Basic psychometric markers of post-traumatic stress disorder in combatants

Druz, Oleg; Chernenko, Inna

doi:10.36927/2079-0325-v28-is2-2020-5

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…War is an extreme situation that causes constant psycho-emotional stress, leading to a violation of psychosocial adaptation and a change in the physical and mental state [5]. Moreover, the power of psycho-traumatic influence is subjective, and reactions to psycho-trauma have individual differences, are polymorphic and are not limited to PTSD, manifested by mood disorders, anxiety, sleep disorders and various psychosomatic symptoms [9; 11; 17].…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic Manifestations of Military Psychotrauma

Kolіadenko,

Bachurina,

Zhyvaho

et al. 2023

Clin. and prev. med.

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Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study. The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma. Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator. Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group. Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. The absence of a statistically significant difference in the risk of developing psychosomatic disorders as a result of war psychotrauma in temporarily displaced persons and those who did not change their place of residence was revealed.

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Section: Discussionmentioning

confidence: 99%

Psychosomatic Manifestations of Military Psychotrauma

Kolіadenko,

Bachurina,

Zhyvaho

et al. 2023

Clin. and prev. med.

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“…Під час бойових конфліктів психічні роз лади є розповсюдженими формами патологі чних розладів, котрі можуть виникати як у військовослужбовців Збройних Сил України, полонених та бійців Національної гвардії Ук раїни, так і у членів їхніх родин та вимушених переселенців. Клінічні прояви психічних роз ладів у цих контингентів представлені вели кою кількістю різноманітних за структурою та вираженістю психічних порушень -від пси хологічних реакцій та передхворобливих станів до клінічно виражених форм патології, серед яких непсихотичні психічні розлади [1,2].…”

Section: вступunclassified

Level of immune complex reactions in non-psychothotic mental disorders in combatants

Tieroshyna

Platyniuk

2020

MTT

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The level of immune complex reactions in combatants with non-psychotic mental disorders was studied. A clinical-psychopathological and clinical-biochemical examination of 95 combatants with non- psychotic mental disorders were conducted. In the clinical picture of prolonged depressive reaction, there was a decrease in mood, feelings of sadness, anxiety, anhedonia, asthenic manifestations, detachment, lack of hope, guilt of the survivor. Mixed anxiety-depressive reaction was characterized by low mood, feelings of depression, helplessness, insecurity, feelings of despair, sadness, isolated obsessive fears, doubts about the correctness of decisions and actions that are closely related to anxious thinking in relation to their assessment in the eyes of others. Post-traumatic stress disorder was manifested by low mood, anxiety, internal tension with inability to relax, danger, anxiety, flashback effects, symptoms of intrusion, asthenia, irritability, propensity to affective reactions. It was found that in the examined patients there was an increase in the concentration of circulating immune complexes, mainly due to the most pathogenic fractions of medium and low molecular weight and suppression of phagocytic activity of monocytes. Changes in immune complex reactions were most pronounced in post-traumatic stress disorder.

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Emergency care for post-traumatic stress disorders complicated by psychosis

Kozidubova,

Goncharova,

Doluda

et al. 2024

ЕМ

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The work provides information on the emergency care for post-traumatic stress disorders complicated by psychosis. Emphasis is placed on cases of severe depression with suicidal manifestations and alcoholic complications with disorders of consciousness and psychosis. It is noted that in recent years, typical cases of post-traumatic stress disorder have often become more complicated and aggravated, because the debilitating nature of mental trauma persists in modern life due to military events. Therefore, in the clinical picture of psychogenic disorders, severe depressive states with suicidal tendencies can develop. In such cases, moodiness dominates, as well as episodes of significant melancholy that a patient experiences as torment, physical suffering. Ideas of self-accusation arise, which are closely related to the psychotraumatic situation and constitute the dominant content of a psychogenic complex. Patients blame themselves of the emerging trouble. Under the influence of such experiences, exacerbations develop with an increase in anxiety, hopelessness, suicidal thoughts with intentions and actions; sleep and appetite deteriorate, retardation, apathy, and indifference develop. Such conditions are more likely to occur in conditions of family trouble, in persons with weak personal psychological protection in a decreased tolerance to emotional stress, altered self-esteem. In other cases, patients with post-traumatic stress disorders become withdrawn, alienated, and spiteful. People can experience difficulties when communicating with others, they become irritable, sometimes aggressive. At this time, patients refuse to fulfill the traditional requirements of professional activity. In families, they become strangers, estranged from their relatives. Therefore, over time, they may lose their jobs and families. Characteristics of psychopathic behavior can predispose individuals to alcoholism and drug addiction, which in turn contribute significantly to social and micro-social maladaptation. When providing urgent care to such patients, it is necessary to be guided by the requirements of the legislation on psychiatric care. In the acute period, antidepressant, neuroleptic and sedative therapy in injections should be prescribed to quickly achieve the desired therapeutic effect, followed by switching to oral forms of basic and adjuvant therapy. Psychocorrectional measures should also be an important component of the process of further rehabilitation of patients with post-traumatic stress disorder.

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Basic psychometric markers of post-traumatic stress disorder in combatants

Cited by 3 publications

References 3 publications

Psychosomatic Manifestations of Military Psychotrauma

Psychosomatic Manifestations of Military Psychotrauma

Level of immune complex reactions in non-psychothotic mental disorders in combatants

Emergency care for post-traumatic stress disorders complicated by psychosis

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