Features of socio-psychological adaptation of patients with paranoid form of schizophrenia complicated by synthetic cannabinoids (spice) dependence

Introduction. Untimely rehabilitation of patients with a paranoid form of schizophrenia (PS), dependent on synthetic cannabinoids (SC), disturbs the system of socio-psychological adaptation (SPA) and leads to rehospitalization. The objective is to study the SPA of patients with PS, complicated by SC dependence. Methods: Clinical-psychopathological, psychological (method of selfassessment of anxiety level by C.D. Spielberger and Yu.L. Khanin, Methodology of SPA by K. Rogers and R. Diamond, MMPI, LSI R. Plutchik and G. Kellerman, technique of diagnosis of inclination for deviant behavior by A.N. Orel, statistical methods. Results. SPA of patients with PS, dependent on the SC is affected by the following - characteristics of personality deformation, level of anxiety, behavior and adaptation, psychological defenses. Conclusion. SPA in patients with PS and AC dependence is affected by psychotic personality traits (hypochondria, impulsivity, paranoiac traits, psychasthenia, schizoid traits) reducing socialization. Loss of contact with reality, paradox of perception and behavior based on delirium, desire for addiction are typical. The growth of anxiety changes the idea of reality - they perceive what is happening as aggression; also it causes tension of destructive psychological defenses. Disturbance of SPA mechanisms causes their desire for addictive, non-normative and delinquent behaviors that maneuver among themselves. Stay at a hospital stabilizes the SPA caused by a homogeneous environment, but it provokes the development of hospitalism. Change of their pattern of behavior causes non-acceptance of themselves.