Study of manifestations of post-traumatic stress disorder in internally displaced persons and methods of improvement their psychological state

Authors

DOI:

https://doi.org/10.32782/2077-6594/2023.4/02

Keywords:

post-traumatic stress disorder, Mississippi scale, internally displaced persons, questionnaire

Abstract

Aim is to study the manifestations of post-traumatic stress disorder in internally displaced persons and recommendations for improving their psychological condition. Research materials and methods. A survey of 100 internally displaced persons was conducted using the Mississippi scale (version for civilians), the respondents were internally displaced persons from Donetsk, Kharkiv, Sumy regions and the city of Kyiv. The methods of treatment of post-traumatic stress disorder in the sources of domestic and foreign literature were studied. Research methods: sociological (survey), bibliosemantic, analytical, statistical. Data processing: frequency analysis was used to study the results of the questionnaire. Research results. The interpretation of the obtained results showed that among the 100 respondents, 3 people have clearly expressed PTSD (refugees), another 9 people did not get enough points to be able to speak confidently about the presence of posttraumatic stress disorder, and the other 88 people have several symptoms of PTSD development. For the purpose of effective treatment, it is necessary to first evaluate the manifestations and severity of the disease, and then choose treatment tactics based on this. When contacting a family doctor, further referral to a specialist in mental health is possible - a psychotherapist, psychologist or psychiatrist. Conclusions. The results of the study showed the presence of manifestations of post-traumatic stress disorder to one degree or another in a significant part of the surveyed internally displaced persons and the feasibility of using the Mississippi scale for civilians as an auxiliary diagnostic tool capable of detecting these manifestations. To overcome psychological disorders, experts recommend psychotherapy, emphasizing the need for internal adjustment to treatment, awareness of its necessity, and mandatory help from family and friends.

References

Jing X, Lu L, Yao Y. Personality modifies the effect of post-traumatic stress disorder (PTSD) and society support on depression-anxiety-stress in the residents undergone catastrophic flooding in Henan, China. Med Pr. 2022; 73(4):305–314. doi.org/10.13075/mp.5893.01254.

Ellenberg E, Yakir A, Bar-On Z, Sasson Y, Taragin M, Luft-Afik D, Cohen O, Lavenda O, Mahat-Shamir M, Hamama-Raz Y, Ben Ezra M, Frueh BC, Ostfeld I. Naturalistic Study of Posttraumatic Stress Disorder Among Israeli Civilians Exposed to Wartime Attacks. Psychiatr Serv. 2021; 72(9):1026–1030. doi.org/10.1176/appi.ps.201900313.

Zasiekina L, Zasiekin S, Kuperman V. Post-traumatic Stress Disorder and Moral Injury Among Ukrainian Civilians During the Ongoing War. J Community Health. 2023;48(5):784–792. doi.org/10.1007/s10900-023-01225-5.

Милославський ДК, Коваль СМ. Розлади адаптації, артеріальна гіпертензія і цукровий діабет 2-го типу: погляд кардіолога (огляд літератури). Міжнародний ендокринологічний журнал. 2023;19(5):383–390. doi.org/10.22141/2224-0721.19.5.2023.1303.

Auxéméry Y. Post-traumatic psychiatric disorders: PTSD is not the only diagnosis. Presse Med. 2018;47(5):423–430. https://doi.org/10.1016/j.lpm.2017.12.006.

Мангубі ВО, Хаустова ОО, Венгер ОП. У центрі особливої уваги: посттравматичний стресовий розлад. Здоров'я України. 2022 [цит. 25 жовтня 2023]. Психіатрія: 4. https://health-ua.com/multimedia/userfiles/files/Nevro_4_2022/Nevro_4_2022_Acino_Escitam_Paroxin.pdf.

Козігора МА. Концептуальні межі понять «стрес», «тривалий травматичний стрес», «посттравматичний стресовий розлад». Science and Education a New Dimension. Pedagogy and Psychology. 2021; 9 (97), 246: 56–58. doi.org/10.31174/SENDPP2021-246IX97-13.

Fel S, Jurek K, Lenart-Kłoś K. Relationship between Socio-Demographic Factors and Posttraumatic Stress Disorder: A Cross Sectional Study among Civilian Participants' Hostilities in Ukraine. Int J Environ Res Public Health. 2022;19(5):2720. 10.3390/ijerph19052720.

Thakur A, Choudhary D, Kumar B, Chaudhary A. A Review on Post-traumatic Stress Disorder (PTSD): Symptoms, Therapies and Recent Case Studies. Curr Mol Pharmacol. 2022;15(3):502–516. 10.2174/1874467214666210525160944.

Coventry PA, Meader N, Melton H, Temple M, Dale H, Wright K, Cloitre M, Karatzias T, Bisson J, Roberts NP, Brown JVE, Barbui C, Churchill R, Lovell K, McMillan D, Gilbody S. Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis. PLoS Med. 2020;17(8):e1003262. 10.1371/journal.pmed.1003262.

Хайтович М, Місюра О. Епідеміологія, патофізіологія та лікування посттравматичного стресового розладу. Огляд. Med. Sci. of Ukr. 30. Березень 2022 [цит. 27 листоп. 2023];18(1):40–3. https://msu-journal.com/index.php/journal/article/view/351.

Keane T. Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. 1988. Journal of Consulting and Clinical Psychology. https://www.academia.edu/91799197/Mississippi_Scale_for_Combat_Related_Posttraumatic_Stress_Disorder_Three_studies_in_reliability_and_validity.

Published

2023-12-18

Issue

Section

Public health