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  • Title: [APPLICATION OF CLIENT-CENTERED PSYCHOTHERAPY IN THE COMPLEX TREATMENT OF ADOLESCENTS WITH PSYCHOSOMATIC DISORDERS].
    Author: Masik O, Podolian V, Masik N.
    Journal: Georgian Med News; 2019 Nov; (296):55-61. PubMed ID: 31889705.
    Abstract:
    Treatment of psychosomatic disorders does not allow to do without medication intervention, although psychotherapy is important, aimed at correcting psychopathological symptoms. That's why, the definition of a method of therapy, which is better and more likely to cause positive results. The aim - determining which the better method of treatment and more effective of the causes a positive shift in the dynamics of clinical syndromes. The group of 90 adolescents (34 boys and 56 girls) with psychosomatic disorders divided into 2 groups, were inspected using received comprehensive clinical psychopathological examination. The average age of adolescents was 14.4 ± 0.06 years old. The 1-st group (57 persons) consisted of adolescents, who received treatment with Lamotrigine and Sertraline 25 mg / day for persons from 12 to 16 years old and 50 mg / day - over 16 years old. The duration of treatment was 1.5-2 months. Adolescents of the 2-nd group (33 persons) were prescribed Lamotrigine and Sertraline therapy in combination with psychotherapy. Control of therapeutic effectiveness was evaluated by clinical and Spielberger anxiety questionnaire (STPI - State Trait Personal Inventory), Phillips' school anxiety test and CDI scale (Children Depression's Inventory) by M. Kovacs. Statistical processing was carried out on the basis of the computer program "Statistica 6.1." (Stat Soft Inc., USA). The anxiety level moved to an average level after medication, except situational negative experiences, which remained at a high level. In adolescents of the 1-st and 2-nd groups the fear of self-expression decreased significantly by comparison with it before treatment. The anxiety test scores decreased to an average level after complex treatment. At the same time the level of personal cognitive activity remained high, which confirmed the positive effect of combined treatment of psychosomatic disorders due to increased interest, curiosity, interest, which activates cognitive activity of adolescents. The level of depression in the 1-st group of adolescents after the treatment was 2.16 ± 0.16, which corresponded to the level of subdepression or masked depression with high scores on scale B. On the background of combined treatment in adolescents the level of depression decreased to 1.71 ± 0.12, which corresponded to slight decrease of mood with high scores on scale B. Adolescents with psychosomatic disorders who responded positively to psychotherapy were characterized by low level of somatization, but higher specific weight of psychological problems and difficulties in interpersonal relationships in the internal picture of the illness with peaks at subclasses of interpersonal sensitivity and hostility. The obtained results of treatment of psychosomatic disorders in adolescents show positive influence of both methods of therapy. However, adolescents with psychosomatic disorders were most susceptible to complex treatment, which accelerates the regression of clinical manifestations and increases the effectiveness of treatment 2.85 times.
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