Диссертация (1140840), страница 4
Текст из файла (страница 4)
.;9K?AP @:;@BNA? K;L<@IA @ WG@;@<VL (Short Health Anxiety Inventory —SHAI).SHAI URH ;9W;9U@K9N P. Salkovskis et al. (2002) A B@BK@AK AW 18 :>N?K@<,@K<LKR :@ ?@K@;RQ @MLNA<9XK < U9HHVN@P BABKLQL @K 0 G@ 3 U9HH@<. )9W;9U@K?>@:;@BNA?9 :;@<@GAHA N9 <RU@;?L WG@;@<R= HXGLP, :9MALNK@<, AQLXZA=;9WHAONRL B@Q9KAOLB?AL W9U@HL<9NAJ, A <RU@;?L U@HVNR= B A:@=@NG;AOLB?AQA;9BBK;@PBK<9QA. /WN9O9HVN@ @:;@BNA? B@GL;Y9H 14 :>N?K@<, N9:;9<HLNNR= N9@MLN?> K;L<@IA @ WG@;@<VL, A 4 — N9 @:;LGLHLNAL BK;9=9 ;9W<AKAJ A :@BHLGBK<APBL;VLWN@I@ W9U@HL<9NAJ [106].
&:@BHLGBK<AA < ;9U@KL J.Abramowitz et al. (2007) ?>YL B>ZLBK<>XZAQ G<>Q S9?K@;9Q URH G@U9<HLN K;LKAP, @:ABR<9XZAP@KN@TLNAL OLH@<L?9 ? KLHLBNRQ @Z>ZLNAJQ. 29?AQ @U;9W@Q, < BK;>?K>;>@:;@BNA?9 <@THA S9?K@;R: «&L;@JKN@BKV W9U@HL<9NAJ» («Illness Likelihood» — 11:>N?K@<), «2JYLBKV W9U@HL<9NAJ» («Illness Severity» — 4 :>N?K9) A «#GAKLHVN@BKV? KLHLBNRQ BLNB9MAJQ» («Body Vigilance» — 3 :>N?K9) [60].1G9:K9MAJ ;>BB?@JWRON@P <L;BAA QLK@GA?A < 2014 I., :;@<LGLNN9J 2.1.]LH@N?AN@P, -.3.
(NA?@H@:@<RQ A 1.1. (;Q>TL<@P, <RJ<AH9 N9AU@HVT>X:;AI@GN@BKV K;L=S9?K@;N@P BK;>?K>;R @:;@BNA?9 B <RGLHLNALQ BHLG>XZA=B@BK9<HJXZA=: 9) «2;L<@I9 @ WG@;@<VL» (N9<JWOA<RL QRBHA @ W9U@HL<9NAA, @MLN?9<L;@JKN@BKA@?9W9KVBJU@HVNRQ);U)«-K;9=NLI9KA<NR=:@BHLGBK<APW9U@HL<9NAJ»; <) «#GAKLHVN@BKV ? KLHLBNRQ BLNB9MAJQ». !9?K@; «2;L<@I9 @WG@;@<VL» <?HXO9LK 9 :>N?K@< @:;@BNA?9, B@@K<LKBK<LNN@, < U9HHVNR= @MLN?9=BKL:LNV <R;9YLNN@BKA [K@I@ ?9OLBK<9 <9;VA;>LK @K 0 G@ 27 U9HH@<. & B@BK9<S9?K@;9 «-K;9= NLI9KA<NR= :@BHLGBK<AP W9U@HL<9NAJ» <=@GJK 5 :>N?K@<@:;@BNA?9 (< U9HHVNR= @MLN?9= WN9OLNAJ AWQLNJXKBJ < :;LGLH9= @K 0 G@ 15U9HH@<). .
