Clinical and psychopathological features of depressive disorders in survivors of hostilities
PDF (Українська)

Keywords

depressive disorders
hostilities
combat mental trauma
anxiety

How to Cite

ZelenskaК., & Kraskovska, T. (2020). Clinical and psychopathological features of depressive disorders in survivors of hostilities. Medicine Today and Tomorrow, 88(3), 83-88. https://doi.org/10.35339/msz.2020.88.03.10

Abstract

Psychosocial stressor (war) has a negative impact on the mental health of all citizens of our country, servicemen of the Armed Forces of Ukraine, soldiers of the National Guard and prisoners, their relatives and refugees who have been forced to leave their living places. A comprehensive examination was conducted of 150 patients with depressive disorders, both sexes, aged 20–55 years. Group I of the survey included 50 servicemen of the Armed Forces of Ukraine who took a direct part in hostilities in the ATO zone, group II included 50 internally displaced persons and group III included 50 volunteers whose activities are related to supporting the military in the ATO zone. According to the results of the study, the clinical structure of depressive disorders in the examined patients is presented as anxious (in 30 % of combatants; 24 % of migrants and 26 % of volunteers), labile (in 26 %; 30 %; 22 % of patients, respectively), apathetic (in 28 % of patients of group I; 24 % of group II; 28 % of group III) and asthenic (in 16 %; 22 %; 24 %, respectively) types. The data obtained during the study formed the basis for the development of a personalized program of psychotherapeutic support and prevention of suicidal behavior in patients with stress-related depressive disorders.

Keywords: depressive disorders, hostilities, combat mental trauma, anxiety.

https://doi.org/10.35339/msz.2020.88.03.10
PDF (Українська)

References

Okhorona psykhichnoho zdorovia v umovakh viiny [War Mental Health], (2017). (T. Semyhina, I. Pavlenko, Ye. Ovsiannikova et al., Trans.). (Vol. 1-2, Vol. 1). Kyiv: Nash format, 579 p. Retrieved from https://dovidnykmpz.info/psycho/okhorona-psykhichnoho-zdorovia-v-umovakh/ [in Ukrainian],

Verba, A.V., Barbaziuk, O.A., Shvets, A. V. et al. (2017). Vkazivky shchodo zberezhenniapsykhichnoho zdorovia viiskovosluzhbovtsiv v zoni zastosuvannia viisk (syl) ta pid chas vidnovlennia boiezdatnosti viiskovykh chastyn (pidrozdiliv) [Guidelines for maintaining the mental health of servicemen in the area of application of troops (forces) and during the restoration of combat capability ofmilitary units (units)]. O.V. Druz, V.S. Hichun (Ed.). Kyiv, 102 p. [in Ukrainian].

Maruta, N.O., & Markova, M.V. (2015). Informatsiino-psykholohichna viina yak novyi vyklyk suchasnosti: stan problemy ta napriamky yii podolannia [The information in psychological war as a new challenge of our time: state of the problem and directions of its overcoming].Ukrainian Bulletin of Psychoneurology, 23(3(84)), 21–28. Retrieved from https://uvnpn.com.ua/upload/iblock/9c4/9c45403744e5f705dcl616c59ad481f8.pdf [in Ukrainian],

Voloshyn, P.V., Maruta, N.O., Kozhyna, G.M., Markova, M.V. et al. (Ed.). (2016). Sotsialno-stresovi rozlady (klinika, diahnostyka, profilaktyka) [Social stress disorders (clinic, diagnosis, prevention)]. Kharkiv: Publisher Strokov D.V., 335 p. [in Ukrainian].

Voloshyn, P.V., Maruta, N.O., Shestopalova, L.F., Linskyi, I.V., Pidkorytov, V.S., Lipatov, І.І, et al. (Compilers). (2014). Diahnostyka, terapiia ta profilaktyka medyko-psykholohichnykh naslidkiv boiovykh dii v suchasnykh umovakh: metodychni rekomendatsii [Diagnosis, therapy and prevention of medical and psychological consequences of hostilities in modern conditions: guidelines]. Kharkiv, 67 p. [in Ukrainian].

