Bulgarian Journal of Psychiatry, 2026; 11(2):24-33

PERCEPTION OF THE DRUG PHENOMENON, SOCIAL INFLUENCE, AND GROUP BELONGING AMONG MINORS IN ALBANIA

Engjëllushe Zenelaj1, Ermelinda Durmishi2, Ejona Shaska Zilja3, Edvaldo Begotaraj4, Andrin Tahiri5, Taulant Gishto6, Elias Liolis7, Andreas Antzoulas7, Francesk Mulita7

1Research Center at Kolegji Universitar Reald Vlorë, Vlorë, Albania

2“Aleksandër Moisiu” University of Durrës, Durrës, Albania

3Department of Emergency Psychiatry, “Ali Mihali” Psychiatric Hospital, Vlorë, Albania

4Sapienza University of Rome, Rome, Italy

5Department of Toxicology, “Nene Tereza” Tirana Hospital, Tirana, Albania

6University Hospital Center “Mother Teresa”, Tirana, Albania

7General Hospital of Patras, Patras, Greece

Abstract. This study explores the perceptions, behaviours, and institutional interactions of Albanian minors regarding the use of narcotic substances, with a focus on gender and urban-rural differences. Using a structured questionnaire administered to students aged 13 to 18, the research provides quantitative and qualitative insights into drug experimentation, peer influence, communication with school figures, and response to substance use within their social circle. Findings reveal that male adolescents report higher rates of substance use and exposure, whereas females exhibit greater emotional distance and moral disapproval. Urban minors are more likely to report to institutional figures such as homeroom teachers, while rural minors demonstrate stronger engagement with family and peers and show more tolerance in social relationships with substance users. Notably, tolerance and passivity increase with age, particularly in high school students, signalling a potential erosion of institutional trust. The data suggest the need for differentiated preventive strategies: enhancing critical awareness and self-control among boys, promoting psychological support and open dialogue among girls, and tailoring anti-drug education to the socio-cultural context of each settlement.

Key words: narcotic substances, gender differences, rural-urban contrast, preventive education, youth behaviour

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