Соматоформні больові розлади (клініко-типологічне дослідження): Автореф. дис… канд. мед. наук / Р.В. Кечур, Укр. НДІ соц. та суд. психіатрії. — К.,

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

NIOe?AEUeII? OA NOAeIAI? INEO?AO???

EA*O? ?IIAI AIEIAeEIE?IAE*

OAeE 616.891.7:616.8-009.62]-092-08.001.33

NIIAOIOI?II? AIEUeIA? ?ICEAAeE

(EE?I?EI-OEIIEIA?*IA AeINE?AeAEAIIss)

Niaoe?aeuei?noue 14.01.16 — ineo?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia o Euea?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ?i.
Aeaieea Aaeeoeueeiai IIC Oe?a?ie

Iaoeiaee ea??aiee – aeieoi? iaaee/ieo iaoe, aeioeaio O?eueoe Ieaenaiae?
I?anoiae/,

caa?aeoaa/ eaoaae?ith ineo?ao??? oa ineoioa?ai?? OIAeI Euea?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Aeaieea Aaeeoeueeiai

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, Ei?iaia Ieaenaiae? Ieaenaiae?iae/, i?ioani?
eaoaae?e ineo?ao??? E?einueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i.
N. ?. Aai?a??anueeiai;

aeieoi? iaaee/ieo iaoe, Ne?ii’yoia Ieaa Aaiaae?eiae/, i?ioani? eaoaae?e
a?enueeiai? oa?ai?? ii eo?no ineo?ao??? Oe?a?inueei?
A?enueeiai-iaaee/ii? aeaaeai??.

I?ia?aeia i?aai?caoe?y:

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y, eaoaae?a ineo?ao???,
caaaeueii? oa iaaee/ii? ineoieia??.

Caoeno a?aeaoaeaoueny “22” eenoiiaaea 1999 ?. i 10 aiae. ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.620.01 a Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? nioe?aeueii? oa noaeiai? ineo?ao??? IIC
Oe?a?ie ca aae?anith: 254080 Ee?a, aoe.O?oica, 103.

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo nioe?aeueii? oa noaeiai? ineo?ao??? IIC
Oe?a?ie (254080 Ee?a, aoe.O?oica, 103).

Aaoi?aoa?ao ?ic?neaiee “20” aeiaoiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee TH. A. Iieoei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Iaeiei ?c iaeneeaaei?oeo caaaeaiue no/anii? ineo?ao??? ? aeine?aeaeaiiy
ineoiiaoieia?/ieo noai?a, ye? ?i?oothoue o?eanio iaoieia?th.
Ai?iaaaeaeai? a nenoaiaoeeo ineo?/ieo oai?ia ua c 1980 ?ieo (DSM-III)
i?ae iacaith “niiaoioi?ii? ?iceaaee” (NO?) o?eaniiiiae?ai?
ineoiiaoieia?/i? oaiiiaie aein? caeeoathoueny neaaeei i?noeai no/anieo
ee?i?/ieo eiioeaioe?e. Aeeneon?ei?noue, a ia??aeei ? aino?a
noia?a/eea?noue o iiaeyaeao ia NO?, a?aeaeca?eaeththoue oaeaee? ci?ie a
?o eaae?o?eaoe?? i?aaenoaaieeaie ??cieo oe?e (A. Ae. Ea?aana?nueeee,
1980; Z. Lipowski, 1986; R. Cloninger, 1984). Ca inoaii? aeaaaeoeyoue
?ie?a cai?iiiiiaaii uiiaeiaioa o?e ee?i?/i? ia?aaeeaie o?eaniiiiae?aieo
?iceaae?a: eiioeaioe?? “ianeiaaii? aeai?an??” oa aeaeneoei??, a oaeiae
ineoiaeeiai?/i? oai??? eiiaa?n?? ? niiaoecaoe?? (A. L. Knorring, 1983;
R. Campbell, 1981). AEiaeia c ieo, iaeiae, ia nueiaiaei? ia iiaea
iiai?noth caaeia?eueieoe iio?aa ee?i?/ii? i?aeoeee.

Aeooaeuei?noue oaie. Ca?aeii ai?aeai?ieia?/ieo aeaieo NO?
cono??/athoueny a caaaeuei?e iaaee/i?e i?aeoeoe? a?ae 20% aei 60%
aeiaaee?a (I. I. Oeeueoe, 1992; N. I. Iinieia, 1995). A?aenooi?noue
ocaiaeaeaii? eaae?o?eaoe?? oeeo ?iceaae?a iiynith?oueny oe?eei ?yaeii
ianoaaei, aieiaiith c yeeo ? oa, ui iaoe??ioe c NO? ua aei nueiaiaei?
??aeei caa?oathoueny ca eaae?o?eiaaiith ineo?ao?e/iith aeiiiiiaith (A.
A. Nioeaae/, I. I. O?eueoe, 1991). Aeina?ae, iaeiae, iieaco?,
ui oai?? c ?iceaaeaie niiaoioi?iiiai oeio, oi/a ? cai?ci?ei (a
na?aaeiueiio /a?ac 5-6 ?ie?a) caa?oathoueny ca aeiiiiiaith aei
ineo?ao??a (A. O. Aeanyoieeia, 1975; H. J. Kaplan, B. J. Sadock, 1981).

I?e ineoiiaoieia?/iiio aiae?c? niiaoioi?iieo noai?a iaea?eueoi?
aeooaeueiino? iaaoaathoue ii?ooaiiy niaoe?aeueiiai oeio – o?ii?/i?
ineo?/i? aie? (OIA). ?o ieoiia aaaa na?aae ?ioeo NO? ca aeaieie ??cieo
aaoi??a nyaa? a?ae 30 aei 70% (J. A. Ladee, 1966; D. Blumer, 1980; S.
Benjamin, 1989). Aei 1980 ?ieo, oiaoi aei ai?iaaaeaeaiiy DSM-III,
o?ii?/i? oa ?acenoaioi? aei aoaeue-yei? ciaaiethth/i? oa?ai?? aie?
a?aeiineee aei ?ic?yaeo oae caaieo ianiaoeeo?/ieo ooieoe?iiaeueieo
aea?e, i?noea yeeo o iaaee/ieo nenoaiaoeeao ia aaeaaaeinue anoaiiaeoe.
I?eoe?euei? ee?i?ei-eaoaiianoe/i? aeine?aeaeaiiy iieacaee, ui o?ii?/i?
ineoaea?? ne?ae a?aeiineoe ia?o ca ana aei ?ic?yaeo niaoeeo?/ieo
iaa?ioe/ieo ii?ooaiue (S. Chaturvedy, 1987; J. Jensen, 1988; R. Kellner,
1990), a ?o aea/aiiy aeiaaa? ia?aaeyaeo aaaaoueio iieiaeaiue iia?aie/ii?
ineo?ao??? (A. A. Nioeaae/ ?c ni?a?., 1991). Oi/a ie?ai? ee?i?/i?
oa?aeoa?enoeee ineoaea?e iienai? c aeinoaoiueith iiaiioith, aein? iaia?
aeine?aeaeaiue ni?yiiaaieo ia c’ynoaaiiy ?o neiae?iiaeueii?
i?eiaeaaeiino? (I. I. O?eueoe, ?. A. Ea/o?, 1999). Aeooaeuei?noue
aeine?aeaeaiue a oeueiio iai?yieo c?inoa? ua e o ca`ceo c oei, ui
o?ii?/i? ineo?/i? aie? aeiaaathoue iniaeeaeo i?aeoiae?a aei ?o ?aiiuei?
ae?aaiinoeee, aeeoa?aioe?eiaaii? ioe?iee, a ioaea ? oa?aiaaoe/ii?
oaeoeee (Y. A. Aeoaieoeeay e niaao., 1994; R. E. Kendell at all., 1993;
E. E. Eooueei e niaao., 1995). Aeacai? aniaeoe aecia/athoue a nai?e
noeoiiino? iaiao?aei?noue niaoe?aeueiiai oaiiiaiieia?/iiai,
ee?i?ei-ineoiiaoieia?/iiai oa oeiieia?/iiai aea/aiiy o?ii?/ieo ineo?/ieo
aie?a.

Ca`ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Oaia
aeena?oaoe?? ? neeaaeiaith /anoeiith ieaiiaeo iaoeiaeo aeine?aeaeaiue
eaoaae?e ineo?ao??? oa ineoioa?ai?? oaeoeueoaoo i?neyaeeieiiii? ina?oe
Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Aeaieea
Aaeeoeueeiai, ui aeeiioaaeenue a 1994-1998 ?ieao. Iiia? aea?aeaaii?
?a?no?aoe?? – 0196U013961.

Iaoa ? caaaeaiiy aeine?aeaeaiiy. Iaoith aeine?aeaeaiiy ? c`ynoaaiiy
oeiieia?/ieo aa??aio?a ? neiae?iiaeueii? i?eiaeaaeiino? o?ii?/ieo
ineo?/ieo aea?e oa, a?aeiia?aeii, ?ic?iaea i?aeoiae?a aei iioeiaeueii?
oaeoeee ?o e?eoaaiiy.

Aeey aeinyaiaiiy cacia/aii? iaoe a ?iaio? aoei iinoaaeaii ianooii?
caaaeaiiy:

1. Aea/eoe iienia? oa?aeoa?enoeee niiaoeciaaieo aea?e (oeo? F45.0 ca
IEO-10);

2. Aea/eoe iienia? (oaiiiaiieia?/i?) oa?aeoa?enoeee ?ae?iiaoe/ieo aie?a
(ia?nenooth/iai niiaoioi?iiiai aieueiaiai ?iceaaeo, oeo? F45.4 ca
IEO-10);

3. C’ynoaaoe iaeoa?aeoa?i?o? ii?aeiaiiy aeaio aea/aieo ia
oaiiiaiieia?/iiio ??ai? oei?a ineoaea?e c iaa?ioe/iith neiioiiaoeeith oa
aaciaith no?oeoo?ith iniaenoino?;

4. Anoaiiaeoe neiae?iiaeueio i?eiaeaaei?noue aeaio aea/aieo aa??aio?a
ineoaea?e;

5. ?ic?iaeoe iniiai? i?eioeeie ?aiiuei? ae?aaiinoeee aea/aieo oei?a
o?ii?/ieo ineo?/ieo aieueiaeo ?iceaae?a;

6. Anoaiiaeoe iniiai? e?eoa??? aeeoa?aioe?aeueii? ae?aaiinoeee
aeaiiaoe/ieo ?iceaae?a;

7. ?ic?iaeoe iniiai? i?eioeeie oa?ai?? ?ae?iiaoe/ieo aie?a
(ia?nenooth/iai niiaoioi?iiiai aieueiaiai ?iceaaeo).

