bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2021-56-3-110-118bekhterev-590Research ArticleВ ПОМОЩЬ ПРАКТИКУЮЩЕМУ ВРАЧУGUIDELINES FOR THE PRACTITIONERОбратимая регрессия у детей раннего возрастаReversible regression in early childhoodhttps://orcid.org/0000-0003-0176-3846МакаровИ. В.MakarovI. V.

Макаров Игорь Владимирович

Санкт-Петербург

Igor V. Makarov

St. Petersburg

ppsy@list.ruhttps://orcid.org/0000-0003-0697-5944КраснощековС. А.KrasnoshchekovS. A.

Краснощеков Степан Александрович

Санкт-Петербург

Stepan A. Krasnoshchekov

St. Petersburg

chuhonastov@yandex.ruНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева; Северо-Западный государственный медицинский университет им. И.И. МечниковаРоссияV.M. Bekhterev National research medical center for psychiatry and neurologyRussian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. БехтереваРоссияV.M. Bekhterev National research medical center for psychiatry and neurologyRussian Federation202103102021553110118Copyright © Макаров И.В., Краснощеков С.А., 20212021Макаров И.В., Краснощеков С.А.Makarov I.V., Krasnoshchekov S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/590

Резюме. Статья (дидактический материал) затрагивает следующие аспекты исследования обратимой регрессии у детей раннего возраста: историю вопроса, систематику, симптоматику регрессии, в том числе, при детском аутизме. Авторы анализируют имеющиеся данные, высказывают мнение о том, что практически не изучены возможности терапии обратимой регрессии у детей, нет точных данных о патогенезе данных расстройств, указывают на необходимость оценки динамики состояния, учет факторов возраста и пола ребенка. Авторы приходят к выводу, что обратимая регрессия — патологическое состояние, развивающееся на фоне относительно благоприятного развития ребенка, при котором наблюдается продолжительный распад ранее приобретенных навыков с последующим частичным или полным восстановлением. В отличие от деменции, которая является необратимым процессом, регрессия имеет этап восстановления утерянных функций. В изучении вопроса важными станут клинико-динамический анализ вариантов обратимой регрессии раннего детского возраста, понимание гендерных и возрастных различий в симптоматике расстройства, критерии прогноза при выходе из данного состояния.

Summary. The article (didactic material) addresses the following aspects of the study of reversible regression in early childhood: question history, systematics, regression symptoms, including in childhood autism. The authors analyze the available data, express the opinion that the possibilities of reversible regression therapy in children have not been studied, there are no accurate data on the pathogenesis of these disorders, indicate the need to assess the dynamics of the condition, taking into account the age and sex factors of the child.The authors conclude that reversible regression is a pathological condition developing against a background of relatively favorable child development, in which there is a prolonged decay of previously acquired skills followed by partial or complete recovery. Unlike dementia, which is an irreversible process, regression has the stage of restoring lost functions. In studying the issue, clinical-dynamic analysis of variants of reversible regression of early childhood, an understanding of gender and age differences in the symptoms of the disorder, and prognosis criteria.

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The authors declare that there are no conflicts of interest present.