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Особистісні особливості хворих, які перенесли інфаркт міокарда із зупинкою кровообігу: Автореф. дис… канд. психол. наук / Е.В. Крайніков, Київ. ун-т

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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
?

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