COMPLEX MEDICAL-PSYCHOLOGICAL AND SOCIAL SUPPORT OF PARTICIPANTS OF COMBAT

  • Костянтин Аймедов Doctor of Medicine, Professor; Odessa National Medical University
  • Валерій Наумов Colonel of the Medical Service of the Ministry of Defense of Ukraine, candidate for the degree of Candidate of Medical Sciences of the Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine
Keywords: post-stress personality disorder, pharmacotherapy, combat psychological trauma, servicemen, combat operations, ATO, addiction, chemical dependence

Abstract

Introduction. This work provides the results of author’s own research which are based on the analysis of characteristics of the post-stress personality disorders (PSD) taking into account the comorbid addictive behaviour among military personnel.
During the study, it was found with PSD, the most pronounced addictions are cannabinoid, alcoholic and psychostimulants dependencies. Taking into account the tendency to increase number of people with psychopathological disorders and addictive behaviour manifestations in the modern Ukraine, the problem of prevention, treatment and support of people who were in the ATO area is acute now.
Goal. Determination of markers of medical, psychological and social support.
Research methods: theoretical, socio-demographic, clinical and psychopathological, psychodiagnostic, follow-up, clinical and anamnestic, statistical.
Results. In order to develop a model of pharmacotherapy for this group of persons, during the 2014-2018 years, 219 people were examined at the age from 21 to 56 years, of which 18 persons were not included in the study according to the inclusion/exclusion criteria. Of surveyed people (201 persons), 59 people were diagnosed with PSD, including 32 people with comorbid adductions.
We carried out a screening diagnostic assessment of the needs of servicemen, during which we identified the main requests for the need for corrective measures, their attitude and desire to take part in an experimental program to restore normal social life and restore normal life. According to the results of the study, it was found that the spectrum of needs covers all three spheres of a person’s life: biological, psychological and social. It was possible to identify the main targets of psychotherapy and draw up a plan of the main activities. The general goal of psychocorrectional measures for each of the studied groups was the restoration of normal processes of life of the individual and the restoration of normal social interaction.
Conclusions. The developed measures gave us the opportunity to effectively influence all links of pathogenesis, based on the biopsychosocial model of addiction. In the process of treatment, taking into account the recommendations of the MOH on the treatment of military personnel, were improved certain stages of pharmacotherapy as the basis for further active psychosocial and psychosocial support, which will create the basis for the normalization of their livelihoods and the possibility of military-professional recovery.

References

1. Волошин П.В., Марута Н.О., Шестопалова Л.Ф., Лінський І.В., Підкоритов В.С., Ліпатов І.І., Бучок Ю.С., Заворотний В.І. Діагностика, терапія та профілактика медико-психологічних наслідків бойових дій в сучасних умовах: методичні рекомендації // Харків, ДУ «Інститут неврології психіатрії та наркології НАМН України», 2014. 80 с.
2. Донцов Д.А., Донцова М.В., Поляков Е.А. Комплексное учебно-методическое пособие по дисциплинам «Психодиагностика» и «Практикум по психодиагностике» // Воронеж: Научная книга, 2013. 164 с.
3. Марута Н.А., Панько Т.В. Сучасні механізми неврозогенезу та їх психотерапевтична корекція // Український вісник психоневрології. 2012. Т. 20. Вип. 3. С. 200-201.
4. Международная классификация болезней (10-й пересмотр). Глава 5 (Психиатрия) // – Киев, изд.: Сфера, 2005. 307 с.
5. Пінчук І.Я. Поширеність психічних розладів в Україні // Профілактична медицина. 2010. № 1. С. 168-176.
6. Райгородский Д.Я. Практическая психодиагностика. Методики и тесты // Самара: «Бахрах-М», 2002. 672 с.
7. Реакція на важкий стрес та розлади адаптації. Посттравматичний стресовий розлад. Уніфікований клінічний протокол первинної, вторинної (спеціалізованої) та третинної (високоспеціалізованої) медичної допомоги Наказ Міністерства охорони здоров’я України від 23.02.2016 № 121 // 2016. 57 с.
Published
2020-12-30
How to Cite
Аймедов, К., & Наумов, В. (2020). COMPLEX MEDICAL-PSYCHOLOGICAL AND SOCIAL SUPPORT OF PARTICIPANTS OF COMBAT. Men’s Health, Gender and Psychosomatic Medicine, (1-2), 124-133. https://doi.org/10.37321/UJMH.2020.1-2-14