S9?K@;> «#GAKLHVN@BKV ? KLHLBNRQ BLNB9MAJQ» @KN@BJKBJ 4 :>N?K9@:;@BNA?9 (< U9HHVNR= @MLN?9= —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
,LK@GA?9 «SF-36 (Short Form Medical Outcomes)»,LK@GA?9 URH9 <<LGLN9 < ABBHLG@<9NAL GHJ @MLN?A ?9OLBK<9 YAWNA:9MALNK@<, :;A [K@Q ?9OLBK<@ YAWNA :@NAQ9H@BV ?9? B>U`L?KA<N9J @MLN?9SAWAOLB?@I@ A :BA=AOLB?@I@ UH9I@:@H>OAJ OLH@<L?9.,LK@GA?9 SF-36, B@WG9NN9J C.A. McHorney, J.E. Ware A A.E. Raczek (1993),:;AW<9N9AWQL;JKV@UZALB@BK9<HJXZALWG@;@<VJ,NLB:LMASAONRLGHJ<@W;9BKNR= I;>::, @:;LGLHLNNR= W9U@HL<9NAP AHA :;@I;9QQ HLOLNAJ. ,LK@GA?9B@BK@AK AW 8 T?9H, ?@K@;RL @U;9W>XK B@BK9<NRL =9;9?KL;ABKA?A WG@;@<VJ:«!AWAOLB?@L S>N?MA@NA;@<9NAL», «)@HL<@L S>N?MA@NA;@<9NAL, @U>BH@<HLNN@LSAWAOLB?AQ B@BK@JNALQ», «/NKLNBA<N@BKV U@HA», «$UZLL B@BK@JNAL WG@;@<VJ»,«'BA=AOLB?@LWG@;@<VL»,«)@HL<@LS>N?MA@NA;@<9NAL,@U>BH@<HLNN@L[Q@MA@N9HVNRQ B@BK@JNALQ», «-@MA9HVN@L S>N?MA@NA;@<9NAL», «]AWNLNN9J9?KA<N@BKV».
'@?9W9KLHA ?9YG@P T?9HR <9;VA;>XK @K 0 G@ 100 U9HH@<, IGL 100U9HH@< @WN9O9LK :@HN@L WG@;@<VL. '@ T?9H9Q BI;>::A;@<9NR 36 :>N?K@<@:;@BNA?9, B9QA YL @NA @U`LGANLNR < G<9 ?@Q:@NLNK9 WG@;@<VJ: SAWAOLB?AP A:BA=@H@IAOLB?AP[93].,LK@GA?99G9:KA;@<9N9ABBHLG@<9KLHJQA,LYN9MA@N9HVN@I@ 4LNK;9 ABBHLG@<9NAJ ?9OLBK<9 YAWNA AW -9N?K-'LKL;U>;I9 <1998 I@G> (/NKL;NLK-B9PK ,4/.] http://www.mcqlr.da.ru).3. 'JKAS9?K@;NRP HAON@BKNRP @:;@BNA?, AHA «#@HVT9J :JKL;?9».$:;@BNA? URH ;9W;9U@K9N R.R.McCrae A P.T.Costa (1987) GHJ @MLN?AU9W@<R= HAON@BKNR= S9?K@;@< «NLP;@KAWQ9», «[?BK;9<L;BAA», «@K?;RK@BKA@:RK>», «B@IH9BAJ» A «G@U;@B@<LBKN@BKA» [91].
$:;@BNA? B@BK@AK AW 60>K<L;YGLNAP (:;JQR= A «@U;9KNR=»), @KN@BAKLHVN@ ?9YG@I@ AW ?@K@;R=20@UBHLG>LQRP G@HYLN <R;9WAKV B<@L B@IH9BAL AHA NLB@IH9BAL, AB:@HVW>J 5U9HHVN>X T?9H>: @K 5 U9HH@< — «:@HN@BKVX B@IH9BLN», G@ 1 — «:@HN@BKVX NLB@IH9BLN». & ;LW>HVK9KL @U;9U@K?A :@H>OLNNR= G9NNR= <RJ<HJXK <R;9YLNN@BKV?9YG@I@ AW HAON@BKNR= S9?K@;@< :@ 5-U9HHVN@P T?9HL: @K 1 U9HH9 — «@OLNVNAW?9J <R;9YLNN@BKV», G@ 5 — «@OLNV <RB@?9J <R;9YLNN@BKV».& G9NN@Q ABBHLG@<9NAA @:;@BNA? AB:@HVW@<9N < 9G9:K9MAA -.0. #A;X?@<9,,.&. #@G>N@<9 A ,.-. (I@;@<@P A $.&. '9;TA?@<@P (2016) [17, 91].3.
