1

Ee?anueeee oi?aa?neoao ?iai? Oa?ana Oaa/aiea

E?AEI?EIA AAeOA?Ae AEAAeENEAAIAE*

OAeE 159.9.072: 616.12.315

INIAENO?NI? INIAEEAINO? OAI?EO, ssE? IA?AIANEE

?IOA?EO I?IEA?AeA ?C COIEIEITH E?IAIIA?AO

19.00.04 – Iaaee/ia ineoieia?y

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa ineoieia?/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Ee?anueeiio oi?aa?neoao? ?iai? Oa?ana Oaa/aiea.

Iaoeiaee ea??aiee -aeieoi? ineoie. iaoe Ao?ea/oe Eaii?ae Oieiae/, i?io.,
/eai-ei?. AII Oe?a?ie, caa?aeoaa/ eaoaae?e ineoiae?aaiinoeee oa
iaaee/ii? ineoieia?? Ee?anueeiai oi?aa?neoaoo ?iai? Oa?ana
Oaa/aieaIo?oe?ei? iiiiaioe:

Aeieoi? ineoieia?/ieo iaoe, i?ioani? Oanoiiaeiaa Ethaeieea Oaaei??aia,
ea??aiee a?aeae?eo iaaee/ii? ineoieia?? Oe?a?inueeiai IAe? ee?i?/ii? ?
aenia?eiaioaeueii? iaa?ieia?? ? ineo?ao??? IIC Oe?a?ie (i. Oa?e?a).

Eaiaeeaeao iaaee/ieo iaoe A?oianueeee ?inoeneaa Ie?ineaaiae/, aeioeaio
eaoaae?e na?oeaai-noaeeiii? o??o?a?? ?inoeoooo na?oeaai-noaeeiii?
o??o?a?? AII Oe?a?ie (i. Ee?a).

I?ia?aeia onoaiiaa -Oa?e?anueeee aea?aeaaiee oi?aa?neoao, eaoaae?a
caaaeueii? ineoieia??

Caoeno a?aeaoaeaoueny 07 aeiaoiy 1999 ?ieo i 14-e aiaeei? ia can?aeaii?
Niaoe?ae?ciaaii? A/aii? ?aaee Ae 26.001.26 i?e Ee?anueeiio oi?aa?neoao?
?iai? Oa?ana Oaa/aiea (252017, i. Ee?a, aoe. Aieiaeeie?nueea 60).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Ee?anueeiai
oi?aa?neoaoo ?iai? Oa?ana Oaa/aiea (252017, i. Ee?a, aoe.
Aieiaeeie?nueea, 58).

Aaoi?aoa?ao ?ic?neaiee 07 aa?aniy 1999 ?.

A/aiee nae?aoa? Niaoe?ae?ciaaii? A/aii? ?aaee, eaiae. ineoie. iaoe,
aeioeaio

Ee?eeaiei O.N.11

1

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

C na?aaeeie 50-o ??. iaoiai noi??//y oni?oe iaoee i?ecaaee aei
aeieeiaiiy oa ao?oeeaiai ?icaeoeo i?eioeeiiai iiai? aaeoc? iaaeeoeeie –
?aai?iaoieia??. Ca?aeii ?c no/anieie iiaeyaeaie, aeae?eythoue aea?
noaae?? aie?aiiy – nia?oue ee?i?/ia (? oaca) ? nia?oue a?ieia?/ia (??
oaca). C ieo ia?oa ?icaeyaea?oueny ye iai?ioia, oiaoi oaea, yea ca oiiae
oni?oiino? ?aai?iaoe?eieo caoiae?a iiaa?oa? oai?iai aei aeeooy. Oaeei
/eiii, aoea oai?aoe/ii iaa?oioiaaia ? i?aeoe/ii i?aeoaa?aeaeaia
iiaeeea?noue iiaa?iaiiy aei aeeoo?ae?yeueiino? i?aai?cio (e ?iaeea?aea),
yeee ciaoiaeeoueny ia noaae?? aie?aiiy.

Aacia?a/ii, ui ia?aianaiiy oaeiai aeeaieiai ca nai?th ?ioaineai?noth
noaio ye ee?i?/ia nia?oue ia iiaea ia iaeeanoe a?aeaeoie ia iniaeno?noue
ethaeeie oa, ye iane?aeie oeueiai, ia oni?oi?noue ?? nioe?aeueiiai
ooieoe?iioaaiiy. Oaiaoioia?y iaieio/a aaaea aei o?ii?/ii cieaeaiiai
aiioe?eiiai noaio, yeee ?iiae? ia?aoiaeeoue o aaaeeo o?eaiaeio
aeai?an?th [Neuroendocrine Aspects of Dysthymic Disorders, 1987],
eyeeeaino?, iaaiaaiaiino? o nia? ? iaa?oue aei a?ae/oooy aeanii?
iaiiaiioe?iiino?.

Caoai?thaaiiyi, yea ia?, c iaeiiai aieo, aenieee ?ecee eaoaeueiiai
cae?i/aiiy, oa aeinoaoiuei aenieo ?iia??i?noue oni?oiino? ?aai?iaoe?eieo
caoiae?a — c ?ioiai, o iaoiio aeine?aeaeaii? aoa ia?aiee aino?ee ?ioa?eo
i?iea?aeo, yeee, ca eeaneo?eaoe??th Anana?oiuei? i?aai?caoe?? ioi?iie
caei?ia’y [Aioo?aiiea aieacie, 1987], ? ee?i?/iith oi?iith ?oai?/ii?
oai?iae na?oey. Aea?? ?ioa?eoo i?iea?aea a yeino? iaoa??aeo
aeine?aeaeaiiy aoa coiiaeaiee o??th ianoaaeiith, ui ia?aa?a oeueiai
caoai?thaaiiy aoaa? ia?aaaaeii aaeueie ao?oeeaei oa oaeaeeei [Oa?aee E.,
1973], a a?aeoae o? ci?ie iniaenoino?, ui ianooiathoue i?ney iiaa?iaiiy
oai?iai aei aeeooy iiaeia iiynieoe naia oaeoii ia?aianaiiy noaio
ee?i?/ii? nia?o?, a ia aieeaii, i?eionoeii, iiia?aaeiueiai o?eaaeiai oa
aeniaaeeeaiai o?ii?/iiai caoai?thaaiiy.

AEOOAEUeI?NOUe aeena?oaoe?eiiai aeine?aeaeaiiy coiiaeaia cia/iei
ca?eueoaiiyi caoai?thaaiue ia ?oai?/io oai?iao na?oey o ?icaeiooeo
e?a?iao na?oo, ui niinoa??aa?oueny a inoaii? aeanyoe??//y. Oae, ca
aeaieie M.Aiaeaiaa, E.Oi?aeoa-?acue?ina ? Aeae.Iaooaona [Amelang M.,
Schmidt-Rathjens C., Matthews G., 1996], ?oai?/ia oai?iaa na?oey ia
nueiaiaei? ? iaei??th c aieiaieo i?e/ei nia?oiino? o ?icaeiooeo e?a?iao.
Ca?aeii c oeeo?aie, iaaaaeaieie o ?iaio? I.Aea???iaoiia, ia iiiaio 1993
?. nia?oi?noue a?ae ?oai?/ii? oai?iae na?oey a Aiae?? ii a?aeiioaiith
aei caaaeueii? e?eueeino? iiia?eeo /ieia?e?a 45-54 ? 55-64 ?ie?a
neeaaeaea 37-38 % [Durrington P., 1993]. A?aei?/a?oueny oaeiae iii?oia
c?inoaiiy e?eueeino? oai?eo ia aaaee? oa iaaacia/i? aeey aeeooy oi?ie
oneeaaeiaiue oe??? oai?iae, ui o naith /a?ao noi?iaiaeaeo?oueny ao?aoith
i?aoeacaeaoiino? oa aenieith nia?oi?noth. ?acii c oei i?iaaaeaiiy
?aaa?e?oaoe?eieo caoiae?a c oai?eie, ye? ia?aianee ?ioa?eo i?iea?aea ?c
coieieith e?iaiia?ao, iaooiaoo?oueny ia ?yae i?iaeai, ui aeeeeeaia ia?o
ca ana ?ioaineo?eaoe??th iaa?ioe/ieo ?en iniaenoino? [Nasilowska-Barud
A., Markiewic M., 1986]. Ie??i oiai, nai ?ioa?eo i?iea?aea aeeeeea? a
?iaeea?ae?a, ui eiai ia?aianee, ae?aci? aiioe?ei? ?iceaaee, ye?
niinoa??aathoueny o 2/3 aeiaaee?a; i?e oeueiio /anoeia oai?eo iiaea
ciai? aeaeyaeaoe aeineoue aaci?iaeaiieie. Aac a?aeiia?aeiiai
oa?aiaaoe/iiai ao?o/aiiy oe? ii?ooaiiy, ca aeaieie A.Eae [Cay E.L.,
1982], cae??ieththoueny oa caa??aathoueny i?ioyaii aeinoaoiuei o?eaaeiai
/ano o 25 % oeo oai?eo, ui aeaeeee. Ca ?ioeie aeaieie, ??ciiiai?oi?
ineo?/i? ii?ooaiiy a ee?i?oe? ?ioa?eoo i?iea?aea ae?aaiinoothoueny o 28
% aeiaaee?a [Acute mental disorders in MI, 1984]. Aeieeiaiiy iiae?aieo
aiioe?eieo ?aaeoe?e, ia aeoieo O.I.?iciai? [?iciaa O.I., 1989],
iia’yco?oueny c? no?aoii nia?o?, ao?aoith naii?aeaioe/iino? ? a?ae/oooy
aeaniiai “ss”.

