Abstract

In the midst of the Russia-Ukraine war and the ongoing challenges of the post-COVID era, this study presents the Integrated Health and Personality Adaptation Model (IHPAM), focusing on the critical examination of psychosomatic health determinants in Ukrainian men. Materials and methods. Conducted on a sample of 708 men from the Kyiv region, the research applies a comprehensive set of assessment tools to probe the complex interactions between physical health, psychological stress, personality dynamics, and adaptive coping mechanisms. We used the I-structural test of Ammon, Lifestyle Index (LSI), Short Form-36 (SF-36), Assessment of the level of health by the main functional systems, Clinical questionnaire for the identification and assessment of neurotic conditions and rigorous factor analysis with SPSS-28. Results. The study identifies five key factors within the IHPAM: Physical Functioning Nexus, Destructive Functions of the Personality, The Psychological Stress Nexus, The Constructive Personality Matrix, and The Adaptive Defense Mechanisms. The IHPAM model underscores the multifaceted impact of the Russia-Ukraine war and the COVID-19 pandemic on men’s health, revealing significant psychosomatic disturbances. The study highlights the necessity for healthcare systems to adopt a holistic view, recognizing the pivotal role of psychological support, alongside physical health care, in mitigating the adverse effects of such unprecedented global and local stressors. Conclusions. IHPAM advocates for an integrated healthcare approach to the complex interdependencies between physical health, psychological wellbeing, and the socio-political environment, urging for targeted interventions that address the comprehensive health needs of men during times of crisis.

Full Text
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