DOI:https://doi.org/10.15407/kvt196.02.080
Cybernetics and Computer Engineering, 2019, 2 (196), pp. 80-100
Shvets A.V., DSc (Medicine), Assistant Professor,
Head of Research Department of Special Medicine and Psychophysiology
e-mail: shvetsandro@gmail.com
Research Institute of Military Medicine of Ukrainian Military Medical Academy,
24, Melnikova str., Kyiv, 04655, Ukraine
PSYCHOMEDICAL INTERVENTION MODEL FOR SERVICEMEN BASED ON A STUDY OF MENTAL DISORDERS
Introduction. Many domestic and foreign experts work under the problem of mental health at combat environment in various aspects, however, a lot of unsolved questions regarding to psychomedical consequences of hybrid war in Ukraine still exists.
The purpose of the article is to assess and to analyze of influence of various harmful factors in combat environment on the psychological status and mental health of military personnel and ex-combatants for development of psychomedical intervention model.
Materials and methods. The materials of research were based on the study of more than 200 servicemen in different conditions and health state using own and adopted questionnaires with further descriptive and multivariate exploratory technics of data analysis. Bibliosemantic, information-analytical, comparative analysis of domestic publication from the last 4 years have been done for summarizing the national experience regarding to psychological aftereffects of armed conflict in Ukraine.
Results. A retrospective summarizing of available information on the medical and psychological consequences of hybrid war relating to the characteristics of their aftereffects in recent years among military and demobilized persons has been performed. An assessment of stress factors impact at combat environment (physical, informational, organizational and anticipation) on military personnel participated in military conflict has been done. The specific features and structure of mental disorders in the military personnel, which were treated in hospital conditions have been revealed. The decision support model for reliable (p<0.001) prediction further adjustment disorders after extreme conditions has been developed.
Conclusions. The greatest influence on the stress formation of combatants had “anticipation” factors as well as not much less pronounced “physical”, “informational” and “organizational” environmental factors. Research permits to conclude that some of them significantly influence on the psycho-emotional state of military personnel and can be grouped into two main factors: the 1st – factor of negative future prediction and the 2nd – factor of negative impact of physical environment. The phenomenon of exaggerating of negative feelings among servicemen after the 4th-month impact of the stress factors has been discovered. The decision support model to predict further adjustment disorders (F43.2) after extreme conditions has been created for developing the Psychomedical Intervention Model in Ukrainian Armed Forces.
Keywords: psychomedical intervention model, decision support model, mental health, adjustment disorders, posttraumatic stress disorder, stress factors.
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Received 04.03.2019