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. A ?iaio? io?eiaii i??i?eoaoi?
aeai?, ye? aeathoue ciiao /?oei aeeoa?aioe?thaaoe o?ii?/i? ineo?/i? aie?
ia aeaa ??cieo ca nai?th ee?i?/iith nooi?noth aa??aioe. Aeena?oaoe?y
yaey? niaith ia?oa aeine?aeaeaiiy a iaeano? ineoiiaoieia??, a yeiio
aeyaeaii aeaa neiae?iie ineoaea?e – eiiaa?n?eiee ? ianoe?eeaee. Aia?oa a
ee?i?/i?e ineo?ao??? iienaii oaiiiai o?eanieo ianoe?eeainoae ?
cai?iiiiiaaii a?aeiia?aeiee aei oaie aeena?oaoe?? oa?i?i “o?eani?
aieueia? ianoe?eeaino?”. Ia iniia? ee?i?ei-ineoiiaoieia?/iiai aea/aiiy
ineoaea?e cai?iiiiiaaii i?eioeeie ?o ?aiiuei? ae?aaiinoeee. Anoaiiaeaiiy
neiae?iiaeueii? i?eiaeaaeiino? ?ae?iiaoe/ieo aie?a iineoaeeei iniiaith
aeey ?ic?iaee iiai? no?aoaa?? e?eoaaiiy aie?a oeueiai oeio.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. A oai?aoe/iiio ieai?
?acoeueoaoe i?iaaaeaiiai aeine?aeaeaiiy iiaeooue aooe i?aenoaaith aeey
ia?aaeyaeo eiioeaioe?? neiae?iio ianoe?eeainoae a ?ic??c? caaaeueii?
ineoiiaoieia??.

Io?eiai? ?acoeueoaoe aeicaieythoue oaeiae: /?oei oa iaeiicia/ii
eaae?o?eoaaoe iaoe?io a?oio ?ae?iiaoe/ieo aie?a a ?aieao neiae?iio
ianoe?eeainoae; aeyaeyoe ineoaea?? ia ?aii?o aoaiao ?o iai?oanoaoe??,
cie?aia, na?aae eiioeiaaio?a oai?eo caaaeueiiniiaoe/ii? i?aeoeee;
canoiniaoaaoe cai?iiiiiaaiee aeai?eoi aeeoa?aioe?aoe?? ineo?/ieo aie?a
eiiaa?n?eii? oa ianoe?eeai? i?e?iaee; iioei?coaaoe oa?aiaaoe/io oaeoeeo
i?e ineo?/ieo aieyo a ?aieao neiae?iio ianoe?eeainoae. ?acoeueoaoe
aeine?aeaeaiiy ai?iaaaeaeaii a iaa/aeueio ?iaioo eaoaae?e ineo?ao??? oa
ineoioa?ai?? OIAeI Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo:
aeeth/aii a eaeoe??, nai?ia?nuee? oa i?aeoe/i? caiyooy (1997-98 ?iee).

Iniaenoee aianie aeena?oaioa. Ca ia??iae c 1994 ii 1999 ??e aaoi?ii
iniaenoi i?iaaaeaii aeyaeaiiy a o??o?a?/iiio noaoe?iia??, na?aae
eiioeiaaioo iaoe??io?a ineoiiaa?ieia?/iiai aeeniaina?o i. Eueaiaa oa
eiinoeueoaoeaiiai i?eeiio eaoaae?e ineo?ao??? oa ineoioa?ai?? OIAeI
EAeIO 60 oai?eo (?c caaaeueiiai /enea 183-o iaoe??io?a) c o?ii?/ieie
ineo?/ieie aieyie. An? oai??, ianoaaeai? aaoi?ii
ee?i?ei-ineoiiaoieia?/ii, a oaeiae ca aeiiiiiaith MMPI, iieooaaeueieea
Aai?eueoiia, aai noaiaea?oiiai iai?ano?oeoo?iaaiiai ee?i?/iiai ?ioa?a`th
AIIC – International Personality Disorder Examination (IPDE).

Caeiaoaa/ai ?ic?iaeaii e?eoa??? aeeoa?aioe?eii? ae?aaiinoeee aeaio
aea/aieo a?oi aeaiiao?e, cai?iiiiiaaii ?ioaa?aeueiee i?aeo?ae aei
oa?ai?? ?ae?iiaoe/ieo (ianoe?eeaeo) aie?a.

Caeiaoaa/ai iniaenoi ?ic?iaeaii eaeoe?eiee iaoa??ae ii ai?iaaaeaeaiith
iiai? ineoiiaoieia?/ii? eaae?o?eaoe?? ? e?eoaaiiy ?ae?iiaoe/ieo aie?a ye
niaoeeo?/ieo o?eanieo (aieueiaeo) ianoe?eeainoae a ineo?ao?e/io ?
caaaeueiiiaaee/io i?aeoeeo.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. ?acoeueoaoe aeena?oaoe?eiiai
aeine?aeaeaiiy aeiiia?aeaeenue ia Ieaioi? Oiaa?enoaa ineo?ao??a oa
iaa?iiaoieia?a Oe?a?ie (Euea?a, 1995), I?aeia?iaei?e eiioa?aioe??
ineo?ao??a “Oa?iaei- oa ineoioa?ai?y: iia? iiaeeeaino? oa i?aeoiaee”
(Euea?a, 1998), eiioa?aioe?? “Aaniyi? cono??/? c aeai?an??th”
(E?ei?oea, Iieueua, 1999). Ai?iaaoe?th aeena?oaoe?? i?iaaaeaii ia
i?aeeaoaae?aeueiiio can?aeaii? eaoaae? ineo?ao??? oa ineoioa?ai?? OIAeI
oa ineo?ao???, iaaee/ii? ineoieia?? oa naenieia?? EAeIO noi?nii c
i?aoe?aieeaie Euea?nueei? iaeanii? aea?aeaaii? ee?i?/ii? ineo?ao?e/ii?
e?ea?i? (o?aaaiue 1999 ?.), a oaeiae i?aaenoaaeaii ia can?aeaii?
i?iaeaiii? eii?n?? niaoe?ae?ciaaii? a/aii? ?aaee a Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? nioe?aeueii? oa noaeiai? ineo?ao??? IIC
Oe?a?ie.

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii /ioe?e ae?oeiaai?
i?aoe?. Io?eiaii aaoi?nueea na?aeioeoai (IA ?1497, ca?a?no?iaaii
13.11.98, noi?nii c I. I. O?eueoeii). Iiaeai? aeieoiaioe ia
?a?no?aoe?th aeiaoiaeo.

Ianya oa no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 154
noi??ieao iaoeiiieniiai oaenoo. Iniiaiee ci?no aeena?oaoe?? aeeeaaeaiee
ia 124 noi?. ? neeaaea?oueny c? anooio, iaeyaeo e?oa?aoo?e, i’yoe
iniiaieo ?icae?e?a aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiae?a.
Nienie aeei?enoaieo aeaea?ae i?noeoue 243 iaeiaioaaiiy (81 – ?in?enueei-
? oe?a?iiiiaiiai, 162 – ?ioiiiaieo aeaea?ae). Aeiaeaoee neeaaeathoue o?e
noi??iee. Iaoa??aee aeena?oaoe?? i?i?ethno?iaaii 12 oaaeeoeyie oa
i’youeia ?ethno?aoe?yie.

CI?NO ?IAIOE

Ia’?eoii aeaii? ?iaioe aoea iaeia ?c iae?iciianthaeaeai?oeo a?oi
niiaoioi?iieo ?iceaae?a – o?ii?/i? ineo?/i? aie? (aeaiiao??).

Iaoiaeieia?y i?iaaaeaiiai aeine?aeaeaiiy iiaea aooe i?aaenoaaeaia
ianooiiei /eiii: 1) oaiiiaiieia?/iee iien ?c a?aooaaiiyi on?o
aeane?eioeaieo oa?aeoa?enoee aeaiiao?e; 2) aeane?eioeaia aecia/aiiy
(aeao?i?oe?y) eiaeiiai ?c aeae?eaieo oei?a niiaoioi?iieo aieueiaeo
?iceaae?a; 3) oeiieia?y ? neiae?iiaeueia eaae?o?eaoe?y aea/aieo
aeaiiao?e, ?c a?aooaaiiyi ni?aae?oaeiuei? iaa?ioe/ii? neiioiiaoeee oa
iniaeno?nii? no?oeoo?e iaoe??io?a; 4) ?ic?iaea e?eoa???a aeeoa?aioe?eii?
ae?aaiinoeee niiaoioi?iieo aea?e.

I?e a?aeai?? iaoe??io?a o aeine?aeaeaiiy canoiniaoaaeenue anoaiiaeai? a
i?aeia?iaei?e i?aeoeoe? e?eoa??? aeaiiaoe/ieo noai?a ca DSM-IV:
ii-ia?oa, c iioea?a i?aaiaoe/iiai oa?aeoa?o, a naia iayaiino?
iioae?eiaaii? ia 1995 ??e oe?a?inueei? aa?n?? ae?aaiinoe/ieo ?oa?ee oa
e?eoa???a DSM-III-R [DSM-III-R, 1995], ye? a /aoaa?o?e ?aaeaeoe?? DSM
nooo?ai ia ci?ieeenue, iniaeeai a ?oa?eoe? niiaoioi?iieo ?iceaae?a;
ii-ae?oaa, caaaeueiiaeciaiith ia?aaaaith “Ae?aaiinoe/ii-noaoenoe/iiai
iin?aieea ineo?/ieo ?iceaae?a Aia?eeainueei? Ineo?ao?e/ii? Anioe?aoe??”
a ieai? iia?aoe?iiaeueiiai canoinoaaiiy e?eoa???a; ii-o?ao?,
a?aenooi?noth ? aei nueiaiaei? oe?a?inueeiai ia?aeeaaeo Research
cryteria (iaoeiai-aeine?aeieoeueeeo e?eoa???a) ICD-10 (IEO-10).
Aeoiaey/e ?c neacaiiai, aea/aiiy aeaiiao?e i?iaiaeeeinue ?c o?aooaaiiyi
ianooiiiai aaciaiai ia?ae?eo e?eoa???a (DSM-IV, 1994):

I. Caaaeuei? iciaee aeaiiao?e niiaoeciaaieo oa niiaoioi?iieo aieueiaeo
?iceaae?a ii DSM-IV (e?eoa??? aeeth/aiiy).

1. O?eaae?noue aeaiiaoe/ieo noai?a ia iaioa 6 i?nyoe?a.

2. A?aenooi?noue i?aeoaa?aeaeaii? niaoe?aeueieie iaoiaeaie niiaoe/ii?
iaoieia??, yea iiaea coiiaeoe aeieeiaiiy aie?a.

3. O aeiaaeeo iayaii? niiaoe/ii? iaoieia?? – iaaei??ia ae?aaeai?noue
nea?a ia aie? oa iia’ycaia c oeeie nea?aaie cieaeaiiy aaeaioaoe??, ui
yaii ia?aaaaea? (ia a?aeiia?aea?) i?iyaai ia’?eoeaii? niiaoe/ii?
neiioiiaoeee.

