FEATURES OF ADAPTATION IN COMBATANTS AND ESTIMATION THEIR STRESS RESILIENCE

Objective: to study the characteristics of adaptation after mental traumatic stress and to create a method for the psychophysiological diagnosis of signs of partial post-traumatic stress disorder in healthy combatants. Materials and methods. 40 healthy servicemen who performed special tasks more than six months ago were examined. The average age of the subjects was 33.4 ± 0.8 years. Authors used post-traumatic stress disorder «Mississippi scale», Questionnaire of Neurotic Disorders developed in SRPI n. a. V.M. Bekhterev, SF-12 Quality of Life Questionnaire, expert assessment of the quality of professional functioning, as well as psychophysiological methods: combined activity on the perception and processing of multimodal sound and visual information against the background of sound interference on the automated «Operator system» and stress testing on the hardware software package «Reakor». During stress testing, physiological parameters were recorded. Results. According to the Mississippi Scale, 16 people were identified among 40 combatants with signs of an adaptation disorder called partial post-traumatic stress disorder. Signs of post-traumatic stress disorder in all military personnel of this group were manifested as neurotic, and in 7.5% of the combatants signs of psychotic disorders were added. For servicemen with signs of post-traumatic stress disorder, there was a statistically significant decrease in self-esteem of quality of life. A comparison of groups with signs and without signs of post-traumatic stress disorder in terms of expert assessment and operator activity did not reveal a significant difference between them. 40% of combatants showed a decrease in the threshold of sensitivity to stress due to the presence of signs of post-traumatic stress disorder. A statistically significant mathematical model for the recognition of military personnel with signs of post-traumatic stress disorder according to physiological indicators , obtained in the course of stress testing on the hardware software package, is developed. Conclusion. 40% of combatants have signs of partial post-traumatic stress disorder (pre-nosological state), which are subject to medical and psychological correction to prevent the development of maladaptation in stressful working conditions (5 figs, 3 tables, bibliography: 5 refs).

combatants, expert assessment, partial post-traumatic stress disorder, psychotic manifestations, psychophysiological stress testing, photoplethysmogram, quality of life, neurotic manifestations, systolic wave amplitude