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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">docru</journal-id><journal-title-group><journal-title xml:lang="ru">Доктор.Ру</journal-title><trans-title-group xml:lang="en"><trans-title>Title</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-2378</issn><issn pub-type="epub">2713-2994</issn><publisher><publisher-name>ООО "ГК "РУСМЕДИКАЛ"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31550/1727-2378-2024-23-6-36-45</article-id><article-id custom-type="elpub" pub-id-type="custom">docru-302</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL PAPERS</subject></subj-group></article-categories><title-group><article-title>Влияние онлайн-поведения подростков на функциональное состояние центральной нервной системы, возможности коррекции</article-title><trans-title-group xml:lang="en"><trans-title>The Influence of Online Behavior of Adolescents on the Functional State of the Central Nervous System, Possibilities for Correction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1133-4447</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Потупчик</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Potupchik</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Потупчик Татьяна Витальевна — к. м. н., доцент кафедры фармакологии и клинической фармакологии с курсом ПО ФГБОУ ВО КрасГМУ им. проф. В.Ф. Войно-Ясенецкого Минздрава России.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 1</p></bio><bio xml:lang="en"><p>1 Partizan Zheleznyak Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">potupchik_tatyana@mail.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/0000-0003-0665-7428</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эверт</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Evert</surname><given-names>L. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эверт Лидия Семёновна — д. м. н., главный научный сотрудник клинического отделения соматического и психического здоровья детей НИИ медицинских проблем Севера — обособленного подразделения ФГБНУ ФИЦ КНЦ СО РАН; профессор кафедры общепрофессиональных дисциплин Медицинского института ФГБОУ ВО «ХГУ им. Н.Ф. Катанова».</p><p>655017, Абакан, ул. Ленина, д. 92, стр. 1</p></bio><bio xml:lang="en"><p>3-g Partizan Zheleznyak Str., Krasnoyarsk, 660022; 92 Lenin Str., build. 1, Abakan, 655017</p></bio><email xlink:type="simple">lidiya_evert@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/0000-0001-6233-6472</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Костюченко</surname><given-names>Ю. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostyuchenko</surname><given-names>Yu. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Костюченко Юлия Ринатовна — младший научный сотрудник клинического отделения соматического и психического здоровья детей НИИ медицинских проблем Севера — обособленного подразделения ФГБНУ ФИЦ КНЦ СО РАН.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г</p></bio><bio xml:lang="en"><p>3-g Partizan Zheleznyak Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">axmeldinova@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2659-1593</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чудинова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chudinova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чудинова Ольга Владимировна — к. б. н., доцент, заведующая кафедрой общепрофессиональных дисциплин Медицинского института ФГБОУ ВО «ХГУ им. Н.Ф. Катанова».</p><p>655017, Абакан, пр-т Ленина, д. 90</p></bio><bio xml:lang="en"><p>92 Lenin Str., build. 1, Abakan, 655017</p></bio><email xlink:type="simple">chudinova_olga@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Федеральный исследовательский центр «Красноярский научный центр Сибирского отделения Российской академии наук» обособленное подразделение «Научно-исследовательский институт медицинских проблем Севера»; ФГБОУ ВО «Хакасский государственный университет имени Н.Ф. Катанова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Centre “Krasnoyarsk Science Centre” of the Siberian Branch of Russian Academy of Science, separate division “Scientific Research Institute of medical problems of the North”; Khakass State University named after N.F. Katanov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Федеральный исследовательский центр «Красноярский научный центр Сибирского отделения Российской академии наук» обособленное подразделение «Научно-исследовательский институт медицинских проблем Севера»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Centre “Krasnoyarsk Science Centre” of the Siberian Branch of Russian Academy of Science, separate division “Scientific Research Institute of medical problems of the North”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Хакасский государственный университет имени Н.Ф. Катанова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Khakass State University named after N.F. Katanov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>20</day><month>02</month><year>2025</year></pub-date><volume>23</volume><issue>6</issue><issue-title>ПЕДИАТРИЯ</issue-title><fpage>36</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Потупчик Т.В., Эверт Л.С., Костюченко Ю.Р., Чудинова О.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Потупчик Т.