Attitude to the future in adolescents with consequences of severe physical trauma

Authors:

Pyatakova Galina Viktorovna — PhD in Psychological Sciences (Cand. Psych. Sci.), Associate Professor, Department of Psychology of Crisis and Extreme Situations, St. Petersburg State University, 7-9 Universitetskaya Emb., 199034 St. Petersburg, Russian Federation; e-mail: pyatakova@yandex.ru; https://orcid.org/0000-0002-9830-9959.

Osipova Anna Dmitrievna — student, St. Petersburg State University, 7-9 Universitetskaya Emb., 199034 St. Petersburg, Russian Federation; e-mail: anutka.osipova.1999@mail.ru; https://orcid.org/0000-0001-4137-6894.

Zorin Vyacheslav Ivanovich — PhD in Medical Sciences (Cand. Med. Sci.), orthopedic surgeon, associate professor, deputy director for scientific and educational work, H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery, 64-68 Parkovaya Street, Pushkin, 196603 St. Petersburg, Russian Federation; e-mail: zoringlu@yandex.ru; https://orcid.org/0000-0002-9712-5509.

Bril Mikhail Sergeevich — PhD in Psychological Sciences (Cand. Psych. Sci.), Acting Head of the Department of Psychology of Crisis and Extreme Situations, St. Petersburg State University, 7-9 Universitetskaya Emb., 199034 St. Petersburg, Russian Federation; e-mail: brimis@yandex.ru; https://orcid.org/0000-0002-4428-7432.

Baindurashvili Alexey Georgievich — Grand PhD in Medical Sciences (Dr. Med. Sci.), Professor, Academician of RAS, H. Turner National Medical Research Center for Ghiidren’s Orthopedics and Trauma Surgery, 64-68 Parkovaya Street, Pushkin, 196603 St. Petersburg, Russian Federation; e-mail: turner011@mail.ru; https://orcid.org/0000-0001-8123-6944.

Annotation:

Introduction. The psychological consequences of severe physical trauma received under different circumstances manifest themselves in crisis-level experiences. In adolescence, acute emotional states of crisis of circumstances can be supported by experiences of normative crisis. Psychological problems of traumatized adolescents represent maladaptive disorders and appear in the process of medical rehabilitation in the form of low motivation for treatment, lack of will to recover, and the appearance of signs of “withdrawal syndrome.” The process of building a realistic time perspective and developing a positive attitude towards the future in trauma patients is important to overcome these difficulties.

Aim. To study the specifics of attitude to the future in adolescents with the consequences of severe physical trauma in order to predict the characteristics of their motivation and behavior in the process of medical rehabilitation.

Results. In adolescence, both people without experience of physical trauma and adolescents who have suffered severe physical injuries have a positive attitude towards their own future, manifested in the hope of overcoming all life difficulties. Adolescents who have suffered severe physical injury have low orientation and uncertainty about their own future. Differences in attitudes towards the future were revealed in adolescents who were injured as a result of catatrauma and patients who suffered as a result of car injury.

Discussion. The suffered mechanical damage, causing persistent functional deficiency, determines the development ofpsychological maladjustment. In particular, adolescents who have experienced catatrauma represent a risk group for manifestations of hopelessness, helplessness and suicidal risk. Psychological assistance, the use of corrective techniques can be considered an important element in the comprehensive treatment and rehabilitation of patients who have suffered high-energy trauma with multiple injuries of the musculoskeletal system.

Conclusion. Psychological assistance to adolescents who have suffered physical trauma should include time perspective therapy, based on strengthening hope, a positive attitude towards the future, and the formation of adequate, realistic goals. Patients who have suffered physical damage as a result of PV require special professional attention from doctors and medical psychologists.

List of cited literature:

1. Baindurashvili AG, Shapiro KI, Drozhzhina LA, Vishnyakov AN. Pokazateli dinamiki travm kostno-myshechnoj sistemy u detej Sankt-Peterburga v sovremennyh usloviyah [Indicators of dynamics of injuries of the musculoskeletal system in children of St. Petersburg in modern conditions]. Pediatr [Pediatrician]. 2016;7(2):113-20. (In Russian).

2. Sinica NS, Kravcov SA, Meshcheryakov SA. Tyazhelaya katatravma u detej. Integrativnyj podhod v lechenii [Severe catatrauma in children. An integrative approach to treatment]. Politravma [Polytrauma]. 2018(4):60-75. (In Russian).

3. Kanavina SS. Formirovanie pozitivnoj vremennoj perspektivy i snizhenie urovnya beznadezhnosti v pervichnoj profilaktike suicidal’nogo povedeniya sredi
podrostkov [Formation of a positive time perspective and reduction of hopelessness in the primary prevention of suicidal behavior among adolescents]. elektronnyj nauchnyj zhurnal Bajkal’skogo gosudarstvennogo universiteta [Baikal Research Journal]. 2018;9(4):1-13. (In Russian).

