Articles from rubric: «Public health»
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2022 № 4 Opportunities for reducing mortality from prostate cancer in Russia: analysis of data from the state cancer registry for 2018–2020
The article provides an analysis of the data of the state cancer registry on the registration and treatment of patients with prostate cancer (PC) for the period 2009–2020. Based on the analysis of the registry data, a method was proposed to identify a subgroup of patients with indirect signs of non-metastatic castration-resistant prostate cancer (nmCRPC), for which the risk of developing distant metastases was analyzed. The article presents data on the prevalence of nmCRPC n 2018–2020 among the contingent of patients registered with prostate cancer in Russia, in comparison with global and Russian data on the study of the epidemiology and natural course of nmCRPC.
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2022 № 4 The relationship between the structure of nutrition and chronic non-communicable diseases
I n t r o d u c t i o n . The article analyzes modern literary sources and scientific ideas devoted to the study of the role of healthy
nutrition and the influence of nutrition factors on health. Proper and healthy nutrition is the basis of a high-quality human life,
affects health, longevity and performance. Modern nutrition should not only satisfy the physiological needs of a person for nutrients
and energy, but also perform preventive and therapeutic functions. Diets based entirely on the consumption of plant products are
becoming increasingly popular due to the many claimed health benefits. Numerous studies conducted in recent years indicate
that a plant-based diet with a restriction of animal products is accompanied by a lower risk of developing chronic diseases, and
in some nosologies contributes to disease control. The goals and objectives of the prevention of healthy eating are to preserve
and strengthen the health of the population, prevent diseases caused by inadequate and unbalanced nutrition. M a t e r i a l s a n d
m e t h o d s . A review of the literature on the control of food safety, the fullness and balance of nutrition, compliance with dietary
regimes. R e s u l t s . With eating disorders, the ability to withstand adverse environmental influences, stress, increased mental
and physical exertion sharply decreases. An imbalance of nutrients, vitamins and minerals in the composition of food leads to
metabolic disorders and subsequently to disease. D i s c u s s i o n . Rational nutrition is considered as one of the components of
“lifestyle medicine”. At the same time, most researchers emphasize the need for large-scale population-based research in this
area in accordance with modern principles of evidence-based medicine. C o n c l u s i o n . The results of numerous studies indicate
the significant role of nutrition in the development of various diseases, their prevention and treatment. Nutrition is the basis for all
metabolic processes of the human body, therefore, a violation of nutrition contributes to the occurrence of the disease. A healthy
diet and a healthy lifestyle are the basis of disease prevention. -
2022 № 4 Features of the main anthropometric indicators of physical development of students
P u r p o s e : to determine the features of the main anthropometric indicators of the physical development of students during their studies in the context of the COVID‑19 pandemic.
M a t e r i a l s a n d m e t h o d s . Medical and sociological research was conducted among students of one of the Institutes of the Russian State University named after A. N. Kosygin (Technology. Design. Art). The continuous sample of students was 505 people. During the study, clinical, socio-hygienic, statistical, analytical methods were used.
R e s u l t s . The proportion of persons from the continuous sample (n=505) with normal body mass index was 64.8%, the proportion with underweight indicators was 23.1%, with excess body weight indicators – 12.1%, respectively. The largest proportion of persons with indicators of body weight deficiency was observed in the age group of 18–19 years – 23.5%, the smallest – in the age group of 22–23 years – 12.1% (Р˂0.05). However, the reverse trend is observed in the number of overweight people – with age, their proportion in the respective groups increases: from 9.3% in the age group of 18–19 years old to 18.2% in the group of 22–23 years old (Р˂0.05).
F i n d i n g s . As a result of the study, it was found that the majority of students have normal body mass index, their share is 64.8%; the proportion of people with deviations in physical development is high – 35.2%, and almost every fourth student has a lack of body weight (their share in the sample is 23.1%,), one in eight is overweight (their share in the sample is 12, one%); the average value of BMI among the contingent of students (median) corresponding to the standard value was revealed, however, its high scatter was determined, amounting to 23.01, which indicates the need to use more accurate methods for analyzing the assessment of physical development indicators, for example, the method using regression scales. -
2022 № 4 Physical activity of students during the COVID‑19 pandemic as a health-saving perspective
According to the WHO, physical activity contributes to the prevention and treatment of noncommunicable diseases. Lack of fitness is considered an important cause of future lifestyle-related diseases, including metabolic syndrome, diabetes, hypertension, and cardiovascular disease. People with low levels of physical activity have higher body mass index, higher waist circumference and fat mass than those with high levels of physical activity. In recent decades, especially during the COVID‑19 pandemic, physical inactivity and sedentary lifestyles have become a major global public health problem, even among younger populations. All this suggests the special importance of the physical activity of students in difficult life situations, including the conditions of the COVID‑19 pandemic.
