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Sukiasyan S.G.

«Artmed» Medical Rehabilitation Center;
Armenian Medical Institute

Soldatkin V.A.

Rostov State Medical University

Snedkov E.V.

Mechnikov North-West State Medical University;
St. Petersburg Psychiatric Hospital of St. Nicholas

Tadevosyan M.Ya.

«Artmed» Medical Rehabilitation Center;
Armenian Medical Institute

Kryuchkova M.N.

Rostov State Medical University

Combat-related posttraumatic stress disorder: the historical evolution of concept from «irritable heart syndrome» to «psycho-organic disorder». Biological aspect

Authors:

Sukiasyan S.G., Soldatkin V.A., Snedkov E.V., Tadevosyan M.Ya., Kryuchkova M.N.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(7): 149‑156

DOI: 10.17116/jnevro2020120071149

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COMBAT-RELATED POSTTRAUMATIC STRESS DISORDER: THE HISTORICAL EVOLUTION OF CONCEPT FROM «IRRITABLE HEART SYNDROME» TO «PSYCHO-ORGANIC DISORDER». BIOLOGICAL ASPECT
COMBAT-RELATED POSTTRAUMATIC STRESS DISORDER: THE HISTORICAL EVOLUTION OF CONCEPT FROM «IRRITABLE HEART SYNDROME» TO «PSYCHO-ORGANIC DISORDER». BIOLOGICAL ASPECT

To cite this article:

Sukiasyan SG, Soldatkin VA, Snedkov EV, Tadevosyan MYa, Kryuchkova MN. Combat-related posttraumatic stress disorder: the historical evolution of concept from «irritable heart syndrome» to «psycho-organic disorder». Biological aspect. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(7):149‑156. (In Russ.)
https://doi.org/10.17116/jnevro2020120071149

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
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OBJECTIVE

To study a role of traumatic brain injury (TBI) in the development of posttraumatic stress disorder (PTSD) in ex combatants.

MATERIAL AND METHODS

Eighty-seven ex combatants were studied. The duration of follow-up was 15—18 years. The diagnosis was established in accordance with ICD-10 criteria. Patients were stratified by diagnosis into main group (PTSD) and comparison group (organic brain injury with reduced symptoms of PTSD). A psychopathological method and a battery of questionnaires and scales, including those adapted for assessment of consequences of combat trauma, were administered.

RESULTS AND CONCLUSION

Clinical presentations of both groups in posttraumatic period show the similarity and homogeneity of posttraumatic disorders in these groups. In the future, the pathogenetic role of TBI severity appears more clearly, which, depending on the severity, leads to the formation of an organic lesion of the brain or performs only a pathoplastic role, giving some features to the clinical picture of PTSD. It was found that the more severe the injury, the greater the likelihood of PTSD transition to organic brain damage. It is emphasized that PTSD treatment is a continuous, long-term, complex and graded process that includes pharmacotherapy, psychopharmacotherapy, psychotherapy, psychosocial interventions.

Keywords:

posttraumatic stress disorder
somatization of psychiatric disorders
exogenous organic disorder
brain injury

Authors:

Sukiasyan S.G.

«Artmed» Medical Rehabilitation Center;
Armenian Medical Institute

Soldatkin V.A.

Rostov State Medical University

Snedkov E.V.

Mechnikov North-West State Medical University;
St. Petersburg Psychiatric Hospital of St. Nicholas

Tadevosyan M.Ya.

«Artmed» Medical Rehabilitation Center;
Armenian Medical Institute

Kryuchkova M.N.

Rostov State Medical University

Received:

07.04.2019

Accepted:

15.08.2019

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