Родительская приверженность лечению детей с психическими расстройствами как клинико-психологическая проблема

Abstract

<p style="text-align: justify;"><strong>Objectives. </strong>A child’s illness is a major challenge that imposes restrictions on all family members. Not all parents of sick children strictly follow medical prescriptions, which emphasizes the importance of developing recommendations to improve parental adherence to treatment. It is necessary to distinguish between the terms adherence and compliance, where the former emphasizes active participation, and the latter — the actual implementation of prescriptions without an emphasis on involvement. The purpose of the study is to systematize approaches to the problem of adherence to treatment to operationalize the concept of “parental adherence to treatment”.</p> <p style="text-align: justify;"><strong>Methods. </strong>The analysis of Russian and foreign studies of the concept of parental adherence was conducted. Russian works were selected based on relevance and availability of an evidence base for the study. Due to the low prevalence of the term in Russian studies, foreign sources had a great influence on the operationalization of the concept. Foreign sources were selected depending on the development depth of the problem and the representativeness of the sample to actualize the problematic of the phenomenon of parental treatment adherence in the field of clinical psychology. The following electronic resources were used for the analysis: eLIBRARY.ru, PubMed, ResearchGate, ConnectedPapers and others.</p> <p style="text-align: justify;"><strong>Results. </strong>The main components of the phenomenon of parental adherence to treatment are identified: following the recommendations of doctors and establishing trusting relationships between parents, medical personnel and the child. Such relationships contribute to more effective treatment and accompany the child in the rehabilitation process. Given the possible difficulties with accepting treatment, interpersonal interaction between parents and doctors helps to individualize the treatment plan taking into account the characteristics of each family. The authors provide a definition of the phenomenon of “parental adherernce to treatment”.</p> <p style="text-align: justify;"><strong>Conclusions. </strong>Currently, the problem of increasing the level of parental treatment adherence is emphasized by the parents’ lack of knowledge of child rehabilitation methods and their emotional rejection of the diagnosis. Therefore, operationalizing the concept of parental adherence to treatment will aid in formulating more useful recommendations on treating a child for parents.</p>