Dysphoric variant formation of post-traumatic stress disorder in combs
DOI:
https://doi.org/10.12775/JEHS.2020.10.01.011Keywords
dysforia, post-traumatic stress story, combatants, anti-terrorist operationsAbstract
Nowadays, more combatants are suffering from the effects of an extreme event in the war zone. Specific mental trauma leads to psychiatric disorders that have common characteristics, which allows them to be separated into a separate heading - F43.1 (PTSD-post-traumatic stress disorder) in MKH-10. It is revealed that more than 26.5% of fighters from 324 respondents who returned from the ATO zone have clear signs of dysphoric variant of PTSD, including flashbacks, emotional numbness, unmotivated vigilance, maladaptation, and psychosomatic disorders. It is important to determine the criteria for the distribution of this condition, which is essential for the treatment and resolution of social issues. The purpose of the work is to identify the etiological factors and characteristic manifestations of dysphoric variant of PTSD in combatants. Materials and methods: On the basis of the Vinnitsa Regional Clinical Hospital of War Veterans (VRCHWV), as well as on the basis of the expert department of the scientific research institute of rehabilitation of the of disabled people of Mykola Pirogov VNMU (SRIRDP) surveyed 86 respondents suffering from dysphoric variant of PTSD. Basic methods of research: clinical anamnestic, clinical psychopathological (clinical interview), socio-demographic (questionnaire), psychodiagnostic, statistical. The results showed a significant correlation between the personal differential indices and the assessment of the level of neuro-psychic stability according to Pearson and Spearman correlation coefficients (P <0.01). Almost all respondents showed high and medium levels of self-esteem (6.4 and 92.3% respectively). According to the results of the surveys, the arithmetic mean of the assessment of neuropsychiatric resistance (25.62 ± 11.62) indicates a tendency for neuropsychiatric breakdowns. Conclusions: The relevance of anxiety level research is related not only to its high prevalence in patients, but also with the tendency to chronicize the process and fix symptoms in the form of persistent personality changes. Timely identification of problems will improve the effectiveness of the respondents' medical work.
References
Alexandrova AA. Psychodiagnosis and psychocorrection. - St. Petersburg: Peter, 2016. - P. 384 (in Ukrainian)
Aleksandrova YN. About the system of cytokines [Text] / Yu. N. Aleksandrova // Pediatrics. - 2007. - Volume 86, No. 3. - S. 124–128 (in Russian)
Berezhnaya NM. Immunological studies in the clinic: state of the issue [Text] / N. M. Berezhnaya // Immunology. - 2006. - No. 1. - P. 18–23 (in Russian)
Berezhnaya NM. Cytokine regulation in pathology: rapid development and inevitable issues [Text] / N. M. Berezhnaya // Cytokines and inflammation. - 2007. - T. 6, No. 2. - S. 26–34 (in Russian)
Voloshin PV. Post-traumatic stress disorders: problems of treatment and prevention / P. V. Voloshin, L. F. Shestopalova, V.S. Podkorytov // International Medical Journal. - 2004. - T. 10, No. 1. - S. 34–37 (in Russian)
Goldberg ED. Dynamic theory of blood formation regulation and the role of cytokines in the regulation of hematopoiesis [Text] / Goldberg E. D., Dygay A. M., Zhdanov V. V. // Med. immunology. - 2001. - No. 4. - S. 487–497 (in Russian)
Drannik GN. Clinical immunology and allergology [Text] / G. N. Drannik. - Kiev, 2010 .- S. 547 (in Russian)
Zavrotsky VM. Analysis of peculiarities of actual psychological state of servicemen / Zavrotsky VM, Sychinska MA, Ratsiborinskaya-Polyakova NV / Proceedings of the XI International Student Scientific Conference "The First Step into Science", 2014. - Pp. 194 – 195 (in Ukrainian)
Kokhanov VP. Psychiatry of disasters and emergencies / VP. Kokhanov, VN. Krasnov. - M.: Practical medicine, 2008 - S. 448 (in Russian)
Markelov EV. The pathogenetic role of disorders in the cytokine system in infectious inflammatory diseases [Text] / E. V. Markelov, A. V. Kostyushko, V. E. Krasnikov // Pacific honey. Journal. - 2008. - No. 3. - S. 24–29 (in Russian)
