scholarly journals PECULIARITIES OF PSYCHOPHYSIOLOGY OF CHILDREN AND ADOLESCENTS WITH SCOLIOSIS AT DIFFERENT STAGES OF TREATMENT

2006 ◽  
pp. 008-012 ◽  
Author(s):  
Igor Alekseyevich Norkin ◽  
Viktor Nikolayevich Shemyatenkov ◽  
Vladimir Vladimirovich Zaretskov ◽  
Darya Pavlovna Zueva ◽  
Aleksandr Vladimirovich Zaretskov ◽  
...  

Objectives. To study some peculiarities of psychophysiology of children and adolescents with scoliosis and to assess its dynamics after surgical treatment. Material and Methods. Total of 58 patients with scoliosis of grade III–IV at the age of 10 to16 years were examined, out of them 17 were operated on by Cotrel – Dubousset technique. Control group consisted of 18 practically healthy individuals of similar age. Clinical, rontgenologic and psychophysiologic methods of analysis were used. Psychoemotional state was assessed by depression level, indexes of personal and reactive anxiety, and by patients’ attitude to their disease and vital functions. Psychovegetative reactivity was evaluated by oculocardiac, cardiac-sinus and celiac-plexus reflexes. The patients were examined three times: before operation, in six and twelve months after operation. Results. Psychophysiologic status of children and adolescents with scoliosis essentially differs from that of normal ones. Psychoemotional disorders are characterized by a high level of depression, situational and personal anxiety, and by violation of social adaptation, and psychovegetative disorders – by increase in lability and reduction of reactivity of the vegetative nervous system. Conclusion. It was revealed that the psychophysiologic status of children and adolescents with scoliosis has essential peculiarities. In the nearest postoperative period the positive dynamics is mainly seen in psychoemotional status, but psychovegetative state remain without any essential dynamics.

Author(s):  
Elena Aleksandrovna Potapova ◽  
Elena Viktorovna Scherba ◽  
Dmitriy Alekseevich Zemlyanoy ◽  
Viktoriya Valerievna Danilova ◽  
Viktor Gennadievich Puzyrev ◽  
...  

Sport activity are associated with significant physical and psychological stress and determine the relevance of monitoring the conditions for sports, studying the health of athletes and their regime. The purpose of the study: to study the sanitary and hygienic conditions in sports schools, the features of the daily routine and lifestyle of young athletes and their psycho-emotional state. Materials and methods. The analysis includes data from a study of 70 girls aged 13–15 who are engaged in rhythmic gymnastics. We used methods of sanitary and hygienic research, questionnaires, methods for identifying the level of situational and personal anxiety (Spielberger C. D.) and competitive anxiety (R. Martens), a questionnaire for studying one’s own reaction to stressful events (Greenberg). Results. The number of violations of sanitary and hygienic requirements for the conditions of sports activities have been identified. The most common violations of the day-lack of sleep and stay in the fresh air, a high amount of training load. Moderate personal anxiety was detected in 76 % of athletes, 7 % of respondents — low anxiety, 17 % — high personal anxiety. A high level of reactive anxiety was detected in 24 % of female athletes, and high-level sports anxiety was observed in 25 % of those surveyed. The relationship between the severity of violations of hygiene standards and the level of manifestation of personal and reactive anxiety was Revealed. The age dynamics for all diagnosed types of anxiety was revealed: higher rates of anxiety were observed in the age group of 13 years compared to 14 and 15-year-old athletes. Conclusion. The results of the study showed the need for dynamic monitoring of the state of health, including psycho-emotional state of athletes, allocation of athletes with pronounced errors in the regime to observation groups, carrying out preventive measures to explain the importance of compliance with hygiene rules and monitoring and assistance in their implementation in the lifestyle of young athletes.


