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

?AAII-O?AIE?ANUeEA AeA?AEAAIA IAAeE*IA AEAAeAI?ss

Aioiithe-Uaaeiaa ?aaiia Aiaoie??aia

OAeE 616.132-008.64-08-053.9:612.178.4:612.67

INIAEEAINO? ?AAEOe?? NA?OeAAI-NOAeEIII? NENOAIE I?E AeICIAAIIIO
INEOIAIIOe?EIIIO NO?ANI?IIIO IAAAIOAAEAII? O CAeI?IAEO ? OAI?EO IA ?ON
IIOEEIAI A?EO ? OEssOE ?? EI?AEOe??

14.01.02 – Aioo??oi? oai?iae

AAOI?AOA?AO AeENA?OAOe??

IA CAeIAOOOss IAOEIAIAI NOOIAIss

EAIAeEAeAOA IAAeE*IEO IAOE

?AAII-O?AIE?ANUeE, 1998

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? aa?iioieia?? Aeaaeai?? Iaaee/ieo Iaoe
Oe?a?ie.

Iaoeiaee ea??aiee:

Aeaaeai?e AII Oe?a?ie, /eai-ei?. IAI Oe?a?ie ? AII
?in??, aeieoi? iaaee/ieo iaoe, i?ioani? Ei?eooei Ieaa
Aaneeueiae/, ?inoeooo aa?iioieia?? AII Oe?a?ie, ea??aiee a?aeae?eo
ee?i?/ii? o?c?ieia?? ? iaoieia?? aioo??oi?o i?aai?a

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Aeaa? Iao?i
Aaneeueiae/, ?aaii-O?aie?anueea aea?aeaaia iaaee/ia aeaaeai?y, i?ioani?
eaoaae?e oa?ai?? oaeoeueoaoo i?neyaeeieiiii? ina?oe

aeieoi? iaaee/ieo iaoe, i?ioani? ?oaeee Ai?en
?aaiiae/, Oa?iii?euenueea iaaee/ia aeaaeai?y ?i. ?.ss. Ai?aa/aanueeiai,
i?ioani? eaoaae?e oa?ai?? oaeoeueoaoo i?neyaeeieiiii? ina?oe

I?ia?aeia onoaiiaa:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i.
I.E.Ooieea IIC Oe?a?ie, eaoaae?a oa?ai?? oa n?iaeii? iaaeeoeeie, i. Ee?a

Caoeno a?aeaoaeaoueny “ 28 “ a?oaeiy 1998 ?. i 11 aiaeei?
ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 20.601.01
?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai?? (284000, i.
?aaii-O?aie?anuee, aoe. Aaeeoeueea, 2)

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe?
?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai?? ( 284000, i.
?aaii-O?aie?anuee, aoe. Aaeeoeueea, 7)

Aaoi?aoa?ao ?ic?neaiee “ 25 “ eenoiiaaea 1998 ?ieo

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe, i?ioani?
I?ei/ae I.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue ?iaioe

Ao?oeeaee iaoeiai-oaoi?/iee i?ia?an, o?aai?caoe?y, iino?eia c?inoaiiy
iio?aa noai?eee oiiae, ni?eyoeea? cia/iiio c?inoaiith aiioe?eii?
iai?oaeaiino?, oiaoi aiioe?eiiai no?ano.

Aiioe?ei? no?ane oi?iothoueny a i?ioean? eiioe?eoieo neooaoe?e, eiee
noa’?eo ia caeaoiee niie?eii caaeiaieueieoe nai? aeii?iaioi? a?ieia?/i?
aai nioe?aeuei? iio?aae [ O. A. Aeaacyi, 1991, E. A. Noaeaeia, 1995].

?acoeueoaoii aino?iai oa o?ii?/iiai aiioe?eiiai no?ano iiaeooue aooe
??ciiiai?oi? ii?ooaiiy aeui? ia?aiai? ae?yeueiino? oa aaaaoi oae caaieo
ineoiniiaoe/ieo caoai?thaaiue (aaaaoi-noaeeiia aeenoii?y, a?ia?oii?/ia
oai?iaa, ?oai?/ia oai?iaa na?oey, a?eoi??, ae?aceiaa oai?iaa, oeoe?iaee
ae?aaao oa ?io?) [I.A Aa/a??eia, 1995], ine?eueee aiioe?eiino?aniaee
noai noi?iaiaeaeo?oueny iaeii/anieie aeeaieeie c?ooaiiyie a aaaaoueio
o?c?ieia?/ieo nenoaiao (e?iaiia?a, aia?ao o?aaeaiiy, iae?i-aiaeie?eii?
c?ooaiiy ? o. ae.).

A no/anieo oiiaao ca?eueoo?oueny cia/ei?noue ineoiaiioe?eiiai no?ano ye
naiino?eiiai /eiieea ?eceeo ?icaeoeo iaoieia?? na?oeaai-noaeeiii?
nenoaie (aoa?ineea?ico, ?oai?/ii? oai?iae na?oey, a?oa??aeueii?
a?ia?oaic??) [I.N. Eii?ia, 1996; A. A. Neaei?aiei, 1988; ?. ?.
Nieieia, 1991; D. C. Greenwood et al., 1996; D. Lee, 1996].

O?aaeaiiy na?oeaai-noaeeiii? nenoaie, cie?aia aino?ee ?ioa?eo i?iea?aea,
ui aeieea? aiane?aeie ?oai?/ii? oai?iae, ? i?e/eiith a?eueoa 50% an?o
aeiaaee?a nia?o?. Anoaiiaeaii, ui oe? o?aaeaiiy coiiaeai?, aieiaiei
/eiii, iani?eyoeeaeie aeey ethaeeie oi?iaie aiioe?eiiai iaaaioaaeaiiy
[E.A.Eeoaaa-Niee,1983; I.N. Eii?ia, 1996].

A oie aea /an ee?i?/i? niinoa?aaeaiy na?ae/aoue i?i i?aeaeuaiiy
/ooeeaino? e?oi?o ethaeae aei ineoiaaiieo /eiiee?a [I.A. Ei?eooei, 1993;
A.A. O?ieuee?n, 1991 ], ia aenieiio ??ai? caeeoa?oueny /anoioa aino?eo
ii?ooaiue ei?iia?iiai oa iiceiaiai e?iaiia?ao, a?eoi?e oa ?aioiai?
nia?o? ethaeae noa?oiai a?eo aiane?aeie ae?? ineoiaiioe?eieo /eiiee?a.

?iaeea?aeoaeuei? ?aaeoe?? ianoaaeoaaieo ia ineoiaiioe?eiee aieea, ye
na?ae/aoue aeai? e?oa?aoo?e, nooo?ai a?ae??ciythoueny. I?e oeueiio
ae?aaeai?noue ?aaeoe?? iiaea caeaaeaoe a?ae ianooiieo oaeoi??a:

1) ooieoe?iiaeueiiai noaio oeaio?aeueii? ia?aiai? nenoaie;

2) iniaeeainoae aeui? ia?aiai? ae?yeueiino?, ia?niiaeueieo
oa?aeoa?enoee ianoaaeoaaieo;

3) ?iaeea?aeoaeueieo iniaeeainoae aaaaoaoeaii? ?aaoeyoe??;

4) aeo?aeiiai noaio i?aai?a aoaeoi??a, cie?aia na?oeaai-noaeeiii?
nenoaie.

Oa?aeoa? no?an-?aaeoe?? caeaaeeoue ? a?ae iniaeeainoae no?ani?iiai
aieeao (o?eaaeino?, ?ioaineaiino?).

A i?iniaeoeaieo aeine?aeaeaiiyo, i?e o?eaaeiio niinoa?aaeaii? ca
aaeeeeie eiioeiaaioaie ethaeae na?aaeiueiai a?eo, aeiaaaeaii, ui
iaoe??ioe c iaaeeeoeiaith ?aaeoe??th na?oeaai-noaeeiii? nenoaie i?e
ineoiaiioe?eiiio iai?oaeaii?, oae caai? a?ia??aaeoi?e, neeaaeathoue
a?oio in?a i?aeaeuaiiai ?eceeo ?icaeoeo na?oeaai-noaeeiieo caoai?thaaiue
[A. Steptoe et al., 1996]. A ca’yceo c oeei aaaaea?oueny aaaeeeaei
caaaeaiiyi a?aea?? ethaeae c aenieith /ooeea?noth aei ae?? ineoiaaiieo
oaeoi??a oa canoinoaaiiy o ieo iaoa?iaeieia?/ieo oa oa?iaeieia?/ieo
cania?a ei?aeoe??. I?ioa aeine?aeaeaiiy o oeueiio iai?yieo i?iaiaeeeenue
a iniiaiiio o ethaeae iieiaeiai aai na?aaeiueiai a?eo.

