The Study of Psychological Characteristics of Children and Adolescents with Digestive Diseases

Cover Page

Abstract


Objective: The present study was aimed at the psychological characteristics of children with different chronic diseases of the digestive system and the identification of key factors influencing the formation of their personality.

Methods: The continuous prospective study of psychological peculiarities of 125 patients (7−17 y.o.) with diseases of the digestive system who have been monitored at Scientific Centre of Children’s Health (Moscow) was performed. As research methods were used: analysis of medical and pedagogical documentation, participant observation, educational experiment, interview, questionnaires and projective methods.

Results: The study involved 125 patients aged 7–17 years (12.4 averagely) with diseases of the digestive system including teens — 68 (54%), primary school pupil — 57 (46%). The number of boys significantly prevailed over the number of girls (2:1). The study confirmed the existence of a close relationship and mutual influence of three factors: the physical condition, social situation of development, and individual psychological characteristics of children. According to the psychological characteristics the children can be combined in three groups: Group I (47 of 125 people; 37.6%) ― children with bad psychological status. This is most typical for children with active form of chronic diseases requiring intensive medical assistance (37 of 47 people; 78.7%). Group II (59 of 125 people; 47.2%) ― children with instable psychological condition, with risk of neurotization. This group mainly comprises patients with chronic diseases at the stage of unstable clinical remission with preserved or compensated functions of organism bodies and systems or with incomplete compensation of functions requiring long term supportive treatment (45 of 59 people; 76.3%). Group III ― patients with rather stable psychological condition (19 of 125 people; 15.2%). It comprises patients with rather stable psychological condition, anyway, with expressed psychological vulnerability in stress situation. Most children suffer from chronic diseases of different etiology at the stage of clinical remission with rare aggravations, with preserved or compensated functions, provided there are no aggravations of the basic disease (17 of 19 people; 89.5%).

Conclusion: Most children with diseases of the digestive system have the psychological difficulties, while their identity is often formed in the distorted social conditions. Therefore, these children need psychological and pedagogical support, as well the special psychological and pedagogical conditions for the realization of their mental and cognitive capacities. To put together a program of psychological and educational assistance we should take into account the child’s age at the moment of occurrence of the disease, etiology, duration and severity of the illness, the nature and degree of non-compliance of social environmental.


About the authors

T. V. Sviridova

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Author for correspondence.
Email: tvsviridova@gmail.com

Russian Federation

кандидат психологических наук, старший научный сотрудник НИИ ППиВЛ НЦЗД Минздрава России Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 340-01-04,

S. B. Lazurenko

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Email: labspiko@gmail.com

Russian Federation

доктор психологических наук, доцент, заведующая лабораторией специальной психологии и коррекционного обучения НЦЗД Минздрава России Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1

A. L. Venger

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Email: labspiko@gmail.com

Russian Federation

доктор психологических наук, профессор, ведущий научный сотрудник лаборатории специальной психологии и коррекционного обучения НЦЗД Минздрава России Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1

E. V. Komarova

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Email: labspiko@gmail.com

Russian Federation

доктор медицинских наук, врач-гастроэнтеролог НЦЗД Минздрава России 
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1

A. S. Potapov

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Email: potapov@nczd.ru

Russian Federation

доктор медицинских наук, заведующий гастроэнтерологическим отделением с гепатологической группой НЦЗД Минздрава России Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1

A. S. Buslaeva

Scientifi c Centre of Children’s Health of the Ministry of Healthcare, Moscow, Russian Federation

Email: labspiko@gmail.com

Russian Federation

научный сотрудник НИИ ППиВЛ НЦЗД Минздрава России Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1

