Page 37 - IJSA, Vol. 1, No 1-2, 2018

Vol. 1, No. 1-2, 2018 JSA

Introduction – the PSI index, as well as their dynamics after the
Combat actions that has taken place in the east of implementation of measures for the psychological
Ukraine over the past four years has a negative impact rehabilitation of military service members. Upon its
on the physical and mental health of the combatants completion, the effectiveness of its conduct was also
(Prykhodko, Kolesnіchenko, Matsegora, Vorobyova, determined by means of the feedback form “Evaluation
and Parkhomenko, 2014). Under these conditions, the of the Effectiveness of Psychological Rehabilitation”.
psyche of the military personnel functions on the brink The cluster and correlation analyzes used (Student’s t-
of their own capabilities, and continued participation in criterion) have allowed to reveal the tightness and
combat actions can cause chronic stress and the direction of interconnections between the indicators,
development of posttraumatic stress disorder reliable differences between them and increase the
(Pasichnik et al., 2011; Prykhodko, 2015). validity of the conclusions in the research of dynamics
The experience of accomplishing combat and service of the PSI in the military service members –
tasks in such circumstances has shown that participants of combat actions after the implementation
professional and psychological preparedness of the of psychological rehabilitation measures.
military personnel is a necessary component of Seventy military service members under the contract of
professional activity (Prykhodko, 2017). Thus, it is the National Guard of Ukraine (NGU) from all regions
important that the military were able to learn of Ukraine with medium and lower levels of PSI took
techniques that allow to develop the necessary part in psychological rehabilitation program activities.
professionally important qualities to ensure a During three rounds (April, May, and October) in
psychological safety of an individual (PSI), based on 2017, the combatants experienced these activities in
not only the physical survival of a military man in NGU Medical and Rehabilitation Center, Novi
extreme conditions, but also to preserve the broader Sanzhary town.
functioning of the individual, the specialist – the ability
to act effectively and professionally (Prykhodko, Results
2014). Therefore, it is extremely important to After the execution of the CSM in extreme (combat)
implement practically into psychological support of the conditions, based on the results of psychodiagnosis, all
combat and service activity (CSA) the program for the NGU military personnel – combatants were divided
formation, maintenance and preservation of into four groups. The first group consisted of persons
psychological safety of an individual in the military. In without significant deviations of mental condition,
addition, timely measures of prevention and control of which maintained a high level of PSI, favorable family
combat stress, psychological rehabilitation of military relationships, the ability of full-fledged social
personnel after engaging in hostilities will significantly adaptation, labor and combat ability, able to continue
reduce psychogenic injuries, prevent the emergence of to perform CSM qualitatively – these military service
mental disorders from combatants. members did not need psychological rehabilitation
The conducted analysis of scientific researches and measures. The second group included combatants with
authors’ experience of participation in psychological minor deviations in their duties and psychological
support of combat and service missions (CSM) under state. They marked the lower (average) level of PSI by
the combat conditions showed that psychological different scales, reduction of working capacity,
rehabilitation of the military refers to the systems and difficulty in everyday life, but sufficient control over
measures of psychological activities aimed at their own behavior was maintained with the help of
preserving and restoring the psychological safety of the mobilizing psychological and physical resources
individual, correction of positive mental states efforts. The third group consisted of military personnel
necessary to ensure a high level of combat capabilities who had an average and low level of PSI by separate
of military personnel, exposed to psycho-traumatic scales, some signs of post-traumatic stress disorder
stress factors, as well as the creation of favorable (PTSD), acute or chronic somatic pathology in the
conditions for further successful execution of CSM. stage of aggravation. They were observed to have
The aim of the study: To develop, scientific ally certain violations of social and professional
substantiate and to test a program of psychological rehabilitation, as well as problems in their personal
rehabilitation of combatants. lives. Such military men from the second and third
groups required psychological rehabilitation at the
Material and methods NGU Medical and Rehabilitation Center. The fourth
To determine the effectiveness of the psychological group – the persons with acute signs of mental
rehabilitation program at its beginning and after the disadaptation and mental disorders that needed an
end has been used the psychodiagnostic methodology extraordinary consultation of a psychiatrist and, if
“Diagnosis of Psychological Safety of an Individual” necessary, were hospitalized to a specialized
(the PSI Methodology) of an extreme activities expert psychiatric department for examination and treatment.
(Prykhodko, 2014). It consists of 88 statements, which Consequently, because of the psychodiagnosis carried
are united in 4 scales: “moral and communicative”, out using the PSI Methodology, a group of NGU
“motivationally volitional”, “value and semantic”, military personnel participated in combat actions in the
“internal comfort”. This PSI Methodology has allowed number of 70 people (representatives of the second and
determining the individual structural components of the third groups) who were in need of psychological
PSI by different scales and its integrative characteristic rehabilitation.

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