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BULLETIN
of the Ivanovo Medical AcademyISSN 1606-8157

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Issue: 2023, Vol. 28, No. 3

А. V. Shishova, L. A. Zhdanova, Е. А. Lanina, А. I. Lanina

MEDICO-PSYCHOLOGICAL PECULIARITIES OF ADAPTATION TO SCHOOL IN FIRST FORMERS OF DIFFERENT CHRONOBIOLOGICAL TYPES

Keywords
first-formers, chronobiological type, adaptation
Abstarct
Objective – to reveal medico-psychological peculiarities of adaptation to school in first-formers of different chronobiological types. Material and methods. 216 first-formers (114 girls and 102 boys) were enrolled in the study. The survey of parents by adapted О. Ostberg questionnaire and the assessment of mental performance were conduct- ed. According to the results of the study all first-formers were divided into three groups in accordance with their chronobiological affiliation: morning type (1 group, n = 51), indifferent type (2 group, n = 141) and evening type (3 group, n = 24). Medical criteria (appearance of borderline neuropsychiatric disorders and impaired posture, insufficient body weight gain, decreased visual acuity, increased acute morbiity, violation of blood pressure level) and psychological and pedagogic criteria (unfavorable dynamics of emotional behavioral reactions, violation of academic performance and social status) were used in order to reveal the peculiarities of the adaptation course. Results and discussion. More favorable variants of the adaptation course were marked in children of evening type: they adapted well to school factors (70 %), half of them had health disorders (52 %). Children of morning type adapted somewhat worse: they adapted well to school factors (82%) but health disorders were registered in 70 % of them. Favorable adaptation to school was marked in 63,2 % first-formers of indifferent type only, and frequency of health disorders appearance was the highest – 84 %. Conclusion. It is advisable to determine the chronotype of the child at the stage of preparation for school, and belonging to indifferent type should be taken into account in the structure of risk factors for unfavorable course of adaptation.

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