ENERGY METABOLISM STATUS IN MILITARY SERVICEMEN WITH EMOTIONAL BURNOUT
P.I. Yanchuk, O.M. Mykolaychuk, S.P. Veselsky, I.V. Pampukha, V.M. Loza
- Taras Shevchenko National University of Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz71.03.012

Abstract
Emotional burnout induces hidden or overt disorders in the
field of mental health. The article presents the results of a study of the relationship between the level of emotional burnout and the state of energy metabolism, according to biochemical indicators of the adenylyl system, in servicemen of the Armed
Forces of Ukraine. The study was carried out in two stages: first, a diagnosis of professional burnout was carried out,
and then a control and experimental group of subjects was
formed to analyze biochemical changes in their body. Using
the standard Burnout Assessment Tool questionnaire, as well
as interviewing servicemen, some of them were diagnosed
with professional emotional burnout due to the presence
of four basic symptoms: exhaustion, alienation, cognitive
and emotional disorders, and two secondary symptoms:
psychological and psychosomatic complaints. Important for
the diagnosis of burnout in the military was their confirmation
of the feeling of depletion of their own resources, fatigue,
changes in behavior and a certain deterioration in physical
health. Cognitive and emotional impairments, as well as
psychological and psychosomatic complaints, showed little
difference between women and men on the main criteria,
with notable differences only in the indicators of exhaustion
and alienation. Saliva sampling allowed the assessment of
the concentration of adenosine triphosphate (ATP), adenosine
diphosphate (ADP), adenosine monophosphate (AMP), and
other components of the adenylyl system. A relationship
was found between the components of burnout (exhaustion,
depersonalization, cognitive and emotional disorders) and the
level of metabolic changes in the adenylyl system. In military
personnel with emotional burnout, there was a significant
decrease in the level of energy metabolism, as evidenced
by a decrease in the content of ATP in their body due to a
decrease in the efficiency of phosphorylation processes. The
increased content of ADP in them indicates an intensification of the process of ATP breakdown and a decrease in its level. Under these conditions, there was an increase in the content of AMP, which is necessary for ADP resynthesis. At the same
time, the concentration of metabolites of the breakdown of the main components of the adenylyl system: adenosine, xanthine,
hypoxanthine and uric acid increased, which indicates a
decrease in their involvement in the process of resynthesis of key high-energy metabolites.
Keywords:
emotional burnout; depletion; cognitive and emotional disorders; saliva; adenylyl system; ATP; ADP; AMP
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