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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2024-6-83-88</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-2422</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Characteristics of the parent-child relationship in families of children with cerebral palsy and multiple sclerosis (literature review)</article-title><trans-title-group xml:lang="ru"><trans-title>Особенности детско-родительских отношений в семьях детей с церебральным параличом и рассеянным склерозом (обзор литературы)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1166-6222</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бойко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Boiko</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 119602, Москва, Мичуринский просп., 74 </p></bio><bio xml:lang="en"><p> 74, Michurinsky Prosp., Moscow 119602 </p></bio><email xlink:type="simple">boykoea26@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0269-7361</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малыгин</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Malygin</surname><given-names>V. L</given-names></name></name-alternatives><bio xml:lang="ru"><p> 127473, Москва, ул. Делегатская, 20, стр. 1 </p></bio><bio xml:lang="en"><p> 20, Delegatskaya St., Build. 1, Moscow 127473 </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-8273-6025</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глущенко</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Glushchenko</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 117513, Москва, ул. Островитянова, 1 </p></bio><bio xml:lang="en"><p> 1, Ostrovityanova St., Moscow 117997 </p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Научно-практический центр детской психоневрологии Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research and Practical Center of Pediatric Psychoneurology, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский университет медицины» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian University of Medicine, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>17</day><month>12</month><year>2024</year></pub-date><volume>16</volume><issue>6</issue><fpage>83</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Boiko E.A., Malygin V.L., Glushchenko E.I., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Бойко Е.А., Малыгин В.Л., Глущенко Е.И.</copyright-holder><copyright-holder xml:lang="en">Boiko E.A., Malygin V.L., Glushchenko E.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/2422">https://nnp.ima-press.net/nnp/article/view/2422</self-uri><abstract><p>Multiple sclerosis (MS) and cerebral palsy (CP) are chronic disabling diseases caused by central nervous system affection. The diagnosis of a chronic illness in a child is a psychotraumatic event that disrupts the structure and functioning of the family system, the psychological well-being and the health of family members. In the process of adapting to the stress factor, both parent-child relationships and marital relationships are deformed. In most families raising disabled children, disharmonious parenting styles prevail. Parents report a decrease in quality of life, dissatisfaction with their role and family relationships, experience anxiety, depression, guilt and helplessness and try to compensate for the psychological distress by focusing on the child's problems, often sacrificing their private life and free time. In addition, parents of children with MS are burdened by a sense of insecurity related to the difficult-to-control and unpredictable course of the disease. The lack of a sufficient number of scientific studies on this topic does not allow us to draw clear conclusions about the influence of the type of child's disease progression (progressive, stationary) on the characteristics of the parent-child relationship. In addition, longitudinal studies are needed to assess the dynamics of parent-child relationships and the effectiveness of psychocorrective interventions in families with children with MS and CP. The review is based on a theoretical study of the issues of parent-child relationships in families raising children with CP and MS and the impact of chronic disabling illness on the family system, which was conducted based on a systematic literature search of PubMed, Google Scholar, eLibrary and DisserCat databases.