References

  1. Lymareva E.V. Rasstroistva nervnoi sistemy u detei s khronicheskimi gastroduodenitami. Avtoref. dis. … kand. med. nauk [Disorders of Nervous System in Children with Chronic Gastroduodenitis. Author’s abstract]. Orenburg, 2005. 121 p.
  2. Banez G.A., Сunningham C. Pediatric gastrointestinal disorders: recurrent abdominal pain, inflammatory bowel disease and ruminational disorders. Handbook of pediatric pshychology. M.C. Roberts (ed.). 3rd ed. Berlin: Springer. 2003. P. 462−481.
  3. Ballenger J.C., Davidson J.R., Lecrulier J., Nutt, D.J., Lydiart R.D., Mayer E.A. Consensus statement on depression, anxiety and functional gastrointestinal disorders. J. Clin. Psychiatry. 2001; 48−51.
  4. Antropov Yu.F., Shevchenko Yu.S. Lechenie detei s psikhosomaticheskimi rasstroistvami [Treatment of Children with Psychosomatic Disorders]. St. Petersburg, Rech, 2002. 560 p.
  5. Vakhrusheva I.A. Otnoshenie k bolezni u podrostkov s zabolevaniyami zheludochno-kishechnogo trakta. Avtoref. dis. … kand. psikhol. nauk [Relation to Illness at Teenagers with Diseases of the Gastrointestinal Tract. Author’s abstract]. St. Petersburg, 2004. 25 p.
  6. Fedorova V.L. Psikhologicheskie mekhanizmy formirovaniya vnutrennei kartiny bolezni i sovladayushchego so stressom povedeniya u bol'nykh s vospalitel'nymi zabolevaniyami kishechnika. Avtoref. dis. …kand. psikhol. nauk [Psychological Mechanisms of Formation of the Internal Picture of the Disease and Coping with Stress Behavior in Patients with Inflammatory Bowel Disease. Author’s abstract]. St. Petersburg, 2009. 23 p.
  7. Isaev D.N. Detskaya meditsinskaya psikhologiya. Psikhologicheskaya pediatriya [Children's Medical Psychology. Psychological Pediatrics]. St. Petersburg, Rech, 2004. 384 p.
  8. Sukhareva G.E. Lektsii po psikhiatrii detskogo vozrasta. T. 2 [Lectures on Psychiatry of Childhood. V. 2]. Moscow, 1957. 193 p.
  9. Nikolaeva V.V. Vliyanie khronicheskoi bolezni na psikhiku [Impact of Chronic Disease on the Psyche]. Moscow, Izd-vo Moskovskogo gos. un-ta, 1987. 168 p.
  10. Bulygina M.V. Osobennosti kommunikatsii mezhdu mater'yu i rebenkom s khronicheskim somaticheskim rasstroistvom (na materiale gastropatologii). Avtoref. dis. … kand. psikhol. nauk [Features of Communication between Mother and Child with a Chronic Physical Disorder (Based on Gastropatology). Author’s abstract]. Moscow, 2007. 26 p.
  11. Korkina M.V., Marilov V.V. Options psychosomatic personality development for diseases of the gastrointestinal tract. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of neurology and psychiatry. 1995;95(6):43−47.
  12. Filyakova E.G., Nikolaeva V.V., Kasatkin V.N. Self-concept of children with chronic medical conditions (bronchial, astmo-, and gastroduodenal pathologies). Pediatriya = PEDIATRIA. 2000;4:97−102.
  13. Alexander F. Psychological factors in gastro-intestinal disturbances. Psychoanal. 1934; 3: 506.
  14. Levenstein S., Prantera C., Scribano M.L., Varvo V., Berto B., Spinella S., Psychologic Predictoiis of Duodenal Ulcer Healing. J. Clin Gastr. 1996; 22 (2): 84−89.
  15. Zdorov'e detei Rossii v XXI veke. Pod red. A.A. Baranova, V.R. Kuchmy [Children's Health in Russia in XXI Century. Ed. by A.A. Baranov, V.R. Kuchma]. Moscow, Federal'nyi tsentr gossanepidnadzora Minzdrava Rossii, 2000. 159 p.
  16. Lazurenko S.B. Psikhicheskoe razvitie detei s narusheniyami zdorov'ya v rannem vozraste. Monografiya [Mental Development of Children with Disabilities at an Early Age. Monograph]. Moscow, LOGOMAG, 2014. 266 p.
  17. Lazurenko S.B., Simonova O.I., Sviridova T.V. Psikhologicheskie aspekty v vedenii bol'nykh mukovistsidozom. V kn.: Mukovistsidoz. Pod red. N.I. Kapranova, N.Yu. Kashirskoi [Psychological Aspects in the Management of Patients with Cystic Fibrosis. In book: Cystic Fibrosis. Ed. by N.I. Kapranov, N.Yu. Kashirskaya]. Moscow, Medpraktika, 2014. P. 623−648.
  18. Profilakticheskaya pediatriya. Pod red. A.A. Baranova [Preventive Paediatrics. Ed. by A.A. Baranov]. Moscow, Soyuz pediatrov Rossii, 2012. P. 442−484.
  19. Venger A.L. Psychological syndrome: approaches to diagnosis of content development. Kul'turno-istoricheskaya diagnostika = Cultural and historical diagnostics. 2014;10(1):20–25.
  20. Vygotskii L.S. Sobranie sochinenii. T. 4. Detskaya psikhologiya [Collected Works. V. 4. Child Psychology]. Moscow, Pedagogika, 1984. P. 244–268.
  21. Praktikum po vozrastnoi psikhologii. Pod red. L.A. Golovei, E.F. Rybalko [Workshop on psychology. Ed. by L.A. Golovei, E.F. Rybalko]. St. Petersburg, Rech, 2006. 688 p.
  22. Brain Function in Depressed Children and Adolescents. The international encyclopedia of depression. R.E. Ingram (ed.). New York: Springer Publishing Company. 2009. 688 p.
  23. Barreire S.G., Oliveira O.A., Kazama W., Kimura M., Santos V. L.C.G. Quality of life of children with stomas: the children and mothers’ point of view. Jornal de Pediatria. 2003; 79 (11): 55–62.
  24. Khavkin A.I., Faizullina R.M., Bel'mer S.V., Gorelov A.V., Zakharova I.N., Zvyagin A.A. et al. Diagnosis and tactics of children with functional constipation. Voprosy detskoi dietologii = Problems of pediatric nutritiology. 2014;12(4):49–63.

Statistics

Views

Abstract - 133

PDF (Russian) - 267

Cited-By


PlumX

Dimensions



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies