Haydabrus A. Clinical and psychopathological features of alcoholic dependence in former serviceman

The dissertation presents theoretical foundation and a new resolve of actual scientific problem - the studying of clinical and psychopathological features of course of alcohol dependence (AD) in former serviceman (FS), as bases for improvement of methods for prevention, treatment and rehabilitation of representatives of the specified contingent. It was carried out two-phase comparative research of FS and civil patients (CP) with AD. Medical reports of 41 FS and 39 CP were analyzed at the pilot stage, and 53 FS and 50 CP were surveyed at the basic stage. It was established during complex clinical, psychopathological and psychodiagnostic research that FS distinguishes from CP by: the raised frequency comorbid somatic pathology, inclination to relapses of AD and to alcoholic psychoses, and also rather high resistance to therapy of present psychopathological symptoms. Offers concerning optimization of standards of treatment FS with AD are developed and most important of which are: the maximum reduction of the period between the alcohol intake termination (at exit from hard drinking) and hospitalization; increase of standard period of detoxication (after hard drinking) up to 3 weeks; accent in psychosocial support in posthospital period: on regularity of therapeutic contacts, on cognitive-behavioral psychotherapy, on the family-focused actions; and also on the help in search of a new, civil workplace.