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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">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20250103</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-1950</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>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Тревожные расстройства у пациенток с бесплодием</article-title><trans-title-group xml:lang="en"><trans-title>Anxiety disorders in patients with infertility</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2671-6985</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сулима</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Sulima</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анна Николаевна Сулима, д. м. н., проф.</p><p>295051; б-р Ленина, 5/7; Симферополь</p></bio><bio xml:lang="en"><p>Anna N. Sulima, doctor of medical sciences, professor</p><p>295051; Lenina blvd., 5/7; Simferopol</p></bio><email xlink:type="simple">gsulima@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/0000-0002-3028-0598</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Строевский</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stroevsky</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владимир Владимирович Строевский, к. м. н.</p><p>295051; б-р Ленина, 5/7; Симферополь</p></bio><bio xml:lang="en"><p>Vladimir V. Stroevsky, candidate of medical sciences</p><p>295051; Lenina blvd., 5/7; Simferopol</p></bio><email xlink:type="simple">vladimir.stroevskii@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/0009-0002-1489-0289</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бахаровская</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakharovskaya</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Сергеевна Бахаровская</p><p>295051; б-р Ленина, 5/7; Симферополь</p></bio><bio xml:lang="en"><p>Anastasiya S. Bakharovskaya</p><p>295051; Lenina blvd., 5/7; Simferopol</p></bio><email xlink:type="simple">nastyabakharovskaya@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Крымский федеральный университет им. В.И. Вернадского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Crimean Federal University n.a. V.I. Vernadsky</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>26</day><month>02</month><year>2025</year></pub-date><volume>45</volume><issue>1</issue><fpage>34</fpage><lpage>41</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сулима А.Н., Строевский В.В., Бахаровская А.С., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Сулима А.Н., Строевский В.В., Бахаровская А.С.</copyright-holder><copyright-holder xml:lang="en">Sulima A.N., Stroevsky V.V., Bakharovskaya A.S.</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://sibmed.elpub.ru/jour/article/view/1950">https://sibmed.elpub.ru/jour/article/view/1950</self-uri><abstract><p>   Статья посвящена тревожным расстройствам у пациенток с бесплодием. Наряду с физическими аспектами этого состояния многие пациентки переживают значительные эмоциональные и психологические страдания. Женщины часто испытывают чувство утраты, вины и одиночества. Неудачные попытки забеременеть могут стать источником постоянного стресса, влияя на качество жизни и взаимоотношения с партнерами и близкими. В литературном обзоре представлены современные данные о классификации бесплодия, симптомах тревожного расстройства, о его этиологии, роли физиологических, психологических и социальных факторов, о диагностике тревожного расстройства с применением клинических и психометрических методов. Описаны используемые способы лечения, в том числе психофармакологические методы, психотерапия. Тревожные расстройства являются частым спутником бесплодия, но с ними можно и нужно бороться. Комплексный подход, включающий психотерапию, медикаментозное лечение и поддержку со стороны близких, помогает многим женщинам справляться с тревогой и восстанавливать психоэмоциональное равновесие.</p></abstract><trans-abstract xml:lang="en"><p>   The article is devoted to anxiety disorders in patients with infertility. Along with the physical aspects of this condition, many patients are experiencing significant emotional and psychological suffering. Women often experience feelings of loss, guilt, and loneliness. Unsuccessful trying to get pregnant can be a source of constant stress, affecting quality of life and relationships with partners and loved ones. The literature review presents modern data on the classification of infertility, symptoms of anxiety disorder, its etiology, the role of physiological, psychological and social factors, and the diagnosis of anxiety disorder using clinical and psychometric methods. The methods of treatment used are described, including psychopharmacological methods and psychotherapy. Anxiety disorders are a frequent companion of infertility, but they can and should be fought. A comprehensive approach including psychotherapy, medical treatment and support from loved ones helps many women to cope with anxiety and restore psycho-emotional balance.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тревожное расстройство</kwd><kwd>бесплодие</kwd><kwd>селективные ингибиторы обратного захвата серотонина</kwd><kwd>вспомогательные репродуктивные технологии</kwd><kwd>когнитивно-поведенческая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>anxiety disorder</kwd><kwd>infertility</kwd><kwd>selective serotonin reuptake inhibitors</kwd><kwd>assisted reproductive technologies</kwd><kwd>cognitive behavioral therapy</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">Клинические рекомендации. Женское бесплодие. Режим доступа: https://cr.minzdrav.gov.ru/schema/641_1</mixed-citation><mixed-citation xml:lang="en">Clinical recommendations. Female infertility. 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