CLINICAL AND ANAMNESTIC CHARACTERISTICS OF DISSOMNIC MANIFESTATIONS IN ACTING SERVICEMEN OF THE ARMED FORCES OF UKRAINE

  • Галина Гук PhD-student of the Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhia State Medical University, Ukraine

Abstract

Purpose. To identify the clinical-anamnestic features of the dyssomnic syndrome in the acting military of the Armed Forces of Ukraine.
Materials and methods. At the bases of the Military Hospital 3309 (Zaporizhzhia) and the Zaporizhzhia Regional Clinical Institution for The Provision of Psychiatric Care a prospective clinical-anamnestic, clinical-psychopathological and statistical research of 64 active combatants – study group (SG), and 40 patients of the borderline department with sleep disorders – control group (CG), was conducted.
Results and its discussion. During the comparative analysis of the formed groups, it was found that for SG more typical: concomitant somatic pathology
not associated with the dyssomnia syndrome – the frequency of detection of this factor in this group reached 39.1% (25 people), while in CG it did not exceed 28% (11 people); absence of concomitant mental pathology – 2 people (3.1%) in the SG versus 34 people (85%) in the CG; the presence of concomitant neurological pathology – 25 people (39.1%) SG versus 8 people (20%) CG; shorter duration of sleep disorders – only 5 people (7.8%) in SG reported that they had sleep problems for more than 5 years, versus 21 people (52.5%) in CG.
Conclusions. As a result of the study, it was found that the peculiarities of the dyssomnic syndrome in active servicemen include its isolation (it comes out on top in the clinical picture and arises against the background of neurotic pathology of the subclinical level of severity) and not susceptibility to seasonality (its intensity does not change depending on the time of year), and its development is not associated with the characteristics of social conditions, marital status, educational level or length of service.

References

1. Богомолець О. В., Пінчук І. Я., Ладик-Бризгалова А. К. Поширеність та структура посттравматичних психічних порушень в учасників бойових дій. Архів психіатрії. 2016. Т. 22, № 2. С. 11–15.
2. Данілевська Н. В. Етіопатогенетичні та нозоструктуральні складові порушення сну у військовослужбовців – учасників АТО. Медична психологія. 2017. № 4. С. 38–40.
3. Рациборинська-Полякова Н. В., Семененко К. М. Особливості проявів дисомній в учасників бойових дій. Архів психіатрії. 2018. Т. 24, № 4. С. 178–181.
4. Якубенко Ю. П., Форманчук О. К., Родзоняк О. І. Післятравматичний стресовий розлад та його прояви в учасників військових конфліктів. Сучасні аспекти військової медицини. 2014. № 21. С. 379–387.
5. Combat exposure, post-traumatic stress symptoms, and health-related behaviors: the role of sleep continuity and duration / J. M. Osgood, P. H. Finan, S. J. Hinman et al. Sleep. 2019. № 42 (3). P. 257. doi:10.1093/sleep/zsy257
6. Prevalence of, risk factors for, and consequences of posttraumatic stress disorder and other mental health problems in military populations deployed to Iraq and Afghanistan / R. Ramchand, R. Rudavsky, S. Grant et al. Curr Psychiatry Rep. 2015. № 17 (5). P. 37. doi: 10.1007/s11920-015-0575-z. PMID: 25876141.
7. Sleep disturbances, TBI and PTSD: Implications for treatment and recovery / K. S. Gilbert, S. M. Kark, P. Gehrman et al. Clin Psychol Rev. 2015. № 40. P. 195–212. doi:10.1016/j.cpr.2015.05.008.
8. Sleep patterns before, during, and after deployment to Iraq and Afghanistan / A. D. Seelig, I. G. Jacobson, B. Smith et al. Sleep. 2010. № 33 (12). P. 1615–1622. doi:10.1093/sleep/33.12.1615.
9. Sleep quality and its impacts on quality of life among military personnel in remote frontier areas and extreme cold environments / Z. Wang, B. Chen, W. Li et al. Health Qual Life Outcomes. 2020. № 18(1). P. 227. doi:10.1186/s12955-020-01460-7.
Published
2021-12-30
How to Cite
Гук, Г. (2021). CLINICAL AND ANAMNESTIC CHARACTERISTICS OF DISSOMNIC MANIFESTATIONS IN ACTING SERVICEMEN OF THE ARMED FORCES OF UKRAINE. Men’s Health, Gender and Psychosomatic Medicine, (1-2), 7-12. https://doi.org/10.37321/UJMH.2021.1-2-01