?acii c oei, aeine?aeaeaiue, ui niaoe?aeueii i?enay/ai? iniaeno?niei
iniaeeainoyi oa iaoieia?/i?e neiioiiaoeoe? oai?eo, ye? ia?aianee aino?ee
?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, ae?acii iaaeinoaoiuei, a
aaeaeaaoia i?ia?aia ineoiei?aeoe?eiiai aieeao, ui aoea a /anoeiith
caoiae?a i?aeo?eioth/i? ?aaa?e?oaoe?? oa aoi?eiii? i?io?eaeoeee oai?iae
o oe??? eaoaai??? in?a, i?aeoe/ii ia ?ic?iaeaia.

IA’?EO aeine?aeaeaiiy – iniaeno?noue oai?eo, ye? ia?aianee ?ioa?eo
i?iea?aea ?c coieieith e?iaiia?ao.

I?AAeIAO aeine?aeaeaiiy – aieiai? ineoieia?/i? caeiiii??iino? oa oiiae
oi?ioaaiiy iniaeno?nieo ci?i o oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea
?c coieieith e?iaiia?ao.

IAOA aeine?aeaeaiiy – ia iniia? aea/aiiy iniaeno?nieo iniaeeainoae oa
iniaeeainoae i?aeiniaeno?nii? eiioi?eaoe?? ? iiaaae?iee oai?eo, ye?
ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, ?ic?iaeoe eiiieaen
?aeiiaiaeaoe?e uiaei niaoeeo?ee ineoieia?/ieo caoiae?a i?aeo?eioth/i?
?aaa?e?oaoe?? oa aoi?eiii? i?io?eaeoeee oai?iae a oe??? eaoaai??? in?a.

A?IIOACA AeINE?AeAEAIIss iieyaaea o oiio, ui ia?aianaiiy oai?eie
?ioa?eoo i?iea?aea ?c coieieith e?iaiia?ao ? oaeoi?ii, ui ni?ey?
oi?ioaaiith a ieo niaoeeo?/ieo iniaeno?nieo iniaeeainoae oa
ineoiiaoieia?/ieo neiioiiieiiieaen?a, iniaeeainoae i?aeiniaeno?nii?
eiioi?eaoe?? ? iiaaae?iee. Iayai?noue a aiaiiac? ee?i?/ii? nia?o?
iia’yco?oueny c oneeaaeiaiiyie o ineo?/iiio noai? oai?eo oa aeieeiaiiyi
aeiaeaoeiaeo i?iaeai o i?aeo?eioth/?e ?aaa?e?oaoe?? oa aoi?eii?e
i?io?eaeoeoe? oai?iae.

O a?aeiia?aeiino? c iaoith oa a?iioacith aeine?aeaeaiiy ae??ooaaeeny
oae? CAAAeAIIss:

1. Aeine?aeaeaiiy iniaeno?nieo, eiioi?eaoe?eieo oa iiaaae?ieiaeo
iniaeeainoae, ui i?eoaiaii? iniaai, ye? ia?aianee ?ioa?eo i?iea?aea ?c
coieieith e?iaiia?ao.

2. Aeine?aeaeaiiy iniaeno?nieo, eiioi?eaoe?eieo oa iiaaae?ieiaeo
iniaeeainoae, ui i?eoaiaii? iniaai, ye? ia?aianee ?ioa?eo i?iea?aea, ui
ia aoa oneeaaeiaiee coieieith e?iaiia?ao.

3. Cae?eniaiiy ii??aiyeueiiai aiae?co iniaeno?nieo, eiioi?eaoe?eieo oa
iiaaae?ieiaeo iniaeeainoae, ui i?eoaiaii? iniaai, ye? ia?aianee ?ioa?eo
i?iea?aea ?c coieieith e?iaiia?ao, oa iniaai, ye? ia?aianee ?ioa?eo
i?iea?aea, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao. Ii??aiyiiy oeeo
aeaieo c oaeeie, ui aoee io?eiai? i?e aeine?aeaeaii? aea??ee i?aeoe/ii
caei?iaeo in?a.

4. ?ic?iaea eiiieaeno ineoieia?/ieo caoiae?a oa ?aeiiaiaeaoe?e c
i?aeo?eioth/i? ?aaa?e?oaoe?? oa aoi?eiii? i?io?eaeoeee oai?iae a in?a,
ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao.

IAOIAeE AeINE?AeAEAIIss

?iaioa aaco?oueny ia iaoiaeao ineoiae?aaiinoe/iiai aenia?eiaioo (c
aeei?enoaiiyi i?iaeoeaieo oano?a oa iieooaaeueiee?a) oa
iaoaiaoeei-noaoenoe/iiio iaoiae?. C iaoith ae??oaiiy iinoaaeaieo
caaaeaiue aoa ?ic?iaeaiee oe?e?niee eiiieaen ineoieia?/iiai ianoaaeaiiy,
ui aeeth/aa o naaa ?iciiao c aeine?aeaeoaaiei oa eiai ineoiae?aaiinoe/ia
oanooaaiiy. I?ia?aeieie e?eoa??yie i?aeai?o eiie?aoieo iaoiaeee
aenooieee:

a) ni?yiiaai?noue ia aea/aiiy aaciaeo iniaeeainoae iniaenoino? aai
onoaeaieo iniaeeainoae nioe?aeueii? aca?iiae??;

a) a?aeiinia eiiiaeoi?noue oa noene?noue;

a) aaeaioiaai?noue ia a?o/eciyi?e aeai?oe?.

Io?eiai? ?acoeueoaoe aoei ia?iaeaii ca aeiiiiiaith noaoenoe/ieo iaoiae?a
c aeei?enoaiiyi eiii’thoa?ii? i?ia?aie “SPSS for Windows”.
Aeinoia??i?noue ?ic??ciaiue i?ae aeaieie ??cieo aenia?eiaioaeueieo a?oi
aecia/aeany ca aeiiiiiaith iaoiaeeee t-e?eoa??th Nouethaeaioa.

IAOEIAA IIAECIA aeine?aeaeaiiy iieyaa? o aeyaeaii? oa iien? niaoeeo?/ieo
ineoiiaoieia?/ieo neiioiiieiiieaen?a a?oie aeine?aeaeoaaieo, ye?
ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, oa caaaeueieo
caeiiii??iinoae nioe?aeueii? aca?iiae?? ? ooieoe?iioaaiiy oaeeo oai?eo.

OAI?AOE*IA CIA*AIIss ?iaioe iieyaa? o c’ynoaaii? niaoeeo?/ieo
iinoii?a?aeieo iniaeno?nieo iniaeeainoae, niinia?a iiaeieaiiy oai?iae,
iioeaaoe?eii? noa?e, eiioi?eaoe?eieo oa?aeoa?enoee oiui, ui iiaeeaeth?
oyaeaiiy i?i niiaoiineo?/i? aca?iiae?? ia i?eeeaae? ?ioa?eoo i?iea?aea
?c coieieith e?iaiia?ao.

I?AEOE*IA CIA*AIIss io?eiaieo ?acoeueoao?a iieyaa? o ?ic?iaoe?
ineoieia?/ieo ?aeiiaiaeaoe?e c i?aeo?eioth/i? ?aaa?e?oaoe?? oa aoi?eiii?
i?io?eaeoeee oai?iae aeey eiioeiaaioo oai?eo, ye? ia?aianee ?ioa?eo
i?iea?aea ?c coieieith e?iaiia?ao.

AI?IAAOe?ss ?ACOEUeOAO?A AeINE?AeAEAIIss. Iaoa??aee aeena?oaoe??
aeiiia?aeaeeny ? iaaiai?thaaeeny ia naeoe?? c iaaee/ii? ineoieia?? oa
ineoiei?aeoe?? i?aeia?iaeii? eiioa?aioe?? «Aeooaeuei? i?iaeaie no/anii?
ineoieia??» ( i. Oa?e?a, 1995 ?.), iaoiaee/ieo oa iaoiaeieia?/ieo
nai?ia?ao ? can?aeaiiyo eaoaae?e ineoiae?aaiinoeee oa iaaee/ii?
ineoieia?? oaeoeueoaoo nioe?ieia?? oa ineoieia?? Ee?anueeiai
oi?aa?neoaoo ?iai? Oa?ana Oaa/aiea.

NO?OEOO?A ? IANssA ?IAIOE. Aeena?oaoe?y neeaaea?oueny ?c ci?noo,
ia?ae?eo nei?i/aiue, anooio, o?ueio iniiaieo ?icae?e?a, aeniiae?a,
nieneo aeei?enoaii? e?oa?aoo?e, ui ia?aoiao? 232 iaeiaioaaiiy iaoeiaeo
aeaea?ae, a oaeiae aeiaeaoeo, ui i?noeoue 23 oaaeeoe? io?eiaieo aeaieo.
Iniiaiee oaeno aeena?oaoe?? i?noeoue 6 oaaeeoeue, 5 ae?aa?ai oa iaeei
iaethiie. Caaaeueiee ianya ?iaioe neeaaea? 182 noi?.

INIIAIEE CI?NO ?IAIOE

O ANOOI? iaa?oioiao?oueny aeooaeuei?noue i?iaeaie, aecia/athoueny
ia’?eo, i?aaeiao, iaoa, a?iioace ? caaaeaiiy aeine?aeaeaiiy,
?ice?eaathoueny iaoeiaa iiaecia, oai?aoe/ia ? i?aeoe/ia cia/aiiy ?iaioe,
oi?ioeththoueny iieiaeaiiy, ui aeiinyoueny ia caoeno.

