Platyniuk O. Diagnosis, correction and prevention of non-psychotic mental disorders in injured combatants

To achieve the set goal in the Clinic of Psychiatry and Narcology and in the outpatient department of the Military Medical Clinical Center of the Northern Region was conducted a comprehensive examination of 145 combatants, males with an average age of 32.5±11.4 years, who received extracerebral injuries, non-psychotic mental disorders. Depending on the location and severity of the injury, patients were divided into subgroups: I – with non-penetrating gunshot wounds – 32.2±1.3%, II – with penetrating gunshot wounds – 34.6±1.3%, III – with amputation of limbs – 33.2±1.3%. All patients received regulated psychopharmacotherapy according to the standards of the Ministry of Health of Ukraine within the provision of the medical institution. The main group (which patients participated in the therapeutic program developed based on our original research) consisted of 103 men, the control group – 42 people who received standard regulated therapy in the hospital. It was found that the following non-psychotic disorders were observed in the examined combatants: acute stress reaction (F43.0); PTSD (F43.1), prolonged depressive reaction (F43.21), mixed anxiety-depressive reaction (F43.22), depressive episode (F32.1, F32.2). A model of formation of non-psychotic mental disorders in combatants who received injuries was developed, which formed the basis for creating a comprehensive personalized system of treatment with differentiated use of psychopharmacotherapy and psychotherapy for non-psychotic mental disorders among injured combatants. A personalized system for the rehabilitation of wounded combatants with non-psychotic mental disorders has been developed and its effectiveness has been proven.