; Кочерова Ольга Юрьевна-д.м.н., в.н.с. отдела охраны здоровья детей и медико-социальных исследований Ивановского НИИ материнства и детства им. В.Н. Городкова Малышкина Анна Ивановна-д.м.н., директор Ивановского НИИ материнства и детства им. В.Н. Городкова Румянцева Татьяна Викторовна-консультант управления дошкольного, общего, специального, дополнительного образования и воспитания Департамента образования Ивановской области; Кривоногов Андрей Борисович-директор Центра лечебнопрофилактической медицины «Медиком»
Background: Research objective was to define psychological makers of mothers bringing up disabled children for scientific justification of the family psychotherapy branches. Patients and methods: 60 mothers bringing up children of early age with infantile cerebral palsy and 50 mothers of children with compensation of perinatal affections of the central nervous system by the 1 life year are surveyed. Personal characteristics, family orientations of mothers, child and mother relations, awareness of mothers on the children health state and the attitude to their rehabilitation were studied by means of psychological techniques. Results: It is found out that the mothers bringing up disabled children more often have emotional disorders, negative attitude to divorce and give the leading role in a family to the husband less often they show hypoguardianship of the child than the mothers of children with compensation of perinatal affections of the central nervous system. Mothers are less satisfied with the child development, they are more often worried about disorders of development of movements, speech and mental development delay, small appetite of the child, they feel helplessness in rehabilitation more often, note the ambiguity of its prospects. They understand that their child needs the help of the qualified experts: neurologist, orthopaedist, logopedist, psychologist, but they aren't satisfied with communication with them more often, underestimate own role in rehabilitation. Conclusion: The revealed characteristics prove the necessity and define the main directions of family psychotherapy-correction of mother's emotional disorders, child and parental relations, increase of medical and psychological competence that allows to increase efficiency of rehabilitation.
The article is devoted to the study of the psychological characteristics of mothers who gave birth to children conceived using in vitro fertilization. The results of a comparative study of personality characteristics, gestational dominant psychological component, and parent-child relationship 105 mothers of infants conceived via IVF children and 89 mothers who conceived naturally. The methodology used MINI SMIL L.N. Sobchik, test for pregnant I.V. Dobryakova and methods of E.S. Schaeffer, R.K. Bell revealed that mothers of children conceived via IVF, characterized hyperthymic, anxiety and ambition, at least – masculine traits and deliberately. Women often anxiety related to pregnancy and child euphoric attitude towards childbirth. After birth, they are often too much care of their children. Mothers who gave birth to premature babies are more likely than mothers of full-term children, are original and hyperthymic traits. During pregnancy, they often «gipognostichesky type» (little conscious) of relationship to leave, depressive attitude towards yourself and your child, anxious attitude towards strangers. These factors are risk factors for premature birth, therefore, require psychological treatment.
Под наблюдением находилось 208 воспитанников домов ребенка в возрасте от 1 года до 3 лет, перенесших перинатальные поражения центральной нервной системы гипоксически-ишемического генеза легкой и средней степени тяжести. Цель исследования — разработка реабилитационных мероприятий для детей раннего возраста с выраженной задержкой нервно-психического развития, перенесших перинатальные поражения центральной нервной системы, воспитывающихся в доме ребенка, на основании выявленных механизмов ее формирования. Установили, что в основе проведения реабилитационных мероприятий воспитанникам домов ребенка с выраженной задержкой нервно-психического развития, перенесших перинатальные поражения центральной нервной системы, должен лежать комплексный подход с учетом наличия у этих детей хронического стресса, обусловленного психоэмоциональной депривацией, что позволяет предупредить дальнейшее углубление задержки нервно-психического развития, отклонений физического развития и уменьшить частоту фоновой патологии.
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