Purpose: to review foreign scientific literature containing information about the characteristics of physical activity of students during the COVID‑19 pandemic and their impact on health indicators, about risk factors and ways to level them.
Materials and methods: bibliographic, information-analytical and methods of comparative analysis.
Results: during the COVID‑19 lockdown, students, regardless of baseline fitness scores, reduced time spent in moderate to vigorous physical activity, increasing sedentary lifestyle and screen time. At the same time, first-year students turned out to be the most vulnerable to lifestyle changes due to isolation due to the difficulties of adapting to the conditions of study at the university and to the new realities during the COVID‑19 pandemic. During the lockdown, there has been an increase in the positive relationship observed before the pandemic between students’ physical activity indicators and gender, weight, psychological state and year of study. There is a greater adaptability of women to the conditions of isolation, women more often retained physical activity due to concern for health and shape. Women were more sociable, more often used social networks when doing physical exercises.
Findings: when developing strategies to stimulate physical activity and create a favorable environment for its implementation during isolation, one should take into account gender differences, socio-cultural factors, the role of the family and close circle, the role of educational organizations. Promoting physical activity among students during the COVID‑19 pandemic requires the joint efforts of the family, the public, the state, health organizations and educational institutions. -
2022 № 3 Assessment of preventable health losses in the rural population
Relevance. The protection of the health of the rural population is especially significant due to the fact that medical and social health problems are maximally concentrated in rural areas. The priorities in the organization of medical care for rural residents are currently the effective use of available health care resources, as well as increasing the availability and quality of medical care. The tasks of the federal and municipal authorities should be to provide software support, resources, as well as the practical solution of strategic problems in rural areas.
The purpose of the study: development and testing of an automated system of information support for managerial decision-making using estimates of preventable losses in the health of the population of rural areas.
The base of the study was the Orenburg region. The share of the rural population in the region is 40.1%, there are 35 rural territories (districts) in the region.
Methodology. The following research methods were used: statistical, analytical, expert assessments.
The preventable loss of health of the population of rural areas in the Orenburg region was assessed by experts according to the methodology developed by us. Four indicators of the likely preventability of health losses in the rural population were identified: health indicators; territorial availability of medical care; personnel; social well-being of the population.
The results of the study were used as the basis for the methodological support of an automated information system for supporting managerial decision-making in the organization of primary health care in rural areas of the Orenburg region.
The use of a software product of information support for managerial decision-making makes it possible to determine priorities for making strategic decisions at the level of heads of medical organizations, health authorities and institutions, as well as heads of administration in a constituent entity of the Russian Federation. The information is presented on the web page of the administrative territory and the administrative apparatus. -
2022 № 3 Features of the state of health of students during their training, including in the conditions of COVID‑19
Purpose: to assess the characteristics of the health status of students in the conditions of education during the pandemic period – 2020–2021. The analysis of the data obtained will form the basis of the developed medical recommendations, organizational measures aimed at maintaining the health of students, including various periods of increased infectious risks.
Materials and methods: Medical and sociological research was conducted among students of one of the Institutes of the Russian
State University named after A. N. Kosygin (Technology. Design. Art). The continuous sample of students was 505 people. In the course of the study, socio-hygienic, clinical, statistical, and analytical methods were used.
Results: It was revealed that in the process of teaching student youth, an increase in the number of people with chronic diseases is determined; diseases of the nervous system, organs of the digestive system, ENT organs and the cardiovascular system prevailed in the structure of chronic diseases of students.
