ГоловнаArchive of numbers2021Volume 29, issue 2 (107)Rationale of personification of treatment and rehabilitation aid of civilians with adaptive disorders who have experienced psychosocial stress under military conflict, based on forecast severity of consequences
Title of the article Rationale of personification of treatment and rehabilitation aid of civilians with adaptive disorders who have experienced psychosocial stress under military conflict, based on forecast severity of consequences
Authors Likholetov Yevhenii
Year 2021 Issue Volume 29, issue 2 (107) Pages 41-46
Type of article Scientific article Index UDK 616.891.6:316.356.2]-07-085-036.83-084 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V29-is2-2021-7 The aim of the work was to develop a technology for predictive assessment of the severity of clinical and psychopathological course and psychosocial consequences of adaptation disorders in civilians affected by psychosocial stress in military conflict, as a basis for determining the scope and content of treatment and rehabilitation measures for this group of patients. 109 people who experienced psychosocial stress in a military conflict were examined: group 1 — 6 wives of fallen servicemen; group 2 — mothers, fathers and wives of combatants who returned to peaceful life, a total of 71 people; group 3 — 32 internally displaced persons. All subjects were diagnosed with mental disorders of the F43.2 cluster — adaptive disorders. In the course of the work a forecasting system was developed, which allows to conduct a multi-vector assessment of the individual’s condition according to the assessment of clinical and psychopathological condition and psychosocial functioning, as well as to form a prognostic assessment of the risk of complications. Three groups were identified to assess the risk of severe disease and complications from the mental sphere, as well as psychosocial maladaptation for individual clusters and in general, for integrated risk: 1) favorable prognosis; 2) conditionally favorable prognosis; 3) unfavorable prognosis. For each of these groups we have proposed a set of diagnostic, therapeutic, rehabilitation and preventive measures. The proposed technology for predicting the risk of adaptation disorders easy to use, informative, suitable for use in practical health care, to determine the scope and content of treatment and rehabilitation care, which allows to recommend it for widespread implementation in clinical practice.
Key words adaptation disorders, relatives of combatants, migrants, prognostic assessment, personification of medical and rehabilitation measures
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