PERSONAL FEATURES OF CHILDREN AND ADOLESCENTS ILL WITH RESPIRATORY TUBERCULOSIS EXPOSED AND NOT EXPOSED TO THE SOURCE OF INFECTION
https://doi.org/10.21292/2075-1230-2017-95-3-41-47
Abstract
Specific personal features of 296 children and adolescents exposed to tuberculosis and those with unidentified exposure were comparatively analyzed. Children with unidentified exposure demonstrated psychic tension, poor self-control, poorly developed social communication skills which determined disruptive interpersonal relations and uneasy personal growth. Children exposed to tuberculosis in their families were characterized by judging didactive position towards their neighbors which was formed by dysfunctional patterns of relations in their parental families. Adolescent with unidentified exposure manifested the contrast combination of pre-morbid personal attitudes which had certain etiologic contribution to the development of borderline neurotic states. The higher level of destructive reactions in the interpersonal communication was observed in the adolescents exposed to tuberculosis in their families. Identified personal features are considered to be psychological factors determining the hyperactivation of adaptive systems at the pre-morbid state and consequent development of structural functional disorders in various systems of the host, as well as providing impact on the course of tuberculosis.
About the Authors
N. V. Zolotova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Physiological Sciences, Senior Researcher of the Group Studying Psychological Problems Related to Tuberculosis, Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
A. A. Akhtyamova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Physiological Sciences, Senior Researcher of the Group Studying Psychological Problems Related to Tuberculosis, Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
V. V. Streltsov
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Physiological Sciences, Senior Researcher of the Group Studying Psychological Problems Related to Tuberculosis, Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
G. V. Baranova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Physiological Sciences, Senior Researcher of the Group Studying Psychological Problems Related to Tuberculosis, Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
E. S. Ovsyankina
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
N. V. Yukhimenko
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Leading Researcher of Children and Adolescents Department,
2, Yauzskaya Alleya, Moscow, 107564
References
1. Аksenova V.А., Klevno N.I., Kavtarashvili S.M. Tuberculous infection focus and its effect on tuberculosis development in children. Tuberculosis and Lung Diseases, 2015, no. 1. pp. 19-24. (In Russ.)
2. Аntropov Yu.F., SHevchenko Yu.S. Psikhosomaticheskie rasstrojstva i patologicheskie privychnye deystviya u detey i podrostkov. [Psychosomatic disturbances and pathologic habitual activities in children and adolescents]. Moscow, 2000, 320 p.
3. Аkhtyamova А.А., Zolotova N.V., Streltsov V.V. et al. Specific psychological features of adolescents suffering from respiratory tuberculosis with various parameters of the disease. Tuberculosis and Lung Diseases, 2016, no. 1. pp. 10-14. (In Russ.)
4. Vasilieva L.S., Filippova T.P. Distress in the pathogenesis of progressing forms of pulmonary tuberculosis. Bull. Vost.-Sib. Nauch. Tsentra SO RAMN, 2006, no. 6. pp. 202-208. (In Russ.)
5. Vasilieva L.S., Filippova T.P. Clinical variants of pulmonary tuberculosis as manifestations of adaptive reactions of the host during various epidemiological periods. Sib. Med. Journal, 2006, no. 9. pp. 5-11. (In Russ.)
6. Zakharov A.I. Psykhoterapiya nevrozov u detei i podrostkov. [Psychological therapy of neurosis in children and adolescents]. Moscow, 1982, 216 p.
7. Zolotova N.V., Аkhtyamova А.А., Streltsov V.V., Baranova G.V. Respiratory tuberculosis in children and adolescents: investigation of pathogenetically important psychological patterns. Sib. Psikhol. Journal, 2015, no. 57, pp. 129-140. (In Russ.)
8. Kiseleva N.M., Kuzmenko L.G., Nkane Nkoza M.M. Stress and lymphocytes. Pediatriya, 2012, no. 1. pp. 137-143. (In Russ.)
9. Korneva N.V., Starshinova А.А., Аnaniev S.M. et al. Prognostic factors for tuberculosis development in children with latent tuberculous infection. Tuberculosis and Lung Diseases, 2016, no. 6. pp. 14-19. (In Russ.)
10. Meerson F.Z. Аdaptatsiya, stress i profilaktika. [Adaptation, stress and prevention]. Moscow, Nauka Publ., 1981, 278 p.
11. Ovsyankina E.S., Yukhimenko N.V., Petrakova I.Yu. et al. Risk factors of tuberculosis development in children exposed and not exposed to a TB case. Tuberculosis and Lung Diseases, 2014, no. 10. pp. 20-23. (In Russ.)
12. Panin L.E., Sokolov V.P. Psikhosomaticheskie vzaimootnosheniya pri khronicheskom emotsionalnom napryazhenii. [Psychosomatic correlations in chronic emotional tension]. Novosibirsk, 1981, 178 p.
13. Sirenko I.А., Podoprigora N.M., Marchenko O.Yu., Shmatko S.А. Importance of risk groups for tuberculosis control in children. Probl. Tub., 2006, no. 9, pp. 31-33. (In Russ.)
14. Spivakovskaya A.S. Profilaktika detskikh nevrozov (kompleksnaya psikhologicheskaya korrektsiya). [Prevention of neurosis in children (integral psychological management)]. Moscow, 1988, 200 p.
15. Streltsov V.V., Zolotova N.V., Baranova G.V., Аkhtyamova А.А. Psychologic rehabilitation at various stages of chemotherapy. Konsultativnaya Psikhologiya i Psikhoterapiya, 2015, no. 2. pp. 57-77. (In Russ.)
16. Chugaev Yu.P., Tyulkova T.E., Kozlova O.F., Kozlova А.V. Specific manifestations of tuberculous infection in re-vaccinated children and adolescents. Tuberculosis and Lung Diseases, 2012, no. 1. pp. 14-18. (In Russ.)
Review
For citations:
Zolotova N.V., Akhtyamova A.A., Streltsov V.V., Baranova G.V., Ovsyankina E.S., Yukhimenko N.V. PERSONAL FEATURES OF CHILDREN AND ADOLESCENTS ILL WITH RESPIRATORY TUBERCULOSIS EXPOSED AND NOT EXPOSED TO THE SOURCE OF INFECTION. Tuberculosis and Lung Diseases. 2017;95(3):41-47. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-3-41-47
Views:
824
Email this article 