The war in Ukraine actualized the problem of post-traumatic stress disorder. Comprehensive rehabilitation of combatants after the end of hostilities, that is, after the termination of the stressor, is of particular importance for society. Reducing the impact of the consequences of traumatic stress on somatic health and preventing psychosomatic pathology in these patients is an important task of medicine. The purpose of the study was to analyze the main directions of medical and psychological rehabilitation of combatants and measures to improve them. Materials and methods. A review of the literature in specialized publications and the Internet was carried out. Results and discussion. Medical and psychological rehabilitation of combatants should include several areas: diagnosis of the syndrome of socio-psychological maladaptation; psychological counseling; psychological correction; training in self-regulation skills; socio-psychological trainings; assistance in professional self-determination, career guidance for retraining and subsequent employment. The medical and psychological rehabilitation of combatants should be based on the main provisions of the integrative coping concept, according to which overcoming stress is a process in which an individual attempts to change or eliminate the problem, to reduce its intensity by changing their point of view on it, to ease its impact by distracting themselves from something or using other various coping methods. Conclusion. The results obtained clearly proved that today the rehabilitation of only the physical condition of patients is no longer relevant, since without taking into account the psychological status of the individual, its social adaptation, it is impossible to talk about the full functioning of the individual. All combatants will have to go through a period of social and psychological rehabilitation. The implementation of the Concept of the State Target Program for the physical, medical, psychological, social rehabilitation and professional readaptation of combatants requires the implementation of organizational and legal measures related to the conduct of targeted and coordinated actions on the part of government bodies, executive authorities, local governments, non-state institutions and organizations, and on a nationwide scale should provide medical, social and economic efficiency. The system of providing medical and psychological assistance and rehabilitation of combatants actions in terms of material, technical and personnel support should be considered as a component of the national security of the state

Keywords: combatants, medical and psychological rehabilitation, post-traumatic stress disorder

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1. Horowitz MJ, Wilner N, Kaltreider N, Alvarez W. Signs and symptoms of posttraumatic stress disorder. Arch Gen Psychiatry. 1980; 37(1): 85-92. PMID: 7352843. doi: 10.1001/archpsyc.1980.01780140087010
2. Aleshchenko VI. Posttravmatychnyi stres viiskovosluzhbovtsiv – uchasnykiv boiovykh dii: psykholohichnyi analiz [Post-traumatic stress of military personnel - participants in hostilities: a psychological analysis]. Visnyk Kyiv Nats un-tu im T Shevchenka. Viisk-spetsialni nauky. 2015;1(32):5-10. [Ukrainian]
3. Mykhailov BV, Chuhunov VV, Kurylo VO, Sarzhevskyi SN. Posttravmatychni stresovi rozlady [Post-traumatic stress disorders]. Navchalnyi posibnyk. Pid zah red prof BV Mykhailova. Vyd 2-e, pereroblene ta dopovnene. Kh: KhMAPO; 2014. 223 р. [Ukrainian]
4. Musii OS, Pinchuk IIa, Khaustova OO. Innovatsiini pidkhody do orhanizatsii medyko-psykholohichnoi dopomohy pisliatravmatychnoho stresovoho rozladu [Innovative approaches to the organization of medical and psychological care for post-traumatic stress disorder]. Metodychni rekomendatsii. K: MOZ Ukrainy; 2014. 32 р. [Ukrainian]
