mprjМедицинская психология в РоссииMedical Psychology in Russia2219-8245федеральное государственное бюджетное образовательное учреждение высшего образования "Ярославский государственный медицинский университет"10.24884/2219-8245-2026-18-2-13-22mprj-168Research ArticleАКТУАЛЬНЫЕ ВОПРОСЫ МЕДИЦИНСКОЙ ПСИХОЛОГИИTOPICAL ISSUES IN MEDICAL PSYCHOLOGYДифференцированная психологическая реабилитация военнослужащих после СВО с учетом индивидуальных клинико-психологических профилей посттравматического состоянияDifferentiated psychological rehabilitation of military personnel after the special military operation with account of individual clinical-psychological profiles of the post-traumatic statehttps://orcid.org/0009-0008-4020-491XШумиловаН. И.ShumilovaN. I.

Шумилова Наталья Ивановна, Медицинский психолог отделения ранней реабилитации

г. Воронеж

Department of Clinical Psychology

Voronezh

ledy.disha2013@yandex.ruЛарскихМ. В.LarskikhM. V.

Ларских Марина Владимировна, Доктор психологических наук, доцент кафедры педагогики и педагогической психологии; главный внештатный специалист по медицинской психологии Министерства здравоохранения Воронежской области

394071, Воронеж, ул. 20-летия Октября

Doctor of Psychology, Associate Professor, Department of Pedagogy and Educational Psychology; Chief External Expert in Medical Psychology of the Ministry of Health of the Voronezh Region

394071, Voronezh, 20-letiya Oktyabrya St.

marinalars@mail.ruБУЗ ВОКБ 1РоссияBUZ VOKB 1Russian FederationФГБОУ ВО «Воронежский государственный медицинский университет им. Н. Н. Бурденко»РоссияVoronezh State Medical University named after N. N. BurdenkoRussian Federation2026310520261821221Copyright © Шумилова Н.И., Ларских М.В., 20262026Шумилова Н.И., Ларских М.В.Shumilova N.I., Larskikh M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mprj.ru/jour/article/view/168

Актуальность. Обоснована необходимость дифференцированной психологической реабилитации военнослужащих после участия в специальной военной операции с учетом неоднородности посттравматических состояний. Материалы и методы. Проведено клинико-психологическое обследование 32 военнослужащих с использованием HADS, Миссисипской шкалы боевого ПТСР, IES-R, краткого опросного блока, составленного на основе Brief RCOPE, и структурированной регистрационной карты клинико-психологического обследования. Анализ носил пилотный описательно-аналитический характер и включал интерпретацию средних значений, корреляционных связей, операциональное сопоставление количественных показателей с данными клинико-психологической беседы при выделении клинико-психологических профилей посттравматического состояния. Результаты. Выделены четыре операциональных профиля: хронический дистресс, доминирование переживаний вины и стыда, религиозность как ресурс совладания и резильентный тип адаптации. Для каждого профиля описаны ведущие характеристики, приоритетные мишени помощи и соответствующие направления психологического сопровождения. Выводы. Посттравматические состояния обследованных военнослужащих неоднородны, поэтому для первичного маршрута помощи значимы суммарная выраженность симптомов, структура ведущих переживаний, нарушения повседневного функционирования и ресурсы совладания. Предложенная модель имеет прикладной характер и требует дальнейшей проверки на расширенных выборках с применением более строгих межгрупповых статистических процедур.

Relevance. The need for differentiated psychological rehabilitation of military personnel after participation in a special military operation has been substantiated, taking into account the heterogeneity of post-traumatic conditions. Materials and methods. A clinical and psychological examination of 32 military personnel was conducted using the HADS, the Mississippi Scale of Combat PTSD, the IES-R, a brief questionnaire based on the Brief RCOPE, and a structured clinical and psychological examination record card. The analysis was of a pilot descriptive-analytical nature and included the interpretation of average values, correlation relationships, and the operational comparison of quantitative indicators with the data of a clinical and psychological interview in order to identify clinical and psychological profiles of post-traumatic stress disorder.  Results. Four operational profiles were identified: chronic distress, dominance of guilt and shame experiences, religiosity as a coping resource, and a resilient type of adaptation. For each profile, the leading characteristics, priority targets for assistance, and corresponding areas of psychological support were described. Conclusions. The post-traumatic conditions of the surveyed military personnel are heterogeneous, and the total severity of symptoms, the structure of leading experiences, impairments in daily functioning, and coping resources are significant for the initial assistance route. The proposed model is of an applied nature and requires further verification on expanded samples using more rigorous intergroup statistical procedures.

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The authors declare that there are no conflicts of interest present.