Author(s):  
N. Inhula

The article presents the results of the study of the state of the autonomic nervous system and the psychoemotional state in patients with chronic cerebral ischemia (CCI) against the background of stable angina pectoris II and III FС. 90 subjects (61 men and 29 women) (mean age 60.6 ± 7.8 years) were examined in the main group and 30 persons (10 men and 20 women) (mean age 55.27 ± 5.5 years) control group aged 45 to 74 years. The analysis of data of the conducted research and conclusions are given. Based on the findings, it was found that a high level of anxiety causes an imbalance between sympathetic and parasympathetic activity. In the group of patients with CCI against the background of stable angina pectoris III FС revealed a high level of depression and anxiety, reactive and personal anxiety, which causes a pronounced autonomic dysfunction, which was manifested in insufficient vegetative provision and the predominance of sympathicotonia in these patients. We can assume that autonomic dysfunction is one of the mechanisms for the progression of stable angina pectoris in patients with CCI.


2019 ◽  
Vol 72 (9) ◽  
pp. 1795-1801
Author(s):  
Larysa V. Pypa ◽  
Yulia N. Lysytsia ◽  
Ruslan V. Svistilnik ◽  
Maryna M. Murhina

Introduction:. The problem of mood disorders in adolescents has recently become acute due to the high frequency of encounter and social significance. The aim: To investigate the screening of anxiety and depressive disorders and their manifestations in adolescent children to determine risk factors and to develop measures for their prevention. Materials and methods: The study was attended by 189 students aged 16-17 years of the educational institutions of the Khmelnytskyi region. For study it was used: Spielberger questionnaire in adaptation A. Andreeva and questionnaire for child depression M. Kovacs, 1992. Results: A high level of personal anxiety was detected in 44 adolescents (23,3%) and situational in 76 (40,2%) adolescents. In 48 (25,4%) adolescents there were signs of depression, in 11 (5,8%) - severe depression. The level of depression in girls was significantly higher compared to boys (95% CI, 2,6-8,8) (p<0,0004), which was manifested in the form of aggressive behavior (95% CI, 3,3-9,4) (p<0,0001) and anhedonia (95% CI, 1,7-7,0) (p<0,001). Signs of depression more often were appeared in adolescents who had an incomplete family (95% CI, 0,7-8,5) (p<0,02) and manifested in the form of aggressive behavior (95% CI, 0,6 (p<0,02), anhedonia (95% CI, 0,7-7,3) (p<0,01) and negative self-esteem with the presence of suicidal thoughts (95% CI, 0,3-7,5) (p<0,03). Conclusions: Mood disorders are quite common among adolescents and require timely detection and correction in order to improve their social adaptation and prevent suicidal behavior. The main factors of mood disorders in adolescents can be an incomplete family and a female.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S299-S299
Author(s):  
Hemma Velani ◽  
Julia Gledhill

AimsTo systematically review Psychological and Behavioural treatments on NES in children and adolescents by reviewing the current literature.BackgroundNon-epileptic seizures (NES) are associated with a high level of functional impairment for young people and their families. However, there are no UK guidelines for the management of NES in children and adolescents or adults. Though information from the limited studies in adults may be useful, the findings may not be generalizable to children and adolescents. To date, we are unaware of any published systematic review on this topic in children and adolescents.MethodA systematic search of relevant electronic databases was conducted. Any study investigating the effectiveness of psychological and behavioural treatments on NES, in Children and Adolescents was included.ResultFifteen studies were identified, but only six studies had the primary aim of evaluating an intervention, and only one used a control group. The rest were observational studies that examined retrospective case notes.CBT and psychoeducation were identified as the most common interventions. Eleven out of the fifteen studies used multiple treatments, four looked at one treatment only, three of these CBT and one was a natural history study.Where individual therapy was provided, a common focus was management of anxiety, usually delivered in a flexible way, adapted to individual needs. Despite being identified as important in the literature, only one study demonstrated care that involved collaboration between physical and mental health teams.ConclusionIt's difficult to conclude from this review that one treatment approach is superior to another. The findings of this review offer some insight into current practise and may help to inform future research in this area. CBT and psychoeducation with a focus on anxiety are frequently included in interventions for NES in young people, and further evaluation of these treatment modalities could be a helpful next step.


