scholarly journals Comparative assessment of premorbid period parameters and functional diagnostics indicators in military personnel with neurotic disorders

2021 ◽  
pp. 50-55
Author(s):  
A. A. Krasnov ◽  
E. Yu. Abritalin ◽  
V. V. Makeenko
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Functional State ◽  
Functional Assessment ◽  
Military Personnel ◽  
Clinical Symptoms ◽  
Maladaptive Behavior ◽  
Behavioral Characteristics ◽  
Global Functioning ◽  
Neurotic Disorders

Relevance. Combat missions imply high requirements for assessing mental health in military personnel. Among these requirements is the need to include functional assessment taking into account ontogenetic factors, compensatory and sanogenetic processes, personal and adaptive behavioral characteristics. At the same time, a number of authors note that the premorbid period of mental disorders can determine differences in the mental state during the period of manifestation of clinical symptoms.Intention. To investigate the relationship between the parameters of the functional state and the characteristics of the premorbid period of neurotic disorders in military personnel.Methodology. The study involved 78 male servicemen (average age 21.6 ± 2.6 years) with neurotic mental disorders. We studied information about the premorbid period, parameters of mental health functional assessment (bioelectric activity of the brain, cognitive functioning, behavioral characteristics, the global assessment of functioning).Results and Discussion. There were found statistically significant (p < 0.05) weak correlations between the number of adverse factors in the premorbid period and such indicators of the functional state as the severity of electroencephalographic disorders (r = 0.365); maladaptive behavior (r = 0.287), and statistically significant moderate correlation (r = –0.531) with the level of global functioning during the period of the greatest severity of neurotic symptoms.Conclusion. The data obtained in the study will make it possible to improve the forecast of the restoration of the working capacity of servicemen who have suffered from neurotic disorders, as well as the system of professional selection of applicants entering higher military educational institutions.

Therapeutic and psychopreventive approaches in rehabilitation of women with breast cancer

2011 ◽  
Vol 26 (S2) ◽  
pp. 1668-1668
Author(s):  
I.E. Kupriyanova
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Mental Disorders ◽  
Subsequent Development ◽  
Diagnostic Categories ◽  
Neurotic Disorders ◽  
Icd 10 ◽  
Block Based ◽  
Psychopathological Disorders

Objective of investigationTo study structure of borderline neuro-mental disorders in women with breast cancer with subsequent development of therapeutic and psychopreventive activities.Material and methodsWe examined 102 women. At the first stage we have analyzed the role of constitutional-biological, social and psychogenic factors in formation and subsequent clinical dynamic of borderline neuro-mental disorders. Classification of psychiatric diagnosis was conducted according to ICD-10. During diagnosis we used the following diagnostic categories: for neurotic disorders (F41–48) and for personality disorders (F60). Results: Women with neurotic disorders reliably predominated, and namely - mixed anxiety and depressive reaction (F43.22). At stage I and II patients with pre-nosological disorder predominated (asthenic variant with predominance of mental fatigue) (22,73% and 24,14%, respectively), and at stage III - with dysthymic variant of pre-nosological disorder (18,18%). At stage II of breast cancer we have diagnosed mixed anxiety and depressive disorder (F41.2) (3,45%).ConclusionMedico-biological block included early diagnosis of revealed psychopathological disorders at pre-hospital stage; identification of profile of the personality and level of mental health during stay in hospital. Psychopharmacotherapeutic block consisted of individual therapeutic programs for women with various level of mental health. Social block based on organization of system of rehabilitation, including work with patients in the hospital, joint observation with cancer therapist for a half of the year, participation of patients in an open psychotherapeutic group.

scholarly journals Prevalence and severity of mental disorders in military personnel: a standardised comparison with civilians

2016 ◽  
Vol 26 (2) ◽  
pp. 199-208 ◽  
Author(s):  
S. Trautmann ◽  
L. Goodwin ◽  
M. Höfler ◽  
F. Jacobi ◽  
J. Strehle ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Military Personnel ◽  
Military Service ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Combat Exposure ◽  
Health Service Provision ◽  
Targeted Interventions ◽  
Mental Health Service Provision

