Program of psychological rehabilitation of the National Guard of Ukraine military personnel participated in combat actions

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DOI: 10.26697/ijsa.2018.1-2.05
Cite this publication
International Journal of Science Annals
34
LIFE SCIENCES. Health Care Sciences
ORIGINAL RESEARCH
Program of Psychological Rehabilitation of the National Guard
of Ukraine Military Personnel Participated in Combat Actions
Author’s Contribution:
A Study design;
B Data collection;
C Statistical analysis;
D Data interpretation;
E Manuscript preparation;
F Literature search;
G Funds collection
Prykhodko І. І.1 АВСDEFG
1 National Academy of National Guard of Ukraine, Ukraine
Received: 23.10.2018; Accepted: 15.11.2018; Published: 30.11.2018
Abstract
Background and
Aim of Study:
Combat actions that have taken place over the past f our years in eastern Ukraine have
a negative impact on the physical and mental health of the combatants. Under these
conditions, the psyche of military personnel operates on the brink of its own resources,
and prolonged participation in hostilities can lead to the development of post-traumatic
stress disorder. Therefore, timely measures of prevention and control of combat stress,
psychological rehabilitation of military personnel after engagement in combat will
significantly reduce psychogenic injuries, prevent the emergence of mental disorders
from combatants.
The aim of the study: to develop, scientific ally substantiate and to test a program of
psychological rehabilitation of combatants.
Material and Methods:
To determine the effectiveness of the program of psychological rehabilitation at the
beginning and at the end was used by authorial diagnostic of mental disorders
methodology “Psychological Safety of Personality”, as well as “The Questionnaire
Evaluating the Effectiveness of Psychological Training” after completing the
psychological training . In total, 70 military men of the National Guard of Ukraine from
all regions of Ukraine participated in the program of Psychological rehabilitation, and
the practical implementation and testing of the program took place in 2017.
Results:
The program of psychological rehabilitation of combatants based on psychological
training for restoring the psychological safety of a military man’s personality has been
developed and scientifically substantiated. The practical implementation of the program
of the psychological rehabilitation of the combatants proved its effectiveness: the results
of the dynamics of the components of psychological safety of a person increased on
average by 16%.
Conclusions:
Proposed program of psychological rehabilitation of combatants helped to improve the
mental condition of military personnel, to restore psychological resources of a person
and to prevent the development of mental disorders.
Keywords:
prevention of mental disorders, psychological rehabilitation psychological training,
military personnel, combat actions, combatants.
Copyright:
© 2018 Prykhodko І. І. Published by Archives of International Journal of Science
Annals
DOI and UDC
DOI 10.26697/ijsa.2018.1-2.05; UDC 159.9.072(477)
Conflict of interests:
The author declares that there is no conflict of interests
Peer review:
Double-blind review
Source of support:
Departmental sources
Information about
the author:
Prykhodko Ihor Ivanovich (Corresponding Author) https://оrsid.оrg/0000-0002-
4484-9781; prikhodko1966@ukr.net; Doctor of Psychological Sciences, Professor,
Chief of the Scientific and Research Center for Service and Combat Activities of the
National Guard of Ukraine, National Academy of National Guard of Ukraine; Kharkiv,
Ukraine.
Vol. 1, No. 1-2, 2018
35
JSA
Introduction
Combat actions that has taken place in the east of
Ukraine over the past four years has a negative impact
on the physical and mental health of the combatants
(Prykhodko, Kolesnіchenko, Matsegora, Vorobyova,
and Parkhomenko, 2014). Under these conditions, the
psyche of the military personnel functions on the brink
of their own capabilities, and continued participation in
combat actions can cause chronic stress and the
development of posttraumatic stress disorder
(Pasichnik et al., 2011; Prykhodko, 2015).