,LK@GA?9 @MLN?A HAON@BKN@P A BAK>9KA<N@P K;L<@YN@BKA -:AHUL;IL;9—79NAN9 (State-Trait Anxiety Inventory — STAI).,LK@GA?9 URH9 ;9W;9U@K9N9 C.D.Spielberger, R.L Gorsuch., R.E.Lushene(1970) GHJ GASSL;LNMA;@<9NN@P @MLN?A HAON@BKN@P A BAK>9KA<N@P K;L<@YN@BKA.& G9NN@Q ABBHLG@<9NAA STAI AB:@HVW@<9N9 < 9G9:K9MAA F.C.
79NAN9 (1976) [52,109]. $:;@BNA? B@BK@AK AW 40 >K<L;YGLNAP, < @KN@TLNAA ?9YG@I@ AW ?@K@;R=:9MALNK G@HYLN @KQLKAKV @GN@ AW WN9OLNAP 4-U9HHVN@P T?9HR O9BK@KR<BK;LO9LQ@BKA KL= AHA ANR= ;L9?MAP («3A?@IG9», «'@OKA NA?@IG9», «59BK@» A«'@OKA <BLIG9»). '@GT?9H9 «< N9BK@JZAP Q@QLNK» (<;LQJ :;@<LGLNAJ @:;@B9):@Q@I9LK @MLNAKV BAK>9KA<N>X K;L<@I>, 9 <9;A9NK «?9? @URON@» — HAON@BKN>XK;L<@YN@BKV. /K@I@<RP :@?9W9KLHV :@ ?9YG@P AW :@GT?9H N9=@GAKBJ < GA9:9W@NL@K 20 G@ 80 U9HH@< A :@W<@HJLK B@:@BK9<HJKV <R;9YLNN@BKV BAK>9KA<N@P AHAON@BKN@P K;L<@YN@BKA.4. $:;@BNA? ?@INAKA<NR= >BK9N@<@? @ KLHL A WG@;@<VL (Cognition about Bodyand Health Questionnaire — C1B1H).CABAH URH ;9W;9U@K9N W.
Rief, W. Hiller A J. Margraf (1998) GHJ <RJ<HLNAJ@B@ULNN@BKLP @KN@TLNAJ @:;9TA<9LQ@I@ ? U@HLWNA, WG@;@<VX A KLH> [103]. &N9BK@JZLL <;LQJ :;@<@GAKBJ 9G9:K9MAJ ;>BB?@JWRON@P <L;BAA QLK@GA?A :@G;>?@<@GBK<@Q (./. )9BB?9W@<@P < !LGL;9HVN@Q I@B>G9;BK<LNN@Q N9>ON@Q>O;LYGLNAA «39>ONRP MLNK; :BA=AOLB?@I@ WG@;@<VJ».
$:;@BNA? B@BK@AK AW 39>K<L;YGLNAP, :9MALNK G@HYLN @MLNAKV BKL:LNV B<@LI@ B@IH9BAJ B NAQA :@ T?9HL BOLKR;VQJ GLHLNAJQA @K «'@HN@BKVX NL B@IH9BLN» G@ «'@HN@BKVX B@IH9BLN».$K<LKR :9MALNK@< :L;L<@GJK < U9HHR @K 0 G@ 3. %K<L;YGLNAJ @:;@BNA?921B@BK9<HJXK 6 T?9H: «.9K9BK;@SAW9MAJ :;A ANKL;:;LK9MAA KLHLBNR= BAQ:K@Q@<»,«1<K@N@QNRL @Z>ZLNAJ», «2LHLBN9J BH9U@BKV», «3L:L;LN@BAQ@BKV KLHLBNR=BAQ:K@Q@<»,«';A<RO?A,B<JW9NNRLB@WG@;@<VLQ»,«-@Q9K@BLNB@;N9J9Q:HASA?9MAJ» [38].1.3.
