DISORDERS OF THE FAMILY HEALTH IN PARTICIPANTS OF THE BATTLE ACTIVITIES FROM THE POINT OF CONCEPT OF POST-STRESS PSYCHOLOGICAL MALADAPTATION: CLINICAL AND PSYCHOLOGICAL MANIFESTATIONS, MECHANISMS OF FORMATION, PSYCHOCORRECTION PRINCIPLES

PUMTS. 2019; 35(3): 5-9.
https://doi.org/10.31071/promedosvity2019.03.005

In order to investigate the phenomenology and mechanisms of development of health deterioration of families of demobilized combatants, and the development of a program for its psychological correction on this basis, during the period from 2015 to 2018, 100 combatants and their wives were thoroughly examined. The research was conducted with the help of socio-demographic, clinicalpsychopathological, psychodiagnostic methods and system-structural analysis of sexual health. According to the criteria for the success of marital relationships, the examined families were divided into two groups: the main group consisted of 72 couples with family health deterioration, and the group of comparison included 28 successful couples.
The generalization of the obtained results confirmed the hypothesis formulated by us about the polymodality of the phenomenon of health deterioration of combatants’ families, which has at least psychopathological, behavioral, personal, psychosocial, sexual and family dimensions of the problem. In addition, on the basis of the obtained results, two clinical and psychological variants of family health deterioration of combatants were distinguished: destructively-congruent, which was characteristic for 40.3 % of problematic married couples, and traumaticallyuncoordinated, found in 59.7 % of the families of the main group.
The psychocorrection program for the family health deterioration of combatants was developed, which takes into account both the general laws of its development, and the meaningful differences in its manifestations, depending on the clinical and psychological variant. The evaluation of effectiveness, carried out through a comparative analysis of the indicators of marital satisfaction and quality of life of individuals of psychocorrection and control groups, has proved their effectiveness in relation to the selected targets of psychocorrective impact.

REFERENCES
  1. Markova, M. V. & Kozira, P. V. (2015). Poststresovі dezadaptivnі stany na tli sotsіalnih zmіn: analіz problemi [Post-stress dysadaptation in the background of social change: an analysis of the problem]. Medichna psihologіya – Medical psychology, 1, 8-13 [in Ukrainian].
  2. Maruta, N. O. & Zavorotniy, V. I. (2018). Printsipy reabilitatsii voennosluzhaschih s razlichnyimi variantami posttravmaticheskogo stressovogo rasstroystva [Rehabilitation principles of servicemen with various variants of post-traumatic stress disorder]. Ukrayinskii visnik psihonevrologii – Ukrainian bulletin of psychoneurology, Vol. 26,3 (96), 33-38 [in Russian].
  3. Omelyanovich, V. Yu. (2019). Suspilni ta simeyni aspekty diagnozu «posttrauvmatichniy stresoviy rozlad» u viyskovosluzhbovtsiv pislya povernennya z zoni boyovih diy [Social and family aspects of «posttraumatic stress disorder» diagnosis in Soldiers after returning from war zone]. Psychosomatics: Science and Practice, Vol. 4, 2, DOI: 10.26766/pmgp.v4i1.183 [in Russian]. https://doi.org/10.26766/pmgp.v4i1.183
  4. Dekel, R., Levinstein, Y., Siegel, A. et al. (2016). Secondary traumatization of partners of war veterans: The role of boundary ambiguity. Journal of Family Psychology, 30(1), 63-71. https://doi.org/10.1037/fam0000163
  5. Jordan, B. K., Marmar, C. R., Fairbank, J. A. et al. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, Vol. 60(6), 9, 16-26. https://doi.org/10.1037//0022-006X.60.6.916
  6. Kelley, M. L., Braitman, A. L., White, T. D., & Ehlke, S. J. (2019). Sex differences in mental health symptoms and substance use and their association with moral injury in veterans. Psychological Trauma: Theory, Research, Practice, and Policy. Vol. 11 (3). 337-344. https://doi.org/10.1037/tra0000407
  7. Kimhi, S. & Doron, H. (2013). Conscripted without Induction Order: Wives of Former Combat Veterans with PTSD Speak. Psychology. Vol. 4, 3, 189-195. https://doi.org/10.4236/psych.2013.43029
  8. Klarić, M., Frančišković, T., Obrdalj E.C. et al. (2012). Psychiatric and health impact of primary and secondary traumatization in wives of veterans with posttraumatic stress disorder. Psychiatr Danub, Vol. 24 (3), 280-286.
  9. Klaric, M., Kvesic, A., Mandic, V. (2013). Secondary traumatisation and systemic traumatic stress. Psychiatria Danubina. Vol. 25, 1, 29-36.
  10. Markova, M. V. & Gaponov, K. D. (2016). Poststressed disorders in servicemen who took part in the fighting: prevalence and expected consequences. WPA Congress of Epidemiology and Public Health 2016, 29.03 – 01.04.2016. (pp. 30-31). Munich, Institute of Psychiatric Phenomics and Genomics.
  11. Peraica, T., Vidović, A., Kovačić Petrović, Z. & Kozarić-Kovačić, D. (2014). Quality of life of Croatian veterans’ wives and veterans with posttraumatic stress disorder. Health and Quality of Life Outcomes, Vol. 12, 136. https://doi.org/10.1186/s12955-014-0136-x
  12. Zerach, G., Greene, T., Solomon, Z. (2013). Secondary traumatization and self-rated health among wives of former prisoners of war: The moderating role of marital adjustment. Journal of Health Psychology, Vol. 20(2), 222-235. https://doi.org/10.1177/1359105313502563
Short link for this post: http://promedosvity.in.ua?lang=en&p=3958

Leave a Reply

You must be logged in to post a comment.