Внутрішня картина здоров’я та копінг-стратегії в українських чоловіків в умовах воєнного стану: нейропсихологічна та метакогнітивна модель

This study explores the neuropsychological and cognitive dimensions shaping the internal health picture (IHP) of Ukrainian men under wartime conditions in Ukraine. The objective: to elucidate the impact of wartime conditions on health perceptions and stress responses, proposing a comprehensive model integrating key psychological and cognitive factors. Materials and methods. The study involved 342 men from the Kyiv region. Psychodiagnostic tools were applied to assess health-related quality of life, cognitive appraisal of stress, irrational belief systems, and socio-psychological personality traits. Factor analysis using IBM SPSS Statistics 28 was conducted to extract the principal components underlying the IHP and coping strategies under wartime conditions. Results. The analysis revealed five key components of IHP for men with Constructive and Transformative Coping Strategies: Situational Awareness and Coping Mechanisms, Constructive Self-Perception and Social Functioning, Cognitive Flexibility and Problem-Solving, Resilience and Emotional Stability, and Health Perception and Stress Vulnerability. For men with Constructive and Adaptive Strategies, three components were identified: Cognitive and Situational Challenges, Emotional and Physical Health Interactions, and Health Perception and Resilience Factors. Men with Non-Constructive Strategies exhibited components centered around Negative Cognitive and Personality Traits, Emotional and Cognitive Difficulties, and Physical and Neurocognitive Health. The findings highlight the multifaceted impact of chronic stress and war on men’s health, emphasizing the need for targeted interventions that address both psychological and physical dimensions. The study underscores the importance of enhancing cognitive skills, promoting emotional and social support, and improving physical health management to foster resilience and well-being. Conclusions. This comprehensive model provides a robust framework for understanding the IHP of Ukrainian men in war conditions. The research advocates for integrated healthcare approaches that address cognitive, emotional, and physical health, aiming to support the overall well-being and resilience of individuals during prolonged stress and wartime.