II. Aeiaeaoeia? caaaeuei? iciaee aeaiiao?e (e?eoa??? aeeeth/aiiy).

1. A?aenooi?noue neiioii?a aiaeiaaiiiai caoai?thaaiiy (oecio?ai??,
a?iiey?iiai (aoaeoeaiiai) ?iceaaeo) oa iciae i?aai?/iiai o?aaeaiiy OeIN.

O aeine?aeaeaiiy a?aeae?aeenue iaoe??ioe c ?iceaaeaie iia?aie/iiai
niaeo?o, oiaoi aeeeth/aeenue oai??: a) ?c iciaeaie iai?oanoieo
aiaeiaaiieo ineoic?a (oecio?ai?y, a?iiey?iee (aoaeoeaiee) ?iceaae); a)
?c iayai?noth i?aai?/iiai o?aaeaiiy OeIN; a) c iciaeaie aeai?aneaiiai
?iceaaeo. E??i oeueiai ie iineeeee aeiiae aei e?eoa??th aeeeth/aiiy
noiooiuei? niiaoe/ii? iaoieia?? (aeea. e?eoa??e 3), aeey oieeaiiy
aoaeue-yei? noa’?eoeaiino? o i?aeai?? oai?eo.

Aeey ooi/iaiiy no?oeoo?e iniaenoino? aeei?enoiaoaaany iieooaaeueiee
II??, a a noii?aieo aeiaaeeao – aeiaeaoeiai, io?oe?eiee ee?i?/iee
iieooaaeueiee AIIC “IPDE”, ia?aeeaaeaiee oa aaeaioiaaiee ia eaoaae??
ineo?ao??? oa ineoioa?ai?? OIAeI EAeIO. Aeey aeeeth/aiiy aoaeoeaieo
?iceaae?a canoiniaoaaany iiaiee aa??aio iieooaaeueieea Aai?eueoiia.

Oaeei /eiii, a iniiao aeine?aeaeaiiy iieeaaeai? ?acoeueoaoe
ee?i?ei-ineoiiaoieia?/iiai aea/aiiy aea??ee oai?eo iaa?ioe/iiai ?aa?no?o
?c caaaeueieie iciaeaie niiaoioi?iieo aie?a aac iayaiino? aeooaeueiiai
niiaoe/iiai caoai?thaaiiy.

Aeey aa?eo?eaoe?? aeaieo, io?eiaieo ia oaiiiaiieia?/iiio ??ai? iaie
i?iaaaeaii noaoenoe/iee, cie?aia eeanoa?iee aiae?c. Ia iniia?
iaoaiaoe/ieo ?ic?aooie?a cae?eniaii ee?i?ei-ineoiiaoieia?/ia ooi/iaiiy
neiae?iiaeueii? i?eiaeaaeiino? ??cieo oeiieia?/ieo aa??aio?a aeaiiao?e
oa cai?iiiiiaaii noaio ?o aeeoa?aioe?aeueii? ae?aaiinoeee. Noaoenoe/i?
?ic?aooiee i?iaiaeeee ca aeiiiiiaith eiii’thoa?ii? i?ia?aie
“Statistica/w.5.0”.

Aeey oi?ioaaiiy aea??ee ca /an aeine?aeaeaiiy ianoaaeaii 183 iaoe??ioe.
A o??o?a?/iiio noaoe?iia?? a?ae?a?aii 14 oai?eo (/ieia?e?a – 3, ae?iie –
11) ?c 65-oe iaoe??io?a. O IIAe i. Eueaiaa a?ae?a?aii a?n?i iaoe??io?a
(/ieia?e?a – 3, ae?iie – 5) ?c ianoaaeaiiai 51-ai oai?iai. A ?acoeueoao?
aiaoeaoi?ii? eiinoeueoaoeaii? ?iaioe eaoaae?e ii oai? aeena?oaoe?? aoei
iaeyiooi 46 oai?eo. ?c ieo 21 iaoe??io aoa aeeth/aiee a aeine?aeaeaiiy
(9 /ieia?e?a, 12 ae?iie). A ?aieao ae?aaiinoe/ii-e?eoaaeueii? ?iaioe a
aaciaiio ee?i?ei-ae?aaiinoe/iiio a?aeae?eaii? eaoaae?e ineo?ao??? oa
ineoioa?ai?? OIAeI EAeIO ii oai? aeena?oaoe?? aoei iaeyiooi 21 iaoe??io.
C ieo o aeine?aeaeaiiy aeeth/aii 17 iaoe??io?a (an? /ieia?ee).

Oaeei /eiii, iaoa??aee aeine?aeaeaiiy neeaee 60 iaoe??io?a a?eii a?ae 20
aei 54 ?ie?a. C ieo ae?iie – 28, /ieia?e?a – 32 (aeea. oaae. 1).

Oaaeeoey 1

Caaaeueia oa?aeoa?enoeea aea??ee

IciaeaA?eIna?oaI?ioan?eiee noaoonO?eaae?noue ?iceaaeo aei ia?oi?
eiinoeueoaoe??20-30 ?ie?a30-40 ?ie?a40-54 ?ie?ana?.iacae.
aeuaaeuai?aoeth?ia i?aoeth?iaioa 2 ?.2-5 ?.a?eueoa

5 ?.21291012642461442432O a?ao? “O?eaae?noue ?iceaaeo aei ia?oi?
eiinoeueoaoe?? ineo?ao?a” iaaiaeyoueny aaaeeea? caaaeuei? aeai?: ia
ii/aoie aeine?aeaeaiiy, c iaoith iaai?o iaoe??io?a o niiaoe/iiio
noaoe?iia??, i?ioyaii ainueie i?nyoe?a iaie noi?nii c e?ea?yie-o??o?aaie
i?iaiaeeeeny eiinoeueoaoe?? oae caaieo “noii?aieo” iaoe??io?a; aaea
/a?ac ??e oea aeicaieeei nei?ioeoe oeyo iaoe??io?a c niiaoioi?iieie
aieyie aei ineo?ao?a a na?aaeiueiio ia 12-18 i?nyoe?a.

?acoeueoaoe aeine?aeaeaiiy. ?c on??? aea??ee (183 iaoe??ioe) aeyaeaii
28 iaoe??io?a ?c niiaoeciaaieie aieyie (16 — ae?i., 12 — /ie.).
Iai?oanoaoe?y aie?a o oe?e a?oi? caaaeaee iia’ycaia c ineoiaaiieie
neooaoe?yie oa o?aaiaie ??cieo oei?a. I?e oeueiio i?ae ineoiaaiiith
neooaoe??th ie ?icoi?ee aoaeue-yeo a?ia?ao?/io neooaoe?th, yea
aeooae?co? iayaiee o aeaii? iniae ?io?aineo?/iee eiioe?eo. A?aeiia?aeii,
ineoiaaiio o?aaio ie ?icoi?ee ye aoaeue-yea o?aaiaoe/ia ia?aaeeaaiiy, ui
ca nai?th neeith (no?aniaei aai aeeno?aniaei aieeaii) ia?aaeuo?
aaeaioeai? caeaoiino? ?iaeea?aeooio. A oe?e i?aea?oi? niinoa??aaeenue
o?eaae? no?ania? neooaoe?? (19 niinoa?aaeaiue c 28 aai 67,8%); caoyaei?
oai?iae a ii?aeiaii? ?c no?anii (4 niinoa?aaeaiiy c 28, aai 14,3%);
aino?? ineoio?aaioth/? noooaoe?? (5 niinoa?aaeaiue c 28, aai 17,9%).
Aaea c oeeo aeaieo aeaeii, ui iai?oanoaoe?y niiaoeciaaieo aie?a
a?aeaoaa?oueny aiaeia?/ii aei aie?a eiiaa?n?eiiai oeio, ui /?oei
iieacaii o iiia?aaei?o aeine?aeaeaiiyo (A. A. Nioeaae/, I. I. O?eueoe,
1991)

Ineoiaaiia “i?iaieaoe?y” aeaiiao?e, ye ? eiiaa?n?eieo ?iceaae?a
caa??aa?oueny i?ioyaii anueiai caoai?thaaiiy. Oa?aeoa?iith
ineoiiaoieia?/iith iciaeith ?o ? ? oa, ui iaoe??ioe aeaii? a?oie iathoue
cia/i? o?oaeiiu? o aecia/aii? iniaeeainoae aieueiaeo i?iya?a: aie? /anoi
“ia?ae?eaathoueny” ?ioeie ?ioaineai?oeie ii?ooaiiyie – a?ae/oooyi
ianoa/? iia?o?y, “eiiea” a ai?e?, aieiaie?oae?iiyi, a a aeayeeo
aeiaaeeao ?iceaaeaie eii?aeeiaoe?? oa oiaee, cai?i?iiyi e?ioe?aie,
a?ae/oooyi aioo??oiueiai o?aio?iiy, ?aioiaith neaa?noth, i?oeea?noth
oiui. C /anii niiaoeciaai? aie? “ia?inoathoue” ana iiaith neioiiaoeeith
eiiaa?n?eiiai niaeo?o, ui a naith /a?ao i?ecaiaeeoue aei o?eaaei?
aeacaaeaioaoe?? oai?eo (a ie?aieo aeiaaeeao, aae aei ?o
?iaae?aeecaoe??). Oa?aeoa?iith iciaeith niiaoeciaaieo aie?a ? iino?eii
ci?iia eieae?caoe?y oa caeaoi?noue ???aae?thaaoe (27 aeiaaee?a – 96,4%).

Niiaoeciaai? aie? ia?aaeeaathoueny ye iaa?ae`?iia, ?ioaa?iaaia c ss
oai?eo /anoeia caaaeueiiai iioieo aioo??oiueiai ineo?/iiai aeeooy. Naia
oiio oeei iaoe??ioai neeaaeii iienaoe aeani? aieueia? a?ae/oooy (ui ?
ciaoiaeeoue nai? a?aeia?aaeaiiy a eiioeaioe?? “aeaeneoei??”),
iacaaaeath/e ia, caeaaaeinue ae, aaeeeo e?euee?noue iaoaoi? oa ia?acieo
ii??aiyiue.

