Risk factors for the development of PTSD in combatants in the context of the SVO

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Introduction. Post-traumatic stress disorder is a mental disorder that occurs as a result of the impact on the psyche of a single or repeated extremely powerful traumatic events [1]. The risk group for developing PTSD includes combatants who constantly face extreme situations during military service [2]. Participation in active combat, injuries, death of comrades, specific factors of the combat situation contribute to the development of the disease. According to studies, the probability of PTSD is from 3 to 20% of cases and can increase to 30% depending on the severity of the injury [3]. Objective of the work. To identify risk factors for the development of post-traumatic stress disorder in military personnel. Materials and methods of the study. The study was conducted on the basis of the Health Care Institution of the VO "VOKPND", building No. 1. An analysis of the medical records of 27 combatants aged 22 to 49 years with an established diagnosis of PTSD was conducted. To diagnose post-traumatic stress disorder, special scales and questionnaires were used, which allowed us to determine the presence and severity. Statistical processing of the obtained data was carried out using the programs "Microsoft Excel 2010" and "Statistica 12.0". Research results. As a result of the study, it was found that such factors as participation in active combat operations, the death of comrades, injuries, disability, mobilization, secondary or incomplete secondary education, aggravated psychopathological history, craving for alcohol, increase the risk of PTSD. All servicemen showed an increase in the PTSD screening questionnaire, Beck depression and hopelessness scales, Taylor anxiety. The main complaints were: headache, insomnia, irritability, anxiety, nightmares, obsessive memories, problems with concentration, etc. Conclusion. Thus, it can be concluded that the probability of developing PTSD correlates with active combat operations, injuries, death of comrades, disability, aggravated psychopathological anamnesis, secondary or incomplete secondary education, mobilization and craving for alcohol. Treatment of post-traumatic stress disorder includes psychotherapy and the use of psychopharmacological drugs. Since PTSD therapy is a long-term process, it can be assumed that after the end of the SVO, the number of combatants admitted to medical institutions for follow-up treatment and rehabilitation will increase, which will increase the burden on the health care system.

About the authors

Victoria Sergeevna Aralova

Voronezh State Medical University named after N.N. Burdenko

Author for correspondence.
Email: vikaaralova2014@mail.ru
ORCID iD: 0000-0002-7290-9390
SPIN-code: 9051-2635

student

Russian Federation, 394036, Russia, Voronezh, st. Studencheskaya, 10

Maxim Alexandrovich Zheleznyakov

Voronezh State Medical University named after N.N. Burdenko; Voronezh Regional Clinical Psychoneurological Dispensary

Email: max2008-75@mail.ru
ORCID iD: 0009-0001-4651-2226

Аssistant Professor of the Department of Psychiatry and Narcology

Russian Federation, 394036, Russia, Voronezh, st. Studencheskaya, 10; 394070, Voronezh, st. Tenistaya, 1

Maxim Alexandrovich Palchikov

Voronezh State Medical University named after N.N. Burdenko

Email: maximys03@yandex.ru
ORCID iD: 0000-0003-3704-3779
SPIN-code: 1309-0544

Сandidate of Medical Sciences, Associate Professor of the Department of Psychiatry and Narcology

Russian Federation, 394036, Russia, Voronezh, st. Studencheskaya, 10

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