Klymenko I. Medical and Psychological Support for Individuals Affected by the War in Ukraine

Українська версія

Thesis for the degree of Doctor of Science (DSc)

State registration number

0525U000246

Thesis Registration Form

0525U000246.pdf

Applicant for

Specialization

  • 19.00.04 - Медична психологія

05-06-2025

Specialized Academic Board

Д 26.453.02

GS Kostyuk Institute of Psychology of the National Academy of Pedagogical Sciences of Ukraine

Essay

The dissertation presents a theoretical generalization and offers a novel scientific solution to the urgent problem of improving the effectiveness of medical and psychological support for individuals affected by the war in Ukraine by optimizing the process of medical and psychological care. Based on a comprehensive analysis, new empirical data were obtained concerning the psycho-emotional state of various categories of affected individuals, including military personnel, prisoners of war, internally displaced persons (IDPs), as well as adults and children from temporarily occupied territories. The relevance and content of a professional training program for psychologists, "Clinical Psychology," were substantiated as a key component of an effective system of medical and psychological support. A model of medical and psychological care was developed, incorporating a comprehensive set of diagnostic, corrective, and rehabilitative measures tailored to the specific needs of each target group. As part of the research project, a psychosocial support program was implemented to stabilize the psycho-emotional state, reduce anxiety, depressive symptoms, and PTSD manifestations, and improve the overall quality of life of individuals affected by military conflict. The effectiveness of the implemented model of comprehensive medical and psychological support as a targeted intervention tool under wartime and post-war conditions has been empirically confirmed. A protocol-based rehabilitation model using cognitive-behavioral therapy was proposed for members of the Armed Forces of Ukraine and Territorial Defense units with various clinical diagnoses. Its impact on reducing the intensity of psychological maladjustment and improving mental health indicators was assessed. Specialized programs of medical and psychological support were developed for prisoners of war, IDPs, and individuals returning from temporarily occupied territories, considering their psycho-emotional state, social challenges, and identity-related difficulties. Particular attention was given to the integration of spiritual factors into the psychological support process for children who have experienced war-related trauma. An innovative model entitled "Psychology and Spirituality" was created and tested as a comprehensive intervention aimed at supporting the emotional, cognitive, and spiritual development of war-affected children. The solutions presented in this dissertation have significant practical value for implementation in crisis intervention practices, mental health systems, and the professional training of clinical specialists.

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Research papers

1. Клименко, І.С. (2024). Медико-психологічне забезпечення осіб, постраждалих внаслідок війни в Україні: монографія. Київ, Ліра-К. 294с. https://doi.org/10.59647/978-617-8565-29-9/1

2. Клименко, І., Конєв, О. (2022). Вивчення інтенсивності та видів насилля у сім’ях військовослужбовців. Науковий часопис НПУ імені М. П. Драгоманова. Серія 12. Психологічні науки. Випуск 20 (65). 24-33. https://doi.org/10.32782/psy-visnyk/2024.3.6

3. Klymenko, I., Tverdokhlib, N., & Zinchenko, M. (2023). Features of the formation of stress resistance of military personnel during the rehabilitation period. Modern Medicine, Pharmacy and Psychological Health, (3(12), 59-63. https://doi.org/10.32689/2663-0672-2023-3-9

4. Klymenko, I. S., & Kotov, V. S. (2023). Efficiency of the comprehensive medical-psychological assistance program for internally displaced persons: First year of implementation and results. Habitus, 54, 234-237. https://doi.org/10.32782/2663-5208.2023.54.45

5. Клименко, І. (2024). Адаптація програми медико-психологічної допомоги для тимчасово внутрішньо переміщених дітей. Психіатрія, неврологія та медична психологія, 11(2(24), 138-150. https://doi.org/10.26565/2312-5675-2024-24-03

6. Клименко, І. (2024). Інноваційні підходи до реабілітації військовополонених та мешканців тимчасово окупованих територій. Психіатрія, неврологія та медична психологія, 11(1(23), 50-56. https://doi.org/10.26565/2312–5675-2024-23-06

7. Клименко, І., Донець, І., & Пашко, Т. (2024). Дослідження підходів до психотерапії та оцінка ефективності терапевтичних методів і інтервенцій. Наукові перспективи (Naukovì perspektivi), 6(48), 895-906. https://doi.org/10.52058/2708-7530-2024-6(48)-895-906

8. Клименко, І. С., Деснова, І. С., & Карачинський, О. А. (2024). Роль військової психології у формуванні психологічної готовності військовослужбовців до виконання завдань. Вчені записки ТНУ імені В. І. Вернадського. Серія: Психологія, 35(74), 2, 102-108. https://doi.org/10.32782/2709-3093/2024.2/17

9. Klymenko, I. S., Yurystovska, N. Y., & Muntian, L. Y. (2024). The role of medical psychology in ensuring mental health in the conditions of armed aggression in Russia. Habitus, 59, 46. https://doi.org/10.32782/2663-5208.2024.59.46

10. Klymenko, I. S. (2024). The role of communities and non-governmental organizations in implementing and delivering the program of medical-psychological assistance for temporarily internally displaced persons. Psychology and Social Work, 1(59), 141-150. https://doi.org/10.32782/2707-0409.2024.1.13