Ca?aeii aeaieo MMPI 18 iaoe??io?a ?c 28-e aeyaeythoue /?oeee
iaeiii?io?eueiee aa??aio e?eai? ?c aeii?ioaaiiyi ?noa?e/iiai
(a?no??iiiiai) ?aaeeeaeo. Na?aae ?ioeo aeanyoe iaoe??io?a o naie
eaae?o?eiaaii a?no??iiii-ia?oeenoe/io no?oeoo?o iniaenoino?, ui
a?aeiia?aea? yaea?i?e ?noa?e/i?e ineoiiao?? o “eeane/i?e” oa?i?iieia??,
a o o?ueio oai?eo aeyaeaii eiia?iaoe?th ?noa?e/ieo oa o?eaiaeieo iciae,
ui aea? ciiao ?icaeyaeaoe ?o c iiceoe?e “o?eaiaeii? ?noa???”.

Oaeei /eiii, iniaeeaino? niiaoeciaaieo aie?a ca ?o eieae?caoe??th,
oa?aeoa?ii aeyaeaiiy, noa`?eoeaiei a?aeiioaiiyi oai?eo, a?aenooi?noth
?aoeaen?? aei aieth ni?aiaaeathoue c aiaeia?/ieie iieniaeie
oa?aeoa?enoeeaie aie?a eiiaa?n?eiiai oeio.

?aeaioe/i?noue niiaoeciaaieo oa eiiaa?n?eieo aie?a i?aeoaa?aeaeothoue ?
no?oeoo?ii-aeeiai?/i? ?o iniaeeaino?: iaeaeaa aa??aioe aieth – ?
eiiaa?n?eiee, ? niiaoeciaaiee – oi?iothoueny o ni?aae?oaeiino? c
iaa?ioe/iith neiioiiaoeeith ?noa?i-eiiaa?n?eiiai eiea, a oaeiae a ?aieao
“oiiiai?” a?no??iiii? (?noa?e/ii?) no?oeoo?e iniaenoino?. Aeacai?
aiaeia?? aeicaieythoue eaae?o?eoaaoe iaeaeaa aa??aioe aie?a ye ?aeeio
a?oio ineoiaaiieo aea?e eiiaa?n?eiiai oeio. A?aeiia?aeii, ia oeueiio
aoai? aeine?aeaeaiiy i?aaii??ii aoei aenoiooa i?eiouaiiy, ui
niiaoeciaai? aie? ne?ae a?aeiineoe aei eeanoa?o ?noa?i-eiiaa?n?eieo
?iceaae?a.

A a?oio oai?eo c ?ae?iiaoe/ieie aieueiaeie ?iceaaeaie (ia?nenooth/ei
niiaoioi?iiei aieueiaei ?iceaaeii aai INA?) ?c ianoaaeaieo 183
iaoe??io?a aeeth/aii 32 iaoe??ioe (14 ae?iie oa 18 /ieia?e?a).
Oaiiiaiieia?/i? a?aei?iiino? ?iceaae?a oeueiai oeio a ii??aiyii? ?c
eiiaa?n?eieie aea?yie noathoue i/aaeaeieie oaea i?e ii??aiyii? oiia
iai?oanoaoe??:

 a 14 niinoa?aaeaiiyo ?c 32 (43,8%) ia?aeiia aeieeiaiiy aie?a
i?iaieo?oueny oaeoi?aie, ye? iia’ycai? ?c noaiaie niiaoe/iiai
iaaeaaiiieo//y (o?ce/ia ia?aiaaaioaaeaiiy, i?inooaei? caoai?thaaiiy,
o?ce/i? o?aaie, o??o?a?/i? iia?aoe?? oiui);

 o 17 iaoe??io?a (53,1%) aie? aeieeee niiioaiii;

 eeoa o iaeiiai iaoe??ioa (3,1%) aeaathoo caoai?thaaiiy ia?aaeoaaa
cia/iee ineoiaaiiee aieea (eiioe?eo ia ?iaio?).

Io?eiai? aeai? iio?aaothoue aeayeeo eiiaioa??a. Niiioaiia aeieeiaiiy
INA? i?ioyaii cia/iiai /ano noi?iaiaeaeoaaeinue i?io?aaiaaieie
ia??iaeaie ineoio?ce/iiai ia?aiaaaioaaeaiiy (ia c?acie “?iaioiaie?cio”),
ye? cae?i/oaaeenue ?aioiaei oa ianeaiei “ceaiii” aaeaioeaieo iaoai?ci?a
c? oaeaeeei oi?ioaaiiyi iaa?ioe/iiai iiaeono iiaaae?iee (“aoa/a a
niiaoe/ia iaaeaaiiieo//y” ye eeane/iee ineoiaeeiai?/iee aa??aio o?eanii?
?aa?an??). Oaeee niin?a ineoio?ce/iiai ia?aiaaaioaaeaiiy ni?ey?
?aaeoeaaoe?? ?io?aineo?/ieo eiioe?eo?a aai aeooae?caoe?? a?aenoaaeaii?
o?aaie. Oe?eaai cacia/eoe, ui aaea ia aoai? iai?oanoaoe?e aieth oae?
iaoe??ioe ni?anoaaei? c iaoe??ioaie, o yeeo iai?oanoo?
iananeaii-eiiioeueneaiee ?iceaae.

Aeey i?aea?oie c 14-oe iaoe??io?a, o yeeo iai?oanoaoe?? aea?/iiai
?iceaaeo ia?aaeoaaea ianeaia niiaoiaaiia o?aaia, iaiao?aeii
i?aee?aneeoe, ui iaoiaaiia cia/aiiy iaea ia naia “niiaoiaai?y” ye oaea,
a ?aaeeeaeuei? ci?ie aeeoo?aiai noa?aioeio, aeeeeeai? caoai?thaaiiyi.

Ie?aia caoe?eaaeaiiy aeey ian i?aaenoaaeyea ioe?iea aino?ioe oa iien
ia?aa?ao aea?e o iaoe??io?a c INA?. Ca oeeie iciaeaie iaoe??ioe
?iciiae?eeeenue ianooiiei /eiii:

— aino?ee ii/aoie c iinooiiaith i?io?aaiaai?noth a?ae 1 aei 5-6 ?ie?a11)
Eaoaiiac aeey an?o iaoe??io?a ioe?ithaaany a?ae iiiaioo iai?oanoaoe??
caoai?thaaiiy.) (18 oai?eo, 56,2%);

— caoyaei? i?enooi? aei 3-4 ?ie?a, ye? /anoi iiaoi?ththoueny (6 oai?eo,
18,8%);

— o?ii?/iee ia?aa?a a?ae ii/aoeo caoai?thaaiiy, c o?eaae?noth a?eueoa
5-oe ?ie?a (8 oai?eo, 25%).

Aeey iaoe??io?a c oeei oeiii aieueiaeo no?aaeaeaiue oa?aeoa?iith ?
eiai?oeaia “ia?aieai?noue” iaoieia?/ieo aea?/ieo nainaoe?e. O
aiaiianoe/i?e aan?ae? aiie i?aaenoaaeythoue i?inoo, /?oeo oa c?icoi?eo
eiioeaioe?th aeaniiai no?aaeaeaiiy; naia ae ?ioa?i?aoaoe?y iae/ano?oa
/a?ia?oueny c iiioey?ii? iaaee/ii? e?oa?aoo?e (inoa?ioiiae?ic,
oeai?ae?ic oiui). Aaaeeeai oaeiae, ui ia?aaeeaaiiy oaeeo iaoe??io?a
ia??aeei “caooi?ththoueny” iananeaii-eiiioeueneaiith neiioiiaoeeith, ?
ia a?aei?io a?ae iaoe??io?a ?c niiaoeciaaieie aea?yie, ia aieeaathoue ia
?ioaineai?noue oa iane/ai?noue aieueiaeo no?aaeaeaiue. E??i oiai,
iaoe??ioe c ?ae?iiaoe/ieie aieyie iae?aco ae ?ici?ciathoue oa aeia?a
iienothoue aieueia? a?ae/oooy.

Oaeei /eiii iaaaaeai? oa?aeoa?enoeee ?ae?iiaoe/ieo aie?a iiaeia
i?aenoioaaoe o ianooiiiio aeaeyae?:

1) iai?oanoaoe?y aieueiaiai no?aaeaeaiiy oa?aeoa?eco?oueny ?aioia?noth
oa ianiiae?aai?noth aeey oai?iai: ii/aoie aieueiaiai no?aaeaeaiiy ia
noi?iaiaeaeo?oueny iiyaith ?ioi? – iiai? (aaoa?iiiiii?) – aeey iaoe??ioa
iaa?ioe/ii? neiioiiaoeee. Iayai? o ieo ? ?ai?oa iananeaii-eiiioeueneai?
neiioiie iineeththoueny ??aeei oa iacia/ii (eeoa 6 niinoa?aaeaiue c 32 –
18,75 %). Iiyaa aieth ia?aaeeaa?oueny ?c ii/oooyi caeeaoaaiiy,
?icae?aoiaaiino?, aai e aeie;

2) a?ae iiiaioo aeieeiaiiy a?eue ia?aaaaea? ?io? ia?aaeeaaiiy ? aeo?niy?
?o c iiey oaaae. Oaea ia?aaaaeaiiy ia a inoaiith /a?ao ? coiiaeth?
i?aaenoaaeaiiy iaoe??ioaie ?ae?iiaoe/iiai aieth o aeaeyae? iiiineiioiio;

3) ?ioaineai?noue oa oa?aeoa? aieth caeeoathoueny iaci?iieie,
neiioiiaoeea i?ae “canoeaa?”. A?aeaie?eaiiy oaaae, ineoieia?/ii
ni?eyoeea? oa iani?eyoeea? ianoaaeie ia ci?iththoue oeeo oa?aeoa?enoee
INA?;

4) /ooo?aa iane/ai?noue aie?a oeueiai oeio ciooo? iaoe??io?a iino?eii
ia?aaoaaoe a iie? ?ioaineaieo aieueiaeo ia?aaeeaaiue, a a?aeoae
?ici?ciaaaoe an? ?o (aie?a) a?aeo?iee.

Ia ie?aio oaaao caneoaiao? a?aenooi?noue aai cia/ii iaioa ae?aaeai?noue
(o ii??aiyii? c iaoe??ioaie ?c niiaoeciaaieie aea?yie) iiaaae?ieiaeo
iaoa?i?a, iienaieo a e?oa?aoo?? aeey in?a c a?no??iiiith no?oeoo?ith ii
oeio “aoi?eiii? aeaiaee a?ae oai?iae”.

