Authors
Bashirzade K. A.
PhD Candidate, Chair for Psychiatry, Narcology, Psychotherapy and Clinical Psychology1; Psychiatrist, Admission Department2
Narov M. Y.
Doctor of Medicine, Professor, Chair for Psychiatry, Narcology, Psychotherapy and Clinical Psychology1
1Novosibirsk State Medical University, Novosibirsk, Russian Federation
2Novosibirsk Clinical Psychiatric Hospital ¹3, Novosibirsk, Russian Federation
Corresponding Author
Ksenia A. Bashirzade; e-mail: kosa4ewa.xiunya@yandex.ru
Funding
The study had no sponsorship.
Conflict of interest
None declared.
Abstract
Introduction: in 2022, against the backdrop of the escalation of the military conflict in Donbass, the adaptive resources of the personality of many people were on the verge of maladjustment. According to the director of the Scientific Research Center for Humanitarian Problems Agaev N., psychogenic losses among the personnel of the Armed Forces of Ukraine are about 80%. The increase in this indicator is due to the fact that modern armed conflicts differ in nature from traditional local wars. Thus, it is necessary to search for new approaches to the diagnosis, prevention and treatment of mental disorders in military personnel. Objective of the study. Aim. To study the structure and clinical and psychopathological features of mental disorders in persons serving in the military under the conditions of a special military operation (SMO). Materials and methods. The study group included military personnel participating in the SMO who underwent emergency treatment in the 24-hour inpatient department of the State Novosibirsk Clinical Psychiatric Hospital ¹3 in Novosibirsk from 2022-2024. The sample included 133 men. The study used clinical-psychopathological, psychodiagnostic methods and the method of mathematical processing of the results using the computer programs Microsoft Excel and Statistica10. Results and discussion. The analysis of the obtained results showed that in the sample we studied, mental disorders and behavioral disorders caused by the use of psychoactive substances (PAS) (61%), as well as stress-associated (18%) and organic mental disorders (9%) prevail. According to the nosological affiliation, the most common mental disorder in the study group was psychosis against the background of alcohol withdrawal, mainly hallucinatory (26.1%, n = 35), with delirium (22.4%, n = 30). The clinical picture of alcoholic psychosis is classical, not causing difficulties in diagnosis. However, the presence of a military theme in the hallucinatory symptoms attracts attention. In second place in terms of detection frequency, non-psychotic stress reactions prevail in the form of PTSD (13.5%, n=18), disorders of adjustment reactions (3.7%, n=5). Of the 18 subjects in this subgroup, eight attempted suicide. In third place in terms of occurrence frequency is organic personality disorder (5.3%, n=7). The clinical picture of the disorder developed after receiving a combat wound, head injury, concussion, shell shock. Patients with behavioral disorders were hospitalized in a psychiatric hospital for further examination and treatment. Conclusions. The problem presented in the study requires further in-depth and multifaceted study on larger samples, and monitoring of the condition of the SVO participants before and after the end of the conflict is required. This will help to develop more relevant and effective recommendations in the field of mental health of military personnel. In the future, we plan to conduct a detailed analysis of suicidal behavior in the studied group of patients.
Key words
combat stress, military personnel, special military forces, combatants, mental disorders, PTSD
DOI
References
1. Syropyatov O.G., Dzeruzhinskaya N.A. O koncepcii «boevyh psihicheskih rasstrojstv» [On the concept of «combat mental disorders»]. Social'naya i klinicheskaya psihiatriya [Social and clinical psychiatry]. 2020; 30(3): 68-73. (In Russ.)
2. Senyavskaya E.S. Chelovek na vojne. Istoriko-psihologicheskie ocherki. [Man at War. Historical and Psychological Essays]. Moscow: Institute of Russian History, 1997. (In Russ.).
3. Senyavskaya E.S. Psihologiya vojny v XX veke: istoricheskij opyt Rossii [Psychology of War in the 20th Century: Russia's Historical Experience]. Moscow: ROSSPEN, 1999. (In Russ.)
4. Martynenko O.V., Kapusta A.V. Sovremennyj vzglyad na problemu psihicheskih poter' pri boevyh dejstviyah. Innovacionnye tekhnologii v uchebnom processe 55-ya nauchnaya konferenciya aspirantov, magistrantov i studentov BGUIR. Minsk, 22-26 aprelya 2019. [A modern view on the problem of mental losses during military operations. Innovative technologies in the educational process. 55th Scientific Conference of Graduate Students, Undergraduates and students of BSUIR. Minsk 22-26 April, 2019.] Minsk, 2019. P. 66-69. (In Russ.).
5. Kon'kov D.O., Petrov V.P. Bespilotnye letatel'nye apparaty dlya artillerii i razvedki: obzor primeneniya v Rossii i Ukraine v zone SVO. Nauchno-tekhnicheskij progress kak mekhanizm razvitiya sovremennogo obshchestva Mezhdunarodnaya nauchno-prakticheskaya konferenciya (Orenburg, 2 maya 2024 g.). [Unmanned aerial vehicles for artillery and reconnaissance: a review of use in Russia and Ukraine in the SVO zone. Scientific and technological progress as a mechanism for the development of modern society International Scientific and Practical Conference (Orenburg, May 2, 2024).] Orenburg, ICOIR Omega Science, 2024. P. 34-40. (In Russ.)
