Факторы риска развития посттравматического стрессового расстройства у комбатантов

Полный текст:   Только для подписчиков

Рекомендуемое оформление библиографической ссылки:

Святогор М.В., Касимова Л.Н., Сычугов Е.М., Боровской Г.Ю., Емельянова М.Н. Факторы риска развития посттравматического стрессового расстройства у комбатантов // Российский психиатрический журнал. 2025. №2. С. 76-87.

Аннотация

В научном обзоре с целью выявления факторов, повышающих риск развития посттравматического стрессового расстройства у комбатантов, проведен анализ российских и зарубежных публикаций. Установлены социальные (пол, уровень образования), профессиональные (военное звание, род войск, длительность службы на передовой), психологические (особенности личности, неблагоприятные жизненные события) и психопатологические (наличие предшествующих психических расстройств) факторы, повышающие риск развития посттравматического стрессового расстройства у комбатантов. Результаты указывают на необходимость комплексного подхода к диагностике и лечению посттравматического стрессового расстройства среди военнослужащих.

Ключевые слова посттравматическое стрессовое расстройство; комбатанты; факторы риска

Литература

1. Kessler RC, Aguilar-Gaxiola S, Alonso J, et al. Trauma and PTSD in the WHO World Mental Health Surveys. Eur J Psychotraumatol. 2017;8(Suppl 5):1353383. DOI: 10.1080/20008198.2017.1353383 2. Koenen KC, Ratanatharathorn A, Ng L, et al. Posttraumatic stress disorder in the world mental health surveys. Psychol Med. 2017;47(13):2260–74. DOI: 10.1017/S0033291717000708 3. Charlson F, van Ommeren M, Flaxman A, et al. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet. 2019;394(10194):240–8. DOI: 10.1016/S0140-6736(19)30934-1 4. Strelnikova YuYu. Strukturnaya model' izmenenii lichnosti u uchastnikov kontrterroristicheskoi operatsii. Psikhologiya. Psikhofiziologiya. 2016;9(2):29–38. (In Russ.) DOI: 10.14529/psy160204 5. Inoue C, Shawler E, Jordan CH, Jackson CA. Veteran and Military Mental Health Issues. StatPearls Publishing, Treasure Island (FL); 2023. PMID: 34283458 6. Liu Y, Collins C, Wang K, et al. The prevalence and trend of depression among veterans in the United States. J Affect Disord. 2019;245:724–7. DOI: 10.1016/j.jad.2018.11.031 7. Tarabrina N. Praktikum po psikhologii posttravmaticheskogo stressa. Saint Petersburg: Piter; 2001. 272 р. (In Russ.) 8. Kolov SA, Chekhlatyi EI, Shamrei VK. Vliyanie osobennostei otdel'nykh kognitivnykh protsessov na klinicheskuyu kartinu i effekty lecheniya postboevykh stressovykh rasstroistv. Vestnik psikhoterapii. 2012;(42):101–9. (In Russ.) 9. Smirnov V, Shamrei VK, Nechiporenko V. Psikhiatriya voin i katastrof: uchebnoe posobie. VK Shamrei, editor. Moscow: SpetsLit; 2015. 431 p. (In Russ.) 10. Xue C, Ge Y, Tang B, et al. A meta-analysis of risk factors for combat-related PTSD among military personnel and veterans. PloS One. 2015;10(3):e0120270. DOI: 10.1371/journal.pone.0120270 11. Friedman MJ, Schnurr PP, McDonagh-Coyle A. Post-traumatic stress disorder in the military veteran. Psychiatr Clin North. 1994;17(2):265–77. DOI: 10.1016/S0193-953X(18)30113-8 12. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748–66. DOI: 10.1037//0022-006x.68.5.748 13. Carter-Visscher R, Polusny MA, Murdoch M, et al. Predeployment gender differences in stressors and mental health among US National Guard troops poised for Operation Iraqi Freedom deployment. J Trauma Stress. 2010;23(1):78–85. DOI: 10.1002/jts.20481 14. Tolin DF, Foa EB. Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006;132(6):959–92. DOI: 10.1037/0033-2909.132.6.959 15. Hourani L, Williams J, Bray R, Kandel D. Gender differences in the expression of PTSD symptoms among active duty military personnel. J Anxiety Disord. 