War Syndrome Research Articles

War Syndrome and The Labour Market: The Impact of The Development of Post-Traumatic Stress Disorder in Employees and Subsequent Problems in Professional Life on The Example of Victims of The Russian-Ukrainian War

The agenda of this research is to study the impact of Post-traumatic stress disorder (PTSD) on the professional qualities of employees, the difficulties they began to face after the appearance of the syndrome, as a result – the second one purpose, is development of recommendations directly for such employees, who suffering or highly risking to shuffle on PTSD, which will help to avoid or at least reduce possible negative aspects. The research design involves the use of anonymous questionnaires for the survey. The research is designed in such a way to determine the degree of damage to the respondent and the relationship with emerging difficulties in the professional field (such as the appearance of difficulties in performing creative, communicative, monotonous, or other activities) and in the labour market (for example, finding a new place of work, key motivators for keeping or changing work). The study was developed in the situational context of the Russian-Ukrainian war.

Problems of providing tourist services by inclusive tourists with «syndrome of war»

The purpose of this scientific study is to assess the condition of people who were in the zone of military conflict in the east of Ukraine and have undergone significant emotional and psychological changes, with the subsequent involvement of them in rehabilitation through tourism services. In this regard, the main tasks of scientific work on this topic are: analysis of the psycho-emotional state of people with the «war syndrome», their readiness to adapt to peaceful life; coverage of forms, methods and approaches to the problem of providing professional assistance to people with the «war syndrome», especially for children of different ages, through the creation of special tourist routes, taking into account the individual needs of tourists. Analysis of recent research and publications. The problems of providing various forms of rehabilitation assistance have been described and covered in the scientific literature in different spheres of professional activity of people: physicians, psychologists, rehabilitologists, sociologists and others. Consequences of post-traumatic condition of people as a result of hostilities have been described in the works of domestic scientists (Dmitruk O. Yu. US experience in dealing with post-traumatic stress disorder using methods of active recreation; Zayarnyuk OV Social protection of vulnerable sections of the population: national experience; L.Y. Inclusive tourism as a form of rehabilitation: current needs of the disabled; Panchenko O., Simonenko O. Psychological support of families who have been stressed. native experience and Ukrainian realities; Trebin MP Wars in the history of mankind and their consequences: lessons for Ukraine, etc.). and foreign scientists (Holostova EI, Dementieva NF Social rehabilitation; Shumkov GE The mental state of the soldiers after the battle; Based on the subject of the article, it is necessary to focus on the fact that the purpose of this scientific research is to assess the condition of people who were in the military conflict zone in eastern Ukraine and underwent significant emotional and psychological changes, with their subsequent involvement in rehabilitation thanks to tourist services. The presentation of the main material. The technologies of rehabilitation and social work with military personnel and their families vary depending on the nature and depth of their problems, and is largely determined by the length of their stay in military service. Another category of people with the “war syndrome” is made up of internally displaced persons, refugees from the war zone who face double trauma: firstly, the need to mitigate the effects of stress associated with living in the occupied territories in the war zone, the need to leave the place of permanent residence ; secondly, experiencing stress due to the need to adapt to new conditions. The main factors, the reasons for the increase in the number of people with this syndrome, the described nature of aggression by the Bass-Darki method are identified. The proposed model of rehabilitation assistance, which includes the main forms of providing rehabilitation services: rest, psycho-correction, adaptation to a peaceful society, professional or comprehensive assistance. In the work of travel agencies, an important role is played by material and technical support, the availability of accessible tourist facilities that are ready to accept people with inclusion (invalidity), as well as the development of adapted routes for them. Most travel agencies have a private form of activity, for which the main goal is the economic feasibility of their activities, and only in the background is the quality of tourist services. This is because tour operators do not want or do not consider the direction of inclusive tourism for several reasons: a) it is necessary to study the features of each of the nosologies (and there are 132 of them) in order to determine the areas that, according to the tour operator, will be more promising in terms of the safety of tourist trips and in terms of financial profitability; b) inclusive tourists require special attention, if necessary - escort, the presence of sign language interpreters, rehabilitation therapists or specialized medical workers; c) transport services for a group of inclusive tourists who may require special conditions of transport; d) special conditions for recreation and recreation (boarding houses, hotels, recreation centers, catering and leisure facilities), which should be as comfortable as possible and the architectural accessibility of the environment; f) a certain number of inclusive tourists are people of various social groups who have low state preferential cash security. The heads of travel agencies or travel agencies do not always understand the relevance of creating this tourism segment. Conclusions. Having a significant contingent of people with the "war syndrome", it is necessary to plan a strategy for planned, comprehensive (comprehensive) and professional rehabilitation, which would solve the issue of restoring the physical and psycho-emotional state of a person, adapting to her usual life