The experience of accomplishing combat and service
tasks in such circumstances has shown that
professional and psychological preparedness of the
military personnel is a necessary component of
professional activity (Prykhodko, 2017). Thus, it is
important that the military were able to learn
techniques that allow to develop the necessary
professionally important qualities to ensure a
psychological safety of an individual (PSI), based on
not only the physical survival of a military man in
extreme conditions, but also to preserve the broader
functioning of the individual, the specialist the ability
to act effectively and professionally (Prykhodko,
2014). Therefore, it is extremely important to
implement practically into psychological support of the
combat and service activity (CSA) the program for the
formation, maintenance and preservation of
psychological safety of an individual in the military. In
addition, timely measures of prevention and control of
combat stress, psychological rehabilitation of military
personnel after engaging in hostilities will significantly
reduce psychogenic injuries, prevent the emergence of
mental disorders from combatants.
The conducted analysis of scientific researches and
authors’ experience of participation in psychological
support of combat and service missions (CSM) under
the combat conditions showed that psychological
rehabilitation of the military refers to the systems and
measures of psychological activities aimed at
preserving and restoring the psychological safety of the
individual, correction of positive mental states
necessary to ensure a high level of combat capabilities
of military personnel, exposed to psycho-traumatic
stress factors, as well as the creation of favorable
conditions for further successful execution of CSM.
The aim of the study: To develop, scientific ally
substantiate and to test a program of psychological
rehabilitation of combatants.
Material and methods
To determine the effectiveness of the psychological
rehabilitation program at its beginning and after the
end has been used the psychodiagnostic methodology
“Diagnosis of Psychological Safety of an Individual”
(the PSI Methodology) of an extreme activities expert
(Prykhodko, 2014). It consists of 88 statements, which
are united in 4 scales: “moral and communicative”,
“motivationally volitional”, “value and semantic”,
“internal comfort”. This PSI Methodology has allowed
determining the individual structural components of the
PSI by different scales and its integrative characteristic
the PSI index, as well as their dynamics after the
implementation of measures for the psychological
rehabilitation of military service members. Upon its
completion, the effectiveness of its conduct was also
determined by means of the feedback form “Evaluation
of the Effectiveness of Psychological Rehabilitation”.
The cluster and correlation analyzes used (Student’s t-
criterion) have allowed to reveal the tightness and
direction of interconnections between the indicators,
reliable differences between them and increase the
validity of the conclusions in the research of dynamics
of the PSI in the military service members
participants of combat actions after the implementation
of psychological rehabilitation measures.
Seventy military service members under the contract of
the National Guard of Ukraine (NGU) from all regions
of Ukraine with medium and lower levels of PSI took
part in psychological rehabilitation program activities.
During three rounds (April, May, and October) in
2017, the combatants experienced these activities in
NGU Medical and Rehabilitation Center, Novi
Sanzhary town.
Results
After the execution of the CSM in extreme (combat)
conditions, based on the results of psychodiagnosis, all
NGU military personnel combatants were divided
into four groups. The first group consisted of persons
without significant deviations of mental condition,
which maintained a high level of PSI, favorable family
relationships, the ability of full-fledged social
adaptation, labor and combat ability, able to continue
to perform CSM qualitatively these military service
members did not need psychological rehabilitation
measures. The second group included combatants with
minor deviations in their duties and psychological
state. They marked the lower (average) level of PSI by
different scales, reduction of working capacity,
difficulty in everyday life, but sufficient control over
their own behavior was maintained with the help of
mobilizing psychological and physical resources
efforts. The third group consisted of military personnel
who had an average and low level of PSI by separate
scales, some signs of post-traumatic stress disorder
(PTSD), acute or chronic somatic pathology in the
stage of aggravation. They were observed to have
certain violations of social and professional
rehabilitation, as well as problems in their personal
lives. Such military men from the second and third
groups required psychological rehabilitation at the
NGU Medical and Rehabilitation Center. The fourth
group the persons with acute signs of mental
disadaptation and mental disorders that needed an
extraordinary consultation of a psychiatrist and, if
necessary, were hospitalized to a specialized
psychiatric department for examination and treatment.