2015;29:101–8. DOI: 10.1016/j.janxdis.2014.11.007 16. Richardson LK, Frueh BC, Acierno R. Prevalence estimates of combat-related post-traumatic stress disorder: critical review. Aust N Z J Psychiatry. 2010;44(1):4–19. DOI: 10.3109/00048670903393597 17. Vilaplana-Pérez A, Sidorchuk A, Pérez-Vigil A, et al. Assessment of Posttraumatic Stress Disorder and Educational Achievement in Sweden. JAMA Netw Open. 2020;3(12):e2028477. DOI: 10.1001/jamanetworkopen.2020.28477 18. Nissen LR, Karstoft KI, Vedtofte MS, et al. Cognitive ability and risk of post-traumatic stress disorder after military deployment: an observational cohort study. BJPsych Open. 2017;3(6):274–80. DOI: 10.1192/bjpo.bp.117.005736 19. Obuobi-Donkor G, Oluwasina F, Nkire N, Agyapong VIO. A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice. Int J Environ Res Public Health. 2022;19(3):1565. DOI: 10.3390/ijerph19031565 20. Armenta RF, Rush T, LeardMann CA, et al. Factors associated with persistent posttraumatic stress disorder among U.S. military service members and veterans. BMC Psychiatry. 2018;18(1):48. DOI: 10.1186/s12888-018-1590-5 21. Van der Wal SJ, Vermetten E, Elbert G. Long-term development of post-traumatic stress symptoms and associated risk factors in military service members deployed to Afghanistan: Results from the PRISMO 10-year follow-up. Eur Psychiatry. 2020;64(1):e10. DOI: 10.1192/j.eurpsy.2020.113 22. Morissette SB, DeBeer BB, Kimbrel NA, et al. Deployment characteristics and long-term PTSD symptoms. J Clin Psychol. 2018;74(4):637–48. DOI: 10.1002/jclp.22535 23. Caska CM, Renshaw KD. Personality traits as moderators of the associations between deployment experiences and PTSD symptoms in OEF/OIF service members. Anxiety Stress Coping. 2013;26(1):36–51. DOI: 10.1080/10615806.2011.638053 24. Zang Y, Gay NG, Kaczkurkin AN, et al. Factor structure and psychometric properties of the Peritraumatic and Posttraumatic Emotions Questionnaires among active duty military personnel with posttraumatic stress disorder. J Trauma Stress. 2018;31(6):826–36. DOI: 10.1002/jts.22350 25. Bryan CJ, Bryan AB, Rugo K, et al. Happiness, meaning in life, and PTSD symptoms among national guard personnel: A multilevel analysis. J Happiness Studies. 2020;21(4):1251–64. DOI: 10.1007/s10902-019-00129-3 26. Populations BotHoS, CotAoOEitToPS. Disorder, Treatment for posttraumatic stress disorder in military and veteran populations: Initial assessment. 2012. DOI: 10.1037/tra0001114 27. Doody CB, Egan J, Bogue J, Sarma KM. Military personnels’ experience of deployment: An exploration of psychological trauma, protective influences, and resilience. Psychol Trauma. 2022;14(4):545–57. DOI: 10.1037/tra0001114 28. Walker LE, Watrous J, Poltavskiy E, et al. Longitudinal mental health outcomes of combat-injured service members. Brain Behav. 2021;11(5):e02088. DOI: 10.1002/brb3.2088 29. Moore BA, Brock MS, Brager A, et al. Posttraumatic Stress Disorder, Traumatic Brain Injury, Sleep, and Performance in Military Personnel. Sleep Med Clin. 2020;15(1):87–100. DOI: 10.1016/j.jsmc.2019.11.004 30. Mitchell SL, Hayda R, Chen AT, et al. The Military Extremity Trauma Amputation/Limb Salvage (METALS) Study: Outcomes of Amputation Compared with Limb Salvage Following Major Upper-Extremity Trauma. J Bone Joint Surg Am. 2019;101(16):1470–8. DOI: 10.2106/JBJS.K.00734 31. Levi-Belz Y, Ben-Yehuda A, Levinstein Y, Zerach G. Moral injury and pre-deployment personality factors as contributors to psychiatric symptomatology among combatants: a two-year prospective study. Eur J Psychotraumatol. 