Peculiarities of adaptation of the cardiovascular system of combatants after exposure to combat stress and trauma

N. Sorokolit, O. Olkhovyi, T. Ivakin, E. Mitova, S. Homaniuk, V. Hunchenko, M. Zamaraiev
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Abstract

Abstract. Military operations are generally considered to be a pronounced psycho-traumatic situation due to specific factors that lead to persistent mental and somatic health disorders and a slowdown in the rate of further social adaptation of military personnel. Post-traumatic stress disorder (PTSD) is described as a set of complex somatic, cognitive, affective, and behavioral effects of psychological trauma. One of the essential features of combatants' PTSD is that after the end of the period of stay in the conditions of hostilities, a high incidence of chronic somatic diseases is manifested. There is a correlation in the neurotic symptoms (in all cases) of deterioration of the somatic condition, and exacerbation of somatic pathology aggravates mental disorders. The problem of morbidity and mortality from circulatory system diseases, blood poisoning and injuries is of particular relevance to combatants, as the onset of cardiovascular disease is closely related to the traumatic impact of wartime or PTSD. Particular attention to the medical and psychological consequences of the effects of extreme factors associated with combat on the body of military personnel is associated with both the prevalence of PTSD, which reaches 70-85%, and the duration of its symptoms.
战斗应激和创伤后战斗人员心血管系统适应的特殊性
摘要军事行动通常被认为是一种明显的精神创伤,其特定因素会导致持续的精神和躯体健康失调,并减缓军事人员进一步适应社会的速度。创伤后应激障碍(PTSD)被描述为由心理创伤引起的一系列复杂的躯体、认知、情感和行为影响。战斗人员创伤后应激障碍的基本特征之一是,在敌对状态下的滞留期结束后,慢性躯体疾病的发病率很高。神经症状(在所有情况下)都与躯体状况的恶化有关,而躯体病变的加剧会加重精神障碍。循环系统疾病、血液中毒和外伤的发病率和死亡率问题与战斗人员特别相关,因为心血管疾病的发病与战时创伤或创伤后应激障碍的影响密切相关。对与战斗有关的极端因素对军人身体的影响所造成的医疗和心理后果的特别关注与创伤后应激障碍的发病率(达到 70-85%)及其症状持续时间有关。
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