Diagnostics of the Level of Mental Disorder in Combatants with Acute Stress Disorder on the Stage of Hospital Rehabilitation

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Abstract

The purpose of the study was to evaluate methods for diagnosing the level of mental disorders in combatants with acute stress disorder. The study presents data from an experimental sample of male military combatants with acute stress disorder (N=39) undergoing medical rehabilitation in a military clinical hospital. To assess the level of mental disorders, we used the “Stanford Acute Stress Reaction Questionnaire” (SASRQ), the “Module-support” (Module-s) questionnaire, and the “Inventory of Neurotic Disorders-Symptomatic” (IND-S). The results showed that the SASRQ provided a reliable assessment of the level of mental disorders, whereas the Module-S and IND-S questionnaires had overlapping indicators across groups, making it difficult to interpret the results unambiguously. It was found that in a military clinical hospital, the largest group of combatants with acute stress disorder (49%) had a neurotic level of mental disorders, classified as temporary psychogenic losses, and required psychotherapeutic help. The second largest group of patients was 36% and had a prenosological level of mental disorders. These patients did not require further evacuation, they required psychological assistance with a subsequent return to duty. Military personnel in the psychogenic losses group (psychotic level) accounted for 15%, these individuals required evacuation to rear medical institutions for specialized psychiatric care.

General Information

Keywords: combat mental trauma, military personnel, neurotic symptoms, neuro-mental instability, acute stress reaction, acute stress disorder, level of mental disorder

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2024130203

Funding. The study was conducted in accordance with the scientific work plan of the Department of Psychological Work of the Ministry of Defence of the Russian Federation for 2021–2023.

Received: 11.11.2023

Accepted:

For citation: Zelenina N.V., Chernyavskiy E.A., Fedotkina I.V., Yusupov V. Diagnostics of the Level of Mental Disorder in Combatants with Acute Stress Disorder on the Stage of Hospital Rehabilitation [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2024. Vol. 13, no. 2, pp. 46–60. DOI: 10.17759/cpse.2024130203. (In Russ., аbstr. in Engl.)

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Information About the Authors

Natalya V. Zelenina, PhD in Biology, Associate Professor, Leading Research Associate, Scientific Research Department (Medical and Psychological Support), Scientific Research Center, Military Medical Academy, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-8130-7690, e-mail: zelnatvas@mail.ru

Evgeny A. Chernyavskiy, Chief of the Research Laboratory (Combat pathology register), Scientific Research Department (All-army Medical Register of the Russian Defense Ministry), Scientific Research Center, Military Medical Academy, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-1097-2749, e-mail: cherskij@list.ru

Irina V. Fedotkina, PhD in Psychology, Associate Professor, Leading Research Associate, Scientific Research Department (Medical and Psychological Support), Scientific Research Center, Military Medical Academy, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0003-4838-6515, e-mail: fedotkini@gmail.com

Vladislav Yusupov, Doctor of Medicine, Chief of Scientific Research Department (Medical and Psychological Support), Scientific Research Center, Military-Medical Academy named after S.M. Kirov, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-5236-8419, e-mail: vladyusupov@yandex.ru

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