tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.21292/2075-1230-2022-100-11-6-12tiblj-1687Research ArticleCOVID-19COVID-19Возможности нормализации психоэмоционального статуса детей с туберкулезом органов дыхания в стационаре в условиях пандемии COVID-19Possibilities to improve the psycho-emotional state of children with respiratory tuberculosis in in-patient settings during the COVID-19 pandemichttps://orcid.org/0000-0003-2323-2253ШелоумоваО. Н.SheloumovaO. S.

Шелоумова Оксана Сергеевна, научный сотрудник лаборатории изучения психологических проблем туберкулеза

107564, Москва, Яузская аллея, д. 2

Oksana S. Sheloumova, Researcher of Laboratory for Study of Psychological Problems Associated with Tuberculosis

2, Yauzskaya Alleya, Moscow, 107564

oksanasheloumova@yandex.ruhttps://orcid.org/0000-0003-0048-4394ЗолотоваН. В.ZolotovaN. V.

Золотова Наталья Владимировна, старший научный сотрудник, заведующая лабораторией изучения психологических проблем туберкулеза

Тел.: 8 (499) 785-91-54

107564, Москва, Яузская аллея, д. 2

Natalya V. Zolotova, Senior Researcher, Head of Laboratory for Study of Psychological Problems Associated with Tuberculosis

Phone: +7 (499) 785-91-54

2, Yauzskaya Alleya, Moscow, 107564

zolotova_n@mail.ruФГБНУ «Центральный научно-исследовательский институт туберкулеза»РоссияCentral Tuberculosis Research InstituteRussian Federation20220912202210011612Copyright © Шелоумова О.Н., Золотова Н.В., 20222022Шелоумова О.Н., Золотова Н.В.Sheloumova O.S., Zolotova N.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/1687Цель исследования

Цель исследования: оценить изменения показателей психоэмоционального статуса у детей с туберкулезом органов дыхания (ТОД) в стационаре после психокоррекции с применением релаксационных техник, техник осознанности (майндфулнесс) и телефонного консультирования.

Материалы и методы

Материалы и методы. В исследование включены 64 ребенка с ТОД в возрасте 6-13 лет, разделенные на 2 группы: обследованные до начала пандемии COVID-19 (январь 2019 г. ‒ февраль 2020 г.) (n = 30) и обследованные во время пандемии COVID-19 (март 2020 г. – февраль 2022 г.) (n = 34). В этих группах изучены уровни нервно-психической напряженности, тревоги и эмоционального возбуждения у детей. Также представлены данные сравнительной оценки изменения показателей психоэмоционального статуса в группе детей, обследованных во время пандемии, после 2 мес. психокоррекционной работы.

Результаты

Результаты. У детей, поступивших в стационар во время пандемии COVID-19, достоверно чаще выявлялись отклонения от нормы показателей психоэмоционального статуса по сравнению с детьми, госпитализированными до начала пандемии COVID-19. После 2 мес. психокоррекционной работы с применением релаксационных техник, майндфулнесс и телефонного консультирования у большинства детей отмечалась нормализация показателей психоэмоционального статуса.

The objective

The objective: to evaluate changes in parameters of psycho-emotional state in children with respiratory tuberculosis (RTB) in in-patient settings after psychological management using relaxation and mindfulness practices and telephone counseling.

Subjects and Methods

Subjects and Methods. 64 children ill with respiratory tuberculosis aged 6-13 years old were enrolled in the study and divided into 2 groups: those examined before the start of the COVID-19 pandemic (January 2019 – February 2020) (n = 30) and those examined during the COVID-19 pandemic (March 2020 – February 2022) (n = 34). In the groups, the levels of emotional tension, anxiety and excitement in children were studied. The article also presents comparative assessment of changes in the parameters of psycho-emotional state in the group of children examined during the pandemic and after 2 months of psychological management.

Results

Results. Children admitted to the hospital during the COVID-19 pandemic were significantly more likely to have abnormal parameters of psychoemotional state versus children hospitalized before the start of the COVID-19 pandemic. After 2 months of psychological management using relaxation and mindfulness practices and telephone counseling, most children demonstrated improvement of their psycho-emotional state parameters.

