Мixed anxious and depressive reaction during adaptation disorder in participants during anti-terrorist operation

Adaptation disorder is caused by emotional and stressful factors. Stress - the state of tension adaptation mechanisms. Since war still going on in our country, military often has this nosology.
 These factors do not endanger a person's physical mental health, but they cause pathological negative emotions that disrupts adaptive response. Critical situations experienced patients distress, which as grief, unhappiness, exhaustion accompanied violation adaptation, control, prevents self-actualization individual.
 Thus, occurrence disorders (AD) victims anti-terrorist operation (ATO), people with extremely high personal anxiety, stress intensity, social situation he operates, characteristics victim his biological vulnerability, serious somatic diseases , disabled people, who lost their parents early childhood or lacked maternal care. Vulnerability to also increased premorbid burden trauma.
 Clinical manifestations maladaptation were more presented form anxiety depression. Mixed subvariant (anxiety-depressive) meets diagnostic criteria heading F 43.22 "Mixed depressive reaction" characterized combination clinical signs two options one patient.
 The article analyzes various psychological features AD experience combatants. It was found 66.9% soldiers out 898 respondents demobilized from ATO zone have pronounced symptoms degrees. urgency issue determine for psychodiagnostics distribution condition, essential treatment such patients.
 Purpose: evaluate algorithm (F43) basis research psychopathological pathopsychological affected operation. reaction (F 43.22).
 Materials methods: On municipal non-profit enterprise "Vinnytsia Regional Hospital War Veterans Vinnytsia Council" (MNE "VRCHWV VRC"), period 2016-2020 examined, where main methods were: socio-demographic (questionnaire), clinical-anamnestic, clinical-psychopathological (clinical interview), psychodiagnostic, statistical.
 Results: In course experimental study, severity study group determined, data variability determined statistical mathematical analysis survey results performed. There significant correlation between indicators situational, personal, general depression Pearson's coefficients (P <0,01).
 Conclusions: occurs result extraordinary events, well under influence stress, does reach an catastrophic level. development may be preceded acute reaction.
 Determining predominant variants new algorithms integrated approaches contingent. With timely detection these symptoms, former combatants become less dangerous others, thus having traumatic impact themselves families.
 A good prognosis correlates rapid premorbid, presence support absence concomitant other diseases.