Findings: It was found that there is no difference between the number of patients with coronovirus infection among students who do not have chronic diseases and among those who have chronic pathology. Among students with chronic diseases and recovering from Covid‑19, the most common were people with chronic diseases of the cardiovascular system, chronic diseases of the upper respiratory tract, and people who often get colds (4 or more times a year). Studying the state of health of students is important, both from the point of view of its comprehensive assessment, and from the standpoint of analyzing subsequent dynamic changes, which makes it possible to identify trends in changes in health in the dynamics of education, as well as to introduce appropriate medical and social adjustments. -
2022 № 3 Epidemiology of disability of the able-bodied population in Tver on the example of surgical patients
The health of the nation is the main marker of the successful development of the state. Maintaining and improving the health of citizens are the main tasks of social policy in every country. Morbidity and disability are among the main indicators of the state of public health. They reflect the demographic situation and the level of socio-economic development of the country.
Every year the number of persons with disabilities increases, which makes the problem of disability of the able-bodied population extremely relevant. Monitoring of disability, as one of the medical and demographic indicators, is the basis for ensuring the protection of the health of citizens. Research on the epidemiology of disability is the key to preventing an increase in the number of disabled citizens. In addition, it plays an important role in the distribution of the state budget to improve the quality of life of people with an assigned disability group and to carry out preventive measures aimed at reducing the impact of risk factors for disability.
Purpose. Assessing the degree, structure and dynamics of disability among residents of the city of Tver using the example of surgical patients observed in the “City Clinical Hospital No. 7”, and detection the main number of diseases that caused the setting of a disability group.
Methods. An analysis was carried out regarding the data on the official reports of the surgical department polyclinic No. 1 of the state budgetary healthcare institution “City Clinical Hospital No. 7” in Tver for the period from 2010 to 2020. The dynamics of the frequency of registration of persons with disabilities was studied among surgical patients, the main groups of diseases that caused disability were identified, the structure of disability by groups was analyzed. The degree of reliability of the obtained data was assessed.
Results. The growth of citizens with disabilities in the outpatient surgical department increased 3,3 times from 2010 to 2020. The dynamics was wave-like. There was a sharp rise in the number of people who received a disability group for the first time from the beginning of 2010 to the end of 2013. The indicators did not change much from 2014 to 2020. However, the dynamics of the percentage of the working population among persons with disabilities developed in inverse proportion. Those who received a disability group for the first time mainly had pathologies of the musculoskeletal system and vascular diseases.
Conclusion. Based on the data of the surgical department of the polyclinic in the city of Tver, the number of persons with
disabilities tends to increase. It requires constant monitoring. The number of persons with disabilities tends to increase. It was illustrated through an example of a study in Tver. All that leads to a decrease in the able-bodied population and an increase in social inequality. It is an urgent problem in the region. -
2022 № 3 Global social challenges in infertility problems
The problem of infertility remains a global problem of mankind according to WHO and today, infertility affects about 10–
25% of couples of reproductive age worldwide, estimates vary from 48 to 186 million. When developing recommendations for the diagnosis and treatment of infertility in 2020, WHO did not revise the definition of infertility given in 2009, together with the International Monitoring Committee on Assisted Reproductive Technologies (ICMART) in the “Glossary of Definitions of Infertility and Treatment of Infertility”, where infertility is considered a disease reproductive system, defined as the inability to achieve clinical pregnancy after 12 months or more of regular unprotected intercourse. The same is the definition of male and female infertility in the International Classification of Diseases (ICD11). Higher rates of infertility are found in less developed countries/regions such as sub-Saharan Africa, South Asia, North Africa/Middle East, Central/Eastern Europe and Central Asia. At the same time, the researchers note that geographical differences in the level of infertility are associated with environmental, cultural and social factors. The etiology of infertility has different epidemiological characteristics depending on the region.
Purpose: to review foreign scientific literature containing information on the prevalence of infertility in countries around the world, the role of social factors in its formation, and the availability of treatment assistance.
Materials and methods: bibliographic, information-analytical methods and methods of comparative analysis.
Results: in modern research in the field of studying the social factors of childlessness, special attention is paid to the description and clustering of groups of childless women. The global problem of infertility is associated with adverse physical and mental health outcomes, financial hardship, severe social stigma, increased risk of domestic violence, and marital instability. It has been shown that women with less than secondary education are less likely to seek help for infertility treatment than women with higher education. In high-income countries, immigrant women, uninsured women are less likely to have access to fertility treatment, and they are less informed about their rights, even if they seek treatment at a later age.