</p></abstract><trans-abstract xml:lang="ru"><p>Рассеянный склероз (РС) и детский церебральный паралич (ДЦП) – хронические инвалидизирующие заболевания, обусловленные поражением центральной нервной системы. Выявление хронического заболевания у ребенка является психотравмирующим событием, которое нарушает структуру и функционирование семейной системы, психологическое благополучие и здоровье членов семьи. В процессе адаптации к стрессовому фактору происходит деформация как детско-родительских, так и супружеских отношений. В большинстве семей, воспитывающих детей-инвалидов, преобладают негармоничные стили воспитания. Родители отмечают снижение качества жизни, неудовлетворенность своей ролью и семейными отношениями, испытывают тревогу, депрессию, чувство вины, беспомощность, пытаются компенсировать психологическое неблагополучие сосредоточением на проблемах ребенка, зачастую жертвуя личной жизнью и досугом. Помимо этого, родители детей с РС тяготятся чувством неопределенности, связанным с трудно контролируемым и непредсказуемым течением заболевания. Отсутствие достаточного количества научных работ по данной теме не позволяет сделать однозначные выводы о влиянии типа течения (прогрессирующее, стационарное) заболевания ребенка на особенности детско-родительских отношений. Кроме того, для оценки динамики отношений «родитель – ребенок» и эффективности психокоррекционных вмешательств в семьях детей с РС и ДЦП необходимо проведение лонгитюдных исследований.</p><p>В основу обзора легло проведенное на основе систематического поиска литературы в базах данных PubMed, Google Scholar, eLibrary, DisserCat теоретическое исследование проблемы детско-родительских отношений в семьях, воспитывающих детей с ДЦП и РС, а также влияния хронических инвалидизирующих заболеваний на семейную систему.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рассеянный склероз</kwd><kwd>детский церебральный паралич</kwd><kwd>детско-родительские отношения</kwd><kwd>семейная система</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple sclerosis</kwd><kwd>cerebral palsy</kwd><kwd>parent-child relationships</kwd><kwd>family system</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Majnemer A, Shevell M, Law M, et al. Indicators of distress in families of children with cerebral palsy. Disabil Rehabil. 2012;34(14):1202- 7. doi: 10.3109/09638288.2011.638035. Epub 2012 Jan 12.</mixed-citation><mixed-citation xml:lang="en">Majnemer A, Shevell M, Law M, et al. Indicators of distress in families of children with cerebral palsy. Disabil Rehabil. 2012;34(14):1202- 7. doi: 10.3109/09638288.2011.638035. Epub 2012 Jan 12.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Шац ИК. Больной ребенок и его семья: формы и возможности психологической помощи: учеб. пособие. Санкт-Петербург: СпецЛит; 2016. 303 с.</mixed-citation><mixed-citation xml:lang="en">Shats IK. A sick child and his family: forms and opportunities of psychological support: a training manual. St. Petersburg: SpetsLit; 2016. 303 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Di Tella M, Perutelli V, Miele G, et al. Family Functioning and Multiple Sclerosis: Study Protocol of a Multicentric Italian Project. Front Psychol. 2021 Jun 9;12:668010. doi: 10.3389/fpsyg.2021.668010</mixed-citation><mixed-citation xml:lang="en">Di Tella M, Perutelli V, Miele G, et al. Family Functioning and Multiple Sclerosis: Study Protocol of a Multicentric Italian Project. Front Psychol. 2021 Jun 9;12:668010. doi: 10.3389/fpsyg.2021.668010</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Пирогов ДГ, Маликова ТВ, Аверин ВА, Иванова ТВ. Личностные особенности и система отношений родителей, воспитывающих детей с детским церебральным параличом (часть 1). Психология. Психофизиология. 2013;6(4):106-12.</mixed-citation><mixed-citation xml:lang="en">Pirogov DG, Malikova TV, Averin VA, Ivanova TV. Personal characteristics and relationship system of parents raising children with cerebral palsy (part 1). Psikhologiya. Psikhofiziologiya. 2013;6(4):106-12 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ткачева ВВ. Технологии психологического изучения семей, воспитывающих детей с отклонениями в развитии: учеб. пособие для студентов вузов, обучающихся по направлению и специальностям «Психология». Москва: УМК «Психология»; 2006. 