Рrospects for introducing inclusive rehabilitation and social tourism in Ukraine

The article highlights the theoretical and methodological foundations of inclusive tourism development; substantiates theoretical aspects of the origin and use of the new concept of “inclusive rehabilitation and social tourism”; analyzes the modern world and Ukrainian experience in the development and implementation of inclusive tourism in the tourism sector of Ukraine. The article presents a study of the evolution and futureintroduction of inclusive tourism in the rehabilitation system of Ukraine, taking into account the peculiarities of the regulatory framework, political and economic problems in the country, and, as a result, the social standard of living of Ukraine. We provide a classification of groups of inclusive tourists according to the types of inclusion and the possibilities of providing rehabilitation services: social group (Chernobyl veterans, pensioners, pregnant women, large families, and others); the group people with disabilities (various groups of disabilities and nosologies), people with “war syndrome” (Afghan War veterans, military from zones of the ATO, displaced people, people with psychological trauma, children of war, war veterans, and others). The priority directions of rehabilitation care professionals were determined depending on the inclusive profile and nosology: therapeutic and recreational, cultural-cognitive, family-youth, professional-labour, non-Olympic physical culture and sports. The components for each segment of rehabilitation and social services for people with inclusion due to tourist activities are identified. A conceptually new theoretical and methodological block model of an”accessible” inclusive environment for rehabilitation of people of various inclusive groups and nosologies is presented. The connection between the main elements of this model of inclusive rehabilitation tourism is established. In order to fully understand the level of the need for the introduction of inclusive tourism in Ukrainian society, not only is a thorough scientific and methodological base needed, but also practical testing of the results.

A Novel Animal Model Simulating the Beginning of Combat Exposure

Objective: Predator stress, social defeat stress, and fear conditioning animal models have been applied to investigate combat-related posttraumatic stress disorder (PTSD). However, no animal model psychopharmacological studies have investigated prevention of somatization of increased mental stress and fatigue at the beginning of combat exposure. This study utilized a novel animal model simulating the beginning of combat exposure that aided specification of a set of biomarkers. Methods: Psychological stress was induced by both inescapable electric foot shock and noise stimuli. Physical fatigue was induced by sleep deprivation and forced exercise in a rotating cage. A new device reflecting simultaneous psychological stress and physical fatigue was constructed. The protocol simulating combat exposure was set as 3 rounds of 24-h exposure in a 2-week period, which was specified as intermittent unpredictable stress (IUS). Results: Mice exposed to IUS (IUS mice) had significantly higher serum corticosterone levels (p < 0.05), excessive locomotive activity (p < 0.001), and anxiety-like behavior (p < 0.02) compared to control mice. IUS mice also had significantly higher IFN-γ (p < 0.001) and TNF-α (p < 0.05) levels in the supernatant of splenic T-cell culture compared to control mice. Brain-derived neurotropic factor levels were significantly decreased (p < 0.04) after IUS exposure. Conclusion: The proposed animal model of combat exposure reflected cognitive function impairment, behavior disturbance, and altered neuroimmune interactions without any apparent histopathological changes, and this animal model may be more applicable to protective research on war syndrome than combat-related PTSD after war because the hypothalamic-pituitary-adrenal axis has not been blunted.

«Soldier's heart»: the history of war syndromes

The problem of disorders associated with participation in hostilities («war syndromes»), remains relevant over a hundred years. The first scientific description of these diseases is known belongs to the American physician Jakob Mendes Da Costa. In the difficult history of the study of «war syndrome» have proposed various hypotheses and theories based on the principles of primary somatic factors, mental or social processes. However, at this moment there is no conclusive evidence of any pre-emptive effect of one factor on the occurrence of disease. To describe the «war syndrome» were used many terms, the most famous being the «soldier's heart» and Da Costa's syndrome.

Unveiling the War Child Syndrome: Finnish War Children's Experiences of the Evacuation to Sweden During WWII from a Lifetime Perspective

ABSTRACTDuring World War II, a total of 48,628 Finnish children were evacuated to Sweden and placed into temporary foster care. We studied the long-term effects of early separation among aging evacuees using a mixed-methods approach. The purpose was to understand how the evacuees experienced the evacuation event from a lifetime perspective and to determine the features of a possible war child syndrome. The evacuees expressed problems related to loss of confidence, detachment or rootlessness, and unworthiness or rejection. Feelings of rejection and unworthiness provoked shame in many of the reports. Our results suggest that support interventions should focus on processing these painful experiences.

