The article emphasizes that Ukrainian society is suffering from the effects of the war in the east of the country. These consequences are manifested both in the direct participants in the hostilities and in their family members, who have been in a state of stress for a long time, waiting for the disappointing news from the east about their relatives and friends. It is noted that while participating in hostilities, many combatants receive combat mental injuries. These injuries further lead to post-traumatic stress disorder and other psychosomatic disorders that cause his psychoso-cial self-isolation, disruption of relationships with family and self-destructive behav-ior that leads to premature death. An urgent and urgent problem of today's Ukrainian state is the organization of effective social and psychological rehabilitation of combatants and their families. But at the moment, Ukraine has not created a single comprehensive program of social and psychological rehabilitation of combatants and their families. Therefore, the aim of the article is to analyze the initial diagnostic indicators of psychological trauma of combatants who took part in our proposed program of psy-chological support of combatants and their families, at the initial, first stage of this program. The methodological bases of the work were such general scientific and special methods as: method of analysis and generalization of psychodiagnostic indicators, formal-logical method, psychological and clinical methods and tests. This paper briefly considers the purpose, main tasks and structural components of the proposed program of psychological support of combatants and their families. The main focus of the work is focused on the first (diagnostic) phase of the program. The purpose of this stage was to carry out a psychological diagnosis of the long-term effects of stressors in combatants. The implementation of the diagnostic stage was carried out during 2018, on the basis of military units, recreational facilities, social, volunteer and rehabilitation centers, etc. The total number of combatants covered by the study was 356 people. It is emphasized that for the experimental study of long-term effects of stress-ors in combatants, a proven set of clinical-psychopathological and psychodiagnostic techniques was proposed to study 5 factors that have become key in building a sys-tem of psychological rehabilitation of combatants. These factors included: the pres-ence of signs of post-traumatic stress disorder; the presence of signs of stress; the presence of signs of anxiety; the presence of signs of depression; and combat experi-ence of the combatant. Analysis of the results of the first stage of the program of psychological sup-port combatants noted the presence of a large number of subjects, such phenomena as post-traumatic stress disorder (more than 60% of combatants), stress (more than 45% of combatants), anxiety (more than 35% of combatants), depression (more than 30% of combatants). Also drawn attention to the fact that the findings confirm the results of previ-ous studies of domestic and foreign researchers and practitioners that some of the combatants who participated in the fighting eventually begin to suffer from long-term effects of stress effects. Therefore, further implementation of the program of psychological support of combatants, with long-term effects of stress, and their families, on the basis of genetic-psychological-axiological approach, namely the second stage, which provides psychological and social assistance or support to combatants and their families, is a promising and effective means of their psychological rehabilitation.
Post-Traumatic Stress Disorder and Long-Term Cognitive Impairment After Critical Illness