Aims.Provision and need for mental health services among military personnel are a major concern across nations. Two recent comparisons suggest higher rates of mental disorders in US and UK military personnel compared with civilians. However, these findings may not apply to other nations. Previous studies have focused on the overall effects of military service rather than the separate effects of military service and deployment. This study compared German military personnel with and without a history of deployment to sociodemographically matched civilians regarding prevalence and severity of 12-month DSM-IV mental disorders.Method.1439 deployed soldiers (DS), 779 never deployed soldiers (NS) and 1023 civilians were assessed with an adapted version of the Munich Composite International Diagnostic interview across the same timeframe. Data were weighted using propensity score methodology to assure comparability of the three samples.Results.Compared with adjusted civilians, the prevalence of any 12-month disorder was lower in NS (OR: 0.7, 95% CI: 0.5–0.99) and did not differ in DS. Significant differences between military personnel and civilians regarding prevalence and severity of individual diagnoses were only apparent for alcohol (DS: OR: 0.3, 95% CI: 0.1–0.6; NS: OR: 0.2, 95% CI: 0.1–0.6) and nicotine dependence (DS: OR: 0.5, 95% CI: 0.3–0.6; NS: OR: 0.5, 95% CI: 0.3–0.7) with lower values in both military samples. Elevated rates of panic/agoraphobia (OR: 2.7, 95% CI: 1.4–5.3) and posttraumatic stress disorder (OR: 3.2, 95% CI: 1.3–8.0) were observed in DS with high combat exposure compared with civilians.Conclusions.Rates and severity of mental disorders in the German military are comparable with civilians for internalising and lower for substance use disorders. A higher risk of some disorders is reduced to DS with high combat exposure. This finding has implications for mental health service provision and the need for targeted interventions. Differences to previous US and UK studies that suggest an overall higher prevalence in military personnel might result from divergent study methods, deployment characteristics, military structures and occupational factors. Some of these factors might yield valuable targets to improve military mental health.

scholarly journals Association of Child Maltreatment and Deployment-related Traumatic Experiences with Mental Disorders in Active Duty Service Members and Veterans of the Canadian Armed Forces: Association de la Maltraitance des Enfants et des Expériences Traumatisantes Liées au Déploiement Avec les Troubles Mentaux Chez les Membres du Service Actif et Les Anciens Combattants des Forces Armées Canadiennes

2021 ◽  
pp. 070674372098708
Author(s):  
Tracie O. Afifi ◽  
Jitender Sareen ◽  
Tamara Taillieu ◽  
Ashley Stewart-Tufescu ◽  
Natalie Mota ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Maltreatment ◽  
Mental Disorders ◽  
Panic Disorder ◽  
Military Personnel ◽  
Armed Forces ◽  
Active Duty ◽  
Ptsd Symptoms ◽  
Canadian Armed Forces

Objective: Mental health among military personnel is an important public health priority. It is known that military personnel experience a high prevalence of child maltreatment and deployment-related traumatic events (DRTEs) and both are related to mental health outcomes. However, few, if any, studies have examined the cumulative and interactive effects of child maltreatment and DRTEs on mental health disorders in a sample of active duty service members and military veterans. Methods: Data were from the Canadian Armed Forces (CAF) Members and Veterans Mental Health Follow-up Survey collected in 2018 ( N = 2,941, response rate = 68.7%), a 16-year follow-up survey of CAF Regular Force members interviewed in 2002. Five types of child maltreatment and 10 types of DTREs were assessed for impact on mental health. Mental disorders included past 12-month generalized anxiety disorder (GAD), panic disorder, social phobia, and major depressive episode (MDE). Past 12-month symptoms of posttraumatic stress disorder (PTSD) were also examined. Results: The prevalence of any exposure to child maltreatment and DRTEs was 62.5% and 68.6%, respectively. All types of child maltreatment were associated with increased odds of past 12-month PTSD symptoms and mental disorders with the exception of physical abuse and GAD as well as childhood exposure to intimate partner violence and panic disorder. Cumulative effects of having experienced both child maltreatment and DRTEs increased the odds of past 12-month PTSD symptoms, GAD, social phobia, and MDE. No interaction effects were significant. Conclusions: The prevalence of a child maltreatment history is high among active Canadian military and veterans. As well, child maltreatment may increase the likelihood of mental disorders across the life span. This may be especially true for individuals who also experience DRTEs. Understanding these relationships may provide insight into developing effective interventions for military personnel and veteran mental health outcomes.

scholarly journals Combatants’ Self-assessment of Mental Health

2019 ◽  
pp. 24-28
Author(s):  
Andrey Soloviev ◽  
Ilya Bondar ◽  
Elena Ichitovkina
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Clinical Symptoms ◽  
Post Traumatic Stress ◽  
Self Assessment ◽  
Group Iii ◽  
Group I ◽  
Health Group ◽  
Complete Survey ◽  
Post Traumatic

In order to analyze the self-assessment of mental health status of combatants, a year after the execution of operational and service tasks in special conditions, a complete survey of 964 combatants was conducted, which were divided into three groups by level of mental health: Group I - 338 people – healthy combatants who were not provided with rehabilitation assistance; Group II - 311 persons who for 6 years prior to the survey, according to the outpatient cards revealed prenosological neurotic conditions, clinical data on the presence of borderline mental disorders (BMD) after returning from combat zones in this group was not revealed, they were provided with short-term psycho-correctional assistance by psychologists at the place of service; Group III – 315 people who were diagnosed with adaptation disorders (AD) and post-traumatic stress disorder (PTSD), in this regard, they were treated and medical & psychological rehabilitation. A year after the events, a clinical examination and a questionnaire were conducted. It is shown that the mental state of combatants with BMD is characterized by the absence of clinical symptoms, which indicates the effectiveness of the activities. Given the fact that persons who did not receive psycho-prophylactic and rehabilitation aid, a year after participating in the fighting are identified psychosomatic disorders and specific psychopathological symptoms, we have proposed the improvement of methodological approaches to providing them with psychoprophylactic assistance with the development of legislative regulation of complex rehabilitation measures. Keywords: Combatants; Mental disorders; Self-assessment; Stages of rehabilitation