2019 ◽  
Vol 85 (4) ◽  
pp. 101-106
Author(s):  
Yu. Starodubtseva

The clinical-psychopathological and psychodiagnostic features of adaptation disorders combined with computer addiction were studied. A comprehensive survey of 97 people with adaptation disorders and clinically pronounced computer addiction (main group) and 62 patients with adaptation disorders without signs of addictive behavior (control group) were carried out. It was established that the clinical picture of adaptation disorders with comorbid computer addiction was characterized by depressive, anxiety, obsessive, asthenic, dysphoric, and somatic-vegetative syndrome complexes, 35.8 % of patients had carpal tunnel syndrome. Clinical manifestations of anxiety and depression on the Hospital scale, severe depressive and anxiety episodes on the Hamilton scale, high levels of situational and personal anxiety on the Spielberger–Hanin scale, excessive mental stress on the Nemchin scale are typical for people with adaptation disorders and computer addiction. It was shown that the key role in the pathopsychological mechanisms of comorbid adaptation disorders with computer addiction belongs to the de-actualization of basic personality needs, instability of the level of requirements, the dominance of game motives, the use of coping strategies aimed at distraction and emotion, application of a strategy of behavior in the form of avoidance and adaptation in a conflict situation, high level of social frustration in the areas of their own way of life, family relationships, relationships at work and the content of their work.


2021 ◽  
Vol 100 (3) ◽  
pp. 49-55
Author(s):  
E.I. Stepanova ◽  
◽  
V.A. Poznysh ◽  
V. Yu. Vdovenko ◽  
◽  
...  

Objective: We determined the features of psychoemotional condition of the children who wereunder quarantine restrictions for COVID-19pandemic for a long time. Methods and scope of research:We carried out the assessment of the psychoemotional condition of 52 adolescents who were in quarantine forCOVID-19 pandemic. The number of girls and boys among the surveyed was the same - 26 children of each gender. A "non-existent animal" projective test was used to assess the psychoemotional sphere of the children. We appliedthe psychometric method by Ch.D. Spielberg, Yu.L. Haninto determine the reactive anxiety (RА) and personal anxiety (PA). The questionnaire by A. Bass, A. Darki was used to single out the various aspects of the symptom complex of aggression and to calculate the index of aggression (IA) and the index of hostility (IH). Sleep quality was assessed with the help of the Pittsburgh Questionnaire. Results and discussion: Assessment of the psychoemotional condition of the children, who were in quarantine for COVID-19, showed the significant violationsin the majority of them (95.15%), which were characterized by the manifestations of anxiety (78.85%), aggression (59.62%) and exhaustion (15.38%). A high level of anxiety was found to be more often in the girls (25.00%), while in the boys, it was registered almost 2 times less (11.54%), and on the contrary, a high level of aggression in the combination with anxiety orwithout itwas determined more often in the boys (26.92%) than in the girls (13.46%). The frequency of exhaustionsymptom complex did not depend on gender. A more detailed description of the level of anxiety,performed with the help of psychometric methods Ch.D. Spielberg, Yu.L. Hanin, confirmed that the high levels of both personal and reactive anxiety were more inhering in the girls. Assessment ofthe forms of aggressive behavior showed that the manifestations of physical aggression and negativism were the most typical features for the boys, while the indirect aggression, resentment and guilt were observed in the girls more often. Thehighlevels of IA werefoundtooccur almost 3 times more oftenin theboys than in thegirls, whilethehighlevel of IH wasdetected equally often both inthegirls and intheboys. In the children who were in quarantine for COVID-19, psychoemotional conditions were often accompanied by sleep disorders, at the same time,they were observed more often in the girls than in the boys.


