Assonov D. Cognitive and emotional components of resilience in war veterans with traumatic brain injury in remote period (psychocorrection, prognosis)

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0823U100119

Applicant for

Specialization

  • 225 - Медична психологія

16-02-2023

Specialized Academic Board

ДФ 26.003.085

Bogomolets National Medical University

Essay

Traumatic brain injury is one of the conditions that in the future has a significant negative impact on social reintegration and restoration of adaptation mechanisms in war veterans (McCarron et al., 2019; Chernenko & Chukhno, 2018). Also, both the mental symptoms of brain injury and the maladaptive state may not disappear over time, but become chronic and last for years (Topol, 2015, Elder et al., 2014). Therefore, it is possible to further investigate the factors and processes that contribute to the successful rehabilitation of war veterans with traumatic brain injury, increase their effective interaction with the stressful environment, and reduce the severity of post-concussive and post-traumatic symptoms. Resilience can serve as one of these processes. At the same time, the concept of resilience is still not stable and well-defined. Therefore, it is of great scientific interest to study the processes underlying resilience and its structural components in persons with traumatic brain injury. based on that, new theories of resilience have emerged in recent years, which consider it as a complex process consisting of several components and to a greater extent depending on factors that can be modified, on personality traits that are difficult to change, or socio-demographic factors. These theories place much more emphasis on the cognitive and emotional components of resilience than on clinical measures or demographic characteristics. However, this theoretical model combines empirical evidence. Therefore, empirical confirmation of the role of cognitive and emotional components is needed, as well as how they interact and predict resilience. It is believed that the empirical confirmation of the modern theory of resilience and their consideration in the development of new psychocorrection programs will help improve medical and psychological rehabilitation, achieve successful reintegration into society, and reduce distress in war veterans with traumatic brain injury (Vos et al., 2019; Neils-Strunjas et al., 2017). The data will further update research aimed at studying resilience in veterans with traumatic brain injury in the remote period, its structural components, with further improvement on this basis of psychocorrection and prognosis. The aim of the dissertation research was to increase the effectiveness of the rehabilitation of war veterans with traumatic brain injury in the distant period based on the study of cognitive and emotional components of resilience and its restoration by improving the complex of psychocorrection and prognosis. Objectives of the study: 1. To study the structural components and features of resilience of war veterans with traumatic brain injury in the remote period. 2. To develop and conduct a two-step psychocorrection program aimed at restoring the resilience of war veterans with traumatic brain injury in the remote period. 3. To assess the effectiveness of the developed psychocorrection program for war veterans with traumatic brain injury in the remote period. 4. To assess the prognostic value of changes in cognitive and emotional components of resilience in the process of rehabilitation of war veterans with traumatic brain injury in the remote period. During the research, 146 war veterans with traumatic brain injury were examined in the remote period who underwent medical and psychological rehabilitation at the Center for Mental Health and Rehabilitation of Veterans "Lisova Polyana" of the Ministry of Health of Ukraine and the Kyiv City Clinical Hospital for War Veterans. To achieve the goal, theoretical methods, socio-demographic, clinical-psychological, psychodiagnostics methods and methods of statistical data analysis were used. The research was conducted in 5 stages.

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