Non-psychotic psychiatric disorders in persons who have experienced psychosocial stress in terms of military conflict.

Authors

  • L. M. Yuryeva
  • T. Y. Shusterman
  • E. O. Likholetov

DOI:

https://doi.org/10.26641/2307-0404.2019.4.189601

Keywords:

military, partners, veterans, PTSD, interventions

Abstract

Partners of military veterans with post-traumatic stress disorder (PTSD) and other non-psychotic psychiatric disorders can develop difficulties with stress, well-being, and secondary trauma. There are various interventions involving partners, but not many of them give due attention to their well-being. The purpose of this article was to conduct a systematic literature review of a number of interventions with analysis of the results. A systematic literature search was conducted, as a result of which 25 interventions were selected for analysis. The criteria for selecting interventions were the presence of PTSD in the veteran, the partner’s participation in the intervention, and the focus of the intervention on improving the well-being of the partners themselves. Group interventions, boarding classes, family therapies and retreats were the main types of interventions. 21 studies reported well-being results from randomized controlled trials (RCT), preliminary evaluations and clinical cases. Most interventions reported improvements in partner well-being, although reliable, controlled trials were insufficient. Only a small number of interventions were aimed solely at part­ners. The most common feature of the interventions was psycho-educational work with an emphasis on topics such as communication, problem solving, and regulation of emotions. Most of the works describe the advantages of group processes (social support and normalization) among partners who shared experience with each other. Thus, the existing range of formats of measures to improve the well-being of military partners should be expanded through more reliable experimental studies aimed directly at the well-being of partners. A subsequent study of their effectiveness can serve as a powerful resource for further interventions not only for veterans, but also for the partners themselves.

Author Biographies

L. M. Yuryeva

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Psychiatry, Narcology and Medical Psychology
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

T. Y. Shusterman

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Psychiatry, Narcology and Medical Psychology
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

E. O. Likholetov

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Psychiatry, Narcology and Medical Psychology
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

References

Voloshyn PV, Maruta NO [Socio-stress disorders (clinic, diagnosis, prevention)]. Kolektyvna monohrafiia. 2016. Ukranian.

Voloshyn PV, Maruta NO. [Mental health stra­tegy of Ukraine's population: current opportunities and obstacles.]. Ukr. visn. psykhonevrolohii. 2015;1:5-11. Ukrainian.

Yuryeva LN, Nosov SH, Mamchur AI, Nikolen­ko AE, Ogorenko VV, Dukelskyi AA, Shusterman TI, Erchkoba NA [Diagnosis, correction and prevention of crisis conditions in participants in military conflicts.]. Uchebnoe posobie. 2017:204. Russian.

Yureva LM [Crisis conditions in modern condi­tions: diagnostics, correction and prevention]. Navchalniy posibnuk dlia likariv-psychiatriv, simeynikh likariv ta meduchnukh psikholohiv. 2017:174. Ukranian.

Maruta NA, Zavorotniy VI [Principles for the reha­bilitation of military personnel with various options for post-traumatic stress disorder.] Ukr. visn. psykho­nevrolohiyi. 2018;3(96):33-38. Ukraninan.

Semyhina T, Pavlenko I, Ovsyannykiva Y, Tеs­lеnkо O. [Mental health care in times of war.] 2017;1;586. Ukrainian.

Okhlopkova T, Bratyuk O. [Mental health care in war: 2 Volumes.]. Kyiv: Our Format; 2017.

Mykhaylov BV, Chuhunov VV, Kurylo VO, Sarzhevskiy SN. [Post-traumatic stress disorders]. Nav­chalnii posibnyk. 2014; 285. Ukrainian.

Yureva LM, Maruta NO, Vyshnichenko SI, De­nysenko MM [Diagnosis of mental maladaptation among police officers.] Metodichni rekomendacii. 2015: 55. Ukrainian.

Whealin JM, Yoneda AC, Nelson D, et al. A culturally adapted family intervention for rural Pacific Island Vet erans with PTSD. Psychol Serv. 2017;14(3):295–306. doi: https://doi.org/10.1037/ser0000186

Church D, Brooks AJ. CAM and energy psycho­logy techniques remediate PTSD symptoms in Veterans and spouses. Explore. 2014;10(1):24–33. doi: https://doi.org/10.1016/j.explore.2013.10.006

Schumm JA, Monson CM, O'Farrell TJ, et al. Couple treatment for alcohol use disorder and posttrau­matic stress disorder: pilot results from U.S. military Veterans and their partners. J Trauma Stress. 2015;28(3):247–52. doi: https://doi.org/10.1002/jts.22007

