Dukhovskyi O. Medical and psychological support of newborn families with craniocerebral trauma in neurosurgical hospital

In the course of work with the aim of developing and testing of the system of medico-psychological support of families with a somatically challenged child conducted a comprehensive survey of 137 families of children with severe somatic disease. The main group comprised 97 families participating in the program medico-psychological support, a control group of 40 families who did not receive psychological support. As the results of the study showed, a serious illness of the child became a psychotraumatic situation for all parents, which led to the development of anxiety-depressive reactions and conditions. According to the psychodiagnostic examination, the parents had mild, moderate depressive and anxious episodes on the Hamilton scale; High levels of situational and personal anxiety according to the method of C.D. Spielberger, a high level of expression of neuropsychic stress on the scale of T.A. Nemchin. Based on the data obtained during the study, the following variants of emotional disorders were identified in the examined parents of infants with severe CHT: anxiety-depressive (40.9%), asthenia-depressive (22.5%), depressive-apathetic (22.5%) and dysphoric (16.1%). The couple surveyed noted the presence of tensions in family relationships, family conflicts, as related to the treatment of the child and the escalation of pre-existing interpersonal and marital problems that led to the distancing and reducing intrafamily resource. Based on these data, we have developed a system of medical-psychological support of the family somatically challenged child, which consisted of four consecutive phases and included the use of individual cognitive-behavioral therapy, family therapy, rational therapy and pejoratively programs. As shown by the results of dynamic observation on the background of applying the proposed system of medical-psychological support in the main group showed a stable positive dynamics of the psychological state with a total reduction of anxiety-depressive states and the harmonization of the marital relationship.