Comparative assessment of premorbid period parameters and functional diagnostics indicators in military personnel with neurotic disorders

Abstract

Relevance. Combat missions imply high requirements for assessing mental health in military personnel. Among these requirements is the need to include functional assessment taking into account ontogenetic factors, compensatory and sanogenetic processes, personal and adaptive behavioral characteristics. At the same time, a number of authors note that the premorbid period of mental disorders can determine differences in the mental state during the period of manifestation of clinical symptoms.Intention. To investigate the relationship between the parameters of the functional state and the characteristics of the premorbid period of neurotic disorders in military personnel.Methodology. The study involved 78 male servicemen (average age 21.6 ± 2.6 years) with neurotic mental disorders. We studied information about the premorbid period, parameters of mental health functional assessment (bioelectric activity of the brain, cognitive functioning, behavioral characteristics, the global assessment of functioning).Results and Discussion. There were found statistically significant (p < 0.05) weak correlations between the number of adverse factors in the premorbid period and such indicators of the functional state as the severity of electroencephalographic disorders (r = 0.365); maladaptive behavior (r = 0.287), and statistically significant moderate correlation (r = –0.531) with the level of global functioning during the period of the greatest severity of neurotic symptoms.Conclusion. The data obtained in the study will make it possible to improve the forecast of the restoration of the working capacity of servicemen who have suffered from neurotic disorders, as well as the system of professional selection of applicants entering higher military educational institutions.