Consequently, because of the psychodiagnosis carried
out using the PSI Methodology, a group of NGU
military personnel participated in combat actions in the
number of 70 people (representatives of the second and
third groups) who were in need of psychological
rehabilitation.
International Journal of Science Annals
36
A special program was developed for conducting
psychological rehabilitation at the Scientific Research
Center of NGU Combat and Service Activity. The
purpose of the psychological rehabilitation program of
the NGU combatants is to restore mental health, a
sense of PSI and effective social behavior.
The main tasks of psychological rehabilitation program
of combatants are as following:
1) psychological correction of violations of the
emotional, personal and behavioral sphere of the
military;
2) improvement of the state of mental health,
restoration of levels of PSI, quality of life of military
service members in order to increase their social
adaptation in the family, military team and society;
3) prophylaxis of the early marginal disorders of the
mental register (including manifestations of suicidal
behavior) in the military;
4) training of self-regulation measures (removal of
stress, anxiety, aggressiveness, control of dependent
behavior, training of means of self-motivation);
5) formation of constructive skills of social interaction
in society;
6) mobilization of psychological resources of military
personnel in overcoming the consequences of wounds,
injuries, disability, relief of pain, psychological training
of victims of surgery and in the postoperative period
(as necessary);
7) monitoring of the psychological state of military
personnel participating in the psychological
rehabilitation program activities.
The main types of activities included in the
psychological rehabilitation program of military
personnel are as follows:
1. Psychodiagnostics (monitoring of individual
psychological peculiarities of personality before and
after psychological rehabilitation).
2. Psychological lecture.
3. Practical training on self-regulatory means (control
of anger, self-motivation, etc.).
4. Psychological training for the restoration of PSI in
military personnel participating in combat actions.
5. Individual consultations with combatants, conducted
simultaneously irrespective of the measures of the main
psychological rehabilitation program.
Before conducting a psychological rehabilitation
program of combatants, specialists are involved in the
distribution of the following main functions:
1) Counselling Psychologist for conducting an
introductory lecture, psychodiagnosis, individual
consultations and practical classes, which are aimed at
forming skills of self-management and desensitization,
including every day relaxation measures, except for
those conducted by the psychologists-trainers.
2) Training Psychologist for training PSI recovery in
military participating in combat actions.
3) Family Psychologist for group and individual
trainings, consultations.
4) Sexologist (sex therapist) for the group and
individual trainings, consultations.
Structure of the combatants’ psychological
rehabilitation program is presented in Table 1.
The main component of the psychological
rehabilitation program of combatants is the
psychological training for the PSI restoration. Purpose
of the training: the restoration of PSI as a harmonious
combination of a sense of security and ability to
develop and self-fulfillment.
The tasks of the psychological training for the
restoration of PSI are as following:
- restoration of the PSI feeling, feeling of safety, ability
to protect themselves;
- transfer of responsibility for their own lives into their
own hands, restoration of their ability to manage their
own lives;
- using the traumatic situation to rethink the values of
their own lives;
- the use of trauma energy for post-traumatic growth.
The psychological training is intended for military
personnel participating in combat operations, which
have an average and low level of PSI, signs of ASR
and PTSD, disorders of rehabilitation that do not reach
the clinical level. The number of participants is about
12-15 people. Possible involvement of co-coach, in
addition to the main trainer. The trainer should be a
male psychologist who has experience of participating
in combat actions.
The psychological rehabilitation work involves the
movement following the vector from the “disturbed
sense of safety” to “normalizing the sense of personal
safety”. This movement takes place under two main
conditions: 1) the creation of a safe atmosphere, a safe
environment; 2) the use of psychological techniques.
