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患有慢性肌肉骨骼疾病儿童的父母的心理病理反应特征。

FEATURES OF PSYCHOPATHOLOGICAL REACTION IN PARENTS WHOSE CHILDREN SUFFER FROM CHRONIC MUSCULOSKELETAL DISORDERS.

机构信息

NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.

出版信息

Wiad Lek. 2021;74(9 cz 1):2147-2151.

Abstract

OBJECTIVE

The aim: Was exploring features of psychopathological reaction in parents whose children suffer from chronic musculoskeletal disorders.

PATIENTS AND METHODS

Materials and methods: Clinically, 40 fathers and 64 mothers of children suffering from chronic muscular motor pathologies using M. Hamilton's Depression and Anxiety Scale and Buss-Durkee Hostility Invertory were examined.

RESULTS

Results: It was revealed that the foundation of psychopathological reactions of parents to the chronic illness of children is depressive (from 68,2% to 97,0%) and anxiety (from 40.9% to 100.0%) disorders, and dyssomic disorders as well (from 18.2% to 93.9%), asthenic (from 9.1% to 81.8.%), affective lability (from 9.1% to 36.4%), apathetic (from 4.5% to 42.4%), cognitive (from 4.5% to 42.4%) and obsessive-phobic (from 4.5% to 39.4%) disorders. Mothers with longer and shorter periods of illness in children showed higher levels of depression (20.82 ± 5.94 and 20.26 ± 6.59 respectively) and anxiety (19.06 ± 5.00 and 17, 77 ± 5.65) compared with fathers (17.44 ± 8.78 and 10.82 ± 6.21, respectively; 14.72 ± 5.57 and 14.95 ± 4.45), but fathers showed higher levels of aggression 65.59 ± 10.42 and 63.21 ± 10.31 (respectively versus 55.27 ± 6.97 and 49.72 ± 10.00).

CONCLUSION

Conclusions: А high level of psychopathological reaction in mothers is detected at short periods of disease, and in fathers it significantly grows as the duration of child's illness increases.

摘要

目的

探讨患有慢性肌肉骨骼疾病儿童的父母的精神病理反应特征。

患者和方法

对 40 名患有慢性肌肉运动病理的儿童的父亲和 64 名母亲进行了临床检查,使用了 M. Hamilton 的抑郁和焦虑量表以及 Buss-Durkee 敌意反向量表。

结果

研究结果表明,父母对儿童慢性疾病的精神病理反应基础是抑郁(从 68.2%到 97.0%)和焦虑(从 40.9%到 100.0%)障碍,以及躯体化障碍(从 18.2%到 93.9%)、乏力(从 9.1%到 81.8%)、情感不稳定(从 9.1%到 36.4%)、冷漠(从 4.5%到 42.4%)、认知(从 4.5%到 42.4%)和强迫-恐惧(从 4.5%到 39.4%)障碍。孩子患病时间较长和较短的母亲表现出更高水平的抑郁(分别为 20.82 ± 5.94 和 20.26 ± 6.59)和焦虑(分别为 19.06 ± 5.00 和 17.77 ± 5.65),而父亲则表现出更高水平的攻击性(分别为 17.44 ± 8.78 和 10.82 ± 6.21,分别为 14.72 ± 5.57 和 14.95 ± 4.45),而父亲表现出更高水平的攻击性 65.59 ± 10.42 和 63.21 ± 10.31(分别为 55.27 ± 6.97 和 49.72 ± 10.00)。

结论

在疾病的短时间内,母亲的精神病理反应水平较高,而随着孩子疾病持续时间的增加,父亲的反应水平显著上升。

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