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FEATURES OF PSYCHOPATHOLOGICAL REACTION IN PARENTS WHOSE CHILDREN SUFFER FROM CHRONIC MUSCULOSKELETAL DISORDERS
Oleksandr Belov1, Yevhen Loiko1, Iryna Mazaikina1
1NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.
Insights
Parents of children with chronic musculoskeletal disorders experience significant psychopathological reactions, primarily depression and anxiety. Mothers show higher distress with shorter illness durations, while fathers
Area of Science:
- Psychiatry and Psychology
- Pediatrics
- Family Studies
Background:
- Chronic musculoskeletal disorders in children impose significant psychological burdens on parents.
- Understanding parental psychopathological reactions is crucial for effective family-centered care.
- Previous research has highlighted the impact of pediatric chronic illness on parental mental health.
Purpose of the Study:
- To explore the specific features of psychopathological reactions in parents of children with chronic musculoskeletal disorders.
- To identify differences in psychological distress between mothers and fathers.
- To examine the relationship between the duration of the child's illness and parental mental health outcomes.
Main Methods:
- A clinical study involving 40 fathers and 64 mothers of children diagnosed with chronic muscular motor pathologies.
- Assessment using the M. Hamilton Depression and Anxiety Scale.
- Evaluation of hostility using the Buss-Durkee Hostility Inventory.
Main Results:
- Depressive (68.2%–97.0%) and anxiety (40.9%–100.0%) disorders form the basis of parental psychopathological reactions.
- Mothers reported higher depression and anxiety levels, particularly with shorter illness durations, compared to fathers.
- Fathers exhibited higher aggression levels than mothers, irrespective of illness duration.
Conclusions:
- Mothers experience heightened psychopathological reactions during the early stages of their child's chronic illness.
- Fathers' psychological distress, particularly aggression, increases significantly as the duration of the child's illness progresses.
- Tailored psychological support strategies are needed for mothers and fathers, considering the illness duration.
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.
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