Model of formation of non-psychotic mental disorders in participants of hostilities who were injured

Abstract

On the basis of the Military Medical Center of the Northern region (Kharkiv) a comprehensive examination of 75 combatants who were injured and had non-psychotic mental disorders was conducted. According to the results of the study, the clinical structure of non-psychotic mental disorders in the examined combatants who were injured was presented as depressed (32.2% of the examined), anxious (31.8%), dysphoric (9.5%), asthenic (15.6%). and psychosomatic (10.9%) variants of psychopathological symptoms. Risk factors for the development of non-psychotic mental disorders in the examined patients were: the fact of injury (66.5%), uncertainty of treatment prognosis (69.2%), prolonged stay in a combat situation (33.1% of subjects), insufficient level of special training before hostilities (33.1%), fear of being taken prisoner (32.5%), death and serious injuries of fellow human beings in front of their own eyes (61.6%); the need to participate in the evacuation of the bodies of the dead (70.1%), the threat of death under volley fire or from a sniper's shot (42.2%), prolonged stay in the field (dugouts, tents) (39.1%). According to the psychodiagnostic study on the scale of clinical diagnosis of PTSD (Clinical administered PTSD Scale-CAPS) in the examined combatants, the frequency of PTSD symptoms was (33.9±3.6) points, their intensity - (32.2±5.5) points, total severity of symptoms - (67.1±6.9) points, which corresponds to the state of clinically pronounced manifestations of PTSD. It was found that the examined patients have: severe depressive (55.6%) and anxiety (71.2%) episodes on the clinical scales of anxiety (HAM-A) and depression (HAM-D) Hamilton; clinical manifestations of anxiety (68.2%) and depression (72.5%) on the hospital scale of anxiety and depression (HADS). Keywords: combatants, PTSD, nonpsychotic mental disorders, distress, trauma.