Compliance with the NATO Standards in the Field of Psychological Assistance for the Servicemen with Post-Traumatic Stress Disorder

Authors

  • Oleh Druz Interregional Academy of Personnel Management, Kyiv, Ukraine
  • Kseniia Androsovych Department of Psychology and Social Sciences, HEI Academician Yuriy Bugay International Scientific and Technical University, Kyiv, Ukraine
  • Viktoriia Halchenko Department of Psychology and Social Sciences, HEI Academician Yuriy Bugay International Scientific and Technical University, Kyiv, Ukraine
  • Liudmyla Semencha Municipal establishment “Nikopol Professional Pedagogical College of Dnipro Region Council”, Nikopol, Ukraine
  • Tetyana Snyatkova Department of Legal Psychology, National Academy of Internal Affairs, Kyiv, Ukraine

DOI:

https://doi.org/10.6000/1929-6029.2024.13.12

Keywords:

Stress syndrome, traumatic event, anxiety, depression, social adaptation, psychological rehabilitation

Abstract

The increasing number of the servicemen with post-traumatic stress disorder (PTSD) as a result of the war raises the problem of providing them with psychological assistance among the top priorities at the national level. The aim of the study is to identify the effectiveness of using NATO standards in the system of psychological assistance to the servicemen with PTSD.

Methods: The study employed the Mississippi Scale, Impact of Event Scale (IES-R), Hospital Anxiety and Depression Scale (HADS). The statistics were processed using descriptive statistics, analysis of variance, Student’s t-test for independent samples.

Results: The study showed that 20.28% of the servicemen had a high level of PTSD. They have pronounced symptoms of intrusion, avoidance, hyperarousal, high anxiety, and depression. It was established that the use of NATO standards of psychological assistance to the servicemen with PTSD is reliably effective in reducing symptoms of intrusion (t=2.53, p≤0.01), avoidance (t=3.22, p≤0.01), excitability (t =4.18, p≤0.01), anxiety (t=4.56, p≤0.01), and depression (t=3.87, p≤0.01).Conclusions. The problem of the occurrence of PTSD and symptoms of the disorder among the servicemen participating in military operations was confirmed. It was proved that the use of NATO standards in the training and psychological assistance to service men is effective in reducing the PTSD level and its symptoms.

Prospects: The obtained results are significant for military psychologists who work directly with the servicemen in warfare and can use the obtained data for early intervention to prevent the occurrence of PTSD.

References

Arakelyan M, Tunyan T, Grigoryan K. Organization of psychological rehabilitation and medical care for patients with mental health issues caused by military operations. European Psychiatry 2023; 66(S1): 979-980.

Le Barbenchon E, Trousselard M, Pellissier S, Moisseron-Baudé M, Chachignon P, Bouny P, Cuq ET, Jacob S. et al. Implementation of a primary prevention program for posttraumatic stress disorder in a cohort of professional soldiers (PREPAR): Protocol for a randomized controlled trial.JMIR Res Protoc 2024. https://doi.org/10.2196/preprints.47175 DOI: https://doi.org/10.2196/preprints.47175

McLean CP, Levy HC, Miller ML, Tolin DF. Exposure therapy for PTSD in military populations: A systematic review and meta-analysis of randomized clinical trials. Journal of Anxiety Disorders 2022; 90: 102607. https://doi.org/10.1016/j.janxdis.2022.102607 DOI: https://doi.org/10.1016/j.janxdis.2022.102607

Alduraywish M. The awareness of PTSD in military personnel among clinical social workers and psychologists in health-care centers. Advances in Applied Sociology 2022; 12(10): 613-633. https://doi.org/10.4236/aasoci.2022.1210043 DOI: https://doi.org/10.4236/aasoci.2022.1210043

Blais RK, Tirone V, Orlowska D, Lofgreen A, Klassen B, Held Ph, Stevens N, Zalta AK. Self-reported PTSD symptoms and social support in U.S. military service members and veterans: a meta-analysis, European Journal of Psychotraumatology 2021; 12(1). https://doi.org/10.1080/20008198.2020.1851078 DOI: https://doi.org/10.1080/20008198.2020.1851078