IA?OEE ?ICAe?E – “No/aniee noai i?iaeaie ci?ie iniaenoino? i?e
o?ii?/iiio ineoiniiaoe/iiio caoai?thaaii? (?oai?/ia oai?iaa na?oey oa
?ioa?eo i?iea?aea)” – i?enay/aiee aiae?co oeyo?a oa oaiaeaioe?e ?icaeoeo
ineoiniiaoe/ii? iaaeeoeeie, iniaeeai o??? ?? /anoeie, ui ni?yiiaaia ia
aea/aiiy caoai?thaaiue na?oeaai-noaeeiii? nenoaie ethaeeie. Aieiaia
oaaaa i?eae?eyeany aiioe?eii-no?aniaei oaeoi?ai iioiaeaeaiiy oa ia?aa?ao
oai?iae. Aeae? ia iniia? oaeiai iaeyaeo ie i?ae?eoee aei oai?aoe/iiai
aiae?co oaiiiaio ee?i?/ii? nia?o? oa iniaeeainoae ineo?/ii?
o?aaiaoecaoe?? in?a, ye? ?? ia?aianee. Ee?i?/ia nia?oue, yea ianooia? o
12-15 % oai?eo, i?aeaeaieo ?aai?iaoe?eiei caoiaeai c i?eaiaeo ?ioa?eoo
i?iea?aea (?I), ? iaei??th c oi?i oneeaaeiaiue neeaaeiiai iaiaaeo ?I.

Ca aecia/aiiyi A.A.Iaaianueeiai [Iaaianeee A.A., 1951], ee?i?/ia nia?oue
— iai?ioiee i?ioean aie?aiiy, ia?ao?ae a?ae aeeooy (yeui ?aai?iaoe?ei?
caoiaee aeyaeeeny ia?ieie) aei oae caaii? a?ieia?/ii? nia?o?, oiaoi
noaio, eiee a ??ciiiai?oieo i?aaiao ? oeaieiao i?aai?cio ii/eia?oueny
i?ioean ?iciaaeo ? iaeeaeoe eiai ye oe?e?nio nenoaio aaea iaiiaeeeai.
Inoaoi/ia ee?i?/ia ea?oeia ia??aeei oi?io?oueny /a?ac e?eueea oeaei?a,
i?nyoe?a, ?iiae? /a?ac 1-2 ?iee i?ney iaeeaaiiy. Aaeeeith i??ith aiia
caeaaeeoue a?ae i?aaeeueiino? i?iaaaeaii? ?aaa?e?oaoe?eii? oa?ai?? ?
iiaeeeainoae naiiai oai?iai [Aeooaeueiua aii?inu ?aaieiaoieiaee, 1975].

Cia/iee ?ioa?an i?e oeueiio aeeeeeathoue iniaeno?ni? ?aaeoe?? oai?eo,
ye? ia?aianee ?I ?c coieieith e?iaiia?ao, ia nai oaeo ia?aaeeaaiiy ieie
noaio ee?i?/ii? nia?o?. I?ea?iaeueio noaio ioe?iee oaeeo ?aaeoe?e
cai?iiiioaaee I.A?eeoiae, O.Caii, A.Aaae?i oa ?o ni?aaaoi?e [Coping with
myocardial infarction: a model with clinical applications, a literature
review, 1985], ye? ?icaeyaeaee ?o ye ?ioaa?aoeaia ooai?aiiy, ui i?noeoue
a nia? aoaeoeai?, iiaaae?ieia?, eiai?oeai? oa o?c?ieia?/i? eiiiiiaioe,
eio?? ooieoe?iiothoue ia ??ai? ye na?aeiiino?, oae ? iana?aeiiino?. I?e
oeueiio aeae?eythoueny aaeaioeai? oa iaaaeaioeai? iaoai?cie eoie?oaaiiy
no?ano o oai?eo ?I. Aei ae?oaeo c ieo, ca Ae.A??iii, O.Oaeoii oa
K.Aooea?ii [Byrne D.J., White H.M. Butler K.L., 1981], a?aeiinyoue
a?aeo?ae a?ae i?iaeaie, iaiaaeaiiy o?ce/ieo iaaaioaaeaiue, caeaaei?noue,
ianeai?noue, i?aeaeuaia a?ae/oooy ianiieith ca noai caei?ia’y, ianei?ci
oa i?eeiyooy ?ie? oai?iai. Aaeaioeai? iaoai?cie, ca eeaneo?eaoe??th
N.E?oa, Ae.Oai??i oa N.Eaa?ia [Croog S.H., Shapiro D.S., Levine S.,
1971], iaaiaee, aeeth/athoue a naaa aeoeai?noue, iioei?ci,
naiieiio?ieue, i?eeiyooy ?aaeueiino?, «aaioeeyoe?th» ii/ooo?a,
?aoe?iiae?ci, a??o a Aiaa aai a naaa, ?, ia?aoo?, caia?a/aiiy (yea
caeia?, aei ?a/?, iniaeeai aaaeeeaa i?noea na?aae ?ioeo ?aaeoe?e ?
niinoa??aa?oueny, ca e?oa?aoo?ieie aeaieie, a 25-50 % aeiaaee?a).

O Ae?OAIIO ?ICAe?E? – “Oa?aeoa?enoeea a?oi aeine?aeaeoaaieo oa iaoiae?a
aeine?aeaeaiiy” – aeeeaaeaia aenia?eiaioaeueii-ineoieia?/ia
aeine?aeaeaiiy aea??ee oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao.
Caaaeii aoei aeine?aeaeaii o?e aenia?eiaioaeuei? a?oie (eiaeia
e?euee?niei neeaaeii o 30 in?a):

1. Oai??, ye? ia?aianee aino?ee ?I ?c coieieith e?iaiia?ao. Aea/aeeny
iniaeno?ni? oa?aeoa?enoeee /ieia?e?a o a?oe? a?ae 45 aei 62 ?ie?a
(na?aaei?e a?e aeine?aeaeoaaieo neeaa 53 ?iee), eio?? ia?aianee aino?ee
?I ?c coieieith e?iaiia?ao aeecueei 3-o ?ie?a aei i?iaaaeaiiy
aeine?aeaeaiiy. A 100 % aeine?aeaeoaaieo ia?aa?a ?I iinea
?aoeeaeeaoth/ee oa?aeoa?. Oaeiae a 100 % aeine?aeaeoaaieo ae?aaiinoiaaii
e?aioeoii/eiaee ?I, o 72 % c ieo — o?ainio?aeueiee, a ?aooe 28 % — ?io?
oiiiii?oieia?/i? oi?ie ?I. Coieiea e?iaiia?ao (ee?i?/ia nia?oue)
ianooieea c oaeeo i?e/ei:

— o?a?eeyoe?y oeoii/e?a na?oey – o 85 % aeiaaee?a;

— oeoieiaa oao?ea?ae?y – o 10 % aeiaaee?a;

— iiaia ao??iaaio?eeoey?ia aeieaaea – o 5 % aeiaaee?a.

Na?aaeiy o?eaae?noue ia?aaoaaiiy o noai? ee?i?/ii? nia?o? neeaea 2,8 oa.

2. Oai??, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao.
A?oia neeaaeaeany c /ieia?e?a a?eii a?ae 43 aei 70 ?ie?a (na?aaei?e a?e
aeine?aeaeoaaieo aei??aithaaa 55 ?ieai). Aino?ee ?I aeine?aeaeoaai?
ia?aianee a na?aaeiueiio i?eaeecii ca 3 ?iee aei i?iaaaeaiiy
ineoieia?/iiai aenia?eiaioo. O an?o aeine?aeaeoaaieo aoei ae?aaiinoiaaii
e?aioeoii/eiaee ?I, a 63 % c ieo – o?ainio?aeueiee, a ?aooe 37 % — ?io?
oiiiii?oieia?/i? oi?ie ?I.

3. I?aeoe/ii caei?ia? iniae. A?oia neeaaeaeany c 30 i?aeoe/ii caei?iaeo
/ieia?e?a, ui a?aeiia?aeaee aeaii ia?oei a?oiai ca iieacieeaie a?eo e
ina?oe.

Ineoieia?/ia aeine?aeaeaiiy oai?eo, ye? ia?aianee ?I (ye ?c coieieith
e?iaiia?ao, oae ? aac ia?) i?iaiaeeeiny ia aac? ea?ae?ieia?/iiai
a?aeae?eaiiy Iaaeeei-nai?oa?ii? /anoeie Ae?iaie/iai ia’?aeiaiiy “Acio”
i. N?a??iaeiiaoeueea Eoaainueei? iaeano?, a oaeiae a?aeae?eaiiy
?aai?iaoieia?? ? iaa?aeeeaaeii? oa?ai?? ?inoeoooo ea?ae?ieia?? oa
ea?ae?iiaoieia?? ?iai? I.Ae.No?aaeanea o i. Ee?a?. I?aea?? ? oanooaaiiy
aeine?aeaeoaaieo cae?enithaaeeny o ia??iae 1994-97 ??. A iniiao
i?iaaaeaiiai aeine?aeaeaiiy aoea iieeaaeaia oai?aoe/ia noaia o?aoueiai
aeiaenia?eiaioaeueiiai ieaio (ca eeaneo?eaoe??th Ae.Eaiiaaeea [Eyiiaaee
Ae., 1980]), oiaoi iaoiae c??aithaaiiy noaoe/ieo a?oi.

