Цифровые технологии в реабилитации военнослужащих с боевой психической травмой
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Галкин С.А., Диденко А.В., Бохан Н.А. Цифровые технологии в реабилитации военнослужащих с боевой психической травмой // Российский психиатрический журнал. 2024. №1. С. 97-104.
В научном обзоре с целью систематизации представлений о современных методах нейрореабилитации, основанных на высоких технологиях, военнослужащих с боевой психической травмой проведен анализ отечественных и зарубежных исследований. Приведены данные об эффективности применения цифровых технологий (методы биологической обратной связи, ритмическая транскраниальная магнитная стимуляция, градуированная экспозиционная терапия в среде виртуальной реальности) в реабилитации комбатантов.
Ключевые слова комбатанты; боевой стресс; боевая психотравма; реабилитация; биологическая обратная связь; экспозиционная терапия; транскраниальная магнитная стимуляция; виртуальная реальность
1. Bokhan NA, Roshchina OV, Didenko AV, Lebedeva VF. [Clinical characteristics of manifestations of combat mental pathology in combatants]. Sibirskij vestnik psihiatrii i narkologii [Siberian Bulletin of Psychiatry and narcology]. 2023;(3):80–6. (In Russ.) DOI: https://doi.org/10.26617/1810-3111-2023-3(120)-80-86 2. Yusupov VV, Baurova NN, Chernyavsky EA, Yatmanov AN. [Psychological characteristics of combatants who were seriously injured]. ZHivaya psihologiya [Living psychology]. 2021;(3):48–56. (In Russ.) 3. Streminsky SYu, Sheremetyeva II, Stroganov AE, et al. [Psychotherapeutic symptoms are targets in combatants with organic brain diseases combined with an adaptation disorder]. Sibirskij vestnik psihiatrii i narkologii [Siberian Bulletin of Psychiatry and Narcology]. 2020;(2):67–74. (In Russ.) DOI: https://doi.org/10.26617/1810-3111-2020-2(107)-67-74 4. Mosolov SN. [Therapy and prevention of post-traumatic stress disorder in emergency situations (algorithm of biological therapy)]. Sovremennaya terapiya psihicheskih rasstrojstv [Modern therapy of mental disorders]. 2022;(3):32–44. (In Russ.) DOI: https://doi.org/10.21265/PSYPH.2022.92.41.004 5. Bisson JI, Olff M. Prevention and treatment of PTSD: the current evidence base. Eur J Psychotraumatol. 2021;12(1):1824381. DOI: https://doi.org/10.1080/20008198.2020.1824381 6. Hendriks GJ, de Kleine RA, Minnen AV. Optimizing the efficacy of exposure in PTSD treatment. Eur J Psychotraumatol. 2015;6:27628. DOI: https://doi.org/10.3402/ejpt.v6.27628 7. Kelley AM, Bernhardt K, McPherson M, et al. Selective Serotonin Reuptake Inhibitor Use Among Army Aviators. Aerosp Med Hum Perform. 2020;91(11):897–900. DOI: https://doi.org/10.3357/AMHP.5671.2020 8. Rusinova VM, Dolgopolova YuV, Petelin DS, et al. [The use of biofeedback technologies in clinical practice]. Medicinskij sovet [Medical advice]. 2023;(13):288–96. (In Russ.) DOI: https://doi.org/10.21518/ms2023-245 9. Breukelaar IA, Bryant RA, Korgaonkar MS. The functional connectome in posttraumatic stress disorder. Neurobiol Stress. 2021;14:100321. DOI: https://doi.org/10.1016/j.ynstr.2021.100321 10. Terpou BA, Densmore M, Théberge J, et al. The hijacked self: Disrupted functional connectivity between the periaqueductal gray and the default mode network in posttraumatic stress disorder using dynamic causal modeling. Neuroimage Clin. 2020;27:102345. DOI: https://doi.org/10.1016/j.nicl.2020.102345 11. Lorenz RC, Butler O, Willmund G, et al. Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study. Transl Psychiatry. 2022;12(1):483. DOI: https://doi.org/10.1038/s41398-022-02241-0 12. Isaac L, Main KL, Soman S, et al. The impact of depression on Veterans with PTSD and traumatic brain injury: a diffusion tensor imaging study. Biol Psychol. 2015;105:20–8. DOI: https://doi.org/10.1016/j.biopsycho.2014.12.011 13. Iacono D, Lee P, Edlow BL, et al. Early-Onset Dementia in War Veterans: Brain Polypathology and Clinicopathologic Complexity. J Neuropathol Exp Neurol. 