A ca’yceo c aeeeaaeaiei aeua aaaeeeaa cia/aiiy ia? aea/aiiy iniaeeainoae
?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio iaaaioaaeaii? o
ethaeae iioeeiai a?eo ? aeyaeaiiy /eiiee?a, ui aieeaathoue ia
ae?aaeai?noue aaiiaeeiai?/ii? ?aaeoe??. Aeooaeueiei oa iaaeinoaoiuei
?ic?iaeaiei ieoaiiyi ? iiooe cania?a, iai?aaeaieo ia iaiaaeaiiy
iaaeeeoeiai? ?aaeoe?? na?oeaai-noaeeiii? nenoaie ia aieea
ineoiaiioe?eieo no?ani??a o in?a noa?oiai a?eo.

Iaoa ? caaea/? aeine?aeaeaiiy.

Iaoa ?iaioe: aecia/eoe a?eia? iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii?
nenoaie i?e aenia?eiaioaeueiiio aeiciaaiiio ineoiaiioe?eiiio no?ani?iiio
aieea? oa ?ic?iaeoe i?aeoiaee aei iaiaaeaiiy iaaeeeoeiai? ?aaeoe??
na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio
iaaaioaaeaii?.

A i?ioean? aeeiiaiiy ?iaioe iaiao?aeii aoei ae??oeoe ianooii? caaea/?:

1) ?ic?iaeoe iiaeaeue ineoiaiioe?eiiai no?ani?iiai aieeao, aaeaeaaoio
aeey in?a iioeeiai a?eo;

2) aea/eoe iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e
aeiciaaiiio ineoiaiioe?eiiio no?ani?iiio aieea? o caei?iaeo ethaeae oa
oai?eo ia ?ON iioeeiai a?eo;

3) aea/eoe ci?ie aaaaoaoeaii? ?aaoeyoe?? na?oeaai-noaeeiii? nenoaie a
i?ioean? ineoiaiioe?eiiai no?ani?iiai aieeao;

4) aea/eoe aeeiai?eo ineoiiioi?ii? ?aaeoe?? ianoaaeoaaieo i?e
no?ani?iiio aieea?;

5) i?iaanoe aiae?c oaeoi??a, ui aecia/athoue ?iaeea?aeoaeuei?
iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio
no?ani?iiio iaaaioaaeaii?:

a) aeo?aeiiai noaio na?oeaai-noaeeiii? nenoaie;

a) aeo?aeiiai noaio aaaaoaoeaii? ?aaoeyoe?? na?oeaai-noaeeiii?

nenoaie;

a) ia?niiaeueieo iniaeeainoae ianoaaeoaaieo;

6) ?ic?iaeoe i?aeoiaee aei iaaeeeaiaioicii? ei?aeoe??
iaaeeeoeiai? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio
no?ani?iiio aieea?.

Iaoeiaa iiaecia ?iaioe.

Aia?oa a ee?i?ei-o?c?ieia?/iiio aeine?aeaeaii? aea/aeeny a?eia?
iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii? nenoaie ethaeae iioeeiai a?eo
caei?iaeo oa oai?eo ia ?ON i?e aenia?eiaioaeueiiio ineoiaiioe?eiiio
no?ani?iiio iaaaioaaeaii?. Iieacaii, ui ?aaeoe?y na?oeaai-noaeeiii?
nenoaie i?e ineoiaiioe?eiiio no?ani?iiio aieea? o ethaeae e?oiueiai a?eo
oa?aeoa?eco?oueny ia?aaaaeaiiyi i?ani?ii? ?aaeoe??, a aeey ethaeae
iieiaeiai a?eo a?eueo oa?aeoa?ia o?iiio?iiia ?aaeoe?y na?oey. A oe?eiio
aaiiaeeiai?/ia ?aaeoe?y i?e ineoiaiioe?eiiio aieea? o e?oi?o ethaeae
oa?aeoa?eco?oueny iaio aoaeoeaiei aaiiaeeiai?/iei caaacia/aiiyi.

Iieacaii, ui o ethaeae iioeeiai a?eo iaaeeeoeiaa i?ani?ia ?aaeoe?y i?e
ineoiaiioe?eiiio iaaaioaaeaii? aeyaey?oueny cia/ii /ano?oa, i?ae o
caei?iaeo ethaeae iieiaeiai a?eo, ? oea ? ua iaeiei aeieacii cieaeaiiy
no?eeino? i?aai?cio aei ineoiaiioe?eiiai no?ani?iiai aieeao a noa?ino?.

Aia?oa aecia/ai? /eiieee, ui coiiaeththoue ?iaeea?aeoaeueio ?aaeoe?th
na?oeaai-noaeeiii? nenoaie e?oiuei? ethaeeie ia ineoiaiioe?eiee aieea.
Anoaiiaeaia caeaaei?noue ?iaeea?aeoaeueii? aaiiaeeiai?/ii? ?aaeoe?? ia
ineoiaiioe?eia iaaaioaaeaiiy o ethaeae e?oiueiai a?eo a?ae
?iaeea?aeoaeueieo iniaeeainoae aeo?aeiiai noaio aaaaoaoeaii? ?aaoeyoe??
oa a?ae ?iaeea?aeoaeueieo iniaeeainoae ineoieia?/iiai i?io?eth.

Ia i?aenoaa? i?iaaaeaieo aeine?aeaeaiue ?ic?iaeai? oeyoe oa?iaeieia?/ii?
ei?aeoe?? iaaeeeoeiai? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e
ineoiaiioe?eiiio no?ani?iiio aieea? o ethaeae e?oiueiai a?eo.

I?aeoe/ia cia/aiiy ?iaioe.

?ic?iaeaiee oano aeey a?aeoai?aiiy ineoiaiioe?eiiai iai?oaeaiiy o
ethaeae e?oiueiai a?eo. Canoinoaaiiy ?ic?iaeaiiai oanoo ia? aaaeeeaa
cia/aiiy aeey aeyaeaiiy ethaeae c iaaeeeoeiaith ?aaeoe??th
na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio aieea?, oae
caaieo a?ia??aaeoi??a. Ine?eueee a?ia??aaeoi?e neeaaeathoue a?oio in?a
i?aeaeuaiiai ?eceeo, noeeueieo aei ?icaeoeo na?oeaai-noaeeiii?
iaoieia??, aaaeeeaith caaea/ath ? a?aea?? oaeeo ethaeae i?e iaaee/ieo
iaeyaeao c iaoith aeeniaina?iiai niinoa?aaeaiiy ca ieie.

Ia i?aenoaa? aea/aiiy a?eiaeo oa ?iaeea?aeoaeueieo iniaeeainoae ?aaeoe??
na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio aieea?
?ic?iaeaia aaaaoioaeoi?ia iiaeaeue aeey i?iaiicoaaiiy ?iaeea?aeoaeueii?
?aaeoe?? a?oa??aeueiiai oeneo i?e ineoiaiioe?eiiio iaaaioaaeaii?, ui
a?aoiao? ia?niiaeuei? oa?aeoa?enoeee ianoaaeoaaieo oa iieacieee
aeo?aeiiai noaio aaaaoaoeaii? ?aaoeyoe??.

?ic?iaeaiee aeeoa?aioe?eiaaiee i?aeo?ae aei iaiaaeaiiy iaaeeeoeiai?
?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e inoiaiioe?eiiio iaaaioaaeaii? o
ethaeae iioeeiai a?eo c aeiiiiiaith oa?iaeieia?/ieo i?aia?ao?a.

Iniaenoee aianie aeena?oaioa.

Aaoi?ii naiino?eii iaa?oioiaai? aeooaeuei?noue oa iaiao?aei?noue
i?iaaaeaiiy aeine?aeaeaiiy, eiai iaoa, caaaeaiiy, i?iaaaeaii aiae?c
iaoeiai? e?oa?aoo?e, aeeiiaii a?aea?? oaiaoe/ieo oai?eo. Iiaeaeue
aeiciaaiiai ineoiaiioe?eiiai no?ani?iiai iaaaioaaeaiiy, aaeaeaaoio aeey
ethaeae iioeeiai a?eo, ?ic?iaeaii a a?aeae?e? ee?i?/ii? o?c?ieia?? ?
iaoieia?? aioo??oi?o i?aai?a ?inoeoooo aa?iioieia?? AII Oe?a?ie. Aaoi?ii
naiino?eii cae?eniaii iinoaiiaeo aeia?eiaio?a, aeeiiaii ?yae
?ino?oiaioaeueieo aeine?aeaeaiue – aeine?aeaeaiiy aa??aaaeueiino? ?eoio
na?oey, aaiiaeeiai?/ii? ?aaeoe?? ca aeiiiiiaith oao?aiiey?ii? ?aia?ao??,
aeaeo?iea?ae?ia?ao?/ia aeine?aeaeaiiy, noi?iiaaii eiii’thoa?io aaco
aeaieo, i?iaaaeaii noaoenoe/io ia?iaeo oeeo?iaeo aeaieo, aiae?c
io?eiaieo ?acoeueoao?a, ?o ocaaaeueiaiiy, oi?ioaaiiy aeniiae?a,
ioi?ieaiiy ?iaioe.

