Complex post-traumatic stress disorder in participants of the military actions in the operation militarygroups in the view of the eleven edition of the International classification of diseases

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Abstract

The introduction of the new concept of complex post-traumatic stress disorder (cPTSD) in the International Classification of Diseases of the 11th Edition deserves attention in a country where active fighting is taking place. The increase in the number of PTSD sufferers among military personnel and civilians on the territory of hostilities increases the likelihood of PTSD occurring among the contingent. At present, we have no experience in the diagnosis of cPTSD. The objective of our study, along with the diagnosis of PTSD symptoms, is to use a quality of life questionnaire to evaluate the symptoms of cPTSD. The result revealed that the level of community and service support was below average, indicating the need to improve community social support. The self-realization of the combatants has a low average level, which further influences the level of adaptation after the end of the service. Physical and psychological well-being are also low, and this indicator to the need for psychological and physical rehabilitation of demobilized soldiers. At the same time, communication with friends and family, performance were at a high enough level, and these are positive factors that influence the adaptation to civilian life. Summarizing the research, we suggest that in order to organize the help of the combatants more effectively, it is necessary to evaluate, along with a purely psychiatric diagnosis of PTSD, the level of social and physical adaptation of patients with PTSD.
复杂创伤后应激障碍在军事行动参与者军事群体行动中的应用,以第十一期国际疾病分类为例
在第11版《国际疾病分类》中引入复杂创伤后应激障碍(cPTSD)的新概念,在一个正在发生积极战斗的国家值得注意。在敌对地区的军事人员和平民中,创伤后应激障碍患者人数的增加增加了特遣队中发生创伤后应激障碍的可能性。目前,我们对cPTSD的诊断尚无经验。本研究的目的,连同PTSD症状的诊断,是使用生活质量问卷来评估cPTSD的症状。结果显示,社区和服务的支持水平低于平均水平,表明需要改善社区社会支持。战斗人员的自我实现平均水平较低,进一步影响了退役后的适应水平。身心健康状况也较低,这一指标表明复员军人需要心理和身体康复。与此同时,与朋友和家人的沟通,表现都处于足够高的水平,这些都是影响适应平民生活的积极因素。综上所述,我们认为,为了更有效地组织战斗人员的帮助,有必要在对PTSD进行纯精神病学诊断的同时,对PTSD患者的社会和身体适应水平进行评估。
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