O?AO?E ?ICAe?E – “Iniaeno?ni? iniaeeaino? oai?eo, ye? ia?aianee ?ioa?eo
i?iea?aea ?c coieieith e?iaiia?ao” – i?noeoue aiae?c aeaieo, io?eiaieo
ca aeiiiiiaith aeei?enoaieo ineoiae?aaiinoe/ieo iaoiaeee. ?iaioa, ui
i?iaiaeeeany, aoea ni?yiiaaia ia aeinyaiaiiy oaeeo oe?eae:

1. Aeine?aeaeaiiy ?iaeea?aeoaeueii-oeiieia?/ieo iniaeeainoae oa
iniaeeainoae noaaeaiiy aei oai?iae.

sse iaoiaeeea aeine?aeaeaiiy iaie ianaiia?aae aeei?enoiaoaaany
oano-iieooaaeueiee A.Oi?oaea, ca aeiiiiiaith yeiai aoei aecia/aii
??aaiue aeoeaiooaoe?? ca 10-oe ?? oeiaie. E?euee?noue in?a c oei /e
?ioei ae?aaeaiei oeiii aeoeaiooaoe?? a a?oi? aeine?aeaeoaaieo, ye?
ia?aianee ?I ?c coieieith e?iaiia?ao, aoea aeinoaiaiii aeua, i?ae o
a?oi? aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee
coieieith e?iaiia?ao. Io?eiai? aeai? na?ae/aoue oaeiae i?i oa, ui
oai?ei, ye? ia?aianee ?I, i?eoaiaiiee ci?oaiee (c 2-3 oei?a) oei
aeoeaiooaoe??, oiae? ye o caei?iaeo aeine?aeaeoaaieo aeoeaiooaoe??
ci?oaiiai oeio niinoa??aaeeny ii??aiyii ??aeei. Iae/ano?oa cono??/aeeny
aeoeaiooaoe?? caoaeaeoaaiiai oa o?eaiaeii-aeenoei?/iiai oeio. Na?aaei?e
iieaciee aeoeaiooaoe?? oai?eo, ye? ia?aianee ?I, a oe?eiio aeaui aeuee,
i?ae o caei?iaeo aeine?aeaeoaaieo. ?ene, i?eoaiaii? aeenoei?/iiio oeio
aeoeaiooaoe??, aoee aeinoia??ii a?eueo ae?aaeaieie a oai?eo, ye?
ia?aianee ?I, i?ae a i?aeoe/ii caei?iaeo aeine?aeaeoaaieo (t=4,46 i?e
?<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa a?oie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo; t=2,61 i?e ?<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, oa a?oie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo). ?acii c oei caa?oa? ia naaa oaaao oa ianoaaeia, ui na?aae caaaeueii? aea??ee aeine?aeaeoaaieo, ye? ia?aianee ?I, aeenoei?/i? ?ene aoee iaea?eueo i?eoaiaiieie aeey oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao. Inoaii? cia/ii a?ae??ciyeeny a?ae aea??ee caei?iaeo aeine?aeaeoaaieo oaeiae ca oeaeaie iaaeaioecio (t=3,61 i?e ?<0,05) oa aiioeaiino? (t=3,43 i?e ?<0,05) o a?e ca?eueoaiiy oeeo iieaciee?a. I?ae oai?eie, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa oai?eie, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, iathoue i?noea cia/ou? ?ic??ciaiiy ca oeaeaie caoaeaeoaaiino? (t=2,25 i?e ?<0,05), a?ia?oei?? (t=1,81 i?e ?<0,05), aeenoei?? (t=1,97 i?e ?<0,05), o?eaiaeiino? (t=2,06 i?e ?<0,05) oa aecaeueoiaaiino? (t=3,21 i?e ?<0,05); i?e oeueiio iieacieee ca oeaeaie aeenoei?? ? o?eaiaeiino? aeu? a aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, a ca oeaeaie caoaeaeoaaiino?, a?ia?oei?? oa aecaeueoiaaiino? – a aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao. Cacia/ai? ?acoeueoaoe i?aaenoaaeai? o ae?aa?ai? 1. Ae?aa?aia 1 Oi/ea ci?o, ca?aeii c yeith aeoeaiooaoe?? ? no?eeeie oa?aeoa?enoeeaie iniaenoino?, ? caaaeueiii?eeiyoith o iaoeia?e e?oa?aoo??. I?ioa io?eiai? aeai? aeicaieythoue iinoaaeoe ieoaii? i?i oa, /e caaaeaee oei aeoeaiooaoe??, ui ae?aaiinoo?oueny, a?aeaeaa? i?aii?a?aei? iniaeeaino? iniaenoino?, aai a?i oi?io?oueny ia a?oio? ye i?a-, oae ? iinoii?a?aeieo iniaeeainoae iniaenoino?. ??cieoey i?ae aeaieie aeine?aeaeaieo a?oi aiai?eoue i?i oa, ui i?ae aieeaii aaaeei? oai?iae oei aeoeaiooaoe?? iiaea ci?ithaaoeny. Aeineoue aeecuee? aei aeuaiaaaaeaieo aeai? aoei io?eiaii oaeiae ca aeiiiiiaith Oaiaoe/iiai aiia?oeaioe?eiiai oanoo. Oae i?e aiae?c? ia?aaaaeath/eo “iio?aa” aeine?aeaeoaaieo, ye? ia?aianee ?I (ye ?c coieieith e?iaiia?ao, oae ? aac ia?), aoei aeyaeaii ?o aeineoue aeecueeee i?ioeaioiee ?iciiae?e. O i?aeoe/ii caei?iaeo aeine?aeaeoaaieo “iio?aae” ?iciiae?eai? i?eaeecii ??aiii??ii, oae ui ia?aaaae yeiai-iaaoaeue iaeiiai aeaeo aeyaeoe ia aaeaeiny. Aiae?coth/e oaie ?iciia?aeae, aoei aeyaeaii, ui a aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, cia/ii /ano?oa cono??/athoueny oaie n?iaeieo eiioe?eo?a, ?aaiiu?a oa iaiaio, i?ae a aeine?aeaeoaaieo aeaio ?ioeo a?oi. Aa?ie ?iciia?aeae aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, /anoi iieiy?oueny iooeaiei, niiaiaiei i?aeic? (ia iath/e i?e oeueiio iiaeeeaino? ia?aa??eoe ?o i?aaii??i?noue), iiaeiai i?ae oeneii na?aaeiaeua oa ianoaaei ie?eoeny c iaaea?aeiith aeey iueiai neooaoe??th. Aa?ie ?iciia?aeae aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, iaaiaee, a?eueo aeia??eeaee, a?aee?eoee, noeeueiee ?oe ia eiii?ii?ne, i?iuaoe ? iinooiaoeny. *anoi, iaeiae, a?i i?inoi ianeaiee. Nai???aei?noue a?aeiia?aeae oai?eo ?I o ii??aiyii? c a?aeiia?aeyie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo i?ecaaee aei iaiao?aeiino? i?iaaaeaiiy oaeiae e ye?niiai aiae?co ?o ?iciia?aeae. Oaeei /eiii aaeaeiny aeyaeoe niaoeeo?/i? aeey aeaiiai eiioeiaaioo ia?niiaae?, ?aea? e aiioe?ei? noaie aa?i?a ?iciia?aeae, a oaeiae aeeoa?aioe?thaaoe ?o o a?aeiioaii? aei ??cieo eaoaai??e aeine?aeaeoaaieo. Iaaaaeaii ?o ia?ae?e: - No?aoiaenueei (iniaeeai oa?aeoa?ii aeey aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao), ai?ia aai iaaeia?ice/eeaaoeue, iiyaa ? ae?? yeeo eyeathoue aa?iy ?iciia?ae?. (Oaia caa?ice). - Iiaithaaiiy c i?eaiaeo iiaeeeai? c?aaee c aieo ae?oaeeie aai ?iaee/?a, ca yeeie e?e?oueny no?ao ia?aae naiioi?noth, a oaeiae a?ae/aeaeooi? ni?iae aa?iy ?iciia?ae? oo?eiaoe aeecueeo eiio ethaeeio a?ey naaa. (Oaia c?aaee oa naiioiino?). - Oaiaoeea oai?iae e no?aaeaeaiiy, ui ia?aaeeaathoueny aa?i?i, a?ae yeeo a?i, i?ioa, iicaaaey?oueny oeyoii iao?aaeeoe?eiiai (a?iaia?aaoeea, aeno?anaini?eea, a?iiic oiui) aai iaa?oue /oaeaniiai aai /a??aiiai coe?eaiiy. (Oaia caei?ia’y). - ?aeay nia?o?, yea i?iyaey?oueny aai a?aeaa?oi, o ciaoiaeaeaii? ia cai?iiiiiaai?e oaaeeoe? ia?oaiai o?ea, aai caaoaeueiaaii, o ?aie?eao /e aeoieao aa?i?a ?iciia?ae?, ui ai?uothoue ia?aaeeaaiiy c i?eaiaeo nia?o? aeecueei? ethaeeie. (Oaia nia?o?). I?eaa?oa? oaaao o?aa?/ia caaa?aeaiiy ?iciia?aeae oai?eo ?I, iniaeeai oeo c ieo, ui ia?aianee coieieo e?iaiia?ao. Oaea ianoaaeia oe?eeii ocaiaeaeo?oueny c /anoi cono??aaieie a ca?oa?aei?e e?oa?aoo?? aeaieie i?i i?ieiiaiaai? aeai?aneai? ?aaeoe?? oai?eo ia o??o?a?