Conducting psychological training in the conditions of
a Medical Rehabilitation Center meets both these
conditions. The basis of the training is the developed
model of the PSI (Prykhodko, 2014). It involves
working with the four components that form the
sensation of PSI as a harmonious state that combines a
sense of safety and a desire for self-realization:
1) satisfaction with the situation of development of
own “Me” this component “Internal comfort”
initiates movement from the change of environment or
from the actualization of mechanisms of self-
regulation;
2) “Value and semantic” component allows
determining the vital priorities to overcome the
traumatic situation, it implements the principle:
“Everything can be experienced, if you know for
what”;
3) “Motivational and volitional” component involves
understanding of the own goals and opportunities for
their achievement and, accordingly, harmonious
redistribution of energy for the realization of really
important things and not dispersal of forces on the
secondary things (especially in conditions of danger);
4) “Moral and communicative” component means that
following the rules of interaction adopted in the
surrounding society promotes the formation of a safe
social environment, reduces the probability of
conflicts, creates an atmosphere of promoting the
realization of the goals of the person, self-realization.
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IJSA
Table 1. Structure of the combatants’ psychological rehabilitation program
Day of
training
Group work
1st day
1. Lecture (1.0 hour): “The Consequences of Mental Traumatism”.
The goal is to form conscious participation in psychological events. Provide
overview of the types of consequences of trauma, clinical picture of acute stress
reaction (ASR) and PTSD, the possibility of psycho correctional intervention. To
promote awareness of members of their current condition, eliminating the halo of
exclusivity existing psychological problems, establishing a connection between
psychogenic factors, the emergence and persistence of the PTSD symptoms. To
acquaint with the schedule of work of the Counselling Psychologist. Answer the
questions.
2. Psychological diagnostics (1.5 hours) (the Methodology “Diagnostics of PSI”).
3. Relaxation, exercises to improve sleep (exercise “Safe Place”) (0.5 hours).
2nd day
1. PSI recovery training in the military along with symptoms of PTSD (3.0 hours)
(lesson No. 1). The purpose acquaintance, definition of the individual situation of
development, the state of well-being.
3d day
1. Group self-regulating classes learning ways to overcome stress and injury.
2. Mastering the Aliyev Keys (Keys) technique.
4th day
1. Group lessons with a family psychologist (2.0 hours).
Goal improvement of readaptation to the family after a long separation and the
formation of a motivation for consulting a Family Psychologist.
2. Development of anger control means (0.5 hours).
3. Relaxation, exercises to improve sleep, the Keys technique exercises (0.5 hours).
5th day
1. Group lesson (lecture) of a sexologist / sex therapist (2.5 hours).
The goal is to determine the ways of solving typical sexual problems of military
personnel having stress and being after a long separation from spouses, the
formation of the motivation for consulting a sexologist / sex therapist.
2. Relaxation, exercises to improve sleep, the Keys technique exercises (0.5 hours).
6th day
1. Training for the restoration of the PSI in military service members having signs
of PTSD (3 hours) (lesson No. 2).
The purpose is to work with the value-semantic part of the PSI.
7th day
1. Group classes on self-regulation (2.5 hours) work with losses.
2. Relaxation, Keys technique exercise (0.5 hours).
8th day
1. Group self-regulating lessons (2.5 hours) work with dependencies.
2. Relaxation, Keys technique exercise (0.5 hours).
9th day
Training for the restoration of the PSI in military personnel having signs of PTSD
(lesson No. 3) (3.0 hours). The purpose is to work with the motivational-volitional
part of the PSI.
10th day
1. Group lessons with a Family Psychologist (2.5 hours).
The goal is to improve rehabilitation for the family life after a long separation and
to formulate a motivation for consulting a Family Psychologist.
2. Relaxation, exercises to improve sleep, Keys technique exercise (0.5 hours).
11th day
1. Group lesson (lecture) of a sexologist / sexologist (2.5 hours).
The goal is to identify ways to solve typical sexual problems of military service
members having stress and being after a long separation from their spouses, and to
motivate for consulting a sexologist / sex therapist.
2. Relaxation, exercises to improve sleep, Keys technique exercise (0.5 hours).
12th day
1. Group sessions on self-regulation (2.5 hours) a means for self-motivation.
2. Relaxation, Keys technique exercise (0.5 hours).
13th day
1. PSI recovery training in the military having symptoms of PTSD (lesson No. 4)
(3.0 hours).
The purpose is to work with the moral and communicative part of the PSI.
