Journal of Traumatic Stress Disorders & TreatmentISSN: 2324-8947

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Research Article, J Trauma Stress Disor Treat Vol: 4 Issue: 4

The Psychological Consequences of Hybrid Warfare on Ukrainian Civil Population in Slavyansk and Nikolayevka

Igor Linskiy1, Valeriy Kuzminov1, Nataliya Pozdnyakova2,Svitlana Onyshchuk2, Lyudmyla Shestopalova1, Eugenia Grinevich3, Swati Tomar4, Nataliya Zhabenko and Olena Zhabenko5*
1State Institution “Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Science of Ukraine”, Ukraine
2Public Joint-Stock Company “Donbassenergo”, Ukraine
3P. L. Shupik’s National Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Ukraine
4Department of Pediatrics, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
5Department of Psychosomatic Medicine and Psychotherapy, Ukrainian Research Institute of Social and Forensic and Drug Abuse, 8a M.Kotsubinskiy str., Kyiv, Ukraine
Corresponding author :Olena Zhabenko
MD, PhD, 8a M. Kotsubinskiy str., Kyiv, Ukraine, 01030
Tel: +38-044 406-97-50; Fax: +38 044 465 17 21
Received: September 21, 2015 Accepted: November 20, 2015 Published: November 26, 2015
Citation: Linskiy IV, Kuzminov VN, Pozdnyakova NV, Onyshchuk S, Shestopalova L, et al. (2015) The Psychological Consequences of Hybrid Warfare on Ukrainian Civil Population in Slavyansk and Nikolayevka. J Trauma Stress Disor Treat 4:4. doi:10.4172/2324-8947.1000148


The Psychological Consequences of Hybrid Warfare on Ukrainian Civil Population in Slavyansk and Nikolayevka

Objective: The primary objective of this study was to determine psychological consequences of the hybrid warfare on the civilian population of Ukraine.
Method: Two hundred forty two workers of the Slavyansk thermal electrical power station were assessed over a period of one month, after the cessation of military operation in Slavyansk and Nikolayevka (Donetsk region, the Eastern part of Ukraine) with the Mississippi Scale for Civilian (CMS) Posttraumatic Stress Disorder (PTSD).
Results: Females showed increased PTSD with a higher mean CMS score than males (84.32, SE=1.70 and 71.86, SE=0.96 respectively, p<0.001) and a higher frequency of average level of adjustment disorders (59.34% and 28.48% respectively, p<0.001). In terms of symptoms, hyperarousal (2.34 ± 0.06 points) dominated among women and avoidance (2.06 ± 0.03 points) among men. Both genders expressed low levels of guilt and suicidal behavior.
Conclusion: This study provides an insight into the psychological consequences faced by Ukrainian civilians as a result of military conflict in the Eastern part of the country.
Significant outcomes: The healthcare services of Ukraine need to be more prepared to provide psychological and medical care for its civilian population suffering from psychological consequences and PTSD, the intensity of which is much more pronounced in females.
Limitation of the study: Most traumatized civilians (with manifested disorders of the social functioning) dropped out from the study, as it was performed only for those workers of the Slavyansk Thermoelectric Power Station (TEPS) who were attending their job during the military intervention. The administration of the TEPS organized an evacuation of people from the enterprise just before military intervention (nobody was killed immediately on the territory of the TEPS for its significant destruction). Female workers of the TEPS were evacuated from Nikolayevka along with their children. These circumstances allowed us to suppose that needs for an individual psychological, psychotherapeutic and psychiatric care may be substantially higher as compared with the needs observed during this investigation. There were no structured or semistructured clinical interviews performed in this study, which explains uncertainty regarding the extent to which self-reported symptoms would match clinical diagnosis. A checklist of psychological consequences applied in a war context will not offer a rigorous distinction between subjective distress and objective disorder.

Keywords: Psychological consequences; Military perations; Civil population; Gender differences; Ukraine

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