Combined psychotherapy of post-traumatic disorders in children returning from war zones
Suggested citation:
Zakharova NM, Perezhogin LO, Milekhina AV. [Combined psychotherapy of post-traumatic disorders in children returning from war zones]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2022;(4):57-63. Russian
The article proposes an algorithm for combined psychotherapeutic care for children returned from war zones in the Middle East (Republic of Iraq, Syrian Arab Republic), based on the analysis of results of the clinical psychopathological and experimental psychological examination of 189 repatriated children, conducted during the period of specialist visits to the Chechen Republic and the Republic of Dagestan. The algorithm is based on polymodal psychotherapy, including methods of relaxation and self-regulation, methods of cognitive and behavioral processing of memories and experiences of psycho-traumatic nature and their secondary consequences, work with the microsocial environment of the child (host family). Therapeutic targets in children with post-traumatic disorders are described. The stages of psychotherapeutic work are singled out. The choice of therapeutic methods and techniques is substantiated.
Keywords children from war zones; post-traumatic stress disorder in childhood; psychotherapy of post-stress disorders in children; psychotherapeutic targets; stages of psychotherapy; cognitive behavioral therapy; autogenic training; relaxation techniques
1. Kekelidze ZI, Zakharova NM, Mileokhina AV, et al. Prinsipi organizatsii medico-sotsialnoy reabilitatsii detey, vinuzhdenno nahodivshihsya na territorii, podkontrolnoy ISIS (v zone voennih deystviy) v sootvetstvii s konkretnimi proyavleniyami psihosotsialnoy dezadaptatsii I vozrastnimi osobennostyami: Metodicheskie rekomendatsii. Moscow: V. Serbsky National Medical Research Centre for Psychiatry and Narcology; 2020. 21 p. (In Russ.) 2. Copeland WE, Keeler G, Angold A, Costello EJ. Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry. 2007;64(5):577–84. DOI: https://doi.org/10.1001/archpsyc.64.5.577 3. Zakharova N, Mileokhina A, Baeva A, Velisevich D. Mental consequences after experienced stress for children returned home from a war zone. Norwegian Journal of development of the International Science. 2021;(75):42–6. (In Russ.) DOI: https://doi.org/10.24412/3453-9875-2021-75-1-42-46 4. Portnova AA. [Typology of PTSD in children and adolescents]. Zh Nevrol Psihiatr Im SS Korsakova. 2005;(12):9–12. (In Russ.) 5. Esina OB. Posttravmaticheskoe stressovoe rasstroystvo u detey: psihosotsialnie factori formirovaniya, clinicheskie haracteristiki I problem diagnostiki [PhD thesis]. [Saint-Petersburg (Russia)]: Nacional'nyj medicinskij issledovatel'skij centr psihiatrii i nevrologii im. VM Behtereva [National Medical Research Center for Psychiatry and Neurology im. VM Behtereva]; 2017. 20 p. (In Russ.) 6. Chipalo E. Is Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) Effective in Reducing Trauma Symptoms among Traumatized Refugee Children? A Systematic Review. J Child Adolesc Trauma. 2021;14(4):545–58. DOI: https://doi.org/10.1007/s40653-021-00370-0 7. Perezhogin LO. [Psychotherapy in groups for the formation of child-parent relationships]. In: Profilactika rasstroystv povedeniya: semeyniy aspect biopsihosotsioduhovnogo podhoda. Materiali Rossiyskoy nauchno-practicheskoy konferentsii s mezhdunarodnim uchastiem. Moscow: Maks-press; 2020. р. 149–52. (In Russ.) 8. Cohen JA, Mannarino AP. Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families. Child Adolesc Psychiatr Clin N Am. 2015;24(3):557–70. DOI: https://doi.org/10.1016/j.chc.2015.02.005 9. Koltunov IE, Perezhogin LO, Schederkina IO, Devyatova OE. [Psychotherapy in the group of correction of parent-child relationships. Part 1]. Obrazovanie lichnosti. 2013;(3):106–12. (In Russ.) 10. Tukaev RD, Kuznetsov VE, Moskalenko DA, Petrash NM. [Evaluation of the effectiveness of psychotherapy for disorders of the neurotic register: problems, limitations, opportunities]. Socialnaya i klinicheskaya psyhyatriya. 2013;23(3):92–8. (In Russ.)
DOI: http://dx.doi.org/10.47877/1560-957Х-2022-10407
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