Author: Rus Maria ElizaPublisher:
ISBN:
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Languages : en
Pages :
Book Description
The Impact of Divorce on Children and Adolescents. Clinical Aspects. Medical, Psychological and Social Interventions for Children and ParentsCo-authorstD.L. Campean1, V. Lupu2, I.R. Lupu3, M.E. Rus3.1Child Psychiatry, Mental Health Centre for Children and Adolescents, Cluj-Napoca, Romania.2Emergency Hospital for Children, Child Psychiatry Unit, Cluj-Napoca, Romania.3Emergency Hospital for Children, Mental Health Centre for Children and Adolescents, Cluj-Napoca, Romania.Abstract texttObjectives:We identified the mental health disorders and their intensity, the neurological or somatic diseases, the consequences of divorce in parents and their attitude towards their child.Background:Recently, the number of children and adolescents with mental health problems generated by their parentsu2019 divorce has increased in our service.Materials and Methods:We have observed, for a period of two years, 30 children and adolescents, ages between 3 and 18, both genders, from the urban and the rural environment. 20 children (67%) came with only one parent, 10 (33%) came with both parents. The following were established: the psychiatric and supplementary diagnosis, developmental disorders, adaptability disorders, the childu2019s and the parentsu2019 social interactions, their psychological profiles.Results and Conclusions:There were identified: anxious disorders, depressive disorders, sleep disorders, elimination disorders, somatization disorders, eating disorders, according to ICD11 criteria. In children between 3 and 10 somatic, eating and sleeping disorders were more frequent. In children over 10 anxious and depressive disorders were predominant. 15 children (50%) had previous disorders, amplified by the divorce, while 10 children (33%) had developmental, neurological or other somatic disorders. The intervention consisted of parental counseling, cognitive and behavioral psychotherapy, supportive therapy, pharmacological therapy and social reinsertion. In 25 children (84%) the multidisciplinary therapy and the collaboration between the parents had positive results. In 5 children (16%) the evolution was negative, due to the lack of collaboration by the parents, permanent conflict situations and other trauma or disorders. It is mandatory to use multiaxial medical and psycho-social interventions in children passing through a divorce situation.KeywordsDivorceMental health disordersMultiaxial intervention.