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Criteria and diagnostic scale of the post-combat delayed response (tension) syndrome

Published online by Cambridge University Press:  04 November 2024

Natalia Danilevska Open the ORCID record for Natalia Danilevska [Opens in a new window]
Natalia Danilevska*
Affiliation:
Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhia State Medical University, Zaporizhzhia, Ukraine
*
Corresponding author: Natalia Danilevska; Email: [email protected]
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Abstract

Objective

War participation risks mental disorders. Ukrainian combatants in Anti-Terrorist Operation/Joint Forces Operation since 2014 receive psychiatric care. Some show unique symptoms, not fitting recognized disorders, termed post-combat delayed response (tension) syndrome. The aim of this study was to establish diagnostic criteria and develop a scale of differential diagnosis of post-combat delayed response (tension) syndrome.

Methods

This was a clinical retrospective study conducted on the basis of Zaporizhzhia Military Hospital and Zaporizhzhia and State Medical University, Ukraine, in the period from 2015 to 2021. Combatants of Ukraine—members of Anti-Terrorist Operation/Joint Forces Operation were involved in the study. In total, 426 male combatants were surveyed from whom those suffering from post-traumatic stress disorder (n = 24), neurasthenia (n = 35), and post-combat delayed response (tension) syndrome (n = 46) were selected.

Results

The key symptoms of post-combat delayed response (tension) syndrome were selected and ranked in order of their differential diagnostic value. The diagnostic scale for post-combat delayed response (tension) syndrome was developed, which consists of 12 points.

Conclusions

The received anamnestic information is important for classifying patients at risk of post-combat delayed response (tension) syndrome.

Keywords

Combat traumapost-combat stress reactionhealth disorderscombatants
Type
Original Research
Information
CNS Spectrums , Volume 29 , Issue 5 , October 2024 , pp. 398 - 406
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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