Ie??i iaaaaeaieo iniaeeainoae, ooi/ithth/eo iiia?aaei? aeine?aeaeaiiy
(A. A. Nioeaae/, I. I. O?eueoe, 1991), iaie aeyaeaii ua aea?
oa?aeoa?enoeee, ye? a iaea?eueo?e i??? aeathoue ciiao aeeoa?aioe?thaaoe
niiaoeciaai? (eiiaa?n?ei?) oa ia?nenooth/? niiaoioi?ii? (?ae?iiaoe/i?)
aieueia? ?iceaaee. A naia, aiie a?aeiinyoueny aei:

a) caeaoiino? aei ?aoeaen?? aieueiaeo ia?aaeeaaiue;

a) noa’?eoeaiiai a?aeiioaiiy aei aieth.

Ia?oith, aaaeeeaith c ineoiiaoieia?/ii? oi/ee ci?o iniaeea?noth
ia?aaeeaaiiy iaoe??ioaie ?ae?iiaoe/ieo aie?a aenooia? caeaoi?noue
?aoeaenoaaoe neiioiie, aeeth/ii c aea?/ieie. Oaea caeaoi?noue coiiaeaia
iniaeeaei oeiii ineoieia?/iiai caoenoo iaoe??io?a oeci?aeiiai oa
iananeaii-eiiioeueneaiiai eiea. Oeae oei caoenoo iieyaa? o ni?iiiaeiino?
a?aenoi?iithaaoenue a?ae aeanieo ineo?/ieo ia?aaeeaaiue, niinoa??aath/e
?o i?ae caieo (a?aenoi?iiaii a?ae ss), a ioaea – aoaeoaaoe neeaaei?
?aoe?iiaeuei? eiino?oeoe?? c i?eaiaeo oai?iae, aiaeia?/i? aei
“eiai?oeaieo ?eooae?a”.

Noiniaii ae ae?oai? iciaee, ne?ae caoaaaeeoe, ui oe? aie?
ia?aaeeaathoueny oa i?aaenoaaeythoueny iaoe??ioaie o aeaeyae?
naiino?eiiai o?eaniiai oaiiiaio. Oai?? aeie?aieththoue ?ae?iiaoe/i? aie?
c ?yaeo ?ioeo neiioii?a (a o. /. ?c ?ioeo niiaoe/ii coiiaeaieo aie?a),
ni?eeiathoue ?o a?aenoi?iiaii, iaiaaathoueny “ai?ioeny” c ieie, aeeth/ii
c ?eooaeueieie ae?yie.

Aeiaeaoeiai ne?ae caoaaaeeoe, ui a?eueo?noue iiaaae?ieiaeo ?aaeoe?e
iinyoue caoeniee (a ineoiaeeiai?/iiio ieai?), de facto ?eooaeueiee
oa?aeoa?, oiaoi ia ? ai? iane?aeeii anoai?caoe??, ai? iniaeno?nieo ci?i.
Ioaea, iaoe??ioe c oe??? i?aea?oie ?eooaeueii ii?aoeueiaothoue ia eeoa
aea?/i? ia?aaeeaaiiy, aea e ?io? ineoieia?/ii caa?iceea? aai iai?e?ii?
ia?aaeeaaiiy (iaona?aeiieai? oa ona?aeiieai? no?aoe, aaaeaiiy,
naenoaeuei? oa aa?aneai? ?iioeuene).

Ca iciaeith no?oeoo?e iniaenoino? oey a?oia ?iciiae?eeeanue ianooiiei
/eiii: o 19 iaoe??io?a ?c 32-o (59,4%) aoei ae?aaiinoiaaii aiaieanoe/io
(iananeaii-eiiioeueneaio) no?oeoo?o iniaenoino?; n?i iaoe??io?a ?c 32-o
(21,9%) aoee eaae?o?eiaai? ye o?eaiaeii-ineoanoai?/i?; o?noue iaoe??io?a
?c 32-o (18,7%) ae?aaiinoiaaii ye naiceoeaii-oeci?aei?.

O an?o noii?aieo aeiaaeeao, eiee c’ynoaaiiy iniaeno?nieo oa?aeoa?enoee ?
i?ney i?iaaaeaiiy II?? caeeoaeinue ia caaa?oaiei, ie canoiniaoaaee
io?oe?eiee iniaeno?niee ee?i?/iee iieooaaeueiee AIIC “IPDE”, ui aeaaaei
ciiao aa?eo?eoaaoe ae?aaiic ?iceaaeo iniaenoino? a ee?i?/ieo eaoaai??yo
DSM-III-R(IV) oa IEO-10 iaeii/anii. Ne?ae a?aei?oeoe, ui o oeeo
iaoe??io?a oa?aeoa? aieueiaeo ia?aaeeaaiue ni?aiaaeaa (ei?aethaaa) ?c
iniaeno?niith iaoieia??th, a naia: ?noa?iaea?? – ?c iniaeno?nieie
?iceaaeaie ?noa?e/iiai eeanoa?o, a ?ae?iiaoe/i? aie? – ?c aiaieanoe/iith
oa oeci?aeiith no?oeoo?aie.

Inoaoi/ieie a?aoiaioaie ia ei?enoue eaae?o?eaoe??
eiiaa?n?eiiai-aeennioe?aoeaiiai /e iananeaii-eiiioeueneaiiai ?iceaaeo
aenooiaee o?e ianooiieo iiiaioe: a) aeii?ioth/a a no?oeoo?? neiae?iio
neiioiiaoeea; a) ia?aaaaeaiiy oe??? neiioiiaoeee a aeeiai?oe? neiae?iio;
a) aiiiiiii?noue / aaoa?iiiii?noue aeii?ioth/i? neiioiiaoeee uiaei
eiinoeoooe?eii? i?aaeeniiceoe??, oiaoi no?oeoo?e iniaenoino? iaoe??ioa.

Aieiaia a?iioaca, yea aeieeaa? c ?acoeueoao?a ineoiiaoieia?/iiai
aiae?co, io?eiaieo ia oaiiiaiieia?/ii-iieniaiio aoai? aeine?aeaeaiiy
oi?ioeth?oueny ianooiiei /eiii: o?ii?/i? ineo?/i? aie?, ye?
eaae?o?eothoueny a IEO-10 oa DSM-IV a ?icae?e? “Niiaoioi?ii? ?iceaaee”
/?oei ?icae?eythoueny ia aeaa iniiai? oeiieia?/i? aa??aioe, iaeei c yeeo
iiaea aooe a?aeianaiei aei ?noa?i-eiiaa??eiiai, a ?ioee aei
iananeaii-eiiioeueneaiiai neiae?ii?a.

A oaaeeoe? 2 i?aaenoaaeai? ao?aei? aeai?, ye? ie aeei?enoiaoaaee i?e
noaoenoe/i?e ia?iaoe? iaoiaeii eeanoa?iiai aiae?co.

Oaaeeoey 2

Oaaeeoey ao?aeieo aeaieo

?Iacaa neiioiioA?oia 1 – eiiaa?n?ei? aie?A?oia 2 – ?ae?iiaoe/i?
aie?Caaaeueia e?euee?noue iaoe??io?a28321Eiiaa?n?ei?
neiioiie2871.1Aeeieii?y, aai ?icieea/anoee c??1711.2A?ae/oooy “eiiea a
ai?e?”2641.3Cai?i?iiy e?ioe?aie2421.4I’yciaa neaae?noue aai iioeooaaiiy
i?ae /an oiaee2141.5A?ae/oooy ianoa/? iia?o?y
(caaeeoea)1902Iananeaii-eiiioeueneai? neiae?iie11322.1Ianoe?eea?
aeoiee6312.2Ianoe?eea? noii?ae4242.3Ianoe?eea?
oyaeaiiy1212.4?eooaee5302.4.1 – iia’ycai? c aieai1272.4.2 – ia iia’ycai?
c aieai430Aeiaeaoeiai ii ?acoeueoaoao oaiiiaiieia?/iiai iieno aeey
eiaeiiai iaoe??ioa aoei neeaaeaii ?a?no? aaciaeo neiioii?a. A yeino?
oaeeo aoei a?ae?a?aii neiioiie iaea?eueo i?eoaiaii? ?noa?i-eiiaa?n?eiiio
oa iananeaii-eiiioeueneaiiio neiae?iiai. Neiioiie, ye? iiaeooue
cono??/aoeny c aeinoaoiuei aenieith /anoioith o iaoe??io?a iaio a?oi
(iai?eeeaae, oia??) a oeae ?a?no? aeeth/ai? ia aoee. Caaaeyee oaeiio
i?aeoiaeo ie io?eiaee iiaeeea?noue aecia/aoe ei?aeyoe?? oa ?icaeaaoe ia
eeanoa?e iaoe?io?a ca iciaeaie, ui ?icae?eythoue neiae?iie.

sse iiaeia aa/eoe c ?acoeueoao?a eeanoa?iiai aiae?co, a iaio aeiaaeeao
aeai?eoi eeanoa?ecaoe?? a?aeie?aieth? neiioiie 1.1–1.5 a?ae neiioii?a
2.1–2.4.2 (aeea. oaae. 2) oa ?icaeaa? iaoe??io?a ia aea? /?oei
aeeoa?aioe?eiaai? a?oie. Oea i?e oiio, ui aeai?eoio ia caaea?oueny
aeiaeia ?ioi?iaoe?y i?i nai? a?oie iaoe??io?a.

Oaeei /eiii ?acoeueoaoe eeanoa?iiai aiae?co aeyaeythoue o?e nooo?a? aeey
iaoiai aeine?aeaeaiiy iiiaioe: ii-ia?oa, aiie aeathoue iiaeeea?noue
i?aeoaa?aeeoe “/enoioo” iieniaiai aoaio aeine?aeaeaiiy; ii-ae?oaa,
iieacaoe, ui aeacaia a eaoaeic? aaciaeo neiioii?a neiioiiaoeea ae?enii
?icaeaa?oueny ia aeaa aeene?aoieo neiae?iie; ?, ii-o?ao?, anoaiiaeoe
ni?aa?aeiini?noue aei eiaeiiai ?c ?icae?eueieo neiae?ii?a eeoa iaeiiai
?c aa??aio?a o?ii?/ieo ineo?/ieo aie?a.

Ioaea noaoenoe/iee aiae?c aii??e/ieo aeaieo aeicaiey? iieacaoe /?oeo
neiae?iii-niaoeeo?/i?noue aeine?aeaeoaaii? aeaiiaoe/ii? iaa?ioe/ii?
neiioiiaoeee.