/ia ao?o/aiiy, yea cae?enith?oueny ia na?oe? (aeea., iai?., [Depression in patients undergoing cardiac surgery: A comment, 1996], [Mayon R., 1991], [Fresure-Smith N., Lesperance F., Talajic M., 1993], [Psychiatric outcome in men and women after coronary bypass surgery, 1987]). Oaa?aeaeaiiy, ca yeei iaeiioe?ai?oeie ? iaeae?aaeai?oeie neiioiiaie a ee?i?oe? ?I ? o?eaiaa ? aeai?an?y, i?aeo?eio?oueny e ieceith ?ioeo aaoi??a (aeea., iai?., [Valutazione psicologica del paziente anginoso cardiologia, 1987]. I?e oeueiio, ia aeoieo aeayeeo aeine?aeiee?a [Hackett T., Cassem N., 1978], o?eaiaei? ?aaeoe?? ia?aaaaeathoue a ia??iae aini?oae?caoe??, a aeai?aneai? - i?ney aeienee ? iiaa?iaiiy aeiaeiio ? iaoiiaeai? no?aoii iiaoi?iiai ?I, ineoieia?/iith iai?aeaioiaeai?noth aei oaeaeei? o?ce/ii? aoiiethaaiino?, iaiao?aei?noth aeio?eioaaoeny noai?iai ?aaeeio, a?aenooi?noth iino?eiiai iaaee/iiai iaaeyaeo oiui. Aeey aeine?aeaeaiiy iniaeeainoae aa/aiiy iniaeno?nieo aeeoo?aeo ia?niaeoea oa noa’?eoeaiiai ni?eeiyooy iiae?e aeaniiai aeeooy iaie aeei?enoiaoaaeanue iaoiaeeea “Ineoieia?/ia aaoia?ia?ao?y” ?.TH.Ei?aeiai?. Ca io?eiaieie c ?? aeiiiiiaith aeaieie, caaaeueia e?euee?noue ia?ae?/aieo iiae?e a on?o o?ueio a?oiao i?eaeecii iaeiaeiaa. I?ioa aeine?aeaeoaai?, ye? ia?aianee ?I, aeacoaaee aeinoia??ii iaaaaaoi iaioa iiae?e iaeaooiueiai o ii??aiyii? c aeaieie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo (t=10,45 i?e p<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa a?oie oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao; t=16,38 i?e p<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa a?oie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo; t=7,52 i?e p<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, oa a?oie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo). I?e oeueiio a?eueo?noue oaeeo iiae?e aiie ioe?ieee ye noii?. Ieoiia aaaa iiae?e ieioeiai, ui aoea ?ic?aoiaaia ye a?aeiioaiiy iieaciee?a aaae ieioeeo iiae?e aei iaeaooi?o, aeey aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, oa a?oie i?aeoe/ii caei?iaeo aeine?aeaeoaaieo neeaea i?eaeecii 0,77; 0,69 ? 0,62 a?aeiia?aeii; iaeaooiueiai – 0,23; 0,31 ? 0,38 a?aeiia?aeii. Caaaeii oai?? ?I aoee noeeuei? aaaaeaoe an? aaaeeea? iiae?? o nai?io aeeoo? cia/ieie (ioe?ithth/e ?o i?e oeueiio i'youeiia aaeaie ii 5-aaeuei?e nenoai?). Na?aaei?e /an ?ao?iniaeoe?? aeeoo?aeo iiae?e aeine?aeaeoaaieie, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, cia/oua a?ae??ciy?oueny a?ae iieaciee?a i?aeoe/ii caei?iaeo aeine?aeaeoaaieo ? aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, o a?e ca?eueoaiiy (o a?aeiioaii? ?aae?nieo iiae?e - t=5,40 i?e p<0,05 aeey a?oie oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa a?oie oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao; t=7,73 i?e p<0,05 aeey aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa i?aeoe/ii caei?iaeo aeine?aeaeoaaieo; o a?aeiioaii? noiieo iiae?e - t=8,08 i?e p<0,05 aeey aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao; t=8,9 i?e p<0,05 aeey aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa i?aeoe/ii caei?iaeo aeine?aeaeoaaieo). O ?acoeueoaoao aeine?aeaeaiiy oai?eo ?I ia?aaaaeathoue iiae?? a?ieia?/iiai oeio. I?ioa oeei aeaiei noia?a/eoue ?ioi?iaoe?y, ui aoea io?eiaia o oiae? ?iaeea?aeoaeueieo ?ioa?a'th, ye? i?iaiaeeeeny i?ney i?ioeaaeo?e oanooaaiiy. A??ia?aeiei ? i?eiouaiiy i?i oa, ui a oeueiio i?iyaeeany ae?y caoenieo iaoai?ci?a iniaenoino?, a naia aeo?niaiiy o?aaioth/eo niiaaae?a, ui iia'ycai? c aeaniith oai?iaith. Oey ianoaaeia i?aeoaa?aeaeo?oueny e oei oaeoii, ui aeine?aeaeoaai? ia aeacoaaee aeani? caoai?thaaiiy (o oiio /ene? iaa?oue ?I) ye aaaeeea? iiae?? aeeooy, i?ioa cia/ii /ano?oa a?aei?/aee oae? iiae?? ye nia?oue aaouee?a aai ae?oaeeie, oai?iae ae?oae /e ?ioeo aeecueeeo ?iaee/?a; oaeei /eiii, aeoiee i?i nia?oue i?e oeueiio i?iyaeyeeny o caaoaeueiaai?e oi?i?. A aeine?aeaeoaaieo, ye? ia?aianee ?I, ia?aaaaeaee iaaaoeai? aiioe?eii caaa?aeai? aeeoo?a? iiae?? iaae iiceoeaieie. A?eueo?noue aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao (83 %), o yeino? aaaeeeai? iaeaooiuei? iiae?? aeacoaaee aeanio nia?oue (o a?oi? aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, oey e?euee?noue neeaaea? 41 %, a o a?oi? i?aeoe/ii caei?iaeo aeine?aeaeoaaieo – 25 %). Oaeei /eiii, ca aeaieie iaoiaeeee “Ineoieia?/ia aaoia?ia?ao?y”, ia?aianaiee aeine?aeaeoaaieie ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao i?ecaiaeeoue aei ae?aaeaieo iniaeno?nieo ci?i, ye? i?iyaeythoueny o ianei?noe/iiio noaaeaii? aei aeeooy, cina?aaeaeaiino? aeoiie ia iiae?yo ieioeiai, iaaaoeaiiio caaa?aeaii? ia o?eueee ieioeeo, a e iaeaooi?o iiae?e. I?eaa?oa? oaaao a?eueo na?eicia, i?ae o a?eueoino? ethaeae, noaaeaiiy aei iaa?oue iacia/oueo iiae?e aeaniiai aeeooy, noeeuei?noue aei ?o o?eaaeiai oa aie?niiai ia?aaeeaaiiy. Iniaeeaino? noaaeaiiy oai?eo ?I aei oai?iae aoei aeine?aeaeaia ca aeiiiiiaith iieooaaeueieea EIAE. Oae aeai? oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, a?ae??ciythoueny a?ae oaeeo oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, ca iieacieeaie oeaee naineoeaiino? (t=5,5 i?e ?<0,05). A?oi? aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, i?eoaiaii? oaeiae ?ene ia?aiieyeueiiai oeio noaaeaiiy aei oai?iae (t=4,81 i?e ?<0,05 o ii??aiyi? c a?oiith aeine?aeaeoaaieo, ye? ia?aianee aino?ee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao). I?ae aeine?aeaeoaaieie oeeo aeaio a?oi ?niothoue e cia/ou? ?ic??ciaiiy ii o?eaiaeiiio oeio (t=3,94 i?e ?<0,05) o a?e ca?eueoaiiy oeeo iieaciee?a a aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao; ca?eueoaiiy a oaeeo aeine?aeaeoaaieo iieaciee?a ii o?eaiaeiiio oeio noaaeaiiy aei oai?iae caaaeaee noi?iaiaeaeoaaeiny oaeei e ii naineoeaiiio oeio. Aeyaeaii cia/oua cieaeaiiy iieaciee?a (t=1,92 i?e ?<0,05) ii a?aiiaoe/iiio oeio noaaeaiiy aei oai?iae a aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, o ii??aiyii? c aeine?aeaeoaaieie, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao. Aeuaiaaaaeai? aeai? i?aaenoaaeai? o ae?aa?ai? 2. Oaeei /eiii, ia i?aenoaa? i?iaaaeaiiy ineoiae?aaiinoe/iiai aeine?aeaeaiiy ?iaeea?aeoaeueii-ineoieia?