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AB1215 Juvenile idiopathic arthritis: Interaction of attitude of parents and children to the disease
  1. V. Malievsky,
  2. G. Gareeva
  1. Department of Pediatrics, Bashkir State Medical University, Ufa, Russian Federation

Abstract

Background Peculiarities of functioning of family and of social support of patents with juvenile idiopathic arthrities can have the determining knowledge in formation of social and psychological adaptation of sick children.

Objectives There were questionnaired 108 patients with juvenile idiopathic arthritis (46 boys and 62 girls aged from 7 to 16 years) and their parents.

Methods To study psychological reaction of parents on the child’s disease, there was used “Procedure of diagnostics of parents’ attitude to the child’s disease” by V.E. Kagan and I.P. Zhuravleva. “The internal picture of disease” was estimated with use of “Methods for psychological diagnostics of types of attitude to disease”. The test was represented by questions about the effect of disease on the state of health, mood, sleep, attitude to relatives, closes and surroundings, studying, attitude to solitude and future, as well as about questions on attitude to medical staff.

Results With aid of linear correlational analysis, there was established effect of parents’ attitude to the child’s disease on formation of the “internal picture of disease”, attitude of child to his disease. The positive correlational connections of moderate strength are revealed between parameters of scale of anxiety of test of parents’ attitude to child’s disease and the anxiety scales (r =0.32, d =0.031) and sensitivity (r =0.36, d =0.014) of test of attitude to disease. The negative correlational connection between the scale “Nosognosia” and scale of anosognosia TOB (r = -0,35, p =0.02) indicates that in development of the anosognosical type of child’s attitude to disease, a certain role is played by the parental perception of seriousness and severity of the child’s disease.

Conclusions It can be suggested that the parents’ anxious reaction to child’s disease promotes development of such adverse psychological child’s reaction to disease as anxiety and concern on the occasion of possible unfavorable outcomes of disease, inefficiency of treatment (the anxious type) or unfavorable expression on surroundings, fear of poor-disposed attitude from their side (the sensitive type).

Disclosure of Interest None Declared

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