Babich I. A., Lebedeva O. M., Luzin A.V., Michaylova E.A., Zolotareva M.A., Pashchenko I.V.

State Institution “Crimea State Medical University named after S.I. Georgievsky”, Simferopol, Ukraine.

FEATURES OF PSYCHOTYPE CHILDREN WITH FUNCTIONAL AND CHRONIC PATHOLOGY GASTRODUODENAL ZONE

Psycho-emotional factor plays an important role in the pathogenesis of chronic and functional pathology gastroduodenal zone in children.

The aim of the work was to study the type of reaction of the child to the disease to improve quality of care.

 We conducted a survey of 121 children which were hospitalized in the 2^nd Children's Clinical Hospital Simferopol in 2012-2013 with chronic gastroduodenitis (CGD) in the acute exacerbation stage (89 children), gastric and duodenal ulcer in one, uncomplicated (32 children) As a control, a similar survey was conducted in children with functional helicobacter pylori - associated (HP) disorders (19 children).

Method: For the survey used personality questionnaire of Bekhterevsky Institute (LOBBY), which is designed to diagnose personality types of attitudes toward the disease and other related personal relationships in patients with chronic somatic diseases.

Results: The analysis of our data revealed psychotype as follows: children with CGD dominated the sensitive - 14% (17 children), anozognostic - 14% (17 children) and euphoric - 12.4% (15 children). At patients with gastric and duodenal ulcer - mixed - 38% (46 children), neurasthenic - 10.7% (13 children), paranoid - 8.3% (10 children). Among the respondents, patients with functional (HP) dyspepsia is dominated by the sensitive psycho - 42.1% (8 children), anozognostic - 31.6% (6 children), neurasthenic - 26.3% (5 children).

After treatment with repeated survey, 52% of children with CGD were revealed to be harmonious psycho, 13% - anozognostic, the remaining 35% psycho remained unchanged. In children with gastric and duodenal ulcer, revealed 46% with a harmonious psycho and 8% anozognostic; 46% psychotype changes were observed.

Conclusions:

1. Internal picture of CGD has enough characteristics with predominance a sensitive, euphoric and anozognostic psychotype; in children with gastric and duodenal ulcer, revealed the predominance of mixed, neurotic and paranoid psycho .

2. After treatment revealed a harmonious and anozognostic psychotype children with chronic gastroduodenal pathology which indicates an improvement of mental and emotional condition of the child .

3. Children who after treatment showed no changes in psychotypes were recommended to continue to use methods of psychological correction.