Comparative Analysis of Indicators of Neurotic, Stress-Related, and Somatoform Disorders in Conscripted Military Personnel in the Navy and Ground Forces of the Ministry of Defense of Russia

The intention is to evaluate the dynamics of medical and statistical indicators of morbidity for neurotic, stress-related, and somatoform disorders in conscripted military personnel in the Navy and Ground Forces of the Ministry of Defense of Russia, in order to optimize psycho-prophylactic measures.
Methodology. Due to changes in accounting forms 3/MED since 2017, medical and statistical indicators of morbidity for neurotic, stress-related, and somatoform disorders in Chapter V of diseases, “Mental and behavioral disorders” according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), were studied in conscripted military personnel in the Navy and Ground Forces of the Ministry of Defense of Russia over a 5-year period (2017–2021). Morbidity rates were calculated per 10,000 military personnel (10–4), and average long-term and average annual indicators (M ± m) were determined, the development of which was assessed using the analysis of dynamic series and the calculation of a second-order polynomial trend.
Results and analysis. The average annual incidence of neurotic, stress-related, and somatoform disorders among conscripted military personnel in the Navy was statistically significantly higher than in the Ground Forces of the Russian Ministry of Defense in terms of primary morbidity, hospitalization, days of work loss, and discharge. The dynamics of information on the analyzed types of morbidity in the Navy showed a U-curve, in the Ground Forces – a decrease in indicators. Among other factors affecting the epidemiological indicators of mental disorders in conscripted military personnel, the health of the conscription contingent and the availability of psychiatric care for military personnel may be significant. We believe that the detection rate of mental disorders among conscripted military personnel in the Navy was better than in the Ground Forces of the Russian Ministry of Defense.
Conclusion. In the prevention of psychogenic disorders in conscripted military personnel of the Ministry of Defense of Russia, an important role is played by increasing the “barrier” functions of the military draft boards of military commissariats, as well as the distribution of the conscript pool to military occupational specialties based on individual psychological qualities and stress resistance in the initial period of training in the troops.

1. Afanas’ev V.N., Yuzbashev M.M. Analiz vremennykh ryadov i prognozirovanie [Time Series Analysis and Forecasting]. Moscow. 2015. 320 p. (In Russ.)

2. Evdokimov V.I., Mosyagin I.G., Shamrey V.K. [et al.]. Dinamika pokazatelei psikhicheskogo zdorov’ya voennosluzhashchikh, prokhodyashchikh voennuyu sluzhbu po prizyvu v Voenno-morskom flote i Sukhoputnykh voiskakh Minoborony Rossii (2003–2021 gg.) [Dynamics of mental health indicators among conscript soldiers in the Navy and Ground Forces of the Ministry of Defense of Russia (2003–2021)]. Morskaya meditsina [Marine medicine]. 2024; 10(4): 33–53. DOI: 10.22328/2413-5747-2024-10-4-33-53. (In Russ.)

3. Evdokimov V.I., Chernov D.A. Dinamika psikhicheskikh rasstroistv u voennosluzhashchikh po prizyvu Vooruzhennykh sil Respubliki Belarus’ (2003–2016 gg.) [Dynamics of mental disorders among conscript servicemen of the Armed forces of the Republic of Belarus (2003–2016)]. Vestnik psikhoterapii [Bulletin of Psychotherapy]. 2018; (66): 48–68. (In Russ.)

4. Evdokimov V.I., Shamrey V.K., Sivashchenko P.P., Pluzhnik M.S. Mnogoletnyaya dinamika i struktura psikhicheskoi zabolevaemosti u razlichnykh kategorii voennosluzhashchikh Minoborony Rossii [Long-term dynamics and structure of mental disorders in various categories of military personnel of the Russian Ministry of Defense]. Vestnik psikhoterapii [Bulletin of Psychotherapy]. 2024; (93): 6–15. DOI: 10.25016/2782-652X-2025-0-93-06-15. (In Russ.)

5. Kryukov E.V., Ivchenko E.V., Shamrey V.K. [et al.]. Sovremennye podkhody k otsenke stressoustoichivosti u voennosluzhashchikh [Modern approaches to the assessment of stress resistance in military personnel]. Voennomeditsinskii zhurnal [Military medical journal]. 2023; 344(7): 4–15. DOI: 10.52424/00269050_2023_344_7_4. (In Russ.)

6. Kryukov E.V., Shamrey V.K., Marchenko A.A. [et al.]. Voennaya psikhiatriya v XXI veke : sovremennye problemy i perspektivy razvitiya [Military Psychiatry in the 21st Century: Contemporary Issues and Development Prospects: monograph]. Eds: E.V. Kryukov, V.K. Shamrey. St. Petersburg. 2022. 367 p. (In Russ.)

7. Lobachev A.V. Rasstroistva adaptatsii u voennosluzhashchikh (kliniko-organizatsionnye problemy) [Adjustment disorders in military personnel (clinical and organizational problems): Abstract dissertation PhD Med. Sci.]. St. Petersburg. 2021. 45 p. (In Russ.)

8. Mirovaya statistika zdravookhraneniya. 2013 [World health statistics 2013]. Moscow. 2014. 167 p. (Vsemirnaya organizatsiya zdravookhraneniya [World Health Organization]). (In Russ.)

9. Sushil’nikov S.I., Azarov I.I., Yakovlev S.V. [et al.]. Pokazateli sostoyaniya zdorov’ya voennosluzhashchikh Vooruzhennykh sil Rossiiskoi Federatsii, a takzhe deyatel’nosti voenno-meditsinskikh podrazdelenii, chastei i organizatsii v 2018 g. [Health indicators of military men in the Russian Federation Armed Forces, as well as the activities of military medical units, units and institutions in the 2018]. Ed. D.V. Trishkin. Moscow. 2019. 195 p. (In Russ.)

10. Ukazaniya po vedeniyu meditsinskogo ucheta i otchetnosti v Vooruzhennykh silakh Rossiiskoi Federatsii na mirnoe vremya [Guidelines for medical record keeping and reporting in the Armed Forces of the Russian Federation during peacetime]. Moscow. 2001. 40 p. (In Russ.)

11. Shamrey V.K., Evdokimov V.I., Grigor’ev S.G. [et al.]. Obobshchennye pokazateli psikhicheskikh rasstroistv u lichnogo sostava Vooruzhennykh sil Rossii (2003–2016 gg.) [Generic indicators for mental disorders in the military personnel of the Armed forces of Russia (2003–2016)]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2017; (2): 50–65. DOI: 10.25016/2541-7487-2017-0-2-50-65. (In Russ.)

12. Shamrey V.K., Kostyuk G.P., Goncharenko A.Yu. [et al.]. Monitoring psikhicheskogo zdorov’ya voennosluzhashchikh na razlichnykh etapakh prokhozhdeniya voennoi sluzhby [Servicemen mental health monitoring in different stages of military service]. Voenno-meditsinskii zhurnal [Military medical journal]. 2011; 332(6): 53–58. (In Russ.)

13. Yusupov V.V., Korzunin A.V., Kostin D.V. Sravnitel’nyi analiz nervno-psikhicheskoi ustoichivosti u prizyvnogo kontingenta i voennosluzhashchikh na nachal’nom etape voenno-professional’noi adaptatsii [Comparative analysis of neuro-psychological resistance in draftees and soldiers at the initial stage of military professional adaptation]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [MedicoBiological and Socio-Psychological Problems of Safety in Emergency Situations]. 2014; (4): 95–101. (In Russ.)

14. Yusupov V.V., Ovchinnikov B.V., Korzunin V.A. [et al.]. Sovremennoe sostoyanie i perspektivy razvitiya medikopsikhologicheskogo soprovozhdeniya voennosluzhashchikh Vooruzhennykh sil [Modern state and prospects of development of medical-and-psychological support of military servicemen of the Armed forces of the Russian Federation]. Voenno-meditsinskii zhurnal [Military medical journal]. 2016; 337(1): 22–28. (In Russ.)