14th day
1. PSI recovery training in the military having symptoms of PTSD (last lesson
No. 5 drawing of future life paths in-group (3.0 hours).
2. Psychological diagnostics (1.0 hour) (“PSI Diagnostics” Methodology).
International Journal of Science Annals
38
All components are interconnected and act as a single
mechanism. Of course, the outer layer of the
mechanism “moral and communicative component”
is the most heavily used; it provides safety, beginning
with common everyday situations of interaction. The
central component is the “inner comfort” or the
satisfaction with the situation of the development of its
own “Me” is actualized when a productive and safe
life under the old “scheme” becomes impossible (most
people are able to endure significant “inconveniences”
for a long time before making a major change in their
lives).
It should be noted that the peculiarity of working with
military who have expressed signs of ASR and PTSD
is that the leader (coach) or the participants do not
interpret the feelings, statements of military men,
which imparts special requirements to the stage of
“reflection” the discussion of exercises. When
organizing classes it is necessary to avoid excessive
activity (very shortly used exercises for “warm-up”,
open confrontation), each session and complicated
relaxation exercises are over. Classes have a relatively
short duration of 3 hours (and not 6-8, as in the deep
immersion training (Lefterov, 2008). In exercising the
imagination, you must constantly monitor the course of
what the participant has to imagine (the coach
continuously guides the participant’s imagination by
the verbal commands); it is not need to require closing
eyes for those whose exercises are aimed at working
with imagination (do not insist if some participants
refuse to close their eyes). The trainer briefly
announces the content of the presentation exercises so
that participants can feel their control over the process.
The trainer tells the content and meaning of the classes
at the beginning of the psychological training and each
lesson in an accessible, concise form. Such awareness
reduces stress and increases the effectiveness of
training (Lefterov, 2008).
The use of unusual for everyday activities of the
military personnel of drawing during the training, work
with tales, with cards, meditation is explained to
participants as a means that allows faster development
of new forms of behavior, views on problem solving,
which allows to bypass acquired, habitual habits.
Exercises that under psychological training aimed at
self-regulation in stress should relate to situations of
insignificant or moderate severity (traumatism). If a
participant considers that an exercise suits him for the
self-regulation of heavier classes, he may use it during
individual consultations under the supervision of a
counseling psychologist who fully possesses all
exercises that are mastered by the participants during
the training.
In addition, the training is intensified by group lessons
on the development of other methods of self-
regulation, conducted by a counseling psychologist,
and which correspond to the sequence of training
sessions. Such a division allows to keep in mind of the
participants the structure of the training and to
understand better the various ways of self-regulation,
which reinforces the individual approach and improves
the assimilation of the material.
Group classes determine the direction of development,
actualize the need for change, and promote awareness
of the existence of problems and the need for assistance
in overcoming them.
Individual consultations, which are conducted in
parallel (simultaneously) with group sessions, are
intended for more profound working out of problems,
work with more intimate questions, which participants
of the training for one reason or another cannot make
during group discussion.
Psychological training is carried out in a relatively
small room, with proper form, with good lighting
(participants should have the opportunity to be
arranged in the circle in such a way so that their back is
protected by the walls of a room). The window must be
relatively small or make it possible to provide distance
from it (if the training participants avoid places near
the window, then the coach takes that place). Chairs
should be reliable (with a high back and no wheels),
there should be no deaf cubes (uncontrolled for the
sight of the space), shadows, extra furniture, etc.
During the training, the leader should determine the
status of the participants visually, with the help of
verbal self-descriptions and Luscher techniques. To
remove negative states use relaxation exercises, “H.M.
Aliyev Key”, “Safe place” and “Change of seasons”
(see Tables 1, 2; including instructions for the current,
not traumatic situation). The trainer should use active
listening and support techniques. If available,
participants of the training should discuss the issue of
providing support to comrades who describe their
traumatic experiences (it is necessary to voice support
methods that are acceptable for this group).
The psychological training for the restoration of the
PSI of military service members-participants of combat
operations contains five classes for three hours each.