319 с.</mixed-citation><mixed-citation xml:lang="en">Tkacheva VV. Techniques for the psychological study of families raising children with developmental disabilities: a textbook. Moscow: UMK “Psikhologiya”; 2006. 319 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Kornbluh AB, Kahn I. Pediatric Multiple Sclerosis. Semin Pediatr Neurol. 2023 Jul;46:101054. doi: 10.1016/j.spen.2023.101054. Epub 2023 May 11.</mixed-citation><mixed-citation xml:lang="en">Kornbluh AB, Kahn I. Pediatric Multiple Sclerosis. Semin Pediatr Neurol. 2023 Jul;46:101054. doi: 10.1016/j.spen.2023.101054. Epub 2023 May 11.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Uzokova MX,Norkulov UT, Zaripov J. Current aspects of infantile cerebral palsy. Int J Cogn Neurosci Psychol. 2024;2(7):68-72.</mixed-citation><mixed-citation xml:lang="en">Uzokova MX,Norkulov UT, Zaripov J. Current aspects of infantile cerebral palsy. Int J Cogn Neurosci Psychol. 2024;2(7):68-72.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Transl Pediatr. 2020 Feb;9(Suppl 1): S125-S135. doi: 10.21037/tp.2020.01.01</mixed-citation><mixed-citation xml:lang="en">Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Transl Pediatr. 2020 Feb;9(Suppl 1): S125-S135. doi: 10.21037/tp.2020.01.01</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Куланова АА, Аринцина ИА. Сравнительное изучение эмоциональных переживаний, родительских установок и отношения к семейной роли матерей детей с РАС, с ДЦП и с типичным развитием. В сб.: Ананьевские чтения – 2021: Материалы международной научной конференции, Санкт-Петербург, 19–22 октября 2021 г. Санкт-Петербург: ООО «Скифия-принт»; 2021. С. 368-9.</mixed-citation><mixed-citation xml:lang="en">Kulanova AA, Arintsina IA. Comparative study of emotional experiences, parental attitudes and attitudes towards family role of mothers of children with ASD, cerebral palsy and typical development. In: Ananyev Readings – 2021: Proceedings of the International Scientific Conference, St. Petersburg, Oct 19–22, 2021. St. Petersburg: OOO “Skifiya-print”; 2021. P. 368-9 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ткачева ВВ. Система психологической помощи семьям, воспитывающим детей с отклонениями в развитии: специальность 19.00.10 «Коррекционная психология»: Автореф. дис. … д-ра психол. наук. Нижний Новгород; 2005. 46 c.</mixed-citation><mixed-citation xml:lang="en">Tkacheva VV. System of psychological assistance to families raising children with developmental disabilities: specialty 19.00.10 “Correctional Psychology”: Abstract of a Doctor of Psychological Sciences dissertation. Nizhny Novgorod; 2005. 46 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ткачева ВВ. Семья ребенка с ограниченными возможностями здоровья: диагностика и консультирование. Москва: Национальный книжный центр; 2014. 160 с.</mixed-citation><mixed-citation xml:lang="en">Tkacheva VV. The family of a child with disabilities: diagnosis and counselling. Moscow: National Book Center; 2014. 160 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Сорокин ВМ. Психологическое содержание реакций родителей на факт рождения больного ребенка. Вестник Санкт-Петербургского университета. Психология. Социология. Педагогика. 2008;12(3):166-71.</mixed-citation><mixed-citation xml:lang="en">Sorokin VM. Psychological content of parents' reactions to the fact of giving birth to a sick child. Vestnik Sankt-Peterburgskogo universiteta. Psikhologiya. Sotsiologiya. Pedagogika. 2008;12(3):166-71 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Гильяно АС. Особенности межличностных отношений в семьях, воспитывающих ребенка с детским церебральным параличом. Вестник Московского государственного областного университета. Серия: Психологические науки. 2020;(1):76-91.</mixed-citation><mixed-citation xml:lang="en">Gil'yano AS. Features of interpersonal relations in families raising a child with cerebral palsy. Vestnik Moskovskogo gosudarstvennogo oblastnogo universiteta. Seriya: Psikhologicheskie nauki. 2020;(1):76-91 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kouzoupis AB, Paparrigopoulos T, Soldatos M, Papadimitriou GN. The family of the multiple sclerosis patient: a psychosocial perspective. Int Rev Psychiatry. 