<L-+#+*+Z%NLKI%L Q"+'*LOP %$.NL&%M Q"+Z&+$( . '+*J&PWW"+&%NLKI+U %XLO%NLKI+U '+*L$&JY KL"#T(/W>OLNAL :;@IN@W9 > U@HVNR= 7/#- B<JW9N@ B ;JG@Q QLK@G@H@IAOLB?A=BH@YN@BKLP.2;9GAMA@NN@ ? «=;@NAOLB?@P» /#- @KN@BJK BK9UAHVN>X BKLN@?9;GAXN9:;JYLNAJ, «NLQ>X» ATLQAX QA@?9;G9 A :L;A@GR BK9UAHVN@I@ ULBBAQ:K@QN@I@B@BK@JNAJU@HVNR=:@BHL:L;LNLBLNN@I@$.-.$GN9?@<:@BHLGNA=;L?@QLNG9MAJ= ESC (The European Society of Cardiology — (<;@:LPB?@L @UZLBK<@?9;GA@H@I@<) :@GOL;?A<9LKBJ, OK@ «:L;L=@G @K NLBK9UAHVNR= ? BK9UAHVNRQBANG;@Q9Q :;LGBK9<HJLK B@U@P ?@NKAN>>Q ULW OLK?A= I;9NAM». 29?>X :@WAMAX:@GK<L;YG9XKA;LW>HVK9KR:;AQLNJLQR=<:@BHLGNALI@GRB<L;=O><BK<AKLHVNR= KLBK@< N9 K;@:@NANR, :@?9W9<TAL, OK@ > U@HVNR= B@BK9UAHVN@P BKLN@?9;GALP O9BK@ <@WNA?9XK [:AW@GR NLU@HVT@I@ <RB<@U@YGLNAJK;@:@NAN9, NL G@BKAI9XZLI@ >;@<NJ GA9IN@BKAOLB?@I@ :@;@I9, N@ AQLXZLI@:;@IN@BKAOLB?@L WN9OLNAL. )JG 9<K@;@< ;9BMLNA<9LK BKLN@?9;GAX :@?@J,B<JW9NN>X B@ B:9WQ@Q ?@;@N9;NR= 9;KL;AP, ?9? BK9UAHVN>X, =@KJ B@IH9BNR B[KAQ NL <BL [78].29?AQ @U;9W@Q, B :@WAMAA QLYG>N9;@GNR= ;L?@QLNG9MAP :;A @UB>YGLNAAU@HVNR= B QN@I@HLKNAQ 9N9QNLW@Q /#- NL <BLIG9 BK9<AKBJ WN9? ;9<LNBK<9 QLYG>KL;QAN9QA «=;@NAOLB?9J» A «BK9UAHVN9J».
- N9TLP K@O?A W;LNAJ 7/#-, ?9? AHXU@L =;@NAOLB?@L W9U@HL<9NAL, AQLLK :L;A@GR @U@BK;LNAJ A ;LQABBAA.';AOANR ATLQAA QA@?9;G9, ?9? :;A BK9UAHVN@P BKLN@?9;GAA, K9? A :;A@BK;@Q ?@;@N9;N@Q BANG;@QL ($.-) Q@I>K URKV ;9WHAONRQA, G9HL?@ NL > <BL=AQLLKQLBK@ILQ@GAN9QAOLB?AWN9OAQRPBKLN@WA;>XZAP?@;@N9;NRP229KL;@B?HL;@W AHA ?@;@N9;NRP 9KL;@K;@QU@W. /TLQAJ QA@?9;G9 :;A ?@;@N9;N@PU@HLWNA Q@YLK URKV LZL A BHLGBK<ALQ B:9WQ9 <LNLONR= 9;KL;AP AHAQA?;@B@B>GABK@P ?@;@N9;N@P GABS>N?MAA, 9 K9?YL B@OLK9NAJ :L;LOABHLNNR=S9?K@;@<.&QLBKLBKLQ,:;AQN@I@HLKNLQN9UHXGLNAAU@HVNR=BGA9IN@BKA;@<9NN@P /#- BK9N@<AKBJ @OL<AGNRQ, OK@ :;@IN@W W9U@HL<9NAJWN9OAKLHVN@ =>YL < I;>::L KL=, ?K@ AQLLK BKLN@WA;>XZAP 9KL;@B?HL;@W <LNLONR=9;KL;AP,9KLOLNALQA?;@B@B>GABK@PBKLN@?9;GAAB>ZLBK<LNN@U@HLLUH9I@:;AJKN@L [94].