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Clinical and psychological manifestations of emotional burnout in mothers of children with neuropsychiatric diseases (on a model of ADHD)

Л С ЧуткоN. Bekhtereva Institute of Human Brain Russian Academy of SciencesS Yu SurushkinaN. Bekhtereva Institute of Human Brain Russian Academy of SciencesE A YakovenkoN. Bekhtereva Institute of Human Brain Russian Academy of SciencesТ И АнисимоваN. Bekhtereva Institute of Human Brain Russian Academy of SciencesА. В. СергеевN. Bekhtereva Institute of Human Brain Russian Academy of SciencesYaroslava A. TimoshevaN. Bekhtereva Institute of Human Brain Russian Academy of SciencesS.A. ChekalovaResearch Institute of Hygiene and Health of Children and Adolescents Federal State Autonomous Institution «NMIC for Children’s Health» of the Ministry of Health of the Russian FederationE.N. MadjidovaTashkent Pediatric Medical InstituteМ. D. DidurN. Bekhtereva Institute of Human Brain Russian Academy of SciencesД. В. ЧередниченкоN. Bekhtereva Institute of Human Brain Russian Academy of Sciences
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Аннотация

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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