Ne?ae iaeiae i?aee?aneeoe, ui aeyaeaia iaoiaeii eeanoa?iiai aiae?co
neiae?iii-niaoeeo?/i?noue iaa?ioe/ii? neiioiiaoeee ? ia aeiaaeeiaith ? a
ee?i?ei-ineoiiaoieia?/iiio ieai?. ?ioeie neiaaie, eaeaoueny i?i oa, ui
niiaoeciaai? aie? iio?aieythoue a ?aeeiee eeaoa? c iayaiith o
aeine?aeaeoaaieo iaoe??io?a eiiaa?n?eiith (?noa?i-eiiaa?n?eiith)
neiioiiaoeeith. Oaea ni?aiaae?iiy ia ineoiiaoieia?/iiio ??ai? ?
iano?eueee i/aaeaeiei ? aeia?a a?aeiiei a e?oa?aoo??, ui iiaeia aiai?eoe
i?i i?aeoe/io ?aeaioe/i?noue niiaoeciaaieo ? eiiaa?n?eieo aieueiaeo
?iceaae?a. Neooaoe?y c ia?nenooth/ei niiaoioi?iiei aieueiaei ?iceaaeii
(?ae?iiaoe/ieie aieyie) neeaaea?oueny aeaui ?iaeoa. Oi/a aeey aie?a
oeueiai oeio ? iieacaii oaeo ?o ni?aae?oaeiino? c ianoe?eeaith
neiioiiaoeeith a ?aeeiiio eeanoa??, ?o ?aeaioe/i?noue c ianoe?eeainoyie
ye oaeeie aeiaaa? aeiaeaoeiaiai aiae?co.

?acoeueoaoe inoaoi/ii? noaoenoe/ii? ia?aa??ee aieiaii? a?iioace
aeie?aeaeaiiy aeathoue iiaeeea?noue ia?aeoe aei caaa?oaeueiiai aoaio
ineoiiaoieia?/iiai aiae?co aea/aiiai iaoa??aeo. Caaaeaiiyi oeueiai aoaio
? ia?o ca ana aecia/aiiy neiae?iiaeueii? eaae?o?eaoe?? aie?a
?ae?iiaoe/iiai oeio – ieoaiiy, yea caeeoa?oueny aein? ia c’yniaaiei o
no/aieo nenoaiaoeeao

Aeaoaeueiee oaiiiaiieia?/iee iien ? ?acoeueoaoe noaoenoe/ieo ?ic?aooie?a
aeicaieeee iai aeyaeoe ia eeoa a?aei?iiino? aeaio aeae?eaieo oei?a
niiaoioi?iieo aea?/ieo nainaoe?e, aea e iinoaaeoe ieoaiiy i?i
neiae?iiaeuei? i?eiaeaaeiino? aeaiiao?e, eaae?o?eiaaieo a e?oa?aoo?? aai
ye ?ae?iiaoe/i? (Ladee R. 1966), aai ye “iaieiae?aath/?” (Nioeaae/ A.A.
1992) ia iniia? ii??aiyeueiiai ineoiiaoieia?/iiai aiae?co
aeeoa?aioe?thth/eo iciae iaio aea/aieo oei?a o?ii?/ieo aieueiaeo
?iceaae?a, (oaaeeoey 3).

Oaaeeoey 3

Oaiiiaiieia?/i? oa?aeoa?enoeee aeaio oei?a niiaoioi?iieo aie?a

IciaeaEiiaa?n?ei? aie? (ineoaea??)?ae?iiaoe/i? aie? (“iaieiae?aath/?
aieueia? ?iceaaee”1. Eieae?caoe?yI?a?oth/a, ia /?oea (ci?ia a?aieoeue
aieth, aeeaeie aieth.*?oea, o?eniaaia.2. Oa?aeoa?Ci?iiee, ye ca
?ioaineai?noth, oae ? ca iieniaeie yeinoyie.Iaeiiiai?oiee,
ia?nenooth/ee.3. Noi?iaiaeaeoth/a iaa?ioe/ia neiioiiaoeeaEiiaa?n?eia
(?noa?e/ia)sse i?aaeei, c eiea ianoe?-eeainoae, aeeth/ii c ianan?yie oa
?eooaeaie.4. Oiiiaa no?oeoo?a iniaenoino??noa?e/iiai eiea (?noa?e/ia,
ia?oeenoe/ia, ?noa?i-oia?/ia).O?eaiaeii-ineoanoai?/ia, aiaieanoe/ia,
naiceoeaii-oeci?aeia5. Noa’?eoeaia a?aeiioaiiy.Ia?aaeeaathoueny
aaciina?aaeiuei, iiaaii aa?aae?cothoueny ? i?aaenoaaeythoueny o aeaeyae?
ci?iieo nea?a.Ia?aaeeaathoueny “a?aenoi?iiaii”, aeia?a aa?aae?cothoueny,
i?aaenoaaeythoueny o aeaeyae? iaei??? iaci?iii? nea?ae.6. Ca’ycie c
?aoeaen??th. “A?aeiaaeiaai?noue” a?ae ?aoeaen??.O?niee ca’ycie c
?aoeaen??th.

I?aaenoaaeai? a oaaeeoe? iienia? oa?aeoa?enoeee iiaeooue ?icaeyaeaoenue
ye aeeoa?aioe?thth/? iciaee eiiaa?n?eieo oa ?ae?iiaoe/ieo aieueiaeo
?iceaae?a. Iaie anoaiiaeaii, ui caaaeoaai? ?ioeie aaoi?aie ia?o? aea?
oa?aeoa?enoeee ia aoee aeinoaoi?ie aeey neiae?iiaeueii? eaae?o?eaoe??
?ae?iiaoe/ieo aie?a. Aeey a?aoiaioiaaii? eaae?o?eaoe?? ?aeiiaoe/ieo
aie?a a yeino? ianoe?eeainoae ne?ae a?aoiaoaaoe ianooii? aeyaeai? iaie
iiiaioe:

1. Ca’ycie c iaa?ioe/iith neiioiiaoeeith (i.3 oaae.3). Niiaoeciaai?
aie? aenooiathoue caaaeaee a noi?iaiae? ?ioi? eiiaa?n?eii? neiioiiaoeee,
aeieeathoue ia?aeaeueii c iath, i?iaieothoueny oeiiaeie ineoiaaiieie
neooaoe?yie ? aeyaeythoue aeeiai?eo, oa?aeoa?io aeey ?iceaae?a
?noa?e/iiai eiea. Iiaeia noaa?aeaeoaaoe, oaeei /eiii, ui aiie
aenooiathoue ye iaeei ?c oeiiaeo neiioii?a a no?oeoo?? ?aeeiiai
eiiaa?n?eiiai neiae?iio.

2. ?ae?iiaoe/i? (“iaieiae?aath/?”) aie? i?iyaeythoue naaa o
“ni?aae?oaeiino?” ?c neiioiiaoeeith ianoe?eeaiai eiea, yea
i?aaenoaaeaia iiaiei niaeo?ii iananeaii-eiiioeueneaieo i?iya?a. A
oeueiio neiioiiieiiieaen? ia ??cieo aoaiao ? o ??cieo iaoe??io?a
cono??/athoueny oeiia? ianan??, oia??, ie?ai? eiiioeuen?? ? ?eooaee.
Aaaeeeai i?aee?aneeoe, ui ?eooaee iinyoue caoeniee oa?aeoa? ia o?eueee
a?ae ianan?e oa oia?e, aea e a?ae aieth. Oaeei /eiii ia ??ai?
neiae?iiaeueii? i?aai?caoe?? ?ae?iiaoe/i? aie? aenooiathoue a ?aeei?e
no?oeoo?? c ?ioeie ianoe?eeainoyie. Ni?eueiith ? ? ?o aeeiai?ea.

3. Ee?i?ei-ineoiiaoieia?/ia aea/aiiy no?oeoo?e iniaenoino? iaoe??io?a
(i.4 oaae.3) i?aeoaa?aeaeo? aeai? e?oa?aoo?e, ca?aeii yeeo eiiaa?n?ei?
aie? o?nii ei?aeththoue c a?no??iiiei oa ia?oeenoe/iei oeiii oa?aeoa?o.
?ae?iiaoe/i? (“iaieiae?aath/?”) aie? cono??/athoueny o iaoe??io?a c
noiooi?ie o?ueiia ianooiieie oeiaie ?iceaae?a iniaenoino?:
aiaieanoe/iei, o?eaiaeii-ineoanoai?/iei, naiceoeaii-oeci?aeiei, na?aae
yeeo aeii?ioth/ei ? aiaieanoe/iee oei.

4. I?eioeeiiaa cia/aiiy aeey eaae?o?eaoe?? o?ii?/ieo ineo?/ieo aie?a ia?
noa’?eoeaia noaaeaiiy aei ieo iaoe??io?a (i.5 oaae.3). sse a?aeiii,
eiiaa?n?ei? aie? ni?eeiathoueny ye iaiino?ei?, aac /?oei? eieae?caoe??,
aeeooci?, a aieiaia – o aeaeyae? aaciina?aaeiueiai ia?aaeeaaiiy.
Iaoe??io i?aaenoaaey? oe? aie? oae, ia/a a?i ?o ia?aaeeaa? ia?ic?eaii c
aeaniei o?eani?i ? ineo?/iei “ss”. Ca?aene – iino?eia ?o ci?ii?noue oa
aeeooci?noue. Noa’?eoeaia noaaeaiiy aei ?ae?iiaoe/ieo aie?a ?
i?eioeeiiai ?ioei. Aiie ia?aaeeaathoueny ye a?aeie?aieai? a?ae “ss” ?
oae?, ui neeaaeathoue “ia’?eo” aeey ?aoeaen?? ? ?aoe?iiae?ciaaieo
iiyniaiue. Naia oiio aiie ia ineoiiaoieia?/iiio ??ai? ii?aeiothoueny c
oeiiaeie ?eooaeueieie ae?yie, ye? aeei?enoiaothoueny oai?eie aeey
caoenoo a?ae ?ioeo ianoe?eeainoae.