4. Menovshchikov VY. Vvedenie v psihologicheskoe konsul’tirovanie [Introduction to psychological counseling]. Moskva: Smysl [Moscow: Smysl]. 1998. 109 p. (In Russian).

5. Pahomova MA, Petrova EY. Psihologicheskaya reabilitaciya pacientov s posledstviyami fizicheskoj travmy metodom vosstanovleniya mikrodvigatel’nyh reakcij [Psychological rehabilitation of patients with the consequences of physical trauma by the method of restoring micro-motor reactions]. Zhurnal “Pediatr” [Pediatr]. 2016;7(3):136-46. (In Russian).

6. Fedunina NY, Grushko AI, Kovaleva AV, Bannikov GS. Sluchaj konsul’tirovaniya po povodu sportivnoj travmy na osnove metoda P’era ZHane [A case of sports injury counseling based on the Pierre Janet method]. Vestnik Moskovskogo universiteta. Seriya 14. Psihologiya [Bulletin of the Moscow University. Episode 14. Psychology]. 2018;2:56-75. (In Russian).

7. Pyatakova GV, Lebedeva EI, Potyavina VV, Cerfus DN. Vozrastnye i individual’no-psihologicheskie faktory razvitiya PTS u detej s posledstviyami fizicheskih povrezhdenij, trebuyushchih medicinskogo vosstanovitel’nogo lecheniya [Age-related and individual psychological factors of the development of PTSD in children with the consequences of physical injuries requiring medical rehabilitation treatment]. Wiadomosci Lekarskie. 2016;LXIX(6):750-8. (In Russian).

8. Tarabrina NV. Prakticheskoe rukovodstvo po psihologii posttravmaticheskogo stressa [A practical guide to the psychology of post-traumatic stress]. Moskva [Moscow]. 2007. 77 p. (In Russian).

9. Pyatakova GV, Kozhevnikova AO, Kudryavceva SV. Zashchitnoe povedenie podrostkov s priobretennymi ortopedicheskimi zabolevaniyami v usloviyah vosstanovitel’nogo lecheniya [Protective behavior of adolescents with acquired orthopedic diseases in conditions of rehabilitation treatment]. Ortopediya, travmatologiya i vosstanovitel’naya hirurgiya detskogo vozrasta [Orthopedics, traumatology and reconstructive surgery for children]. 2020;8(1):43-52. (In Russian).

10. Nyutten Dzh. Motivaciya, dejstvie i perspektiva budushchego [Motivation, action and the prospect of the future]. M.: Smysl [Moscow: Smysl], 2004. 608 p. (In Russian).

11. Olport G. Stanovlenie lichnosti. Izbrannye trudy [The formation of a personality. Selected works]. Per. s angl. L.V. Trubicynoj i D.A. Leont>eva; [Translated from the English by LV Trubitsyna and DA Leontiev]. M.: Smysl [Moscow: Smysl]. 2002. 462 p. (In Russian).

12. Dorohov MB. Empiricheskoe issledovanie izmeneniya “vremennyh perspektiv” v psihotravmaticheskoj situacii [An empirical study of changes in “time perspectives” in a psychotraumatic situation]. Nauchno-issledovatel>skie publikacii [Research publications]. 2014;1(5):142-153. (In Russian).

13. Koshenova MI. Problema formirovaniya “Obraza budushchego” u detej s ogranichennymi vozmozhnostyami zdorov>ya [The problem of forming an “Image of the future” in children with disabilities]. PEM: Psychology. Educology. Medicine. 2018(3):43-59. (In Russian).

14. Belobrykina OA, Solonicyna MA. Diagnosticheskaya informativnost> metodiki “Shkala beznadezhnosti A.T. Beka”: problemy prakticheskogo primeneniya [Diagnostic informativeness of the methodology “AT Beck>s scale of hopelessness”: problems of practical application]. PEM: Psychology. Educology. Medicine. 2019(1):34-61. (In Russian).

15. Zimbardo F, Bojd Dzh. Paradoks vremeni: novaya psihologiya vremeni, kotoraya uluchshit vashu zhizn>. Per. s angl. O.Gatanovoj [The Paradox of Time: a new psychology of time that will improve your life. Trans.
from the English by O.Gatanova]. Sankt-Peterburg: Rech> [St-Petersburg: Rech>]. 2010. 352 p. (In Russian).

16. Pavlova NS, Sergienko LA. Issledovanie kachestva zhizni, svyazannogo so zdorov>em, vo vzaimosvyazi s vremennoj perspektivoj na etape pozdnego ontogeneza [The study of health-related quality of life in relation to the time perspective at the stage of late ontogenesis]. Vestnik kostromskogo gosudarstvennogo universiteta. Seriya Pedagogika. Psihologiya. Sociokinetika [Bulletin of Kostroma State University. The Pedagogy. Psychology. Sociokinetics]. 2020;26(2):47-55. (In Russian).