(ZL @OL<AGNLL ;9WHAOAJ QLYG> [KAQA I;>::9QA U@HVNR= /#- BK9N@<JKBJ:;A ;9BBQ@K;LNAA <@WQ@YN@BKA <L;ASA?9MAA GA9IN@W9 A HLOLNAJ, 9 K9?YL ;@HA<K@;AON@P :;@SAH9?KA?A A ?9;GA@;L9UAHAK9MAA < KLOLNAA W9U@HL<9NAJ.& K@ <;LQJ ?9? :@GK<L;YGLNAL BKLN@WA;>XZLI@ 9KL;@B?HL;@W9 ?@;@N9;NR=9;KL;AP<N9BK@JZLL<;LQJ<@WQ@YN@B:@Q@ZVX?9?AN<9WA<N@P?@;@N9;@9NIA@I;9SAA, K9? A Q>HVKAB:A;9HVN@P ?@Q:VXKL;N@P K@Q@I;9SAA?@;@N9;NR= 9;KL;AP B ?@NK;9BKA;@<9NALQ, <L;ASA?9MAJ QA?;@<9B?>HJ;N@PGABS>N?MAA <BL LZL :;LGBK9<HJLKBJ W9K;>GNAKLHVN@P.-@<;LQLNN9J QLGAMAN9 ;9B:@H9I9LK U@HVTAQA <@WQ@YN@BKJQA <HAJNAJ N9<BL S@;QR /#-, B<JW9NN@P B ?@;@N9;NRQ 9KL;@B?HL;@W@Q A 9KL;@K;@QU@W@Q, N@G@BA=:@;NLAQLLKB?@HV?@-NAU>GV[SSL?KA<N@PK9?KA?AHLOLNAJQA?;@B@B>GABK@P BKLN@?9;GAA.
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
/BBHLG@<9KV AN<9HAGAW9MAX U@HVNR= B=;@NAOLB?AQA W9U@HL<9NAJQA <@@UZL G@BK9K@ON@ BH@YN@, K9? ?9? < B@<;LQLNN@QQA;L QN@IAL Q@I>K ;9U@K9KV «< >G9HLNN@Q G@BK>:L», 9 A= IH9<NRL :;@UHLQRB<JW9NR @I;9NAOLNAJQA < :@<BLGNL<N@P YAWNA [12, 13, 19, 55]. & ?9?@P-K@ QL;L[KA <@:;@BR Q@YN@ AW>O9KV B :@Q@ZVX @:;@BNA?@<, N@ ;LW>HVK9KR A=NLG@BK9K@ON@ @U`L?KA<NR.1.4. 3-+"%N&(M Q"+[%*(I-%I( . '+*J&PW W"+&%NLKI+U %XLO%NLKI+U'+*L$&JY KL"#T(&9YNLPT>X ;@HV < =9;9?KL;L KLOLNAJ 7/#- (UH9I@:;AJKN@Q AHANLUH9I@:;AJKN@Q) AI;9XK <K@;AON9J :;@SAH9?KA?9 A ?9;GA@;L9UAHAK9MAJ.$BN@<NRL W9G9OA <K@;AON@P :;@SAH9?KA?A — :;LG@K<;9ZLNAL :;@I;LBBA;@<9NAJ9KL;@B?HL;@W9 ?@;@N9;NR= 9;KL;AP, ;9W<AKAJ 9KL;@K;@QU@W9 ($.-) A @BN@<N@I@@BH@YNLNAJ /#- — 7-3. .9;GA@;L9UAHAK9MAJ <@ QN@I@Q ;LT9LK KL YL W9G9OA,:@[K@Q> < N9BK@JZLL <;LQJ [KA N9:;9<HLNAJ O9BK@ ;9BBQ9K;A<9XK B@<QLBKN@ [15,35]..
![](https://s.studizba.com/z.php?f=/templates/si/i/noavatar.png&w=100&h=100&t=1"){kind=avatar}
