EUROMEDICA 

Hanover

23-24  Mai 2011

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover


E.V. Bosenko POST-TRAUMATIC STRESS DISORDER: EMPIRICAL STUDIES, OUTCOME ANALYSIS AND PSYCHOLOGICAL CORRECTION METHODS
Krasnodar Center of Psychophysiological Diagnostics, Krasnodar, Russia

Events of the recent years such as socioeconomic crisis in Russia, the problems of Chechnya, mass disturbances, wave of terrorism and organized crime, corruption, spiritual crisis, spiritual bankruptcy, loss of ethical principles, beliefs and ideals – all these are stressors which strongly affect people’s mental and physical condition and cause growth of criminogenic potential. These situations have a hyper extreme impact on human psyche

– they cause traumatic stress. Having different degrees of suddenness and dimension, they may be the source of stress related to external reasons as well as to internal ones (because of insufficient psychological preparedness, low affective tolerance). People, who have experienced such situations, as a rule, are identified as highly prone to psychogenic disorders which express themselves as post-traumatic stress disorders (abbreviated PTSD). Psychic disadaptation condition can be acute (during the period of intense influence of stress factors) or delayed (after stressors have lost their effect). These two types of conditions are called correspondingly “acute stress disorders” (ASD) and “post-traumatic stress disorders” (PTSD), according to International Classification of Diseases ICD-10. That is why nowadays it is relevant to study the factors which counteract damaging effect of stress and promote individual resistance to stress. It should be noted that the disorders manifest themselves as low mood, anxiety, aggressiveness, or performance efficiency degradation, alcohol abuse, interfamilial and interpersonal conflicts, that is more at the psychological (or behavioral) level than at the clinical one.

Principal objective of the research: identifying optimal ways to prevent crisis phenomena during social integration.

Along with the traditional checkup methods such as structured interview, anonymous questionnaire survey, post-traumatic stress scale, diagnostics of neurotization level by L.I. Wasserman’s method, the Colourpsychosomatics computer technology has been used in the diagnostic center.

There were 109 respondents involved (100%), whose average age was 29,5. The survey sample has been divided into three age groups: The group aged from 20 to 30 - 58 participants which is 53,21% of the total. The group aged from 31 to 40 – 43 participants which is 39,44% of the total. The group aged 41 and above - 8 participants which is 0,34% of the total. General PTSD has been identified in 92 cases which is 94,4% of the total survey sample, of which: 81 participants with insignificant symptoms of PTSD (88% of the total), 4 participants with “partial” PTSD (4,34% of the total), 4 participants with possibility of frank clinical disorders (4,34% of the total), 3 clinical diagnoses (3,26%) of “full” PTSD are to be specified, yet.

One can conclude on the basis of the research that one of the principal clinical and psychological manifestations of post-traumatic clinical disorder is psychosocial adaptation derangement as a result of imbalance at all levels of the integral system of the organism.

Analysis of the research results shows:

  1. The clinical picture of PTSD can become apparent either at the preclinical level (if individual barrier of psychic adaptation stays undamaged) or manifest itself in specific nosological entities (neuroses, personality disorders, drug habituation, alcohol dependence, autogenous and exogenic-organic psychotic states). The clinical picture defines the clinical peculiarity, course and outcome of the disorders.
  2. The so called “acute” PTSD in most cases reflect a psychologically adequate response of a mentally sane personality while chronic forms of PTSD are nothing else but a group of personality disorders acquired under long-lasting stress.
  3. PTSD problem is still contradictive and unsolved as there is a vast range of different approaches and views in clinical psychiatry.

Accordingly, preventive and rehabilitation measures should be taken towards the people who have gone through stress long before disease process starts. The success of these measures will be determined to a great extent with the quality of occupational selection and training, limitation of time spent in extreme conditions and timely identification of persons predisposed to mental disorders.

Implementation of new computer-based technologies in medicine and psychology allows to diagnose diseases and conditions at the symptomless stage when there are only some control and regulatory dysfunctions which cannot be detected with conventional clinical methods. Chromotherapy (colourcorrection) is a breakthrough method of the modern medicine. This is a natural way of prevention of psychosomatic diseases with narrowband (monochromic) light radiation. The treatment mode is based on the bioresonance effect produced by the light of different wave lengths on a human-being through his/her visual organ. Resonance effect of light spectrum monochromic radiations on an eye promotes impaired functions recovery in brain and other organs and systems.

The work done within the limits of this research allows to make the following conclusions:

  1. Colourpsychosomatics allows to maker shorter the phase of establishing a trust-based contact with the patient; to inform the patient about his/her disorder type and therapeutic intervention options, to prepare him/her for further therapeutic experience, in particular for the necessity of going through the past painful traumatic experience once again. All this is vital in working with PTSD.
  2. Adequate execution of the rituals satisfies a patient’s need for safety: every day, from 1 to 2-3 times a day (depending on the patient’s tolerance level), a patient watches therapeutic sessions in his/her computer. Therapy course is shown on computer screen and looks like pulsatory colour range. The colours, ripple frequency and duration are chosen for each patient according to his/her needs.
  3. Everyday colourcorrection has a cumulative effect, that is “biological memorization” takes place and positive reaction volume grows over time.
  4. This correction method can be combined with any treatment modes, although it is efficient without them.
  5. Colourpsychosomatics allows to protract individual psychocorrection work with therapist, in particular work on value system correction, correction of needs and their hierarchy, adjusting a patient’s claims to his/her psychophysical potential; correction of attitude to others; forming empathic ability and ability to understand feelings and interests of others; acquiring social skills based on equality; forming ability to prevent and resolve interpersonal conflicts and, consequently, increase of stress resistance and performance efficiency level.

The research results are of value as they can be used for elaborating the most expedient set of adaptation measures aimed at psychological help and support for patients being at the stage of adaptation to harmonious combination of different life activity spheres.