UKRAINS'KYI VISNYK PSYKHONEVROLOHII

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

Rationale of personification of treatment and rehabilitation aid of civilians with adaptive disorders who have experienced psychosocial stress under military conflict, based on forecast severity of consequences

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Abstract

The aim of the work was to develop a technology for predictive assessment of the severity of clinical and psychopathological course and psychosocial consequences of adaptation disorders in civilians affected by psychosocial stress in military conflict, as a basis for determining the scope and content of treatment and rehabilitation measures for this group of patients.

109 people who experienced psychosocial stress in a military conflict were examined: group 1 — 6 wives of fallen servicemen; group 2 — mothers, fathers and wives of combatants who returned to peaceful life, a total of 71 people; group 3 — 32 internally displaced persons. All subjects were diagnosed with mental disorders of the F43.2 cluster — adaptive disorders.

In the course of the work a forecasting system was developed, which allows to conduct a multi-vector assessment of the individual’s condition according to the assessment of clinical and psychopathological condition and psychosocial functioning, as well as to form a prognostic assessment of the risk of complications.

Three groups were identified to assess the risk of severe disease and complications from the mental sphere, as well as psychosocial maladaptation for individual clusters and in general, for integrated risk: 1) favorable prognosis; 2) conditionally favorable prognosis; 3) unfavorable prognosis. For each of these groups we have proposed a set of diagnostic, therapeutic, rehabilitation and preventive measures.

The proposed technology for predicting the risk of adaptation disorders easy to use, informative, suitable for use in practical health care, to determine the scope and content of treatment and rehabilitation care, which allows to recommend it for widespread implementation in clinical practice.

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References

  1. Peace and Security // Bulletin of United Nations. New York: UN, 2020. 36 р. URL: https://www.un.org/ru/sections/un-charter/preamble/index.html.
  2. Andreouli E., Howarth C. National identity, citizenship and immigration: Putting identity in context // Journal for the Theory of Social Behaviour. 2013. Vol. 43(3). Р. 361—382. DOI: https://doi.org/10.1111/j.1468-5914.2012.00501.x.
  3. Gomez-Suarez A., Newman J. Safeguarding political guarantees in the Colombian peace process: Have Santos and FARC learnt the lessons from the past? // Third World Quarterly. 2013. Vol 34(5). P. 819—837. DOI: https://doi.org/10.1080/014 36597.2013.800747.
  4. Hopkins N., Blackwood L. Everyday citizenship: Identity and recognition // Journal of Community & Applied Social Psychology. 2011. Vol. 21. P.  215—227. DOI: https://doi.org/10.1002/casp.1088.
  5. Howarth C., Andreouli E., Kessi, S. Social representations and the politics of participation // In: Dekker, H. The Palgrave handbook of global political psychology / Kinnvall, C., Capelos, T., Nesbitt-Larking, P. (Eds.). Basingstoke, United Kingdom : Palgrave Macmillan, 2014. P. 19—38. URL: https://link.springer.com/chapter/10.1007/978-1-137-29118-9_2.
  6. Jovchelovitch S., Priego-Hernandez J. Underground sociabilities: Identity, culture and resistance in the favelas of Rio  de  Janeiro. Brasilia, Brazil: UNESCO. 2013. 246 p. URL: https://eprints.lse.ac.uk/53678/1/Priego-Hernandez_2013_Underground_sociabilities.pdf.
  7. Kaplan O., Nussio E. Community counts: The social reintegration of ex-combatants in Colombia // Conflict Management and Peace Science. 2018; 35(2): 132—153. DOI: https://doi.org/10.1177/0738894215614506.
  8. Ugarriza J. E., Craig, M. J. The  relevance of  ideology to  contemporary armed conflicts: A  quantitative analysis of  former combatants in  Colombia  // Journal of  Conflict Resolution. 2013. Vol. 57(3). P.  445—477. DOI: https://doi.org/10.1177/0022002712446131.
  9. Human amygdala engagement moderated by early life stress exposure is a biobehavioral target for predicting recovery on antidepressants / Goldstein-Piekarski A. N., Korgaonkar M. S., Green E. [et al.] // Proc. Natl. Acad. Sci. U.S.A. 2016. Vol. 113. P. 11955—11960. DOI: https://doi.org/10.1073/pnas.1606671113.
  10. Maruta N.O., Kalenska G.Y., Yavdak I.O., Malyuta L.V. Mental health disorders in internally displaced persons // Ukrainian Journal of Psychoneurology. 2018. Vol. 26, No. 2 (95), 68-71.
  11. Clinical content and severity of depressive and anxiety phenomena in the structure of neurotic anxiety-depressive disorders of different psychogenesis in women (IDPs and wives of military personnel - ATO participants) / Y. Shpyliovyi // Ukrainian Journal of Psychoneurology. 2017. № 25 (91). С. 88-91. URL:
  12. Markova M.V. Family health disorders of demobilized servicemen - ATO participants: psychopathological, psychological, psychosocial and family dimensions of the problem / M.V. Markova, G.S. Rosinsky // Ukrainian Journal of Psychoneurology. 2018. № 26 (94). С. 78-82. URL: