{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:52:12Z","timestamp":1774831932714,"version":"3.50.1"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,8,15]],"date-time":"2017-08-15T00:00:00Z","timestamp":1502755200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CNS Spectr."],"published-print":{"date-parts":[[2018,4]]},"abstract":"Objective<\/jats:title>The present paper aimed to explore the neuropsychiatric characteristics of the antiterrorism (ATO) combatants in the Donets Basin (Donbass) and to propose therapeutic strategies for managing their mental healthcare.<\/jats:p><\/jats:sec>Methods<\/jats:title>A total of 54 ATO combatants were included in our study and compared with four groups of subjects exposed to other emergencies, including the Chernobyl disaster and the war in Afghanistan. The neuropsychiatric features were assessed through psychopathological assessments, neurological examinations, and quantitative electroencephalography (qEEG).<\/jats:p><\/jats:sec>Results<\/jats:title>The ATO combatants were characterized by low health self-estimation, somatic concerns, a high prevalence of posttraumatic stress disorder, anxiety, insomnia, depression, social dysfunction, mild cognitive impairment, and neurological soft signs, similar to individuals involved in the Chernobyl disaster and veterans of the Afghan War. Quantitative EEG showed abnormalities suggestive of irritation of the corticolimbic system and diencephalic structures. Some post-conflict personality changes in ATO combatants were recorded. The treatment of ATO combatants included a comprehensive strategy: from psychotropic drugs to different psychotherapies.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>On the basis of 30 years of experience in the management of the consequences of Chernobyl disaster and the available studies on war veterans, the authors proposed a method for assessment and an approach to providing mental healthcare for ATO combatants, refugees, and migrants from the Donbass, which perhaps can be used as guidelines for other conflicts. Taken together, the findings of the study suggest that voluntary participation in war may decrease but does not eliminate the risk of developing the neuropsychiatric consequences caused by such conflicts. A comprehensive strategy\u2014one that would encompass psychopharmacological, psychological, and rehabilitation techniques\u2014seems to be the most successful approach to managing the main symptoms and disorders involved.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1092852917000190","type":"journal-article","created":{"date-parts":[[2017,8,15]],"date-time":"2017-08-15T04:18:49Z","timestamp":1502770729000},"page":"178-184","source":"Crossref","is-referenced-by-count":9,"title":["Neuropsychiatric characteristics of antiterrorist operation combatants in the Donbass (Ukraine)"],"prefix":"10.1017","volume":"23","author":[{"given":"Konstantin N.","family":"Loganovsky","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia A.","family":"Zdanevich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina V.","family":"Gresko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatella","family":"Marazziti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatiana K.","family":"Loganovskaja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,8,15]]},"reference":[{"key":"S1092852917000190_ref2","volume-title":"The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders","author":"Kessler","year":"2008"},{"key":"S1092852917000190_ref18","first-page":"24","article-title":"Posttraumatic stress disorder in people suffering from armed conflict: clinical development, diagnostics, treatment and rehabilitation [in Russian]","volume":"1","author":"Kutko","year":"2016","journal-title":"Ukr Med J"},{"key":"S1092852917000190_ref16","first-page":"16","article-title":"Features of medical and sanitary losses and emergency medical care organization for population and military personnel in the area of anti-terrorist operations [in Ukrainian]","volume":"14","author":"Kochin","year":"2015","journal-title":"News Med Pharm Ukr"},{"key":"S1092852917000190_ref17","first-page":"82","article-title":"Sociodemographic and clinical psychopathological characteristics of psychoactive substance use, comorbid with PTSD, in the combatants of antiterrorist operation in Ukraine [in Ukrainian]","volume":"21","author":"Tabachnikov","year":"2015","journal-title":"Arch Psychiatry"},{"key":"S1092852917000190_ref12","volume-title":"Diagnosis, Treatment and Prevention of Medical and Psychological Consequences of Combat Operations in Modern Conditions (Guidelines)","author":"Voloshin","year":"2014"},{"key":"S1092852917000190_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291796004242"},{"key":"S1092852917000190_ref13","first-page":"8","article-title":"Posttraumatic stress disorder: diagnostic, therapy, rehabilitation [in Ukrainian]","volume":"4","author":"Kolesnik","year":"2015","journal-title":"Ukr Med J"},{"key":"S1092852917000190_ref26","doi-asserted-by":"publisher","DOI":"10.1017\/S109285291200096X"},{"key":"S1092852917000190_ref10","first-page":"23","article-title":"Scientific support of non-governmental organizations of psychiatrists, narcologists and medical psychologists activities in Ukraine","volume":"12","author":"Napryeyenko","year":"2015","journal-title":"Clin Neuropsychiatry"},{"key":"S1092852917000190_ref5","volume-title":"World Health Report 2001. 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