В., Эверт Л.С., Костюченко Ю.Р., Чудинова О.В.</copyright-holder><copyright-holder xml:lang="en">Potupchik T.V., Evert L.S., Kostyuchenko Y.R., Chudinova O.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" 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://docru.elpub.ru/jour/article/view/302">https://docru.elpub.ru/jour/article/view/302</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Изучение у подростков взаимосвязи показателей функционирования центральной нервной системы (ЦНС) с различными видами пользования Интернетом: адаптивным (АПИ), неадаптивным (НПИ) и патологическим (ППИ).</p></sec><sec><title>Дизайн</title><p>Дизайн. Сравнительное клиническое исследование.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В исследование включены 202 подростка 12–17 лет (медиана — 14 [13; 15] лет) — учащиеся общеобразовательных учреждений города Абакана (Республика Хакасия) с различными видами онлайн-поведения: 86 (42,6%) мальчиков и 116 (57,4%) девочек. Группы наблюдения сформированы по виду онлайн-поведения: 71 (35,1%) подросток с АПИ, 107 (53,0%) — с НПИ, 24 (11,9%) — с ППИ. Программа обследования включала изучение следующих показателей и характеристик: вида онлайн-поведения, количественных показателей теста простой сенсомоторной реакции на зрительную стимуляцию и ее интегральных характеристик (уровней активации ЦНС, безошибочности, быстродействия и стабильности реакций). Функциональное состояние ЦНС (оптимальное, удовлетворительное, неудовлетворительное) оценивали по характеристикам простой сенсомоторной реакции на зрительную стимуляцию с помощью аппаратно-программного комплекса УПФТ-1/30 «Психофизиолог».</p></sec><sec><title>Результаты</title><p>Результаты. У подростков с ППИ выявлена тенденция к ухудшению отдельных показателей сенсомоторного теста, что проявлялось снижением концентрации и устойчивости внимания (по уровням безошибочности и стабильности) и замедлением реакций (по уровню быстродействия). Результаты исследования указывают на преобладание процессов торможения в ЦНС, состояние утомления, снижение психической работоспособности и когнитивной деятельности у подростков с ППИ.</p></sec><sec><title>Заключение</title><p>Заключение. Полученные данные доказывают актуальность проблемы ППИ и его влияния на здоровье в исследуемом онтогенетическом периоде, свидетельствуют о необходимости ее дальнейшего изучения для оптимизации профилактических и коррекционных мероприятий среди популяции подростков — пользователей Интернета.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. A study of the relationship between indicators of central nervous system functioning in adolescents and various types of Internet use: adaptive (AIU), non-adaptive (NIU) and pathological (PIU).</p></sec><sec><title>Design</title><p>Design. Comparative clinical study.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study included 202 adolescents aged 12 to 17 years old (median age: 14 [13; 15] years old), pupils from general educational establishments of Abakhan (Republic of Khakassia) with various online behaviours: 86 (42.6%) boys and 116 (57.4%) girls. The observation groups were formed on the basis of their online behaviour: 71 (35.1%) adolescents with adaptive Internet use, 107 (53.0%) — with non-adaptive Internet use, and 24 (11.9%) — with abnormal Internet use. The examination program involved the study of the following parameters and characteristics: type of online behaviour, quantitative parameters of the simple sensomotor reaction to visual stimulation and its integral characteristics (levels of CNS activation, accuracy, speed and stability of reactions). The functional state of the CNS (optimal, satisfactory, unsatisfactory) was assessed using the characteristics of the simple sensomotor reaction to visual stimulation using Psikhofiziolog computer appliance.</p></sec><sec><title>Results</title><p>Results. In adolescents with PIU, a tendency was revealed to deteriorate certain indicators of the sensorimotor test, which was manifested by a decrease in concentration and stability of attention (in terms of error-freeness and stability) and slower reactions (in terms of speed of action). The results of the study indicate the predominance of inhibition processes in the central nervous system, a state of fatigue, a decrease in mental performance and cognitive activity in adolescents with PIU.</p></sec><sec><title>Conclusion</title><p>Conclusion. The data obtained prove the relevance of the problem of pathological Internet use and its impact on health in the ontogenetic period under study, and indicate the need for its further study in order to optimize preventive and corrective measures in the teenage population of Internet users.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>подросток</kwd><kwd>онлайн-поведение</kwd><kwd>центральная нервная система</kwd><kwd>функциональное состояние</kwd><kwd>зрительно-моторная реакция</kwd><kwd>коррекция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>teenager</kwd><kwd>online behavior</kwd><kwd>central nervous system</kwd><kwd>functional state</kwd><kwd>visual-motor reaction</kwd><kwd>correction</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">Эверт Л.С., Потупчик Т.В., Шибанова Н.С., Бахшиева С.А. и др. 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