2024;15(1):2312773. DOI: 10.1080/20008066.2024.2312773 32. Oster C, Morello A, Venning A, et al. The health and wellbeing needs of veterans: a rapid review. BMC Psychiatry. 2017;17(1):414. DOI: 10.1186/s12888-017-1547-0 33. Williamson V, Murphy D, Stevelink SA, et al. Family and occupational functioning following military trauma exposure and moral injury. BMJ Mil Health. 2023;169(3):205–11. DOI: 10.1136/bmjmilitary-2020-001770 34. Griffin BJ, Purcell N, Burkman K, et al. Moral Injury: An Integrative Review. J Trauma Stress. 2019;32(3):350–62. DOI: 10.1002/jts.22362 35. Beliveau PJH, Sampasa-Kanyinga H, Colman I, Zamorski MA. Are personnel with a past history of mental disorders disproportionately vulnerable to the effects of deployment-related trauma? A cross-sectional study of Canadian military personnel. BMC Psychiatry. 2019;19(1):156. DOI: 10.1186/s12888-019-2146-z 36. Fink DS, Keyes KM, Calabrese JR, et al. Deployment and alcohol use in a military cohort: use of combined methods to account for exposure-related covariates and heterogeneous response to exposure. Am J Epidemiol. 2017;186(4):411–9. DOI: 10.1093/aje/kww230 37. Sandweiss DA, Slymen DJ, Leardmann CA, et al. Preinjury Psychiatric Status, Injury Severity, and Postdeployment Posttraumatic Stress Disorder. Arch Gen Psychiatry. 2011;68(5):496–504. DOI: 10.1001/archgenpsychiatry.2011.44 38. Marmar CR, Schlenger W, Henn-Haase C, et al. Course of posttraumatic stress disorder 40 years after the Vietnam War: Findings from the National Vietnam Veterans Longitudinal Study. JAMA Psychiatry. 2015;72(9):875–81. DOI: 10.1001/jamapsychiatry.2015.0803 39. DiGangi JA, Gomez D, Mendoza L, et al. Pretrauma risk factors for posttraumatic stress disorder: A systematic review of the literature. Clin Psychol Rev. 2013;33(6):728–44. DOI: 10.1016/j.cpr.2013.05.002 40. Jacobson IG, Ryan MA, Hooper TI, et al. Alcohol use and alcohol-related problems before and after military combat deployment. JAMA. 2008;300(6):663–75. DOI: 10.1001/jama.300.6.663 41. Stander VA, Thomsen CJ, Highfill-McRoy RM. Etiology of depression comorbidity in combat-related PTSD: a review of the literature. Clin Psychol Rev. 2014;34(2):87–98. DOI: 10.1016/j.cpr.2013.12.002 42. Rugo KF, Tabares JV, Crowell SE, et al. The role of depression and suicidal cognitions as contributors to suicide risk among active duty soldiers reporting symptoms of posttraumatic stress disorder. J Affect Disord. 2020;265:333–41. DOI: 10.1016/j.jad.2020.01.095 43. McLay RN, Ram V, Webb-Murphy J, et al. Apparent comorbidity of bipolar disorder in a population with combat-related post-traumatic stress disorder. Mil Med. 2014;179(2):157–61. DOI: 10.7205/MILMED-D-13-00307 44. Cerimele JM, LePoire E, Fortney JC, et al. Bipolar disorder and PTSD screening and telepsychiatry diagnoses in primary care. Gen Hosp Psychiatry. 2020;65:28–32. DOI: 10.1016/j.genhosppsych.2020.05.006 45. Reddy MK, Meyer TD, Wittlin NM, et al. Bipolar I disorder with comorbid PTSD: Demographic and clinical correlates in a sample of hospitalized patients. Compr Psychiatry. 2017;72:13–7. DOI: 10.1016/j.comppsych.2016.08.007 46. Franklin JC, Ribeiro JD, Fox KR, et al. Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychol Bull. 2017;143(2):187–232. DOI: 10.1037/bul0000084 47. Bryan AO, Theriault JL, Bryan CJ, et al. Self-forgiveness, posttraumatic stress, and suicide attempts among military personnel and veterans. Traumatology. 2015;21(1):40–6. DOI: 10.1037/trm0000017 48. Nock MK, Stein MB, Heeringa SG, et al. Prevalence and correlates of suicidal behavior among soldiers: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry. 2014;71(5):514–22. DOI: 10.1001/jamapsychiatry.2014.30 49. Anestis JC, Harrop TM, Green BA, Anestis MD. Psychopathic Personality Traits as Protective Factors against the Development of Post-Traumatic Stress Disorder Symptoms in a Sample of National Guard Combat Veterans. J Psychopathol Behav Assess. 