Kasiyanova A. Medical and psychological support of children with irritable bowel syndrome

The thesis is devoted to social and demographic and psychological features of children with irritable bowel syndrome (IBS). Mothers' mental status and relationship to the child with IBS have been identified. Qualities of life of children with IBS were investigated. Psychosomatic determinants of IBS were formulated and medical and psychological support has been developed. The psychological status of children with IBS is dominated by displays of anxiety and depression which are of neurotic character but come short of syndrome level and are linked with somatic disorders. Contingent of IBS patients' mothers is characterized by the domination asthenia and vegetal syndromes with heightened level of anxiety and depression, obsession, phobic and hysteria with somatic complaints. The style of upbringing of children with IBS is characterized by hiperpatronizing, authoritarian style, intensive control and exigency. There are four determining features of functional intestinal disorders in children, namely: 1) social determining feature is preconditioned by negative psychological factors which affect a child 2) mental and maternal determining feature is preconditioned by the negative influence of neurotic status of mothers on the development of psychosomatic disease in children; 3) intra-psychic determining feature is preconditioned by the influence of emotional disorders (anxiety and depression) on the beginning and the course of the somatic disease; 4) biophysiological determining feature which is preconditioned by the disorders in the intestinal activity of functional level and inherited mechanism of disease transmission;