Mental traumatization prevention of internal affairs bodies employees in biological and social emergency situation

Ичитовкина, Е Г; Soloviev, A. G.; Zhernov, Sergey; Gontar, Vladimir Nikolaevich

doi:10.17816/humeco80085

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…45); 2 Северный государственный медицинский университет (Россия, г. Архангельск, Троицкий пр., д. 51); 3 Кировский государственный медицинский университет (Россия, г. Киров, ул. К. Маркса, д.…”

Section: биопсихосоциальные маркеры посттравматическогоunclassified

“…Опыт военной психиатрии и последние научные исследования показывают необхо димость изучения взаимосвязей боевых и со циальных стрессоров с индивидуальными биологическими предпосылками, приводящих к развитию и поддержанию аномально высоко го уровня физиологического стресса, сопро вождающегося нарушениями нейрохимиче ских и нейрофизиологических процессов [3,5].…”

Section: Introductionunclassified

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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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Section: биопсихосоциальные маркеры посттравматическогоunclassified

Section: Introductionunclassified

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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“…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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Improvement of the Clinical and Laboratory Diagnostic System Within the Framework of Medical Rehabilitation Measures for Persons of Dangerous Professions

R.V.,

Yu.E.,

E.D.

2024

Vestnik "Biomedicina i sociologiya"

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Annotation. Risky professions are associated with working conditions in which production factors cause a threat to the life of an employee and a high risk of injury. Employees of law enforcement agencies (armed forces, law enforcement agencies, Ministry of Emergency Situations) are included in the list of dangerous professions. Their work is associated with the presence of threats to life and health, psychological and physical overstrain, overwork, suddenness of events with a shortage of time, information overload, etc. Their adaptive mechanisms are often deformed. Among them, one of the most vulnerable is the endocrine system. In order to fully implement all measures for the provision of medical care and rehabilitation of persons performing official tasks in conditions adversely affecting their health, special medical and psychological programs have been developed and are successfully functioning in law enforcement agencies. They include a variety of aspects, among which the leading ones are assessment, consideration of the psychophysiological condition, its pharmacological and non-drug correction by various methods. Modern realities dictate the need for continuous improvement of this system. The proposed model implies the improvement of the laboratory level of endocrinological care in law enforcement agencies within the framework of general medical preventive and rehabilitation measures. It includes several stages (preventive, curative and informational-analytical), which, in turn, are divided into blocks. Each of them serves as an integral part of medical support in the system of rehabilitation measures for persons of dangerous professions, forming a whole multi-level dynamic process. It is emphasized that the organization of comprehensive rehabilitation measures in relation to employees of law enforcement agencies exposed to various occupational risks, in addition to traditional medical and psychological support of activities, should include a mandatory laboratory endocrinological link as an integral part of the general system of departmental medical support.

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Mental traumatization prevention of internal affairs bodies employees in biological and social emergency situation

Cited by 4 publications

References 11 publications

Biopsychosocial markers of post-traumatic stress disorder in combatants

Biopsychosocial markers of post-traumatic stress disorder in combatants

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

Improvement of the Clinical and Laboratory Diagnostic System Within the Framework of Medical Rehabilitation Measures for Persons of Dangerous Professions

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