The results of a study of the effectiveness of psychotherapy methods in patients with anxiety disorders with one of the established diagnoses of category F. 41 ("other anxiety disorders») according to ICD-10. The work was based on the hypothesis that the use of not only subjective impressions of the patient, but also means of controlling physiological indicators that respond to psychotherapeutic influence, may be a more effective method of psychotherapy than psychotherapy without the ability of the patient to record the response of physiological variables to the psychotherapeutic technique that the patient uses.

The study involved 98 people with an established diagnosis of anxiety disorder. Before and after the start of therapy, the severity of anxiety was assessed in patients of both groups using the visual-analog scale, and the clinical Tsung and Hamilton scales. It was determined that in the main group, which used the control of physiological parameters when performing state regulation techniques, the effectiveness of therapy was significantly higher on all the scales used. Thus, the proposed method of objectification of the effectiveness of psychotherapeutic influence can be considered an effective approach that has prospects for application, including in the formation of digital psychotherapy technologies.

The article presents a literature review concerning the use of telemedicine technologies in psychiatric and psychotherapeutic care worldwide and in Russia. The experience of the transition of practitioners to the use of telepsychiatric technologies in the conditions of the COVID-19 pandemic is emphasized. The need for continuation of the outpatient psychiatric care even in the conditions of the pandemic and the social restrictions connected with it are substantiated. Ways of solving the problems in psychiatric care arisen in the period of the COVID-19 pandemic are outlined. Potential and actual problems related to a possible more active use of telemedicine technologies in psychiatric and psychotherapeutic care are highlighted. The perspectives of the development of telepsychiatric care in Russia are discussed.

The article provides a review of the scientific literature on the problem of stress in patients with coronary heart disease (CHD). It was noted that stress is one of the risk factors for the development and unfavorable course of CHD. It has been shown that stress in patients with CHD may be associated with factors such as the family and work environment and the disease itself. The patient’s personality aspects, as well as physiological and behavioral aspects in the relationship between stress and CHD are considered. According to scientific evidence, it is advisable to include psychological interventions aimed at reducing stress in psychological rehabilitation, which is an essential part of cardiac rehabilitation. Appropriate psychological interventions are crucial for reducing stress in patients with CHD and improving their prognosis. It is also necessary to take into account the features of coping behavior to enhance the quality of psychological rehabilitation for CHD.

The quality of children life is affected not only by the complications and consequences of their antitumor treatment, but also by the psychological support of their parents. Parents, more often mothers, are the most important emotional resources for the child. Parents with severe distress may have problems in caring for their sick children. Study purpose: to study the main manifestations of psychological distress in mothers of adolescents with acute lymphoblastic leukemia in remission. The study included 21 women aged from 30 to 45 years (average age – 38.5 ± 5.46). The age of their children with acute lymphoblastic leukemia at the time of the study ranged from 12 to 17 years (average age – 14.76 ± 2.39). The duration of clinical and hematological remission of acute lymphoblastic leukemia was from 1 to 2 years. Children were under dispensary observation, living in 61.9% of cases in a family with both parents and in 38.1 % of cases with a single mother. In half of the cases (42.9 %), а child was the only one in the family, in 38.1 % of the cases the second child was born in the family after completing the treatment of the eldest child. The study of the mental state of mothers was carried out using the Questionnaire to assess the severity of psychopathologic symptoms and signs (Symptom Check List – SCL–90–R).

The mental state of mothers according to the questionnaire for assessing the severity of psychopathological symptoms (Symptom Check List – SCL–90–R) significantly and statistically relevant (p < 0.05) differed from standard indicators based on the somatization scale. However, the differences which are statistically insignificantly (p > 0.05), an increase in values on the scales of «interpersonal sensitivity», «anxiety» and «depression» were obtained compared with standard data.

In mothers of adolescents in clinical and hematological remission of acute lymphoblastic leukemia, psychological distress was revealed, of the total manifestations of which somatic manifestations differed most significantly and statistically significantly from the standard indicators. Obtaining such data makes it necessary and justified to carry out mandatory not only psychological, but also therapeutic correction for mothers of adolescents.

The article is devoted to the actual problem of adolescent autodestruction, aimed not at self-realization of a person, but at self-destruction, degradation and premature death. The driving forces of this behavior are the mechanisms of resolving the inner contradictions of the personality by the teenager. The author analyzes how teenagers build their relationships with the outside world and lives them in the inner world. Through a series of diagnostic studies and statistical procedures, the socio-perceptual mechanism of auto-destruction is established as a way to resolve contradictions in relationships and communication with other people, the result of such activity leads to the appearance of semantic formations of self – consciousness, which are manifested in behavior-auto-destructive or constructive. The result of the mechanisms of auto-destructive behavior is mental neoplasms that have a semantic "charge" for a teenager. The correction of these formations will ensure the overcoming of autodestruction. At the same time, the main pathos of the correction is an appeal to the personality of the teenager himself, to his potential for self – development. This potential is small, but it is there, and the task of correcting self-destruction should be associated with its strengthening, facilitation.