The WHO World Mental Health (WMH) Surveys

2009 ◽  
Vol 06 (01) ◽  
pp. 5-9 ◽  
Author(s):  
S. Aguilar-Gaxiola ◽  
J. Alonso ◽  
S. Chatterji ◽  
S. Lee ◽  
T. B. Üstün ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Treatment Effectiveness ◽  
Age Of Onset ◽  
Common Mental Disorders ◽  
Mental Health Policy ◽  
Unmet Need ◽  
Cost Effective ◽  
World Mental Health ◽  
Prevalence Estimates

SummaryThe paper presents an overview of the WHO World Mental Health (WMH) Survey Initiative and summarizes recent WMH results regarding the prevalence and societal costs of mental disorders. The WMH surveys are representative community surveys that were carried out in 28 countries throughout the world aimed at providing information to mental health policy makers about the prevalence, burden, and unmet need for treatment of common mental disorders. Results show that mental disorders are commonly occurring in all participating countries. The inter-quartile range (IQR: 25th-75th percentiles) of lifetime DSM-IV disorder prevalence estimates (combining anxiety, mood, disruptive behavior, and substance disorders) is 18.1-36.1%. The IQR of 12-month prevalence estimates is 9.8-19.1%. Analysis of age-of-onset reports shows that many mental disorders begin in childhood-adolescence and have significant adverse effects on subsequent role transitions. Adult mental disorders are found in the WMH data to be associated with high levels of role impairment. Despite this burden, the majority of mental disorders go untreated. Although these results suggest that expansion of treatment could be cost-effective from both the employer perspective and the societal perspective, treatment effectiveness trials are needed to confirm this suspicion. The WMH results regarding impairments are being used to target several such interventions.

A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations

2010 ◽  
Vol 30 (3) ◽  
pp. 148-149 ◽  
Author(s):  
J. Caron ◽  
A. Liu
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Psychological Distress ◽  
Mental Disorders ◽  
Low Income ◽  
Well Being ◽  
Descriptive Study ◽  
Canadian Community Health Survey ◽  
Vulnerable Groups ◽  
High Psychological Distress

Objective This descriptive study compares rates of high psychological distress and mental disorders between low-income and non-low-income populations in Canada. Methods Data were collected through the Canadian Community Health Survey – Mental Health and Well-being (CCHS 1.2), which surveyed 36 984 Canadians aged 15 or over; 17.9% (n = 6620) was classified within the low-income population using the Low Income Measure. The K-10 was used to measure psychological distress and the CIDI for assessing mental disorders. Results One out of 5 Canadians reported high psychological distress, and 1 out of 10 reported at least one of the five mental disorders surveyed or substance abuse. Women, single, separated or divorced respondents, non-immigrants and Aboriginal Canadians were more likely to report suffering from psychological distress or from mental disorders and substance abuse. Rates of reported psychological distress and of mental disorders and substance abuse were much higher in low-income populations, and these differences were statistically consistent in most of the sociodemographic strata. Conclusion This study helps determine the vulnerable groups in mental health for which prevention and promotion programs could be designed.

Is Pacific language ability protective of prevalence of mental disorders among Pacific peoples in New Zealand?

2018 ◽  
Vol 21 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Eirenei Taua'i ◽  
Rose Richards ◽  
Jesse Kokaua
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Common Mental Disorders ◽  
Mental Health Disorder ◽  
Positive Role ◽  
Pacific People ◽  
Language Promotion

Aims: To explore associations between experiences of mental illness, migration status and languages spoken among Pacific adults living in NZ. Methods: SURVEY FREQ and SURVEY LOGISTIC procedures in SAS were applied to data from Te Rau Hinengaro: The New Zealand (NZ) Mental Health Survey, a survey of 12,992 New Zealand adults aged 16 and over in 2003/2004. Pacific people were over sampled and this paper focuses on the 2374 Pacific participants but includes, for comparison, 8160 non-Maori-non-Pacific (NMNP) participants. Results: Pacific migrant respondents had the lowest prevalence of mental disorders compared to other Pacific peoples. However, Pacific immigrants were also less likely to use mental health services, suggesting an increased likelihood of experiencing barriers to available mental health care. Those who were born in NZ and who were proficient in a Pacific language had the lowest levels of common mental disorders, suggesting a protective effect for the NZ-born population. Additionally, access to mental health services was similar between NZ-born people who spoke a Pacific language and those who did not. Conclusions: We conclude that, given the association between Pacific language and reduced mental disorder, there may be a positive role for Pacific language promotion in efforts to reduce the prevalence of mental health disorder among Pacific communities in NZ.

Sign in / Sign up

Export Citation Format

Share Document