PREDICTING THE EMERGENCE OF PRECLINICAL MENTAL DISORDERS TO COMBATANTS

Abstract

Nozologically formed borderline mental disorder (BMD) in combatants have a lower prevalence of mental disorders unlike a painful level. Blurred diagnostic criteria do not allow to attribute to the category of BMD the short-term outage of disturbance of mental adaptation - transient affective and behavioral reactions (TABR). In order to develop the expectancy model of TABR formation an analysis of personality characteristics of 649 combatants of the Interior Ministry have been carried out. Intermittent TABR in anamnesis revealed in 311 persons, such states and other violations of mental adaptation was not recorded in 338. Four years later, after the trip to zones with special service conditions, according to the I. Kotenev's method and Bass-Dark's test combatants revealed signs of maladjustment and high levels of physical aggression. Based on the data the TABR model has been designed using logistic regression and method of forced variables input. It was found that the risk of TABR formation increases with a decrease in the indicator "the invasion of the symptoms" scale and by increasing the parameters in the scale of "hyperactivity symptoms," "distress and maladjustment," "signs of post traumatic stress disorder" "physical aggression" and "verbal aggression". This shows that TABR more often appear in combatants with increased excitability in everyday life and a high level of physical aggression, while the symptoms of re-experiencing the traumatic event are not the triggering factor of TABR formation. This technique was proposed to use in medical and psychological support of personnel to prevent formation of TABR in combatants.