993714f795006a4a475674a55dfda7ad 265642.pdf febdfea19df67005983ed834c864dc77a5181245 265642.pdf a1ca54118c82f0ac2a450b560889109b9bad7538afc544acfdb2600983b9415c 265642.pdf Title: Current War in Ukraine: Lessons from the Impact of War on Combatants’ Mental Health during the Last Decade Subject: Ukrainian Military Hospital retrospective analysis during a decade of conflicts (3995 records) unveils specific mental health ICD-10-CM distribution per rank and the long-lasting impact of active conflict or trench warfare. Most hospitalizations in all years of observation were among soldiers. Anxiety-related disorders have been present since ‘peacetime’, mainly among professional soldiers and high ranks, pointing to the need for rank-tailored psychological training in skills to reduce the anxiety burden. High frequency of psychoactive substance use emerged with acute conflicts and in nonprofessional soldiers during wartime. This dictates the need to strengthen the selection of military personnel, considering the tendency to addiction. Military operations multiply the hospitalizations in psychiatric hospitals. The data warn about a ‘need for free beds effect’, which is worse for soldiers. This is relevant to estimating and planning the need for hospital resources for the current situation where the general population has been recruited for defense. In the current war, tightening the rules of sobriety in units and up to a ban on the sale of alcoholic beverages in areas where hostilities are taking place is recommended. The specific impact on nonprofessional soldiers is relevant to the current war, with the general population of Ukraine recruited for defense and combat. Keywords: mental health; war; stress; Ukraine; soldiers; ICD-10; anxiety; psychoactive drug use; military rank Author: Andriy Haydabrus, Mikel Santana-Santana, Yuriy Lazarenko and Lydia Giménez-Llort Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Aug 24 12:08:32 2022 CEST ModDate: Wed Aug 24 12:36:23 2022 CEST Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 9 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1753365 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- OYGWHX+VnURWPalladioL Type 1 Custom yes yes no 10 0 ICMNRL+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 ZKHAKD+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 JNLAJH+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 BTFGED+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes 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BCDIEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 165 0 BCDJEE+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 172 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 188 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 192 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 196 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-06-20 02:32:10 CEST RepresentationInformation: 265642.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-06-19 09:41:09 CEST Size: 1753365 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 313 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Database and Study Design Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Statistical Analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Children: Item: Title: Anxiety Disorders Were Already Present in Peacetime, While a High Frequency of Psychoactive Substance Use Emerged with Acute Conflicts Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: An Increase in Psychological Stress Symptoms Could Be a Confounding Factor in Admissions Diagnosed as ‘Healthy’ Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: The ICD-10 Category Depended on the War Period Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: The Dramatic Increase in Admissions and the Specific Mental Health Profiles per Rank Put the Hospital’s Efficiency at Risk Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: The Specific Impact on PSUd in Nonprofessional Soldiers Is Relevant to the Current War, with the General Population of Ukraine Recruited for Defense and Combat Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: A ‘Need for Free Beds Effect’ Could Explain Shorter Hospital Stays during Active Conflict and Anticipate Similar Phenomena in the Current War Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@a38d7a3 Info: Title: Current War in Ukraine: Lessons from the Impact of War on Combatants’ Mental Health during the Last Decade Author: Andriy Haydabrus, Mikel Santana-Santana, Yuriy Lazarenko and Lydia Giménez-Llort Subject: Ukrainian Military Hospital retrospective analysis during a decade of conflicts (3995 records) unveils specific mental health ICD-10-CM distribution per rank and the long-lasting impact of active conflict or trench warfare. Most hospitalizations in all years of observation were among soldiers. Anxiety-related disorders have been present since ‘peacetime’, mainly among professional soldiers and high ranks, pointing to the need for rank-tailored psychological training in skills to reduce the anxiety burden. High frequency of psychoactive substance use emerged with acute conflicts and in nonprofessional soldiers during wartime. This dictates the need to strengthen the selection of military personnel, considering the tendency to addiction. Military operations multiply the hospitalizations in psychiatric hospitals. The data warn about a ‘need for free beds effect’, which is worse for soldiers. This is relevant to estimating and planning the need for hospital resources for the current situation where the general population has been recruited for defense. In the current war, tightening the rules of sobriety in units and up to a ban on the sale of alcoholic beverages in areas where hostilities are taking place is recommended. The specific impact on nonprofessional soldiers is relevant to the current war, with the general population of Ukraine recruited for defense and combat. 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