RATIONALE FOR THE STRATEGY AND TACTICS OF MODIFIED TREATMENT FOR POST-TRAUMATIC STRESS DISORDER AND ALCOHOL DEPENDENCE

The treatment of co-occurring post-traumatic stress disorder (PTSD) and alcohol use disorders is a complex problem, approaches to which are still being studied. Taking into account the identified socioeconomic, psychometric, hormonal, and laboratory characteristics, a strategy for the reintegration of veterans with PTSD and alcohol dependence was optimized, which included medical care and psychotherapy, professional and social adaptation, integration through communities and social work with stigma through the proposed individualized treatment complex, which has shown sufficient effectiveness in reducing the severity of alcohol dependence, improving cognitive functions, and reducing anxiety and depression. The aim of the study is to optimize the strategy and tactics of treating post-traumatic stress disorder combined with alcohol use disorders in combatants.. The effectiveness of the proposed modified treatment for patients with PTSD and alcohol use disorders was assessed using a series of validated tests: AUDIT — reduction in severity from the level of hazardous alcohol use to the upper limit of safe alcohol use (15.75 vs. 7.75 points); CIWA-Ar — from moderate withdrawal syndrome to minor or doubtful (19.20 vs. 9.60 points); MAST — high probability of alcohol dependence changed to its absence (8.28 vs. 4.00 points); while CAGE test showed no clinically significant alcohol use problems diagnosed at baseline or end (1.88 vs. 0.38 points); all p < 0.05.