2021 ◽  
Vol 17 (7) ◽  
pp. 562-569
Author(s):  
S.M. Tkach ◽  
T.L. Miliutina

Background. Depressive disorders are quite common in patients with diabetes mellitus (DM). Depression is associated with worsening glycemic control. Attempts to improve it through the use of synthetic antidepressants in complex therapy have had mixed results. The study was aimed to evaluate the prevalence of depressive disorders in patients with diabetes mellitus treated in the endocrinology department and to evaluate the effect of combined herbal medicine Sedariston containing standardized extracts of Hypericum perforatum (100 mg) and Valeriana (50 mg) (Esparma GmbH, Germany) on carbohydrate metabolism and psycho-emotional state of diabetic patients with the anxiety-depressive syndrome. Materials and methods. The study included 122 patients with type 1 and 2 DM, 103 women and 19 men, aged 18 to 75 years. Thirty-three of them with anxiety-depressive syndrome participated in a 3-month study, 16 of which additionally received Sedariston 2 capsules twice a day for 2 months. Prior to, as well as 2 weeks, 1, 2, 3 months from the beginning of the observation, the psycho-emotional state was assessed with a determination of the severity of the depressive syndrome on the PHQ-9, Beck scales, as well as the state of personal and reactive anxiety on the Spielberger-Hanin’s scales. Glycated hemoglobin was determined before and 3 months after the start of monitoring. All patients received insulin therapy and/or hypoglycemic oral medications at constant doses during the observation. Results. Depressive disorders were identified in 80.3 and 67.2 %, respectively, according to the PHQ-9 and Beck scales. Most patients experienced mild and moderate depression. High personal anxiety was found in 66.4 %, high reactive anxiety in 50.8 % of patients. Patients in the Sedariston basic group reported significant improvement in depressive symptomatology with a decrease in PHQ-9 scores from 13.7 ± 1.6 to 9.3 ± 1.4 (p < 0.05) after 1 month of treatment, and on the Beck’s scale from 23.9 ± 1.8 to 18.2 ± 1.9 points (p < 0.05) after 2 months of treatment, in contrast to patients in the control group without Sedariston: 11.9 ± 1.2 and 10.8 ± 1.1 points (p > 0.1) on the PHQ-9 scale and 19.7 ± 1.7 and 18.9 ± 2.3 points (p > 0.1) on the Beck’s scale, respectively. The achieved improvement of the psycho-emotional state of patients after the end of treatment with Sedariston was maintained after 3 months from the beginning of monitoring: 7.1 ± 1.3 points on the PHQ-9 scale and 16.1 ± 2.1 points on the Beck’s scale (p < 0.01). After 2 months of Sedariston therapy in the group of patients with the anxiety-depressive syndrome, unlike the patients of the control group, personal anxiety decreased from 59.5 ± 2.2 to 53.5 ± 1.9 points on the Spielberger-Hanin’s scale (p < 0.05), in patients with high reactive anxiety, after 2 months of treatment significantly decreased its level from 57.4 ± 2.5 to 49.3 ± 2.7 points and remained so until the end of observation. Against the background of the positive dynamics of depressive symptoms in patients receiving Sedariston, a significant decrease in glycated hemoglobin occurred 3 months after the start of therapy: from 9.4 ± 0.5 to 8.1 ± 0.2 % (p < 0.05), unlike the patients of the control group. Conclusions. An anxiety-depressive syndrome is defined in 63.1 % of patients of the diabetology department, with depressive disorders mainly of mild and moderate severity, high personality and reactive anxiety, and 19.7 % of patients experienced a depressive syndrome without disturbance of anxiety, which indicates their diagnosis and conducting appropriate treatment. The combined phytopreparation Sedariston in the complex therapy of patients with diabetes mellitus, against the backdrop of the positive and long-lasting effect on anxiety-depressive symptoms, contributes to the improvement of carbohydrate metabolism, with a decrease of 1.3 % of glycated hemoglobin in 3 months. This indicates that Sedariston may be used not only for the treatment of anxiety-depressive syndrome but also to improve carbohydrate metabolism in patients with DM.


2021 ◽  
Vol 66 (1) ◽  
pp. 83-88
Author(s):  
G.B. Nietbaeva ◽  
◽  
S.F. Kulzhabayeva ◽  

The article deals with the correlation of indicators of psychoticism with such personal characteristics as temperament and anxiety of the individual. A brief theoretical overview of the topi of temperament and psychoticism is given. The basic interrelationships of the concepts of social adaptation, temperament and anxiety were considered. The main trends of their interrelation are highlighted. In the experimental study, differences were found between groups with high psychoticism and medium-low psychoticism. There are differences in the factors: reactive anxiety and confidence. The indicators of neuroticism are in the zone of uncertainty.