Findings. Geographic differences in the prevalence of infertility in different countries are largely determined by social factors. The study of social factors of infertility in women showed that infertility is associated with a low quality of life. Although the likelihood of infertility in men and women is the same, and male infertility is responsible for more than half of all childlessness in the world, infertility remains primarily a social burden for women, especially in pronatalist societies. Women from wealthy backgrounds are more likely to have access to quality fertility treatment. -
2021 № 10 PREVENTIVE EXAMINATIONS OF MINORS AS PART OF NEW GOVERNMENT INITIATIVES IN THE CONTEXT OF THE COVID‑19 PANDEMIC
The article discusses the medical and organizational aspects of conducting preventive examinations of minors as part of new state initiatives of a post-COVID‑19 orientation. The main positions of the Draft Order of the Ministry of Health of May 19, 2021, which will enter into force on September 1, 2021, have been studied, where a structural algorithm has been developed for conducting preventive examinations of minors in the context of an epidemic situation. The regulated positions presented in the document have been studied in the aspect of general medical tasks declared by the state during the modern period of development of the healthcare industry. Such directions, formed in the Project, as diagnostics of post-COVID‑19 complications from various systems of the body of minors, issues of monitoring of reproductive health and physical development are considered. The continuity is shown in the implementation of measures to level violations of the health status of minors within the framework of legislative, managerial
and organizational initiatives.
Purpose: analysis of modern legislative materials initiated by the State in the field of preventive examinations of minors, including during the period of the new coronavirus infection COVID‑19; characteristics of the concept of new directions of the program of preventive examinations of minors.
Materials and methods. The analytical sources of the study were the legal framework, scientific literature data on the issues of preventive examinations of minors. Methods were used in the work: bibliographic, analytical, statistical, comparative analysis.
Results. A comprehensive analysis showed that the algorithm for conducting preventive examinations of minors is determined by the legislative branch level and checked by the time factor, but is not a constant. Changing living conditions dictate new challenges, determine the inclusion of additional items in the survey of the contingent – laboratory and diagnostic directions, as well as change in time parameters in the examination and organizational support for preventive examinations of minors. The changes introduced undoubtedly require monitoring analysis of indicators on the problem, including comparative scientific analysis and prompt response to new tasks that are determined by time, issues of the medical and social environment.
Findings. The main organizational directions in the structure of preventive examinations of minors are: diagnostics of post-COVID‑19 complications, monitoring of physical development and the formation of reproductive health, determination of scientifically grounded approaches to admitting the contingent to physical education, the formation of a “data bank” of the results of basic and additional research methods. A comparative analysis of the prevalence of the distribution of minors by health groups based on the results of preventive medical examinations showed the lack of dynamics of indicators in the time period 2014–2020. Undergoing preventive medical examinations, as well as targeted regional policy in this direction, purposefully forming a “healthy childhood environment”, taking into account the development of the local industrial infrastructure. -
2021 № 9 Elimination of preventable child mortality as a global task of the XXI century, including in the context of the COVID‑19 pandemic
Despite a sharp reduction (by almost 60 percent) over the past 30 years in the mortality of children and young people, including those under the age of five, the global burden of this problem, according to the UN, remains enormous. The paper provides information on the analysis of data from foreign scientific literature on the indicators of child mortality and its causes in foreign countries, including in the conditions of the COVID‑19 pandemic. It is during the pandemic that many countries experience interruptions in the provision of maternal and child health services, such as medical examinations, vaccination, prenatal and postpartum care due to lack of resources. Studies show that the overall risk of death from COVID‑19 in children is quite low. The causes of infant mortality are mainly factors associated with neonatal mortality: premature birth, low birth weight, complications during childbirth, neonatal sepsis, as well as infectious diseases, more often pneumonia, diarrhea and malaria, and insufficient vaccination. In order to prevent and reduce global child mortality, strategies are needed to provide adequate medical and social services to the population, as well as poverty eradication programs.
P u r p o s e o f t h e s t u d y : to review foreign scientific literature containing information on the analysis of child mortality rates and its causes in foreign countries, including in the conditions of the COVID‑19 pandemic.
M a t e r i a l s a n d m e t h o d s of research: bibliographic, information and analytical methods and methods of comparative analysis were used.
R e s u l t s . Studies have shown that only 122 countries were able to achieve the target of mortality of children under the age of five, designated in the “Sustainable Development Goals (SDGs) ” – 25 or less deaths per 1,000 live births by 2019. The death rate of young children is highest in areas where the poor, ethnic or religious minorities, indigenous peoples and people who are discriminated against live. Studies conducted in 2020 showed that the overall risk of death from COVID‑19 in children is quite low.