5. Safin OD. Osnovni pidkhody do funktsionuvannia systemy psykholohichnoi reabilitatsii ta readaptatsii uchasnykiv antyterorystychnoi operatsii [Basic approaches to the functioning of the system of psychological rehabilitation and readaptation of the participants of the anti-terrorist operation]. Nauka i oborona. 2016;1:24-30. [Ukrainian]
6. Postanova Kabinetu Ministriv Ukrainy vid 27 hrudnia 2017 r. № 1057. Pro zatverdzhennia Poriadku provedennia psykholohichnoi reabilitatsii uchasnykiv antyterorystychnoi operatsii [On approval of the Procedure for conducting psychological rehabilitation of participants in the anti-terrorist operation]. 2017. [Ukrainian]
7. Syropiatov OH, Naprieienko OK, Dzeruzhynska NO. Likuvannia ta reabilitatsiia kombatantiv – myrotvortsiv iz posttravmatychnym stresovym rozladom [Treatment and rehabilitation of combatants - peacekeepers with post-traumatic stress disorder]. K: OT Rostunov; 2012. 76 р. [Ukrainian]
8. Voloshyn PV, Maruta NO, Shestopalova LF. Diahnostyka, terapiia ta profilaktyka medyko-psykholohichnykh naslidkiv boiovykh dii v suchasnykh umovakh [Diagnostics, therapy and prevention of medical and psychological consequences of hostilities in modern conditions]. Metodychni rekomendatsii. MOZ Ukrainy; 2014. 79 р. [Ukrainian]
9. Mykhailov BV, Zinchenko OM, Fedak BS, Sarvir IM. Ekstrena medyko-psykholohichna dopomoha osobam z hostrymy rozladamy psykhiky i povedinky psykhohennoho pokhodzhennia [Emergency medical and psychological assistance to persons with acute mental and behavioral disorders of psychogenic origin]. Metodychni rekomendatsii. Kharkiv; 2014. 16 р. [Ukrainian]
10. Maenera YaV, Vorobiova IV, Kolesnichenko OS. Psykholohichnyi suprovid viiskovosluzhbovtsiv, yaki vykonuiut sluzhbovo-boiovi zavdannia v ekstremalnykh umovakh [Psychological support of military personnel who perform official combat tasks in extreme conditions]. Metodychni rekomendatsii. Kh: NANHU; 2015. 68 р. [Ukrainian]
11. Mykhailov BV. Rozlady psykhiky i povedinky ekstremalno-psykholohichnoho pokhodzhennia [Disorders of the psyche and extreme psychological behavior origin]. Psykhichne zdorovia. 2015;2(47):9-18. [Ukrainian]
12. Mykhailov BV. Medyko-psykholohichna reabilitatsiia uchasnykiv ATO v sanatorno-kurortnii merezhi (klinichna nastanova) [Medical and psychological rehabilitation of ATO participants in the sanatorium-resort network (clinical guideline)]. K-Kh; 2015. 72 р. [Ukrainian]
13. Okhorona psykhichnoho zdorovia v umovakh viiny [Protection of mental health in conditions of war]. Per z anhl Tetiana Semyhina, Iryna Pavlenko, Yevheniia Ovsiannikova. K: Nash format; 2017. 1068 р. [Ukrainian]
14. Kokun OM, Ahaiev NA, Pishko IO, Lozinska NS, Ostapchuk VV. Psykholohichna robota z viiskovosluzhbovtsiamy – uchasnykamy ATO na etapi vidnovlennia [Psychological work with servicemen - participants of the anti-terrorist operation at the stage of recovery]. Metod posib. K: NDTs HP ZSU; 2017. 282 р. [Ukrainian]
15. Kokun OM, Ahaiev NA, Pishko IO, Lozinska NS. Osnovy psykholohichnoi dopomohy viiskovosluzhbovtsiam v umovakh boiovykh dii [Basics of psychological assistance to servicemen in combat conditions]. Metod posib. K: NDTs HP ZSU; 2015. 170 р. [Ukrainian]
16. Storozhuk NA, Mas NM, Pokotylo VV. Suchasnyi stan systemy psykholohichnoi reabilitatsii uchasnykiv antyterorystychnoi operatsii [The current state of the system of psychological rehabilitation of participants in an anti-terrorist operation]. Zb nauk pr Nats un-t im T Shevchenka. Viisk-spetsialni nauky. K.; 2016. 1(34): 34-38. [Ukrainian]