психологическое сопровождениепандемия COVID-19детитуберкулез органов дыханияpsychological supportCOVID-19 pandemicchildrenrespiratory tuberculosisReferencesКуртанова Ю. Е., Щербакова А. М., Хохлова А. Ю., Белозерская О. В., Щербаков А. П., Васильева Е. А., Мамина К. Л. Психологическое сопровождение детей, находящихся на длительном лечении в условиях изоляции // Вызовы пандемии COVID-19: психическое здоровье, дистанционное образование, интернет-безопасность: сб. материалов. Т. 1. − М.: Издательство ФГБОУ ВО «МГППУ», 2020. − С. 196-210.Kurtanova Yu.E., Scherbakova A.M., Khokhlova A.Yu., Belozerskaya O.V., Scherbakov A.P., Vasilyeva E.A., Mamina K.L. Psikhologicheskoye soprovozhdeniye detey, nakhodyashchikhsya na dlitelnom lechenii v usloviyakh izolyatsii. Vyzovy pandemii COVID-19: psikhicheskoye zdorovye, distantsionnoye obrazovaniye, internet-bezopasnost: sb. Materialov. [Psychological support for children undergoing long-term treatment in isolation. Challenges of the COVID-19 Pandemic: Mental Health, Distance Education, Internet Security. Collection of articles], vol. 1, Moscow, Izdatelstvo FGBOU VO MGPPU Publ., 2020, pp. 196-210. (In Russ.)Прохоров А. О. Методики диагностики и измерения психических состояний личности. − М.: ПЕР СЭ, 2004. − 176 с.Prokhorov A.O. Metodiki diagnostiki i izmereniya psikhicheskikh sostoyaniy lichnosti. [Methods for diagnosing and measuring the mental states of a person]. Moscow, PER SE Publ., 2004, 176 p.Andersson G. Internet interventions: Past, present and future // Internet Interventions. − 2018. − № 12. – P. 181-188. doi: 10.1016/j.invent.2018.03.008.Andersson G. Internet interventions: Past, present and future. Internet Interventions, 2018, no. 12, pp. 181-188. doi: 10.1016/j.invent.2018.03.008.4.Batchelor S., Stoyanov S., Pirkis J., Kõlves K. Use of kids helpline by children and young people in Australia during the COVID-19 pandemic. J. Adolesc. Health, 2021, vol. 68, no. 6, pp. 1067-1074. doi: 10.1016/j.jadohealth.2021.03.015.Batchelor S., Stoyanov S., Pirkis J., Kõlves K. Use of kids helpline by children and young people in Australia during the COVID-19 pandemic // J. Adolesc. Health.– 2021. – Vol. 68, № 6. – P. 1067-1074. doi: 10.1016/j.jadohealth.2021.03.015.Butler A.C., Chapman J.E., Forman et al. The empirical status ofcognitive-behavioral therapy: A review of meta-analyses. Clin. Psychol. Rev., 2006, vol. 26, no. 1, pp. 17-31. doi: 10.1016/j.cpr.2005.07.003.Butler A. C., Chapman J. E., Forman et al. The empirical status ofcognitive-behavioral therapy: A review of meta-analyses // Clin. Psychol. Rev. – 2006. – Vol. 26, № 1. ‒ P. 17-31. doi: 10.1016/j.cpr.2005.07.003.Daniunaite I., Truskauskaite-Kuneviciene I., Thoresen S., Zelviene P., Kazlauskas E. Adolescents amid the COVID-19 pandemic: A prospective study of psychological functioning. Child Adolesc. Psych. Ment. Health, 2021, vol. 15, no. 1, pp. 45. doi: 10.1186/s13034-021-00397-z.Daniunaite I., Truskauskaite-Kuneviciene I., Thoresen S., Zelviene P., Kazlauskas E. Adolescents amid the COVID-19 pandemic: A prospective study of psychological functioning // Child Adolesc. Psych. Ment. Health. – 2021. – Vol. 15, № 1. – P. 45. doi: 10.1186/s13034-021-00397-z.Duan L., Shao X., Wang Y., Huang Y., Miao J., Yang X., Zhu G. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J. Affect. Disorders, 2020, vol. 275, pp. 112-118. doi:10.1016/j.jad.2020.06.029.Duan L., Shao X., Wang Y., Huang Y., Miao J., Yang X., Zhu G. