UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

Basic psychometric markers of post-traumatic stress disorder in combatants

Type of Article

In the Section

Index UDK:

Abstract

In the study, the authors determined psychometric markers of post-traumatic stress disorder (PTSD) in combatants.

The study was conducted during 2016—2018, 150 military personnel were examined.

The sample was formed by the criterion of the PTSD presence/absence in combatants. Two groups of comparison were formed: the group 1 consisted of 93 persons with diagnosis of PTSD (F43.1) according to the ICD-10 criteria; the group 2 consisted of 57 conditionally healthy persons (without signs of PTSD). All the examined persons were men, their average age was 33.71 ± 1.34 years old. They were mainly sergeants and privates of the Armed Forces of Ukraine (AFU), who served under the contract, the average duration of their participation in military actions was 214.7 ± 41.55 days.

Research methods: clinical-psychopathological, clinical-anamnestic, psychodiagnostics ones: Mississippian Scale of Post-traumatic Stress Disorder (military version) (T. M. Keane et al., 1987); Questionnaire for the Severity of Psychopathological Symptoms (SCL90-R) (L. R. Derogatis et al., 1977, adapted by V. Starcevic et al., 2000); Hospital Anxiety and Depression Scale (HADS) (A. S. Zigmond, R. P. Snaith, 1983); The Scale of the Clinical Assessment of the Severity of Violations by Y. I. Levin (1995).

The results of the investigation expanded the information on the mental status of the AFU combatants who took part in the military actions in the East of Ukraine, by means of quantified assessment of PTSD symptoms.

An important component of the rehabilitation of combatants with PTSD is the establishment of an appropriate therapeutic environment the against patient-based approach in order to potentiate the psychological, psychotherapeutic work aimed at restoring the interrelations of combatants at the level of micro- and macroenvironment.

Pages

References

  1. Aimedov K. V., Asieieva Yu. O., Tolmachov O. A. Modern diagnostic concept of post-traumatic stress disorder. Arkhiv psykhiatrii [Archives of Psychiatry]. 2016;22;2(85):128-129. URL: (In Ukrainian) http://nbuv.gov.ua/UJRN/apsuh_2016_22_2_43.
  2. Wasserman L. I., Trifonova E. A., Shchelkova O. Yu. Y. Psychological diagnosis and correction in somatic clinic: a scientific and practical guide. SPb. : Rech, 2011. 270 с.
  3. Voloshyn P. V., Maruta N. O., Shestopalova L. F. (2014). Diahnostyka, terapiia ta profilaktyka medyko-psykholohichnykh naslidkiv boiovykh dii v suchasnykh umovakh: metodychni rekomendatsii. Kharkiv, 67.
  4. Kozhyna AM, Haichuk LM Psychoeducational measures in the conditions of hybrid war // Ukrainian Journal of Psychoneurology. 2017. Vol. 25, No. 1 (90). С. 124. URL: http://nbuv.gov.ua/UJRN/Uvp_2017_25_1_115.
  5. Methodology for the development and implementation of medical standards (unified clinical protocols) of medical care based on evidence-based medicine. Appendix 6 // Order of the Ministry of Health of Ukraine dated September 28, 2012, No. 751, registered with the Ministry of Justice of Ukraine on November 29, 2001 under No. 2001/22313.
  6. Raigorodsky D. Y. Practical psychodiagnostics. Methods and tests : textbook. Samara : Bahrakh-M, 2012. 672 с.
  7. Badiuk M. I., Shevchuk O. S. The  combat stress reaction as a scientific problem of the world, and its social and medical consequences  // Clinical and Experimental Pathology. 2016. No.  4. P.  10—14. URL: http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/14216.
  8. Dalenberg C., Carlson E. B. Dissociation in posttraumatic stress disorder part II: How theoretical models fit the  empirical evidence and recommendations for  modifying the  diagnostic criteria for  PTSD  // Psychological Trauma: Theory, Research, Practice and Policy. 2016. 4  (6). P.  551—559. DOI: https://doi.org/10.1037/a0027900.
  9. Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder / D. Forbes, M.  Creamer, A.  Phelps [et al.]  // Australian & New Zealand Journal of Psychiatry. 2007. Vol.  41, issue  8, P.  637—648. DOI: https://doi.org/10.1080/00048670701449161.