The training rules are as follows: the group should not
have complete confidentiality, so it is necessary to
speak only about what they are ready to share; do not
criticize; do not give advice; respect others; you can be
angry with the words you hear at the training, but you
will take from the training exactly that you need.
Simultaneously with the training in the organization of
recreation of military men were held master classes on
painting fingers, folk painting, pottery (work with
clay), dancing, yoga, animal therapy (horseback
riding).
The results of the psychodiagnosis carried out using the
PSI Methodology before and after the activities of the
psychological rehabilitation program of military
service members-participants in combat operations are
presented in Table 3.
As we can see from the given data, the indicators of
PSI dynamics after the implementation of
psychological rehabilitation measures are statistically
significantly higher among military servicemen than on
individual scales, as well as in general, according to the
PSI index, on average they have improved by 16% (see
Figure 1).
In addition, to assess the feedback on the effectiveness
of the combatants’ psychological rehabilitation
program activities, a questionnaire was developed and
questioning had been performed (see Table 4).
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Table 2. Structure of the program of psychological training to restore the psychological safety of the personality of the
combatants.
The purpose of the lesson, the name of the exercise
Time
Psychodiagnostics of peculiarities of PSI of combatants
1 hour
Module 1
Correction of negative
psychic reactions and
states that arise during
the performance of the
CSM in extreme
conditions,
improvement of sleep
quality, increase of the
value of life.
Lesson No. 1
The purpose is to actualize the component of the PSI “internal comfort” as a satisfaction with
the development of its own “Me”. Forming of an active position to overcome the danger
situation, actualization of available means of self-regulation or the development of new ones,
the need for which a person feels.
A sequential implementation of the following exercises is previewed:
1. “Acquaintance” is aimed at identifying with the social group and understanding their
own peculiarities.
2. “Life way” – is intended for awareness of the individual situation of development.
3. “Change of seasons” is aimed at representing the traumatic situation in which
participated the soldier, the presentation of the seasons and their successive changes
(autumn, winter, spring, summer).
4. “Recommendation” – designed to find own strengths, training confidence in the situation
of the public presentation, increase self-esteem.
3 hours
Module 2
Development of value-
semantic sphere in
combatants.
Lesson No. 2
The purpose is to actualize the value-semantic component of the PSI.
Awareness of the desire to achieve in their own lives, the guidelines for the sake of what it is
worth living, the transfer of all the difficulties of military service, put their lives at risk.
Definition, for which it is necessary to undergo psychological rehabilitation, to change the
ways of behavior, which during the service became familiar, comfortable. Sequential
exercise:
1. “Understanding of Goals” is intended to help understand the relationship between their
own goals and daily activities, prioritizing priorities.
2. “Epitaph” – aimed at discussing and determining the life goals, values of the combatants.
3. “The meaning of life” designed to withdraw from the subconscious goals, which soldiers
seek.
3 hours
Module 3
Increase of resistance to
stress, formation of
productive coping
strategies, activation of
professional motivation,
acquisition of skills for
setting real professional
goals,their achievement,
obtaining skills of self-
regulation of behavior
in extreme conditions.
Lesson No. 3
The purpose actualization of the motivational and volitional component of the PSI.
Forming of flexibility in military men's achievement of goals, redistribution of energy in
favor of more important goals, training on the use of productive copings. Sequential
exercise:
1. “Good in bad” designed to identify positive moments in negative events, an attempt to
correct failure in terms of utility.
2. “Steps of Achievements” – aimed at identifying and correcting the purpose of life, further
professional growth.
3. “Non-book problems” is intended for studying the solution of life problems using the
symbolic field.
3 hours
Module 4
Improvement of the
process of adaptation to
the extreme conditions
associated with
performing of the CSM,
the development of
moral and
communicative,
volitional qualities.
Lesson No. 4
The purpose actualization of the moral and communicative component of the PSI.
