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Long-Term Dynamics and Structure of Mental Disorders in Various Categories of Military Personnel of the Russian Ministry of Defense
- Autores: Evdokimov V.I.1, Shamrey V.K.2, Sivashenko P.P.2, Pluzhnik M.S.2
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Afiliações:
- Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
- Kirov Military Medical Academy
- Edição: Nº 93 (2025)
- Páginas: 6-15
- Seção: Psychiatry and narcology
- URL: https://journal-vniispk.ru/0132-182X/article/view/292796
- DOI: https://doi.org/10.25016/2782-652X-2025-0-93-06-15
- ID: 292796
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Resumo
Objective. To evaluate the long-term dynamics of medical and statistical indicators of mental illness in various categories of military personnel of the Russian Ministry of Defense in order to optimize psychoprophylactic measures.
Methodology. The primary medico-statistical indicators of mental morbidity among various categories of military personnel were examined, utilizing data from medical reports in Form 3/ MED spanning 19 years (2003–2021) and open-source publications. The analyzed indicators were correlated with Chapter V “Mental and behavioral disorders” of the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10). Morbidity rates were calculated per 10,000 military personnel (10–4). Mean multi-year and mean annual indicators (M ± m) were determined, and their development was assessed using dynamic series analysis and by calculating a second-order polynomial trend.
Results and analysis. The average long-term indicator of primary morbidity of the cohort of military personnel of the Russian Ministry of Defence with mental disorders was 70.7 · 10–4, with the proportion of cases among officers being 10.7 %, among contract sergeants and warrant officers –
9.3 %, among female military personnel – 2.9 %, and among conscripted military personnel – 77.1%. Hospitalization rates were 61.8 · 10–4 with a proportion of 10.6, 8.6, 2.0, and 78.8 % respectively; days of sick leave were 1839 · 10–4 with a proportion of 7.4, 6.5, 1.7, and 84.4 % respectively; discharge rates were 42.6 · 10–4 with a proportion of 3.9, 4.9, 0.4, and 90.8 % respectively. There is a decrease in the indicators in the studied types of morbidity in all categories of military personnel, with the exception of conscripted military personnel, who have an increase in the analyzed data and, compared with other categories of military personnel, statistically significantly higher levels of morbidity.
Conclusion. An analysis of the long-term dynamics of medical and statistical indicators of mental illness in various categories of military personnel has shown that more than 80 % of mental disorders were reported in conscripted military personnel, usually due to underestimation of the mental health status of the conscripted contingent by military medical commissions of military commissariats. Accordingly, improving the quality of the selection of conscripts for military service (“barrier functions”) and psychoprophylactic measures during the period of conscription training in military training centers will significantly reduce the development of mental adaptation disorders and, thereby, improve the quality of mental health of this category of military personnel.
Sobre autores
Vladimir Evdokimov
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Autor responsável pela correspondência
Email: 9334616@mail.ru
ORCID ID: 0000-0002-0771-2102
Dr. Med. Sci Prof., Principal Research Associate, Lecturer, Department of Psychiatry
Rússia, 4/2, Academica Lebedeva Str., St. Petersburg, 194044Vladislav Shamrey
Kirov Military Medical Academy
Email: shamreyv.k@yandex.ru
ORCID ID: 0000-0002-1165-6465
Dr. Med. Sci. Prof., Chief Psychiatrist of the Russian Ministry of Defense, Head of The Department Psychiatry
Rússia, 6, Academica Lebedeva Str., St. Petersburg, 194044Pavel Sivashenko
Kirov Military Medical Academy
Email: 9334616@mail.ru
ORCID ID: 0000-0001-6286-6967
PhD Sci. Med. Associate Prof., Lecturer at the Department of Automation and Management of the Medical Service (with military medical statistics)
Rússia, 6, Academica Lebedeva Str., St. Petersburg, 194044Mihail Pluzhnik
Kirov Military Medical Academy
Email: pluzhnikms@yandex.ru
ORCID ID: 0009-0002-0535-533X
cadet
Rússia, 6, Academica Lebedeva Str., St. Petersburg, 194044Bibliografia
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