2020;79(2):144–62. DOI: https://doi.org/10.1093/jnen/nlz122 14. Clancy KJ, Ding M, Bernat E, et al. Restless 'rest': intrinsic sensory hyperactivity and disinhibition in post-traumatic stress disorder. Brain. 2017;140(7):2041–50. DOI: https://doi.org/10.1093/brain/awx116 15. Huang MX, Yurgil KA, Robb A, et al. Voxel-wise resting-state MEG source magnitude imaging study reveals neurocircuitry abnormality in active-duty service members and veterans with PTSD. Neuroimage Clin. 2014;5:408–19. DOI: https://doi.org/10.1016/j.nicl.2014.08.004 16. Nicholson AA, Ros T, Frewen PA, et al. Alpha oscillation neurofeedback modulates amygdala complex connectivity and arousal in posttraumatic stress disorder. Neuroimage Clin. 2016;12:506–16. DOI: https://doi.org/10.1016/j.nicl.2016.07.006 17. Clancy KJ, Andrzejewski JA, Simon J, et al. Posttraumatic Stress Disorder Is Associated with α Dysrhythmia across the Visual Cortex and the Default Mode Network. eNeuro. 2020;7(4):1–12. DOI: https://doi.org/10.1523/ENEURO.0053-20.2020 18. Kay DB, Buysse DJ. Hyperarousal and Beyond: New Insights to the Pathophysiology of Insomnia Disorder through Functional Neuroimaging Studies. Brain Sci. 2017;7(3):23. DOI: https://doi.org/10.3390/brainsci7030023 19. Popescu M, Popescu EA, DeGraba TJ, Hughes JD. Cognitive flexibility in post-traumatic stress disorder: Sustained interference associated with altered modulation of cortical oscillatory activity during task-switching. Neuroimage Clin. 2023;37:103297. DOI: https://doi.org/10.1016/j.nicl.2022.103297 20. Nicholson AA, Ros T, Densmore M, et al. A randomized, controlled trial of alpha-rhythm EEG neurofeedback in posttraumatic stress disorder: A preliminary investigation showing evidence of decreased PTSD symptoms and restored default mode and salience network connectivity using fMRI. Neuroimage Clin. 2020;28:102490. DOI: https://doi.org/10.1016/j.nicl.2020.102490 21. Ros T, Frewen P, Théberge J, et al. Neurofeedback Tunes Scale-Free Dynamics in Spontaneous Brain Activity. Cereb Cortex. 2017;27(10):4911–22. DOI: https://doi.org/10.1093/cercor/bhw285 22. Saxby E, Peniston EG. Alpha-theta brainwave neurofeedback training: an effective treatment for male and female alcoholics with depressive symptoms. J Clin Psychol. 1995;51(5):685–93. DOI: https://doi.org/10.1002/1097-4679(199509)51:5<685::aid-jclp2270510514>3.0.co;2-k 23. Askovic M, Soh N, Elhindi J, Harris A. Neurofeedback for post-traumatic stress disorder: systematic review and meta-analysis of clinical and neurophysiological outcomes. Eur J Psychotraumatol. 2023;14(2):2257435. DOI: https://doi.org/10.1080/20008066.2023.2257435 24. Lapanov PS. [The influence of emotional response on heart rate variability as a risk factor for cardiovascular pathology]. Problemy zdorov'ya i ekologii [Problems of health and ecology]. 2020;(1):71–6. (In Russ.) 25. Zucker TL, Samuelson KW, Muench F, et al. The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and posttraumatic stress disorder symptoms: a pilot study. Appl Psychophysiol Biofeedback. 2009;34(2):135–43. DOI: https://doi.org/10.1007/s10484-009-9085-2 26. Tan G, Dao TK, Farmer L, et al. Heart rate variability (HRV) and posttraumatic stress disorder (PTSD): a pilot study. Appl Psychophysiol Biofeedback. 2011;36(1):27–35. DOI: https://doi.org/10.1007/s10484-010-9141-y 27. McCraty R, Atkinson M, Tomasino D, Bradley R. The coherent heart: heartbrain interactions, psychophysiological coherence, and the emergence of system-wide order. Integral Rev. 2009;5(2):10–115. 28. Demkin AD, Marchenko AA, Goncharenko AY. [Review of the medical and psychological support system in the U.S. Army]. Mediko-biologicheskie i social'no-psihologicheskie problemy bezopasnosti v chrezvychajnyh situaciyah [Biomedical and socio-psychological problems of safety in emergency situations]. 