MEDICAL, PSYCHOLOGICAL AND LEGAL ASPECTS TO SUBSTANTIATE THE CONCEPT OF REHABILITATION FOR MILITARY PERSONNEL – PARTICIPANTS OF THE ANTI-TERRORIST OPERATION
Clinical medicine

MEDICAL, PSYCHOLOGICAL AND LEGAL ASPECTS TO SUBSTANTIATE THE CONCEPT OF REHABILITATION FOR MILITARY PERSONNEL – PARTICIPANTS OF THE ANTI-TERRORIST OPERATION

Published 2020-02-12

Authors:

A.O. Yanchuk
O.V. Guliak
M.V. Tverezovsky
I.I. Pavelko
P.V. Bernaz
S.O. Kuznichenko

Abstract:
The purpose of the work was to substantiate the concept of medical and psychological rehabilitation and legal protection of the military personnel participating in ATO / OOS. The psycho-diagnostic study involved 93 military personnel participating in the ATO / OOS with the mean stay of 12-14 months in the war zone in eastern Ukraine, ranging in age from 20 to 30 years. The results of the study indicate that 53.78% of military participants in the ATO / OOS have certain symptoms of post-stress conditions; partial PTSD was diagnosed in 13.97% of the military; the presence of clinically pronounced disorders of post-stress states is subjectively noted by 19.35% of respondents. Depressive symptoms were recorded in 62.39% of respondents, of which 13.99% were at levels above moderate and high. More than half of the respondents noted the symptoms inherent in post-stress disorders - “invasion” - 59.23% for PTSD and 55.90% for ASD; “Avoidance” - 59.63% with PTSD and 66.27% with ASD; the indicator “Hyperactivation” - 58.21 points for PTSD, and 56.04 for ASD, dissociative symptoms and states of distress and maladaptation - 65.66 points for PTSD and 65.56 for ASD. Given the above, it is necessary to work out at the legislative level the medical-psychological concept of rehabilitation of the military personnel participating in ATO / OOS. Into the program of combat training of military personnel, including commanders of all levels, to introduce a course of the basics of psychological assistance in order to adjust the emotional state by providing self and mutual assistance.
Keywords:
medical and psychological rehabilitation participants in ATO / OOS post-traumatic stress syndrome acute stress disorder screening
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Publication:
«World of Medicine and Biology» Vol. 16 No. 71 (2020) , с. 154-158
УДК 616-059+616-05+159.972 +351.862 (477)