5. O ca’yceo c oeei niaoe?aeueiith aeeoa?aioe?aeueiith iciaeith ?
ca’ycie aieueiaeo ia?aaeeaaiue c ?aoeaen??th (i.6 oaae.3): iiaeia
aa/eoe, ui iacaeaoi?noue aei ?aoeaen?? o in?a c ?noa?e/iith no?oeoo?ith
iniaenoino?, c iaeiiai aieo, oa iayai?noue ae?aaeaii? ?aoeaen?? a
ia?aaeeaaiiyo in?a oeci?aeiiai oa ineoanoai?/iiai eiea, c ?ioiai aieo, ?
aeene?ei?iaoeaiith iciaeith aeaio a?oi oai?eo. A?aeiii, ui oaea
caeaoi?noue / iacaeaoi?noue aeieeaa? c aaciaeo iniaeeainoae aeacaieo
iniaeno?nieo no?oeoo?, a oiio noi?iaiaeaeo? an? ?iceaaee, “ni?aae?oaei?”
c aeacaieie aeua oeiaie iniaenoinoae. Naia caeaoi?noue aei i?aeaeuaii?
?aoeaen?? ? ?iaeoue iiaeeeaei ?icaeyaeaoe aoaeue-yeee ineoiiaoieia?/iee
oaiiiai c? “noi?iie”, a a?aeoae, ? a?ae/oaeaii. Aea oea ? ia? i?noea i?e
oi?ioaaii? eeane/ieo ianoe?eeainoae oeio ianan?e, i?e yeeo
a?ae/oaeai?noue ia?aaeeaa?oueny ye iaeneiaeueii ae?aaeaia, aai oia?e oa
eiiioeuen?e, aea iai?eiaeaaei?noue aei caaaeueiiai iioieo ia?aaeeaaiue
iiaea e?eoe/ii inienethaaoenue.

Oaeei /eiii, ?ae?iiaoe/i? aie? ca nai?th i?e?iaeith ne?ae a?aeiineoe aei
?ic?yaeo ianoe?eeaeo oaiiiai?a iniaeeaiai oeio, a naia o?eanieo
ianoe?eeainoae. Aeae?eaiiy o?eanieo ianoe?eeainoae a ie?aiee aeae
ineoiiaoieia?/ieo oaiiiai?a aeicaiey? aeiiiaieoe eean ianoe?eeainoae aei
iiaiiai ?yaeo: ianan??, oia??, eiiioeuen??, o?eani? ianoe?eeaino?.

Oeiieia?/ia eaae?o?eaoe?y ?ae?iiaoe/ieo aie?a, ye? ae?aaiinoothoueny a
?aieao ia?nenooth/iai niiaoioi?iiiai aieueiaiai ?iceaaeo a yeino?
neiae?iio o?eanieo ianoe?eeainoae aeaea iiaeeea?noue ?ic?iaeoe iniiai?
i?eioeeie neiae?iiaeueii-niaoeeo?/ii? oa?ai??. Oaea oa?ai?y aaco?oueny
ia canoinoaaii? eiia?iaoe?? o?aiea?e?caoi??a ?c oeie aioeaeai?anaioaie,
ye? aeyaeythoue iaea?eueoo aoaeoeai?noue i?e e?eoaaii? ianoe?eeaeo
?iceaae?a.

Ineoioa?iaeioa?ai?y ii?aeio?oueny ?c ?iaeea?aeoaeueiith
i?iaeaiii-oeaio?iaaiith ineoioa?ai?th (ia ??aeoa aeaio ?ac?a ia
oeaeaeaiue) a ii?aeiaii? c ei?ioeioieoniith a?oiiaith ineoiaiae?oe/iith
ineoioa?ai??th (ii o?noue aiaeei i?ioyaii aeaio aei?a). Caaaeaiiyi
ineoioa?aiaaoe/ii? /anoeie e?eoaaiiy ? ii?aoethaaiiy
aeeaeiii-ineoieia?/ieo eiioe?eoieo cii, i?aeo?eiaiiy naiiiiaaae oa
a?ae/oooy “caoeuaiino?”, a oaeiae ei?aeoe?? iaoieia?/ieo iaoa?i?a o
?ioa?ia?niiaeueieo noinoieao.

AENIIAEE

1. O?ii?/i? ineo?/i? aie? ? iaeiei ?c iae?iciianthaeaeai?oeo oa
iaeaaaeeea?oeo i?aaenoaaiee?a eeano iaa?ioe/ieo ?iceaae?a niiaoioi?iiiai
oeio. ?icae?eaiiy ineoiaaiieo aea?e ia niiaoeciaai? oa ia?nenooth/?
niiaoioi?ii?, aeae?eaieo a IEO-10 oa DSM-IV (a?aeiia. F45.0 oa 300.81 –
niiaoeciaai? ?iceaaee, ? a?aeiia. F45.4 oa 307.OO – ia?nenooth/ee
niiaoioi?iiee aieueiaee ?iceaae) a neiae?iiaeueiiio oa ee?i?/iiio nain?
naaa ia aei?aaaeiao?.

2. Aeine?aeaeaiiy niiaoeciaaieo aie?a ia oaiiiaiieia?/iiio (iieniaiio)
oa ee?i?ei-ineoiiaoieia?/iiio (no?oeoo?ii-aeeiai?/iiio) ??aiyo iieaco?,
ui aie? oeueiai oeio ca an?ia aea/aieie oa?aeoa?enoeeaie ? aiaeia?/ieie
aei eiiaa?n?eieo aie?a. A?aeiia?aeii, aeey an??? oe??? a?oie ineoiaaiieo
aie?a a?eueo aei?aaaeaiei c ee?i?/ii? oa ineoiiaoieia?/ii? oi/ie ci?o ?
aecia/aiiy “eiiaa?n?ei? aie?”.

3. Aeine?aeaeaiiy ia oaiiiaiieia?/iiio oa ee?i?ei-ineoiiaoieia?/iiio
??aiyo aie?a, ye? ae?aaiinoothoueny i?ae ?oa?eeith “Ia?nenooth/ee
niiaoioi?iiee aieueiaee ?iceaae” (a e?oa?aoo?? /ano?oa icia/oaaieo ye
?ae?iiaoe/i?) aeicaieythoue eaae?o?eoaaoe ?o ye i?iyae ianoe?eeaiai
?yaeo, oiaoi ye niaoeeo?/i? o?eani? ianoe?eeaino?.

4. Ine?eueee oa?i?ie ia?nenooth/ee niiaoioi?iiee aieueiaee ?iceaae aai
“?ae?iiaoe/i?” aie? ia a?aeia?aaeathoue ineoiiaoieia?/ieo oa ee?i?/ieo
oa?aeoa?enoee aie?a oeueiai oeio, aia?oa i?iiiio?oueny iaea?eueo
aaeaeaaoia ?o aecia/aiiy ee?i?/iei oa?i?iii “o?eani? aieueia?
ianoe?eeaino?”.

5. ?acoeueoaoe i?iaaaeaiiai noaoenoe/iiai aiae?co aeaieo, io?eiaieo ia
iieniaiio oa ee?i?ei-ineoiiaoieia?/iiio ??aiyo c aenieith
aeinoia??i?noth iieacothoue, ui niaeo? ineoiaaiieo (iaa?ioe/ieo) aie?a
/?oei ?icaeaa?oueny ia aeaa eeane/ieo iaa?ioe/ieo neiae?iie – (?noa?i-)
eiiaa?n?eiee oa ianoe?eeainoae.

6. Neiae?ii ianoe?eeainoae, a?aeiiee aein? ye nenoaiiee, “iioa?iaee”
?yae oaiiiai?a o?aaeaiiy eiai?oeaii? (ianan??), aoaeoeaii? (oia??) oa
iiaaae?ieiai-iioi?ii? (?eooaee ? eiiioeuen??) o?ueio noa? ineo?/ii?
ae?yeueiino? ia? aooe aeiiiaiaiee ianoe?eeaeie ?iceaaeaie a /aoaa?o?e,
o?eani?e noa??.

7. I?iaaaeaia aeine?aeaeaiiy aia?oa aeicaieeei i?iaanoe aaeaeaaoio
neiae?iiaeueio eaae?o?eaoe?th ineoiaaiieo (iaa?ioe/ieo) aie?a.
A?aeiia?aeii, oea noai?th? ia?aaeoiiae aeey ?o ?aiiuei? ee?i?/ii?
ae?aaiinoeee, a a?aeoae, ? aeey cia/iiai nei?i/aiiy (ia 1-1,5 ? a?eueoa
?ie?a) “oeyoo iaoe??io?a” c ineoaea?yie aei ineo?ao??a ? / aai
ineoioa?aiaao?a.

8. I?iaaaeaia aeine?aeaeaiiy aeicaiey? canoiniaoaaoe iiao no?aoaa?th
oa?ai?? aea/aieo o?ii?/ieo ineo?/ieo aie?a eiiaa?n?eiiai oa ianoe?eeaiai
oei?a; oey no?aoaa?y ia?aaeaa/a? aeeoa?aioe?eiaaio eiia?iaoe?th
ineoioa?iaeieia?/iiai oa ineoioa?aiaaoe/iiai e?eoaaiiy eiaeiiai c
aea/aieo oei?a ineoaea?e.

NIENIE I?AOeUe, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??

1. O?eueoe I.I., Ea/o? ?.A. Aei ieoaiiy i?i iniaeea? aa??aioe
niiaoioi?iieo ?iceaae?a // Oe?. a?niee ineoiiaa?ieia??. — 1995. — O. 3,
Aei.2 (6). — N. 217.

2. O?eueoe I.I., Ea/o? ?.A. O?ii?/iee ineo?/iee a?eue ye aa??aio
o?eanieo ianoe?eeainoae: iiaa ineoiiaoieia?/ia eaoaai??y // Acta Medica
Leopoliensia. — 1999. – O. V, ?2. — N. 83-86.

3. Ea/o? ?. O?ii?/iee ineo?/iee a?eue: i?noea a nenoaiaoeoe?
niiaoioi?iieo ?iceaae?a (iaeyae e?oa?aoo?e) // Aaeeoeueeee e?ea?nueeee
a?niee.- 1999. — O. 6, /enei 2. — N. 110-114.

4. Ea/o? ?.A. Oaeoeea e?eoaaiiy ia?nenooth/iai niiaoioi?iiiai aieueiaiai
?iceaaeo (?ae?iiaoe/ieo aie?a) // Oe?. a?niee ineoiiaa?ieia??. — 1999. —
O. 7, Aei. 2 (20). — N. 108-110.

5. A.n. ?1497. Oe?a?ia. Iaoeiaa noaooy “Eaae?o?eaoe?y ia?nenooth/iai
niiaoioi?iiiai aieueiaiai ?iceaaeo ye neiae?iio o?eanieo aieueiaeo
ianoe?eeainoae “O?eueoea, Ea/o?a” / I.I.O?eueoe, ?.A.Ea/o?. — Cayae.
02.11.98; Ca?a?no?. 13.11.98.