2016;(2):52–7. (In Russ.) DOI: https://doi.org/10.25016/2541-7487-2016-0-2-52-57 29. Ispolatova EN, Tsukarzi EE. [Post-traumatic stress disorder: morphological substrates, neural networks and prospects for the use of transcranial magnetic stimulation]. Sovremennaya terapiya psihicheskih rasstrojstv [Modern therapy of mental disorders]. 2022;(3):45–9. (In Russ.) DOI: https://doi.org/10.21265/PSYPH.2022.78.73.005 30. George MS, Raman R, Benedek DM, et al. A two-site pilot randomized 3 day trial of high dose left prefrontal repetitive transcranial magnetic stimulation (rTMS) for suicidal inpatients. Brain Stimul. 2014;7(3):421–31. DOI: https://doi.org/10.1016/j.brs.2014.03.006 31. Leung A, Metzger-Smith V, He Y, et al. Left Dorsolateral Prefrontal Cortex rTMS in Alleviating MTBI Related Headaches and Depressive Symptoms Neuromodulation. 2018;21(4):390–401. DOI: https://doi.org/10.1111/ner.12615 32. Philip NS, Barredo J, Aiken E, et al. Theta-Burst Transcranial Magnetic Stimulation for Posttraumatic Stress Disorder. Am J Psychiatry. 2019;176(11):939–48. DOI: https://doi.org/10.1176/appi.ajp.2019.18101160 33. Adamson MM, Siddiqi SH, Swaminath G, et al. Repetitive transcranial magnetic stimulation for improving cognition in veterans with TBI: Results from pilot clinical trial. Brain Stimul. 2019;12(2):551. DOI: https://doi.org/10.1016/j.brs.2018.12.820 34. Volovik MG, Belova AN, Kuznetsov AN, et al. [Virtual reality technologies in the rehabilitation of combatants with post-traumatic stress disorder (review)]. Sovremennye tekhnologii v medicine [Modern technologies in medicine]. 2023;(1):74–86. (In Russ.) DOI: https://doi.org/10.17691/stm2023.15.1.08 35. Cukor J, Spitalnick J, Difede J, et al. Emerging treatments for PTSD. Clin Psychol Rev. 2009;29(8):715–26. DOI: https://doi.org/10.1016/j.cpr.2009.09.001 36. Goncalves R, Pedrozo AL, Coutinho ES, et al. Efficacy of virtual reality exposure therapy in the treatment of PTSD: a systematic review. PLoS One. 2012;12(7):e48469. DOI: https://doi.org/10.1371/journal.pone.0048469 37. Mead C. War Play: Video Games and the Future of Armed Conflict. Boston–N. Y.: Houghton Miffl in Harcourt, 2013. 198 p. 38. Rizzo A. Virtual Reality Applications for the Assessment and Treatment of PTSD. Handbook of Military Psychology: Clinical and Organizational Practice. S Bowles, P Bartone, editors. Springer, Cham.; 2017. p. 453–71. DOI: https://doi.org/10.1007/978-3-319-66192-6_27 39. Rothbaum BO, Rizzo AS, Difede J. Virtual reality exposure therapy for combat-related posttraumatic stress disorder. Ann N Y Acad Sci. 2010;1208:126–32. DOI: https://doi.org/10.1111/j.1749-6632.2010.05691.x 40. Liu Z, Ren L, Xiao C, et al. Virtual Reality Aided Therapy towards Health 4.0: A Two-Decade Bibliometric Analysis. Int J Environ Res Public Health. 2022;19(3):1525. DOI: https://doi.org/10.3390/ijerph19031525 41. Gerardi M, Rothbaum BO, Ressler K, et al. Virtual reality exposure therapy using a virtual Iraq: case report. J Trauma Stress. 2008;21(2):209–13. DOI: https://doi.org/10.1002/jts.20331 42. Reger GM, Gahm GA. Virtual reality exposure therapy for active duty soldiers. J Clin Psychol. 2008;64(8):940–6. DOI: https://doi.org/10.1002/jclp.20512 43. Beidel DC, Frueh BC, Neer SM, Lejuez CW. The efficacy of trauma management therapy: a controlled pilot investigation of a three-week intensive outpatient program for combat-related PTSD. J Anxiety Disord. 2017;50:23–32. DOI: https://doi.org/10.1016/j.janxdis.2017.05.001 44. Beidel DC, Frueh BC, Neer SM, et al. Trauma management therapy with virtual-reality augmented exposure therapy for combat-related PTSD: a randomized controlled trial. J Anxiety Disord. 2019;61:64–74. DOI: https://doi.org/10.1016/j.janxdis.2017.08.005 45. Yusupov VV, Korzunin VA, Demkin AD, Ovchinnikov BV. [Immediate prospects for solving problems of medical and psychological support for military personnel]. Izvestiya Rossijskoj voenno-medicinskoj akademii [Proceedings of the Russian Military Medical Academy]. 2022;(1):55–61. (In Russ.) DOI: https://doi.org/10.17816/rmmar83657
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