Ai?iaaoe?y ?iaioe, i?aeoe/ia ao?eaiiy.

?acoeueoaoe iaoeiaeo aeine?aeaeaiue ai?iaaaeaeai? o i?aeoeeo
e?eoaaeueii-i?io?eaeoe/ieo caeeaae?a Oe?a?ie, ia ui io?eiaii 8 aeo?a
ai?iaaaeaeaiiy.

Iniiai? iieiaeaiiy ? ?acoeueoaoe aeena?oaoe?? aoee iaaiai?ai? ia
eiioa?aioe?? iieiaeeo o/aieo (?inoeooo aa?iioieia??, Ee?a, 1994), II
Iaoe?iiaeueiiio eiia?an? aa?iioieia?a ? aa??ao??a Oe?a?ie (Ee?a, 1995),
I ?in?enueeiio Eiia?an? ii iaoio?c?ieia?? (Iineaa, 1996), eiioa?aioe??
iieiaeeo o/aieo (Oa?e?a, 1997), iaoeiai-i?aeoe/i?e eiioa?aioe??
’’?aaa?e?oaoe?y oai?eo iioeeiai a?eo c caoai?thaaiiyie
na?oeaai-noaeeiii? nenoaie oa oea?aa?aeueii-noaeeiiith iaoieia??th’’
(Ee?a, 1997), can?aeaii? ee?i?/iiai naeoi?a ?inoeoooo aa?iioieia?? AII
Oe?a?ie.

Ioae?eaoe?? Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 3 noaoo?, 8 ?ia?o a
iaoa??aeao eiioa?aioe?e, ?ioi?iaoe?eiee eeno.

Ianya oa no?oeoo?a ?iaioe. ?iaioa aeeeaaeaia ia 132 noi??ieao,
?ethno?iaaia 20 oaaeeoeyie ? 10 ?enoieaie. Aeena?oaoe?y neeaaea?oueny c
anooio, iaeyaeo e?oa?aoo?e, ?icae?eo “Ia’?eo oa iaoiaee ianoaaeaiiy”,
o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, nieneo e?oa?aoo?e, yeee aeeth/a? 206 aeaea?ae.

Ia’?eo oa iaoiaee aeine?aeaeaiiy

A iniiao aeaii? ?iaioe iieeaaeai? ?acoeueoaoe ianoaaeaiiy 160-oe ethaeae
e?oiueiai (60-74) oa noa?a/iai (noa?oeo 75 ?ie?a) a?eo oa 20-oe ethaeae
iieiaeiai a?eo (20-29 ?ie?a). Na?aae ianoaaeaieo e?oiueiai ? noa?a/iai
a?eo 79 ethaeae neeaaeaee a?oio i?aeoe/ii caei?iaeo ethaeae. A?oia
oai?eo ia ?ON (ee?i?/i? oi?ie — noaa?eueia noaiiea?ae?y iai?oae I-II-III
ooieoe?iiaeueiiai eeano, aoa?ineea?ioe/iee ea?ae?ineea?ic aac ii?ooaiiy
na?oeaaiai ?eoio ? aac na?oeaai? iaaeinoaoiino?) — aeeth/aea 59 oai?eo
a?eo a?ae 60 aei 74 ?ie?a oa 22 oai?eo a?eo a?ae 75 ?ie?a ? noa?oeo.

Aeey a?aeoai?aiiy noaio ineoiaiioe?eiiai iai?oaeaiiiy aoea niaoe?aeueii
?ic?iaeaia iiaeaeue aeiciaaiiai ineoiaiioe?eiiai aieeao, aaeaeaaoia aeey
in?a e?oiueiai a?eo. Oey iiaeaeue yaey? niaith eiii’thoa?ia caaaeaiiy
aeai?o, i?e aeeiiaii? yeiai ianoaaeoaaiiio iio??aii i?aoethaaoe a oiiaao
c?inoath/iai aeao?oeeoo /ano. Caaaeaiiy iieyaaei a oiio, uia
iaeneiaeueii oaeaeei iiaaneoe cia?aaeaiiy eaaae?aoo caeaiiai eieuei?o,
ui c’yaey?oueny ia ae?ai? iii?oi?o, oeyoii iaoeneo iaaii? eeaa?o?.
Eiii’thoa?ia i?ia?aia aaoiiaoe/ii aeaiaeeea ia ae?ai eaaae?ao caaeaieo
?ici???a (1 ni o 1ni) caeaiiai aai /a?aiiiai eieuei?o a aeiaaeeia?e
iine?aeiaiino?, a ??cieo (aeiaaeeiaeo) iiceoe?yo ae?aio. Oaeaee?noue
iiaeaiiy eaaae?ao?a ca?eueooaaeany c eiaeiei aoaiii oanoo, ui ne?aeoaaee
iaeei ca ae?oaei aac ia?a?ae, i?e/iio o?eaae?noue aoai?a aoea iaeiaeiaa
(2 oa), a e?euee?noue i?aae’yaeaiue ia eiaeiiio aoai? ca?eueooaaeany c
70 (ia 1-io aoai?) aei 120 (ia 5-io aoai?). Oaeei /eiii, ianoaaeoaaiee
ciooaiee aoa i?aoethaaoe a oiiaao c?inoath/iai aeao?oeeoo /ano. Iaoene
ia eeaa?oo i?e iiya? cia?aaeaiiy /a?aiiiai eaaae?aoo ?icoe?ithaaany ye
iiieeea. I?e iiieeeao iiaeaaaany caoeiaee neaiae ? ia ae?ai? c’yaeyany
niaeao /a?aiiiai eieuei?o.

Aeine?aeaeaiiy i?iaiaeeeiny a ia?o?e iieiaei? aeiy a iieiaeaii? neaey/e
a ?cieueiaaiiio a?ae noi?iii?o caoe?a i?ei?uaii?.

A?oa??aeueiee oene e?ia? aei??thaaee aoneoeueoaoeaiei iaoiaeii ii
Ei?ioeiao. Aeey aecia/aiiy ia?aiao??a oeaio?aeueii? aaiiaeeiai?ee
aeei?enoiaoaaee iaoiae oao?aiiey?ii? ?aia?ao??, aeine?aeaeaiiy
i?iaiaeeeiny ia aia?ao? “Iaae?aia-1”.

Noai aaaaoaoeaii? ?aaoeyoe?? na?oeaai-noaeeiii? nenoaie aea/aee iaoiaeii
niaeo?aeueiiai aiae?co na?oeaaiai ?eoio c aeei?enoaiiyi i?ia?aiiiai
caaacia/aiiy ?ic?iaeaiiai a Eaoianueeiio IAe? na?oeaai-noaeeiii? nenoaie
?i. C.?. ssiooeaae/ona [ Eaoeaian E., 1986].

I?io?eue iniaenoino? ioe?ithaaee ca aeiiiiiaith iaoiaeeee
I?iianionueeiai aaaaoii?io?eueiiai ia?niiaeueiiai iieooaa/a (IIPI), a
aaeaioiaaiiio eiai aa??aio?, ?ic?iaeaiiio a ineoiiaa?ieia?/iiio
?inoeooo? ?i. A. I. Aaoo??aaa (N-Iaoa?ao?a), ai?iaaaeaeaiiio a iaoiio
?inoeooo? ni?a?ia?oieeii a?aeae?eaiiy ee?i?/ii? o?c?ieia?? oa iaoieia??
ia?aiai? nenoaie e.i.i. I. TH. Aa/einueeith.

Aeey iaiaaeaiiy iaaei??ii? aaiiaeeiai?/ii? ?aaeoe?? o a?aeiia?aeue ia
ineoiaiioe?eiee no?ani?iee aieea aeei?enoiaoaaee aaoa-aae?aiiaeieaoi?
i?ii?aiieie a ??cieo aeicao: 10, 20, 40 ia oa i?aia?aoe c ia?eoa??eiith
aaciaeeeaooth/ith ae??th: aioaaii?noe eaeueoe?th (ei?eioa? a aeic? 10
ia, aa?aiai?e a aeic? 80 ia) oa ?ia?a?oi? aia?ioaiceiia?aoai?thth/iai
oa?iaioo — eaiioai a aeic? 12,5 ia. Aeine?aeaeaiiy c i?aia?aoaie
i?iaiaeeeeny iiia?ii: ia?oa aeine?aeaeaiiy aei i?eeiio i?aia?aoo, ae?oaa
ia aenio? ae?? i?aia?aoo (2 — 2,5 aiaeeie). I?ii?aeee i?ae
aeine?aeaeaiiyie neeaaeaee 2-3 aeiae.

