- Comprehensive approach for early diagnosis of anxiety related conditions in the adolescent population
Comprehensive approach for early diagnosis of anxiety related conditions in the adolescent population
PERINATOLOGY AND PEDIATRIC. UKRAINE. 2017.3(71):87-92; doi 10.15574/PP.2017.71.87
Pypa L. V., Pilyuyko N. V., Filyk A. V., Lysytsya Y. M., Pilyuyko P. V., Tomich I. V., Kolesnyk I. V., Tarnavskiy Y. О.
National Pirogov Memorial Medical University, Vinnytsia, Ukraine
Weiss Memorial Hospital, Chicago, IL, USA
Secondary school «School of youth health care advancement» No.9, Khmelnytskyi, Ukraine
Objective — to study psychological status of adolescents.
Material and methods. We observed 82 children, mean age 14 years old, with 48.94% boys and 51.06% girls. We provided questionnaires for evaluation and correlation of psychological and somatical conditions. The methods included: a questionnaire assessing health and wellbeing of pupils, the standardize scale «Termometr», a mood evaluation test, assessing of the school related anxiety by using Phillip and Spielberg tests. We also assessed influence of families on study subjects by providing the Varga-Stolin test of parental attitude to their child. Teachers were provided questionnaire «Stott's Map of Observation».
Results. Among all observed children 72% showed moderate and high personality related anxiety, 91% of whom were ready to react aggressively on certain situations; 42% of observed had fear before knowledge assessment, 39% felt fear of self-expression, 30% fear in a student-teacher relationship; 16% admitted feeling unwell, 21% noticed decreased activity, 11% had depressed mood. Overall 48% showed signs of depression; 29% showed evidence of developing maladaptive disorder. When interwiewing parents, it was established that significant number of adults behave authoritatively towards their children, had strict rules and disciplinary frames, almost always impose their will or, conversely, the control of the child's actions was practically absent. Majority of the parents experienced negative emotions towards their own child: irritation, «hate», «fury», and condescension, consider their children of no prospects, lack of optimistic outlook, do not believe in their future, had low estimation of their abilities. Close to 25% of parents thought that their children were burden for them and their careers. Over 40% adolescent from full families felt «family deprivation». According to the teachers' observation, 78% of adolescents displayed signs of disadaptation.
Conclusions. Using the proposed «three axes» approaches (sociological—pedagogic, psychological, and medical) creates the possibility to stratify general risk factors prior to manifestation of disorders and to carry out preventive and rehabilitation measures.
Key words: adolescents, psychological status, anxiety.
References
1. Kravtsova NA. (2005). Role of children-parents relationship in the development psychosomatical disorders in children and adolescents (dynamic model psychosomatic dysontogenesis). Sibirskii Psichologicheskii Zhurnal. 22: 13-18.
2. Kutko II, Panchenko OA, Lynev AH. (2015). Psychosomatic disorders in general practice. Ukrainsksyi Medychnyi chasopys. 5(109): 42-44.
3. Mashkova OM. (2016). Risk factors and vulnerable groups of in KDM: Experience in Ukraine. Materialy III Nationalnoi Ukrainskoi naukovo-praktychnoi konferencii z mizhnarodnoiu uchastiu “Aktualni pytannia i perspektyvy rozvytku medychnoi dopomogy i sotcialnyh posluh pidlitkam ta molodi na pryntcipah “druzhnioho pidkhody” v Ukraini”. Lystopad 29 – Gruden 1. Kyiv: 13-16.
4. Yurieva LM, Nosov SG, Mamchur OY. (2005). Neurological, somatological disorders and stress. Kyiv: 96.
5. Nedilko VP, Rudenko SA, Kaminska TM. (2016). Chronic fatigue in children school age – problems today. Materialy XIII z’izdu pediatriv Ukrainy “ Aktualni problemy v pediatrii”. Zhovten 11-13. Kyiv: 76.
6. Nedilko VP, Rudenko SA. (2016). Influence of family on health of child. Materialy XIII z’izdu pediatriv Ukrainy “Aktualni problemy v pediatrii”. Zhovten 11-13. Kyiv: 77.
7. Parhomenko LK. (2016). Health condition of adolescents in Ukraine for summary 2014. Materialy III Nationalnoi Ukrainskoi naukovo-praktychnoi konferencii z mizhnarodnoiu uchastiu “Aktualni pytannia i perspektyvy rozvytku medychnoi dopomogy i sotcialnyh posluh pidlitkam ta molodi na pryntcipah “druzhnioho pidkhody” v Ulraini”. Lystopad 29 – Gruden 1. Kyiv: 1-2.
8. Myhailov BV, Tabachnikov SI, Vitenko IS, Chugunov-Oko VV. (2002). Psychotherapy (for interns). Harkiv: 768.
9. Pypa LV, Lysytsia YM, Ruda VI, Masyk OV. (2016). Materialy III Nationalnoi Ukrainskoi naukovo-praktychnoi konferencii z mizhnarodnoiu uchastiu “Aktualni pytannia i perspektyvy rozvytku medychnoi dopomogy i sotcialnyh posluh pidlitkam ta molodi na pryntcipah “druzhnioho pidkhody” vUlraini”. Lystopad 29 – Gruden 1. Kyiv: 57-59.
10. Pypa LV, Lysytsia YM, Lukianovich IL. (2016). Methods of composing the groups of children, which is in high risk of development psychosomatic disorders. Patent na korysnu model MPK G01N33/48-2016.
11. Rodionova AN, Dolgih VV, Kolesnikova LI, Rychrova LV. (2014). Risk factors and structure of psychosomatic disorders in the high intelligence pupils. International Journal Ofexperimental Education. 1: 90-95.
12. Sysoenko NV, Seryh LB, Elinko TB, Sviridova OO, Svetlova OD. (2005). Livestyle formation in the current student in the conditions on reformation educational system in Ukraine Hyhieina naselenykh mists: zbirnyk naukovykh prats. Kyiv. 45: 386-390.
13. Khaitovych MV, Misiura OM. (2016). New vision of epigenetic mechanism of development psychosomatic disorders in the children population. Materialy XIII z’izdu pediatriv Ukrainy “Aktualni problemy v pediatrii”. Zhovten 11-13, Kyiv: 105-106.
14. Shevchenko YS. (2010). Complex multilevel therapy in the children and adolescents ( based on model psychogenic psychosomatic disorders). Voprosy psikhicheskoho zdorovia detei i podrostkov. 1: 19-29.
15. Burba B, Oswald R, Grigaliunien V et al. (2006). A controlled study of alexithymia in adolescent patients with persistent somatoform pain. Can J Psychiatry. 51: 468–471. https://doi.org/10.1177/070674370605100709; PMid:16838829
16. Garcia-Martin I, Miranda-Vicario EM, Soutullo CA. (2012). Duloxetine in the treatment of adolescents with somatoform disorders: a report of two cases. Actas Esp. Psiquiatr. 40: 165-168. PMid:22723136
17. Sauer N, Eich W. (2007). Somatoform and Functional Disorders. Dtsch Arztebl. 104(1-2): 45–53.
18. Silber TJ. (2011). Somatization Disorders: Diagnosis, Treatment, and Prognosis. Pediatr Rev. 32: 56-64. https://doi.org/10.1542/pir.32-2-56; PMid:21285301
19. Fiertag O, Taylor S, Tareen A, Garralda E. (2012). Somatoform disorders IACAPAP e Textbook of Child and Adolescent Mental Health. In Rey JM. (ed). Geneva: International Association for Child and Adolescen: 21.