Aymedov K. Pathological gambling (clinic, therapy and rehabilitation)

The 665 persons were examined - 473 (basic group) have diagnosed pathological gambling F63.0 (PG), the 114 persons have alcohol abuse - AA (the first comparison group) and 78 were conventionally healthy persons with the experience of gambling (the second comparison group). The clinical content of PG includes dominance of dystymic and dysphoric symptoms with overvalued idea to be in the game, anxiety, depression, formality judgments, declarative confession of guilt. In developing PG singled out two stages: subcompensation and decompensation. It was established that the formation of PG, unlike other forms of addictive behavior has mandatory nooethical component, which is expressed in the presence of the existential vacuum, no goals in in life, dissatisfaction with their lives in the present. It was determined that the deviation tendencies, low social control and inharmoniuous characterological and maladijustive personality traits contribute to the development and implementation addictive behavior in the form of PG. Also was identified biological, psychological and psychosocial risk factors for development PG. They are ranked by intensity of impact on predisposition, promoting and supporting and so on differentiated on the general and specific for the development of PG. The evidence-based model of medical and social assistance to persons with PG consists of three phases: diagnostic, active therapy and supporting therapy and social rehabilitation. It was formulates a system of integrated therapy PG, which consists of a combination psychopharmacological and psychotherapy interventions, which proved the effectiveness of annual monitoring. We had proved that adherence to treatment of patients with PG eHealth-technologies, especially during the first 3th months, can significantly reverse the noncompliance and improve adherence to therapy.