N.V. MAKSUMOVA, A.O. POZDNYAK

Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012 

Maksumova N.V. ― Assistant Lecturer of the Department of Functional Diagnostics, tel. +7-917-257-80-03, e-mail: [email protected]

Pozdnyak A.O. ― D. Med. Sc., Professor, Head of the Department of Therapy and Family Medicine, tel. +7-917-274-92-06, e-mail: [email protected]

The aim of the work is to estimate the relationship between the diagnosed diseases, autonomic tone, level of adaptation and the results of psychological tests during the screening of war veterans in the outpatient examination.

A total of 88 war participants in Afghanistan and Chechnya were examined. Correlation was found between the indices of HRV and psychological examination, which demonstrates the predominance of sympathetic autonomic regulation in patients with increased somatization, and the presence of desadaptation in patients with elevated levels of anxiety and somatization.

Key words: heart rate variability, the level of adaptation, war veterans, medical examination.

 

 

REFERENCES

1. Litvintsev S.V., Snedkov E.V., Reznik A.M. Boevaya psikhicheskaya travma [Combat stress reaction]. Moscow: Meditsina, 2005. 432 p.

2. Myakotnykh B.C., Bal’bert A.A., Samoylova V.N. Clinical and morphological comparisons in patients with long-term consequences of modern military closed craniocerebral injury. Vestnik ural’skoy akademicheskoy meditsinskoy nauki, 2010, no. 2 (30), pp. 52-56 (in Russ.).

3. Myakotnykh V.S., Talankina N.Z., Borovkova T.A. Clinical, pathophysiological and morphological aspects of a remote period of closed craniocerebral trauma. Zhurnal nevrologii i psikhiatrii, 2002, no. 4, pp. 61-65 (in Russ.)

4. Tanielian T., Ramchand R., Fisher M.P. et al. Military Caregivers Cornerstones of Support for Our Nation’s Wounded, Ill, and Injured Veterans. (Report N0.-RR-244-TEDF). Santa Monica, CA: RAND, 2013. Pp. 132-136.

5. Veyn A.M. Vegetativnye rasstroystva: klinika, diagnostika, lechenie [Autonomic dysfunction: clinical features, diagnosis, treatment]. Moscow: OOO “Meditsinskoe informatsionnoe agentstvo”, 2003. 752 p.

6. Smekalkina L.V., Shevtsov S.A. Clinical and diagnostic aspects of the effects of combat stress.Vestnik novykh meditsinskikh tekhnologiy, 2007, vol. XIV, no. 2, pp. 199-200 (in Russ.).

7. Tarabrina N.V. Praktikum po psikhologii posttravmaticheskikh stressovykh rasstroystv [Workshop on the psychology of post-traumatic stress disorder]. Saint Petersburg: Piter, 2001. 272 p.

8. Maksumova N.V. Assessment of autonomic tone and level of adaptation on the basis of a comprehensive analysis of heart rate variability. Prakticheskaya meditsina, 2015, vol. 1, no. 3 (88), pp. 46-51 (in Russ.).

9. Kemp A.H., Quintana D.S., Felmingham K.L., Matthews S., Jelinek H.F. Depression, Comorbid Anxiety Disorders, and Heart Rate Variability in Physically Healthy, Unmedicated Patients: Implications for Cardiovascular Risk. PLoS ONE, Feb, 2012, vol. 7, issue 2, p. 1.

10. Pyrkova K.V., Ushkova A.O. Features psychosocial and health status of war veterans with varying degrees of severity of post-traumatic stress disorders. Sovremennye problemy nauki i obrazovaniya, 2015, no. 3 (in Russ.), available at: www.science-education.ru/123-20325 (accessed: 09.12.2015).

11. Snezhnevskiy A.V., Nadzharov R.A., Smulevich A.B. et al. Spravochnik po psikhiatrii [Handbook of Psychiatry]. Moscow: Meditsina, 1985. 416 p.