Kindt M, Soeter M. A brief treatment for veterans with PTSD: an open-label case-series study. Frontiers in Psychiatry 2023; 14. https://doi.org/10.3389/fpsyt.2023.1260175 DOI: https://doi.org/10.3389/fpsyt.2023.1260175

Chernyshov H. Post-traumatic stress disorder of participants in military action: the problem of human rights ensuring. Ius Humani.Law Journal 2020; 9(1): 61-86. https://doi.org/10.31207/ih.v9i1.225 DOI: https://doi.org/10.31207/ih.v9i1.225

Grau PP, Browne J, Nelson SM, Austin K, Keith JA, Claes NJ, Kawentel LM, Bowersox NW. Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness. Psychological Services 2024; 21(2): 254-263. https://doi.org/10.1037/ser0000845 DOI: https://doi.org/10.1037/ser0000845

Duan-Porter W, Nelson DB, Ensrud KE, Spoont MR. Physical functioning and mental health treatment initiation and retention for veterans with posttraumatic stress disorder: A prospective cohort study. BMC Health Services Research 2021; 21: 1005. https://doi.org/10.1186/s12913-021-07035-6 DOI: https://doi.org/10.1186/s12913-021-07035-6

Vermetten E, Greenberg N, Boeschoten MA., Delahaije R, Jetly R, Castro CA, McFarlane AC. Deployment-related mental health support: comparative analysis of NATO and allied ISAF partners. European Journal of Psychotraumatology 2014; 5(1). https://doi.org/10.3402/ejpt.v5.23732 DOI: https://doi.org/10.3402/ejpt.v5.23732

Steenkamp MM, Litz BT, Marmar C. R.First-line psychotherapies for military-related PTSD. JAMA 2020; 323(7): 656-657. https://doi.org/10.1001/jama.2019.20825 DOI: https://doi.org/10.1001/jama.2019.20825

Murphy D, Karatzias T, Busuttil W, Greenberg N, Shevlin M. ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) in treatment seeking veterans: risk factors and comorbidity. Social Psychiatry and Psychiatric Epidemiology 2021; 56(7): 1289-1298. https://doi.org/10.1007/s00127-021-02028-6 DOI: https://doi.org/10.1007/s00127-021-02028-6

Armenta RF, Rush T, Leard Mann CA, Millegan J, Cooper А, Hoge CW. Factors associated with persistent posttraumatic stress disorder among U.S. military service members and veterans. BMC Psychiatry 2018; 18: 48. https://doi.org/10.1186/s12888-018-1590-5 DOI: https://doi.org/10.1186/s12888-018-1590-5

Sciarrino NA, Bartlett BA, Smith LJ, Martin CE, Williams W. Factors contributing to PTSD treatment drop out inveterans returning from the wars in Iraq and Afghanistan: A systematic review. Psychological Services 2022; 19(1):183-200. https://doi.org/10.1037/ser0000519 DOI: https://doi.org/10.1037/ser0000519

Mota N, Bolton SL, Enns MW, Afifi TO, El-Gabalawy R, Sommer JL, Pietrzak RH, Stein MB, Asmundson GJG, Sareen J. Course and predictors of posttraumatic stress disorder in the Canadian Armed Forces: A nationally representative, 16-year follow-up study: Cours et prédicteurs du trouble de stress post-traumatique dans les Forces arméescanadiennes: une étude de suivi de 16 ansnationalement representative. The Canadian Journal of Psychiatry 2021; 66(11): 934-1004. https://doi.org/10.1177/0706743721989167 DOI: https://doi.org/10.1177/0706743721989167

