PSYCHOLOGICAL AND SOCIAL ASPECTS OF SYNTHETIC PSYCHOACTIVE SUBSTANCE USE AMONG INDIVIDUALS WITH BORDERLINE MENTAL DISORDERS: A COMPARATIVE ANALYSIS
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.
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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.2025.27.6.013Похожие публикации:
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