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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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mvjr</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский вестник Юга России</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Herald of the South of Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2219-8075</issn><issn pub-type="epub">2618-7876</issn><publisher><publisher-name>The Rostov State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2219-8075-2019-10-3-6-17</article-id><article-id custom-type="elpub" pub-id-type="custom">mvjr-921</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="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Матери больных шизофренией: медицинские и психологические аспекты проблемы. Обзор литературы</article-title><trans-title-group xml:lang="en"><trans-title>Mothers of schizophrenic patients: medical and psychological aspects of the problem</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4944-8597</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мрыхина</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Khmaruk</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мрыхина Вероника Владимировна - аспирант кафедры психиатрии и наркологии.</p></bio><bio xml:lang="en"><p>Igor N. Khmaruk - M.D., Ph.D., assistant professor, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">2265549@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0222-3414</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солдаткин</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mrykhina</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солдаткин Виктор Александрович - д.м.н., доцент,заведующий кафедрой психиатрии и наркологии.</p></bio><bio xml:lang="en"><p>Veronika V. Mrykhina - aspirant Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">sva-rostov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0437-3002</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мрыхин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Soldatkin</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мрыхин Владимир Валерьевич - к.м.н., доцент кафедры психиатрии и наркологии.</p></bio><bio xml:lang="en"><p>Victor Al. Soldatkin - M.D., Ph.D., D.Med.Sci. Chief, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">2793665@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6629-7404</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Перехов</surname><given-names>А. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Mrykhin</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Перехов Алексей Яковлевич - к.м.н., доцент кафедры психиатрии и наркологии.</p></bio><bio xml:lang="en"><p>Vladimir V. Mrykhin - M.D., Ph.D., assistant professor, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">perekhov_a@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6412-020X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Perekhov</surname><given-names>A. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалев Александр Иванович - ассистент кафедры психиатрии и наркологии.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Alexey Ya. Perekhov - M.D., Ph.D., assistant professor, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">aik_psych@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1675-9906</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крючкова</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крючкова Марина Николаевна - ассистент кафедры психиатрии и наркологии.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Alexander Iv. Kovalev, M.D. - assistant, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">marina.gemchugina@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0962-4755</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бухановская</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kryuchkova</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бухановская Ольга Александровна - к.м.н., ассистент кафедры психиатрии и наркологии.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Marina N. Kryuchkova - M.D., assistant, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">olgabux@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1663-7623</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хмарук</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Bukhanovskaya</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хмарук Игорь Николаевич - к.м.н., доцент кафедры психиатрии и наркологии.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Olga Al. Bukhanovskaya - M.D., Ph.D., assistant, Dept. of Psychiatry and Narcology.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">ihmaruk@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ростовский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>11</day><month>10</month><year>2019</year></pub-date><volume>10</volume><issue>3</issue><fpage>6</fpage><lpage>17</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мрыхина В.В., Солдаткин В.А., Мрыхин В.В., Перехов А.Я., Ковалев А.И., Крючкова М.Н., Бухановская О.А., Хмарук И.Н., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Мрыхина В.В., Солдаткин В.А., Мрыхин В.В., Перехов А.Я., Ковалев А.И., Крючкова М.Н., Бухановская О.А., Хмарук И.Н.</copyright-holder><copyright-holder xml:lang="en">Khmaruk I.N., Mrykhina V.V., Soldatkin V.A., Mrykhin V.V., Perekhov A.Y., Kovalev A.I., Kryuchkova M.N., Bukhanovskaya O.A.</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://www.medicalherald.ru/jour/article/view/921">https://www.medicalherald.ru/jour/article/view/921</self-uri><abstract><p>Обзор посвящен проблеме взаимовлияния психолого-психиатрических характеристик матери и шизофрении у сына. С одной стороны, ряд личностных особенностей матери сопровождается формированием высоких показателей шизоидности и невротичности ребенка. Очевидно, что наличие определенного психологического типа матери (как единственной причины) недостаточно для возникновения и развития шизофрении, но последующее развитие у ребенка личностных нарушений, как пограничного состояния между нормой и патологией, уже может быть почвой для развития болезни при наличии других более весомых причин (например, наследственных). С другой стороны, заболевание ребенка может быть значимым стрессорным фактором для матери, приводящим к формированию у нее проявлений эмоционального напряжения и психологической дезадаптации, что, в свою очередь, может негативно сказываться не только на особенностях ее взаимоотношений с ребенком, но и на особенностях протекания его заболевания. Механизмы формирования такого «порочного круга» малоизучены даже теоретически, не говоря уже о том, что в рутинной психиатрической практике эти вопросы не попадают в фокус внимания врача-психиатра, не учитываются при разработке стратегии терапии. Однако параметры взаимодействия матери и ребенка, уровень их взаимной эмпатии могут иметь важное значение для формирования комплайенса при лечении шизофрении, т. к. «проводником» терапии по отношению к пациенту зачастую является именно мать. Также несомненно, что уровень психического здоровья матери является важным ресурсом для поддержания жизнеспособности всей семейной системы и, в частности, необходимым условием для организации адекватной терапии больного шизофренией. Поэтому изучение вопросов взаимовлияния больного шизофренией и его матери, разработка способов коррекции возникающих при этом проблем являются важной научной и практической задачей современной психиатрии.</p></abstract><trans-abstract xml:lang="en"><p>Thus, we can talk about the obvious mutual influence between a child with schizophrenia and his mother. On the one hand, it can be manifested in the form of the fact that a certain number of personal characteristics of the mother is accompanied by the formation of high rates of schizoid and neurotic child. Of course, the presence of a certain psychological type of mother (as the only reason) is not enough for the emergence and development of schizophrenia, but the subsequent development of the child’s personal disorders, as a borderline between the norm and pathology, can already be the ground for the development of the disease in the presence of other more significant causes (for example, hereditary). On the other hand, the disease of the child can be a significant stress factor for the mother, leading to the formation of her manifestations of emotional stress and psychological maladjustment, which, in turn, can adversely affect not only the features of her relationship with the child, but also on the features of the course of his disease. The mechanisms of formation of such a «vicious circle» are poorly studied even theoretically, not to mention the fact that in routine psychiatric practice these issues do not fall into the focus of the psychiatrist’s attention, are not taken into account in the development of therapy strategy. However, the parameters of interaction between mother and child, the level of their mutual empathy, can be important for the formation of compliance in the treatment of schizophrenia, as the «conductor» of therapy in relation to a small patient is the mother. There is also no doubt that the level of mental health of the mother is an important resource for maintaining the viability of the whole family system and, in particular, a necessary condition for the organization of adequate therapy for a child with schizophrenia. Therefore, the study of the issues of mutual influence of the patient with schizophrenia and his mother, the development of ways to correct the problems arising in this case are an important scientific and practical task of modern psychiatry.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>шизофрения</kwd><kwd>патогенез</kwd><kwd>шизофреногенная мать</kwd></kwd-group><kwd-group xml:lang="en"><kwd>schizophrenia</kwd><kwd>pathogenesis</kwd><kwd>schizophrenic mother</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">Смулевич А.Б. 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