Forming of conditions for self-realization through understanding the rules for organizing
interaction in a social group reduces the conflict of behavior. As a result, people have the
opportunity to spend mental energy on their own goals rather than overcoming conflicts.
Sequential exercise:
1. “Internal justification” – manifests the character of the creative representation of the
combatant, stimulates the development of creativity and imagination, the ability to emotional
(impulsive) perception, improvisation, observation, development of a sense of humor.
2. “Qualities that irritates in other people” helps each participant of the training to
understand why these or other qualities can annoy him.
3. “Plasticine” – improves communication, interaction with people, joint activities, reduces
aggressiveness, and identifies leaders.
4. “Rules of Civil Life” – based on the 8 basic specific rules of survival and skills required in
the battle, but which complicate the civil life of Pucelik (Pucelik and Mcbee, 2017): security;
trust and definition of the enemy; devotion of the goal; decision-making; tactics of response;
predictability and control; control of emotions; difficulty talking about the war.
3 hours
Final lesson
Summarizing the
training.
Lesson No. 5
The purpose is to update plans for the future of life.
Forming of ideas for the future is a positive attitude towards your life, your loved ones, as
well as your professional activities. Sequential exercise:
1. Exercise “Map of the Future” – designed to determine the ways of personal development
and aspirations in professional activities.
2. Exercise “Sharing drawing of the future” improves the correction of personal goals in life
and activities, modeling human behavior in society.
3 hours
Psychodiagnostics of the PSI dynamics of combatants
1 hour
International Journal of Science Annals
40
Indicator value
Table 3. Indicators of PSI of combatants before and after the activities of the psychological rehabilitation program (in
standard units).
Scales of the method “Diagnostics of
psychological safety of an individual”
Study groups (n=70)
Significance of
discrepancies
Before implementation
After implementation
t
p
Morally communicative
94.00 ± 14.39
99.62 ± 16.11
0.94
Motivational and volitional
106.85 ± 10.95
114.85 ± 14.53
1.71
0.10
Value and semantic
104.54 ± 13.05
113.77 ± 15.81
1.74
0.10
Internal comfort
103.15 ± 14.69
114.23 ± 13.71
2.14
0.05
PSI index
408.00 ± 41.70
440.46 ± 57.57
1.77
0.10
Figure 1. Dynamics of indicators of psychological safety of an individual of combatants because of the program of
psychological rehabilitation.
Table 4. Profile “Evaluating the effectiveness of the psychological rehabilitation program”.
No.
Question
Scale of evaluation
1
How important for you were the program topics?
1 2 3 4 5 6 7 8 9 10
2
Did you know something new to yourself?
1 2 3 4 5 6 7 8 9 10
3
Will you be able to apply the acquired knowledge in practice?
1 2 3 4 5 6 7 8 9 10
4
Measure how much the program is provided with new information.
1 2 3 4 5 6 7 8 9 10
5
How consistent and logical was the material presented?
1 2 3 4 5 6 7 8 9 10
6
Evaluate the volume of the material outlined.
1 2 3 4 5 6 7 8 9 10
7
How comfortably did you feel yourself during the presentation of the material?
1 2 3 4 5 6 7 8 9 10
8
How difficult was it for you to perceive the material?
1 2 3 4 5 6 7 8 9 10
9
Evaluate the pace of material presentation.
1 2 3 4 5 6 7 8 9 10
10
How much are you satisfied with trainers?
1 2 3 4 5 6 7 8 9 10
Note. Instruction: “Dear participants of the psychological rehabilitation program! We ask you to answer the
questionnaire. Your opinion about the events is very important for us. Your evaluations will help us to make our joint
work more effective. All your thoughts will be taken into account when drawing up the program for its further use”.
Figure 2. Satisfaction (subjective assessment) by carrying out measures for the psychological rehabilitation of
combatants.
The results of the anonymous survey showed that 83%
of participants in psychological rehabilitation were
satisfied with the program, 17% of respondents
expressed their wish for further correction (Figure 2).