Io?eiai? aeai? ia?iaeai? iaoiaeaie aa??aoe?eii? noaoenoeee ca
aeiiiiiaith eiii’thoa?ii? i?ia?aie “AXEL”. ?ic?aoiaoaaee na?aaei?
a?eoiaoe/i? aaee/eie iieaciee?a (I), ?o na?aaeiueieaaae?aoe/i?
a?aeoeeaiiy ? iioeaee na?aaei?o aaee/ei (i) aei ? i?ney i?iaaaeaiiy
oa?iaeieia?/ii? i?iae, aaee/eie cnoao, ?oiy a??ia?aei?noue o
a?aeiia?aeiino? c e?eoa??yie Nouethaeaioa [I.I. Ieioea?, 1992].
I?iaiaeeeeny ei?aeyoe?eiee oa aeene?ei?iaioiee aiae?c io?eiaieo aeaieo.

?ACOEUeOAOE AeINE?AeAEAIUe

Ci?ie iieaciee?a aaiiaeeiai?ee oa aaaaoaoeaii? ?aaoeyoe?? i?e
aenia?eiaioaeueiiio ineoiaiioe?eiiio iaaaioaaeaii? o ethaeae ??ciiai
a?eo

Aeey a?aeoai?aiiy ineoiaiioe?eiiai iaaaioaaeaiiy cae/aeii
aeei?enoiaothoue iaoiaeeeo a?eoiaoe/ii? e?/ae. Aea oaea iaoiaeeea o
e?oi?o ia caaaeaee cae?eniaiia. ? oiio aeey aeeiiaiiy iinoaaeaieo a
?iaio? iaoe ? caaea/ aoea ?ic?iaeaia aenia?eiaioaeueia iiaeaeue
ineoiaiioe?eiiai iaaaioaaeaiiy, ui aoea ai?iaiaaia o in?a ??ciiai a?eo.
Cai?iiiiiaaia iiaeaeue ? aaeaeaaoiith aeey an?o ianoaaeaieo, a oiio
/ene? aeey in?a e?oiueiai a?eo. An? e?oi? ethaee i?ney iiia?aaeiueiai
iaa/aiiy ciiaee oni?oii aeeiiaoe cai?iiiiiaaia ?i eiii’thoa?ia
caaaeaiiy. I?ae /an i?iae aeieeaee oa?aeoa?i? aeey no?an-?aaeoe??
c?ooaiiy iieaciee?a na?oeaai-noaeeiii? nenoaie oa aaaaoaoeaii?
?aaoeyoe??, ii??aiyi? c aeaieie ?ioeo aeine?aeiee?a, io?eiaieie o in?a
iieiaeiai a?eo i?e iiaeaethaaii? oiia ineoiaiioe?eii? iai?oae.

A i?ioean? aeine?aeaeaiue anoaiiaeai? a?eia? iniaeeaino? ?aaeoe??
na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio iaaaioaaeaii?

( oaaeeoey 1): o iieiaeeo ethaeae ia?aaaaeaea iiceoeaia o?iiio?iiia
?aaeoe?y; o ethaeae iioeeiai a?eo caei?iaeo ? oai?eo ia ?ON
niinoa??aaeiny a?eueo cia/ia i?aeaeuaiiy ia?eoa??eiiai noaeeiiiai iii?o
? a?oa??aeueiiai e?ia’yiiai oeneo.

Oaaeeoey 1

Ci?ie iieaciee?a aaiiaeeiai?ee i?e ineoiaiioe?eiiio iaaaioaaeaii? o
ethaeae ??ciiai a?eo

IieacieeeCaei?ia? iieiae?Caei?ia? iioeeiai a?eoOai?? ia ?ON iioeeiai
a?eoAan. cnoaCnoa,%Aan. cnoaCnoa,%Aan. cnoaCnoa,%Nenoie?/iee AO, ii ?o.
no10,0+2,0 927,0+1,6***2125,0+1,5***19Ae?anoie?/iee AO, ii ?o.
no6,3+1,07,711,6+0,8*15,510,0+0,8*13*NN, oa-115,0+1,5227,0+0,7*
107,5+0,5*9,8Oaea?iee ia’?i e?ia?,
ie7,0+0,3125,0+1,0105,7+1,811Oaeeeiiee ia’?i e?iai-ia?ao, e.
oa-10,8+0,3200,49+0,06150,46+0,115Ia?eoa??eiee noaeeiiee ii??,

