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sttraumatic stress disorder in ATO / OOS participants (formation mechanisms, therapy, prevention, rehabilitation of patients)

Work number - M 25 AWARDED

Presented National Military Medical Clinical Center "Main Military Clinical Hospital".

Candidate of Medical Sciences, Major of Medical Service Inna Chernenko

The work is devoted to the development and implementation of prevention and algorithms for the formation of personalized programs of therapy and rehabilitation of combatants with PTSD based on the results of comprehensive clinical and psychopathological, psychodiagnostic and socio-demographic studies.

For the first time it is theoretically substantiated that the greatest contribution to the overall risk of PTSD formation in combatants is made by: long-term or serious (self-identified and named) psychotrauma during hostilities (DC = 16.51, MI = 6.33), feeling of somatic health problems (DK = 13.78, MI = 5.54) and the related desire to commission from the ranks of the Armed Forces (DK = 14.31, MI = 3.26).

It was shown that the mental status of combatants significantly (p <0.001) is dominated by affective, asthenic and psychosomatic manifestations (the average informativeness of questions about these manifestations (ΣMI / n) was 2.16, 1.77 and 1.32 units, respectively ); while obsessive, hypochondriac and hysterical manifestations are much less pronounced (1.17; 0.57 and 0.30 units, respectively).

It is proved that the most informative in terms of diagnosis of PTSD (according to ΣsrMI) were such psychometric techniques as: SCL-90R (ΣsrMI = 4.51) and assessment of the severity of sleep disorders Ya.I. Levin (ΣsrMI = 3.37).

A comprehensive treatment and rehabilitation program for combatants has been developed and implemented at the National Military Medical Clinical Center “Main Military Clinical Hospital” and other medical institutions of the Armed Forces of Ukraine. This program includes the following components: clinical diagnostic program; a set of methods, procedures and algorithm for psychotherapy and psychopharmacotherapy of maladaptation in combatants; as well as the algorithm of personalized application of the developed programs (medical-rehabilitation route) of combatants with PTSD.

There are no analogues of the developed personalized treatment and rehabilitation program in Ukraine, and its implementation provides opportunities to integrate into the world community as a country that has its own technology for detection, diagnosis, treatment, rehabilitation and prevention of PTSD. As a result of approbation of the offered complex medical and rehabilitation program it is established that it provides leveling of symptoms of PTSD in 84,78% of cases in the main group against 65,22% - in control.

Number of publications: 24 published scientific articles (including the citation index Scopus and Web of Science), 1 monograph, 2 methodological recommendations, 2 patents of Ukraine for a utility model.