APPLICATION OF ART THERAPY FOR CORRECTION OF PERSONAL DISORDERS OF PSYCHOEMOTIONAL STATE OF CHILDREN - INHABITANTS OF RADIATION POLLUTED TERRITORIES AND CHILDREN DISPLACED FROM THE ARMED CONFLICT ON THE SOUTHERN EAST OF UKRAINE

Effectiveness of creative arts-based interventions for treating children and adolescents exposed to traumatic events: a systematic review of the quantitative evidence and meta-analysis

BACKGROUND

The effect of interventions based on the creative arts for children and adolescents exposed to traumatic events was estimated for measures of post-traumatic stress disorder (PTSD) and other psychological symptoms.

METHOD

Using a pre-registered protocol, relevant journal articles were identified through searches of: PsycInfo; Psychology and Behavioural Sciences Collection; CINAHL and PsycArticles. Data were pooled using a random effects model, and effect estimates were reported as Hedges' g.

RESULTS

Pooled effect estimates indicated that arts-based interventions significantly reduced PTSD symptom scores compared to pre-intervention (15 studies, g = -.67, p < .001) and a control group (7 studies, g = -.50, p < .001). Significant reductions were also found for measures of negative mood, but results were mixed for externalizing problems and anxiety.

CONCLUSIONS

Despite variations in study quality, intervention approaches and types of trauma experience, the results tentatively suggest that creative arts-based interventions may be effective in reducing symptoms of trauma and negative mood.

PSYCHOLOGICAL STATE AND TYPOLOGICAL PERSONALITY FEATURES OF CHILDREN RESIDENTS OF RADIOACTIVELY CONTAMINATED TERRITORIES IN THE REMOTE PERIOD OF CHORNOBYL СATASTROPHE

OBJECTIVE

To evaluate the psycho-emotional state of children-residents of radioactively contaminated territoriesand to characterize the typological features of their personality in the remote period of the Chornobyl catastrophe.

MATERIALS AND METHODS

Psycho-emotional status and typological personality traits were determined in 96 childrenaged 12 to 17 years, who resided in radioactively contaminated territories with a soil contamination density of 137Csabove 185 kBq/m-2, and were admitted for examination and treatment in the pediatric departments of the NRCRMclinic. Psycho-emotional state of children was determined using the test «non-existent animal», which was assessedin points on symptom complexes: anxiety, aggression and neuro-mental exhaustion. The questionnaire of A. Bassand A. Darkey was used to discriminate various aspects of the aggression symptom complex. In all children, the content of incorporated 137Cs was determined using a whole body counter.

RESULTS

The results of the evaluation of the psycho-emotional state of children - residents of radioactively contaminated territories in the remote period of the Chornobyl catastrophe according to the test «non-existent animal»showed, that the state of anxiety was registered in all 96 children (100 %); state of aggression - in 60 children(62.5 %); exhaustion - in 57 children (59.37 %). Depending on the prevalence of the one or another symptom complexes, or their combination, 5 groups of observations were formed and the personality traits of children characteristic for each group were determined. In the largest group I with the predominance of anxiety symptom complex(45,83 % of the total sample) were noted: stable tendency to perceive many life-threatening situations and environment, pessimistic assessment of one's own life perspective, constant high level of anxiety. Girls were in majorityin this group. For group II, which showed a combination of high rates of two symptom complexes - anxiety andaggression (18.75 % of the total sample), the characteristic personality traits were a constant high level of emotional tension, a tendency to perceive the environment with distrust and a sense of guilt that arouses. In group IIIof children (14.58 % of the total sample), the symptom complex of aggression with feelings of alienation, isolationand hostile attitude towards the environment prevailed. Group IV of children (16.67 % of the total sample), with thecombination of signs of exhaustion and anxiety, had poor ability to concentrate, memory and attention deficit disorders, decreased learning ability, constant fatigue and irritability, apathy, inactivity, and inertia. Group V (only 4.17 %of the total sample) was characterized by low (less than 2 points) indices of all three symptom complexes. Girls weremuch more prone to anxiety, boys were more aggressive, sometimes accompanied by anxiety. Symptom complex ofexhaustion was determined with the same frequency in both boys and girls.

CONCLUSION

Assessment of psycho-emotional sphere of children - residents of radioactively contaminated territories in the remote period of the Chornobyl catastrophe according to the «non-existent animal» test revealed in of100 % of children the presence of anxiety signs, in the vast majority - the state of aggression and exhaustion. Therewere no probable associations between the content of incorporated 137Cs (in the range from 111 to 7024 Bq) and thepeculiarities of the psycho-emotional state of children.