Nina V. Kolіadenko, Nadiia O. Bachurina, Khrystyna Zhyvaho, M. Shopsha, Olena L. Shopsha
{"title":"军事精神创伤的心身表现","authors":"Nina V. Kolіadenko, Nadiia O. Bachurina, Khrystyna Zhyvaho, M. Shopsha, Olena L. Shopsha","doi":"10.31612/2616-4868.8.2023.03","DOIUrl":null,"url":null,"abstract":"Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study. The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma. Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator. Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group. Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. The absence of a statistically significant difference in the risk of developing psychosomatic disorders as a result of war psychotrauma in temporarily displaced persons and those who did not change their place of residence was revealed.","PeriodicalId":502404,"journal":{"name":"Clinical and Preventive Medicine","volume":" 845","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"PSYCHOSOMATIC MANIFESTATIONS OF MILITARY PSYCHOTRAUMA\",\"authors\":\"Nina V. Kolіadenko, Nadiia O. Bachurina, Khrystyna Zhyvaho, M. Shopsha, Olena L. Shopsha\",\"doi\":\"10.31612/2616-4868.8.2023.03\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study. The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma. Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator. Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group. Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. 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引用次数: 0
摘要
引言战争是一种导致适应能力下降的超强极端事件。需要更清楚地了解战争精神创伤的具体情况及其对人类健康各组成部分造成的临床后果,这就决定了本研究课题的相关性。 这项工作的目的是研究战争精神创伤后遗症患者心身关系的特殊性。 材料和方法实验研究组由 32 名临时流离失所者组成,对照组--34 名在整个全面战争期间没有改变居住地的患者。诊断的目的是根据《国际疾病分类》(ICD-10)的标准(F40-F48)确定神经症、与压力有关的疾病和躯体形式障碍。对躯体状况的评估是在分析躁狂症数据、对病人进行临床检查和实验室检测指标的基础上进行的。心理诊断方法用于评估患者的精神状态(神经质状态检测和评估临床问卷;K. Heck 和 H. Hess 的神经质明确诊断方法;问卷 SAN(情绪、活动、心情);泰勒焦虑水平诊断方法;根据艾森克进行的精神状态自我评估;经 Y. Hanin 修改的 Ch. Spibleger 反应性和个人焦虑评估量表)。研究结果的统计处理在 Microsoft Excel 程序和社会科学统计在线计算器的帮助下进行。 结果通过对躁狂症数据的分析、临床检查和实验室测试分析,发现两个研究组的患者都存在心身疾病:实验组有 29 名患者(90.63%),对照组有 26 名患者(74.47%)。 结论已经证实,长期处于全面战争的极端紧张状态会导致负面心理状态的形成,并伴有心身疾病的表现,形成病理心身过程的封闭式恶性循环。研究发现,病人的反应性焦虑水平、自律神经失调、幸福感、活动、情绪与心身症状之间存在高度密切的直接相关性。结果表明,暂时流离失所者和没有改变居住地的人因战争精神创伤而患心身疾病的风险在统计学上没有明显差异。
PSYCHOSOMATIC MANIFESTATIONS OF MILITARY PSYCHOTRAUMA
Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study. The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma. Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator. Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group. Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. The absence of a statistically significant difference in the risk of developing psychosomatic disorders as a result of war psychotrauma in temporarily displaced persons and those who did not change their place of residence was revealed.