The significance of irrational demandingness’ directionality: the differentiated program of cognitive-behavioural coping-therapy of addictive and nonpsychotic anxiety and depressive disorders

The integration of cognitive-behavioural approach with stress coping approach allowed to justify a new direction - cognitive coping therapy (CCT). The effectiveness of the common CCT program in addictive and anxiety-depressive disorders, taking into account the patients which were missing control point (compliance 60.6%): remission of alcohol abuse - 50.9%, drug use - 47.1%, anxiety - 47.4%, depression - 42.2%. The aim of the study was to find a possible way to optimize and improve the effectiveness of this type of intervention. By cluster analysis two groups of patients were selected: sthenic cluster was characterized by the irrational demandingness of themselves, relatively high social adaptation and relatively adaptive coping, hyposthenic cluster was characterized by demandingness in relation to other, and opposite characteristics. Result. A comparative analysis of the intervention’s effectiveness by the common CCT technique and using of differentiated approach in the irrational demandingness’ directionality, fixed an increase in compliance to 85.9%, the level of confirmed remission in alcohol using - 72.1%, drugs using - 80.0%, anxiety - 73.2%, and depression - 69.7%. Indicators of social adaptation, cognitive style, coping style, refusal of patients from risk-taking and criminal behaviour were also improved.