2010;22(1):83-9. doi: 10.3109/09540261003589588</mixed-citation><mixed-citation xml:lang="en">Kouzoupis AB, Paparrigopoulos T, Soldatos M, Papadimitriou GN. The family of the multiple sclerosis patient: a psychosocial perspective. Int Rev Psychiatry. 2010;22(1):83-9. doi: 10.3109/09540261003589588</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Тимофеева ИВ. Особенности родительско-детских отношений в семьях, имеющих детей с детским церебральным параличом, с позиции теории семейных систем. Известия Российского государственного педагогического университета им. А.И. Герцена. 2011;(139):59-66.</mixed-citation><mixed-citation xml:lang="en">Timofeeva IV. Features of parent-child relations in families with children with cerebral palsy from the perspective of family systems theory. Izvestiya Rossiiskogo gosudarstvennogo pedagogicheskogo universiteta im. A.I. Gertsena. 2011;(139):59-66 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Целевич ТИ. Особенности социальнопедагогического сопровождения семьи, воспитывающей ребенка с тяжелыми двигательными нарушениями вследствие ДЦП. Вестник Университета Российской академии образования. 2007;(4):44-6.</mixed-citation><mixed-citation xml:lang="en">Tselevich TI. Features of socio-pedagogical support of a family raising a child with severe motor disorders due to cerebral palsy. Vestnik Universiteta Rossiiskoy akademii obrazovaniya. 2007;(4):44-6 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Geuze L. “Continuously struggling for balance”: The lived experiences of Dutch parents caring for children with profound intellectual and multiple disabilities. Glob Qual Nurs Res. 2023;48(2):161-71. doi: 10.1177/23333936211028170</mixed-citation><mixed-citation xml:lang="en">Geuze L. “Continuously struggling for balance”: The lived experiences of Dutch parents caring for children with profound intellectual and multiple disabilities. Glob Qual Nurs Res. 2023;48(2):161-71. doi: 10.1177/23333936211028170</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Hinton D, Kirk S. Living with uncertainty and hope: A qualitative study exploring parents' experiences of living with childhood multiple sclerosis. Chronic Illn. 2017 Jun;13(2):88-99. doi: 10.1177/1742395316664959. Epub 2016 Aug 17.</mixed-citation><mixed-citation xml:lang="en">Hinton D, Kirk S. Living with uncertainty and hope: A qualitative study exploring parents' experiences of living with childhood multiple sclerosis. Chronic Illn. 2017 Jun;13(2):88-99. doi: 10.1177/1742395316664959. Epub 2016 Aug 17.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Pousada M, Guillamon N, Hernandez-Encuentra E. Impact of caring for a child with cerebral palsy on the quality of life of parents: a systematic review of the literature. J Devel Phys Disabil. 2013;2:545-77. doi: 10.1007/s10882-013-9332-6</mixed-citation><mixed-citation xml:lang="en">Pousada M, Guillamon N, Hernandez-Encuentra E. Impact of caring for a child with cerebral palsy on the quality of life of parents: a systematic review of the literature. J Devel Phys Disabil. 2013;2:545-77. doi: 10.1007/s10882-013-9332-6</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Schertz M, Karni-Visel Y, Tamir A, et al. Family quality of life among families with a child who has a severe neurodevelopmental disability: Impact of family and child socio-demographic factors. Res Dev Disabil. 2016 Jun-Jul;53-54:95-106. doi: 10.1016/j.ridd.2015.11.028. Epub 2016 Feb 10.</mixed-citation><mixed-citation xml:lang="en">Schertz M, Karni-Visel Y, Tamir A, et al. Family quality of life among families with a child who has a severe neurodevelopmental disability: Impact of family and child socio-demographic factors. Res Dev Disabil. 2016 Jun-Jul;53-54:95-106. doi: 10.1016/j.ridd.2015.11.028. Epub 2016 Feb 10.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Wang Y, Huang Z, Kong F. Parenting stress and life satisfaction in mothers of children with cerebral palsy: The mediating effect of social support. J Health Psychol. 2020 Mar;25(3):416-25. doi: 10.1177/1359105317739100. Epub 2017 Nov 13.</mixed-citation><mixed-citation xml:lang="en">Wang Y, Huang Z, Kong F. Parenting stress and life satisfaction in mothers of children with cerebral palsy: The mediating effect of social support. J Health Psychol. 2020 Mar;25(3):416-25. doi: 10.1177/1359105317739100. Epub 2017 Nov 13.