Title : Posttraumatic stress disorder: Functional organic transition
Today combat-related mental disorders related to the extraordinary stress are the most commonly reported mental health disorders among medical and sociological problems. The actuality of these disorders is determined by polygenic and multifact?rial essence of combat trauma (the impact of psychogenic trauma, ecological factors, physical brain injury etc) as well as by increasing prevalence of current disorder.
According to the clinical practice data clinical manifestations of PTSD and patients personality have been firstly essentially and formally changed during the long term dynamic of current disorder: secondly PTSD is transformed from social-psychological phenomenon into clinical phenomenon; third transformation of the content of combat trauma observed in peacetime determined that combat trauma is changed into moral trauma; at least PTSD is associated with somatic or mental health pathology (mostly with organic brain disorder).
Clinical-psychopathological and psychological researches (15-18 years postwar) among war veterans with PTSD elicited unique dynamic of clinical disorders while observation period. Syndromes and nosological manifestation of the disorder developed after combat trauma were studied. Preliminary results, suggested by a number of biological researches, confirmed the hypothesis of inflammatory – related nature of PTSD. Our research data confirms viewpoint on possible functional-organic transition of PTSD in distant result. It is emphasized that increasing of somatisation leads to decreasing of emotional component. As a result the psychiatric (psychological) process transforms into organic associated with increasing of aggression. It is indicated that current disorder in ex-combatants is qualified as organic emotionally unstable, psychopathic–like, postcontusionand psycho- organic disorders at the stage of distant results.