ROLE OF PSYCHOLOGICAL PARAMETERS AND ART-DIAGNOSTICS OF ANXIOUS DISORDERS IN CHILDREN AT CHOOSING A TACTICS OF THERAPEUTIC INTERVENTION
Abstract
The article presents the new method of art-therapeutic psychodiagnostics of anxious disorders in children. There are separated formal elements that have a diagnostic importance in differentiation of anxiety and depression in children in the age aspect. There are presented the features of the course of anxious disorders in the age aspect: in children – comorbidity of anxiety with cognitive disorders (neurocognition) and phobias, in teenagers – anxiety with emotional (depression) and behavior disorders (avoiding behavior). It was established, that the constitutional-neuropathic variant of an anxious disorder prevails in children of 7 – 11 years old, and in teenagers – the thymopatic variant of it. There are the separated informative signs of phobic formations that provide the reliable psychopathological differentiation of anxious disorders: dominating type, determining a clinical picture, accessory type, participating in pathoplasty of complicated syndrome complexes and isolated type. There are separated the psychological predictors of the anxiety disorder development in children: infantilism, personal anxiety, poly-accentuation of a character. It was established, that the formation of anxious disorders, regardless of age, is influenced by the pathological type of family relations (disconnected, separated and rigid). In a projective figure of a family a disorder of emotional family connections was diagnosed in most children with anxious disorders. There are established the factors of prediction of an anxious-phobic disorders in children: genetic predisposition and external conditions of this state residual-organic, family (disorders of a family interaction with forming symbiotic relations between a child and an anxious parent) and environmental)). The analysis of the information, obtained in projective figural tests, allowed to differentiate and to systematize graphic signs of anxiety, phobias and depression. It was shown, that the method of art-diagnostics widens possibilities of early detection of disorders of social and cognitive functioning of children with anxious disorders
Downloads
References
Maruta, N. O. (2014). Modern problems of comorbid disorders in Psychiatry: the view of specialists. Ukrainian medical journal, 1–4. Available at: www.umj.com.ua
Bobrov, A. E., Krasnov, V. N., Dovzhenko, T. V., Tsarenko, D. M. (2012). Interrelationships between depression, anxiety and cognitive deficit in primary care patients. Nordic Congress of Psychiatry Abstract Book, 23.
Muris, P. (2006). The pathogenesis of childhood anxiety disorders: Considerations from a developmental psychopathology perspective. International Journal of Behavioral Development, 30 (1), 5–11. doi: 10.1177/0165025406059967
Mykhailova, I., Proskurina, T., Bagatska, N., Mitelov, D., Matkovska, T., Reshetovska, N. (2015). Depression in adolescents (clinical and age, nejrokognìtiv, genetic aspects). Ukrainian Department bulletin, 23 (2 (83)), 75–78.
Kopeiko, G. (2011). Mixed affective states in the juvenile age (historical aspects, current state of the problem, psychopathology). Zhurnal nevrologii i psikhiatrii imeni S. S. Korsakova, 111 (10), 4–11.
Mykhailova, I. (2014). Cognitive and neurophysiological markers of depression in children. Focusing on Access, Quality and Humane Care. Madrid, 1074.
Mykhailova, I., Proskurina, Т., Matkovska, Т., Mitelov, D. (2013). Clinical, psychological, social and biological risk factors of depression in children. World Psychiatric Association International Congress.Vienna, 224.
Dubicka, B., Elvins, R., Roberts, C., Chick, G., Wilkinson, P., Goodyer, I. M. (2010). Combined treatment with cognitive-behavioural therapy in adolescent depression: meta-analysis. The British Journal of Psychiatry, 197 (6), 433–440. doi: 10.1192/bjp.bp.109.075853
Bellantuono, C., Nardi, B., Francesconi, G., Catena-Dell’osso, M. (2013). Adolescent depression: clinical features and therapeutic strategies. European Review for Medical and Pharmacological Sciences, 17, 1546–1551.
Mykhailova, I. et. al. (2015). A. S. No. 59930. Detection technology psychosocial stressors in children with depression. Declared: 04.03.2015; published: 29.04.2015.
Copyright (c) 2017 Iemiliia Mykhailova, Tetyana Proskurina
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.