Advances in Treatment of Post-Traumatic Stress Disorder with Chinese Medicine / 中国结合医学杂志

"Timely, near, and expectation" is the main principle of battlefield rescue for military combat stress reaction (CSR). Post-traumatic stress disorder (PTSD) is the most common form of CSR and a long-term persistent mental disorder that is caused by unusual threatening or catastrophic psychological trauma. Chinese medicine (CM) has abundant resources, is simple, easy to master, with few side effects. This article summarizes the cellular and animal experimental mechanisms of CM treatment on PTSD, suggesting that traditional Chinese herbs and acupuncture can protect brain functional areas, and adjust hypothalamus-pituitary-adrenal axis. Traditional Chinese herbs and acupuncture have shown good anti-stress efficacy and fewer side effects in clinical application, which may improve the CSR in the battlefield.

La psiquiatría militar alemana en la Segunda Guerra Mundial. Artículo histórico / German military psychiatry in the Second World War. Historical article

Resumen Introducción La reacción de estrés de combate (REC), que hoy en día podría ser denominada «reacción a estrés agudo¼ (ICD-10), se refiere a una reacción de ansiedad transitoria en el soldado, la cual históricamente llevó a una incapacidad para afrontar la lucha de la guerra. La mayoría de los análisis militares, históricos y médicos de la actividad realizada por la Wehrmacht § en la Segunda Guerra Mundial reportan que no se presentaron serios problemas debido al «quiebre¼ por estrés. Las razones se fundamentan en la calidad excepcional y el liderazgo de las pequeñas unidades militares del ejército alemán. Sin embargo, con el paso de los años, ya no fue posible evitar el reporte de un elevado número de bajas secundarias a la REC, lo que ha puesto en duda el mito de la inmunidad del soldado alemán al estrés de la guerra. Conclusiones Al final de la WWII, la reacción de estrés de combate fue un tópico común en las guías oficiales. Los psiquiatras fueron quienes subestimaron de forma continua el papel de este trastorno en la Wehrmacht. La percepción generalizada de que la Wehrmacht no sufría los serios problemas del quiebre emocional en los soldados puede ser modificada hasta cierto punto.

Abstract Introduction Combat stress reaction (CSR), now called «acute stress reaction¼ (ICD-10), refers to a transient anxiety reaction in the soldier, which has historically led to an inability to face the struggle of war. Most military, historical and medical analyzes of the activity carried out by the Wehrmacht in World War II reported no serious problems due to stress. The reasons are based on the exceptional quality of the small military units and the leadership of the German Army. However, over the years, it was no longer possible to avoid reporting the high number of casualties secondary to combat stress reactions, which has cast doubt on the myth of the German soldiers' immunity to the stress of war. Conclusions At the end of WWII, the CSR was a common topic in official reports, meetings and guides. The psychiatrists who had the opportunity to report it were those who continuously underestimated the role of this stress disorder in the Wehrmacht. Thus, the widespread perception that the Wehrmacht did not suffer serious problems of emotional breakdown in soldiers, typical of combat stress, can be modified to some extent.

Research on quantitative index system for factors influencing combat stress attrition during sea warfare / 第二军医大学学报

Objective To investigate the factors influencing the casualties caused by combat stress reaction during sea warfare and their priorities, so as to provide evidence for predicting naval combat stress attrition. Methods The consultation experts of military medical psychology and military health service were selected for a two rounds of expert questionnaire survey; the quantitative index system was established by using Delphi method. Names and meanings of each index were revised according to the experts' suggestions after two rounds of consulting.The weights of each index were also determined by experts' evaluation. Results The recovery rates in the two rounds of questionnaire consultation were both 100%. The level of expert authority was all over 0.8.The index weight system was set up for factors influencing combat stress attrition during sea warfare, including 3 primary indices, 11 second level ones and 51 third level ones; and the weight of each index were also determined. Conclusion The established system in this study may provide a foundation to predict the combat stress attrition during sea warfare and is helpful for more effective medical service.

Ethical Analysis on Combat Stress Reaction / 中国医学伦理学

In modern warfare,ethical problems correlated to combat stress reaction contain three aspects: the perplexities of reactor's role orientation,the issues of the PIE pattern treatment,and the defects of the broken-discipline reaction.In order to cope with these problems,medical officers and battle commandants should insist on the scientific principle,the permissible principle and the commonweal principle.