Rumiantseva G M, Stepanov A L
Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(12):12-7.
The authors study the exposure to different extreme events on examples of two types of stress--combat stress and the liquidation of Chernobyl accident. Thirty combatants and 33 liquidators have been examined and treated. Peculiarities of the initial study of stress reactions and posttraumatic stress disorder (PTSD) due to its main diagnostic criteria have been analyzed in each group of subjects. The authors conclude that similar pathological states, including all symptoms of PTSD, develop in response to different stressful exposures. At the same time, there are significant phenomenological differences in syndromes that are determined by the character of stressful (traumatic) event. Issues of complex treatment of patients using psychotherapy and pharmacotherapy as well as approaches to rehabilitation and social support are discussed in details.
作者以两种应激类型为例，即战斗应激和切尔诺贝利事故清理工作，研究了不同极端事件的暴露情况。对30名参战人员和33名清理人员进行了检查和治疗。分析了每组受试者因主要诊断标准而产生的应激反应和创伤后应激障碍（PTSD）的初步研究特点。作者得出结论，不同的应激暴露会引发相似的病理状态，包括PTSD的所有症状。同时，由应激（创伤性）事件的性质决定的综合征存在显著的现象学差异。详细讨论了使用心理治疗和药物治疗对患者进行综合治疗的问题，以及康复和社会支持的方法。
