DISSOCIATIVE DISORDERS IN PRISONERS OF WAR: LEVELS AND METHODS OF PSYCHOLOGICAL INTERVENTIONS
DOI:
https://doi.org/10.32782/3041-2005/2025-2.8Keywords:
dissociation, dissociative disorders, PTSD, prisoners of war, neurological symptomsAbstract
Dissociative disorders pose a serious problem for captives, as they appear in response to severe traumatic events, which can accompany combat and captivity conditions. Prolonged stress, physical and psychological violence, isolation and threat to life significantly increase the risk of development dissociative symptoms. Studies of levels and methods of psychological intervention is important for development of effective rehabilitation and support programs for prisoners of war, which can contribute to improvement of their mental health and life quality. Aim of the article – study the manifestations of dissociative disorders in prisoners of war and determine the effective levels and methods of psychological intervention for their treatment and rehabilitation. Study confirms, that dissociative disorders are widespread consequence of prolonged imprisonment and severe traumatic events, related to combat. Conducted studies showed high level of dissociative disorders in prisoners of war, such as amnesia, depersonalization and split consciousness. Also, prisoners of war, who survived more severe forms of traumatic experience (physical or psychological violence), show higher level of dissociation and post-traumatical symptoms. Evaluation of psychological invervention effectiveness shows , that complex methods, which include cognitive-behavioral therapy, stabilization techniques and support on different stages of rehabilitation, are the most effective for reducing od symptoms of dissociation and improvement of psychoemotional state of prisoners of war. Complex approach to psychological inverventions on different levels (individual, group), significantly reduces manifestations of dissociation and improves adaptation of prisoners of war after release. Implementation of such treatment methods are inseparable part of rehabilitation programs for this group of victims.
References
Liebrenz M., Bhugra D., Buadze A., Schleifer R., Smith A. The Russo-Ukrainian War in 2023: Towards a renewed emphasis on the mental health of at-risk groups and forensic-psychiatric considerations. Forensic Science International: Mind and Law. 2023. Vol. 4. P. 100115. URL: https://www.sciencedirect.com/science/article/pii/S2666353823000012
Dissociative Experiences Scale – II. 2024. URL: https://traumadissociation.com/des
Ressler K. J., Berretta S., Bolshakov V. Y., Rosso I.M., Meloni E. G., Rauch S. L., Carlezon W. A. Post-Traumatic Stress Disorder: Clinical and Translational Neuroscience from Cells to Circuits. Nature Reviews Neurology. 2022. Vol. 18, No. 5. P. 273–288. DOI: 10.1038/s41582-022-00635-8. URL: https://www.nature.com/articles/s41582-022-00635-8
Довідник діагностичних критеріїв DSM-5-TR / Американська психіатрична асоціація ; пер. з англ. Львів : Видавництво «Компанія «Манускрипт», 2024. 592 с. URL: https://manusbook.com/9119_DSM-5-TR/4/index.html
Медична психологія : в 2 т. Т. 2. Спеціальна медична психологія ; за ред. Г.Я. Пилягіної. Вінниця : Нова Книга, 2020. 496 с. URL: https://nautilus.com.ua/intelbook/view/medychna-psykhologiya-t2-spetsialna-medychna-psykhologiya
Stein J.Y., Itzhaky L., Levi-Belz Y., Solomon Z. Traumatization, Loneliness, and Suicidal Ideation among Former Prisoners of War: A Longitudinally Assessed Sequential Mediation Model. Frontiers in Psychiatry. 2017. Vol. 8. P. 281. DOI: 10.3389/fpsyt.2017.00281. URL: https://pubmed.ncbi.nlm.nih.gov/29312015/
Туриніна О. Л. Психологія травмуючих ситуацій : навч. посіб. для студ. вищ. навч. закл. Київ : ДП «Видавничий дім «Персонал», 2017. 160 с. Бібліогр.: с. 149–159. URL: https://maup.com.ua/assets/files/lib/book/psiholog_travm.pdf
Технології психотерапевтичної допомоги постраждалим у подоланні проявів посттравматичного стресового розладу : монографія / З. Г. Кісарчук, Я. М. Омельченко, Г. П. Лазос та ін. ; за ред. З. Г. Кісарчук. Київ : Видавничий Дім «Слово», 2020. 178 с. URL:https://scholar.google.com.ua/citations?view_op=view_citation&hl=ru&user=RRrPlvoAAAAJ&citation_for_view=RRrPlvoAAAAJ:HtS1dXgVpQUC
Park C.L., Pless Kaiser A., Spiro A., King D.W., King L.A. Does Wartime Captivity Affect Late-Life Mental Health? A Study of Vietnam-Era Repatriated Prisoners of War. Research in Human Development. 2012. Vol. 9, No. 3. P. 191–209. URL: https://www.semanticscholar.org/paper/Does-Wartime-Captivity-Affect-Late-Life-Mental-A-of-Park-Kaiser/e24d3ce22ecc14e6f129f37fb888f18168d3a081
Suhaiban H.A., Grasser L.R., Javanbakht A. Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care. International Journal of Environmental Research and Public Health. 2019. Vol. 16, No. 13. P. 2309. URL: https://www.scirp.org/reference/referencespapers?referenceid=3118173
Corvalan J.C., Klein D., Juan Coralan P.C., Safr C. PTSD: Diagnosis, Evolution, and Treatment of Combat-Related Psychological/Psychiatric Injury. Missouri Medicine. 2011. Vol. 108, No. 4. P. 303–308. URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC6188425/.
Gibson L.E., Holt J.C., Fondacaro K.M., Tang T.S., Powell T.A., Tubitt E.L. An examination of antecedent traumas and psychiatric comorbidity among male inmates with PTSD. Journal of Traumatic Stress. 1999. Vol. 12, No. 3. P. 473–484. URL: https://onlinelibrary.wiley.com/doi/10.1023/A%3A1024767020280
Jukić M., Milošević M., Ćurković M., Ivezic E. Long-Term Consequences of War Captivity in Military Veterans. Healthcare. 2023. Vol. 11, No. 14. P. 1993. URL: https://www.mdpi.com/2227-9032/11/14/1993
Herzog S., Fogle B.M., Harpaz-Rotem I., Tsai J., Pietrzak R.H. Dissociative symptoms in a nationally representative sample of trauma-exposed U.S. military veterans: prevalence, comorbidities, and suicidality. Journal of Affective Disorders. 2020. Vol. 272. P. 138–145. URL: https://www.sciencedirect.com/science/article/pii/S0165032719334469
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Іван Сергійович Клименко, Олена Вікторівна Шелестова, Наталія Олександрівна Науменко

This work is licensed under a Creative Commons Attribution 4.0 International License.