Zavorotnyi, V.I. (2018). Diahnosticheskiie prediktory і kriterii razlichnykh variantov post- travmaticheskoho stressovoho rasstroistva u voiennosluzhashchikh Vooruzhennykh Sil Ukrainy, uchastvovavshykh v boievykh deistviiakh na Vostoke Ukrainy [Diagnostic predictors and criteria for various variants of post-traumatic stress disorder among military servicemen who participated in military operations in Eastern Ukraine]. Ukrainskyi visnyk psykhonevrolohii - Ukrainian Bulletin of Psychoneurology, 26(2(95)), 43–47. Retrieved from https://uvnpn.com.ua/upload/iblock/70e/ 70eelb83a4993b648ebae7abf7f35343.pdf [in Russian].

Blinov, O.A. (2017). Psykholohichnyi zakhyst vid boiovoho stresu v zbroinykh sylakh providnykh krain svitu [Psychological protection from fight stress in the armed forces of the leading countries in the world]. Problemy suchasnoipsykholohii: zbirnyknaukovykhprats Kamianets-Podilskoho natsionalnoho universytetu imeni Ivana Ohiienka, Instytutupsykholohii imeni H. S. Kostiuka NAPN Ukrainy - Problems of modern psychology: Collection of scientific works of Kamianets-Podilsky National University named after Ivan Ogienko, Institute of Psychology named after G.S. Kostyuk NAPS of Ukraine. S.D. Maksymenko, L.A. Onufriieva (Ed.). Kamianets-Podilskyi: Aksioma, p. 38–52. Retrieved from https://core.ac.uk/download/pdf/344932267.pdf [in Ukrainian].

Markova, M.V., & Hlaholych, S.Yu. (2018). Dezadaptatsiia volonteriv, diialnist yakykh poviazana z zabezpechenniam viiskovykh v zoni boiovykh dii: mekhanizmy formuvannia і psykhokorektsiia [Psycological maladjustment of volunteers invoked in the provision of military forces in a combat zone: mechanisms of formation and psychocorrection]. Teoriia і praktyka suchasnoi psykholohii - Theory and Practice of Modern Psychology, № 4, pp. 59-69. Retrieved from http://tpsp-joumal.kpu.zp.ua/ archive/4_2018/13.pdf [in Ukrainian],

Druz, O.V., & Chernenko, I.О. (2017). Napriamky medyko-psykholohichnoi profilaktyky post- stresovykh psykhichnykh rozladiv u uchasnykiv lokalnykh boiovykh dii [Directions medical and psychological prevention post-traumatic mental stress disorders in local participants fighting], Ukrainskyi visnyk psykhonevrolohii - Ukrainian Bulletin of Psychoneurology, 25(1(90)), 45–48. Retrieved from https://uvnpn.com.ua/upload/iblock/d5f/d5ff9f0f424flcb3b0184302eaa31600.pdf [in Ukrainian].

Maruta, N.A., & Zavorotnyi, V.I. (2018). Printsypy reabilitatsii voiennosluzhashchikh s razlichnymi variantami posttravmaticheskoho stressovoho rasstroistva [Principles of rehabilitation of military men with different variants of post-traumatic stress disorder]. Ukrainskyi visnyk psykhonevrolohii - Ukrainian Bulletin of Psychoneurology, 26(3(96)), 33–38. Retrieved from https://uvnpn.com.ua/Upload/iblock/29d/29d61bca0e583adf6b82a54f2el4b4bc.pdf [in Russian].

Blinov, O.A. (2017). Normatyvni dokumenty orhanizatsii ta provedennia psykholohichnoi reabilitatsii viiskovosluzhbovtsiv [Normative documents of organization and carrying out of psychological rehabilitation of servicemen]. Proceeding from Viiskova psykholohiia и vymirakh viiny i туги: problemy, dosvid, perspektyvy: materialy IIMizhnarodnoi naukovo-praktychnoi konferentsii - Military psychology in the dimensions of war andpeace: problems, experience, prospects: materials of the II International scientific- practical conference. Kyiv: Taras Shevchenko National University of Kyiv, p. 36–38 [in Ukrainian].