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Park EY. Relationship among Gross Motor Function, Parenting Stress, Sense of Control, and Depression in Mothers of Children with Cerebral Palsy. Int J Environ Res Public Health. 2021 Sep 2;18(17):9285. doi: 10.3390/ijerph18179285</mixed-citation><mixed-citation xml:lang="en">Park EY. Relationship among Gross Motor Function, Parenting Stress, Sense of Control, and Depression in Mothers of Children with Cerebral Palsy. Int J Environ Res Public Health. 2021 Sep 2;18(17):9285. doi: 10.3390/ijerph18179285</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Тихомирова ВС, Исаев ДН. Отношение матерей к воспитываемым ими детям-дошкольникам с церебральным параличом, и психологическая помощь семье. Детская и подростковая реабилитация. 2011;2(17):88-97.</mixed-citation><mixed-citation xml:lang="en">Tikhomirova VS, Isaev DN. Mothers' attitudes towards their preschool children with cerebral palsy and psychological support for the family. Detskaya i podrostkovaya reabilitatsiya. 2011;2(17):88-97 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Barfoot J, Meredith P, Ziviani J, Whittingham K. Parent-child interactions and children with cerebral palsy: An exploratory study investigating emotional availability, functional ability, and parent distress. Child Care Health Dev. 2017 Nov;43(6):812-22. doi: 10.1111/cch.12493. Epub 2017 Jul 23.</mixed-citation><mixed-citation xml:lang="en">Barfoot J, Meredith P, Ziviani J, Whittingham K. Parent-child interactions and children with cerebral palsy: An exploratory study investigating emotional availability, functional ability, and parent distress. Child Care Health Dev. 2017 Nov;43(6):812-22. doi: 10.1111/cch.12493. Epub 2017 Jul 23.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Uccelli MM. The impact of multiple sclerosis on family members: a review of the literature. Neurodegener Dis Manag. 2014;4(2):177- 85. doi: 10.2217/nmt.14.6</mixed-citation><mixed-citation xml:lang="en">Uccelli MM. The impact of multiple sclerosis on family members: a review of the literature. Neurodegener Dis Manag. 2014;4(2):177- 85. doi: 10.2217/nmt.14.6</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Ткаченко ЕС. Медико-социальный портрет семей, воспитывающих детей с детским церебральным параличом. Казанский медицинский журнал. 2017;98(6):1040-3.</mixed-citation><mixed-citation xml:lang="en">Tkachenko ES. Medico-social portrait of families bringing up children with infantile cerebral palsy. Kazanskiy meditsinskiy zhurnal. 2017;98(6):1040-3 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Scorgie K, Sobsey D. Transformational outcomes associated with parenting children who have disabilities. Ment Retard. 2000 Jun;38(3):195-206. doi: 10.1352/0047-6765(2000)038&lt;0195:TOAWPC&gt;2.0.CO;2</mixed-citation><mixed-citation xml:lang="en">Scorgie K, Sobsey D. Transformational outcomes associated with parenting children who have disabilities. Ment Retard. 2000 Jun;38(3):195-206. doi: 10.1352/0047- 6765(2000)038&lt;0195:TOAWPC&gt;2.0.CO;2</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Messmer Uccelli M, Traversa S, Trojano M, et al. Lack of information about multiple sclerosis in children can impact parents' sense of competency and satisfaction within the couple. J Neurol Sci. 2013 Jan 15;324(1-2):100-5. doi: 10.1016/j.jns.2012.10.010. Epub 2012 Nov 8.</mixed-citation><mixed-citation xml:lang="en">Messmer Uccelli M, Traversa S, Trojano M, et al. Lack of information about multiple sclerosis in children can impact parents' sense of competency and satisfaction within the couple. J Neurol Sci. 2013 Jan 15;324(1-2):100-5. doi: 10.1016/j.jns.2012.10.010. Epub 2012 Nov 8.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Бойко ЕА, Аркуша ЛМ, Быкова ОВ и др. Особенности детско-родительских отношений в семьях детей с нарушениями опорнодвигательного аппарата. В сб.: Сборник тезисов II ежегодной междисциплинарной научно-практической конференции с международным участием «Детский церебральный паралич и другие нарушения движения у детей», Москва, 15–16 ноября 2012 г. Москва: Ассоциация экспертов по детскому церебральному параличу и сопряженным заболеваниям; 2012. С. 35-6.