Personalized system of therapy of stress-related disorders in persons affected by combat actions

Abstract

According to estimates by the Ministry of Health of our country, 15 million citizens of Ukraine may eventually develop mental disorders, and 3 to 4 million people will need psychopharmacological treatment as a result of the war. In turn, mental disorders can have an exacerbation and affect the course of chronic diseases of the population, such as cancer, cardiovascular diseases, and of course, no one excludes addictions or the development of bad habits. The aim of the study was to develop a personalized system for the treatment of stress-related disorders in people affected by military operations. The study involved 299 patients with non-psychotic mental disorders, both sexes, with an average age of (30.6±4.7) years. We also used the following research methods: anamnestic, clinical and psychopathological, and psychodiagnostic. According to the results of the psychodiagnostic study, the examined patients showed a decrease in anxiety and depression according to the Hamilton Anxiety and Depression Scale and anxiety and depression according to the hospital scale; reduction in the intensity of clinical manifestations on the Mississippi Posttraumatic Stress Disorder Scale and a significant decrease in the intrusion and avoidance scores on the traumatic event impact assessment scale; restoration of social activity and improvement of the quality of life of patients with stress-related disorders. According to the scale for assessing the impact of an Impact of Event Scale - Revised in all three groups (military, volunteers, resettles), the indicators of the subscales "intrusion", "avoidance", "arousal" showed a decrease in the indicators of these subscales. Using the developed program, we noted positive dynamics of the mental state, namely a rapid reduction of anxiety and depressive symptoms, normalization of the sleep-wake cycle, restoration of social activity and improvement of the quality of life of patients.

Keywords: anxiety, depression, PTSD, psychotherapy, psychoeducation, pharmaco­therapy.