Eia. n. e-1-115+9-655+5558+123Iiaea?eiee aeiaooie,
oi.iae.24+32831+23429+431I?ei?oea: * — a??ia?aei?noue a?aei?iiino? a
ii??aiyii? c a?oiith iieiaeeo ethaeae, ?<0, 05.** - oa ae, ?<0, 01. Aoei a?aei?/aii, ui i?ney ineoiaiioe?eii? i?iae a?aeiiaeaiiy iieaciee?a aaiiaeeiai?ee o iieiaeeo ethaeae a?aeaoaaeiny cia/ii oaeaeoa, i?ae o in?a e?oiueiai a?eo. O e?oi?o ethaeae i?e ineoiaiioe?eiiio iaaaioaaeaii? aeyaeaii cia/ii a?eueoa i?aeaeuaiiy neiiaoe/iiai aieeao ia na?oeaai-noaeeiio nenoaio ia oii? ineaaeaiiy aa?i?aoeaeoi?iiai iaoai?cio ?aaoethaaiiy. O iieiaeeo i?aeaeuaiiy neiiaoe/ii? aeoeaiino? aoei iaio cia/iei, o ieo ia a?aecia/aeiny cia/iiai cieaeaiiy aa?i?aoeaeoi?ieo aieea?a ia na?oeaai-noaeeiio nenoaio (oaaeeoey 2). Oaaeeoey 2 Ci?ie iieaciee?a oaeeueiai? no?oeoo?e na?oeaaiai ?eoio i?e ineoiaiioe?eiiio iaaaioaaeaii? o ethaeae ??ciiai a?eo IieacieeeCaei?ia? iieiae?Caei?ia? iioeeiai a?eoOai?? ia ?ON iioeeiai a?eoAeo?aeiee ??aaiueCnoa,%Aeo?aeiee ??aaiueCnoa,%Aeo?aeiee ??aaiueCnoa,%Iiooaei?noue VLFC N?, in29,7+4,912,517,6+1,01817,1+1,021Iiooaei?noue LFC N?, in27,4+3,0- 8 6,8+0,8-19 7,3+0,8- 28Iiooaei?noue HFC N?, in23,0+2,01812,8+1,04813,6+1,031Aea VLFC – iecueei/anoioia eiiiiiaioa aa??aaaeueiino? na?oeaaiai ?eoio (N?), iieaciee neiiaoe/ii? aeoeaiino?. LFC - na?aaeiuei/anoioia eiiiiiaioa aa??aaaeueiino? na?oeaaiai ?eoio, iieaciee aa?i?aoeaeoi?ii? aeoeaiino?. HFC - aeniei/anoioia eiiiiiaioa aa??aaaeueiino? na?oeaaiai ?eoio, iieaciee ia?aneiiaoe/ii? aeoeaiino?. Oa?aeoa?enoeea ?iaeea?aeoaeueieo ?aaeoe?e na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? o ethaeae iioeeiai a?eo Aiae?c ?iaeea?aeoaeueieo ci?i a?oa??aeueiiai oeneo i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? aeicaieea anoaiiaeoe aeaa oeie ?aaeoe?e. Ia?oee oei (ii?ii?aaeoeaiee) oa?aeoa?ecoaaany ca?eueoaiiyi nenoie?/iiai AO iaioa i?ae ia 20 ii ?o. no., ae?anoie?/iiai AO - iaioa i?ae ia 10 ii ?o. no. Ae?oaee oei (a?ia??aaeoeaiee) oa?aeoa?ecoaaany i?aeaeuaiiyi a?oa??aeueiiai oeneo nenoie?/iiai a?eueo i?ae ia 20 ii ?o. no. ? ae?anoie?/iiai a?eueo i?ae ia 10 ii ?o. no. O ethaeae iioeeiai a?eo (caei?iaeo ? oai?eo ia ?ON) iaaeeeoeiaa i?ani?ia ?aaeoe?y ia ineoiaiioe?eiee aieea aeyaey?oueny cia/ii /ano?oa, i?ae o caei?iaeo ethaeae iieiaeiai a?eo, ui ? iaeiei ?c aeieac?a cieaeaiiy no?eeino? na?oeaai-noaeeiii? nenoaie aei ineoiaiioe?eiiai no?ani?iiai aieeao a noa?ino?. Oae, a a?oi? caei?iaeo iieiaeeo ethaeae ii e?eoa??th i?e?inoo AO a?ia??aaeoi?e aeyaeai? o?eueee a 5% aeiaaee?a, a oie /an ye a a?oiao e?oi?o caei?iaeo ethaeae ? e?oi?o oai?eo ia O?ON - a?aeiia?aeii 63% ? 55% a?ae caaaeueiiai /enea ianoaaeaieo. No?oeoo?a aaiiaeeiai?/iiai caaacia/aiiy i?e ineoiaiioe?eiiio iaaaioaaeaii? o ethaeae iioeeiai a?eo aoea ??ciith a caeaaeiino? a?ae oeio aaiiaeeiai?/ii? ?aaeoe?? (oaaeeoey 3): o a?ia??aaeoi??a i?e ineoiaiioe?ei?e i?ia? a?aeaoaaeiny i?aeaeuaiiy ia?eoa??eiiai noaeeiiiai iii?o, o ii?ii?aaeoi??a niinoa??aaeiny cieaeaiiy ia?eoa??eiiai noaeeiiiai iii?o ii?yae c iaio cia/iei ca?eueoaiiyi na?oeaaiai aeeeaeo. Ioaea, e?oi? a?ia??aaeoi?e iaee iaio aoaeoeaio ia?aaoaeiao ae?yeueiino? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio iaaaioaaeaii?. Oaaeeoey 3 Aeo?aei? cia/aiiy oa aaniethoi? ci?ie iieaciee?a aaiiaeeiai?ee i?e ineoiaiioe?eiiio iaaaioaaeaii? o ii?ii - ? a?ia??aaeoi??a IieacieeeCaei?ia? iioeeiai a?eoOai?? ia O?ON iioeeiai a?eoAeo?aeiee ??aaiueAan. cnoaAeo?aeiee ??aaiueAan. cnoa Nenoie?/iee AO, ii ?o. NoI A123+3 132+214,4 +1,7 34+1,6130+2 132+314+1,4 34+2*Ae?anoie?/iee AO, ii ?o. NoI A76+ 1,6 77+16,6+0,9 14,4+1*77+1 77+1,35,5+1 13,5+0,9*anoioa na?oeaaeo nei?i/aiue, oa-1I A72+2 71+1,35+0,9 8,4+0,972+1,3 70+1,26,0+0,6 8,9+0,6Oaea?iee ia’?i e?ia?, ieI A45+5 52,8 +27,7+2 4,1+146+2,6 48+1,86,8+3,0 4,9+1,5Oaeeeiiee ia’?i e?iaia?ao, e. oa-1I A2,9+0,2 3,6+0,1*0,56+0,1 0,53+0,083,1+0,1 3,2+0,10,5+0,2 0,4+0,1Ia?eoa??eiee noaeeiiee ii??, eIa. n. e-1I A273+22 222+9-18+10 15+4*276+20 263+16-27+13 20+12*I?ei?oee: 1. I - a?oia ii?ii?aaeoi??a, A - a?oia a?ia??aaeoi??a, 2. * - a??ia?aei?noue a?aei?iiino? i?ae a?oiaie ii?ii - oa a?ia??aaeoi??a, ?<0, 05. Ci?ie iieaciee?a aaaaoaoeaii? ?aaoeyoe?? /anoeiai iiyniththoue iaoai?ci iaaeeeoeiai? i?ani?ii? ?aaeoe?? i?e ineoiaiioe?eiiio no?ani?iiio aieea? (oaaeeoey 4). O caei?iaeo e?oi?o ethaeae iaaei??ia i?aeaeuaiiy AO i?e ineoiaiioe?eiiio iaaaioaaeaii? ca'ycaia c ineaaeaiiyi aa?i?aoeaeoi?ieo aieea?a ia na?oeaai-noaeeiio nenoaio. O e?oi?o oai?eo ia ?ON iaaei??ia i?aeaeuaiiy AO i?e ineoiiioi?iiio oano? a iniiaiiio coiiaeaia cia/iei i?aeneeaiiyi neiiaoe/ii? aeoeaiino? ia oii? ineaaeaiiy aa?i?aoeaeoi?ieo aieea?a ia na?oeaai-noaeeiio nenoaio. Aeiaeaoeiaei /eiieeii, ui aecia/a? iaaeeeoeiaa i?aeaeuaiiy AO, ye iieacaee aeine?aeaeaiiy, ? iaio cia/ia eiiiainaoi?ia i?aeneeaiiy ia?aneiiaoe/ieo aieea?a ia na?oeaai-noaeeiio nenoaio. O ii?ii?aaeoi??a i?aeneeaiiy ia?aneiiaoe/ieo aieea?a ia na?oeaai-noaeeiio nenoaio i?e ineoiaiioe?eiiio iaaaioaaeaii? aoei a?eueo cia/iei ?, iiaeeeai, oea c?a?aei iaaio ?ieue a iaiaaeaii? i?ani?ii? ?aaeoe??. Oaaeeoey 4 Aeo?aei? cia/aiiy oa aaniethoi? ci?ie iieaciee?a oaeeueiai? no?oeoo?e na?oeaaiai ?eoio i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? o ii?ii - ? a?ia??aaeoi??a iioeeiai a?eo IieacieeeCaei?ia? iioeeiai a?eo Oai?? ia ?ON iioeeiai a?eoAeo?aeiee ??aaiueAan. cnoaAeo?aeiee ??aaiueAan. cnoaIiooaei?noue iecueei/anoioii? eiiiiiaioe(VLFC), inI A18,4+2,0 17,8+1,8 2,7+4,0 2,3+2,017,3+1,5 17,0+1,32,3+1,6 4,5+2,0*Iiooaei?noue na?aaeiuei/anoioii? eiiiiiaioe (LFC), InI A 7,6+1,5 9,0+1,6-0,97+2,0 -2,3+2,0 6,3+0,9 6,2+0,8-1,2+1,2 -1,6+0,8Iiooaei?noue aeniei/anoioii? eiiiiiaioe(HFC),inI A16,0+1,8 14,2+1,8 4,0+2,0 1,2+2,0 11,4+1,0 13,1+1,0 7,2+2,0* 2,8+2,0I?ei?oee: 1. I - a?oia ii?ii?aaeoi??a, A a?oia a?ia??aaeoi??a, 2. * - a??ia?aei?noue c?ooaiiy iieacieea o ii??aiyii? c aeo?aeiei ??aiai, p < 0.05. Oaeoi?e, ui coiiaeththoue oei aaiiaeeiai?