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Neuropsychiatric characteristics of antiterrorist operation combatants in the Donbass (Ukraine)

Published online by Cambridge University Press:  15 August 2017

Konstantin N. Loganovsky ,
Natalia A. Zdanevich ,
Marina V. Gresko ,
Donatella Marazziti  and
Tatiana K. Loganovskaja
Konstantin N. Loganovsky
Affiliation:
Department of Radiation Psychoneurology, National Research Center for Radiation Medicine of National Academy of Medical Sciences of the Ukraine, Kyiv, Ukraine
Natalia A. Zdanevich
Affiliation:
Department of Radiation Psychoneurology, National Research Center for Radiation Medicine of National Academy of Medical Sciences of the Ukraine, Kyiv, Ukraine
Marina V. Gresko
Affiliation:
Department of Radiation Psychoneurology, National Research Center for Radiation Medicine of National Academy of Medical Sciences of the Ukraine, Kyiv, Ukraine
Donatella Marazziti*
Affiliation:
Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa, Italy
Tatiana K. Loganovskaja
Affiliation:
Department of Radiation Psychoneurology, National Research Center for Radiation Medicine of National Academy of Medical Sciences of the Ukraine, Kyiv, Ukraine
*
*Address correspondence to: Donatella Marazziti, Dipartimento di Medicina Clinica e Sperimentale, University of Pisa, Via Roma, 67, 56100 Pisa, Italy. (Email: [email protected])
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Abstract

Objective

The present paper aimed to explore the neuropsychiatric characteristics of the antiterrorism (ATO) combatants in the Donets Basin (Donbass) and to propose therapeutic strategies for managing their mental healthcare.

Methods

A total of 54 ATO combatants were included in our study and compared with four groups of subjects exposed to other emergencies, including the Chernobyl disaster and the war in Afghanistan. The neuropsychiatric features were assessed through psychopathological assessments, neurological examinations, and quantitative electroencephalography (qEEG).

Results

The ATO combatants were characterized by low health self-estimation, somatic concerns, a high prevalence of posttraumatic stress disorder, anxiety, insomnia, depression, social dysfunction, mild cognitive impairment, and neurological soft signs, similar to individuals involved in the Chernobyl disaster and veterans of the Afghan War. Quantitative EEG showed abnormalities suggestive of irritation of the corticolimbic system and diencephalic structures. Some post-conflict personality changes in ATO combatants were recorded. The treatment of ATO combatants included a comprehensive strategy: from psychotropic drugs to different psychotherapies.

Conclusions

On the basis of 30 years of experience in the management of the consequences of Chernobyl disaster and the available studies on war veterans, the authors proposed a method for assessment and an approach to providing mental healthcare for ATO combatants, refugees, and migrants from the Donbass, which perhaps can be used as guidelines for other conflicts. Taken together, the findings of the study suggest that voluntary participation in war may decrease but does not eliminate the risk of developing the neuropsychiatric consequences caused by such conflicts. A comprehensive strategy—one that would encompass psychopharmacological, psychological, and rehabilitation techniques—seems to be the most successful approach to managing the main symptoms and disorders involved.

Keywords

Antiterrorist operationsthe Donbasscombatantsrefugeesmigrantsmental healthcareneuropsychiatric disorders/symptoms
Type
Original Research
Information
CNS Spectrums , Volume 23 , Special Issue 2: Evil, psychiatry, and terrorism: understanding the roots of evil , April 2018 , pp. 178 - 184
Copyright
© Cambridge University Press 2017 

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