Objective: to identify the psycho-emotional state of children - residents of radioactively contaminated territories and children displaced from the zone of armed conflict in the south-east of Ukraine, and evaluate the effectiveness of art therapy application to correct its disturbances.
Materials and methods: The psycho-emotional state was determined in 113 children, of which 57 children from radioactively contaminated territories with 137Cs content in the body from 269 Bq to 7024 Bq (group I) and 56 chil- dren displaced from the zone of military conflict in the Southeast of Ukraine (group II). The age of children ranged from 10 to 17 years. The children were hospitalized to the childrens' clinics of the NRCRM because of functional dis- orders and chronic somatic pathology. The psycho-emotional state of children was evaluated using the «non-exis- tent animal» test. It was analyzed for three symptoms - anxiety, aggressiveness and neuropsychiatric exhaustion and was evaluated by scoring points. Correction of the psychoemotional condition was carried out by the method of art therapy in the form of a serial drawing. Psychological testing was performed twice: at admission to the hospital and after the end of the art therapy.
Results: The results of the primary examination of the psycho-emotional state of children by the «non-existent ani- mal» test showed that in children - residents of radioactively contaminated territories the state of anxiety was reg- istered in all 57 children (100 %), the state of aggression - in 38 children (66.7%); exhaustion - in 37 children (64.9 %). In children who have been displaced from the zone of armed conflict in the south-east of Ukraine, the state of anxiety was also registered in all 56 children (100 %), the status of aggression was determined in 53 chil- dren (94.6 %), and the state of exhaustion - in 44 children (78.6 %). It was established that in children displaced from the combat zone in the Southeast of Ukraine, the quantitative indices of anxiety and aggression states were sig- nificantly higher than in children living in radioactively contaminated territories (p < 0.001), whereas nor by frequen- cy, nor by the degree of severity of exhaustion state they did not clearly differ (p > 0.05). Correlation analysis with the definition of Spearman's criterion did not reveal likely association between the content of 137Cs in the body of children - residents of radioactively contaminated territories and the peculiarities of their psycho-emotional state.
Conclusions: The use of the art therapy method in the form of a serial drawing for children - residents of radioac- tively contaminated territories and children moved from the combat zone in the south-east of Ukraine, led to a sig- nificant positive effect, which was characterized by a decrease in the manifestations of symptoms of anxiety and aggressiveness. The state of exhaustion was less well corrected and its indices only had a tendency to improve. Thus, the method of art therapy in the form of a serial drawing is characterized by efficiency, simplicity of execution, low cost, it can be widely used in children's teams to correct disorders of the psycho-emotional state.
Meta. Vyznachyty psykhoemotsiy̆nyy̆ stan ditey̆ – meshkantsiv radioaktyvno zabrudnenykh terytoriy̆ i ditey̆, pe- remishchenykh iz zony zbroy̆nogo konfliktu na pivdennomu skhodi Ukraïny ta otsinyty efektyvnist' zastosuvannia art- terapiï dlia korektsiï y̆ogo porushen'.Materialy i metody. Psykhoemotsiy̆nyy̆ stan vyznachaly u 113 ditey̆, z nykh 57 – meshkantsi radioaktyvno zabrudne- nykh terytoriy̆ z vmistom 137Ss v tili vid 269 do 7024 Bk (I grupa), 56 – vymusheni pereselentsi iz zony zbroy̆nogo konfliktu na Pivdennomu Skhodi Ukraïny (II grupa). Vik ditey̆ kolyvavsia vid 10 do 17 rokiv. Dity perebuvaly na likuvanni u dytiachykh viddilenniakh kliniky NNTsRM z pryvodu funktsional'nykh rozladiv ta khronichnoï somatychnoï pa- tologiï. Psykhoemotsiy̆nyy̆ stan ditey̆ vyznachaly za dopomogoiu testu «neisnuiucha tvaryna», analizuvaly za tr'oma symptomokompleksamy – tryvozhnist', agresyvnist' i nervovo-psykhichne vysnazhennia ta otsiniuvaly shliakhom nara- khuvannia baliv. Korektsiiu psykhoemotsiy̆nogo stanu provodyly metodom art-terapiï u vygliadi seriy̆nogo maliuvan- nia. Psykhologichne testuvannia provodyly dvichi pry nadkhodzhenni do statsionaru i pislia zakinchennia art-terapiï. Rezul'taty. Rezul'taty pervynnogo obstezhennia psykhoemotsiy̆nogo stanu ditey̆ za testom «neisnuiucha tvaryna» pokazaly, shcho u ditey̆ – meshkantsiv radioaktyvno zabrudnenykh terytoriy̆ stan tryvozhnosti reiestruvavsia v usikh 57 ditey̆ (100 %); stan agresyvnosti – u 38 (66,7 %); vysnazhennia – u 37 (64,9 %). U ditey̆, peremishchenykh iz zony zbroy̆nogo konfliktu na pivdennomu skhodi Ukraïny, stan tryvozhnosti takozh reiestruvaly v usikh 56 ditey̆ (100 %), stan agresyvnosti vyznacheno u 53 (94,6 %), a stan vysnazhennia – u 44 (78,6 %). Vstanovleno, shcho u ditey̆, pe- remishchenykh iz zony boy̆ovykh diy̆ na pivdennomu skhodi Ukraïny, kil'kisni pokaznyky staniv tryvozhnosti ta agresyv- nosti buly suttievo vyshchymy, nizh u ditey̆ – meshkantsiv radioaktyvno zabrudnenykh terytoriy̆ (r < 0,001), todi iak ani za chastotoiu, ani za stupenem vyraznosti stanu vysnazhennia vony virogidno ne vidriznialysia (r > 0,05). Korelia- tsiy̆nyy̆ analiz z vyznachenniam kryteriiu Spirmena ne vyiavyv virogidnykh asotsiatsiy̆ mizh vmistom 137Cs v tili ditey̆ – meshkantsiv radioaktyvno zabrudnenykh terytoriy̆ ta osoblyvostiamy ïkh psykhoemotsiy̆nogo stanu.Vysnovky. Zastosuvannia metodu art-terapiï u vygliadi seriy̆nogo maliunku u ditey̆ – meshkantsiv radioaktyvno za- brudnenykh terytoriy̆ i ditey̆, peremishchenykh iz zony boy̆ovykh diy̆ na pivdennomu skhodi Ukraïny, pryzvodylo do suttievogo pozytyvnogo efektu, iakyy̆ kharakteryzuvavsia znyzhenniam proiaviv symptomokompleksiv tryvozhnosti, agresyvnosti. Stan vysnazhennia girshe piddavavsia korektsiï, y̆ogo pokaznyky maly lyshe tendentsiiu do pokrashchen- nia. Otzhe, metod art-terapiï u vygliadi seriy̆nogo maliunku kharakteryzuiet'sia efektyvnistiu, prostotoiu vykonannia, nyz'koiu sobivartistiu, y̆ogo mozhna shyroko zastosovuvaty u dytiachykh kolektyvakh dlia korektsiï porushen' psykhoe- motsiy̆nogo stanu.
Keywords: Chornobyl catastrophe; armed conflict; art therapy; children; psycho-emotional state.
V. A. Poznysh, V. Yu. Vdovenko, I. E. Kolpakov, E. I. Stepanova.