[Psychological features of mothers bringing up disabled children].

BACKGROUND: Research objective was to define psychological makers of mothers bringing up disabled children for scientific justification of the family psychotherapy branches. PATIENTS AND METHODS: 60 mothers bringing up children of early age with infantile cerebral palsy and 50 mothers of children with compensation of perinatal affections of the central nervous system by the 1 life year are surveyed. Personal characteristics, family orientations of mothers, child and mother relations, awareness of mothers on the children health state and the attitude to their rehabilitation were studied by means of psychological techniques. RESULTS: It is found out that the mothers bringing up disabled children more often have emotional disorders, negative attitude to divorce and give the leading role in a family to the husband less often they show hypoguardianship of the child than the mothers of children with compensation of perinatal affections of the central nervous system. Mothers are less satisfied with the child development, they are more often worried about disorders of development of movements, speech and mental development delay, small appetite of the child, they feel helplessness in rehabilitation more often, note the ambiguity of its prospects. They understand that their child needs the help of the qualified experts: neurologist, orthopaedist, logopedist, psychologist, but they aren't satisfied with communication with them more often, underestimate own role in rehabilitation. CONCLUSION: The revealed characteristics prove the necessity and define the main directions of family psychotherapy--correction of mother's emotional disorders, child and parental relations, increase of medical and psychological competence that allows to increase efficiency of rehabilitation.

[The opinion of mothers brining up disabled children about quality of medical care].

The article presents the results of questionnaire survey of mothers brining up disabled children aged from 1 to 4 years organized to evaluate respondents' satisfaction with delivered medical care and to establish mothers'awareness of disease of child. The results testify that alongside with applied measures directed to improve quality of medical care the activities are needed to be applied to parents to increase their awareness of child health condition, causes of development of disease and characteristics of its course, methods and perspectives of treatment and prognosis of disease.

[The health conditions of children being left of parental custody as factor of refusal of admission into the surrogate family].

To investigate the causes of the denial by prospective foster parents to accept orphan children and children without parental custody into their family a special study was organized. The medical inferences of 307 children, inmates of children's homes registered in the data base of Regional of Ivanovskaya oblast and comparative characteristics of their somatic health were analyzed. It is established that among children denied to be accepted by the families prevailed ill-health children and number of diseases per one child was higher. The prospective parents deny not accepting children in the family both suffering from severe pathology and diseases which can be easily corrected.

[The social profile of women, who abandoned the infant in the maternity hospital].

The social profile of mothers of social orphans based on the results of questioning the women who abandoned the infant in the maternity hospital is exposed. The social factors are determined to allot the risk group of women refused to bring up their children already before their birth. It is established that a significant part of women needs the social, financial and psychological support in bringing up their children. The timely care provision can not only to change the mother's decision to refuse bringing up her child but to promote the prevention of social orphanage.

[On the issue of prevention of the social orphanage].

The issue of social orphanage is discussed. The risk factors are picked up to develop the tables forecasting the risk of non-returning of the children temporarily placed into children's home into one's biological family. It is proved that the timely carrying out of comprehensive actions related to the children's coming back to their family will permit to impact significantly the decrease of the number of social orphans.

[The somatic health of children's home inmates with the perinatal affections of central nervous system].

The characteristics of somatic health of children's home inmates with the perinatal affections of central nervous system of slight and average severity are analyzed. It is established that these children are characterized by more frequent morbidity and formation of chronic pathology in earlier periods as compared with their coevals from families. They have significantly higher rate of background pathology and more numbers of health disorders falling to 1 child. This testifies to significant impact on the health state of early age children of both perinatal affections of central nervous system and educational conditions.

[The system of forecasting the health disorders among the adolescents at the age of 15-17 years].

The issues of forecasting of health disorders among adolescents at the age of 15-17 years are discussed. The analysis and assessment of the factors of biological and social anamnesis of the adolescents is carried out. The psychological and functional risk factors are revealed. The tables to make up the forecasting of the development of health disorders among adolescents are developed. It is proved that the forecasting of health disorders among adolescents is to be implemented considering the successfulness of their education.

[Modern aspects of health of children brought up at children's homes]. / Sovremennye aspekty formirovaniia zdorov'ia detei, vospityvaiushchikhsia v domakh rebenka.

The health condition of small-age children brought up at children's homes of Ivanovo Region was in the focus of the case study. An overwhelming majority of the examinees had abnormalities in the physical and nervous-psychic development; 4.5 deviations were on the average diagnosed in one child. The poor health indices of inmates in children's homes necessitate better medical care for the discussed category of children. There is also a need in state contribution to it. Main trends are defined for the children's homes in optimizing the health and physical development of their inmates.