Formation Prediction of Pre-Nosological Mental Disorders in Combatants

Abstract

Clinically formed borderline mental disorders (BMD) in combatants have a lower prevalence in contrast to pre-clinical mental disorders. Blurred diagnostic criteria do not allow to classify short-term disorders of mental adaptation requiring therapy as BMD. In order to develop a model for predicting the formation of pre-clinical mental disorders (PMD) in combatants, the analysis of personal characteristics of 649 combatants was carried out. Among 311 people, in anamnesis, PMD with increased anxiety, dissomnia, instability of the emotional background were detected, in 338 people these states and other violations of mental adaptation were not recorded. Four years after participation in the fighting, according to Kotenev’s methodology and the Bass-Darky test, the combatants showed signs of maladaptation and a high level of physical aggression. On the basis of the obtained data, the model of forecasting the formation of PMD in combatants with the use of logistic regression by forced input of variables is calculated. It was found that the risk of PMD formation in combatants increases with a decrease in the indicator of the scale "symptoms of invasion" and with an increase in the parameters on the scales "symptoms of hyperactivity", "distress and maladaptation", "the presence of signs of post-traumatic stress disorder", "physical aggression" and "verbal aggression". This shows that PMD occurs more often in combatants with increased excitability in everyday life and a high level of physical aggression, while the symptoms of reliving a traumatic event are not a trigger factor for the formation of neurotic disorders. The use of this technique in medical and psychological combatant for the prevention of the formation of PMD is proposed. Formed borderline mental disorders (BMD) in combatants have a lower prevalence in contrast to disorders of the pre-nosological level [3]. The growth of adverse mental states, including pre-nosological mental disorders (PMD) in combatants is observed worldwide, which is probably associated with an increase in the number of local armed conflicts [8]. PMD have an uncertain prognosis, both in terms of recovery and in the formation of nosological forms [2]. This issue is often discussed in the medical literature, but vague diagnostic criteria do not allow to classify as formed BMD short-term disorders of mental adaptation that appear spontaneously - often against the background of the impact of trigger stimuli [4] At the same time, in the absence of therapy, they lead to a change in the personal structure and a violation of the quality of life of combatants [5, 6]. This puts before psychiatrists the task of developing new methodological and psycho-diagnostic approaches to both psycho-prophylactic examinations and treatment of this contingent [7]. Keywords: Combatants; Pre-nosological mental disorders; Prognosis model