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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">bekhterev</journal-id><journal-title-group><journal-title xml:lang="ru">Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева</journal-title><trans-title-group xml:lang="en"><trans-title>V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7053</issn><issn pub-type="epub">2713-055X</issn><publisher><publisher-name>V. M. BEKHTEREV  NATIONAL  RESEARCH  MEDICAL  CENTER  FOR  PSYCHIATRY  AND  NEUROLOGY                           OF    THE  RUSSIAN  FEDERATION   MINISTRY  OF  HEALTH</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31363/2313-7053-2019-4-2-41-48</article-id><article-id custom-type="elpub" pub-id-type="custom">bekhterev-340</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>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEW</subject></subj-group></article-categories><title-group><article-title>Негативные симптомы на инициальном этапе шизофрении в юношеском возрасте (современные аспекты дифференциально-диагностической оценки и терапии)</article-title><trans-title-group xml:lang="en"><trans-title>Negative symptoms at the prodromal stage of schizophrenia at a young age (current problems of diagnostics and treatment)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Омельченко</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Omelchenko</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Омельченко Мария Анатольевна — кандидат медицинских наук, ведущий научный сотрудник Отдела юношеской психиатрии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><email xlink:type="simple">omelchenko-ma@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр психического здоровья</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Mental Health Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>02</day><month>01</month><year>2020</year></pub-date><volume>0</volume><issue>4-2</issue><fpage>41</fpage><lpage>48</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Омельченко М.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Омельченко М.А.</copyright-holder><copyright-holder xml:lang="en">Omelchenko M.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.bekhterevreview.com/jour/article/view/340">https://www.bekhterevreview.com/jour/article/view/340</self-uri><abstract><p>Представленный литературный обзор освящает проблему ранней диагностики шизофрении, с возможностью выявления специфических маркеров на инициальном этапе, до формирования развернутой клинической симптоматики. Одним из таким маркеров являются негативные симптомы, относящиеся к «ядерным» расстройствам при шизофрении. Они могут расцениваться как предикторы надвигающегося психоза или свидетельствовать о неблагоприятном исходе заболевания со значительным снижением уровня функционирования. Представлены современные концепции патогенеза негативных симптомов, проанализированы методы диагностической оценки и отражены перспективные направления терапии.</p></abstract><trans-abstract xml:lang="en"><p>The review highlights the problem of early diagnostics of schizophrenia, trying to identify specific markers at the prodromal stage, before the appearance of full clinical symptoms. One of these markers may be negative symptoms, the core symptoms of schizophrenia. On the one hand, they can be considered as predictors of psychosis, and on the other hand, may indicate poor outcomes with a significant decrease of functioning. The report reflects the current concepts of the pathogenesis of negative symptoms, methods of diagnostics and promising directions of therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Инициальный этап шизофрении</kwd><kwd>негативные симптомы</kwd><kwd>юношеский возраст</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Prodrome of schizophrenia</kwd><kwd>negative symptoms</kwd><kwd>young age</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">Ассанович М.В. Клинические шкалы оценки негативного синдрома при шизофрении. Журнал Гродненского государственного медицинского университета. 2017; 1:27-31.</mixed-citation><mixed-citation xml:lang="en">Assanovich MV. Clinical evaluation scale of negative syndrome of schizophrenia. Zhurnal Grodnenskogo gosudarstvennogo meditsinskogo universiteta. 2017; 1:27-23. 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