/ii? ?aaeoe?? i?e ineoiaiioe?eiiio iaaaioaaeaii? Ethaee c iaaeeeoeiaith i?ani?iith ?aaeoe??th (a?ia??aaeoi?e) o aeo?aeiiio noai? iaee cia/ia ineaaeaiiy ia?aneiiaoe/ieo (12,3 +0,6 i?ioe 15,1 +1,1 in) ? aa?i?aoeaeoi?ieo (6,3 +0,6 i?ioe 8,5 +1 in) iaoai?ci?a ?aaoethaaiiy na?oeaai-noaeeiii? nenoaie o ii??aiyii? c a?oiith e?oi?o ii?ii?aaeoi??a. Ii?ooaiiy aa?i?aoeaeoi?iiai ?aaoethaaiiy ia oii? ineaaeaiiy aieeao ia?aneiiaoe/iiai a?aeae?eo aaaaoaoeaii? nenoaie, iiaeeeai, ? oaeoi?ii, ui ni?ey? iaaeeeoeia?e ?aaeoe?? a?oa??aeueiiai oeneo i?e ineoiaiioe?ei?e i?ia? o cia/ii? /anoeie in?a e?oiueiai a?eo. Iayai?noue o ianoaaeoaaieo neiiaoeeioii?/iiai oeio aaaaoaoeaii? ?aaoeyoe?? oa ineaaeaiiy aa?i?aoeaeoi?iiai iaoai?cio ni?ey? ?icaeoeo iaaeeeoeiai? i?ani?ii? ?aaeoe?? i?e ineoiaiioe?eiiio iaaaioaaeaii?. Oae, a noai? niieith a?eueo?noue a?ia??aaeoi??a iaee neiiaoeeioii?/iee oei aaaaoaoeaii? ?aaoeyoe?? (70% niinoa?aaeaiue). A oie aea /an a?eueoa iieiaeie ii?ii?aaeoi??a iaee ii?iioii?/iee (35% niinoa?aaeaiue) aai ia?aneiiaoeeioii?/iee (21% niinoa?aaeaiue) aa??aioe aaaaoaoeaii? ?aaoeyoe??. Aoei anoaiiaeaii, ui a?ia??aaeoi?ai e?oiueiai a?eo i?eoaiaii? iaai? ia?niiaeuei? iniaeeaino? ineoieia?/iiai i?io?eth. Ii??aiyiiy iieaciee?a ineoieia?/iiai oanooaaiiy o ianoaaeaieo c ii?iaeueiith oa iaaeeeoeiaith ?aaeoe??th na?oeaai-noaeeiii? nenoaie i?e no?ani?iiio iaaaioaaeaii? iieacaei, ui iaaei??ia aaiiaeeiai?/ia ?aaeoe?y /ano?oa aeyaey?oueny o in?a c a?eueo ae?aaeaieie iaa?ioe/ieie ?iceaaeaie, a iniiaiiio o?eaiaeii-aeai?aneaieie. Oae, na?aae iieaciee?a i?io?eth iniaenoino? iaea?eueoee ca'ycie c iaaei??iei i?aeaeuaiiyi a?oa??aeueiiai oeneo i?e ineoiaiioe?eiiio no?an? iathoue aenie? ??ai? 1-?, 2-? oa 8-? oeae oanoo MMPI, ui na?ae/eoue i?i i?aeaeuaio iaa?ioecaoe?th ianoaaeoaaiiai, iayai?noue o?eaiaeii-aeai?aneaieo ? ?iioiiae?e/ieo ?iceaae?a. Aeey i?iaiicoaaiiy oeio aaiiaeeiai?/ii? ?aaeoe?? i?e ineoiaiioe?eiiio iaaaioaaeaii? ?ic?iaeaia iaoaiaoe/ia iiaeaeue, yea aeeth/a? iieacieee ineoieia?/iiai i?io?eth iniaenoino? (oano MMPI) oa iieacieee aeo?aeiiai noaio aaaaoaoeaii? ?aaoeyoe??: Aeene?ei?iaioiee eiao?oe??io = -21,8 + 0,22*(I) + 0,39*(II) + 0,54*(III) – 0,06*(DRR), aea ? – oeaea ?iioiiae???; II – oeaea aeai?an??; III – oeaea ?noa???; DRR – caaaeueia aa??aaaeuei?noue na?oeaaiai ?eoio, in. Na?aaei? cia/aiiy aeene?ei?iaioiiai eiao?oe??ioa aeey a?ia??aaeoi??a aei??aith? 22,1+1, aeey ii?ii?aaeoi??a – 12,9+1,3. O 58% ianoaaeaieo a?ia??aaeoi??a aeene?ei?iaioi?e eiao?oe??io ia?aaeuoaaa 22,1, o ?aooe 42 % - aoa ieae/ee, aea ia iaioa 12,9. A o ii?ii?aaeoi??a 73 % ianoaaeaieo iaee aeene?ei?iaioiee eiao?oe??io ieae/a 12,9 ? o?eueee o 23 % ianoaaeaieo ii?ii?aaeoi??a a?i aoa aeuee, aea ia ia?aaeuoaaa 22,1. Oe? aeai? oa?aeoa?ecothoue aenieo ?ioi?iaoeai?noue i?eaaaeaii? oi?ioee. Na?aae ianoaaeaieo iaie a?ia??aaeoi??a o?eueee o iaeiiai aeene?ei?iaioiee eiao?oe??io aoa ieae/ee ca 12,9, ui oa?aeoa?ii aeey ii?ii?aaeoi??a. Na?aae ii?ii?aaeoi??a ia aoei aeiaeiiai c aeene?ei?iaioiei eiao?oe??ioii aeuei ca 22,1. Oe? aeai? oa?aeoa?ecothoue niaoeeo?/i?noue i?eaaaeaii? oi?ioee. Iiaeeeaino? iaaeeeaiaioicii? ei?aeoe?? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? o ethaeae iioeeiai a?eo Aeey iaiaaeaiiy iaaaeaeaaoii? aaiiaeeiai?/ii? ?aaeoe?? i?e ineoiaiioe?eiiio no?ani?iiio aieea? o oai?eo ia ?ON iioeeiai a?eo aea/aia ae?y i?aia?ao?a ??cieo a?oi: aaoa-aae?aiiaeieaoi??a, aioaaii?no?a eaeueoe?th, ?ia?a?oi??a aia?ioaiceiia?aoai?thth/iai oa?iaioo. I?eeii aiai?ee?io a ??cieo aeicao (10, 20, 40 ia) iaiaaeoaaa o?eueee i?e??no /anoioe na?oeaaeo nei?i/aiue i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii?, aea ia aeyaeya aieeao ia i?e??no a?oa??aeueiiai oeneo. Oiio i?eeii aiai?ee?io ?aeiiaiaeo?oueny oei oai?ei, o yeeo ineoiaiioe?eia iaaaioaaeaiiy aeeeeea? cia/ia i?aeaeuaiiy *NN. Aaoa-aae?aiiaeieaoi? aeioe?eueii canoiniaoaaoe caa/anii, ca 1-2 aiaeeie aei i/?eoaaiiai no?ani?iiai aieeao, a yeui no?an aeiee ?aioiai – i?eeiaoe i?aia?ao noae?iaaaeueii. Iioeiaeueieie ?aciaeie aeicaie i?aia?aoo aeey e?oi?o ethaeae ne?ae aaaaeaoe 10 ia aai 20 ia aiai?ee?io. Aioaaii?no eaeueoe?th ei?eioa? a aeic? 10 ia iaiaaeoaaa i?e??no nenoie?/iiai oa ae?anoie?/iiai AO, a oaeiae i?e??no ia?eoa??eiiai noaeeiiiai iii?o i?e no?ani?iiio aieea?. A oie aea /an i?e??no *NN i?ae aieeaii ei?eioa?o ia ci?ithaaany. Ae?y ?ioiai i?aaenoaaieea a?oie aioaaii?no?a eaeueoe?th aa?aiai?ea a aeic? 80 ia oa?aeoa?ecoaaeanue iaiaaeaiiyi i?e?inoo nenoie?/iiai a?oa??aeueiiai oeneo ? /anoioe na?oeaaeo nei?i/aiue. A oie aea /an aoaeoeai?noue ei?eioa?o niinoa??aaeany o 85% aeiaaee?a, a aa?aiai?e iaiaaeoaaa iaaeeeoeiao i?ani?io ?aaeoe?th i?e no?ani?iiio iaaaioaaeaii? o?eueee o 54% aeiaaee?a. O 53% ianoaaeaieo i?ney i?eeiio eaiioaio a aeic? 12,5 ia ineoiaiioe?eia iaaaioaaeaiiy aeeeeeaei iaioee i?e??no nenoie?/iiai a?oa??aeueiiai oeneo, /anoioe na?oeaaeo nei?i/aiue, oaea?iiai ia’?io e?ia?, ui na?ae/eoue i?i aeayea iaiaaeaiiy na?oeaai-noaeeiii? ?aaeoe?? i?e ineoiaiioe?eiiio iaaaioaaeaii?. Iaeii/aniee i?eeii aiai?ee?io (10ia) oa ei?eioa?o (10ia) i?ecaiaeea aei a??ia?aeiiai ciaioaiiy i?e?inoo ia o?eueee nenoie?/iiai oa ae?anoie?/iiai AO, aea oaeiae ? /anoioe na?oeaaeo nei?i/aiue o 95 % ianoaaeaieo. A?aoiaoth/e io?eiai? ?acoeueoaoe, ?ic?iaeaia noaia aeeoa?aioe?eiaaiiai canoinoaaiiy iaaeeeaiaioicieo cania?a, ui iaiaaeothoue ?aaeoe?th na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? o ethaeae iioeeiai a?eo. Noaia aeeoa?aioe?eiaaiiai i?ecia/aiiy iaaeeeaiaioicieo aioeno?ani?ieo i?aia?ao?a Aaiiaeeiai?/ia ?aaeoe?y i?e ineoiaiioe?eiiio no?ani?iiio aieea? I?aia?aoe AeicaI?e??no *NN a?eueoa i?ae ia 10 oae. ca oaAiai?ee?i10-20 iaI?e??no nenoie?/iiai AO a?eoa i?ae ia 30 ii ?o.no, i?e??no ae?anoie?/iiai AO a?eueoa i?ae ia 15ii ?o.no Ei?eioa? 10 iaI?e??no *NN a?eueoa i?ae ia 10 oae ca oa ? i?e??no nenoie?