AIIOAOe?ss

Ea/o? ?iiai Aieiaeeie?iae/. Niiaoioi?ii? aieueia? ?iceaaee
(ee?i?ei-oeiieia?/ia aeine?aeaeaiiy). – ?oeiien.

Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaith eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeueiinoth 14.10.16 – ineo?ao??y. Oe?a?inueeee IAe?
nioe?aeueii? oa noaeiai? ineo?ao???, Ee?a, 1999.

Ca aeiiiiiaith oaiiiaiieia?/iiai iieno oa ineoiiaoieia?/iiai aiae?co ?c
canoinoaaiiyi aenia?eiaioaeueii-ineoieia?/ieo iaoiaeee i?iaaaeaii
aeine?aeaeaiiy niiaoioi?iieo aieueiaeo ?iceaae?a.

Anoaiiaeaii, ui niiaoeciaai? oa eiiaa?n?ei? aie? neeaaeathoue iaeio
a?oio ineoiaaiieo aea?e, a ?ae?iiaoe/i? aie? aeyaeythoue iciaee,
ni?euei? ?c ?ioeie i?iyaaie ianoe?eeaiai neiae?iio. Cai?iiiiiaaii iiaee
oa?i?i – o?eani? aieueia? ianoe?eeaino?, iiao oeiieia?th niiaoioi?iieo
aea?/ieo ?iceaae?a, a oaeiae, ?iiiaaoe?eio nenoaiaoeeo ianoe?eeaeo
noai?a.

?ic?iaeaii noaio aeeoa?aioe?aeueii? ae?aaiinoeee oa cai?iiiiiaaii iiao
no?aoaa?th e?eoaaiiy o?ii?/ieo ineo?/ieo aie?a.

Eeth/ia? neiaa: o?ii?/i? ineo?/i? aie?, ?ae?iiaoe/i? aie?, niiaoeciaai?
aie?, o?eani? aieueia? ianoe?eeaino?.

AIIIOAOeEss

Niiaoioi?iiua aieaaua ?anno?ienoaa (eeeieei-oeiieiae/aneia
enneaaeiaaiea). – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.16 – ineoeao?ey. – Oe?aeineee IEE nioeeaeueiie
e noaeaaiie ineoeao?ee. – Eeaa, 1999.

Aeenna?oaoeey iinayuaia eco/aieth aii?inia eeeieee, oeiieiaee,
aeeooa?aioeeaeueiie aeeaaiinoeee e ?aiiaai auyaeaiey iaeiie ec iaeaieaa
?ani?ino?aiaiiuo a?oii niiaoioi?iiuo ?anno?ienoa – o?iie/aneei
ineoe/aneei aieyi (OIA) iaa?ioe/aneiai ?aaeno?a.

N iiiiuueth iaoiaeia oaiiiaiieiae/aneiai iienaiey e ineoiiaoieiae/aneiai
aiaeeca n i?eiaiaieai yenia?eiaioaeueii-ineoieiae/aneeo iaoiaeee (MMPI,
ii?iniee Aaieeueoiia, ioeoeeaeueiue eeeie/aneee ii?iniee AIC, “IPDE”)
ianeaaeiaaiu 183 aieueiuo. Ioai? aieueiuo a enneaaeiaaiee inouanoaeyeny
a oe?o?ae/aneii noaoeeiia?a – 14 aieueiuo; a IIAe a. Eueaiaa – ainaiue
iaoeeaioia; a aaciaii eeeie/aneii ioaeaeaiee eaoaae?u ineoeao?ee e
ineoioa?aiee EAIO – 17 iaoeeaioia; 21 aieueiie aue ioia?ai a
enneaaeiaaiea a ?acoeueoaoa aeeaaiinoe/anei-ea/aaiie ?aaiou eaoaae?u.
Ieii/aoaeueiia oi?ie?iaaiea auai?ee aieueiuo c OIA i?aaeoniao?eaaei
ae?noeea e?eoa?ee eneeth/aiey: i?eciaee iaieoanoiuo yiaeiaaiiuo
ineoicia, iaee/ea i?aaie/aneiai ii?aaeaiey oeaio?aeueiie ia?aiie
nenoaiu, e aeai?anneaieo ?anno?ienoa, iaee/ea niiaoe/aneeo caaieaaaiee,
eioi?ua iiaee au niinianoaiaaoue aicieeiiaaieth aieae. A eoiaa
enneaaeoaiay auai?ea ninoaaeea 60 aieueiuo n ineoiaaiiuie aieyie
iaa?ioe/aneiai ?aaeno?a. Ec ieo – o 28 iaoeeaioia aeeaaiinoe?iaaii
niiaoece?iaaiiia ?anno?ienoai n i?aiaeaaeaieai aieaauo neiioiiia, a o 32
iaoeeaioia – o?iie/aneia niiaoioi?iiia aieaaia ?anno?ienoai. Aeey anao
eiaeaen-aieueiuo onoaiiaeaia aaciaay no?oeoo?a ee/iinoe.

I?eiaiaiea iaoiaeia noaoenoe/aneie ia?aaioee e ?acoeueoaoai
yiie?e/aneiai (iienaoaeueii-oaiiiaiieiae/aneiai) aoaia enneaaaiey
iicaieeei aia?aua onoaiiaeoue, /oi aanue niaeo? ineoiaaiiuo
(iaa?ioe/aneeo) aieae /aoei ?ani?aaeaeyaony ia aeaa eeanne/aneeo
iaa?ioe/aneeo neiae?iia – eiiaa?neiiiue (enoa?e/aneee) e neiae?iia
iaayc/eauo ninoiyiee.

Onoaiiaeaii oaeaea, /oi niiaoece?iaaiiua e eiiaa?neiiiua aiee
ninoaaeytho aaeeioth a?oiio ineoiaaiiuo aeaee, a ia?nenoe?othuea
niiaoioi?iiua, iacuaaaiua a eeoa?aoo?a /aua eae “eaeeiiaoe/aneea”, aiee,
niioaaonoaaiii, iaia?oaeeaatho i?eciaee, iauea n oaeiauie aeey neiae?iia
iaayc/eauo ninoiyiee.

Enoiaey ec iieo/aiuo ?acoeueoaoia i?aaeeiaeaia iiaay oeiieiaey
niiaoioi?iiuo aieaauo ?anno?ienoa n o/aoii eo neiae?iiaeueiie
eaaeeoeeaoeee e ee/iinoiuo iniaaiiinoae aieueiuo, eioi?ay aeeth/aao
niioaaonoaaiii ?acaeaeaiea o?iie/aneeo ineoiaaiiuo aieae ia aeaa a?oiiu:
a) enoa?e/aneea (niiaoece?iaaiiua); a) iaayc/eaua (aeeaaiinoe?oaiua a
?oa?eea “o?iie/aneia niiaoioi?iiia aieaaia ?anno?ienoai”, eee oae
iaceaaaiua eaeeiiaoe/aneea aiee).

I?aaeeiaeaia iiaay oeiieiaey neiae?iia iaayc/eainoae: e?iia ecaanoiuo
aei neo ii? iaayc/eauo oaiiiaiia ii?aaeaiey eiaieoeaiie (ianannee),
aooaeoeaiie (oiaee) e iiaaaeai/anei-iioi?iie (?eooaeu e eiiioeuenee)
o??o noa? ineoe/aneie aeayoaeueiinoe, aia?aua auaeaeai iaayc/eaue
oaiiiai a oaeaniie noa?a, a oaeaea i?aaeeiaeaii aaeaeaaoiia aai
ii?aaeaeaiea eeeie/aneei oa?ieiii “oaeaniua aieaaua iaayc/eainoe”.

?ac?aaioaia noaia aeeooa?aioeeaeueiie aeeaaiinoeee niiaoece?iaaiiiai
?anno?ienoaa (F45.0) n i?aiaeaaeaieai aieaauo neiioiiia e o?iie/aneiai
niiaoioi?iiiai aieaaiai ?anno?ienoaa (F45.4), eioi?ay aace?oaony ia
eeeie/aneie ioeaiea neaaeothueo oaiiiaiieiae/aneeo oa?aeoa?enoee aeaoo
oeiia ineoiaaiiuo aieae: a) eieaeecaoeey, a) oa?aeoa?, a)
nii?iaiaeaeathuay iaa?ioe/aneay neiioiiaoeea, a) oiiiaay no?oeoo?a
ee/iinoe, ae) noauaeoeaiia ioiioaiea e aieaaui iuouaieyi, a)
aiciiaeiinoue aeey iaoeeaioia ?aoeaeoe?iaaoue aieaaua iuouaiey.

Neiae?iiaeueiay eaaeeoeeaoeey o?iie/aneiai niiaoioi?iiiai aieaaiai
?ano?ienoaa aeaea aiciiaeiinoue ?ac?aaioaoue iniiaiua i?eioeeiu
neiae?iiaeueii-niaoeeoe/aneie oa?aiee, eioi?ay aace?oaony ia i?eiaiaiee
eiiaeiaoeee o?aieaeeecaoi?ia n oaie aioeaeai?annaioaie, eioi?ua iaeaieaa
yooaeoeaiu i?e ea/aiee iananneaii-eiiioeueneaiuo ?anno?ienoa.
Ineoioa?iaeioa?aiey eniieuecoaony niaianoii n aiaeeoe/anee
i?eaioe?iaaiiie eiaeeaeaeoaeueiie e a?oiiiaie ineoioa?aieae.

Eeth/aaua neiaa: o?iie/aneea ineoe/aneea aiee, eaeeiiaoe/aneea aiee,
niiaoece?iaaiiua aiee, oaeaniua aieaaua iaayc/eainoe.

SUMMARY

Ketchur Roman Volodymyrovych. Somatoform Pain Disorders
(Clinic-Typologycal Research). – Manuscript.

Thesis for a candidate of medical science degree by speciality 14.01.16
— Psychiatry. – Ukrainian Scientific Research Institute of Social and
Forensic Psychiatry. — Kyiv, 1999.

The somatoform pain disorders has been studied on the basis of
phenomenological description and psychopatological analysis and with
usage of experimental psychological methods.

It has been proved that somatization and conversion pain constitute a
uniform group of psychogenous algias, and idiopathic pains have the
common features with other signs of obsessive-compulsive syndrome. The
new typology of somatoform pain disorders and new systematization of
obsessive-compulsive conditions has been proposed as well as the new
term “bodily algic obsessions”.

The criteria for differential diagnosis and the new approach to the
treatment of chronic psychalgias have been developed.

Key words: chronic psychalgias, idiopathic pains, somatization pains,
bodily algic obsessions.

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