate.net/publication/365000067_ MATEMATICNI_METODI_V_PSIHOLOGII#fullTextFile Content. Ukrainian.
