Clinical features of the "delayed post-combat response syndrome", a new disorder from the group of combat stress

Abstract

Introduction. With the emergence of military psychiatry and the increase in the number of observations, the problem of psychiatric disorders has been emphasized as a result of their proven impact on the reduction of combat capacity during service by 10 - 50% and on the quality of life and social adaptation of servicemen life [1 – 4]. A wide range of psychopathological reactions and conditions associated with the fighting, such as those occurring directly during combat stress or delayed nature, manifested months later, or even decades after such defeat, are combined by the concept of the "combat stress reaction" [5, 6]. Early diagnosis of conditions from a group of combat mental trauma allows you to timely introduce medical rehabilitation measures for the victims, prevent the chronicization of psychopathological disorders, prevent the development of their negative medical and social consequences. In Ukraine, the increased need for psychodiagnosis of disorders from the group of combat mental trauma has emerged sharply since 2014 after the start of russian aggression - with the beginning of the anti-terrorist operation (ATO) in certain areas of Donetsk and Luhansk regions, and has not lost its relevance with the change of ATO format to the Joint Forces Operation (JFO) [7]. The nature of hostilities in the ATO / JFO zone is characterized by its specificity: unconventional, asymmetric and hybrid nature. This affected the structure of psychopathological manifestations that occur in military personnel under the influence of psycho-traumatic factors associated with this war [7].