2017;39(2):220–9. DOI: 10.1007/s10862-017-9588-8 50. Reijnen A, Geuze E, Gorter R, Vermetten E. Development of Self-Directedness and Cooperativeness in Relation to Post-Traumatic Stress Disorder Symptom Trajectories After Military Deployment. Chronic Stress (Thousand Oaks). 2018;2:2470547018803511. DOI: 10.1177/2470547018803511 51. Rademaker AR, van Zuiden M, Vermetten E, Geuze E. Type D personality and the development of PTSD symptoms: a prospective study. J Abnorm Psychol. 2011;120(2):299–307. DOI: 10.1037/a0021806 52. Wesemann U, Renner KH, Rowlands K, et al. Incidence of mental disorders in soldiers deployed to Afghanistan who have or have not experienced a life-threatening military incident – a quasi-experimental cohort study. Front Public Health. 2024;12:1357836. DOI: 10.3389/fpubh.2024.1357836 53. Knowles KA, Sripada RK, Defever M, Rauch SAM. Comorbid mood and anxiety disorders and severity of posttraumatic stress disorder symptoms in treatment-seeking veterans. Psychol Trauma. 2019;11(4):451–8. DOI: 10.1037/tra0000383 54. Lim I, Tam WWS, Chudzicka-Czupała A, et al. Prevalence of depression, anxiety and post-traumatic stress in war- and conflict-afflicted areas: A meta-analysis. Front Psychiatry. 2022;13:978703. DOI: 10.3389/fpsyt.2022.978703 55. Macdonald-Gagnon G, Stefanovics EA, Potenza MN, Pietrzak RH. Generalized anxiety and mild anxiety symptoms in U.S. military veterans: Prevalence, characteristics, and functioning. J Psychiatr Res. 2024;171:263–70. DOI: 10.1016/j.jpsychires.2024.02.013 56. Blakey SM, Campbell SB, Simpson TL. Associations Between Lifetime Panic Attacks, Posttraumatic Stress Disorder, and Substance Use Disorders in a Nationally Representative Sample. J Dual Diagn. 2022;18(1):21–32. DOI: 10.1080/15504263.2021.2013096 57. Koob GF, Volkow ND. Neurobiology of addiction: a neurocircuitry analysis. Lancet Psychiatry. 2016;3(8):760–73. DOI: 10.1016/S2215-0366(16)00104-8 58. Nestler EJ. Is there a common molecular pathway for addiction? Nature Neurosci. 2005;8(11):1445–9. DOI: 10.1038/nn1578 59. Heim C, Nemeroff CB. Neurobiology of posttraumatic stress disorder. CNS Spectr. 2009;14(1 Suppl 1):13–24. PMID: 19169190 60. Seal KH, Bertenthal D, Miner CR, et al. Bringing the war back home: Mental health disorders among 103 788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs Facilities. Arch Intern Med. 2007;167(5):476–82. DOI: 10.1001/archinte.167.5.476 61. Koenen KC, Stellman JM, Stellman SD, Sommer JF Jr. Risk factors for course of posttraumatic stress disorder among Vietnam veterans: a 14-year follow-up of American Legionnaires. J Consult Clin Psychol. 2003;71(6):980–6. DOI: 10.1037/0022-006X.71.6.980 62. Adler AB, Gutierrez IA. Acute Stress Reaction in Combat: Emerging Evidence and Peer-Based Interventions. Curr Psychiatry Rep. 2022;24(4):277–84. DOI: 10.1007/s11920-022-01335-2 63. Reznik AM, Syunyakov TS, Shcherbakov DV, Martynyuk YL. Psychotic Disorders in the Veterans of Local Wars. Neurosci Behav Physiol. 2021;51(2):176–81. DOI: 10.1007/s11055-021-01055-9 64. Yehuda R, Engel SM, Brand SR, et al. Transgenerational effects of posttraumatic stress disorder in babies of mothers exposed to the World Trade Center attacks during pregnancy. J Clin Endocrinol Metab. 2005;90(7):4115–8. DOI: 10.1210/jc.2005-0550 65. Kessler RC, et al. Posttraumatic stress disorder in the National Comorbidity Survey, in Fear and anxiety. Routledge; 2013. р. 22–34.

Метрики статей

Загрузка метрик ...

Metrics powered by PLOS ALM