
Цифровая трансформация тревоги и депрессии у подростков: феноменология, нейробиология, клинические вызовы
Журнал: Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски. 2026;126(9-2):41-50.
DOI: 10.17116/jnevro202612609241
Прочитано: 72 раза
Резюме
Несмотря на многочисленные исследования влияния цифровой активности на психическое здоровье, вопрос о том, трансформирует ли цифровая среда феноменологию психических расстройств, остается малоизученным. В настоящем нарративном обзоре обобщены данные о влиянии цифровой среды на клинические проявления тревоги и депрессии у подростков. Показано, что цифровые феномены (социальное сравнение, страх упущенных возможностей, проблемное использование социальных сетей и интернет-игр, думскроллинг и пр.) не просто сопутствуют аффективной симптоматике, но и становятся ее поведенческими и когнитивными компонентами, выполняя двойную роль: с одной стороны — «масок», затрудняющих диагностику, с другой — факторов хронификации. Нейробиологическую основу этого процесса составляют дисрегуляция системы вознаграждения, перегрузка префронтальной коры и гиперактивация сети пассивного режима работы мозга, образующие самоподдерживающийся цикл: эмоциональный дистресс — дезадаптивное цифровое поведение — усиление дистресса. Клиническими следствиями являются необходимость включения «цифрового анамнеза» в стандартное диагностическое интервью и разработка интегративных терапевтических подходов, сочетающих лечение аффективных нарушений с адресной коррекцией цифровых поведенческих паттернов.
Ключевые слова
- тревога
- депрессия
- подростки
- цифровая среда
- проблемное использование социальных сетей
- нейробиология
Дата поступления: 27.06.2026
Дата принятия в печать: 29.07.2026
Дата публикации: 22.10.2026
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