11. Клименко, І. С., Романова, I. В., Карачинський, О. А. (2024). Застосування доповненої реальності в мобільних додатках для терапії ПТСР. Перспективи та інновації науки. Серія «Психологія», 8(42), 754-766. https://doi.org/10.52058/2786-4952-2024-8(42)-754-766

12. Klymenko, I. S. (2024). The impact of combat operations on the sexual health of military personnel: treatment methods and therapy considerations. Habitus, 64, 222-226. https://doi.org/10.32782/2663-5208.2024.64.40

13. Klymenko, I. S. (2024). Development and implementation of a medical and psychological assistance program for prisoners of war and residents of temporarily occupied territories: challenges and achievements. Habitus, 63, 235-240. https://doi.org/10.32782/2663-5208.2024.63.41

14. Klymenko, I. S. (2024). The role of clinical psychology in the military environment. Psychiatry, Neurology and Medical Psychology. 11(3(25)):307–316. https://doi.org/10.26565/2312-5675-2024-25-08

15. Klymenko, I. S. (2024). Models of providing medical and psychological assistance to military personnel. Psychiatry, Neurology and Medical Psychology. 11(3(25)):262–273. https://doi.org/10.26565/2312-5675-2024-25-04

16. Клименко, І. (2024). Oсобливості, що впливають на медико-психологічний супровід постраждалих осіб: аналіз даних та практичні рекомендації. Інклюзія і суспільство, (2), 74-81. https://doi.org/10.32782/2787-5137-2024-2-11

17. Klymenko, I. (2024). The impact of psychological support on the quality of life of war victims: a follow-up study. Lviv University Herald. Series: Psychological sciences, 21, 131-139. https://doi.org/10.30970/PS.2024.21.17

18. Klymenko, I. (2024). Analysis of psychological and medical characteristics of war victims in ukraine. Scientific notes of Taurida National V.I. Vernadsky University, series Psychology, 35(74), 4, 154-160. https://doi.org/10.32782/2709-3093/2024.4/25

19. Клименко, І., Цирюк, А., Олексюк, О. (2024). Порівняльний аналіз ефективності різних методів психологічної підтримки військових з тяжкими травмами війни. Перспективи та інновації науки, Серія «Педагогіка», Серія «Психологія», Серія «Медицина», 12(46), 1156-1170. https://doi.org/10.52058/2786-4952-2024-11(45)-1156-1170

20. Клименко, І., Галадза, М., Бондарчук, А., Писаренко, Т., Шльонська, О., (2024). Тілесно-орієнтована психотерапія в роботі з дисоціативними розладами у військовослужбовців. Psychiatry, Neurology and Medical Psychology. 11(4(26)):399–410. https://doi.org/10.26565/2312-5675-2024-26-05

21. Atamaniuk, R., Klymenko, I., Melnychuk, L., Kravets, I., & Yarmak, T. (2024). The impact of mass migration on the demographic situation and the labor market in Ukraine. Multidisciplinary Reviews, 7(10), 2024196. https://doi.org/10.31893/multirev.2024196

22. Ordatii, N., Nykonenko, O., Barbashova, I., Klymenko, I., & Hrytsaniuk, V. (2024). The influence of social media on psychological well-being: examination and outlook. Multidisciplinary Science Journal, 6, 2024ss0721. https://doi.org/10.31893/multiscience.2024ss0721

23. Diachkova, O., Yeremenko, L., Donets, I., Klymenko, I., & Kononenko, A. (2024). The role of positive thinking in overcoming stress a cognitive-behavioural approach. Edelweiss Applied Science and Technology, 8(6), 152–162. https://doi.org/10.55214/25768484.v8i6.2031

24. Klymenko, I., Bondarenko-Berehovych, V., Мoskvych, L., Tartachnyk, Y., & Misiuna, Y. (2024). Forensic operations under martial law: psychological and legal aspects. Multidisciplinary Reviews, 8. https://doi.org/10.31893/multirev.2024spe063

25. Klymenko, I, Lobanov, S, Zaichykova, T, Ilchenko, R, Vakal, Y. (2025) Psychosocial Rehabilitation of Military Personnel with Post-Traumatic Stress Disorder: The Example of Ukraine. Salud, Ciencia y Tecnología [Internet]. 2025 Jan. 1 [cited 2024 Dec. 30];5:1298. Available from: https://sct.ageditor.ar/index.php/sct/article/view/1298

26. Klymenko, I., Karpenko, Y., Mazur, O., Bakuridze, N., & Zaitsev, D. (2023). Problematic aspects of diagnosing mental disorders among military personnel of the Armed Forces of Ukraine. AD ALTA: Journal of Interdisciplinary Research, 3(2), 44-51. https://publons.com/wos-op/publon/63091637/

27. Klymenko, I., Tverdokhlib, N., Zlobin, O., Karachynskyi, O., & Kononenko, O. (2024). PTSD in military personnel: Diagnosis, treatment and support. Amazonia Investiga, 13(74), 286-298. https://doi.org/10.34069/AI/2024.74.02.24

28. Klymenko, I., Reva, M., Lobanov, S., Lahodzinskyi, V., & Zaichykova, T. (2024). A scoping review of the effectiveness of cognitive-behavioral therapy in reducing ptsd symptoms in military personnel. Amazonia Investiga, 13(83), 112–125. https://doi.org/10.34069/AI/2024.83.11.9

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