/ieo iniaeeainoae oa iniaeeainoae noaaeaiiy aei oai?iae a in?a, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, iiaeia c?iaeoe aeniiaie i?i ci?ithaaiiy iniaenoino? i?ae aieeaii oyaeei? oai?iae o a?e ca?eueoaiiy ??aiy o?eaiaeiino?, c?inoaiiy ianei?cio o noaaeaii? aei aeanieo aeeoo?aeo ia?niaeoea, ?icaeoeo oaiaoioia??. Iai?yiie c?inoaiiy oaeeo ineoiiaoieia?/ieo iniaeno?nieo ci?i ca?aa?oueny c iai?yieii ia?inoaiiy i??e ae?aaeaiino? niiaoe/iiai aeaoaeoo (o iaoiio aeiaaeeo aea??ea i?aeoe/ii caei?iaeo aeine?aeaeoaaieo – aea??ea oai?eo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, - aea??ea oai?eo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao). 2. Aeine?aeaeaiiy iniaeeainoae i?aeiniaeno?nii? eiioi?eaoe?? oa iiaaae?iee. Oea caaaeaiiy aoei cae?eniaii ca aeiiiiiaith aeaio iaoiaeee. I?e aeei?enoaii? oanoo O.E??? aoei io?eiaii oae? ?acoeueoaoe: “ss”-aeooaeueia: O a?oi? aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, niinoa??aaeiny /?oea ca?eueoaiiy iieaciee?a ii ??? (7,28+1,45), IV (7,59+1,41), V (8,91+1,48) oa V? (9,03+1,51) ieoaioai (i?yiie?i?eiee-aa?aneaiee, iaaeia??eeaee-neaioe/iee, iie??iee-ni?ii’yceeaee oa caeaaeiee-neooiyiee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii). Aeai? aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, cia/oua a?ae??ciyeeny a?ae aeaieo aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, ca?eueoaiiyi iieaciee?a ? (t=5,93 i?e ?<0,05) oa ?? (t=6,34 i?e ?<0,05) ieoaio?a (aeaniee-e?aee?oth/ee oa iacaeaaeiee-aeii?ioth/ee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii); a?ae aeaieo i?aeoe/ii caei?iaeo aeine?aeaeoaaieo oe? aeai? a?ae??ciyeeny cia/ouei cieaeaiiyi iieaciee?a ?-??? (t=4,67 i?e ?<0,05; t=5,67 i?e ?<0,05 oa t=3,51 i?e ?<0,05 a?aeiia?aeii) ieoaio?a (aeaniee-e?aee?oth/ee, iacaeaaeiee-aeii?ioth/ee oa i?yiie?i?eiee-aa?aneaiee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii), V-VI (t=6,10 i?e ?<0,05 oa t=5,12 i?e ?<0,05 a?aeiia?aeii) ieoaio?a (iie??iee-ni?ii’yceeaee oa caeaaeiee-neooiyiee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii), a oaeiae VIII (t=2,44 i?e ?<0,05) ieoaioo (a?aeiia?aeaeueiee-aaeeeiaeooiee aa??aio i?aeiniaeno?nieo aca?iia?aeiioaiue) i?e cia/oua ca?eueoaieo (t=1,91 i?e ?<0,05) iieacieeao IV ieoaioo (iaaeia??eeaee-neaioe/iee aa??aio i?aeiniaeno?nieo aca?iia?aeiioaiue). Iaaaaeai? aeai? i?aaenoaaeai? o ae?aa?ai? 3. Ae?aa?aia 3 Ae?aa?aia 4 “ss”-?aeaaeueia: Iaei i?noea cia/oua ca?eueoaiiy iieaciee?a aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, o ii??aiyii? c i?aeoe/ii caei?iaeie aeine?aeaeoaaieie ii ? (t=5,04 i?e ?<0,05), ?? (t=6,48 i?e ?<0,05), ??? (t=4,04 i?e ?<0,05) oa ?V (t=4,79 i?e ?<0,05) ieoaioai (aeaniee-e?aee?oth/ee, iacaeaaeiee-aeii?ioth/ee, i?yiie?i?eiee-aa?aneaiee oa iaaeia??eeaee-neaioe/iee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii); iieacieee V-VIII ieoaio?a (iie??iee-ni?ii’yceeaee, caeaaeiee-neooiyiee, aca?iiae?th/ee-eiiaaioe?aeueiee oa a?aeiia?aeaeueii-aaeeeiaeooiee aa??aioe i?aeiniaeno?nieo aca?iia?aeiioaiue a?aeiia?aeii) aeyaeeeny cia/oua cieaeaieie (t=5,25 i?e ?<0,05; t=5,73 i?e ?<0,05; t=10,03 i?e ?<0,05 oa t=6,33 i?e ?<0,05 a?aeiia?aeii). Aeai? aeine?aeaeoaaieo, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao, ii a?eueoino? ieoaio?a aeyaeeeny i?ii?aeieie i?ae aeaieie aeine?aeaeoaaieo, ye? ia?aianee ?I ?c coieieith e?iaiia?ao oa aea??eith i?aeoe/ii caei?iaeo aeine?aeaeoaaieo (aeea. ae?aa?aio 4). Oaeei /eiii, aa/eii aeineoue cia/oua ?ic??ciaiiy i?ae "ss"-aeooaeueiei oa "ss"-?aeaaeueiei aeine?aeaeoaaieo, ye? ia?aianee ?I. Onoiaiiy oaeiai ?ic?eao ?, ia iaoo aeoieo, iaei??th c ia?aaeoiia oni?oo iino?aaa?e?oaoe?eii? ?iaioe c oaeith eaoaai???th oai?eo, ine?eueee oaea ??cea i?ioeeaaei?noue i?ae aeaiia aieaie aeaniiai “ss” iiaea naia ii nia?, ia aeoieo ?.Iaee? [Iaeee ?., 1975], noaoe aeaea?aeii na?eicieo o?oaeiiu?a o nioe?aeueiiio ooieoe?iioaaii? ?iaeea?aea. A.O?aaoa [Trehub A., 1959] iiae?aio ineoieia?/io ea?oeio ?ai?oa iienaa ye “aai-aeec’thieoe?th”, aai ?ic?ea “ss”. Iniaeeaino? iiaaae?ieiaiai oeio aoei aeyaeaii ca aeiiiiiaith iaoiaeeee ae?aaiinoeee no?an-ei?iia?iiai oeio. Oae aoei ae?aaiinoiaaii, ui ia?aaaaeia a?eueo?noue aeine?aeaeoaaieo, ye? ia?aianee ?I, iaeaaeaoue aei iiaaae?ieiaiai oeio “A”, ui ia ia?oee iiaeyae noia?a/eoue o?aaeeoe?eiei e?oa?aoo?iei aeaiei. Iiyniaiiy oeueiio oaeoo ie aa/eii o o?e ianoaaei?, ui aeei?enoiaoaaia iaie aieaoa noai?thaaeany ?? aaoi?aie aeey ae?aaiinoeee ianaiia?aae caei?iaeo in?a c iaoith aecia/aiiy i??e ?eceeo ia i?aaeiao caoai?thaaiiy ia ei?iia?i? oai?iae. Aea oie eiioeiaaio, ui oanooaaany o oiae? iaoi? ?iaioe aaea ia?ai?n aino?ee ?I (iiaa, c?icoi?ei, ia eaea i?i a?oio i?aeoe/ii caei?iaeo aeine?aeaeoaaieo). Ine?eueee iiaaae?iea ca oeiii “A” oa?aeoa?eco?oueny oaeeie ?enaie, ye ae?acia ono?aie?iiy aei aeinyaiaiue, iaaecaoiieai?noue, a?ia?aeoeai?noue oiui, aiii noaei iaiiaeeeaei aeey aeine?aeaeoaaieo, ye? ia?aianee ?I (iniaeeai ?c coieieith e?iaiia?ao!) o ca’yceo c ae?aaeaieie neiioiiaie na?oeaai? iaaeinoaoiino? (oao?ea?ae?y, caa?oaeeiiee a?eue oiui), ??ceei iia??oaiiyi caaaeueiiai o?ce/iiai noaio oa aino?ei ia?aaeeaaiiyi a?ae/oooy no?aoo ca nai? aeeooy. Oai??, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, a?ae/oaathoue ae?aaeaio aioo??oith o?eaiaei?noue o ca’yceo c iiaeeea?noth iia??oaiiy naiai niiaoe/iiai noaoono, a oiio aiie ia iiaeooue ia ooeaoe (na?aeiii /e /ano?oa iana?aeiii) cania?a ?? ciyooy. Iaeiei c oaeeo cania?a ?, ia aeoieo E.Oi?i? [Oi?i? E., 1993], ?aoaeueia oieeaiiy an?o neooaoe?e, ye? iiaeooue ni?iaieoaaoe oeth o?eaiao. Io?eiai? ?acoeueoaoe i?aaenoaaeai? o ae?aa?ai? 5. Ae?aa?aia 5 3. Oe?e?niee neioac ?acoeueoao?a, io?eiaieo ca aeiiiiiaith iaoiaeee, ui aeei?enoiaoaaeenue. Aoei anoaiiaeaii, ui oai?ei, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, i?eoaiaii? oae? iniaeno?ni? ?ene, ye i?aeaeuaia o?eaiaei?noue, noeeuei?noue aino?i ?aaaoaaoe ia o? neooaoe??, eio?? ?io? ethaee aaaaeathoue iacia/ieie, ?ea?aei?noue a onoaiiaeao oa a?aeiioaiiyo, oo?oaeiaia aaeaioaoe?y aei iiaeo aeeoo?aeo oiia; i?e oeueiio ?o a?ae??ciy? aeinoaoiuei aenieee ??aaiue aeiiaaaiue ? oaiaeaioe?y aei noia?ieoeoaa oa aeiaaaeaiiy