Maternal attitude as a resource for overcoming the psychological consequences of a severe form of an orthopedic disease
- Authors: Pyatakova G.V.1,2, Vissarionov S.V.1,3, Lebedeva E.I.2
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Affiliations:
- The Turner Scientific Research Institute for Children’s Orthopedics
- Saint Petersburg State University
- North-Western State Medical University n. a. I.I. Mechnikov
- Issue: Vol 5, No 4 (2017)
- Pages: 60-67
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/7675
- DOI: https://doi.org/10.17816/PTORS5460-67
- ID: 7675
Cite item
Abstract
Introduction. Idiopathic scoliosis in a surgical pathology stage creates a difficult situation in the life of sick adolescents. There may be signs of marked neuropsychic stress, fear, helplessness, and behavioral deviations in adolescents suffering from the scoliotic disease. Hence, it is important to study the factors of protection and external adaptation resources that are crucial for coping with psychological difficulties in adolescence. One such resource is the maternal attitude, including emotional support.
Material and methods. Sixty women were enrolled in the study, 30 of whom were mothers of patients of a pediatric orthopedic clinic who had been diagnosed as having idiopathic scoliosis of 3–4°, and 30 were mothers of adolescents without disorders of the musculoskeletal system. The method used the A.Ya. Varga and V.V. Stolin diagnostics of parental attitude, the SF-36 quality of life questionnaire, and C.D. Spielberg’s self-evaluation technique for determining the level of situational and personal anxiety (adaptation of Y.L. Khanin). Average statistics were calculated, the statistical significance of differences in comparisons was calculated by performing Student’s test, and correlation analysis was performed by calculating Spearman’s correlation coefficients.
Results. The attitudes of the parents of the healthy adolescents and those of adolescents with idiopathic scoliosis were characterized by a predominance of positive feelings and a desire to provide emotional support to the adolescent proportionally while recognizing the difficulties in the child’s life situation. A mother’s positive attitude toward her child under treatment in a surgical clinic for correction of a severe spinal deformity may be distorted by her anxiety and depressive feelings, which may reduce the mother’s ability to provide emotional support in a situation difficult for the child. An important component in the system of psychological care for adolescents with idiopathic scoliosis may be professional psychological support focused on harmonization of child–parent relations.
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##article.viewOnOriginalSite##About the authors
Galina V. Pyatakova
The Turner Scientific Research Institute for Children’s Orthopedics; Saint Petersburg State University
Author for correspondence.
Email: pyatakova@yandex.ru
MD, PhD, associate professor, senior researcher of the Department of Cerebral Palsy of The Turner Scientific Research Institute for Children’s Orthopedics; associate professor of the Chair Psychology of Crisis and Extreme Situations of the faculty of psychology of Saint Petersburg State University
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603; 7/9, Universitetskaya nab., St.Petersburg, 199034Sergey V. Vissarionov
The Turner Scientific Research Institute for Children’s Orthopedics; North-Western State Medical University n. a. I.I. Mechnikov
Email: turner01@mail.ru
MD, PhD, professor, deputy director for research and academic affairs, head of the Department of Spinal Pathology and Neurosurgery. The Turner Scientific Research Institute for Children’s Orthopedics; professor of the Chair of Pediatric Traumatology and Orthopedics. North-Western State Medical University n.a. I.I. Mechnikov
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603; 41, Kirochnaya street, Saint-Petersburg, 191015Ekaterina I. Lebedeva
Saint Petersburg State University
Email: eilebedeva@mail.ru
senior lecturer of the Chair Psychology of Crisis and Extreme Situations of the faculty of psychology of Saint Petersburg State University
Russian Federation, 7/9, Universitetskaya nab., St.Petersburg, 199034References
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