FEATURES OF THE MANIFESTATION OF POST-TRAUMATIC STRESS DISORDER IN UKRAINE SINCE 2022

Abstract

The article analyzes the features of the development and clinical manifestations of post-traumatic stress disorder (PTSD) among the adult population of Ukraine, starting from 2022, in connection with mass traumatic events caused by a full-scale war. The main factors contributing to the increase in the number of PTSD cases are identified, in particular, direct stay in the combat zone, forced resettlement, loss of loved ones or property, etc. The symptoms are detailed, including hyperarousal, reliving the trauma, avoidance, cognitive-emotional disorders, and a decrease in the level of social functioning. Proposals are formulated for a national study of the features of working with PTSD in Ukraine. Particular attention is paid to the analysis of key psychological risk factors and modern approaches to the diagnosis and treatment of PTSD in Ukraine. The role of state support through the Medical Guarantees Program and the effectiveness of the use of evidence-based psychotherapeutic methods, in particular cognitive-behavioral therapy (CBT), EMDR, and others, are considered. The article emphasizes the importance of integrating a multidisciplinary approach, including pharmacotherapy, psychosocial support, and rehabilitation programs. The focus is on the need for further research into the specifics of PTSD and complex post-traumatic stress disorder (cPTSD) in the Ukrainian context. Promising directions for improving the medical and psychological rehabilitation system are proposed. In particular, the importance of implementing digital tools (telemedicine, eHealth technologies, mobile applications for monitoring mental health) is emphasized, as well as the creation of regional crisis intervention centers and the development of individualized rehabilitation plans for victims. The need for large-scale scientific research to determine the long-term impact of traumatic events on mental health and the formation of evidence-based recommendations for rehabilitation is also emphasized.