Sommer JL, Roy R, Holens PL, El-Gabalawy R. Post-traumatic stress disorder and chronic pain in the military. In M. Incayawar, S. Maldonado-Bouchard, & M. R. Clark (Eds.), Overlapping pain and psychiatric syndromes: Global perspectives (pp. 189-202). Oxford University Press, 2020. https://doi.org/10.1093/med/9780190248253.003.0014 DOI: https://doi.org/10.1093/med/9780190248253.003.0014

Blinov O. Combat stress and results of its empirical study.Psychological Journal 2018; 4(2): 9-22. https://doi.org/10.31108/2018vol12iss2pp9-22 DOI: https://doi.org/10.31108/2018vol12iss2pp9-22

Zhou Y, Bai Z, Wu W, Fan Z, Wu C, Li L, Li S. Impacts of internet-based interventions for veterans with PTSD: A systematic review and meta-analysis. Frontiers in Psychology 2021; 12(711652). https://doi.org/10.3389/fpsyg.2021.711652 DOI: https://doi.org/10.3389/fpsyg.2021.711652

Gill GK, Sommer JL, Mota N, Sareen J, El-Gabalawy R. Illness-induced post-traumatic stress disorder among Canadian armed forces members and veterans. Journal of Anxiety Disorders 2022; 102472. https://doi.org/10.1016/j.janxdis.2021.102472 DOI: https://doi.org/10.1016/j.janxdis.2021.102472

Wright LА, Horstmann L, Holmes EA, Bisson JI Consolidation/reconsolidation therapies for the prevention and treatment of PTSD and re-experiencing: a systematic review and meta-analysis. Translational Psychiatry 2021; 11: 453. https://doi.org/10.1038/s41398-021-01570-w DOI: https://doi.org/10.1038/s41398-021-01570-w

NATO Standardization Agency (NSA).Standard NATO-STANAG 2409. Glossary of medi-cal terms and definitions AMedP-13(A). Р.52 2011.

NATO Standardization Office (NSO). Standard NATO AMedP-8.10, STANAG 2565: A psychological guide for leaders across the deployment cycle. Edition a Version 1 2019 https://www.coemed.org/files/stanags/03_AMEDP/ AMedP-8.10_EDA_V1_E_2565.pdf

Center of educational literature. Collection of standards of psychological training in the Armed Forces of Ukraine: methodical manual. Kyiv 2023 https://jurkniga.ua/contents/ zbirnik-standartiv-psikhologichnoi-pidgotovki-u-zbroynikh-silakh-ukraini.pdf

Klymenko I, Tverdokhlib N, Zlobin O, Karachynskyi O, Kononenko O. PTSD inmilitary personnel: Diagnosis, treatment and support. Amazonia Investiga 2024; 13(74): 286-298. https://doi.org/10.34069/AI/2024.74.02.24 DOI: https://doi.org/10.34069/AI/2024.74.02.24

Ishchenko Y, Chystovska Y, Vovchenko O, Harkusha I, & Voshkolup H. The role of emotional intelligence In the rehabilitation of the former prisoners of war. International Journal of Statistics in Medical Research 2023; 12: 240-248. https://doi.org/10.6000/1929-6029.2023.12.28 DOI: https://doi.org/10.6000/1929-6029.2023.12.28

Semenets-Orlova I, Klochko A, Shkoda T, Marusina O, Tepliuk M. Emotional intelligence as the basis for the development of organizational leadership during the covid period (educational institution case). Estudios De Economia Aplicada 2021; 39(5). https://doi.org/10.25115/eea.v39i5.5074 DOI: https://doi.org/10.25115/eea.v39i5.5074

Levi O, Yehuda AВ, Pine DS, Bar-Haim Y. A sobering look at treatment effectiveness of military-related posttraumatic stress disorder. Clinical Psychological Science 2022; 10(4): 690-699. https://doi.org/10.1177/21677026211051314 DOI: https://doi.org/10.1177/21677026211051314