Diehle J. Veterans are not the only ones suffering from posttraumatic stress symptoms: what do we know about dependents’ secondary traumatic stress? / J. Diehle, S.K. Brooks, N. Greenberg // Soc Psychiatry Psychiatr Epidemiol. 2017;52(1):35-44. doi: https://doi.org/10.1007/s00127-016-1292-6

Sin J, Gillard S, Spain D, et al. Effectiveness of psychoeducational interventions for family carers of people with psychosis: a systematic review and meta-analysis. Clin Psychol Rev. 2017;56:13-24. doi: https://doi.org/10.1016/j.cpr.2017.05.002

Lester P, Liang LJ, Milburn N, et al. Evaluation of a family-centered preventive intervention for military families: parent and child longitudinal outcomes. J Am Acad Child Adolesc Psychiatry. 2016;55(1):14–24. doi: https://doi.org/10.1016/j.jaac.2015.10.009

Kahn JR, Collinge W, Soltysik R. Post-9/11 Vete­rans and their partners improve mental health outcomes with a self-directed mobile and web-based wellness training program: a randomized controlled trial. J Med Internet Res. 2016;18(9):e255. doi: https://doi.org/10.2196/jmir.5800

Luedtke B, Davis L, Monson C. Mindfulness-based cognitive-behavioral conjoint therapy for posttrau­matic stress disorder: a case study. J Contemp Psychother. 2015; 45(4):227–34. doi: https://doi.org/10.1007/s10879-015-9298-z

Sundin J, Herrell RK, Hoge CW, et al. Mental health outcomes in US and UK military personnel return­ ing from Iraq. Br J Psychiatry. 2014;204(3):200–7. doi: https://doi.org/10.1192/bjp.bp.113.129569

Monk JK, Ogolsky BG, Bruner V. Veteran coup­les integrative intensive retreat model: an intervention for military Veterans and their relational partners. J Coup Rel Therapy. 2016;15(2):158-76. doi: https://doi.org/10.1080/15332691.2015.1089803

Murphy D, Busuttil W. PTSD, stigma and barriers to help-seeking within the UK Armed Forces. J R Army Med Corps. 2015;161(4):322-6. doi: http://dx.doi.org/10.1136/jramc-2014-000344

Murphy D, Palmer E, Busuttil W. Mental health difficulties and help-seeking beliefs within a sample of female partners of UK Veterans diagnosed with post-traumatic stress disorder. J Clin Med. 2016;5(8): 68. doi: https://doi.org/10.3390/jcm5080068

Interian A, Kline A, Perlick D, et al. Ran­do­mized controlled trial of a brief Internet-based inter­vention for families of Veterans with posttraumatic stress disorder. J Rehabil Res Dev. 2016;53(5):629-40. doi: https://doi.org/10.1682/JRRD.2014.10.0257

Taft CT, Creech SK, Gallagher MW, et al. Strength at Home Couples program to prevent military partner violence: a randomized controlled trial. J Consult Clin Psychol. 2016;84(11):935–45. doi: http://dx.doi.org/10.1037/ccp0000129

Taft CT, Howard J, Monson CM, et al. “Strength at Home” intervention to prevent conflict and violence in military couples: pilot findings. Partner Abuse. 2014;5(1): 41-57. doi: https://doi.org/10.1891/1946-6560.5.1.41

Hayes MA, Gallagher MW, Stavitsky Gilbert K, et al. Targeting relational aggression in Veterans: the strength at home friends and family intervention. J Clin Psy­chiatry.2015;76(6):e774-8. doi: https://doi.org/10.4088/JCP.14m09155

Vagharseyyedin SA, Gholami M, Hajihoseini M, et al. The effect of peer support groups on family adapta­ tion from the perspective of wives of war Veterans with posttraumatic stress disorder. Public Health Nurs. 2017;34(6):547-54. doi: https://doi.org/10.1111/phn.12349

He H, Zhu L, Chan SW, et al. The effectiveness and cost-effectiveness of web-based and home-based post­ natal psychoeducational interventions for first-time mothers: randomized controlled trial protocol. JMIR Res Protoc. 2018;7(1):e35. doi: https://doi.org/10.2196/resprot.9042

Turgoosea D, Murphy D. A systematic review of interventions for supporting partners of military Veterans with PTSD. Journal of Military, Veteran and Family Health. 2019;5(2):195-208. doi: https://doi.org/10.3138/jmvfh.2018-0035

How to Cite

1.
Yuryeva LM, Shusterman TY, Likholetov EO. Non-psychotic psychiatric disorders in persons who have experienced psychosocial stress in terms of military conflict. Med. perspekt. [Internet]. 2019Dec.26 [cited 2024Mar.29];24(4):112-20. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/189601

Issue

Section

CLINICAL MEDICINE