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Currently an acute and persistent problem for humanity is participation in military activities, including local conflicts which oftentimes involve activities of radical organizations. Shooting, shelling, bombing, taking hostages, forceful retention, which provide imminent threat to the lives and well-being of people, belong to the most significant psychologically traumatic factors of modern life. The article looks into the consequences of the negative impact of the distress which civilians and refugees (including children) have gone through. Not infrequently these negative consequences lead to deterioration in the quality of life, development of pathological personality traits, social maladaptation, emergence of co-morbid mental and somatic diseases. In the number of the studies we analyzed it is emphasized that massive negative impact on the mental health from the multiple traumatizing factors turns out to be more devastating in the long run than it is in the beginning. Therefore, the following becomes critically important: the earliest possible detection of mental and behavioral disorders in the victims, preventive treatment of their post-stress disorders at the remote stages of the traumatic experience as well as their complete and timely rehabilitation and reintegration into society.
Currently an acute and persistent problem for humanity is participation in military activities, including local conflicts which oftentimes involve activities of radical organizations. Shooting, shelling, bombing, taking hostages, forceful retention, which provide imminent threat to the lives and well-being of people, belong to the most significant psychologically traumatic factors of modern life. The article looks into the consequences of the negative impact of the distress which civilians and refugees (including children) have gone through. Not infrequently these negative consequences lead to deterioration in the quality of life, development of pathological personality traits, social maladaptation, emergence of co-morbid mental and somatic diseases. In the number of the studies we analyzed it is emphasized that massive negative impact on the mental health from the multiple traumatizing factors turns out to be more devastating in the long run than it is in the beginning. Therefore, the following becomes critically important: the earliest possible detection of mental and behavioral disorders in the victims, preventive treatment of their post-stress disorders at the remote stages of the traumatic experience as well as their complete and timely rehabilitation and reintegration into society.
<p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Objective.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The study is aimed on estimation of students’ current state in regions with high degrees of involvement in the consequences of hostilities.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Context and relevance.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> Research data, mainly foreign ones, indicate a high prevalence of violations of various degrees of severity, from mild adaptation disorders to symptoms of PTSD, in children either living in military conflict zones or having experience related to their involvement into consequences of hostilities. Such children have a great need for targeted psychological assistance. There are still a gap in domestic studies devoted to the analysis of the impact of involvement into consequences of hostilities on children of different age groups. Also, specialists are still experiencing deficits in compact tools allowing comprehensive assessment of children current state and their need for psychological assistance. </span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Study design.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> We studied features of the students’ current state in regions highly involved into the consequences of hostilities. using specially developed screening tools, in two versions: for students of 5–8 and 9–11 grades, respectively. </span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Participants.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> 646 students in grades 9–11 (36% male, 64% female) and 829 students in grades 5-8 (43% male, 57 % female), living in regions experiencing the impact of events related to hostilities, mainly from Lugansk People’s Republic.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Methods (tools).</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The study is based on a questionnaire developed to assess the current state of the children including items assessing a) manifestations of socio-psychological and mental maladaptation in various spheres of life, b) symptoms of posttraumatic stress disorder, c) psychological (personal and social) resources for coping with stress. This part of questionnaire includes lists if features among which student must choose those which fit his/her current state on the base of multiple choice. The questionnaire also contains items assessing the subjective well-being of children in life areas mentioned above by the 10-point Likert scale. The questionnaires were presented electronically, using the AnketologBox platform. Results were analyzed using IBM SPSS 27.0.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Results.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> Results were obtained regarding the prevalence and severity of signs of socio-psychological maladaptation, including PTSD symptoms, and subjective estimation of well-being and psychological resources for coping with stress in students of 5–8 and 9–11 grades. Significant differences were found between students according to the criterion of gender (in the group of students in grades 9–11) and age (in the group of students in grades 5–8), namely: 1) the tendency to decrease the level of well-being in these areas with age in secondary school (grades 5-8) and 2) a significantly higher level of vulnerability of girls compared to boys in the psychophysiological, emotional, behavioral spheres, as well as in relationships with loved ones (grades 9–11).</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Key findings.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The data analysis allowed us to identify the main features of the current state of students in the regions highly involved in the consequences of hostilities: the presence of severe distress in some children in the psychophysiological, cognitive, emotional, communicative and behavioral spheres, the tendency to decrease the level of well-being in these areas with age in secondary school students, the existence of special risk groups, which include female students of 9–11grades. The proposed diagnostic tool appeared to be sensitive to phenomena under study varying from psychological resources of coping with stress to signs of maladaptation in students living in territories involved into the consequences of hostilities.</span></p>
Objective: to assess the impact of various wartime stresses on the condition of patients with mental illnesses, followed by the development of preventive measures. Materials and methods: a questionnaire and a survey of 510 patients with mental and behavioral disorders were conducted on voluntary terms. Then the subjects were divided into 2 groups: 1 group — those who were in the zone of direct combat operations; 2 group — those who were in safer zones. The calculation of the proportion of persons depending on the appropriate answers to questions, a comparison of the levels of anxiety and anxiety in connection with the military situation in patients of groups 1 and 2, as well as an analysis of the corresponding 510 outpatient charts studied in order to assess the impact of wartime stress on the nature of the course of mental illness. Results: the negative impact of wartime stress on the course of mental disorders was established in the form of a worsening of the clinical picture of diseases, an increase in the number of exacerbations and resistance to therapy. Conclusion: according to the results of the study, preventive measures are recommended.
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