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艺术疗法在矫正受辐射污染地区儿童及从乌克兰东南部武装冲突地区流离失所儿童心理情绪状态个人障碍方面的应用

APPLICATION OF ART THERAPY FOR CORRECTION OF PERSONAL DISORDERS OF PSYCHOEMOTIONAL STATE OF CHILDREN - INHABITANTS OF RADIATION POLLUTED TERRITORIES AND CHILDREN DISPLACED FROM THE ARMED CONFLICT ON THE SOUTHERN EAST OF UKRAINE.

作者信息

Poznysh V A, Vdovenko V Yu, Kolpakov I E, Stepanova E I

机构信息

State Institution «National Research Center for Radiation Medicine of the National Academy of MedicalSciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine.

出版信息

Probl Radiac Med Radiobiol. 2019 Dec;24:439-448. doi: 10.33145/2304-8336-2019-24-439-448.

Abstract

OBJECTIVE

to identify the psycho-emotional state of children - residents of radioactively contaminated territories and children displaced from the zone of armed conflict in the south-east of Ukraine, and evaluate the effectiveness of art therapy application to correct its disturbances.

MATERIALS AND METHODS

The psycho-emotional state was determined in 113 children, of which 57 children from radioactively contaminated territories with 137Cs content in the body from 269 Bq to 7024 Bq (group I) and 56 chil- dren displaced from the zone of military conflict in the Southeast of Ukraine (group II). The age of children ranged from 10 to 17 years. The children were hospitalized to the childrens' clinics of the NRCRM because of functional dis- orders and chronic somatic pathology. The psycho-emotional state of children was evaluated using the «non-exis- tent animal» test. It was analyzed for three symptoms - anxiety, aggressiveness and neuropsychiatric exhaustion and was evaluated by scoring points. Correction of the psychoemotional condition was carried out by the method of art therapy in the form of a serial drawing. Psychological testing was performed twice: at admission to the hospital and after the end of the art therapy.

RESULTS

The results of the primary examination of the psycho-emotional state of children by the «non-existent ani- mal» test showed that in children - residents of radioactively contaminated territories the state of anxiety was reg- istered in all 57 children (100 %), the state of aggression - in 38 children (66.7%); exhaustion - in 37 children (64.9 %). In children who have been displaced from the zone of armed conflict in the south-east of Ukraine, the state of anxiety was also registered in all 56 children (100 %), the status of aggression was determined in 53 chil- dren (94.6 %), and the state of exhaustion - in 44 children (78.6 %). It was established that in children displaced from the combat zone in the Southeast of Ukraine, the quantitative indices of anxiety and aggression states were sig- nificantly higher than in children living in radioactively contaminated territories (p < 0.001), whereas nor by frequen- cy, nor by the degree of severity of exhaustion state they did not clearly differ (p > 0.05). Correlation analysis with the definition of Spearman's criterion did not reveal likely association between the content of 137Cs in the body of children - residents of radioactively contaminated territories and the peculiarities of their psycho-emotional state.

CONCLUSIONS

The use of the art therapy method in the form of a serial drawing for children - residents of radioac- tively contaminated territories and children moved from the combat zone in the south-east of Ukraine, led to a sig- nificant positive effect, which was characterized by a decrease in the manifestations of symptoms of anxiety and aggressiveness. The state of exhaustion was less well corrected and its indices only had a tendency to improve. Thus, the method of art therapy in the form of a serial drawing is characterized by efficiency, simplicity of execution, low cost, it can be widely used in children's teams to correct disorders of the psycho-emotional state.

摘要

目的

确定乌克兰东南部放射性污染地区的儿童居民以及从武装冲突地区流离失所的儿童的心理情绪状态,并评估应用艺术疗法纠正其心理障碍的有效性。

材料与方法

对113名儿童的心理情绪状态进行了测定,其中57名来自放射性污染地区的儿童,体内137铯含量在269贝克勒尔至7024贝克勒尔之间(第一组),56名是从乌克兰东南部军事冲突地区流离失所的儿童(第二组)。儿童年龄在10至17岁之间。这些儿童因功能障碍和慢性躯体疾病入住国家辐射医学与生物学研究中心的儿童诊所。采用“不存在的动物”测试评估儿童的心理情绪状态。分析了焦虑、攻击性和神经精神耗竭这三种症状,并通过计分进行评估。通过连环画形式的艺术疗法对心理情绪状况进行矫正。心理测试进行了两次:入院时和艺术疗法结束后。

结果

通过“不存在的动物”测试对儿童心理情绪状态进行初步检查的结果显示,在放射性污染地区的儿童居民中,所有57名儿童(100%)都存在焦虑状态,38名儿童(66.7%)存在攻击状态;37名儿童(64.9%)存在耗竭状态。在从乌克兰东南部武装冲突地区流离失所的儿童中,所有56名儿童(100%)也存在焦虑状态,53名儿童(94.6%)存在攻击状态,44名儿童(78.6%)存在耗竭状态。已确定,从乌克兰东南部战区流离失所的儿童中,焦虑和攻击状态的量化指标显著高于生活在放射性污染地区的儿童(p<0.001),而耗竭状态无论是在频率上还是严重程度上都没有明显差异(p>0.05)。通过斯皮尔曼准则进行的相关分析未发现放射性污染地区儿童居民体内137铯含量与其心理情绪状态特点之间存在可能的关联。

结论

对放射性污染地区的儿童居民以及从乌克兰东南部战区流离失所的儿童采用连环画形式的艺术疗法,产生了显著的积极效果,其表现为焦虑和攻击症状的表现有所减轻。耗竭状态的矫正效果较差,其指标仅呈现出改善的趋势。因此,连环画形式的艺术疗法具有高效、实施简单、成本低的特点,可广泛应用于儿童群体以纠正心理情绪状态障碍。

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