scholarly journals COVID-19 pandemic and quarantine-related health disorders in combatants of Ukraine

Pathologia ◽  
2021 ◽  
Vol 18 (3) ◽  
pp. 340-345
Author(s):  
N. V. Danilevska

Here we expand the existing knowledge about disorders associated with the COVID-19-related pandemic and quarantine. We show that the COVID-19-related pandemic and quarantine can reduce the combat effectiveness of the military, provoking a deterioration in the health of combatants and requires hospitalization. Aim. Investigate the impact of the COVID-19 pandemic and quarantine on the health of Ukrainian combatants. Material and methods. A study was conducted between March 12, 2020 and May 22, 2020 at the Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology, and Sexology in Zaporizhzhia State Medical University and Zaporizhzhia military hospital (Ukraine). All combatants who were hospitalized during this period were examined. We analyzed medical records, anamnestic data, and performed psychopathological and psychological examinations of all patients. Results. In 56 % of combatants hospitalized during high quarantine measures, the cause of health disorders is negative COVID-19 pandemic and quarantine-related thoughts that provoke stress. These stressful thoughts associated with the COVID-19 pandemic and quarantine provoke the development of hypertensive emergency (57 % vs 18 %), anxiety syndrome (29 %), dissociative [conversion] disorder (7 %), and exacerbate the negative effects of pre-pandemic diseases, namely, hypertension (43 % vs 27 %), somatoform autonomic dysfunction of the cardiovascular system (29 %), panic disorder [episodic paroxysmal anxiety] (7 %), adjustment disorders (7 %), post-traumatic stress disorder (7 %). Conclusions. Preventive measures need to be developed and applied to combatants to prevent their deteriorating health due to the effects of the COVID-19 pandemic and quarantine stress

HUMANITARIUM ◽  
2019 ◽  
Vol 41 (1) ◽  
pp. 168-178
Author(s):  
Yulianna Yasenchuk

The article outlines the main aspects of provision of rehabilitation services for servicemen and participants in the antiterrorist operation. The concept of psychological rehabilitation in the context of a systematic approach is considered in details and its main features are formed. Special attention is paid to the study of previous work, to the mechanism of providing rehabilitation services to all servicemen. In the context of the current tasks, the legal base on this issue, the approved and priority initiatives was investigated. The most frequent distribution among the demobilized soldiers of antiterrorist operation is occupied by people with the main characteristics of post-traumatic stress disorder. The percentage correlation with such features in 2015-2017 was investigated and the main aspects of the mechanism of ensuring the full maintenance of social support were formed.Military actions and the conduct of the antiterrorist operation led to increase in the number of psychological stress disorders among the military. In the course of work we managed to find out that since the beginning of the antiterrorist operation and to date, the system of psychological rehabilitation of the military is gradually improving, but the question remains its effective functioning and compliance with world standards.After returning to a peaceful life, soldiers should be involved in rehabilitation activities and receive comprehensive complex rehabilitation in accordance with individual programs.The question was also raised on the issue of soldiers with post-traumatic stress, who had undergone rehabilitation and rehabilitation and required long-term social support. The most effective in reducing the impact of post-traumatic stress disorder is the integration of the soldiers’ negative experience in order to use it for personal growth, self-development, self-realization.


HUMANITARIUM ◽  
2019 ◽  
Vol 41 (1) ◽  
pp. 51-64
Author(s):  
Svitlana Herasina

The article represents theoretical substantiation of the problem of the impact connected with traumatic events related to the military conflict in the east of Ukraine, on the psycho-emotional state of the soldiers participating in the antiterrorist operation (ATO). There is analysis of modern scientific researches on the interdependence of combat stress with post-traumatic emotional frustration of fighters, causing: intrusive memories, flashbacks and sleep disturbances; avoidance, manifested in emotional distress, apathy, indifference, despair, depression; hyperactivation, which manifests itself in agitation, intense emotional and physiological excitement, and in unproductive psychomotorism. There is proving of the expediency of psychodiagnostic method «Mississippi Scale» (military option) in the study of symptom complexes: «intrusions» – emotional jostling; «Avoidance» – suppression of traumatic memories; «hypersensitivity» – hypertrophied psychophysiological reactions; feelings of guilt and shame and suicidal inclinations. There is empirical definition of psychological peculiarities of respondents with post-traumatic stress disorder as a kind of neurosis, manifested as a result of the simultaneous experience of several psychotraumatic events by a fighter. There is disclosure of PTSD as a delayed reaction of the individual to a stressful event of a threatening nature, which also caused chronic stress – distress. The psychopathological condition of fighters is revealed, which is caused by the necessity to perform responsible combat tasks under the conditions of extreme ATO factors. There is determination of destructive mental states that are developing in the military and in the period of adaptation to the usual conditions of life and service, after returning from the war that reduces the stress resistance and the process of social adaptation.There is description of stressful factors: high responsibility, danger, death of friends, injury, contusion, disability, long stay in the ATO, etc., which destructively affect the psychological health of the soldiers. The basic psychotherapeutic strategies of psychoanalysis of ATO participants are offered: updating of adaptive skills and renewal of own resources of «I»; formation of «positive attitude» to the symptom; reduction of avoidance, focus on the transformation of psychotraumatic experience; change in the attribution of the content of the traumatic situation and its consequences, the feeling of its own «control and authority over the psychotrauma».


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1513
Author(s):  
Rafał Doniec ◽  
Sylwia Wójcik ◽  
Raul Valverde ◽  
Natalia Piaseczna ◽  
Szymon Sieciński ◽  
...  

The pandemic declared in many countries in 2020 due to COVID-19 led to the freezing of economies and the introduction of distance learning in both schools and universities. This unusual situation has affected the mental state of citizens, which has the potential to lead to the development of post-traumatic stress and depression. This study aimed to assess the level of stress in dental students in the context of the outbreak of the SARS-CoV-2 virus pandemic. A survey on the PSS-10 scale was prepared to measure the level of perceived stress. The study included 164 dental students at the Faculty of Medical Sciences of the Medical University of Silesia in Katowice, Poland. The results showed the impact of COVID-19 on the stress of students, with 67.7% reporting high levels of stress. The study also revealed that stress was higher among older female students. This paper recommends that the university provide more intensive psychological care as psychological first aid strategies in epidemics or natural disasters and to consider telemedicine in order to deliver services due to the limitations of the pandemic.


2020 ◽  
pp. bmjmilitary-2020-001622 ◽  
Author(s):  
Dominic Murphy ◽  
C Williamson ◽  
J Baumann ◽  
W Busuttil ◽  
N T Fear

IntroductionData are emerging showing the adverse consequences on mental health of the general public due to the COVID-19 pandemic. Little is known about the needs of veterans with pre-existing mental health difficulties during the COVID-19 pandemic.MethodsData were collected through a cross-sectional online survey from a randomly selected sample (n=1092) of military veterans who have sought help for mental health difficulties from a veteran-specific UK-based charity. The response rate was 25.2% (n=275). Participants were asked to complete a range of standardised mental health outcomes (post-traumatic stress disorder (PTSD): Post-traumatic Stress Disorder Checklist, common mental health difficulties (CMDs): 12-Item General Health Questionnaire, difficulties with anger: 5-Item Dimensions of Anger Reactions—Revised and alcohol misuse: Alcohol Use Disorders Identification Test) and endorse a list of potential stressors related to changes to daily life resulting from COVID-19. Regression analyses were fitted to explore predictors of mental health severity.ResultsIt was observed that symptoms of common mental disorder and PTSD (69.3% and 65.0%, respectively) were the most commonly reported to have been exacerbated by the pandemic. Lack of social support and reporting increasing numbers of stressors related to COVID-19 were consistently associated with increasing severity of a range of mental health difficulties.ConclusionsOur findings suggest veterans who had pre-existing mental health difficulties prior to the outbreak of COVID-19 may be at increased risk of experiencing CMDs as a result of the pandemic. Intervening to improve levels of social support and offering practical guidance to better manage any additional stressors relating to the pandemic may provide strategies to help reduce the burden of mental health symptoms.


Author(s):  
Luvuyo G. Sifo ◽  
Maake J. Masango

This article investigates the impact of spousal violence on children. Spousal violence in the home affects children negatively and its impact goes beyond their childhood years into adulthood. Some children become dysfunctional in life as a result of their exposure to violence between their parents. These children may exhibit symptoms associated with post-traumatic stress disorder (PTSD) later on in life. A case study of a family exposed to violence was undertaken. Findings from this case scenario were measured against existing literature. A pastoral care method of responding to the victims is proposed in order for them to be healed.


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