Author(s):  
Anastasia Markelova ◽  
Leonid Nikolaev

The authors describe and propose ways to determine the level of school disadaptation. Associated psychological factors are identified: levels of school motivation and adaptation, situational and personal anxiety, indicators and forms of aggression, self-esteem of depression. The obtained experimental data on the tendency to disadaptation are analyzed, as well as the psychological factors that influence the formation of disadaptation of young school children are investigated. Quantitative and qualitative analysis of mental states and personality characteristics of elementary school children with disadaptation shall be conducted to study their school disadaptation, organization of comprehensive psychological and pedagogical assistance to school children, teachers and parents. Existing research methods are mainly based on self-estimation methodologies. Experimental data on addiction to disadaptation was obtained, additionally, the psychological factors, which influence on disadaptation formation of elementary school children, were examined. The majority of examined children were found to have a low level of reactive anxiety and a high level of personal anxiety.


Author(s):  
Antonina Kotenok ◽  
Liliya Vygivska ◽  
Іgor Maidannyk ◽  
Viktor Оleshko

                                  The issue of preserving the reproductive health of the nation in Ukraine is very acute. The psycho-emotional state of a woman is of particular importance for the prolongation of pregnancy and the normal course of labor. Violation of adaptive mechanisms which are aimed at restructuring the functional systems of the body during pregnancy and on the eve of childbirth, as well as the state of chronic stress contribute to the increase in the of obstetric and perinatal complications frequency and have an adverse effect on the course of pregnancy. The aim of the reaserch was to study the dynamics of psycho-emotional state features in pregnant women after assisted reproductive technologies (ART) application in order to improve the tactics of antenatal surveillance. To achieve this goal, 299 pregnant women were comprehensively examined in the dynamics of prospective observation, which were distributed as follows – the main group included 249 women whose pregnancy occurred as a result of the ART application. The control group consisted of 50 pregnant women with spontaneous pregnancy and its physiological course, which were registered for pregnancy at 6-8 weeks. The women of main group whose pregnancy occurred as a result of ART application were divided into three groups, depending on the factor that caused infertility. The first group included 94 women with tubal-peritoneal factor of infertility, the second group was formed by 87 women with endocrine factor of infertility, the third group included 68 women whose infertility was caused by the male factor. Pregnant women of the study groups by age, marital and social status, place of residence were representative, which allowed further to judge the differences caused by etiological factors of infertility. In order to determine the psycho-emotional state of pregnant women in the study groups in the screening mode, a clinical interview was conducted by filling out questionnaires that contained the constituent questions of the STAI tests in the modification of Yu. L. Khanin and the "Pregnant Attitude Test" by the method of I. V. Dobryakov. The obtained test results indicate that the average score of reactive anxiety in pregnant women of the main group exceeded the same indicator of the control group and was: 49 - pregnant women with tubal-peritoneal type of infertility, 56 - pregnant women with endocrine type of infertility, 44 - pregnant women with male factor of infertility, 24 - control group. According to the results of testing, a significant difference was revealed in the indicators of personal anxiety. The values of indicators of personal anxiety were: 51 - pregnant women with tubal-peritoneal type of infertility, 54 - pregnant women with endocrine type of infertility, 31  -pregnant women with male factor of infertility, 31 - control group. Low level of personal anxiety was observed in 26 (27,6%) pregnant women of I group, 29 (33,3%) pregnant women of II group, which is significantly less in comparison with the indicator of pregnant women of the control group – 33 (66,0%) and III group - 33 (48,5%) (p < 0,05). Moderate type of personal anxiety was observed in 46 (48.9%) pregnant women of group and 40 (45.9%) pregnant women of II group compared to the indicator of the control group – 11 (22, 0%) (p < 0,05). Moderate type of personal anxiety was determined in 25 (36,7%) cases in pregnant women of III group and did not differ significantly from the indicators of I, II and control groups (p > 0,05). A high level of personal anxiety was observed in 22 (23,5%) pregnant women of group I, 18 (20,8%) pregnant women of group II, which is significantly higher in comparison with the indicator of pregnant women of the control group – 6 (12,0%) (p < 0,05). Thus, the study of the psycho-emotional state of pregnant women after the application of ART deviations in the level of personal and reactive anxiety and pathological types of gestational dominant, which are inherent in pregnant women of the main group. Taking into account the above, we consider it appropriate to involve a psychologist to work with the examined pregnant women in order to correct the identified abnormalities.


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