Depression with auto-aggressive manifestations in victims during a radiation disaster and fighting

Abstract

Purpose. To increase the level of medical care for depression patients with autoaggressive manifestations (AM) in victims during a radiation disaster and fighting by developing new diagnostic and treatment programs. Material and methods. The object and methods of the study were 70 liquidators of the accident consequences at the Chernobyl nuclear power plant aged from 54 to 65 years old and 45 combatants of the Anti-terroristic operation (Joint forces operation) aged from 25 to 59 years old – comparison group, depression patients with AM, psychosomatic pathology were examined. For the main group and the comparisons group were used clinical and paraclinical methods, division into groups, according to diagnostic and treatment programs, therapy and follow-up from 2 months to 2 years. Results. The main group observed increasing depressive frequency disorders with AM in liquidators of the accident consequences at the Chernobyl nuclear power plant. The examination revealed asthenic – in 34 (48.6 %) patients, anxiety – in 13 (18.6 %), apathetic – in 8 (11.4 %), hypochondriac – in 7 (10 %), dysphoric – in 5 (7.1 %), obsessive-phobic – in 3 (4.3 %) variants of depression with AM. These particular disorders are characterized asthenic, anxiety and apathetic symptoms, progressive course, personality changes with organic and psychosomatic traits, cognitive deficit (р <0,05). In the comparison group, asthenic was found in 13 (28.3 %) patients, anxious in 11 (23.9 %), hypochondriac in 10 (21.7 %), dysphoric in 6 (13 %), and obsessive-phobic – in 3 (6.5 %) and apathetic variants – in 2 (4.4 %) depression with AM. After the participation in the Anti-terroristic operation (Joint forces operation) fighters exhibit depression with AM in combination with psychosomatic and personality traits, changes in the bioelectrical activity of the brain. These particular disorders are characterized asthenic, anxiety, hypochondriac symptoms, personality and psychosomatic traits (р <0,05). Conclusions. The proposed comprehensive treatment and diagnostic program will increase the level of medical care of the liquidators of the accident consequences at the Chernobyl nuclear power plant, combatants of the Anti-terroristic operation (Joint forces operation) and prevent the occurrence of suicide. Key words: depression, autoaggressive manifestations, diagnostics, treatment, prevention, combatants of the Anti-terroristic operation (Joint forces operation), liquidators of the consequences of the Chernobyl accident.