[神经精神疾病患儿母亲情绪倦怠的临床和心理表现(基于ADHD模型)]。

L S Chutko, S Yu Surushkina, E A Yakovenko, T I Anisimova, A V Sergeev, Y A Timosheva, S A Chekalova, E N Madjidova, M D Didur, D V Cherednichenko
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引用次数: 0

摘要

目的:评价泮妥甘对ADHD患儿母亲倦怠临床表现的治疗效果。材料与方法:研究对象为108名年龄在25 ~ 50岁的注意缺陷多动障碍(ADHD)患儿的母亲,初诊时临床表现为倦怠症状。本研究采用了以下研究方法:临床病史采集、神经学检查、评估倦怠表现的S. Maslach问卷、主观衰弱评定量表(MFI-20)(5个分量表)、数字疲劳评定量表(10分变型)、自主神经变化定量评估量表(A.M.Wein),斯皮尔伯格-哈宁量表(用于评估情绪障碍),认知功能的心理生理学研究:注意变量TOVA测试(注意变量测试)。对于患者的治疗,使用药物Pantogam Active 300 mg胶囊,每日剂量900 mg(上午2粒,下午1粒),持续8周。结果:68.5%的患者治疗后复查病情好转。治疗后,情绪耗竭和人格解体等倦怠指标的严重程度显著降低,A.M.的平均值显著降低结论:本研究结果表明,使用Pantogam活性药物治疗父母职业倦怠的临床表现具有高效率的特点。治疗后,疲劳、乏力、焦虑和倦怠的总体指标显著减少。所获得的数据使推荐使用Pantogam aktiv治疗神经系统疾病患儿父母倦怠的临床表现成为可能。
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[Clinical and psychological manifestations of emotional burnout in mothers of children with neuropsychiatric diseases (on a model of ADHD)].

Objective: To evaluate the therapeutic efficacy of Pantogam aktiv in the treatment of clinical manifestations of burnout in mothers of children with ADHD.

Material and methods: Under observation were 108 mothers of children with attention deficit hyperactivity disorder (ADHD) aged 25 to 50 years, who had symptoms of burnout in the clinical picture during the initial visit. The following research methods were used in the work: clinical history taking, neurological examination, S. Maslach questionnaire for assessing the burnout manifestations, subjective asthenia rating scale (MFI-20) with five subscales, digital fatigue rating scale (10-point variant), quantitative assessment of autonomic changes (questionnaire A.M. Wein), Spielberger-Khanin Scale for assessing emotional disorders, psychophysiological study of cognitive functions: test of attention variables TOVA (the Test of Variables of Attention). For the treatment of patients, the drug Pantogam Active was used in capsules of 300 mg, at a daily dose of 900 mg (2 capsules in the morning and 1 capsule in the afternoon) for 8 weeks.

Results: A re-examination after a course of treatment showed improvement in 68.5% of patients. After treatment, there was a significant decrease in the severity of such indicators of burnout as emotional exhaustion and depersonalization, a significant decrease in the average values according to the A.M. Wayne, a decrease in reactive anxiety, a statistically significant improvement in attention and a decrease in impulsivity (p<0.05).

Conclusion: Thus, the results of the study indicate that the use of Pantogam active in the treatment of clinical manifestations of parental burnout is characterized by high efficiency. After treatment, there is a significant decrease in fatigue, asthenia, anxiety, and total indicators characterizing burnout. The data obtained make it possible to recommend the use of Pantogam aktiv in the treatment of clinical manifestations of parents burnout in children with neurological diseases.

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Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
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