/iiai AO a?eueoa i?ae ia 30 ii ?o. no. Aiai?ee?i + ei?eioa? 10 ia+ 10 ia AENIIAEE 1. A?eiaith iniaeea?noth ?aaeoe?? na?oeaai-noaeeiii? nenoaie ia ineoiaiioe?eiee no?ani?iee aieea o e?oi?o ethaeae ? a?eueo cia/ia i?ani?ia noaeeiia ?aaeoe?y oa a?eueoee i?e??no a?oa??aeueiiai oeneo ii?yae c iaio cia/iith, o ii??aiyii? c iieiaeeie, iiceoeaiith o?iiio?iiiith ?aaeoe??th na?oey. O ethaeae e?oiueiai a?eo ca?eueoaiee ia??iae a?aeiiaeaiiy aaiiaeeiai?/ieo iieaciee?a i?ney i?eieiaiiy ineoiaiioe?eiiai aieeao. 2. C a?eii ca?eueoo?oueny /anoioa aeyaeaiiy iaaei??ii? i?ani?ii? noaeeiii? ?aaeoe?? (5% a?ia??aaeoi??a a a?oi? iieiaeeo ethaeae; 63% ? 55% - a a?oiao i?aeoe/ii caei?iaeo oa oai?eo ia ?ON iioeeiai a?eo a?aeiia?aeii), ui na?ae/eoue i?i cieaeaiiy no?eeino? aei ineoiaiioe?eiiai no?ani?iiai aieeao a noa?ino?. 3. Iaoe??ioe iioeeiai a?eo c iaaei??iith ?aaeoe??th na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? (a?ia??aaeoi?e) o ii??aiyii? c iaoe??ioaie c ii?iaeueiith aaiiaeeiai?/iith ?aaeoe??th (ii?ii?aaeoi?e) oa?aeoa?ecothoueny iaio aoaeoeaiei aaiiaeeiai?/iei caaacia/aiiyi i?e ineoiaiioe?eiiio iaaaioaaeaii?. I?i oea na?ae/eoue: a) i?aeaeuaiiy o a?ia??aaeoi??a ia?eoa??eiiai noaeeiiiai iii?o (o ii?ii?aaeoi??a - cieaeaiiy iieacieea); a) a?eueo cia/iee i?e??no nenoie?/iiai, ae?anoie?/iiai a?oa??aeueiiai oeneo oa /anoioe na?oeaaeo nei?i/aiue a a?oi? a?ia??aaeoi??a; a) iaio cia/ia ca?eueoaiiy oaea?iiai ia’?io e?ia? a a?oi? a?ia??aaeoi??a. 4. A?ia??aaeoi?e o ii??aiyii? c ii?ii?aaeoi?aie o aeo?aeiiio noai? iaee cia/ia ineaaeaiiy ia?aneiiaoe/ieo oa aa?i?aoeaeoi?ieo iaoai?ci?a ?aaoethaaiiy na?oeaai-noaeeiii? nenoaie. Iayai?noue o ianoaaeoaaieo neiiaoeeioii?/iiai oeio aaaaoaoeaii? ?aaoeyoe?? i?eionea? aenieo ?iia??i?noue ?icaeoeo iaaeeeoeiai? i?ani?ii? ?aaeoe?? i?e ineoiaiioe?eiiio iaaaioaaeaii?. 5. Iaaei??ia aaiiaeeiai?/ia ?aaeoe?y i?e ineoiaiioe?eiiio no?an? /ano?oa aeyaey?oueny o in?a c a?eueo ae?aaeaieie iaa?ioe/ieie ?iceaaeaie, a iniiaiiio o?eaiaeii-aeai?aneaieie. 6. ?ic?iaeaia aaaaoioaeoi?ia iiaeaeue (ui a?aoiao? iieacieee aeo?aeiiai noaio aaaaoaoeaii? ?aaoeyoe?? oa ia?niiaeuei? iniaeeaino? ianoaaeoaaieo) aeicaiey? c aenieith oi/i?noth i?iaiicoaaoe ae?aaeai?noue ?aaeoe?? a?oa??aeueiiai oeneo i?e i/?eoaaiiio ineoiaiioe?eiiio iaaaioaaeaii?, ui ia? aaaeeeaa cia/aiiy aeey a?aeai?o a?ia??aaeoi??a, ui aeiaaathoue niinoa?aaeaiiy oa i?iaaaeaiiy ?aaa?e?oaoe?eieo caoiae?a. 7. Aeei?enoaiiy oa?iaeieia?/ieo i?aia?ao?a aeicaiey? aeeoa?aioe?eiaaii iaiaaeoaaoe iaaeeeoeiao ?aaeoe?th na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii?. Oae iieacaii, ui: a) iaeii?aciaee i?eeii aaoa-aae?aiiaeieaoi?a aiai?ee?io iaiaaeo? i?e??no *NN i?e ineoiaiioe?ei?e iai?oc?, aea ia aeyaey? aieeao ia i?e??no e?ia'yiiai a?oa??aeueiiai oeneo; a) iaeii?aciaee i?eeii ei?eioa?o a aeic? 10 ia iaiaaeo? i?e??no a?oa??aeueiiai oeneo i?e ineoiaiioe?ei?e iai?oc?, aea ia aeyaey? aieeao ia i?e??no /anoioe na?oeaaeo nei?i/aiue; a) iaeii?aciaee i?eeii aa?aiai?eo a aeic? 80 ia iaiaaeo? i?e??no nenoie?/iiai a?oa??aeueiiai oeneo oa /anoioe na?oeaaeo nei?i/aiue; a) i?e iaeii?aciaiio i?eeii?, eaiioai a aeic? 12,5 ia iaiaaeoaaa i?e??no nenoie?/iiai a?oa??aeueiiai oeneo, a oaeiae oiia?eueithaaa ?eoi na?aeoeaaeo nei?i/aiue. ae) iaeii/aniee i?eeii aiai?ee?io (10 ia) ? ei?eioa?o (10 ia) iaiaaeo? ye o?iiio?iiio, oae ? i?ani?io ?aaeoe?th i?e ineoiaiioe?eiiio no?ani?iiio iaaaioaaeaii? o 95% ianoaaeaieo iioeeiai a?eo. Nienie ae?oeiaaieo ?ia?o 1. Aioiithe-Uaaeiaa E. A. , Oaoeei A. A. , Iena?oe A. A. Iniaaiiinoe ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia e?aoeia?aiaiiia yenia?eiaioaeueiia ineoiyiioeeiiaeueiia no?anni?iia aicaeaenoaea o ethaeae iiaeeeiai aic?anoa // I?iae. noa?aiey e aeieaieaoey. - 1994. -4, ? 2. - N. 220-226. 2. Oaoeei A. A. , Aioiithe-Uaaeiaa E. A. Caaeneiinoue ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia ineoiyiioeeiiaeueiia no?anni?iia aicaeaenoaea io enoiaeiiai ninoiyiey aaaaoaoeaiie ?aaoeyoeee o ethaeae iiaeeeiai aic?anoa // I?iae. noa?aiey e aeieaieaoey. -1994. -4, ? 3-4. - N. 347-355. 3. Aioiithe-Uaaeiaa E. A. Aeeyiea ?acee/iuo aeic aaoa-aae?aiiaeieaoi?a aiai?eeeia ia ?aaeoeeth na?aea/ii-ninoaeenoie nenoaiu i?e ineoiyiioeeiiaeueiii no?anni?iii aicaeaenoaee o aieueiuo o?iie/aneie EAN iiaeeeiai aic?anoa // I?iae. noa?aiey e aeieaieaoey. -1995, 5, ? 3-4. - N. 200-207. 4. Aioiithe-Uaaeiaa E.A., Oaoeei A. A. Aic?anoiua eciaiaiey ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu i?e ineoiyiioeeiiaeueiii no?anni?iii aicaeaenoaee (INA) o ethaeae iiaeeeiai aic?anoa //O?oaeu II Iaoeeiiaeueiiai eiia?anna aa?iioieiaia e aa?eao?ia Oe?aeiu. –Eeaa. –1994. –N. 21. 5. Korkushko O. V., Polyukhov A. M., Shatilo V. B., Antonyuk-Scheglova I. A., GrebelnikV. I. Personality peculiarities and response to mental stress in the aged // Prog. 7th IPA Congress ”Spirit in Ageing. – Sydney (Australia). – 1995. – P. 132. 6. Ei?eooei I. A., Oaoeei A. A. , Aioiithe-Uaaeiaa E. A. Iniaaiiinoe ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia ineoiyiioeeiiaeueiia no?anni?iia aicaeaenoaea o ethaeae iiaeeeiai aic?anoa //O?oaeu ia?aiai ?inneeneiai eiia?anna ii iaoioeceieiaee n iaaeaeoia?iaeiui o/anoeai. – Iineaa. – 1996. – N. 212. 7. Aioiithe-Uaaeiaa E. A. Ia?aie/aiea ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia ineoiyiioeeiiaeueiia no?anni?iia aicaeaenoaea (INA) o aieueiuo OEAN iiaeeeiai aic?anoa n iiiiuueth iaaeeeaiaioiciuo aioeno?anni?iuo i?aia?aoia // Iaoa?eaeu ?anioaeeeaineie iao/ii-i?aeoe/aneie eiioa?aioeee iieiaeuo o/aiuo e niaoeeaeenoia. –Oa?ueeia, 1997. –n. 4 8. Oaoeei A. A., Aioiithe-Uaaeiaa E. A. Aiciiaeiinoe iaaeeeaiaioiciie ei??aeoeee na?aea/ii-ninoaeenoie ?aaeoeee i?e ineoiyiioeeiiaeueiii no?anni?iii aicaeaenoaee o aieueiuo iiaeeeiai aic?anoa // Iaoa?eaeu V eiia?anna ea?aeeieiaia Oe?aeiu. – Eeaa: Oe?a?inueeee ea?ae?ieia?/iee aeo?iae ( aeiaeaoie aei 3/96). –1997. – N. 68. 9. Aioiithe-Uaaeiaa E. A. Oaeoi?u, ii?aaeaeythuea eiaeeaeaeoaeueiua iniaaiiinoe ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia aeice?iaaiiia yenia?eiaioaeueiia ineoiyiioeeiiaeueiia no?anni?iia aicaeaenoaea o aieueiuo OEAN iiaeeeiai aic?anoa //Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? (Ee?a, 22-24 aeiaoiy 1997?ieo) ”?aaa?e?oaoe?y oai?eo iioeeiai a?eo ?c caoai?thaaiiyie na?oeaai-noaeeiii? nenoaie ? oea?aa?aeueiith noaeeiiith iaoieia??th. –Ee?a. –1997. –N. 31-33. 