The level of immune complex reactions in combatants with non-psychotic mental disorders was studied. A clinical-psychopathological and clinical-biochemical examination of 95 combatants with non- psychotic mental disorders were conducted. In the clinical picture of prolonged depressive reaction, there was a decrease in mood, feelings of sadness, anxiety, anhedonia, asthenic manifestations, detachment, lack of hope, guilt of the survivor. Mixed anxiety-depressive reaction was characterized by low mood, feelings of depression, helplessness, insecurity, feelings of despair, sadness, isolated obsessive fears, doubts about the correctness of decisions and actions that are closely related to anxious thinking in relation to their assessment in the eyes of others. Post-traumatic stress disorder was manifested by low mood, anxiety, internal tension with inability to relax, danger, anxiety, flashback effects, symptoms of intrusion, asthenia, irritability, propensity to affective reactions. It was found that in the examined patients there was an increase in the concentration of circulating immune complexes, mainly due to the most pathogenic fractions of medium and low molecular weight and suppression of phagocytic activity of monocytes. Changes in immune complex reactions were most pronounced in post-traumatic stress disorder.
The effects of combat stress most often cause non-psychotic mental disorders, which are manifested in significant emotional experiences, disorders of cognitive processing of information, deformation of social ties of combatants. We examined and treated 145 male combatants, who were injured and treated at the Military Medical Clinical Center of the Northern Region (Kharkiv), aged 20-55 years. According to the data obtained during the study, the following non-psychotic disorders were noted in the surveyed combatants: acute stress reaction (F43.0) in 36.2 % of combatants, post-traumatic stress disorder (F43.1) in 32.1 %, prolonged depressive reaction (F43.21) in 11.3 %, mixed anxiety-depressive reaction (F43.22) in 12.2 %, depressive episode (F32.1, F32.2) in 8.2 % of combatants. We developed and tested a program of personalized psychotherapeutic support for combatants, based on the obtained data from clinical psychopathological features of non-psychotic mental disorders. It is proved that the developed program of psychotherapeutic support of combatants promotes productive dynamics of psychopathological symptoms, forms a feeling of self-sufficiency, psychological well-being, promotes improvement of interpersonal relations and general perception of quality of life. Keywords: combatants, mental trauma, psychotherapeutic support.
According to the UN, the victims of the armed conflict in Ukraine were 6,764 people (including civilians), 16,877 people were injured, and the number of temporarily internally displaced persons exceeded 2.3 million. As of January 1, 2020, there are 459,655 participants in hostilities in Ukraine. Due to today’s challenges, non-psychotic mental disorders are a serious problem in general and especially in military psychiatry. 115 servicemen of the Armed Forces of Ukraine who took a direct part in hostilities in the Anti-Terrorist Operation zone were surveyed. All subjects were divided into two groups. The main group included 60 combatants who had injury and non-psychotic mental disorders, the comparison group included 55 combatants with non-psychotic mental disorders who were not injured. It has been determined that in the structure of non-psychotic mental disorders in the examined patients there was a severe level of depression (at 89.1% and 79.2%) and anxiety (at 95.6% and 94.4%) by the Hamilton Scale, subclinical manifestations of depression (at 56.8% and 49.9%) and clinical manifestations of anxiety (at 69.8% and 66.5%) by a Hospital Anxiety and Depression Scale. The phenomenological structure of non-psychotic mental disorders in combatants who were injured is represented by the predominance of depressive, anxious, asthenic and psychosomatic syndrome. Keywords: injuries, non-psychotic mental disorders, combatants, stress.
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