In the article the characteristics of family relationships, mental health and parent-child relations in families with induced pregnancy are discussed. The data obtained at two assessment waves of the longitudinal study (pregnancy and the child's age of 9 months) are analyzed and described. The sample consisted of 2 groups of respondents: 90 couples with pregnancy after IVF, and 160 couples with natural pregnancy. The quality of marital relations did not differ between the groups; however a tendency for an increase in the tension in the relationships between the spouses of both groups was revealed. During the pregnancy, the severity of stress and negative emotional states did not differ significantly between the groups. After the childbirth, mothers from the control group showed a higher level of depressive mood than mothers of the IVF group. At both assessment waves, parents in families with induced pregnancy demonstrated a higher level of attachment to the child and care for him. At the same time, the mothers of both groups demonstrated more strict and emotional parenting than the fathers. Spouses of families with induced pregnancy were psycho-emotionally more isolated from each other, compared with families of the control group, which was most pronounced during the pregnancy.

Тhe article presents the results of an empirical study aimed at determining the effectiveness of psychocorrection measures with patients with schizophrenia (category F20 according to ICD-10) who have committed socially dangerous acts and are on compulsory treatment. The study of the effectiveness was carried out using a dynamic psychodiagnostic examination of patients who participated in the psychocorrection program. The features of their personality, self-esteem, locus of control, coping behavior were studied. A model of psychological support for patients with schizophrenia in conditions of compulsory treatment is presented.

The aim of the study was to determine the psychological characteristics of adaptive and non-adaptive employees of the Federal Penitentiary Service of Russia with different professional experience, by identifying the age groups of employees matches with the professional periodization. 45 male employees of the Federal Penitentiary Service of Russia aged from 20 to 49 years were examined. The assessment of individual psychological characteristics was carried out using specialized techniques. It is established that the psychological characteristics of employees of the Federal Penitentiary Service of Russia with low adaptability, regardless of age, include: a low level of self-regulation as well as high personal anxiety, motor rigidity, low rate of intellectual operations, limited social contacts and high sensitivity to failures in communication. It was found that employees aged 20-34 years with low adaptability are distinguished by high physical activity, high activation of behavior aimed at achieving the goal, high conflict, tendency to aggression, which is combined with a low ability to think through the sequence of their actions and highlight significant internal and external conditions for achieving the goal, as well as an adequate assessment of the results of their activities. In addition, employees of this group are characterized by low tolerance to mental stress, viscosity of thinking, unwillingness to establish new social contacts, low verbal activity, dissatisfaction with the process of communication, high stress when performing physical actions.

For employees of the Federal Penitentiary Service of Russia aged 35-49 years with low adaptability are distinguished by low physical endurance, low motor activity, high motor rigidity and inhibition of motor operations, low behavioral activation associated with achieving goals, avoidance of social contacts, high sensitivity to communication problems, rigidity of the process of regulating behavior, rigidity of thinking, low rate of intellectual processes as well as high emotional instability, situational anxiety, a sufficient level of intellectual capabilities and a sufficient speed of communication programs.

Currently, the coronavirus pandemic requires the use of distance education technologies in order to comply with anti-epidemic measures. To assess the mobility of nervous processes and learning success depending on the forms of educational process, carried out a comparative characterization of neural properties of the Central nervous system and academic performance 132 boys and girls enrolled in the Military medical Academy. surveys with the help of determining the indicators of neurodynamic properties of the central nervous system and expert assessment of academic performance and discipline were conducted 2 times: before classes and after classes in groups of distance learning and full-time in the period from september to december 2020. The obtained results show that remotely involved in the mobility of the nervous system before class was higher than in the group engaged in full-time, by the end of training indicators neural properties of the nervous system decreased relative to the beginning of classes is the same in both groups and differences were not found. At the same time, the concentration of attention, according to the interpretation of the results of the Schulte tables, remained significantly higher in the full-time study groups. according to the interpretation of the expert assessment, full-time students are more disciplined. Test tasks were better performed by students and cadets of distance learning, and situational tasks of full-time. Thus, the obtained results indicate that, if necessary, the theoretical part of medical disciplines can be taught remotely, but practical classes cannot be replaced by remote training.

The special features of the activity of operators of round-the-clock medical contact centers in the system of voluntary medical insurance at the present stage are characterized by a constant increase in the complexity of the performed actions, a saturation of their intellectual functions, an increase in the volume and intensity of the processed information.

The activities of specialists of round-the-clock medical contact centers in the system of voluntary medical insurance can presumably be considered as highly dangerous in terms of the risk of developing «professional burnout», a phenomenon that extremely negatively affects the ability of highly qualified specialists to effectively carry out labor activities that contribute to reducing their professional longevity.