Psychotrauma and effective treatment of post-traumatic stress disorder in soldiers and peacekeepers

Psychotrauma occurs as a result to a traumatic event, which may involve witnessing someone's actual death or personally experiencing serious physical injury, assault, rape and sexual abuse, being held as a hostage, or a threat to physical or psychological integrity. Post-traumatic stress disorder (PTSD) is an anxiety disorder and was defined in the past as railway spine, traumatic war neurosis, stress syndrome, shell shock, battle fatigue, combat fatigue, or post-traumatic stress syndrome (PTSS). If untreated, post-traumatic stress disorder can impair relationships of those affected and strain their families and society. Deployed soldiers are especially at a high risk to be affected by PTSD but often receive inadequate treatment. Reviews to date have focused only on a single type of treatment or groups of soldiers from only one country. The aim of the current review was to evaluate characteristics of therapeutic methods used internationally to treat male soldiers' PTSD after peacekeeping operations in South Eastern Europe and the Gulf wars.This systematic literature review returned results pertaining to the symptoms, diagnosis, timing and effectiveness of treatment. Sample groups and controls were relatively small and, therefore, the results lack generalizability. Further research is needed to understand the influence and unique psychological requirements of each specific military operation on the internationally deployed soldiers.

War Syndromes: The Impact of Culture on Medically Unexplained Symptoms

The general principle that the experience of combat damages servicemen's long-term physical and mental health is recognized. However, controversy has raged over the nature of particular post-combat disorders such as shell shock, disordered action of the heart (DAH), effort syndrome, effects of Agent Orange and, not least, Gulf War syndrome. We, among many others, have argued that they should be classified as functional syndromes characterized by medically unexplained symptoms, which include: fatigue, weakness, sleep difficulties, headache, muscle ache and joint pain, problems with memory, attention and concentration, nausea and other gastro-intestinal symptoms, anxiety, depression, irritability, palpitations, shortness of breath, dizziness, sore throat and dry mouth. Despite popular claims to the contrary, no simple biomedical aetiology has been discovered to account for these disorders, hence the term “medically unexplained”. Furthermore, they are not easily interpreted using accepted psychiatric classifications. Without demonstrable organic cause, war syndromes have attracted diverse causal explanations, ranging from pressure on the arteries of the chest, constitutional inferiority, toxic exposure, bacterial infection to microscopic cerebral haemorrhage.

USES AND EFFECTS OF DEPLETED URANIUM MUNITIONS: TOWARDS A MORATORIUM ON USE

Depleted Uranium (DU) munitions were first used operationally by US and British coalition forces during Operation Desert Storm in 1991 to eject Iraqi forces from Kuwait. Since that time, concerns have been raised in various quarters regarding the possible adverse effects DU may have on human health and the environment. In particular, it has been suggested that the reported ‘explosion of childhood cancer in southern Iraq’ and so-called Gulf War and Balkans Syndromes may be attributable to combat uses of DU in the Middle East and, more recently, in Bosnia in the mid 1990s. Such concerns, however, appear not to have impeded either the proliferation or continued use of DU munitions, such as in Kosovo and Serbia in 1999, in Afghanistan in 2001 and in Operation Iraqi Freedom in 2003. It is thought that, in addition to the US and the UK, a growing number of other countries have DU munitions in their arsenals.

Bridging the gulf in war syndromes

Over 50·000 British, Canadian, and American troops returned from battle as changed men. Once-vital young men who left to engage a foreign tyrant began to complain of breathlessness, grinding fatigue, irritability, headache, insomnia, and paraesthesias, rendering 70% of them unfit for further duty.1 5 years later, fewer than one in six had recovered fully.2

War Syndromes and Their Evaluation: From the U.S. Civil War to the Persian Gulf War

To better understand the health problems of veterans of the Persian Gulf War by analyzing previous war-related illnesses and identifying possible unifying factors. English-language articles and books on war-related illnesses published since 1863 that were located primarily through a manual search of bibliographies. Publications were assessed for information on the clinical characteristics of war-related illnesses and the research methods used to evaluate such illnesses. Poorly understood war syndromes have been associated with armed conflicts at least since the U.S. Civil War. Although these syndromes have been characterized by similar symptoms (fatigue, shortness of breath, headache, sleep disturbance, forgetfulness, and impaired concentration), no single recurring illness that is unrelated to psychological stress is apparent. However, many types of illness were found among evaluated veterans, including well-defined medical and psychiatric conditions, acute combat stress reaction, post-traumatic stress disorder, and possibly the chronic fatigue syndrome. No single disease is apparent, but one unifying factor stands out: A unique population was intensely scrutinized after experiencing an exceptional, life-threatening set of exposures. As a result, research efforts to date have been unable to conclusively show causality, have been subject to reporting bias, and have lacked similar control populations. In addition to research limitations, war syndromes have involved fundamental, unanswered questions about the importance of chronic somatic symptoms and the factors that create a personal sense of ill health. Until we can better understand what constitutes health and illness in all adult populations, we risk repeated occurrences of unexplained symptoms among veterans after each war.