</mixed-citation><mixed-citation xml:lang="en">Boyko EA, Arkusha LM, Bykova OV, et al. Peculiarities of child-parent relations in families of children with musculoskeletal disorders. In: Collection of abstracts of the II annual interdisciplinary scientific and practical conference with international participation “Cerebral palsy and other movement disorders in children”, Moscow, Nov 15–16, 2012. Moscow: Association of Experts on Cerebral Palsy and Related Diseases; 2012. P. 35-6 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Бойко ЕА, Иванчук ЕВ, Латий КР и др. Особенности детско-родительских отношений и семейной системы в семьях подростков, больных рассеянным склерозом. Неврология, нейропсихиатрия, психосоматика. 2020;12(Прил.1):20-4. doi: 10.14412/2074-2711-2020-1S-20-24</mixed-citation><mixed-citation xml:lang="en">Boyko EA, Ivanchuk EV, Latii KR, et al. Parent-child relationship and family system characteristics in families of adolescents with multiple sclerosis. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2020;12(Suppl. 1):20-4. doi: 10.14412/2074-2711-2020-1S-20-24 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Seo JY, Lee HJ, You MA. [Factors Influencing Burnout among Mothers of Children with Cerebral Palsy]. J Korean Acad Nurs. 2017 Apr;47(2):233-41 (In Korean). doi: 10.4040/jkan.2017.47.2.233</mixed-citation><mixed-citation xml:lang="en">Seo JY, Lee HJ, You MA. [Factors Influencing Burnout among Mothers of Children with Cerebral Palsy]. J Korean Acad Nurs. 2017 Apr;47(2):233-41 (In Korean). doi: 10.4040/jkan.2017.47.2.233</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Till C, Udler E, Ghassemi R, et al. Factors associated with emotional and behavioral outcomes in adolescents with multiple sclerosis. Mult Scler. 2012 Aug;18(8):1170-80. doi: 10.1177/1352458511433918. Epub 2012 Jan 30.</mixed-citation><mixed-citation xml:lang="en">Till C, Udler E, Ghassemi R, et al. Factors associated with emotional and behavioral outcomes in adolescents with multiple sclerosis. Mult Scler. 2012 Aug;18(8):1170-80. doi: 10.1177/1352458511433918. Epub 2012 Jan 30.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020 Jun 12;16:1505- 18. doi: 10.2147/NDT.S235165</mixed-citation><mixed-citation xml:lang="en">Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020 Jun 12;16:1505- 18. doi: 10.2147/NDT.S235165</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Гильяно АС. Проблемы психосоциальной помощи родителям, воспитывающим ребенка c детским церебральным параличом. В кн.: Новиков ГВ, Умняшов ИБ, редакторы. Развитие психолого-педагогической компетентности родителей обучающихся: Сборник научных трудов. Москва: МГППУ; 2017. С. 87-94.</mixed-citation><mixed-citation xml:lang="en">Gil'yano AS. Problems of psychosocial support for parents raising a child with cerebral palsy. In: Novikov GV, Umnyashov IB, editors. Development of psychological and pedagogical competence of parents of students: Collection of scientific papers. Moscow: MGPPU; 2017. P. 87-94 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Киселева ТГ, Рогунова ЮВ. Психологические особенности детско-родительских отношений в семьях, воспитывающих детей с интеллектуальными нарушениями. Мир науки. Педагогика и психология. 2022;10(2). Доступно по ссылке: https://mir-nauki.com/PDF/19PSMN222.pdf (дата обращения 05.08.2024).</mixed-citation><mixed-citation xml:lang="en">Kiseleva TG, Rogunova YuV. Psychological features of child-parent relations in families raising children with intellectual disabilities. Mir nauki. Pedagogika i psikhologiya. 2022;10(2). Available at: https://mirnauki.com/PDF/19PSMN222.pdf (accessed 05.08.2024) (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Михалькова ЕИ, Радченко СА. Особенности детско-родительских отношений в семьях, воспитывающих особенных детей. В сб.: Science and Technology Research – 2023: сборник статей Международной научно-практической конференции, Петрозаводск, 13 февраля 2023 г. Петрозаводск: Международный центр научного партнерства «Новая Наука»; 2023. С. 134-40.</mixed-citation><mixed-citation xml:lang="en">Mikhal'kova EI, Radchenko SA. Peculiarities of child-parent relations in families raising special children. In: Science and Technology Research – 2023: Collection of articles from the International Scientific and Practical Conference, Petrozavodsk, Feb 13, 2023. Petrozavodsk: International Center for Scientific Partnership “New Science”; 2023. P. 134-40 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Иванова ВС, Гребенникова ЕВ, Шелехов ИЛ. Личностные особенности матерей и родительско-детские отношения в семьях, воспитывающих детей-инвалидов с детским церебральным параличом. Научно-педагогическое обозрение. 