Estimation of the psychoemotional state of parents of babies with a heavy craniocerebral trauma as a basis of the system of medical-psychological support in child's neuro-surgery

Abstract

Aim: The complex study of features of emotional disorders in parents of children of the first year of life with a heavy craniocerebral trauma. Materials and methods. 137 families (mother and father) of children of the first year of life with craniocerebral trauma, examined and treated in a child’s neurosurgical department. The mean age of parents was 27,0±3,0 years.Methods of examination: anamnestic, psychodiagnostic with questionnaires of neuropsychic tension (T.A. Nemchyn, 1984), clinical scales of anxiety and depression (M. Hamіlton, 1967),adapted to ICD-10 (G. P. Panteleev, 1988), scale of situational and personal anxiety by D. Spilberg (adapted by Y.L. Hanin, 1981).Results of research. A child’s disease is a psychotraumatic situation for all parents and leads to the development of anxious-depressive reactions and statuses. The anxious-depressive, astheno-depressive, depressive-adaptive and dysphoric variants of emotional disorders in parents of babies with a heavy craniocerebral trauma were separated and their clinical features were described.The high level of emotional tension, abrupt intensification of negative emotions, effect of sorrow and anxiety, depressive manifestations are typical for parents of babies with a craniocerebral trauma. According to the data of the psychodiagnostic examination in parents were observed a light moderate depressive and anxious episodes by Hamilton scale; high levels of situational and personal anxiety by C.D. Spilberg’s method, high level of expressiveness of nervous-psychic tension by T.A. Nemchyn scale.Conclusions. The high level of emotional tension, abrupt intensification of negative emotions, anxious-depressive manifestations were typical for parents after a baby’s craniocerebral heavy trauma