International Classification of Diseases of the 10th revision (ICD-10). - Geneva: World Health Organization, 1995. (in Russian)
Methodical recommendations for conducting clinical and psychological studies of the flight crew and aviation personnel involved in the participation in the IMO at the passing of medical and flight examination / Ratsiborinskaya-Polyakova NV, Konarskaya TI, Halmatova LA / "Methodological Recommendations for Clinical and Psychological Investigation of Flight Staff and Aviation Personnel Involved in Participating in the IMO when Passing Medical and Flight Examination" - for official use of the WCCC ", 2010. - P. -132 (in Ukrainian)
Nakonechny VM, Marusyak DA, Ratsiborinska NV, Tkach VV, Shevaga IM. Social Aspects of Diagnostics and Likewise on an outpatient basis // Materials of the scientific-practical conference “Biopsychosocial Aspects of Health” (13-14 Zhovtnya 2005.), 2005. - P. - 47-50 (in Ukrainian)
Post-traumatic stress disorders: diagnosis, treatment, rehabilitation: guidelines / guidelines. : Voloshin PV, Shestopalova LF, Podkorytov VS and others. - Kharkiv, 2002. - P. 47(in Ukrainian)
Ratsiborinskaya NV. Modern aspects of clinical and psychological examination. Biopsychosocial Relations in the Development of Somatic Psychology // Abstracts of the Scientific and Practical Conference "The Status and Prospects of Development of Aviation Medicine" (June 10-11, 2003), 2003. - P.17-18(in Ukrainian)
Ratsiborinskaya NV, Kostyushin VV. The place of clinical and psychological examination in the medical support system of the Air Force of Ukraine // IX Congress of the World Federation of Ukrainian Medicinal Societies, dedicated to the 25th anniversary of SPULT: Abstracts, 2002. - P. 50 (in Ukrainian)
Ratsiborinskaya NV, Kostyushin VV, Khomenko VY, Kolosov AB Methodical recommendations for conducting a psychological examination of the personnel of the Air Force of Ukraine // Methodical recommendations for doctors, psychophysiologists, psychologists responsible for educational work in military units. - for official use of the Air Force of the Armed Forces of the Armed Forces, 2013. - P. 32 (in Ukrainian)
Ratsiborinskaya-Polyakova NV. Features of clinical psychodiagnosis of combatants / Sychinskaya MA, Savelyeva OM, Semenenko KM, Khomenko VY / Proceedings of the 13th International Scientific Conference of Students and Young Scientists « The first step into science ”, Vinnitsa, 2016. - P. 30 (in Ukrainian)
Rimshaya SV, Ratsiborinskaya-Polyakova NV, Konarskaya TI. Psychodiagnostics as a prerequisite for organizing work with mental disadaptation // Proceedings of the scientific-practical conference "Innovative methods of diagnostics and treatment of mental and somatic disorders of psychogenic origin", 2014 (in Ukrainian)
Simbirtsev AS. Cytokines: classification and biological functions [Text] / A. S. Simbirtsev // Cytokines and inflammation. - 2004. - No. 2. - S. 16–22. (in Russian)
Simbirtsev A.S. Cytokines - a new system of regulation of protective reactions of the body [Text] / A. S. Simbirtsev // Cytokines and inflammation. - 2002. - No. 1. - S. 9–16 (in Russian)
Modern diagnostics and treatment in neurology and psychiatry / Ed. TS Mishchenko, VS Pidkoritova. - K .: Doctor-Media LLC, 2008. - P. 624 (in Ukrainian)
Tarabrina NV. Workshop on the psychology of post-traumatic stress / Tarabrina N.V. - St. Petersburg. : Peter, 2001 .- S. 272 (in Russian)
Shvydchenko IN. Cytokine-secreting function of neutrophilic granulocytes [Text] / I. N. Shvydchenko, I. V. Nesterova, E. Yu. Sinelnikov // Immunology. - 2005. - No. 1. - P. 31–34 (in Russian)
Shestopalova L. F. Prevention of post-traumatic stress disorders in victims of suprasubic heights: medical and psychological aspects / L.F. Shestopalova // Humanitarian Chronicle. - 2005. - No. 1. - S. 103 –10 (in Ukrainian)
Lyakhovich VV, Vavilin VA, Zenkov NK, Menshchikova EB. Activated oxygen metabolites in monooxygenase reactions // Bull. SB RAMS. - 2005, –118, No. 4 - S. 7–12 (in Russian)
Tanaka E., Terada M., Misawa S. Cytochrome P450 2E1: its clinical and toxicological role // J. Clin. Pharm. Therap. – 2000. – 3, № 25. – Р. 165–175 (in English)
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 497
Number of citations: 0