SOVREMENNAYA PEDIATRIYA.2016.5(77):98-101; doi10.15574/SP.2016.77.98 

The clinical significance of psycho-emotional factors during the children's obesity 

Tsyunchyk Yu. G.

Odessa National Medical University, Ukraine 

Objective — to improve the efficiency of the treatment of obesity in children on the base of examination of the clinical significance of psycho-emotional factors in the formation of obesity and the development of new methods for the combined medical and psychotherapeutic support.

Patients and methods. The epidemiological, clinical, laboratory, functional, instrumental, medical and psychological examination of 144 children (78 girls and 66 boys) in the age 3–17 years with clinically confirmed diagnosis of obesity are conducted.

Results. The impact of psycho-emotional factors on the formation of obesity in children is proved. It is increased personal anxiety, maladjustment, neurotic type of reactions, asthenodepressive and asthenohypochondriac types of accentuation of character. The predominance of negative emotions in the psycho-emotional state of patients with obesity of children, such as anxiety, addiction, insecurity, aggressiveness, feeling of inferiority, lack of confidence, ostantation, unmotivated change of mood, a variety of fears and phobias are shown. Intensity of personal maladjustment of children with obesity increases as far as complications of the disease.

Conclusions. Identified psychological changes determine the need of psychotherapeutic correction in the scheme of standard therapy of obesity in children. In drawing up the plans of individual psychotherapy it is necessary to take into account the severity of obesity, personality of the child, the dominance of certain etiological factors of its occurrence. The prevalence of disorders in family relationships determines the necessity of increasing of the role of family psychotherapy, aimed as on the patient so on his parents. At the same time disorders in extrafamilial field and household contacts can be eliminated by increasing of the group training methods, communication, gaming techniques and joint with parent education according nutrition. For all children with obesity were prescribed autogenous training techniques with the aim of forming the proper dietary.

Key words: children, obesity, psycho-emotional factors.

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