ca aoaeue-yeo oe?io aeanieo aeiaiaoe/ieo i?eioeei?a. Oae? oai?? aaaaeathoue iaoyaeeeaeie aeey naaa aeani? i?aeiniaeno?ni? eiioe?eoe, e oiio ia na?aeiiiio ??ai? iaiaaathoueny a ?aeaae? aooe ae?oaei?ie ? eiia?oaioieie o a?aeiioaiiyo c ioi/oth/eie. I?ioa o ae?eniino? a aaaaoueio aeiaaeeao oe? ni?iae iieiythoueny ia?ieie. Ia i?aenoaa? aan?ae-?ioa?a'th, ui i?iaiaeeeeny c eiaeiei aeine?aeaeoaaiei, iiaeia oaeiae aeiaeaoe, ui cia/io /anoeio a iniaenoino? oaeeo oai?eo iaaoaathoue ?ene aeao?oeeoa?iiai oa?aeoa?o. Na?aae oaeeo ?en ia ia?oa i?noea aenooiathoue ni?iuaiiy iniaeno?nii? no?oeoo?e, iaaia ?aa?an?y, iiaeeea?noue ?iceaae?a eiai?oeaieo ooieoe?e. ??aaiue ae?aaeaiino? oaeeo ?iceaae?a iiaea aa??thaaoe a?ae eaaeaa iii?oieo aei cia/ieo. Oea aea? i?aenoaae aeey iinooethaaoe iayai?noue ia o?eueee e?euee?nieo, a e ye?nieo ?ic??ciaiue i?ae aeine?aeaeoaaieie, ye? ia?aianee ?I ?c coieieith e?iaiia?ao, oa aeine?aeaeoaaieie, ye? ia?aianee ?I, ui ia aoa oneeaaeiaiee coieieith e?iaiia?ao. 4. ?ic?iaea ineoieia?/ieo ?aeiiaiaeaoe?e uiaei i?aeo?eioth/i? ?aaa?e?oaoe?? oa caoiae?a c aoi?eiii? i?io?eaeoeee oai?iae a in?a, ye? ia?aianee ?ioa?eo i?iea?aeo. Aeuacaaaeai? aeai? a?aoiaoaaeenue i?e i?iaaaeaii? cono??/ae c ineoiei?aeoe?eiith a?oiith, ui neeaaeaeany c oai?eo ?I (ye oaeeo, ui ia?aianee coieieo e?iaiia?ao, oae e oaeeo, ui ?? ia ia?aiineee). Iniiaiee aeoeaio o oe?e ?iaio? aoei c?iaeaii ia aeei?enoaii? ?iciiaii? oa?ai??, ui aeeth/aea a naaa oae? iaoiaeeee: ?aoe?iiaeueia ineoioa?ai?y, ?aeaenaoe?ei? oaoi?ee, oaoi?ee iiaoaeiae aeeoo?aeo ia?niaeoea oa ciaoiaeaeaiiy oe?iiinoae ?nioaaiiy, iaoiaeeee ae??oaiiy i?iaeai, a?oiiaa aiiaoe/ia i?aeo?eiea oiui. O oiae? ?iaioe aaeeeo oaaao aoei i?eae?eaii aaciaoe? i?iaaaeaiiy caiyoue, i?io?eaeoeoe? aeieeiaiiy ae?aaeaieo aiioe?eieo ?aaeoe?e a o/aniee?a a?oie. Ineoiei?aeoe?eia ?iaioa a oeueiio aeiaaeeo ia iiaeiia oi?eaoeny oaie oeaio?aeueiiai eiioe?eoo iniaenoino? oai?iai (oiaoi i?iaeaie nia?o?), a, ?aaeoa, iaa?oaoeny iaaeiei eiai ae?oai?yaeieo eiioe?eo?a, ui iaeiae, iathoue iaaia aoeiiaoiaaiaoe/ia iaaaioaaeaiiy o ?icaeoeo oai?iae. I?ioyaii ?iaioe a?oie a aeine?aeaeoaaieo iaei i?noea iinooiiaa cieaeaiiy ??aiy o?eaiaeiino? (ui aei??thaaeinue o ia?oee ? inoaii?e aei? ca aeiiiiiaith oeaee *.Ni?eaa?aa?a). Oea aea? i?aenoaae i?iiiioaaoe ai?iaiaaio iaie iaoiaeeeo ineoiei?aeoe?eieo aieea?a aeey iiaeaeueoiai aeine?aeaeaiiy. O caeeth/aii? aeena?oaoe?? i?aeaeoi i?aenoiee oai?aoe/iiai ? aenia?eiaioaeueiiai aeine?aeaeaiiy oa ia ?o i?aenoaa? c?iaeaii oae? AENIIAEE: 1. Oai??, ye? ia?aianee ?ioa?eo i?iea?aea, oneeaaeiaiee coieieith e?iaiia?ao, oa?aeoa?ecothoueny no?eeeie iniaeno?nieie ci?iaie o aeaeyae? oi?ioaaiiy ?en o?eaiaeiiai, aeai?aneaiiai oa o?eaiaeii-aeai?aneaiiai ineoiiaoieia?/ieo neiioiiieiiieaen?a, ui oo?oaeith? ?o nioe?aeueii-ineoieia?/io aaeaioaoe?th. 2. Oaaoeith o?eaiae a oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, ? no?ao nia?o?. Aieiai? aeeoo?a? iio?aae a oaeeo oai?eo ? o?ono?iaaieie, ui ciaoiaeeoue nai? a?aeia?aaeaiiy o n?iaeieo eiioe?eoao, ?aaiiuao oa i?aeic??eino? o a?aeiioaii? aei ioi/oth/eo. 3. O oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, niinoa??aa?oueny caoaeaiiy iniaeno?nieo aeeoo?aeo ia?niaeoea, ianei?ci a ioe?ithaaii? ieioeeo oa iaeaooi?o iiae?e aeaniiai aeeooy. 4. Aeey oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, iaea?eueo oa?aeoa?ieie ? aeacaaeaioeai? oi?ie ?aaaoaaiiy ia aeania caoai?thaaiiy. Oea ciaoiaeeoue nai? ae?aaeaiiy o iino?eiiio iaiiei?ii? ? iiaithaaii? uiaei iani?eyoeeaiai ia?aa?ao oai?iae oa iiaeeeaeo ?? oneeaaeiaiue, iaaoaeoeaiino? aai iaa?oue iaaacia/iino? e?eoaaiiy, oyae?iiy aei iiooeo iiaeo e iaa?oue iao?aaeeoe?eieo cania?a ? oi?i oa?ai??, iaaeia??? o noaaeaii? aei iaaeia?niiaeo. 5. Iniaeea?noth eiioi?eaoe?? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, ? cieaeaiiy iiieiioi?i?nonueeeo, aeec’thieoeaieo oaiaeaioe?e o nai?e nioe?aeuei?e iiaaae?ioe?, a?aeiiaa a?ae eiioe?eoiino?. ?aeeiee aeiyoie i?e oeueiio neeaaea? ?o noeeuei?noue aei i?aeic??ei-neaioe/iiai aa??aioo i?aeiniaeno?nieo a?aeiioaiue. A?aei?/a?oueny oaeiae ??cea i?ioeeaaei?noue i?ae “ss”-aeooaeueiei oa “ss”-?aeaaeueiei oaeeo ?iaeea?ae?a, ui naii ii nia? iiaea aooe nooo?aith ia?aoeiaeith i?e i?iaaaeaii? ineoiei?aeoe?eieo aieea?a. 6. A in?a, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, ci?ith?oueny oei iiaaae?iee. A?ia?aeoeai?noue, ae?aaeaia ono?aie?iiy aei oni?oo ca aoaeue-yeo oe?io, ia?aioe?iea aeanieo iiaeeeainoae, aa?aneai?noue o i?aeiniaeno?nieo eiioaeoao iinooia?oueny i?noeai a?aeiia? a?ae ciaaaiiy, ianeaiino? oa eiioi?i?cio. 7. Cae?eniaiiy ineoiei?aeoe?eieo aieea?a ia oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao, iiaeiii iaoe ca iaoo cieaeaiiy iniaeno?nii? o?eaiaeiino?, ?ic?iaeo aa??aio?a ae??oaiiy n?iaeieo i?iaeai, iiaoaeiao aeeoo?aeo ia?niaeoea, ciaoiaeaeaiiy oe?iiinoae ?nioaaiiy, naiiaiae?c oa io?eiaiiy aiiaoe/ii? a?oiiai? i?aeo?eiee. ?ino?oiaioii aeey oeueiai aenooia? oe?e?niee nieaa iaoiaeee c a?naiaeo ?aoe?iiaeueii? oa aoiai?noe/ii? ineoioa?ai??, ??ciiiai?oi? ?aeaenaoe?ei? oaoi?ee. Iniiaiee ci?no aeena?oaoe?? aeeeaaeaii o oaeeo IOAE?EAOe?ssO: 1. E?aei?eia A.A. Ineoieia?/i? aeine?aeaeaiiy iniaenoino? oai?eo ia ineoiniiaoice o no/ani?e ineoiniiaoeoe? // A?niee Ee?anueeiai oi?aa?neoaoo: Nioe?ieia?y. Ineoieia?y. Iaaeaaia?ea. - E.: 1996, aei. 2. – N. 123-127. 2. E?aei?eia A.A. Ineoieia?/i? iniaeeaino? oai?eo ia ?oai?th // A?niee Ee?anueeiai oi?aa?neoaoo: Nioe?ieia?y. Ineoieia?y. Iaaeaaia?ea. – E.: 1997, aei. 4. – N. 163-168. 3. E?aei?eia A.A. Aeina?ae ineoieia?/ii? ae?aaiinoeee ca aeiiiiiaith iaoiaeeee OAO iniaeeainoae iniaenoino? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aeo c coieieith e?iaiia?ao (noai ee?i?/ii? nia?o?) // ?ioi?iaoe?eiee a?niee Aeaaeai?? aeui? oeiee Oe?a?ie. – E.: 1998, ? 18. - N. 44-51. 4. E?aei?eia A.A. Iniaeeaino? ia?aaeeaaiue oai?eo, ui ia?aianee noai ee?i?/ii? nia?o? (?ioa?eo i?iea?aea) // I?aeoe/ia ineoieia?y oa nioe?aeueia ?iaioa. – E.: 1999, ? 2. – N. 42-44. AIIOAOe?ss E?aei?eia A.A. Iniaeno?ni? iniaeeaino? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aea ?c coieieith e?iaiia?ao. