Relevance. Necessity for enhancement of therapeutic approaches to post-traumatic stress disorder (PTSD) using a modern high-tech biofeedback.Intention. Scientific foundation for using biofeedback training in complex therapy of PTSD in combatants.Methodology. Military men, 40 healthy and 36 PTSD, aged 33.2 and 34.8 years, respectively (p > 0.05) were examined. Neurology signs were estimated with “Neurotic disorders-questionnaire-symptomatic”, quality of life – with “Quality of life questionnaire-12”, PTSD signs – with “Mississippi scale”. Stress-testing and biofeedback training were carried out using “Reacor” biofeedback psychophysiological hardware.Results and Discussion. Inverse correlations were revealed between PTSD signs and systolic wave amplitudes (SWA) from digital photoplethysmogram during stress-testing with biofeedback psychophysiological hardware. Heart rate variability and breathing recursion used in foreign studies as biofeedback training parameters for this disorder treatment didn’t correlate with signs of post-traumatic stress disorder. The effectiveness of SWA biofeedback training for PTSD complex treatment in combatants was proved. Everyday trainings during 8–10 days statistically significantly reduced neurotic manifestations and improved self-rating of life quality regarding “mental health”.Conclusion. SWA is a prognostic marker within health – illness continuum and can be used as a sensitive physiological parameter in the biofeedback trainings for overcoming PTSD. Conscious involvement of combatants into a treatment process via inclusion of SWA biofeedback trainings in PTSD complex treatment improves the results and self-ratings of life quality.

Resume. The purpose of the work was to identify patterns of adaptation of young people to new environmental conditions when changing their place of residence. The study was carried out from September 2021 to June 2022, with the participation of 134 people, 32 men and 102 women aged 18-20, first-year students of state universities in Volgograd. The gender, age, place of birth and place of residence of the respondents before entering the university were taken into account. To assess the level of systemic maladjustment, in terms of psychological, psychophysiological and psychosomatic symptoms of extreme tension of the body, a blank test by I.N. Gurvich, developed at the Psychoneurological Research Institute. V.M. Ankylosing spondylitis in 1992. Manifestations of a stress reaction (Giessen questionnaire of somatic complaints) and anxiety-depressive disorders (HADS scale) were taken into account, and the presence of suicidal ideation was determined - modulo suicidal ideas of the Columbian Suicidal Seriousness Scale (C-SSRS). The functional status, in relation to the stress resistance of the subjects, was assessed by the level of the general nonspecific reactivity of the organism. As a result of the studies performed, it was determined that the maximum development of systemic maladjustment, at the time of passing the second examination session, is characteristic of male students who arrived to study in Volgograd from other regions of Russia. Throughout the spectrum of the studied symptoms of disa-daptation, both in the somatic (headaches, pains in the stomach, heart, abdomen) and in the mental (insomnia, physical fatigue, depression, suicidal ideation) sphere, their prevalence in groups of non-indigenous students is characteristic. residents of the Volgograd region, which is especially pronounced in men. In addition, male students, representatives of other regions of Russia are characterized by a high level of general non-specific reactivity, indicating their low stress resistance, and men -the natives of the Volgograd region, in general, are characterized by an average level of general non-specific reactivity of the organism. Women - participants in the study, both indigenous and non-indigenous residents of the Volgograd region, are characterized by a high level of non-specific reactivity, which implies an increased stress reactivity of the body, and, accordingly, a risk of systemic maladaptation.

