UKRAINS'KYI VISNYK PSYKHONEVROLOHII

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

CLINICAL AND PSYCHODIAGNOSTIC FEATURES OF NEUROTIC AND STRESS-RELATED DISORDERS IN VOLUNTEERS AND THEIR CORRECTION

Type of Article

In the Section

Index UDK:

Abstract

During the period of full-scale war in Ukraine, the study of volunteers’ mental health has gained special importance, as they are exposed to prolonged traumatic stress. This study aimed to identify the clinical and psychodiagnostic features of neurotic and stress-related disorders in volunteers and to evaluate the effectiveness of a treatment and psychosocial correction program. A total of 288 volunteers aged 18 to 60 years participated in the study. They were divided into an experimental group, which received the "Problem Management Plus" program combined with pharmacotherapy, a control group that underwent pharmacotherapy treatment, and a reference group without mental disorders. Diagnoses were verified by the clinical-psychopathological method according to ICD-10 and the Ukrainian National Classifier of Diseases NK 025:2021. Psychodiagnostic assessment was performed using SCL-90-R (Symptom Checklist-90 Revised), HAM-D (Hamilton Depression Rating Scale), HAM-A (Hamilton Anxiety Rating Scale), and HADS (Hospital Anxiety and Depression Scale) before the program, immediately after it, and three months later. The experimental group demonstrated a significant reduction in anxiety, depression, and somatization scores, while the control group showed less pronounced changes. Three months later, the effect of the program was preserved, and the results in the experimental group did not differ from those in the reference group. These findings confirm the effectiveness of comprehensive psychosocial support programs in maintaining the mental health of volunteers under conditions of war-related stress. Further studies should focus on long-term follow-up and evaluation of different intervention formats.

Pages

References

  1. Ukrayintsi staly vtrychi chastishe zvertatysia z pytan psykhichnoho zdorovia do simeinoho likaria[Ukrainians Became Three Times More Likely to Consult a Family Doctor About Mental Health]. MOZ Ukrainy [Ministry of Health of Ukraine]. 2024 https://moz.gov.ua/uk/ukrayinci-stali-vtrichi-chastishezvertatisya-z-pitan-psihichnogo-zdorov-ya-do-simejnogo-likarya
  2. PTSD can be treated: where to seek help. Ministry of Health of Ukraine. 2024. URL: https://moz.gov.ua/uk/ptsr-likuyetsya-dokogo-zvernutisya-po-dopomogu
  3. Scaling up mental health and psychosocial services in waraffected regions: best practices from Ukraine. World Health Organization. 2023. URL: https://www.who.int/news-room/feature-stories/detail/scaling-up-mental-health-and-psychosocialservices-in-war-affected-regions–best-practices-from-ukraine
  4. Classifiers. State Expert Center of the Ministry of Health of Ukraine. 2024. URL: https://www.dec.gov.ua/mtd/klasyfikatory/
  5. Mental and behavioural disorders (F40—F48). In: ICD-10 Version: 2019. World Health Organization. 2019. URL: https://icd.who.int/browse10/2019/en#/F40-F48
  6. Sumariuk B. M. Kompleksna diahnostyka nevrotychnykh ta stres-asotsiovanykh rozladiv: ohliad validnykh psykhodiahnostychnykh metodyk [Comprehensive Diagnosis of Neurotic and Stress-Associated Disorders: A Review of Valid Psychodiagnostic Methods]. Naukovyi visnyk Uzhhorodskoho universytetu. Seriia «Medytsyna»[Scientific Bulletin of Uzhhorod University. Series "Medicine"]. 2024;1(69):140–145. DOI:  https://doi.org/10.32782/2415-8127.2024.69.24
  7. The structure of  the Symptom Checklist-90-Revised: Global distress, Somatization, Hostility, and Phobic Anxiety scales are reliable and robust across community and clinical samples from four European countries / Lignier B., Petot J.-M., Canada B. [et al.] // Psychiatry Research. 2024. Vol. 331. P. 115635. DOI: https://doi.org/10.1016/j.psychres.2023.115635