The effect of prospective thinking and self-destructive behavior characteristics on the duration of therapeutic remission in stimulant addiction

In order to analyze the factors influencing remission duration in patients with stimulant dependence syndrome, specifically parameters of self-destructive behavior and prospective thinking, a study was conducted involving 112 hospitalized patients – 73 women and 39 men diagnosed with stimulant dependence syndrome (F15.2 according to ICD-10). The median age was 24 years [21.00 ÷ 27.00]. Upon admission, patients completed Beck's Hopelessness Scale, Barratt Impulsiveness Scale, Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), as well as Interpersonal Needs Questionnaire and Zimbardo Time Perspective Inventory. Additionally, Suicidal Potential Index was calculated. At discharge, patients were retested using Beck's Hopelessness Scale and SOCRATES methodology. After discharge, patients were followed up for six months. Remission factor evaluation was performed using multiple linear regression method. A total of three multiple linear regression models were constructed, assessing multicollinearity and normal distribution of residuals. Study results confirm the multifactorial nature of formation and maintenance of remission in patients with stimulant dependence syndrome. The obtained data emphasize the importance of comprehensive treatment approach including work on negative cognitive schemas, development of prospective thinking, and maintaining motivation for change. Inclusion of therapeutic techniques that enhance planning abilities and stimulate prospective thinking may contribute to increased remission duration in patients with stimulant dependence syndrome.