The COVID‑19 pandemic has led to serious disruptions in the work of health services, which threaten to negate efforts to eliminate child mortality.
F i n d i n g s . In order to prevent and reduce global child mortality, strategies are needed to provide adequate medical and social services to the population, programs to eradicate poverty, and provide access to obstetric and prenatal services. Many countries are experiencing disruptions in the provision of maternal and child health services, such as medical examinations, vaccination, prenatal and postnatal care due to a lack of resources during the pandemic. Due to failures in the health system during the COVID‑19 pandemic, additional deaths of children are possible as a result of potential disruption of health systems. -
2021 № 9 Borderline functional states of the men’s reproductive system: its influence on health and the quality of life.
Between the differing frequency of prevalence of sexual dysfunctions, there’s a particular interest in the borderline disorders of the male reproductive system, in which no obvious somatic and mental pathology can be found in the body. The reversibility of functional disorders unveils favorable prognostic prospects and presupposes the development of new approaches in the organization of observation and correction of minimal borderline functional states of the reproductive system.
P u r p o s e . To identify the frequency of borderline functional states of the reproductive system (BFSDS) among men over a five-year dynamics, their impact on the formation of health outcomes and quality of life.
M a t e r i a l s a n d m e t h o d s . The study was conducted at the Reproduction Center of the Clinical Diagnostic Center (Nizhny Novgorod) for five years. Two groups of men of reproductive age with BFSDS at the age from 20 to 60 years were tested. We used copy-pair method. The first group (DM) included men with sexual dysfunctions and similar sexual disharmony (BFSDS) who didn’t receive medical benefits. The second group (DM + treatment) consisted of men with BFSDS who received cognitive-behavioral therapy and medicine. All subjects assessed the state of the reproductive system, neurological and hormonal status, as well as the quality of life (according to the SF‑36 questionnaire). To compare the parameters of the quality of life, a control group was selected – healthy men of reproductive age.
R e s u l t s . The frequency of sexual dysfunctions in both groups is significantly increasing, but the frequency of their detection in men receiving treatment is 2,4 times lower than in the other group. An increase in neurological changes and hormonal disorders was recorded, the prevalence of which depends on the duration of observation and the availability of therapeutic measures. The study proved that the BFSDS have a significant impact on the quality of life of men, especially in the physical and psychological components of health. It was shown that the treatment allowed the patients to preserve the state of physical and, to a greater extent, psychological comfort during the five-year observation period.
I n c o n c l u s i o n , the authors emphasize the need for new approaches to the organization of observation and correction of the minor BFSDS. -
2021 № 9 Evaluation of the effectiveness of continuous support by midwives and douls in childbirth.
All the midwives around the word have been struggling in recent decades to reduce the level of unjustified interventions in the birth process. This study was aimed at determining how the continuous support of a private midwife or doula in childbirth will affect the level of caesarean delivery, epidural anesthesia, amniotomy, episiotomy, perineal traumas, labour stimulation with oxytocin and vacuum fetal extraction.
The concept of normal childbirth has changed fundamentally over the past 10 years – from stimulation and acceleration of the birth process to monitoring the normal course of labour. It is of great importance to determine labour satisfaction level, needs of women in labour, which are directly related to the understanding of the birth process by women and the provision of support during childbirth.
The Global Strategy for Women's, Children's and Adolescents' Health (2016–2030) is focused not only on childbirth survival, but also on the opportunity to fully realize the potential of life and health. A positive childbirth experience is very important for women, it is part of their personal and sociocultural expectations. Modern women want to give birth to a healthy baby in a safe and caring environment with continuous support during childbirth and postnatal period. They want to know how their childbirth is proceeding and control this process, making decisions together with healthcare professionals.
The main purpose of the study was to examine how continuous support during childbirth affects the following factors: vaginal delivery, cesarean delivery, amniotomy, epidural anesthesia, oxytocin stimulation, episiotomy, perineal ruptures, vacuum fetal extraction. We present a retrospective cohort observational population study of all the women who gave birth in the Russian Federation in the period from June 2015 to June 2019. All the patients of the main cohort received continuous support in childbirth from a private midwife or doula. The patients from the control group gave birth under standard conditions.
