Dynamics of the formation of mental disorders in combatants from the Ministry  of Internal Affairs of Russia

Rаssokha, A. A.; Ичитовкина, Е Г; Злоказова, М. В.; Soloviev, A. G.

doi:10.25016/2541-7487-2022-0-2-52-59

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Сотрудники МВД России в рамках участия в СВО занимаются обеспечением обществен ной безопасности, осуществляют оперативно розыскную и контрразведывательную дея тельность, направленную на нейтрализацию преступников, предотвращение диверсий и террористических актов, защиту ключевых объектов и обеспечение безопасности насе ления [3,5].…”

Section: Introductionunclassified

Pre-disease detection of stress-associated disorders in combatants depending on professional activity profile

Dvinskikh,

Ichitovkina,

Soloviev

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. Combat stress and other forms of stress-associated mental disorders, as well as their consequences currently remain a most urgent issue in military personnel directly or indirectly involved in armed conflicts. Active deployment of weapons for remote destruction of manpower and infrastructure has caused qualitative transformations in the profile of medical casualties, thus becoming a powerful stress factor of intense psychological pressure on personnel. The fundamentally new nature of armed confrontations, which in many ways is incompatible with domestic experience acquired over the recent decades during local hostilities in the "hot zones", is gaining relevance, as well as effective prevention and treatment of health disorders associated with combat mental trauma in the personnel deployed in the special military operation. The objective is to identify pre-disease characteristics of stress-associated disorders in combatants, depending on their professional activity profile.Methods. We examined 209 males earlier deployed in combat zones. All the examined combatants were divided in three groups according to professional criteria: group 1 – employees of the Ministry of Internal Affairs of Russia (n = 71); group 2 – soldiers of the National Guard of Russia (the Rosgvardiya) (n = 70); group 3 – employees of the EMERCOM of Russia (n = 68). Clinical and psychopathological examination with prior blood chemistry and toxicological screening were conducted to identify metabolites of psychoactive substances.Results and discussion. Although the research showed an elevated risk of post-traumatic stress disorder in the combatants across all the three groups, employees of the EMERCOM of Russia and the Ministry of Internal Affairs of Russia demonstrated average stress coping ability, whereas soldiers of the National Guard of Russia showed higher levels of maladaptation and greater susceptibility to subclinical anxiety and depressive disorders. Combatants directly involved in combat operations often resort to alcohol or sedatives.Conclusion. Programs for medical and psychological rehabilitation implemented as part of psychological and psychiatric prevention efforts shall be adjusted to the combatants’ professional profile with a specific focus on the type of combat service duties.

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Section: Introductionunclassified

Pre-disease detection of stress-associated disorders in combatants depending on professional activity profile

Dvinskikh,

Ichitovkina,

Soloviev

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Biopsychosocial markers of post-traumatic stress disorder in combatants

Sakovich,

Ichitovkina,

Soloviev

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. Military personnel combat stress disorders, including post-traumatic stress disorder (PTSD), arising from the impact of the stress combat situation factors on the psyche, lead to social maladaptation and decreased combat capacity. Timely diagnosis and further prevention of various stress-associated mental disorders helps to avoid progression into a chronic disease and concomitant psychosomatic pathologies.The objective is to identify PTSD biopsychosocial markers in combatants.Methods. Clinical psychopathological examination, biochemical and chemical toxicity studies (CTI) were conducted to identify metabolites of psychoactive substances. 85 male officers of the Russian Guard were examined following up to 90 day’s deployment in the combat zone in 2022–2023; those were split into Group I (38 individuals who underwent outpatient treatment for PTSD (F43.1), average age (28.4 ± 2.2) years and service experience (2.9 ± 1.4) years) and Group II (47 individuals with no diagnosed mental disorders, average age (29.2 ± 2.1) years and service experience (3.1 ± 1.2) years).Results and discussion. The two groups revealed significant differences for all test parameters, i.e. PTSD risk, anxiety and depression levels. The group that included combatants seeking psychiatric aid demonstrated remarkably higher levels, revealing positive reliable correlations between PTSD and biochemical parameters, ethyl glucuronide, testosterone and midnight cortisol.Conclusion. Taking into account specific social and political settings, as well as the scale and intensity of military action, further improvement is demanded in the examination of combatants using multiaxial biopsychosocial framework of markers, including both clinical and psychological screening, as well as chemical, toxicological and biochemical studies, as prescribed by the regulation of the Ministry of Health of Russia and the Ministry of Internal Affairs of Russia, is necessary to change. Considering the elevated values obtained by the TSQ and HADS questionnaires, the additional markers of PTSD development in combat officers may include elevated testosterone, midnight cortisol, carbohydrate-deficient transferrin, as well as the ethyl glucuronide and benzodiazepines in biological samples.

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Preclinical Online Sсreening for Stress-Associated Disorders in Combatants

Ichitovkina,

Sakovich,

Soloviev

et al. 2024

Psychiatry

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Background: the need to improve standards, organizational methods and practical scientific approaches to the prevention and treatment of mental pathology and the restoration of mental health of military personnel involved in combat operations determines the importance of developing and implementing effective strategies for correcting the mental state of combatants. The aim: to analyze the results of preclinical online screening of stress-associated disorders in combatants to assess its effectiveness in conducting routine psychoprophylactic examinations of military personnel after returning from the combat zone. Subjects and methods: 176 male employees of the Russian Guard who returned after a business trip of up to 90 days in the combat zone were examined. All combatants underwent preclinical online screening for the detection of stress-associated mental disorders, including methods regulated by the Ministry of Health of the Russian Federation. After testing, the obtained data were processed using cluster analysis by the K-means method. Clinical and psychopathological examination and laboratory studies were conducted, including: the content of carbohydrate-deficient transferrin (CDT), testosterone and cortisol levels, processing of the data obtained using statistical methods. Results: the combination of high levels of evening cortisol and CDT in combatants may indicate a complex interaction of physical stress, psychological trauma and possible alcohol abuse, which may be the result of both specific conditions of military service and a way to cope with post-war stress and trauma. Conclusions: it was found that the data of preclinical screening testing are consistent with clinical and laboratory results. Online screening testing for the detection of stress-associated disorders in combatants, combined with the determination of testosterone, evening cortisol and CDT levels, can serve as markers of the presence of stress-associated disorders.

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Dynamics of the formation of mental disorders in combatants from the Ministry of Internal Affairs of Russia

Cited by 3 publications

References 6 publications

Pre-disease detection of stress-associated disorders in combatants depending on professional activity profile

Pre-disease detection of stress-associated disorders in combatants depending on professional activity profile

Biopsychosocial markers of post-traumatic stress disorder in combatants

Preclinical Online Sсreening for Stress-Associated Disorders in Combatants

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