A comprehensive examination of 161 volunteers with verified stress-associated disorders was conducted to study the clinical phenomenology of stress-associated disorders in volunteers residing in a front-line city depending on the level of traumatic exposure under conditions of prolonged wartime stress. Group I — high level of traumatic exposure (n = 84), Group II — moderate level (n = 50), Group III — low level of traumatic exposure (n = 27).

It was found that the clinical structure of stress-associated disorders is characterized by nosological polymorphism with a consistent dependence on the level of traumatic exposure: PTSD predominated in Group I volunteers (48.8 %) with maximum sensory intensity of intrusive symptoms; mixed anxiety-depressive disorder dominated in Group II (42.0 %) against the background of secondary traumatization and compassion fatigue; adjustment disorders prevailed in Group III (55.6 %) with a predominance of asthenic syndrome and diffuse existential anxiety. War-specific contextual phenomena were identified across all groups: “air raid alert syndrome”, drone-induced stress syndrome and air raid anxiety syndrome, as well as resilience depletion and significant deterioration in quality of life.