The risk factors of development of behavior disorders in children of early age fostered in surrogate families

Abstract

The study established biological and social psychological risk factors of development of emotional and behavioral disorders, usually onsetting in childhood and adolescence (F90-98) in children of early age in a year of fostering in substitute families. The psychological examination of adoptive mothers was carried out using such methods as MINI-SMIL test, parent attitude to child test (A. Ya. Varga, V. V. Stolin), "Family Relationship Analysis" questionnaire, motivation of adopting child choice test. The statistical processing of research data was carried out using MS Excel XP and Statistica 6.0. The relative risk of various factors was rated using software OpenEpi with 95% confidence interval. The Wald's technique of sequential mathematical analysis was used to identify risk factors and to compile predictive tables. It is established that the most important value in formation of this group of disorders is attributed to health of child while transferring to substitute family, motives of adopting child, personal characteristics of substitute mothers and characteristics of child fostering. The algorithm of predicting health disorders in children of early age fostering in substitute families is developed. The identification of children at risk of developing this pathology permits to apply multi-modal approach to successful prevention and habilitation of children at risk, including medical psychological support, considering physical and mental health of child, psychological characteristics of substitute mothers and abnormalities in mother-child system.