PSYCHOLOGICAL AND SOCIAL ASPECTS OF SYNTHETIC PSYCHOACTIVE SUBSTANCE USE AMONG INDIVIDUALS WITH BORDERLINE MENTAL DISORDERS: A COMPARATIVE ANALYSIS
DOI:
https://doi.org/10.34689/0d8pww71Keywords:
synthetic drugs , borderline personality disorder , addiction , psychopathology , preventionAbstract
Relevance. The growing prevalence of synthetic psychoactive substance use, particularly among young people, is
accompanied by an increase in patients with severe forms of dependence and comorbid mental disorders, including
borderline personality disorders. Identifying the psychological and social characteristics of this group is crucial for developing
targeted support programs.
Objective: to conduct a comparative analysis of synthetic psychoactive substance users with and without signs of
borderline personality disorders and to identify key psychological and social differences between the groups.
Materials and Methods. The present study employed a cross-sectional comparative design and was conducted over the
period from January 2023 to December 2024 at the Almaty City Mental Health Center, Republic of Kazakhstan. The study
was conducted in 2023–2024 at the Mental Health Center in Almaty. A total of 500 respondents were surveyed using a structured
questionnaire. The sample was divided into two equal groups: individuals with borderline personality disorders (n=250) and those
without (n=250). Data were analyzed using Spearman's rank correlation method.
Results. In the group with BPD, emotional disorders (88%), psychotic symptoms (40%), panic attacks (84%), suicidal
thoughts (72%) and attempts (44%) were significantly more common. Significant correlations have been established between
the frequency of use, the severity of addiction symptoms, mood changes, and the risks of suicidal behavior. The
effectiveness of treatment in patients with BPD was lower (20% versus 36% in the group without BPD).
Conclusion. Users of synthetic psychoactive substances with borderline personality disorders demonstrate a more
severe clinical profile and a lower response to therapy. These findings highlight the need for integrated assistance programs
that include psychotherapeutic and social interventions, with a focus on prevention, early detection, and motivation
enhancement.
References
Kozybayeva K.А., Kozybayeva Zh.А., Subkhanberdina A.S., Buribayeva Zh.К., Izekenova A.К. Psychological and social
aspects of synthetic psychoactive substance use among individuals with borderline mental disorders: a comparative analysis
// Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (6), pp. 109-117. doi 10.34689/SH.2025.27.6.013
Козыбаева К.А., Козыбаева Ж.А., Субханбердина А.С., Бурибаева Ж.К., Изекенова А.К. Психологические и
социальные аспекты употребления синтетических психоактивных веществ у лиц с пограничными психическими
расстройствами: сравнительный анализ // Наука и Здравоохранение. 2025. Vol.27 (6), С.109-117. doi
10.34689/SH.2025.27.6.013
Козыбаева К.А., Козыбаева Ж.А., Субханбердина А.С., Бурибаева Ж.К., Изекенова А.К Шекаралық психикалық
ауытқулары бар адамдар арасында синтетикалық психоактивті заттарды қолданудың психологиялық және
әлеуметтік аспектілері: салыстырмалы талдау // Ғылым және Денсаулық сақтау. 2025. Vol.27 (6), Б. 109-117. doi
10.34689/SH.2025.27.6.013
Downloads
Published
License
Copyright (c) 2026 Карина Козыбаева, Жанна Козыбаева, Алия Субханбердина, Жанара Бурибаева, Айгульсум Изекенова (Автор)
This work is licensed under a Creative Commons Attribution 4.0 International License.