All the patients of the main cohort attended a course of lectures on childbirth and postnatal period. They learned all about labour stages, how it begins, proceeds and ends. The women studied relaxation techniques, including breathing techniques, massage, aromatherapy; various positions for greater comfort during childbirth. 95% of the women attended lectures with their partners. The partners were trained to provide emotional support, to give a massage and to practise breathing techniques.
There were 7,864,496 births in Russia in the period from June 2015 to June 2019. Of these, 30,0% of cesarean sections, 1,1% of vacuum fetal extractions, the perinatal mortality rate was 7,89%.
We have obtained the following results of our study: of 1082 women who received continuous support in childbirth, 165 gave birth by caesarean section (16%, OR0,4). The level of epidural anesthesia in childbirth was 26% (in the control group – 92%, OR0,3), labour stimulation with oxytocin – 12% (in the control group – 78%, OR0,3), episiotomy – 2% (in the control group – 21%, OR0,07), perineal traumas – 28% (in the control group – 74%, OR0,37), amniotomy – 26% (in the control group – 84%, OR0,3), vacuum fetal extraction – 0,5% (in the control group – 1%, OR1,6), perinatal mortality – 0 cases.
Continuous support in childbirth from a private midwife or doula reduces the level of cesarean section, the frequency of synthetic oxytocin use to stimulate labour, amnitomy, episiotomy, perineal traumas and vacuum fetal extraction and increases labour satisfaction level. -
2021 № 8 Concerning the process of forming motivation to a healthy lifestyle
The components of the concept of a healthy lifestyle, starting with the provisions presented in early sources, are considered from the standpoint of management. It was found that it is difficult to achieve the increase of the number of citizens leading a healthy lifestyle in the absence of clear criteria for the healthy lifestyle, since there is an objective difficulty in assessing the lifestyle of people. It is definitely necessary to formulate the basic principles for creating lists of criteria for healthy lifestyle in order to effectively motivate citizens for health-preserving behavior.
The need was identified to update and expand a number of modern lists that are used to obtain information that serves as the basis for making managerial decisions in the field of public health protection at the strategic level based on the analysis of the main existing lists of criteria for a healthy lifestyle. It is proposed to create an individual list of criteria for a healthy lifestyle by forming a low-variability part using the traditional approach, and a high-variability part using the personalized approach.
The formulated principles of compiling lists of criteria for a healthy lifestyle can be used in the system of motivating and stimulating citizens to health-preserving behavior, aimed at reducing the prevalence of known behavioral risk factors for diseases. -
2021 № 8 Psychological aspects in the problems of infertility among the population of various countries.
The problem of infertility in the 21st century has become extremely important for public health in various countries, affecting the birth rate of the population and the number of humanity. Infertility, affecting approximately 8–12% of the world’s population, is associated with factors such as unwillingness to conceive, the age of the female partner, the number of diseases that affect fertility, etc. Questions of the influence of psychological problems, often regarded as the causes of idiopathic infertility, such as stress, depression, sleep disturbances, are of particular interest to researchers. A review of works on the potential impact of stress and depression on reproductive function showed not only a definite relationship, but also the difficulty of determining causal relationships due to the lack of a single assessment tool.
P u r p o s e o f t h e s t u d y : to review foreign scientific literature containing information on the role of psychological factors in the formation of reproductive health disorders of the population, including infertility.
M a t e r i a l s a n d m e t h o d s : bibliographic, information and analytical methods and the method of comparative analysis were used.
R e s u l t s . Mental health issues are often viewed as the causes of female and male infertility. To improve the quality of life of patients with infertility, it is necessary to address the issues of a causal relationship between psychological health and infertility, psychological health when using IVF and ways to solve the problem of psychologically induced infertility. The risk of developing depression and the relationship of a higher degree of anxiety with clinical pregnancy after IVF are shown. Due to the inaccurate data on the relationship between psychological stress and a decrease in male reproductive function, psychological stress is considered in studies as a risk factor for erectile function and ejaculation in men against the background of a high level of stressful life events, compared with women.
Findings. Research has proven the effectiveness of psychological support and cognitive-behavioral group therapy in fertility treatment programs, including interventions accompanying IVF. Studies of psychological ways of correcting depression and positive IVF results have shown the importance of programs for influencing the mental state of couples undergoing treatment for infertility reasons.