Shor R, Borowski S, Zelkowitz RL, Pineles SL, Copeland LA, Finley EP, Perkins DF, Vogt D. The transition to civilian life: Impact of comorbid PTSD, chronic pain, and sleep disturbance on veterans' social function in gandsuicid alideation. Psychological Trauma: Theory, Research, Practice, and Policy 2023; 15(8): 1315-1323. https://doi.org/10.1037/tra0001271 DOI: https://doi.org/10.1037/tra0001271

Jaworski BK, Ramsey KM, Taylor K, Heinz AJ, Senti S, Mackintosh MA, Rosen CS, Owen JE, Pietrzak RH. Mental health apps and U.S. military veterans: Perceived importance and utilization of the National Center for Posttraumatic Stress Disorder app portfolio. Psychological Services (Advance online publication) 2023. https://doi.org/10.1037/ser0000806 DOI: https://doi.org/10.1037/ser0000806

Keane TM, Caddell JM, Taylor KL. Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology 1988; 56(1): 85-90. https://doi.org/10.1037/0022-006X.56.1.85 DOI: https://doi.org/10.1037//0022-006X.56.1.85

Moye J, Kaiser AP, Cook J, Pietrzak RH. Post-traumatic Stress Disorder in Older U.S. Military Veterans: Prevalence, Characteristics, and Psychiatric and Functional Burden. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry 2022; 30(5): 606-618. https://doi.org/10.1016/j.jagp.2021.10.011 DOI: https://doi.org/10.1016/j.jagp.2021.10.011

Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental health care use among US. military veterans: Results from the 2019-2020 National health and resilience in veterans study. Psychiatric services (Washington, D.C.) 2022; 73(6): 628-635. https://doi.org/10.1176/appi.ps.202100112 DOI: https://doi.org/10.1176/appi.ps.202100112

Dema А, Bujupaj D, Dema V. Resocialization and rehabilitation of convicted persons in the Republic of Kosovo. Pakistan Journal of Criminology 2024; 16(1): 625-634. https://doi.org/10.62271/pjc.16.1.625.634 DOI: https://doi.org/10.62271/pjc.16.1.625.634

Cations M, Cook JM, Fischer I, Pietrzak RH. Exacerbated PTSD symptoms among older U.S. military veterans during the COVID-19 pandemic: Results from the national health and resilience in veterans study. Journal of Psychiatric Research 2023; 163: 386-390. https://doi.org/10.1016/j.jpsychires.2023.05.078 DOI: https://doi.org/10.1016/j.jpsychires.2023.05.078

Rutherford BR, Choi CJ, Chrisanthopolous M, Salzman C, Zhu C, Montes-Garcia C, Liu Y, Brown PJ, Yehuda R, Flory J, Neria Y, Roose SP. The COVID-19 pandemic as a traumatic stressor: mental health responses of older adults with chronic PTSD. The American Journal of Geriatric Psychiatry 2021; 29(2): 105-114. https://doi.org/10.1016/j.jagp.2020.10.010 DOI: https://doi.org/10.1016/j.jagp.2020.10.010

Berge EE, Hagen R, Halvorsen JO. PTSD relapse in Veterans of Iraq and Afghanistan: A systematic review. Military Psychology 2020; 32(4): 300-312. https://doi.org/10.1080/08995605.2020.1754123 DOI: https://doi.org/10.1080/08995605.2020.1754123

Kryshtanovych M, Akimova L, Akimov O, Parkhomenko-Kutsevil O, Omarov A. Features of creative burnout among educational workers in public administration system. Creativity Studies 2022; 15(1): 116-129. https://doi.org/10.3846/cs.2022.15145 DOI: https://doi.org/10.3846/cs.2022.15145

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Published

2024-08-13

How to Cite

Druz, O. ., Androsovych, K. ., Halchenko, V. ., Semencha, L. ., & Snyatkova, T. . (2024). Compliance with the NATO Standards in the Field of Psychological Assistance for the Servicemen with Post-Traumatic Stress Disorder. International Journal of Statistics in Medical Research, 13, 134–142. https://doi.org/10.6000/1929-6029.2024.13.12

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General Articles