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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">I.P. Pavlov Journal of Higher Nervous Activity</journal-id><journal-title-group><journal-title xml:lang="en">I.P. Pavlov Journal of Higher Nervous Activity</journal-title><trans-title-group xml:lang="ru"><trans-title>Журнал высшей нервной деятельности им. И.П. Павлова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0044-4677</issn><issn publication-format="electronic">3034-5316</issn><publisher><publisher-name xml:lang="en">The Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">652071</article-id><article-id pub-id-type="doi">10.31857/S0044467724050032</article-id><article-categories><subj-group subj-group-type="toc-heading"><subject>ОБЗОРЫ И ТЕОРЕТИЧЕСКИЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Central neurophysiological mechanisms of stress resistance in post-traumatic stress disorder</article-title><trans-title-group xml:lang="ru"><trans-title>Центральные нейробиологические механизмы стрессоустойчивости при посттравматическом стрессовом состоянии</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kondashevskaya</surname><given-names>M. V.</given-names></name><name xml:lang="ru"><surname>Кондашевская</surname><given-names>М. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>actual_probl@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Artemyeva</surname><given-names>K. A.</given-names></name><name xml:lang="ru"><surname>Артемьева</surname><given-names>К. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>actual_probl@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Aleksankina</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Алексанкина</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>actual_probl@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Avtsyn Research Institute of Human Morphology of Federal State Budgetary Scientific Institution Petrovsky National Research Centre of Surgery</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт морфологии человека им. академика А.П. Авцына ФГБНУ «Российский научный центр хирургии им. академика Б.В. Петровского»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-11-26" publication-format="electronic"><day>26</day><month>11</month><year>2024</year></pub-date><volume>74</volume><issue>5</issue><fpage>565</fpage><lpage>590</lpage><history><date date-type="received" iso-8601-date="2025-02-02"><day>02</day><month>02</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Russian Academy of Sciences</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Российская академия наук</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Russian Academy of Sciences</copyright-holder><copyright-holder xml:lang="ru">Российская академия наук</copyright-holder></permissions><self-uri xlink:href="https://innoscience.ru/0044-4677/article/view/652071">https://innoscience.ru/0044-4677/article/view/652071</self-uri><abstract xml:lang="en"><p>Post-traumatic stress disorder (PTSD) is a severe, disabling syndrome that is induced by an extremely powerful negative impact on the people’s psyche. Symptoms of the disease most often do not appear in the entire population of stressed people and not immediately, but after some indefinite period of time. The disease is caused by central, genetic, epigenetic and neurobiological determinants, interactively integrated within the underlying social and natural-anthropogenic context. The simultaneous development of a pathological reaction from the hypothalamic-pituitary-adrenal, sympathoadrenal and immune systems was established. Information on the state of the main biogenic and amino acid neurotransmitters of the central nervous system in PTSD is presented. Researchers are currently focusing on peptide hormones such as brain-derived neurotrophic factor, neuropeptide Y, and leptin, which can be used to diagnose and treat PTSD. An analysis of the literature led to the conclusion that about the characteristics of stress-resistant people and animals very little is still known.</p></abstract><trans-abstract xml:lang="ru"><p>Посттравматическое стрессовое расстройство (ПТСР) – это тяжелый, инвалидизирующий синдром, который индуцируется экстремальным негативным воздействием на психику людей. Симптомы заболевания чаще всего проявляются не у всей популяции стрессированных и не сразу, а через некоторый неопределенный период времени. Заболевание обусловлено центральными генетическими, эпигенетическими и нейробиологическими детерминантами, интегрированными в основу социального и природно-антропогенного контекста. Установлено одновременное развитие патологической реакции со стороны гипоталамо-гипофизарно-адреналовой, симпатоадреналовой и иммунной систем. Рассмотрено состояние основных биогенных и аминокислотных нейромедиаторов ЦНС при ПТСР. В настоящее время внимание исследователей сосредоточено на таких пептидных гормонах, как нейротрофический фактор головного мозга, нейропептид Y и лептин, которые могут быть использованы для диагностики и лечения ПТСР. Анализ литературы позволил сделать вывод, что об особенностях стрессоустойчивости людей и животных известно пока очень мало.</p></trans-abstract><kwd-group xml:lang="en"><kwd>post-traumatic stress disorder</kwd><kwd>stress resistance</kwd><kwd>brain</kwd><kwd>neurotransmitters</kwd><kwd>peptide hormones</kwd><kwd>genetics</kwd><kwd>epigenetics</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>посттравматическое стрессовое расстройство</kwd><kwd>устойчивость к стрессу</kwd><kwd>мозг</kwd><kwd>нейромедиаторы</kwd><kwd>пептидные гормоны</kwd><kwd>генетика</kwd><kwd>эпигенетика</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Минобрнауки России</institution></institution-wrap><institution-wrap><institution xml:lang="en">Ministry of Education and Science of Russia</institution></institution-wrap></funding-source><award-id>1023100400015-7-3.1.9</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Бонкало Т.И. 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