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa ineoieia?/ieo iaoe ca niaoe?aeuei?noth 19.00.04 - iaaee/ia ineoieia?y. - Ee?anueeee oi?aa?neoao ?iai? Oa?ana Oaa/aiea. – Ee?a, 1999. ?icaeyaeathoueny ineoieia?/i? oa?aeoa?enoeee oai?eo, ye? ia?aianee noai ee?i?/ii? nia?o?. Ca aeiiiiiaith aaoa?a? c 6 ineoiae?aaiinoe/ieo iaoiaeee aoei aeine?aeaeaii o?e aenia?eiaioaeuei? a?oie (oai??, ye? ia?aianee ?ioa?eo i?iea?aeo c coieieith e?iaiia?ao; oai??, ye? ia?aianee aino?ee ?ioa?eo i?iea?aeo, ia oneeaaeiaiee coieieith e?iaiia?ao; i?aeoe/ii caei?ia? aeine?aeaeoaai?). Caaaeueia e?euee?noue aeine?aeaeoaaieo neeaea 90 in?a. Ia i?aenoaa? i?iaaaeaiiai aeine?aeaeaiiy i?iaiae?ciaaii iniaeno?ni? iniaeeaino? oai?eo, ye? ia?aianee ?ioa?eo i?iea?aeo c coieieith e?iaiia?ao, c?iaeaii ?aeiiaiaeaoe?? uiaei iino?aaa?e?oaoe?eieo caoiae?a oa caoiae?a c aoi?eiii? i?io?eaeoeee oai?iae aeey oe??? eaoaai??? ?iaeea?ae?a. Eeth/ia? neiaa: niiaoiineo?/i? aca?iia?aeiioaiiy, ?ioa?eo i?iea?aea, ee?i?/ia nia?oue, iino?aaa?e?oaoe?ei? caoiaee. AIIIOAOeEss E?aeieeia Y.A. Ee/iinoiua iniaaiiinoe aieueiuo, ia?ai?noeo eioa?eo ieiea?aea n inoaiiaeie e?iaiia?auaiey. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa ineoieiae/aneeo iaoe ii niaoeeaeueiinoe 19.00.04 - iaaeeoeeineay ineoieiaey. - Eeaaneee oieaa?neoao eiaie Oa?ana Oaa/aiei. - Eeaa, 1999. ?anniao?eaathony ee/iinoiua iniaaiiinoe aieueiuo, ia?ai?noeo ninoiyiea eeeie/aneie nia?oe. I?aaeiaoii enneaaeiaaiey aunooieee iniiaiua ineoieiae/aneea caeiiiia?iinoe e oneiaey oi?ie?iaaiey ee/iinoiuo eciaiaiee o aieueiuo, ia?ai?noeo eioa?eo ieiea?aea n inoaiiaeie e?iaiia?auaiey. Auee enneaaeiaaiu o?e yenia?eiaioaeueiua a?oiiu: aieueiua, ia?ai?noea eioa?eo ieiea?aea n inoaiiaeie e?iaiia?auaiey (1); aieueiua, ia?ai?noea ino?ue eioa?eo ieiea?aea, ia ineiaei?iiue inoaiiaeie e?iaiia?auaiey (2); i?aeoe/anee caei?iaua eniuooaiua (3). Eaaeaeay ec enneaaeiaaiiuo a?oii ian/eouaaea 30 eniuooaiuo; ana a?oiiu auee o?aaiaiu iaaeaeo niaie ii iieacaoaeyi iiea, aic?anoa e ia?aciaaiey. I?e enneaaeiaaiee i?eiaiyeanue niaoeeaeueii ninoaaeaiiay aeey yoeo oeaeae aaoa?ay ineoiaeeaaiinoe/aneeo oanoia, aeeth/athuay neaaeothuee eino?oiaioa?ee: oano-ii?iniee A.Oieoaea (1); iaoiaeeea OAO (2); iaoiaeeea “Ineoieiae/aneay aaoiaeia?aoey” A.TH.Ei?aeiaie (3); ii?iniee EIAE (4); oano O.Ee?e (5);. iaoiaeeea ii?aaeaeaiey no?ann-ei?iia?iiai i?ioeey (6). Aeinoiaa?iinoue ?acee/ee iaaeaeo aeaiiuie yenia?eiaioaeueiuo a?oii i?iaa?yeanue ii iaoiaeeea t-e?eoa?ey Nouethaeaioa. Ia iniiaaiee ?acoeueoaoia enneaaeiaaiey o??o a?oii eniuooaiuo auee iienaiu aaaeouea ee/iinoiua eciaiaiey a a?oiia aieueiuo, ia?ai?noeo eioa?eo ieiea?aea n inoaiiaeie e?iaiia?auaiey, /oi aeaei aiciiaeiinoue auyaeoue e i?iaiaeece?iaaoue aicaeaenoaea oaeoi?a “ia?aianaiea ninoiyiey eeeie/aneie nia?oe” ia eo ee/iinoue. Iiaeiaiia aicaeaenoaea i?iyaeyaony a iiauoaiiie o?aaiaeiinoe, neeiiiinoe ino?i ?aaae?iaaoue ia oa neooaoeee, eioi?ua ae?oaeie ethaeueie n/eoathony iacia/eiuie, ?eaeaeiinoe a onoaiiaeao e ioiioaieyo, cao?oaei?iiie aaeaioaoeee e iiaui aeeciaiiui oneiaeyi. I?e yoii oaeeo aieueiuo ioee/aao aeinoaoi/ii aunieee o?iaaiue i?eoycaiee e oaiaeaioeey e niia?ie/anoao e aeieacuaaieth ethaie oeaiie nianoaaiiuo aeiaiaoe/iuo i?eioeeiia. Aieueiua oyaioyony naieie iaaeee/iinoiuie eiioeeeoaie, e ia niciaoaeueiii o?iaia no?aiyony a eaeaaea auoue ae?oaeaethaiuie e eiia?oyioiuie a ioiioaieyo n ie?oaeathueie. Ia?auaao ia naay aieiaiea iaee/ea a ee/iinoe yoeo eniuooaiuo ii?aaeae?iiuo aeaoeoeeoa?iuo /a?o. N?aaee ieo ia ia?aia ianoi aunooiatho iaeioi?ay ?aa?anney e ?acee/iie au?aaeaiiinoe eiaieoeaiua ?anno?ienoaa. O?iaaiue au?aaeaiiinoe oaeeo ?anno?ienoa iiaeao aa?uee?iaaoue io aaeaa caiaoiuo aei cia/eoaeueiuo. O/eouaay auoaneacaiiia, iaiaoiaeeii aiai?eoue ia oieueei i eiee/anoaaiiuo, ii e i ea/anoaaiiuo ?acee/eyo iaaeaeo aieueiuie, ia?ai?noeie eioa?eo ieiea?aea n inoaiiaeie e?iaiia?auaiey, e aieueiuie, ia?ai?noeie eioa?eo ieiea?aea, ia ineiaei?iiue oaeiaie. A caeeth/eoaeueiie /anoe ?aaiou ia iniiaaiee iiuoa i?iaaaeaiey ano?a/ a ineoioa?aiaaoe/aneie a?oiia, ninoiyuae ec aieueiuo, ia?ai?noeo eioa?eo ieiea?aea (eae ineiaei?iiue ninoiyieai eeeie/aneie nia?oe, oae e ia ineiaei?iiue oaeiaie), aeaeathony i?aaeiieiaeaiey, eanathueany niaoeeoeee iiaeaea?aeeaathuae ?aaaeeeoaoeee e ia?ii?eyoee ii aoi?e/iie i?ioeeaeoeea aieacie aeey yoeo eaoaai?ee eiaeeaeaeia. Nouiinoue oaeeo ?aeiiaiaeaoeee caeeth/aaony a iaiaoiaeeiinoe eiiieaeniiai iiaeoiaea e i?iaaaeaieth ineoiei??aeoeeiiiiai aicaeaenoaey, eioi?ia au aeeth/aei a naay iaoiaeeee ?aoeeiiaeueiie e aoiaienoe/aneie ineoioa?aiee, ?aciiia?aciua ?aeaenaoeeiiiua oaoieee. Iniiaiie oeaeueth inouanoaeaiey ineoiei??aeoeeiiiuo aicaeaenoaee ia aeaiioth eaoaai?eth aieueiuo yaeyaony nieaeaiea ee/iinoiie o?aaiaeiinoe, ?aoaiea naiaeiuo i?iaeai, iino?iaiea aeeciaiiuo ia?niaeoea e iaoiaeaeaiea oeaiiinoae nouanoaiaaiey. Eeth/aaua neiaa: niiaoiineoe/aneea acaeiiioiioaiey, eioa?eo ieiea?aea, eeeie/aneay nia?oue, iino?aaaeeeoaoeeiiiua ia?ii?eyoey. SUMMARY Krainikov Eduard. Personality traits of the patients who had suffered from myocardial infarction with blood circulation pause. – Manuscript. Dissertation on searching of candidate of psychological sciences scientific degree in speciality 19.00.04 – medical psychology. Kiev Taras Shevchenko University. – Kiev, 1999. Psychological characteristics of the patients who had suffered from clinical death are considered. Three experimental groups (patients who had suffered from heart attack with blood circulation pause; patients who had suffered from acute myocardial infarction; practically healthy subjects) have been examined by the complex of 6 psychodiagnostical methodics. Total amount of interviewed persons is 90. On basis of the research the differential characteristics of the selected group of testees and the recommendations upon the post-rehabilitation measures for individuals of this category have been given. Key words: soma-psycho relationships, myocardial infarction, clinical death, post-rehabilitation measures.

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