2017;2(16):48-53.</mixed-citation><mixed-citation xml:lang="en">Ivanova VS, Grebennikova EV, Shelekhov IL. Personal characteristics of mothers and parentchild relations in families raising disabled children with cerebral palsy. Nauchno-pedagogicheskoeobozrenie. 2017;2(16):48-53 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Пирогов ДГ, Маликова ТВ, Аверин ВА, Иванова ТВ. Психологические защиты и копинги родителей, воспитывающих детей с детским церебральным параличом (часть 2). Вестник Южно-Уральского государственного университета. Серия: Психология. 2014;7(1):68-76.</mixed-citation><mixed-citation xml:lang="en">Pirogov DG, Malikova TV, Averin VA, Ivanova TV. Psychological defences and coping of parents raising children with cerebral palsy (part 2). Vestnik Yuzhno-Ural'skogo gosudarstvennogo universiteta. Seriya: Psikhologiya. 2014;7(1):68-76 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Бойко ЕА, Иванчук ЕВ, Латий КР и др. Психосоциальные последствия и функционирование семьи детей и подростков, больных рассеянным склерозом. Обзор зарубежных исследований. Детская и подростковая реабилитация. 2021;1(44):48-52.</mixed-citation><mixed-citation xml:lang="en">Boyko EA, Ivanchuk EV, Latii KR, et al. Psychosocial outcomes and family functioning of children and adolescents with multiple sclerosis. A review of foreign studies. Detskaya i podrostkovaya reabilitatsiya. 2021;1(44):48-52 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Баландина ЛЛ. Социально-психологические аспекты родительства в семьях, воспитывающих детей с ограниченными возможностями здоровья. Вестник Пермского государственного гуманитарно-педагогического университета. Психологические и педагогические науки. 2019;1(2):37-45.</mixed-citation><mixed-citation xml:lang="en">Balandina LL. Socio-psychological aspects of parenting in families raising children with disabilities. Vestnik Permskogo gosudarstvennogo gumanitarno-pedagogicheskogo universiteta. Psikhologicheskie i pedagogicheskie nauki. 2019;1(2):37-45 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Ткачева ВВ. Компетенции родителей в области специальной педагогики и специальной психологии как важнейшее условие воспитания, обучения и социализации ребенка с ограниченными возможностями здоровья. Наука и школа. 2023;(3):87-95. doi:10.31862/1819-463X-2023-3-87-95.</mixed-citation><mixed-citation xml:lang="en">Tkacheva VV. The competence of parents in the field of special pedagogy and special psychology as the most important condition for the upbringing, training and socialization of a child with disabilities. Nauka i shkola. 2023;(3):87-95 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Momsen AH, Ortenblad L, Maribo T. Effective rehabilitation interventions and participation among people with multiple sclerosis: An overview of reviews. Ann Phys Rehabil Med. 2022 Jan;65(1):101529. doi: 10.1016/j.rehab.2021.101529. Epub 2022 Jan 25.</mixed-citation><mixed-citation xml:lang="en">Momsen AH, Ortenblad L, Maribo T. Effective rehabilitation interventions and participation among people with multiple sclerosis: An overview of reviews. Ann Phys Rehabil Med. 2022 Jan;65(1):101529. doi: 10.1016/j.rehab.2021.101529. Epub 2022 Jan 25.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Ткаченко ЕС, Голева ОП, Щербаков ДВ, Халикова АР. Детский церебральный паралич: состояние изученности проблемы (Обзор). Мать и дитя в Кузбассе. 2019;2(77):4-9.</mixed-citation><mixed-citation xml:lang="en">Tkachenko ES, Goleva OP, Shcherbakov DV, Khalikova AR. Cerebral Palsy in Children: State of the Art (Review). Mat' i ditya v Kuzbasse. 2019;2(77):4-9 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Ткаченко ИВ, Евдокимова ЕВ. Детскородительские отношения в семье, воспитывающей ребенка с ограниченными возможностями здоровья: феноменология, диагностика, психологическая помощь. Армавир: РИО АГПУ; 2019. 187 с.</mixed-citation><mixed-citation xml:lang="en">Tkachenko IV, Evdokimova EV. Child-parent relations in a family bringing up a child with disabilities: phenomenology, diagnostics, psychological assistance. Armavir: RIO AGPU; 2019. 