Algorithm for providing assistance with uncomplicated grief and prolonged grief disorder to wives of combatants

Larysa Herasymenko1, Rustam Isakov1, Pavlo Kydon1

  • 1Department of Psychiatry, Narcology and Medical Psychology of Poltava State Medical University, Poltava, Ukraine.

Psychiatria Danubina
|January 22, 2026
PubMed

With the beginning of the full-scale Russian invasion of Ukraine, thousands of Ukrainian women have learned about the deaths of their husbands. One of the powerful factors contributing to the formation of pathological conditions under such conditions is the individual emotional connection and the quality of the relationship with the husband. A woman who has lost her husband in the war has a significantly higher risk of developing emotional problems and pathological conditions compared to the loss of more distant family members. Such a statement is due to the fact that partners are often very important attachment figures. When a husband dies, a woman faces loss - the first period of grief and mourning. This process can be non-pathological or a variant of pathology - prolonged grief disorder (PGD). Prolonged grief disorder is a protracted pathological reaction, characterized by the presence of distress, separation and associated symptoms that cause intense, persistent psychological suffering and significantly impair functioning in various areas. The aim of the study is to develop an algorithm for providing assistance with uncomplicated grief and prolonged grief disorder for wives of combatants during war. The study involved 67 women whose husbands died during the defense of Ukraine in the period from 2022 to 2024. At the time of the survey, the women were aged from 25 to 49 years. The examined women were divided into 2 groups: the first group included 53 women who experienced a "normal" grief reaction, the second group included 12 women with a confirmed diagnosis of prolonged grief disorder according to the ICD-11.

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