Prognosis of stress-associated diseases in military personnel: retrospective study

OBJECTIVE. Develop a model for predicting stress-associated somatic diseases in servicemen.

MATERIALS AND METHODS. 78 men aged 38.2 ± 5 years were examined. Of them, 33 suffered from stress-associated somatic diseases (SASD), 45 were practically healthy. Psychophysiologic, psychological and physiologic examination was carried out, and service performance indicators were evaluated.

RESULTS. In servicemen suffering from SASD, unlike healthy individuals, a satisfactory level of cardiovascular system reserves is diagnosed more often, among them a greater number of persons have signs of decompensated distress; there are no persons with a strong type of nervous system (NS), mainly middle and weak types of NS are represented; a high level of neuropsychic stability is determined in them less often, among them there are fewer examined persons with a high level and more with an average level of success in professional activity.

DISCUSSION. The obtained results are consistent with the data of other scientists. The developed model for predicting the development of SASD in servicemen contains indicators of physiological, psychophysiological and psychological levels. This indicates the presence of a complex influence of biopsychosocial factors on the development of SASD.

CONCLUSION. The developed model for predicting the development of SASD should be used in the medical and psychological support of military personnel. If the risk of developing SASD is identified, it is necessary to carry out preventive measures.

1. Chermyanin S. V. Psychology of emergency and extreme situations. St Petersburg: Aising, 2015, 208 p. (In Russ.)

2. Yusupov V. V., Korzunin V. A., Filippova E. O., Levich S. N., Marchenko L. O. Development of a psychodiagnostic complex for assessing the psychological suitability of citizens for training in driving specialties in DOSAAF organizations of Russia. Clinical pathophysiology, 2024, Vol. 30, No. 4, pp. 99–104 (In Russ.)

3. Marchenko L. O., Filippova E. O., Levich S. N., Yusupov V. V., Kukhtalev V. V. Features of medical and psychological support of military drivers. Bulletin of Psychotherapy, 2022, No. 82, pp. 61–69 (In Russ.)

4. Evdokimov V. I., Sivashchenko P. P. Comparative analysis of medical and statistical indicators of morbidity of contract servicemen of the Navy and Ground Forces of Russia (2003–2018). Medical, biological and socio-psychological problems of safety in emergency situations, 2019, No. 1, pp. 35–62 (In Russ.)

5. Yudin V. E. Features of mental disorders and assessment of the quality of life in military personnel wounded in local armed conflicts. Military Medical Journal, 2011, Vol. 332, No. 2, pp. 21–25 (In Russ.)

6. McCombie A., Gearry R., Andrews J. Computerized cognitive behavioural therapy for psychological distress in patients with physical illnesses: a systematic review. J. Clin. Psychol. Med. Settings, 2015, Vol. 22, No. 1, pp. 20–44.

7. Burg M. M., Soufer R. Post-traumatic Stress Disorder and Cardiovascular Disease. Curr. Cardiol. Rep., 2016, Vol. 18, No. 10, 94 p.

8. Balint E. M., Boseva P., Schury K. High prevalence of posttraumatic stress in patients with primary hypertension. Gen. Hosp. Psychiatry, 2016, Vol. 38, pp. 53–58.

9. Boos C. J., Croft А. М. Smoking rates in the staff of a military field hospital before and after wartime deployment. J. R. Soc. Med., 2004, Vol. 97, N 1, pp. 20–22.

10. Evdokimov V. I., Sivashchenko P. P., Grigoriev S. G., Ivanov V. V. Dismissal rates of military personnel from the Armed Forces of the Russian Federation due to health reasons in 2003-2018. Bulletin of the Russian Military Medical Academy, 2020, No. 2 (70), pp. 164–170 (In Russ.)

11. Zelenina N. V., Fedotkina I. V. Relationship between personality traits and stress-induced somatic diseases in cadets. Actual problems of protection and security, 2021, pp. 163–171 (In Russ.)

12. Avagimyan A. A., Khachatryan R. Kh., Oganov R. G., Sarrafzadegan N., Chernova A. A., Ivashkina M. G., Ionov A. Yu. The Impact of Examination Stress on the Development of Stress-Induced Cardiovascular Diseases. Cardiology in Belarus, 2020, Vol. 12, No. 2, pp. 253–264 (In Russ.)