6. Znakov V.V., Psihologicheskij portret uchastnika vojny v Afganistane v massovom soznanii. [Psychological portrait of a participant in the war in Afghanistan in the mass consciousness.] Psihologicheskij zhurnal [Psychological journal] 1999; 12(6): 26-39. (In Russ.)
7. Karayani A.G., Karayani Yu.M. Psihologicheskie posledstviya vojny i social'no-psihologicheskaya readaptaciya uchastnikov boevyh dejstvij. [Psychological consequences of war and socio-psychological readaptation of combatants.] Psihologiya. Psihofiziologiya [Psychology. Psychophysiology] 2014; 7(4): 59-66. (In Russ.)
8. Osadchaya E.V., Tataeva R.K. Stepen' vyrazhennosti posttravmaticheskih stressovyh narushenij u veteranov Afganskoj vojny. [The severity of post-traumatic stress disorder in Afghan war veterans.] Psihologiya cheloveka v obrazovanii [Human psychology in education] 2024; 6(1): 92-99, doi: 10.33910/2686-9527-2024-6-1-92-99 (In Russ.)
9. Fattahov V.V., Demchenkova G.Z., Yakupov M.S., Maksumova N.V. Kachestvo zhizni veteranov vojny v Afganistane 20 let spustya. [Quality of Life for Afghan War Veterans 20 Years Later.] Obshchestvennoe zdorov'e i zdravoohranenie [Public Health and Healthcare] 2009; (1): 100-104. (In Russ.)
10. Zakaznova A.N. Zarubezhnyj opyt preduprezhdeniya suicidov voennosluzhashchih (na primere opyta Izrailya i SShA). [Foreign experience in preventing military suicides (based on the experience of Israel and the USA).] Vestnik voennogo prava [Bulletin of Military Law] 2021; (2): 45-55. (In Russ.)
11. Grin' V.V., Spaderova N.N., Kulevatov G.V., Gavrilina T.V. Zakonchennyj suicid voennosluzhashchego. Klinicheskij sluchaj. [Completed Suicide of a Military Personnel. Clinical Case.] Tyumenskij medicinskij zhurnal [Tyumen Medical Journal] 2012; (1): 16-18. (In Russ.)
12. Frolov A.V. Vojna vo V'etname: vzglyad cherez polveka. [The Vietnam War: A Look Back Half a Century Later.]. Obozrevatel' [Observer] 2015; (7): 100-110. (In Russ.)
13. Nesterenko O.B., Arkunova O.P. Profilaktika posttravmaticheskogo stressovogo rasstrojstva u voennosluzhashchih v usloviyah voennogo gospitalya. [Prevention of post-traumatic stress disorder in military personnel in a military hospital.] Vestnik nauki [Bulletin of Science] 2023; 3(9): 877-884. (In Russ.)
14. Mihajlov B.V., Astapov Yu.N. Nevroticheskie rasstrojstva u voennosluzhashchih srochnoj sluzhby Vooruzhennyh Sil Ukrainy. [Neurotic disorders in conscripts of the Armed Forces of Ukraine.] Rossijskij psihiatricheskij zhurnal [Russian Journal of Psychiatry] 2001; (1): 26-28. (In Russ.)
15. Nechiporenko V.V., Litvincev S.V., Snedkov E.V. Sovremennyj vzglyad na problemu boevoj psihicheskoj travmy. [A modern view on the problem of combat mental trauma.] Voenno-medicinskij zhurnal [Military Medical Journal] 1997; 318(4): 22-26. (In Russ.)
16. Novosyolova E.N. Vliyanie pandemii COVID-19 na social'nye praktiki zdorov'ezberezheniya i mental'noe zdorov'e rossiyan. [The Impact of the COVID-19 Pandemic on Social Health-Saving Practices and Mental Health of Russians.] Vestnik Moskovskogo universiteta. Seriya 18. Sociologiya i politologiya [Moscow University Bulletin. Series 18. Sociology and Political Science] 2022; 28(1): 238-259, doi: 10.24290/1029-3736-2022-28-1-238-259 (In Russ.)
17. Psihicheskie rasstrojstva i rasstrojstva povedeniya (F00 – F99). Klass V MKB-10, adaptirovannyj dlya ispol'zovaniya v Rossijskoj Federacii [Mental and behavioral disorders (F00 – F99). Class V of ICD-10, adapted for use in the Russian Federation]. Moscow, Rossijskoe obshchestvo psihiatrov, 1998. (In Russ.)
18. Postanovlenie gubernatora Novosibirskoj oblasti ot 29 sentyabrya 2022 goda ¹ 181 «O vnesenii izmeneniya v postanovlenie Gubernatora Novosibirskoj oblasti ot 21.12.2011 ¹ 332» [Regulation of the Governor of Novosibirsk Oblast dated September 29, 2022 No. 181 «On Amendments to the Regulation of the Governor of Novosibirsk Oblast dated December 21, 2011 No. 332».] Available at: http://publication.pravo.gov.ru/document/5400202209300001 (In Russ.)