AIM: To assess the psychometric qualities of the methodology for identifying signs of deviant behavior in military personnel developed at the S.M. Kirov Military Medical Academy. MATERIALS AND METHODS: The ISADA method is a screening questionnaire for assessing the presence of a propensity for deviant forms of behavior in military personnel. The questionnaire was developed at the S.M. Kirov Military Medical Academy. The abbreviation ISADA was used as a name for the methodology, consisting of the names of its main scales Avoidance, Suicidality, Aggressiveness, Delinquency and Addictiveness. The questionnaire consists of 60 questions directly related to well-being, behavior or character, to which the subject must answer only yes or no. Also, the Dynamic Observation Questionnaire and the Questionnaire for Evaluating the Professionally Important Qualities of a Serviceman were used to determine the success of the military professional activities of servicemen. RESULTS: According to the results of the assessment of the psychometric qualities of the technique for identifying signs of deviant behavior in military personnel, the majority (from 75 to 95%) did not reveal a tendency to deviant (deviant) forms of behavior. The scales of the ISADA questionnaire generally comply with the requirements of the Guidelines for the development, examination, implementation and use of professional psychological selection methods in the Armed Forces of the Russian Federation. CONCLUSION: The ISADA method has a high social significance, since its application will allow diagnosing the propensity of military personnel to deviant (deviant) forms of behavior. This technique can be recommended for use. In the course of the practical use of the ISADA methodology, it is advisable to continue work on assessing its predictive validity.

Relevance. The need to improve medical and psychological support for cadets of higher military educational institutions in order to reduce disease incidence and subsequent dismissal of military professionals for health reasons. Intention. To identify personality-associated predictors of stress-induced somatic diseases in cadets.Methodology. 433 male cadets aged 21-24 years in their 5-6th year of training were examined. We used the D. Keirsey personality questionnaire and the Giessen personality inventory. Somatic morbidity was analyzed based on the results of annual medical examinations and correlated with the International classification of diseases, injuries and behavioral disorders, 10th revision (ICD-10).Results and Discussion. The growth of somatic morbidity of cadets in the course of training was established. Diseases of the digestive system (K00–K93 according to ICD-10) were most common, their percentage increased from 0 % in the first year to 7.3 % in the 5-6th years of training. Diseases of the circulatory system (I00–I99) and diseases of the skin and subcutaneous tissue (L00–L99) increased up to 2.7 %. Personality characteristics of cadets have been studied. Typological and psychosocial personality characteristics associated with the risk of health disorders in the learning process were identified.Conclusion. Typological and psychosocial personality traits can be predictors of stress-induced somatic diseases in cadets in the course of training. Vulnerability to cardiovascular diseases is closer associated with typological personality traits, to skin diseases – with psychosocial traits, and diseases of the digestive system correlated with both typological and psychosocial personality traits.

Relevance. The problem of improving the military personnel psychological and psychiatric care in combat conditions is due to high levels of psychogenic losses, sometimes up to 80 % of the combatants. At the same time, insufficient theoretical development of the problem of reactive states in the combat situation, unclear definitions and boundaries, pronounced differences in terminology, classification and methodological approaches used by different specialists significantly impede specialized care.Intention. Based on the analysis of current conception about combat related stress-induced mental disorders in military personnel, to develop proposals for organizing a staged system for providing psychological and psychiatric care from the standpoint of modern military medical doctrine.Methodology. Approaches to systematization of stress-induced disorders and the related system of psychological and psychiatric care organization were analyzed using a heuristic method. Results and Discussion. Based on the analysis of taxonomic and severity characteristics of stress-induced disorders, 2 subgroups were identified – short-term and prolonged ones, as well as 4 organizational categories (levels) in accordance with the type of required care: psychological, preclinical, borderline (neurotic) and psychotic. It is proposed to consider the first category as not requiring medical and psychological care, the second - as related to short-term casualties (psychogenic losses), the third - mainly to psychiatric sanitary casualties, and the fourth, mainly to irrecoverable casualties. The content of psychological and psychiatric care at the stages of medical evacuation in relation to the selected categories of the casualties is revealed. An idea is given about psychological and psychiatric intelligence, probable factors that need to be taken into account in prediction of psychogenic losses, and an example of such a calculation is given.Conclusion. It is stated that the existing approaches to psychogenic losses prediction do not take into account organizational and staffing changes in the troops and modern forms and methods of armed confrontation. The necessity of developing objective methods for predicting individual resistance to combat negative factors, remote monitoring of the military personnel mental health, as well as improving methods of treatment and prompt correction of stress-induced disorders, including those based on a mobile psychoprophylactic platform, is postulated.