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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">psychiatry</journal-id><journal-title-group><journal-title xml:lang="ru">ПСИХИАТРИЯ</journal-title><trans-title-group xml:lang="en"><trans-title>Psychiatry (Moscow) (Psikhiatriya)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1683-8319</issn><issn pub-type="epub">2618-6667</issn><publisher><publisher-name>FSBSI “The Mental Health Research Centre”;   LLC «Publisher «MIA»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/2618-6667-2022-20-2-97-108</article-id><article-id custom-type="elpub" pub-id-type="custom">psychiatry-830</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 REVIEWS</subject></subj-group></article-categories><title-group><article-title>Эволюция концепции аффективной кататонии в XIX–XXI вв.</article-title><trans-title-group xml:lang="en"><trans-title>Evolution of the Affective Catatonia Concept in XIX–XXI Centuries</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2737-3432</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смулевич</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Smulevich</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анатолий Болеславович Смулевич, академик РАН, профессор, доктор медицинских наук, заведующий отделом по изучению пограничной психической патологии и психосоматических расстройств; заведующий кафедрой, кафедра психиатрии и психосоматики</p><p>Москва</p></bio><bio xml:lang="en"><p>Anatoly B. Smulevich, Аcademician of RAS, Professor, Dr. of Sci. (Med.), Head of Department; Head of Psychiatry and Psychosomatics Department</p><p>Moscow </p></bio><email xlink:type="simple">absmulevich@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/0000-0002-7183-1536</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лобанова</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lobanova</surname><given-names>V. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вероника Маратовна Лобанова, кандидат медицинских наук</p><p> Москва</p></bio><bio xml:lang="en"><p>Veronika M. Lobanova, Cand. of Sci. (Med.)</p><p> Moscow</p></bio><email xlink:type="simple">l.o.b.a.n.o.v.a.n.i.k.a@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8109-5977</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пискарёв</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Piskarev</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Михаил Валерьевич Пискарёв</p><p>Москва</p></bio><bio xml:lang="en"><p>Mikhail V. Piskarev</p><p>Moscow</p></bio><email xlink:type="simple">piskarev-mv@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7183-1536</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильина</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilyina</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья Алексеевна Ильина, доктор медицинских наук</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia A. Ilyina, Dr. of Sci. (Med.)</p><p>Moscow</p></bio><email xlink:type="simple">nataly20022002@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБНУ «Научный центр психического здоровья»; ИКМ им. Н.В. Склифосовского ФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет)<country>Россия</country></aff><aff xml:lang="en">FSBSI “Mental Health Research Centre”; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБНУ «Научный центр психического здоровья»<country>Россия</country></aff><aff xml:lang="en">FSBSI “Mental Health Research Centre”<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>08</day><month>07</month><year>2022</year></pub-date><volume>20</volume><issue>2</issue><fpage>97</fpage><lpage>108</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Смулевич А.Б., Лобанова В.М., Пискарёв М.В., Ильина Н.А., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Смулевич А.Б., Лобанова В.М., Пискарёв М.В., Ильина Н.А.</copyright-holder><copyright-holder xml:lang="en">Smulevich A.B., Lobanova V.M., Piskarev M.V., Ilyina N.A.</copyright-holder><license 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.journalpsychiatry.com/jour/article/view/830">https://www.journalpsychiatry.com/jour/article/view/830</self-uri><abstract><p>Обоснование: связь кататонических расстройств с аффективной патологией отмечается в работах, относящихся еще к донозологическому этапу исследований в психиатрии. Клиническим исследованиям этой проблемы посвящены многочисленные публикации минувшего века и последних десятилетий наступившего. На настоящем этапе развития психиатрии кататония рассматривается в качестве транснозологического образования, манифестирующего в рамках различных, в том числе аффективных заболеваний. Цель: теоретический анализ развития представлений об аффективно-кататонических расстройствах в период XIX–XXI вв. и построения концептуальной модели аффективно-кататонических состояний, формирующихся в клиническом пространстве шизофрении и расстройств шизофренического спектра. Заключение: аффективно-кататонические расстройства представляют собой континуум психопатологически дифференцированных фазно протекающих состояний. На одном из полюсов континуума кататонические расстройства, манифестирующие в структуре аффективной патологии и реализующиеся на уровне рекуррентных депрессий/гипоманий, на другом — аффективно-кататонические состояния более тяжелого психопатологического регистра, выступающие в клиническом пространстве биполярного аффективного расстройства и шизоаффективных психозов. Соучастие двигательных расстройств в формировании клинической картины аффективно-кататонических приступов и фаз, а также модус взаимодействия кататонических расстройств с аффективными варьируются в широких пределах. В одних случаях двигательные симптомокомплексы вытесняют аффективную симптоматику, на базе которой они сформировались, и целиком определяют клиническую картину, в других — лишь модифицируют проявления аффективных расстройств, не видоизменяя их синдромальной структуры.</p></abstract><trans-abstract xml:lang="en"><p>Background: the connection of catatonic disorders with affective pathology is noted in publications related to the prenosological stage of research in psychiatry. Numerous publications of the last and the current centuries are devoted to clinical studies of the relationship between affective and catatonic symptoms. At the present stage of scientic development, catatonia is considered as a transnological formation, manifesting in the framework of various nosological units, including affective diseases. Aim: analysis of the affective catatonia construct’s development in the period of the XIX–XXI centuries and development of affective-catatonic states, forming in the clinical space of schizophrenia and schizophrenic spectrum disorder, conceptual model. Conclusion: affective-catatonic disorders represent a continuum of psychopathologically differentiated phase-owing state. At one of the continuum pole there are catatonic disorders manifesting in the structure of affective pathology, which is realized at the level of recurrent depressions; at the other pole — affective-catatonic states of more severe psychopathological register, acting in the clinical space of bipolar affective disorder and schizoaffective psychoses. The role of movement disorders in affective-catatonic attacks and phases, as well as the modus of interaction of catatonic disorders with affective ones, also varies widely. In some cases, motor symptoms replace the affective symptoms, on the basis of which they were formed, and completely determine the clinical picture of the state; in others — they only modify the manifestations of affective disorders without altering their syndromic structure.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кататония</kwd><kwd>двигательные нарушения</kwd><kwd>аффективная кататония</kwd><kwd>периодическая кататония</kwd><kwd>расстройства шизофренического спектра</kwd></kwd-group><kwd-group xml:lang="en"><kwd>catatonia</kwd><kwd>movement disorder</kwd><kwd>affective catatonia</kwd><kwd>periodic catatonia</kwd><kwd>schizophrenia spectrum disorders</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">Medicus FC. Geschichte periodischer Krankheiten. Carlsruhe. 1764.</mixed-citation><mixed-citation xml:lang="en">Medicus FC. Geschichte periodischer Krankheiten. 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