UKRAINS'KYI VISNYK PSYKHONEVROLOHII

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

RESULTS OF STANFORD ACUTE STRESS RESPONSE QUESTIONNAIRE APPLICATION AMONG INPATIENTS OF PSYCHIATRIC, NEUROLOGICAL, AND NEUROSURGICAL PROFILES IN THE FRONTLINE CITY

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In the Section

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Abstract

The purpose of the work is to study the frequency and severity of symptoms of early distress in response to trauma (up to 1 month from the moment of its receipt) in patients of psychiatric, neurological and neurosurgical hospitals in the front-line city Kharkiv using the SASRQ questionnai

During 2024—2025, 1360 people were examined, including 1129 civilians (804 men and 325 women) and 231 military personnel (226 men and 5 women), who were admitted for inpatient treatment to the psychiatric department of the Military Medical Clinical Center of the Northern Region of the Ministry of Defense of Ukraine (Kharkiv), as well as to the psychiatric, neurological and neurosurgical departments of the State Institution "P. V. Voloshyn Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine"

The main research instruments were the questionnaire of the international research consortium GENAHTO (Gender, Alcohol, and Harms to Others). The obtained data were processed by methods of mathematical statistics (variance, correlation and regression analysis) on a computer using Excel 2016 computational tables (with the Data Analysis package).

It was proven that the Ukrainian version of the SASRQ has very good internal consistency (Cronbach’s alpha coefficient αst = 0,9650) and is therefore suitable for further practical use. It was shown that the most frequent type of traumatic events causing distress in civilians is shellings of the city with explosions and deterioration of one’s own health; and in the military — participation in combat operations with the threat of one’s own death and the death of comrades. Among respondents of non-psychiatric profiles (patients of neurological and neurosurgical clinics), whose mental health status is close to that of the general population, an extremely high frequency of clinically significant reactions to stressful events was recorded. About half of all respondents in this category had signs of acute stress reaction, and about a third met the DSM-5 criteria for the diagnosis of acute stress disorder.

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References

  1. Air alarm statistics https://air-alarms.in.ua/
  2. Unifikovanyy klinichnyy protokol pervynnoyi ta spetsi­ alizovanoyi medychnoyi dopomohy. Hostra reaktsiya na stres. Posttravmatychnyy stresovyy rozlad. Porushennya adaptatsiyi [Unified clinical protocol for primary and specialized medical care. Acute stress reaction. Post-traumatic stress disorder. Adap-tation disorders]. Order of the Ministry of Health of Ukraine of July 19, 2024 No. 1265. 80 р. (In Ukrainian). https://moz.gov.ua/storage/uploads/ec4ae01d-d0d3-4c0a-bf92-3cefbef633be/dn_1265_19072024_dod.pdf
  3. Poliakova DS. Spread of mental trauma and PTSD. Ukrainian Medical Journal. News. (In Ukrainian) umj.com.ua/uk/novyna-256070-poshirennya-psihichnoyi-travmatizatsiyi-ta-ptsr
  4. International Statistical Classification of Diseases and Related Health Problems 10th Revision. Version: 2019. https://icd.who.int/browse10/2019/en#/F43.0
  5. ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS). https://icd.who.int/browse11/l-m/en#http%3a%2f%2fid.who.int%2ficd%2fentity%2f505909942
  6. Omelianovych V, Chaban OS, Khaustova O. Mental disorders of wartime. Kyiv : Medknyha; 2023. 232 p. (In Ukrainian).
  7. Diagnostic and Statistical Manual of Mental Disorders: DSM-5 — 5th Edition, American Psychiatric Publishing, 947 p.
  8. Bryant, R. A. Acute stress disorder as a predictor of posttraumatic stress disorder: A systematic review // The Journal of Clinical Psychiatry. 2011. Vol. 72 (2), P. 233—239. doi: https://org/10.4088/JCP.09r05072blu
  9. Bryant, R. A. Acute stress disorder: What it is and how to treat it. New York, NY: The Guilford Press, 2016. 338 p.
  10. Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): a valid and reliable measure of acute stress / Cardeña E, Koopman C, Classen C. [et al.] // Journal of Traumatic Stress. 2000. Vol. 13. P. 719—734. https://doi.org/10.1023/A:1007822603186
  11. Lapach S. N., Chubenko A. V., Babich P. N. Statisticheskie metody' v mediko-biologicheskih issledovaniyah s ispol'zovaniem Excel. Kiev : Morіon, 2000. 320 s.
  12. Cronbach, L. J. Coefficient Alpha and the Internal Structure of Tests // Psychometrika. Vol. 16, Issue 3, September 1951, pp. 297—334. doi: https://org/10.1007/BF02310555