187 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Krupp LB, Rintell D, Charvet LE, et al. Pediatric multiple sclerosis: Perspectives from adolescents and their families. Neurology. 2016 Aug 30;87(9 Suppl 2):S4-7. doi: 10.1212/WNL.0000000000002879</mixed-citation><mixed-citation xml:lang="en">Krupp LB, Rintell D, Charvet LE, et al. Pediatric multiple sclerosis: Perspectives from adolescents and their families. Neurology. 2016 Aug 30;87(9 Suppl 2):S4-7. doi: 10.1212/WNL.0000000000002879</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Kingsnorth S, Rudzik AEF, King G, McPherson AC. Residential immersive life skills programs for youth with disabilities: a case study of youth developmental trajectories of personal growth and caregiver perspectives. BMC Pediatr. 2019 Nov 6;19(1):413. doi: 10.1186/s12887-019-1793-z</mixed-citation><mixed-citation xml:lang="en">Kingsnorth S, Rudzik AEF, King G, McPherson AC. Residential immersive life skills programs for youth with disabilities: a case study of youth developmental trajectories of personal growth and caregiver perspectives. BMC Pediatr. 2019 Nov 6;19(1):413. doi: 10.1186/s12887-019-1793-z</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Мазурова НВ, Подольская ТА. Психолого-педагогическая помощь родителям детей с тяжелыми нарушениями здоровья: основные направления и возможности. Национальный психологический журнал. 2016;1(21):70-7.</mixed-citation><mixed-citation xml:lang="en">Mazurova NV, Podol'skaya TA. Psycho-pedagogical assistance to parents of children with severe disabilities: main directions and opportunities. Natsional'nyy psikhologicheskiy zhurnal. 2016;1(21):70-7 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Zhou T, Luo Y, Xiong W, et al. ProblemSolving Skills Training for Parents of Children With Chronic Health Conditions: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2024 Mar 1;178(3):226-36. doi: 10.1001/jamapediatrics.2023.5753</mixed-citation><mixed-citation xml:lang="en">Zhou T, Luo Y, Xiong W, et al. ProblemSolving Skills Training for Parents of Children With Chronic Health Conditions: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2024 Mar 1;178(3):226-36. doi: 10.1001/jamapediatrics.2023.5753</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Whittingham K, Sheffield J, Mak C, et al. Parenting Acceptance and Commitment Therapy: An RCT of an online course with families of children with CP. Behav Res Ther. 2022 Aug;155:104129. doi: 10.1016/j.brat.2022.104129. Epub 2022 May 26.</mixed-citation><mixed-citation xml:lang="en">Whittingham K, Sheffield J, Mak C, et al. Parenting Acceptance and Commitment Therapy: An RCT of an online course with families of children with CP. Behav Res Ther. 2022 Aug;155:104129. doi: 10.1016/j.brat.2022.104129. Epub 2022 May 26.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Novak I, Morgan C, Fahey M, et al. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020 Feb 21;20(2):3. doi: 10.1007/s11910-020-1022-z</mixed-citation><mixed-citation xml:lang="en">Novak I, Morgan C, Fahey M, et al. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020 Feb 21;20(2):3. doi: 10.1007/s11910-020-1022-z</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Eccleston C, Fisher E, Law E, et al. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2015 Apr 15;4(4):CD009660. doi: 10.1002/14651858.CD009660.pub3. Update in: Cochrane Database Syst Rev. 2019 Mar 18;3:CD009660. doi: 10.1002/14651858.CD009660.pub4</mixed-citation><mixed-citation xml:lang="en">Eccleston C, Fisher E, Law E, et al. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2015 Apr 15;4(4):CD009660. doi: 10.1002/14651858.CD009660.pub3. Update in: Cochrane Database Syst Rev. 2019 Mar 18;3:CD009660. doi: 10.1002/14651858.CD009660.pub4</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Ждакаева ЕИ. Игровая терапия как средство коррекции деструктивных детско-родительских отношений. Омский научный вестник. 2011;6(102):160-3.</mixed-citation><mixed-citation xml:lang="en">Zhdakaeva EI. Play therapy as a means of correcting destructive child-parent relationships. Omskiy nauchnyy vestnik. 2011;6(102):160-3 (In Russ.).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
