Differentiated psychological rehabilitation of military personnel after the special military operation with account of individual clinical-psychological profiles of the post-traumatic state

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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