INFLUENCE OF WAR TRAUMA ON THE ADAPTIVE MECHANISM OF THE CARDIOVASCULAR SYSTEM

Authors

  • E. P. Sas Ivan Horbachevsky Ternopil National Medical University of the Ministry of Health of Ukraine, Ternopil, Ukraine
  • E. Yu. Mysula Ivan Horbachevsky Ternopil National Medical University of the Ministry of Health of Ukraine, Ternopil, Ukraine
  • O. P. Venger Ivan Horbachevsky Ternopil National Medical University of the Ministry of Health of Ukraine, Ternopil, Ukraine https://orcid.org/0000-0002-6847-7206
  • L. O. Vakulenko Ternopil Volodymyr Hnatiuk National Pedagogical University, Ternopil, Ukraine https://orcid.org/0000-0002-4723-3747
  • L. M. Sas Ivan Horbachevsky Ternopil National Medical University of the Ministry of Health of Ukraine, Ternopil, Ukraine https://orcid.org/0009-0006-5305-3060

DOI:

https://doi.org/10.11603/1681-2786.2024.3.14941

Keywords:

vegetative imbalance, depressive disorders, civilian population, military personnel, stress factors, adaptive capacities

Abstract

Purpose: to establish changes in the vegetative balance in military personnel with neurotic spectrum psychiatric disorders.

Materials and Methods. The examination program included a clinical-psychological study (clinical interview, psychological conversation, collection of psychological anamnesis). The assessment of the degree of mental and psychotic disorders was conducted using the Hospital Depression Rating Scale (HDRS) and the Depression, Anxiety, Stress Scale (DASS-21), the Toronto Alexithymia Scale (TAS-20) to study the level of emotional intelligence and alexithymia as a risk factor for psychosomatic disorders; the reactive and personal anxiety scales of Spielberger and Khanin. The main spectrum of disorders included depressive and anxious-depressive disorders without psychotic symptoms of varying severity. The type of autonomic regulation disorders was established based on cardiointervalography.

Results. Psychosocial stress may become a basis for the emergence of certain disorders of the cardiovascular system due to a disbalance in the functioning of the autonomic nervous system. Timely and accurate diagnosis and evaluation of mental disorders are crucial for the prevention of somatic disorders.

In military personnel, changes in the functioning of central and autonomic mechanisms regulating heart rate occur aimed at limiting the harmful effects of stress factors. The indicators suggest that such reactions may serve as a foundation for preventing functional disorders.

For military personnel with mental disorders, adaptation is not associated with emergency reserve reaction usage; rather, it is characterized by a change in the control of autonomic regulation aimed at engaging compensatory mechanisms along with their economical use.

Conclusions. Changes in the activity of the autonomic nervous system, arising from depressive and anxiety-related mental disorders under certain conditions, may reach levels of imbalance, creating conditions for threatening catastrophes. In military personnel, adaptive mechanisms demonstrated more constructive and less exhausting adaptation pathways. In this category of subjects, the level of vegetative imbalance does not reach exhausting levels.

References

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Published

2024-10-30

How to Cite

Sas, E. P., Mysula, E. Y., Venger, O. P., Vakulenko, L. O., & Sas, L. M. (2024). INFLUENCE OF WAR TRAUMA ON THE ADAPTIVE MECHANISM OF THE CARDIOVASCULAR SYSTEM. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 30–34. https://doi.org/10.11603/1681-2786.2024.3.14941

Issue

No. 3 (2024)

Section

Health and society

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