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19 // J. Affect. Disorders. – 2020. – Vol. 275. P. 112-118. doi: 10.1016/j.jad.2020.06.029.Hamdani S.U., Zill-E-Huma, Zafar S.W., Suleman N., Um-Ul-Baneen, WaqasA., Rahman A. Effectiveness of relaxation techniques 'as an active ingredient of psychological interventions' to reduce distress, anxiety and depression in adolescents: a systematic review and meta-analysis. Int. J. Ment. Health, Syst. 2022. Epub., Available: https://pubmed.ncbi.nlm.nih.gov/35765083/ (Accessed: 14.09.2022).Hamdani S. U., Zill-E-Huma, Zafar S. W., Suleman N., Um-Ul-Baneen, Waqas A., Rahman A. Effectiveness of relaxation techniques 'as an active ingredient of psychological interventions' to reduce distress, anxiety and depression in adolescents: a systematic review and meta-analysis // Int. J. Ment. Health. Syst. ‒ 2022. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/35765083/ (accessed: 14.09.2022).Hofmann S.G., Asnaani A., Vonk I.J.J. et al. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cogn. Ther. Res., 2012, vol. 36, no. 5, pp. 427-440. doi: 10.1007/s10608-012-9476-1.Hofmann S. G., Asnaani A., Vonk I. J. J. et al. The efficacy of cognitive behavioral therapy: A review of meta-analyses // Cogn. Ther. Res. – 2012. – Vol. 36, №5.− P. 427-440. doi: 10.1007/s10608-012-9476-1.Hofmann S.G., Smits J.A.J. Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. J. Clin. Psych., 2008, vol. 69, no. 4, pp. 621-632. doi: 10.4088/jcp.v69n0415.Hofmann S. G., Smits J. A. J. Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials // J. Clin. Psych. – 2008. – Vol. 69, № 4. − P. 621-632. doi: 10.4088/jcp.v69n0415.Lack S., Brown R., Kinser P.A. An integrative review of yoga and mindfulness-based approaches for children and adolescents with asthma. J.Pediatr. Nurs., 2020, vol. 52, pp. 76-81. doi: 10.1016/j.pedn.2020.03.006.Lack S., Brown R., Kinser P. A. An integrative review of yoga and mindfulness-based approaches for children and adolescents with asthma // J. Pediatr. Nurs. – 2020. ‒ Vol. 52. – P. 76-81. doi: 10.1016/j.pedn.2020.03.006.Magson N.R., Freeman J.Y.A., Rapee R.M., Richardson C.E., Oar E.L., FardoulyJ. Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. J. Youth Adolesc., 2021, vol. 50, no. 1, pp. 44-57. doi: 10.1007/s10964-020-01332-9.Magson N. R., Freeman J. Y. A., Rapee R. M., Richardson C. E., Oar E. L., Fardouly J. Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic // J. Youth Adolesc. – 2021. – Vol. 50, № 1. – P. 44-57. doi: 10.1007/s10964-020-01332-9.Marques de Miranda D., da Silva Athanasio B., Sena Oliveira A.C., Simoes-E-Silva A.C. How is COVID-19 pandemic impacting mental health of children and adolescents? Int. J. Disaster Risk Reduct., 2020. Epub., Available: https://pubmed.ncbi.nlm.nih.gov/32929399/ (Accessed: 14.09.2022).Marques de Miranda D., da Silva Athanasio B., Sena Oliveira A. C., Simoes-E-Silva A. C. How is COVID-19 pandemic impacting mental health of children and adolescents? // Int. J. Disaster Risk Reduct. – 2020. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/32929399/ (accessed: 14.09.2022).Matalí-Costa J., Camprodon-Rosanas E. COVID-19 lockdown in Spain: Psychological impact is greatest on younger and vulnerable children. Clin. Child Psychol. Psychiatry, 2021, Epub.,Available: https://pubmed.ncbi.nlm.nih.gov/34879715/ (Accessed: 14.09.2022).Matalí-Costa J., Camprodon-Rosanas E. COVID-19 lockdown in Spain: Psychological impact is greatest on younger and vulnerable children // Clin. Child Psychol. Psychiatry. – 2021. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/34879715/ (accessed: 14.09.2022).McLoone J., Wakefield C.E., Marshall G.M., Pierce K., Jaffe A., Bye A., Kennedy S.E., Drew D., Lingam R. It's made a really hard situation even more difficult: The impact of COVID-19 on families of children with chronic illness. PLoS One, 2022. Epub. Available: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273622 (Accessed: 14.09.2022).McLoone J., Wakefield C. E., Marshall G. M., Pierce K., Jaffe A., Bye A., Kennedy S. E., Drew D., Lingam R. It's made a really hard situation even more difficult: The impact of COVID-19 on families of children with chronic illness // PLoS One. ‒ 2022. [Electronic resource] URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273622 (accessed: 14.09.2022).Rastogi R.G., Arnold T.L., Borrero-Mejias C., Hastriter E.V., Hickman C., Karnik K.T., Lewis K.S., Little R.D. Non-pharmacologic and mindful-based approaches for pediatric headache disorders: a review. Curr. Pain Headache Rep., 2021, vol. 25, no. 12, pp. 78. doi: 10.1007/s11916-021-00993-w.Rastogi R. G., Arnold T. L., Borrero-Mejias C., Hastriter E. V., Hickman C., Karnik K. T., Lewis K. S., Little R. D. Non-pharmacologic and mindful-based approaches for pediatric headache disorders: a review // Curr. Pain Headache Rep. – 2021. – Vol. 25, № 12. ‒ P. 78. doi: 10.1007/s11916-021-00993-w.Saddik B., Hussein A., Albanna A., Elbarazi I., Al-Shujairi A., Temsah M., Halwani, R. The psychological impact of the COVID-19 pandemic on adults and children in the United Arab Emirates: A nationwide cross-sectional study. BMC Psychiatry, 2021, Epub. Available: https://pubmed.ncbi.nlm.nih.gov/33941119/ (Accessed: 14.09.2022).Saddik B., Hussein A., Albanna A., Elbarazi I., Al-Shujairi A., Temsah M., Halwani, R. The psychological impact of the COVID-19 pandemic on adults and children in the United Arab Emirates: A nationwide cross-sectional study // BMC Psychiatry. – 2021. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/33941119/ (accessed: 14.09.2022).Stritter W., Everding J., Luchte J., Eggert A., Seifert G. Yoga, Meditation and Mindfulness in pediatric oncology − A review of literature. Complement Ther. Med., 2021, Epub. Available: https://pubmed.ncbi.nlm.nih.gov/34808385/ (Accessed: 14.09.2022).Stritter W., Everding J., Luchte J., Eggert A., Seifert G. Yoga, Meditation and Mindfulness in pediatric oncology − A review of literature // Complement Ther. Med. – 2021. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/34808385/ (accessed: 14.09.2022).Yeun Y.R., Kim S.D. Psychological effects of online-based mindfulness programs during the COVID-19 pandemic: A systematic review of randomized controlled trials. Int. J. Environ Res. Public Health, 2022. Epub., Available: https://pubmed.ncbi.nlm.nih.gov/35162646/ (Accessed: 14.09.2022).Yeun Y. R., Kim S. D. Psychological effects of online-based mindfulness programs during the COVID-19 pandemic: A systematic review of randomized controlled trials // Int. J. Environ Res. Public Health. ‒ 2022. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/35162646/ (accessed: 14.09.2022).Yeun Y. R., Kim S. D. Psychological effects of online-based mindfulness programs during the COVID-19 pandemic: A systematic review of randomized controlled trials // Int. J. Environ Res. Public Health. ‒ 2022. [Electronic resource] URL: https://pubmed.ncbi.nlm.nih.gov/35162646/ (accessed: 14.09.2022).

The authors declare that there are no conflicts of interest present.