Discussion
The problem of psychologic rehabilitation of the
military service members participating in combat
actions always was relevant in any country of the
0
20
40
60
80
100
120
moral and
communicative
motivational
and volitional
value and
semantic
internal
comfort
Before conducting a program of
psychological rehabilitation of
combatants
After conducting a program of
psychological rehabilitation of
combatants
83%
17%
Satisfied
Needs correction
Vol. 1, No. 1-2, 2018
41
IJSA
world, where local military conflicts had taken place
(Smith, Ryan, Wingard, Slymen, Sallis, and Kritz-
Silverstein, 2008; Rona, Jones, Iversen, and Hull,
2009; Wittchen et al., 2012). It acquired special
importance after the “Vietnam War”, in which US
troops participated, as well as other military conflicts
on the territory of Afghanistan and Iraq (Browne et al.,
2007; Milliken, Auchterlonie, and Hoge, 2007; Rona,
Jones, Sundin, Goodwin, Hull, Wessely, and, Fear,
2012; Sundin et al., 2014). According to American and
British scientists, after the fighting ended, tens of
thousands of veterans committed suicide; various
forms of PTSD often began to appear in other
combatants, many of which broke up families, various
manifestations of addictive behavior appeared
(alcoholism, drug addiction, etc.) (Rona, Jones, French,
Hooper, and Wessely, 2004; Schnurr, Lunney, and
Sengupta, 2004; Sareen, Cox, Afifi, Stein, Belik,
Meadows, and Asmundson, 2007; Hunt, Wessely,
Jones, Rona, and Greenberg, 2014). As the results of
the conducted research showed, such effects began to
arise in connection with the failure to conduct or poor-
quality conduct of measures for psychological recovery
and rehabilitation (Sundin, Fear, Iversen, Rona, and
Wessely, 2010; Schulte-Herbruggen and Heinz, 2012).
In connection with this, veterans of combat operations
and active military personnel began to develop hidden
and deployed mental disorders, in particular PTSD
(Andrews, Brewin, Philpott, and Stewart, 2007;
Brailey, Vasterling, Proctor, Constans, and Friedman,
2007; Brewin, Andrews, Hejdenberg, and Stewart,
2012; Marx et al., 2012). Following the development of
appropriate psychological rehabilitation programs,
foreign scientists point out that after their practical
implementation, the percentage of people who
experience significant personal psychological problems
and mental disorders is significantly reduced (Solomon
and Mikulincer, 2006; Sundin, Fear, Hull, Jones,
Dandeker, and Hotopf, 2010).
Thus, timely development and implementation of the
program of psychological rehabilitation of military
personnel participants in combat operations, veterans
will be able to prevent the development of severe
mental disorders (PTSD, depression) or significantly
reduce their number, as well as improve the process of
reapplication of combatants to a peaceful life.
Conclusions
The proposed program of psychological rehabilitation
of military servicemen-combatants allows to restore
emotional self-regulation of an individual and to
improve the neutralization of aggressive
manifestations, to create higher tolerance to others, to
reduce the risk of maladaptation during extreme
conditions, to increase neuro-psychological stability, to
improve communicative qualities and control of
consciousness over behavior.
As a result of the activities of the psychological
rehabilitation program, not only personal and
professional qualities of the military servicemen
develop, but a well-differentiated professional image of
the world is being developed; in the future it is possible
to predict the events of one’s own life; to avoid
unwanted situations for self-realization; to develop the
socio-psychological environment according to their
own plan and to play a leading role in relations with
others.
After conducting a psychological training for
restoration of the psychological security of an
individual, military service members become more
open to new experiences, new ways of interaction, they
are not afraid of new tasks, difficult life situations. The
constructed relationship with the surrounding
environment will not only allow the use of external
resources in extreme situations, but will also contribute
to the continuous enrichment of the soldier’s
personality.
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Cite this article as:
Prykhodko, І. І. (2018). Program of psychological rehabilitation of the National Guard of Ukraine military personnel
participated in combat actions. International Journal of Science Annals, 1(1-2), 3442. doi:10.26697/ijsa.2018.1-2.05
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