Clinical specifics of stress-related disorders in volunteers whose activities are related to Joint Forces Operation
Keywords:
PTSD, post-traumatic stress disorder, depression, anxiety, adjustment disorder, combat stress.
Abstract
A volunteer movement has emerged in Ukraine during the Revolution of Dignity and the events that followed it. Experts consider this event as an important component of civil society and the main driving force of the country’s reform.
The clinical structure of post-stress disorders among examined volunteers was represented by the following nosologic forms: F 43.2 adjustment disorders (32.7% of men and 28.1% of women), F 43.1 - post-traumatic stress disorder (27.6% of men and 22.9% of women), F 41.0 - panic disorder (22.4% of men and 29.1% of women), F 41.1 - generalized anxiety disorder (17.3% of men and 19.9% of women). According to the Scale of Severity of Traumatic Stress, 62.8% of respondents have complete manifestation and 37.2% clear manifestation of stress disorder. According to the Hamilton Anxiety and Depression Rating Scale, 56.2% of subjects had a severe depressive episode, 62.1% had severe anxiety episode, 42.3% had moderate depressive episode, and 33.4% had a moderate anxiety episode.
Severe clinical manifestations of PTSD were characteristic of volunteers who survived the fighting, with a high level of exposure to the traumatic event on all PTSD scales; excessive signs of stress disorder, severe or moderate depressive and anxiety episodes by the Hamilton Anxiety and Depression Rating Scale.
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References
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Maruta, N.O., & Zavorotnyy, V.I. (2018) Clinical-psychopathological characteristics of clinical variants and types of the course of PTSD in servicemen of the armed forces, participants in military operations in Eastern Ukraine. European psychiatry, 48(S), 488. https://www.em-consulte.com/es/article/1219482/article/abstracts
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Skrypnikov, A. M., Rakhman, L. V., Markova, M. V., Shpylovyi, I. V., & Plevachuk, O. Yu. (2019). Focus on sleep problems in patients with somatoform disorders. World of medicine and biology, 69 (3), 147-152. https://womab.com.ua/en/smb-2019-03/8033
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Yurieva, L. M., Shusterman, T. Y., & Likholetov, Ye. O. (2019) Non-psychotic psychiatric disorders in persons who have experienced psychosocial stress in terms of military conflict. Medical perspectives, 24(4), pp. 112-120. https://doi.org/10.26641/2307-0404.2019.4.189601
Yuryev, A., & Yuryeva, L. (2015). Suicide mortality at time of armed conflict in Ukraine. European Journal of Public Health, 25(6), pp. 1069–1070. https://pubmed.ncbi.nlm.nih.gov/26420846/
Buckley, T. C., Mozley, S. L., Bedard, M. A., Dewulf, A. C., and Greif, J. (2004). Preventive health behaviors, health-risk behaviors, physical morbidity, and health-related role functioning impairment in veterans with post-traumatic stress disorder. Mil. Med., 169, 536–540, doi: 10.7205/MILMED.169.7.536
Chaban, O.S., Bezsheyko, V.H., Khaustova, O.O., Ryvak, T.B., & Kyrylyuk, S.S. (2018). Gender-related differences of stress reactions in Ukrainian combatants. Pharmacia, 65(2), 3–10. https://www.researchgate.net/publication/327306558_Gender-related_differences_of_stress_reactions_in_Ukrainian_combatants
Crumlish, N., & O'Rourke, K. (2010). A Systematic Review of Treatments for Post-Traumatic Stress Disorder Among Refugees and Asylum-Seekers. The Journal of Nervous and Mental Disease, 198(4), 237-251. doi: 10.1097/NMD.0b013e3181d61258
Derogatis, L. R., Rickels, K., & Rock, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale. The British Journal of Psychiatry, 128(3), 280–289. https://doi.org/10.1192/bjp.128.3.280
Druz, O. V., & Chernenko, I. O. (2017). Directions medical and psychological prevention post-traumatic mental stress disorders in local participants fighting. Ukrainian Bulletin of Psychoneurology, 25, 1(90), 45-48. https://uvnpn.com.ua/upload/iblock/d5f/d5ff9f0f424f1cb3b0184302eaa31600.pdf
Grinevich, E., Druz, O., & Chernenko, I. (2019) The traumatic events in the genesis of battle mental trauma in participants of local combat actions in ATO zone. Psychiatry, Psychotherapy and Clinical Psychology, 10(3), 397-407. https://psihea.recipe.by/en/?editions=2019-tom-10-n-3&group_id=item_0&article_id=line_2
Hamilton, M. (1959). The assessment of anxiety states by rating. Br J Med Psychol, 32, 50–55. https://dcf.psychiatry.ufl.edu/files/2011/05/HAMILTON-ANXIETY.pdf
Hamilton, M. (1960). A rating scale for depression. J Neurol Neurosurg Psychiatry, 23, 56–62. https://dcf.psychiatry.ufl.edu/files/2011/05/HAMILTON-DEPRESSION.pdf
Hlaholych, S. Iu. (2016). Clinical and social features of maladaptive states among volunteers, whose work is related to the support of military men in ATO zone. Psychiatry, Neurology and Medical Psychology, 3, 2(6), 69-76. https://periodicals.karazin.ua/pnmp/article/view/8331/7842
Hlaholych, S. Iu., & Markova, M. V. (2018). State of the psycho-emotional sphere of volunteers whose activity is connected with assistance to the military in the area of armed actions. Psychiatry, Neurology and Medical Psychology, 1(9), 93-100, https://periodicals.karazin.ua/pnmp/article/view/12108/11533
