A comprehensive clinical-psychological, clinical-anamnestic, and psychodiagnostic examination was conducted on 372 foreign students in English-language educational programs from 1st to 6th year at Kharkiv National Medical University. Group I — students from India (194 individuals); Group II — students from Middle Eastern countries (96 individuals); Group III — students from African countries (82 individuals). Pathological levels of psychological maladjustment (high and severe) were diagnosed in 26.6 % of students from India, 30.6 % of students from Middle Eastern countries, and 40.0 % of students from African countries, demonstrating differential vulnerability depending on cultural distance and socio-economic factors. The clinical-psychological structure of maladaptive states in foreign students was represented by astheno-depressive (23.1 % of Group I subjects, 15.8 % of Group II, and 25.6 % of Group III), hyperesthetic (29.9 %, 29.8 %, 22.2 % respectively), anxiety (25.5 % of Group I, 18.9 % of Group II, and 31.1 % of Group III), and dysphoric (21.5 %, 35.5 %, and 21.1 % respectively) variants.

Psychological maladjustment of foreign students during wartime is characterized by specific features distinct from classical adaptation disorders of peacetime. The combination of traumatic stress, cultural disorientation, and disruption of the educational process creates a unique symptom complex that requires the development of specialized diagnostic criteria and innovative psychotherapeutic protocols.