Stress-Related Disorders in Victims of Combat Operations with Posttraumatic Amputations: Analysis of Psychodiagnostic Results

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Abstract

Stress-related disorders identified in combatants are a serious medical problem that complicates rehabilitation measures both in the current and in the long-term periods. The purpose of this study was to analyze stress-related disorders in combatants with limb amputations and the features of their diagnosis. A selective analysis of a comprehensive psychopathological and psychodiagnostic examination of 175 combatants was conducted. The presence of atypical manifestations of stress-related disorders and comorbidity has been determined, which shows the prospects for further research in this area in order to improve the results of diagnosis and treatment of the above-mentioned type of disorders.

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About the authors

Olga V. Zubareva

JSC CITO Rostec; N. V. Sklifosovsky Research Institute of Emergency Medicine

Author for correspondence.
Email: reception@cito-pro.ru
SPIN-code: 8141-8575

Candidate of Medical Sciences, Psychotherapist; Senior Researcher at the Department of Acute Poisonings and Somato-Psychiatric Disorders

Russian Federation, Moscow; Moscow

Viktor S. Spector

JSC CITO Rostec

Email: SpektorVS@cito-pro.ru

Candidate of Technical Sciences, General Director

Russian Federation, Moscow

Alexey A. Skoblin

JSC CITO Rostec

Email: Skoblin@cito-pro.ru

Doctor of Medical Sciences, Professor, Deputy General Director, Chief Physician

Russian Federation, Moscow

Oksana N. Vladimirova

Email: VladimirovaON@cito-pro.ru
ORCID iD: 0000-0001-6692-2882
SPIN-code: 6405-4757

Doctor of Medical Sciences, Head of the Center for Innovation, Technology, and Education; Professor of the Department of Medical Rehabilitation and Sports Medicine

Russian Federation

References

  1. Abakumov M. M. The Extreme State of the Body. Moscow: Binom, 2016, 344 p.
  2. Artemova S. V., Shahnazaryan N. R. Analysis of the Concepts of Trauma and Memory: Interpretation of the Inheritance of Trauma through the Prism of Unifying Paradigms // History. Society. Politics. 2020. Vol. 3 (15). Pp. 132–147.
  3. Zubareva O. V. Clinical Features of Mental Disorders in Stress Caused by Trauma of the Musculoskeletal System, and the Role of Psychotherapy in Their Treatment. Author’s abstract. diss … cand. med. sciences. M., 2006. — 27 p.
  4. Kondashevskaya M. V., Mikhaleva L. M. New Concepts of Etiology, Diagnostics, and Therapy of Post-Traumatic Stress Disorder // Study Guide. Moscow, 2024. — 175 p.
  5. Morozova M. A., Potanin S. S., Beniashvili A. G., et al. Validation of the Russian Version of the Hospital Anxiety and Depression Scale in the General Population // Preventive Medicine. 2023. Vol. 26 (4). Pp. 7–14.
  6. Sukiassian S. G., Soldatkin V. A., Snedkov E. V., et al. Combat Post-Traumatic Disorder: From Irritable Heart Syndrome to Psychogenic-Organic Disorder. The Evolution of the Concept // S. S. Korsakov Journal of Neurology and Psychiatry. 2019. Vol. 119 (6). Pp. 144–151.
  7. Tarabrina N. V. Psychology of Post-Traumatic Stress: Theory and Practice. Moscow: Publishing House of the Institute of Psychology of the Russian Academy of Sciences, 2009, 304 p.
  8. Brewin C.R., Rose S., Andrews B., Green J., Tata P., McEvedy C., Turner S., Foa E.B. Brief screening instrument for post-traumatic stress disorder. The British Journal of Psychiatry. 2002 Vol. 181. Pp. 158–162. doi: 10.1017/s0007125000161896.
  9. Dirkzwager A. J. E., Velden P. G. van der, Grievink L., Yzermans C. J. Disaster-Related Posttraumatic Stress Disorder and Physical Health // Psychosomatic Medicine. 2007. Vol. 69, no. 5. Pp. 435–440. [Electronic Source] URL: http://postprint.nivel.nl/PPpp2455.pdf.
  10. McFarlane A. M. The Long-Term Costs of Traumatic Stress: Intertwined Physical and Psychological Consequences // World Psychiatry. February 2010. Vol. 9 (1). Pp. 3–10. [Electronic Source] URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816923/.
  11. Roberts N. T., Kitchiner N. J., Kenardy J., Lewis C. E. Early Psychological Intervention Following Recent Trauma: a Systematic Review and Meta-Analysis // European Journal of Psychotraumatology. 2019. Vol. 10 (1): 1695486. [Electronic Source] URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913678
  12. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983. Vol. 67(6). Pp. 361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x

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2. Fig. 1. Symptoms of atypical PTSD

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3. Fig. 2. Distribution of mental disorders identified in veterans with post-traumatic limb stumps (N = 175)

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