TACTICS OF PSYCHOLOGICAL TESTING AND PSYCHOTHERAPY OF SLEEP DISORDERS DURING THE COVID-19 PANDEMIC

Due to the high prevalence of sleep disorders during the second and third waves, the question of the relationship between the incidence of coronavirus, acute respiratory distress syndrome and sleep is still open. The article describes for the first time the specifics of the phenomenon of COVID-SOMNIA or covid-associated sleep disorders, which includes a spectrum of changes in sleep from insomnia, restless legs syndrome to behavior disorders during the REM sleep phase. Various effects of COVID-19 on sleep disorders in patients have been shown. Different infections have different effects on the mental state and on a person's sleep – these are sleep disorders caused by viral load. Specific clinical and psychological manifestations of covid-associated sleep disorders are described. For the first time in Russia, a model of the relationship between covidassociated anxiety, insomnia and suicidal thinking is presented. The psychological factors influencing the occurrence of the phenomenon of COVIDsomnia in patients are systematized. It is shown that the risks of developing insomnia during the COVID19 pandemic consist of the presence of a number of factors in the patient: tolerance to uncertainty, covidassociated anxiety, feelings of loneliness, the presence of symptoms of depression and anxiety earlier and at the moment. For clinical psychologists, the general tactics of psychological examination of an infected patient who has undergone COVID-19, who have post-ovoid syndrome in the presence of changes in the mental state and quality of sleep are described. In short, the protocols of remote cognitive behavioral therapy of anxiety associated with the COVID-19 pandemic are based on a psychological model of health anxiety and hypochondria (somatosensory amlification). It is recommended that we use cognitive refocusing therapy for insomnia (cognitive refocusing treatment) and a protocol for short-term remote cognitive behavioral therapy of anxiety associated with the COVID-19 pandemic in everyday clinical practice.