Introduction. The article analyzes the issues, the relationship of the alexithymic process with social factors, their influence on the emotional and psychosomatic status and psychosomatic diseases in children and adolescents, risk factors affecting the microsocial environment and emotionality of children and adolescents, as well as the main processes determining the dynamics of psychosomatic. The complex rehabilitation process allows you to influence the emotional status in alexithymia. Psychological, medical and social characteristics of children and adolescents with alexithymia based on correlation analysis gives an average portrait of the studied contingent.

Materials and methods. The developed author's method of complex psychological, medical and social examination made it possible to identify cause-and-effect relationships, to determine the main factors affecting alexithymia in children and adolescents.

Results. Alexithymia in the studied contingent of children and adolescents occurs twice as often as in healthy peers. In 8,3 % of children and adolescents with alexithymia, there are symptoms of decreased energy potential and "emotional impoverishment." All children and adolescents have a reduced adaptive potential, while there is a high correlation indicator of the relationship between maladjustment and social factors, especially the family factor.

Discussion. The revealed direct relationship of the influence on the emotional state of children and adolescents: the presence of an infectious process, somatic diseases, the microclimate in the family, bad habits of the parents and the adolescent himself, the material income of the family, the state of health of family members. In children and adolescents with alexithymia against the background of family deprivation associated with infectious and somatic pathology, decompensation in the psychoemotional sphere is often observed. Children and adolescents with alexithymia who are brought up without parents in social institutions have greater resistance to psychological maladjustment.

Conclusion. Alexithymia in children and adolescents infected with tuberculosis and tuberculosis can be either a concomitant syndrome - secondary or independent - primary. In all cases, exogenous factors have a direct impact on the nature of the process. Alexithymia, in turn, affects the course of somatic and infectious pathology. The main factors affecting both processes are most often the microsocial environment: family, material level, well-being of parents, bad habits, educational level, conditions for raising a child, educational institutions.

The study is based on a comprehensive psychological-socio-medical study of the factors determining the alexithymic process, based on correlation analysis in rank order, a multifactorial characteristic of the medical and social portrait of children and adolescents is given.

1. Aleksander F. (2007), Psikhosomaticheskaya meditsina. Printsipy i praktiche-skoye primeneniye [Psychosomatic medicine. Principles and practical application]. Moscow, 352 p. (In Russian).

2. Kalinin V.V. (2010), Aleksitimiya, mozgovaya lateralizatsiya i effek-tivnost' terapii ksanaksom u bol'nykh panicheskim rasstroystvom [Alexithymia, cerebral lateralization and the effectiveness of Xanax therapy in patients with panic disorder]. Sotsial'naya klinicheskaya psikhiatriya, 5, 96–102. (In Russian).

3. Korosteleva I.S. & Rotentberg V.S. (1993), Problema aleksitimii v kontekste povedencheskikh kontseptsiy psikhosomaticheskikh rasstroystv [The problem of alexithymia in the context of behavioral concepts of psychosomatic disorders]. Telesnost' cheloveka: mezhdistsiplinarnyye issledovaniya, Moscow, pp. 136–143. (In Russian).

4. Yeres'ko D.B., Isurina G.L., Kaydanovskaya Ye. V., Karvasarskiy B. D., Karpova E.B., Smirnova T.G., Krylova G. S., Tarkhan A. U., Chekhlatyy Ye. I. & Shifrin V.B. Aleksitimiya i metody yeye opredeleniya pri pogranichnykh psikhosomaticheskikh ras-stroystvakh [Alexithymia and methods for its determination in borderline psychosomatic disorders]. Izdatel'stvo Sankt-Peterburgskogo nauchno-issledovatel'skogo psikhonevrologiche-skogo instituta im. V. M. Bekhtereva, St. Petersburg, 2005. – 25 p. (In Russian).

5. Grekova T.I., Provotorov V.M., Kravchenko A.YA.& Budnevskiy A.V. (2003), Aleksitimiya v strukture lichnosti bol'nykh ishemicheskoy bolez-n'yu serdtsa [Alexithymia in the personality structure of patients with ischemic heart disease]. Klinicheskaya meditsina, 11, 32–34. (In Russian).

6. Karvasarskiy B.D. (2004), Klinicheskaya psikhologiya [Clinical psychology]. St. Petersburg, 960 p. (In Russian).

7. Solozhenkin V.V. & Guzova Ye.S. (2008), Aleksitimiya (adaptatsionnyy podkhod) i psikhoterapevticheskaya model' korrektsii [Alexithymia (adaptive approach) and psychotherapeutic model of correction]. Sotsial'naya i klinicheskaya psikhiatriya, VIII, 2, 18–24. (In Russian).