10. Oaoeei A. A., Aioiithe-Uaaeiaa E. A. Oa?iaeieiae/aneay iiaeeoeeaoeey na?aea/ii-ninoaeenoiai ioaaoa ia ineoiyiioeeiiaeueiia iai?yaeaiea o iiaeeeuo aieueiuo n o?iie/aneie eoaie/aneie aieaciueth na?aeoea //Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe?? (Ee?a, 22-24 aeiaoiy 1997?ieo) ”?aaa?e?oaoe?y oai?eo iioeeiai a?eo ?c caoai?thaaiiyie na?oeaai-noaeeiii? nenoaie ? oea?aa?aeueiith noaeeiiith iaoieia??th. –Ee?a. –1997. –N. 65-66. 11. Oaoeei A.A., Aioiithe-Uaaeiaa ?.A. Iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii? nenoaie ia ae?th ineoiaiioe?eiiai no?ani?iiai /eiieea o ethaeae iioeeiai a?eo oa oaeoi?e, ui ?o aecia/athoue// O?c?ieia?/iee aeo?iae. –1998. -?3. – N. 325-326. AIIOAOe?ss Aioiithe-Uaaeiaa ?. A. Iniaeeaino? ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e aeiciaaiiio ineoiaiioe?eiiio no?ani?iiio aieea? o caei?iaeo ? oai?eo ia ?ON iioeeiai a?eo oa oeyoe ?? ei?aeoe??. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.02 – aioo??oi? oai?iae. – ?aaii-O?aie?anueea Aea?aeaaia iaaee/ia aeaaeai?y, ?aaii-O?aie?anuee 1998. Aeena?oaoe?th i?enay/aii aea/aiith iniaeeainoae ?aaeoe?? na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?ani?iiio aieea? o ethaeae iioeeiai a?eo. Aeyaeaii, ui i?e noa??ii? cieaeo?oueny no?ee?noue i?aai?cio aei ineoiaiioe?eiiai no?ani?iiai aieeao. Iieacaii, ui iniaeea?noth ?aaeoe?? na?oeaai-noaeeiii? nenoaie ia ineoiaiioe?eiee no?an o ethaeae iioeeiai a?eo ? iaaei??ia i?aeaeuaiiy a?oa??aeueiiai oeneo a ?acoeueoao? c?inoaiiy ia?eoa??eiiai noaeeiiiai iii?o. Oaeoi?aie, ui aecia/athoue iaaaeaeaaoio ?aaeoe?th na?oeaai-noaeeiii? nenoaie i?e ineoiaiioe?eiiio no?an? o ethaeae iioeeiai a?eo ? iaai? ia?niiaeuei? iniaeeaino? ianoaaeoaaieo, ii?ooaiiy aa?i?aoeaeoi?ii? ?aaoeyoe??, ciaioaiiy aieeao ia?aneiiaoe/ii? eaiee ? a?aeiinia aeii?ioaaiiy neiiaoe/iiai a?aeae?eo aaaaoaoeaii? ia?aiai? nenoaie. ?ic?iaeaia iaoiaeeea i?iaiicoaaiiy ?aaeoe?? na?oeaai-noaeeiii? nenoaie ia ineoiaiioe?eiee no?an o ethaeae iioeeiai a?eo. Cai?iiiiiaaia noaia iieacaiue aeey i?ecia/aiiy iaaeeeaiaioicieo aioeno?ani?ieo i?aia?ao?a c i?io?eaeoe/iith iaoith. Eeth/ia? neiaa: ineoiaiioe?eiee no?an, na?oeaai-noaeeiia nenoaia, e?oi?e a?e, ia?niiaeuei? iniaeeaino?, aaaaoaoeaia ?aaoeyoe?y, aa??aaaeuei?noue na?oeaaiai ?eoio, a?ia??aaeoi?e. AIIIOAOeEss Aioiithe-Uaaeiaa E.A. Iniaaiiinoe ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu i?e aeice?iaaiiii ineoiyiioeeiiaeueiii no?anni?iii aicaeaenoaee o caei?iauo e aieueiuo EAN iiaeeeiai aic?anoa e iooe aa ei??aeoeee. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.02 – aioo?aiiea aieacie. –Eaaii-O?aieianeay Ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey, Eaaii-O?aieiane 1988. Aeenna?oaoeey iinayuaiia eco/aieth iniaaiiinoae ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu i?e ineoiyiioeeiiaeueiii no?anni?iii aicaeaenoaee o ethaeae iiaeeeiai aic?anoa. Auyaeaii, /oi i?e noa?aiee nieaeaaony onoie/eainoue i?aaiecia e ineoiyiioeeiiaeueiiio no?anni?iiio aicaeaenoaeth. Iieacaii, /oi iniaaiiinoueth ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia ineoiyiioeeiiaeueiue no?ann o ethaeae iiaeeeiai aic?anoa yaeyaony /?acia?iia iiauoaiea a?oa?eaeueiiai aeaaeaiey a ?acoeueoaoa ?inoa ia?eoa?e/aneiai ninoaeenoiai nii?ioeaeaiey. Oaeoi?aie, ii?aaeaeythueie iaaaeaeaaoioth ?aaeoeeth na?aea/ii-ninoaeenoie nenoaiu i?e ineoiyiioeeiiaeueiii no?anna o ethaeae iiaeeeiai aic?anoa yaeythony ii?aaeaeaiiua ee/iinoiua iniaaiiinoe ianeaaeiaaiiuo, ia?ooaiea aa?i?aoeaeoi?iie ?aaoeyoeee, oiaiueoaiea aeeyiey ia?aneiiaoe/aneiai caaia e ioiineoaeueiia i?aiaeaaeaiea neiiaoe/aneiai ioaeaea aaaaoaoeaiie ia?aiie nenoaiu. ?ac?aaioaia iaoiaeeea i?iaiice?iaaiey ?aaeoeee na?aea/ii-ninoaeenoie nenoaiu ia ineoiyiioeeiiaeueiue no?ann o ethaeae iiaeeeiai aic?anoa. I?aaeeiaeaia noaia iieacaiee aeey iacia/aiey iaaeeeaiaioiciuo aioeno?anni?iuo i?aia?aoia n i?ioeeaeoe/aneie oeaeueth. Eeth/aaua neiaa: ineoiyiioeeiiaeueiue no?ann, na?aea/ii-ninoaeenoay nenoaia, iiaeeeie aic?ano, ee/iinoiua iniaaiiinoe, aaaaoaoeaiay ?aaoeyoeey, aa?eaaaeueiinoue na?aea/iiai ?eoia, aeia??aaeoi?u. ANNOTATION Antonyuk-Shcheglova I.A. Peculiarities of cardio-vascular system’s response to a graded psychoemotional stressor impact in elderly healthy subjects and patients with ischemic heart disease and ways to its correction. – Manuscript. Thesis for a candidate’s degree by speciality 14.01.02. – internal deseases. Ivano-Frankivsk Medical Academy, Ivano-Frankivsk 1998. The dissertation is devoted to studying the peculiarities of cardio-vascular system’s response to psychoemotional stressor impact in elderly peopl. The resistance of organism to stressor effects was found to decrease with aging. An excessive elevation of arterial blood pressure due to an increase of peripheral vascular resistance was shown to be a characteristic of cardio-vascular system’s response to a psychoemotional stress in elderly peopl. The factors determining an inadequate cardio-vascular system’s response to the psychoemotional stress in elderly peopl are: specific personality traits of the persons investigated, the deterioration of baroreflex control , a decrease in parasympathetic link’s influence, and a relative preponderance of the sympathetic part of autonomic nervous system. The method of prediction the cardio-vascular system’s response to the psychoemotional stress in elderly peopl was developed. The scheme of indication for prescribing the antistressor drugs for prophylactic purpose was suggested. Key words: psychoemotional stress, cardio-vascular system, old age, personality traits, autonomic control, heart rate variability, high responders.

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