Formation mechanisms of non-psychotic mental disorders in injured combatants as a basis of psychotherapy

Platyniuk O. B. Formation mechanisms of non-psychotic mental disorders in injured combatants as a basis of psychotherapy. Journal of Education, Health and Sport. 2020;10(12):359-364. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.12.035 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.12.035 https://zenodo.org/record/4741003 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 09.11.2020. Revised: 25.11.2020. Accepted: 29.12.2020. FORMATION MECHANISMS OF NON-PSYCHOTIC MENTAL DISORDERS IN INJURED COMBATANTS AS A BASIS OF PSYCHOTHERAPY O. B. Platyniuk Kharkiv National Medical University, Ukraine Abstract Today 16.2% of the world’s population suffers from the consequences of military conflicts. In 80% of people affected by hostilities, the consequences of combat trauma are non-psychotic mental disorders. According to the data obtained during the study, the following non-psychotic disorders were found in examined combatants: acute stress reaction (F43.0) in 36.2% of subjects, PTSD (F43.1) in 32.1%, prolonged depressive adjustment reaction (F43.21) in 11.3%, adjustment disorder with anxiety (F43.22) in 12.2%, depressive episode (F32.1, F32.2) in 8.2% of subjects. 145 male injured combatants aged 20 – 55 y. o. were examined at the Military Medical Clinical Center of the Northern Region. Methods: clinical psychopathological, clinical anamnestic, psychodiagnostic, catamnestic, statistical. According to the results of Clinically administered PTSD Scale (CAPS), clinically pronounced manifestations of PTSD were noted in examined combatants (frequency of PTSD symptoms: 33.9 ± 3.6 points, intensity: 32.2 ± 5.5 points, and total severity of symptoms: 67.1 ± 6.9 points). According to the Impact of Event Scale-Revised (IES-R) in the surveyed combatants, a high level of impact of the traumatic event was observed by scales of invasion (77.8% of surveyed), avoidance (62.9%) and physiological excitability (72.2%). Against the background of using the developed program there were a positive dynamics of mental state (86.9% of respondents), a decrease in anxiety (85.6%) and depression (82.2%), and a decrease level of PTSD symptoms by Impact of Event Scale (IES-R) (79.8%). Key words: combatants; injuries; non-psychotic mental disorders; psychotherapy; psychoeducation.