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A cohort cross-sectional study of the attitude of the population to vaccination against coronavirus infection COVID-19 was carried out using a specially designed questionnaire for mass filling, located on Internet resources 2 months after the start of mass vaccination in Russia. A total of 4172 people were examined at the age from 18 to 81 years. Among the respondents, there were different tendencies in relation to vaccination. Of the total sample, 35.7% of respondents consider vaccination useful, 32.2%—doubt its effectiveness, 8.7%—consider vaccination unnecessary, 12.2%—dangerous, indifference to vaccination was formed in 5.9% of respondents. They indicated that they do not plan to be vaccinated, 30.8%, postpones their decision until more remote data on the results and effectiveness of vaccination are obtained—34.7%, were vaccinated at the time of the study—12.2%. Young people are less focused on vaccination than middle-aged and older people. Among the factors that are associated with the attitude towards vaccination are age, gender, education, fear of possible complications, fear of contracting a coronavirus infection, concern for the health of their loved ones, anxiety about the current situation with coronavirus in general. The reports of scientists, doctors and experts in this field are essential for shaping attitudes towards vaccination. The study results should be considered as the targets for vaccination behavior improvement psychosocial interventions for different social and age population groups

Представлены отечественные и зарубежные научные публикации, посвященные оценке роли психологических и психосоциальных факторов в патогенезе кожных заболеваний. Психологические механизмы играют важную роль в возникновении, экзацербации, поддержании, течении и прогнозе дерматологических нарушений. Представлены современные взгляды на психосоматические и соматопсихические соотношения в развитии кожной патологии и психических расстройств, преимущественно пограничного уровня, с учетом современных классификаций. Зачастую течение иммуноопосредованных дерматозов зависит от силы и частоты стрессовых воздействий. Клинические проявления кожных заболеваний могут существенно ухудшать психическое состояние, дезадаптировать больных в социальном плане, являться одним из ведущих этиологических факторов манифестирования невротических, аффективных, поведенческих и аддиктивных проявлений. В состав комплексной терапии хронических (особенно зудящих) дерматозов патогенетически обосновано включать различные психокорригирующие методики. Продемонстрировано, что недооценка коморбидных состояний способствует выбору недостаточно эффективных терапевтических стратегий, которые не учитывают весь спектр этиологических и патогенетических факторов, что приводит к хронизации заболеваний, существенному снижению качества жизни. Для адекватного ведения таких пациентов наиболее рациональны интегративный подход и кооперация различных специалистов (дерматовенерологи, косметологи, психиатры, психотерапевты, клинические психологи).

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Phenomenological insomnia types characteristic of neurotic anxiety disorders and their relationship with types of intrapersonal conflicts are described. A quantitative analysis of the dynamics of symptomatic complains, anxiety level, and insomnia is presented. The efficacy of the both psychotherapeutic treatments is shown. However the personality oriented (reconstructive) psychotherapy has demonstrated better and more stable results. This can be explained first of all by its pathogenesis-oriented nature and involvement of the cognitive emotional and behavioral spheres as well as the resolution of the intrapersonal conflicts, which are the cornerstone of neurotic disorders.

We studied patients with three main forms of neurotic disorders and also psychotherapists trained in personality-oriented (reconstructive) psychotherapy with the aim of classifying specific psychotherapeutic targets significant for the dynamic of clinical and psychological patient features in the course of psychotherapeutic treatment. A two-stage study was conducted, in which on the first stage took. The results showed that specific characteristics of psychotherapeutic targets and their combinations used by the psychotherapist have a certain regularity; a reliable statistical relationship was found with symptomatic effects of ongoing psychotherapy. medical (clinical) psychology, personality oriented (reconstructive) psychotherapy, psychotherapeutic target, neurotic disorders

The fourth edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-IV) recognizes the existence of a disease as a potential life-threatening stressor capable of causing post-traumatic stress disorder (PTSD). This research is one of the first works dedicated to the study of PTSD in patients diagnosed with «multiple sclerosis» (RS). A total of 724 complete sample patients were screened for outpatient treatment at the «City MS Center» in Saint Petersburg. According to the results of the screening survey and the expert clinical interview for the verification of the diagnosis of PTSD, the clinic—psychopathological signs sufficient for the diagnosis of PTSD have been identified in 61 patients, which is 8.4% of the total number of screened patients. The presence of PTSD is confirmed by high indices of sub-scales «avoidance», «intrusion», «physiological excitability» on the WOVTS scale, as well as higher indicators of dissociation level compared to control group. The lack of correlation between PTSD and the duration of RS, the degree of disability of patients, as well as socio-demographic data was found. Thus, the development of PTSD is more related to the premorbid personality characteristics than to the characteristics of the disease. These findings suggest that RS may have PTSD-type reactions. Further studies of the psychological characteristics of this group of patients are needed to identify the targets for psychotherapy.