Kazmirchuk, А.P., Lashin, O.I., Druz, О.V., & Chernenko, І.O. (2020). Basic predictors of post-trauma stress disorder formation among combatants. World of medicine and biology, 72(2), 63-67, https://womab.com.ua/ua/smb-2020-02/8443
Keane, T. M., Caddell, J. M., & & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85-90. doi: 10.1037/0022-006X.56.1.85
Keane, T.M., Fairbank, J.A., Caddell, J.M., Zimering, R.T., Taylor, K.L., & Mora, C.A. (1989). Clinical Evaluation of a Measure to Assess Combat Exposure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(1), 53-55. https://www.ptsd.va.gov/professional/articles/article-pdf/id01555.pdf
Khaustova, O., & Smashna, O. (2019). Diagnostic approaches to verification of the mild traumatic brain injury in patients with posttraumatic stress disorder. Psychiatry, Psychotherapy and Clinical Psychology, 10(3), 408–416. https://psihea.recipe.by/en/?editions=2019-tom-10-n-3&group_id=item_0&article_id=line_3
Markova, M. V., & Kozyra, P. V. (2015). Post-stress deadaptive states against a background of social changes: the problem analysis. Medical psychology, 1(37), 8-13. http://nbuv.gov.ua/UJRN/Mpsl_2015_10_1_4
Maruta, N., Panko, T., Kalenskaya, G., Semikina, E., & Denisenko, M. (2020). Psycho-educational program in prevention of mental health of internally displaced persons. Georgian medical news, 306, 92–98. https://cdn.website-editor.net/480918712df344a4a77508d4cd7815ab/files/uploaded/V306_N9_September_2020.pdf
Maruta, N.A., & Gichun, V.S. (2000) Prophylaxis of the auto-aggressive behavior among military men of the forces of the Ministry of internal affairs of Ukraine. European psychiatry, 15, 438-438. https://www.cambridge.org/core/journals/european-psychiatry/article/p03427-prophylaxis-of-the-autoaggressive-behavior-among-military-men-of-the-forces-of-the-ministry-of-internal-affaires-of-ukraine/005F9BEC5EC7E5159F3F7D8B8F83EB9B
Maruta, N.O., & Markova, M. V. (2015). The information in psychological war as a new challenge of our time: state of the problem and directions of its overcoming. Ukrainian Bulletin of Psychoneurology, 23, 3 (84), 21-28. https://uvnpn.com.ua/upload/iblock/9c4/9c45403744e5f705dc1616c59ad481f8.pdf
Maruta, N.O., & Zavorotnyy, V.I. (2018) Clinical-psychopathological characteristics of clinical variants and types of the course of PTSD in servicemen of the armed forces, participants in military operations in Eastern Ukraine. European psychiatry, 48(S), 488. https://www.em-consulte.com/es/article/1219482/article/abstracts
Roberts, B., Makhashvili, N., & Javakhishvili, J. (2017). Issues of mental health and access to services among internally displaced persons in Ukraine. International Alert/GIP-Tbilisi/London School of Hygiene and Tropical Medicine, 32, https://www.international-alert.org/sites/default/files/Ukraine_HiddenBurdensConflictIDPs_EN_2017.pdf
Schreiner, E., Trent, S.B., Prange, K.A., & Allen, J.A. (2018). Leading volunteers: Investigating volunteers' perceptions of leaders' behavior and gender. Nonprofit management & leadership, 29 (2), pp. 241-260. DOI 10.1002/nml.21331
Skrypnikov, A. M., Rakhman, L. V., Markova, M. V., Shpylovyi, I. V., & Plevachuk, O. Yu. (2019). Focus on sleep problems in patients with somatoform disorders. World of medicine and biology, 69 (3), 147-152. https://womab.com.ua/en/smb-2019-03/8033
Tarabrina, N.V. (2007). A Practical Guide to the Psychology of Post-Traumatic Stress. Part 1. Theory and methods. М.: Kogitо-Center, 208. (Psychological tools). ISBN: 9785893532081 https://www.twirpx.com/file/2046669/
Tolin, D.F., & Foa, E.B. (2006). Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychological Bulletin, 132, 959–992. DOI: 10.1037/0033-2909.132.6.959.
Van Ameringen, M., Mancini, C., Patterson, B., & Boyle, M.H. (2008). Post-traumatic stress disorder in Canada. CNS Neuroscience & Therapeutics, 14, 171–181. DOI: 10.1111/j.1755-5949.2008.00049.x
Law of Ukraine № 3236-VI. Information Bulletin of Verkhovna Rada of Ukraine, Kyiv, Ukraine, April 19, 2011. https://zakon.rada.gov.ua/laws/show/3236-17#Text
Weiss, D. S., & Marmar, C. R. (1996). The Impact of Event Scale - Revised. In J. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD. New York: Guilford, 399-411. (NOTE: Includes measure in its entirety.)
Yurieva, L. M., Shusterman, T. Y., & Likholetov, Ye. O. (2019) Non-psychotic psychiatric disorders in persons who have experienced psychosocial stress in terms of military conflict. Medical perspectives, 24(4), pp. 112-120. https://doi.org/10.26641/2307-0404.2019.4.189601
Yuryev, A., & Yuryeva, L. (2015). Suicide mortality at time of armed conflict in Ukraine. European Journal of Public Health, 25(6), pp. 1069–1070. https://pubmed.ncbi.nlm.nih.gov/26420846/
Published
2021-10-29
How to Cite
Kozhyna, H., Zelenska, K., Viun, V., Khaustov, M., & Asieieva, Y. (2021). Clinical specifics of stress-related disorders in volunteers whose activities are related to Joint Forces Operation. Amazonia Investiga, 10(45), 141-147. https://doi.org/10.34069/AI/2021.45.09.15
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