The severity of post-traumatic stress disorders in veterans of the Afghan war

Authors

DOI:

https://doi.org/10.33910/2686-9527-2024-6-1-92-99

Keywords:

psychodiagnostic techniques, comorbidity, somatic diseases, post-traumatic stress disorder (PTSD), anxiety, depression, war veterans

Abstract

Introduction. Decades later, the Afghan War veterans continue to suffer from certain symptoms of the post-traumatic stress disorder (PTSD) which complicate the identification and diagnosis of the underlying physical diseases and comorbid mental disorders. The study examined war veterans’ psycho-emotional state developed as a consequence of combat stress associated with the PTSD.

Materials and Methods. A total of 58 veterans of the Afghan war took part in the study. The average age of the participants was 57.5 years. The research methodology included the use of four standardized questionnaires: the Mississippi Combat PTSD scale, the Beck Depression Inventory, the Spielberger-Hanin Anxiety Scale; and the Symptom Checklist 90-R (SCL-90-R).

Results of the study. The results obtained indicate the comorbidity of mental and somatic diseases in 32.1 % veterans and confirm that the PTSD is a risk factor for the development and progression of somatic diseases in 87.8 % veterans of the Afghan war.

Conclusions. In general, the results obtained confirm that long-term reactions to stress are associated with increased somatic symptoms. Also, multifactorial stress effects continue to manifest themselves in the form of anxiety and depressive disorders.

References

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. (2022) American Psychiatric Association 2022. Washington, DC. [Online]. Available at: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR(tm)) (ifeet.org) (accessed 14.08.2023). (In English)

Beck, A. T., Ward, C. H., Mendelson, M. et al. (1961) An inventory for measuring depression. Arch Gen Psychiatry, vol. 4, no. 6, pp. 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004 (In English)

Derogatis, L. R., Lipman, R. S., Covi, L. (1973) SCL-90: An outpatient psychiatric rating scale-preliminary report. Psychopharmacology Bulletin, vol. 9, no. 1, pp. 13–28. https://pubmed.ncbi.nlm.nih.gov/4682398. (In English)

Ginzburg, K. (2006) Comorbidity of PTSD and depression following myocardial infarction. Journal of Affective Disorders, vol. 94, no. 1-3, pp. 135–143. https://doi.org/10.1016/j.jad.2006.03.016 (In English)

Gupta, M. A. (2013) Review of somatic symptoms in post-traumatic stress disorder. International Review of Psychiatry, vol. 25, no. 1, pp. 86–99. https://doi.org/10.3109/09540261.2012.736367 (In English)

Hashemian, F., Khoshnood, K., Desai, M. M. et al. (2006) Anxiety, depression, and posttraumatic stress in Iranian survivors of chemical warfare. JAMA, vol. 296, no. 5, pp. 560–566. https://doi.org/10.1001/jama.296.5.560 (In English)

Inoue, C., Shawler, E., Jordan, C. H. et al. (2023) Veteran and military mental health issues. Treasure Island: StatPearls Publ. [Online]. Available at: www.ncbi.nlm.nih.gov/books/NBK572092/ (accessed 14.08.2023). (In English)

Khanin, Yu. L. (1976) Kratkoe rukovodstvo k primeneniyu shkaly reaktivnoj i lichnostnoj trevozhnosti Ch. D. Spilbergera [A brief guide to applying the scale of Reactive Personal Anxiety by C. D. Spielberger]. Leningrad: LNIIFK Publ., 40 p. (In Russian)

Keane, T. M., Caddell, J. M., Taylor, K. L. (1988) Mississippi scale for combat-related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, vol. 56, no. 1, рр. 85–90. https://doi.org/10.1037//0022-006x.56.1.85 (In English)

Kuntz, L. (2021) Afghanistan veterans struggling with mental Health. Psychiatric Times. [Online]. Available at: https://www.psychiatrictimes.com/view/afghanistan-veterans-struggling-with-mental-health (accessed 14.06.2023). (In English)

McMillan, K. A., Sareen, J., Asmundson, G. J. G. (2014) Social anxiety disorder is associated with PTSD symptom presentation: An exploratory study within a nationally representative sample. Journal of Traumatic Stress, vol. 27, no. 5, pp. 602–609. https://doi.org/10.1002/jts.21952 (In English)

Rytwinski, N. K., Scur, M. D., Feeny, N. C., Youngstrom, E. A. (2013) The co-occurrence of major depressive disorder among individuals with posttraumatic stress disorder: A meta-analysis. Journal of Traumatic Stress, vol. 26, no. 3, pp. 299–309. https://doi.org/10.1002/jts.21814 (In English)

Spielberger, C. D, Jacobs, G. A., Russell, S. F., Crane, R. S. (1983) Assessment of anger: The state-trait anger scale. In: J. N. Butcher, C. D. Spielberger (eds.). Advances in personality assessment. Vol. 2. Hillsdale; New York: Routledge Publ., pp. 159–187. (In English)

Tarabrina, N. V. (2001) Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the psychology of post-traumatic stress]. Saint Petersburg: Piter Publ., 268 p. (In Russian)

Tarabrina, N. V., Agarkov, V. A., Bykhovets, Yu. V. et al. (2007) Prakticheskoe rukovodstvo po psikhologii posttravmaticheskogo stressa. Ch.1. Teoriya i metody [Practical guide to the psychology of post-traumatic stress. Pt. 1. Theory and methods]. Moscow: Kogito-Tsentr Publ., 208 p. (In Russian)

Thomas, J. L., Wilk, J. E., Riviere, L. A. et al. (2010) Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq. Archives of General Psychiatry, vol. 67, no. 6, pp. 614–623. https://doi.org/10.1001/archgenpsychiatry.2010.54 (In English)

Vasileva, A. V. (2023) Posttravmaticheskoe stressovoe rasstrojstvo — ot travmaticheskogo nevroza k MKB-11: osobennosti diagnostiki i podbora terapii [Post-traumatic stress disorder—from traumatic neurosis to ICD-11: Features of diagnosis and selection of therapy]. Meditsinskiy sovet — Medical Council, no. 3, pp. 94–108. https:// doi.org/10.21518/ms2023-083 (In Russian)

Walter, K. H., Levine, J. A., Highfill-McRoy, R. M. et al. (2018) Prevalence of posttraumatic stress disorder and psychological comorbidities among U.S. active duty service members, 2006–2013. Journal of Traumatic Stress, vol. 31, no. 6, pp. 837–844. https://doi.org/10.1002/jts.22337 (In English)

Zamorski, M. A., Bennett, R. E., Rusu, C. et al. (2016) Prevalence of past-year mental disorders in the Canadian Armed Forces, 2002–2013. The Canadian Journal of Psychiatry, vol. 61, no. 1, pp. 26S–35S. https://doi.org/10.1177/0706743716628854 (In English)

Published

2024-04-08

Issue

Section

Articles