reflexioReflexioReflexio2658-45062658-6894НГУ10.25205/2658-4506-2024-17-2-29-44reflexio-142Research ArticleПСИХОЛОГИЧЕСКИЕ ИССЛЕДОВАНИЯPSYCHOLOGICAL RESEARCHМотивация готовности к реабилитационному процессу у наркозависимыхMotivation and Readiness for the Rehabilitation Process in Drug Addictshttps://orcid.org/0000-0002-8158-8250ЮсуповП. Р.YusupovP. R.

Юсупов Павел Рустамович, кандидат психологических наук, доцент кафедры клинической психологии

Барнаул

Pavel R. Yusupov, PhD in Psychology, Associate Professor of the Department of Clinical Psychology

Barnaul

yusupovpr@gmail.comАлтайский государственный медицинский университетРоссияAltai State Medical UniversityRussian Federation2024230420261722944Copyright © Юсупов П.Р., 20262026Юсупов П.Р.Yusupov P.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://reflexio.elpub.ru/jour/article/view/142

Цель исследования заключалась в комплексной оценке взаимосвязей между стадиями мотивационной готовности к реабилитации, структурой мотивов употребления психоактивных веществ (ПАВ), уровнем самоэффективности и показателями экзистенциальной исполненности у наркозависимых пациентов.В исследовании приняли участие 50 пациентов, проходивших медико-психологическую реабилитацию. Применялись методики: «Мотивы употребления наркотиков» (И. В. Аксючиц), шкала URICA для оценки стадий изменений, шкала самоэффективности (Р. Шварцер, М. Ерусалем, русская адаптация) и «Диагностика экзистенциальной исполненности» (ТЭМ). На основе кластерного анализа выделены группы, различающиеся по уровню готовности к изменениям, и проведено сравнение по ключевым психологическим показателям.Лица с высокой мотивационной готовностью демонстрировали более высокие показатели по традиционным мотивам употребления ПАВ, самоэффективности, ценности и осмысленности жизни. Кроме того, для них характерны более высокие значения по мотивам самоповреждения и уровню мотивационного напряжения, что отражает амбивалентность мотивационной сферы и сочетание конструктивных и деструктивных побуждений.Исследование является попыткой комплексного рассмотрения взаимосвязи между стадиями готовности к изменениям, структурой мотивов, самоэффективностью и экзистенциальной исполненностью у наркозависимых. Результаты позволяют уточнить профили пациентов и оптимизировать реабилитационные программы с учетом внутренней структуры мотивации

This study examines the relationships between stages of readiness for rehabilitation, motives for psychoactive substance (PAS) use, self-efficacy, and existential fulfillment in individuals with substance use disorders.The study involved 50 inpatients undergoing medical and psychological rehabilitation. They were assessed with the “Motives for Drug Use” inventory, the URICA scale for stages of change, the General Self-Efficacy Scale (Russian adaptation), and the Test of Existential Motivation (TEM). Cluster analysis identified groups with different levels of readiness for change, which were then compared across psychological variables.Patients with high readiness for change demonstrated stronger traditional motives for PAS use, higher self-efficacy, and greater life meaning. However, they also showed unexpectedly higher self-harm motives and motivational tension, indicating ambivalence in their motivational structure.The sample was limited to one facility, and self-report measures were used. Further longitudinal and mixed-methods research is needed.This study integrates stages of change, motivational patterns, self-efficacy, and existential fulfillment, providing insights for refining patient profiles and tailoring rehabilitation programs.

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The authors declare that there are no conflicts of interest present.