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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mprj</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская психология в России</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Psychology in Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2219-8245</issn><publisher><publisher-name>федеральное государственное бюджетное образовательное учреждение высшего образования "Ярославский государственный медицинский университет"</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">mprj-16</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕДИЦИНСКАЯ ПСИХОЛОГИЯ В СОМАТИЧЕСКОЙ КЛИНИКЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MEDICAL PSYCHOLOGY IN A SOMATIC CLINIC</subject></subj-group></article-categories><title-group><article-title>Личностные предпосылки страха гипогликемии у пациентов с сахарным диабетом 1 типа</article-title><trans-title-group xml:lang="en"><trans-title>Personal prerequisites for fear of hypoglycemia in patients with type 1 diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бизюк</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Bizyuk</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бизюк Александр Павлович - кандидат психологических наук, доцент, доцент кафедры общей и клинической психологии</p><p>ул. Льва Толстого, 6-8, Санкт-Петербург, 197022, Тел.: 8 (812) 338-66-00</p></bio><bio xml:lang="en"><p>L'va Tolstogo str. 6-8, Saint Petersburg, 197022, Phone: +7 (812) 338-66-00</p></bio><email xlink:type="simple">a_biziuk@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коновалик</surname><given-names>Л. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Konovalik</surname><given-names>L. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Коновалик Лилия Тарасовна - студентка шестого курса лечебного факультета, кафедра общей и клинической психологии</p><p>ул. Льва Толстого, 6-8, Санкт-Петербург, 197022, Тел.: 8 (812) 338-66-00</p></bio><bio xml:lang="en"><p>L'va Tolstogo str. 6-8, Saint Petersburg, 197022, Phone: +7 (812) 338-66-00</p></bio><email xlink:type="simple">konovalik2000212@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>1 Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>19</day><month>11</month><year>2024</year></pub-date><volume>15</volume><issue>3</issue><fpage>13</fpage><lpage>27</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бизюк А.П., Коновалик Л.Т., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Бизюк А.П., Коновалик Л.Т.</copyright-holder><copyright-holder xml:lang="en">Bizyuk A.P., Konovalik L.T.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.mprj.ru/jour/article/view/16">https://www.mprj.ru/jour/article/view/16</self-uri><abstract><p>Наличие сахарного диабета 1 типа (СД1) и переживание в анамнезе острой гипогликемии часто сопровождается появлением страха соответствующего состояния в будущем, параллельно приводя к перекосу самоконтроля пищевого поведения в пользу порой избыточного приема углеводосодержащих продуктов, что и приводит к отдаленным, но плохо осознаваемым в актуальный момент неблагоприятным последствиям. Предполагается, что неадекватность в оценке перспектив ухудшения здоровья может определяться комплексом личностных особенностей, дизадаптивно усиливающих подобный феномен.</p><p>Целью статьи является уточнение роли психологических качеств в формировании страха гипогликемии.</p><sec><title>Методы исследования</title><p>Методы исследования: шкала оценки уровня личностной и ситуа-тивной тревожности Спилбергера-Ханина, пятифакторный личностный опросник (версия 5FPQ Heijiro Tsuji в адаптации А. Б. Хромова, методика «Тип отношения к болезни» (ТОБОЛ), опросник уровня субъективного контроля (УСК), методика «Шкала страха гипогликемии» (HFS-II).</p></sec><sec><title>Результаты</title><p>Результаты: высокие значения страха гипогликемии наблюдаются при повышенных показателях экстраверсии, привязанности, самоконтроля, экспрессивности и нейротизма. Этому же способствуют ипохондри-ческий и тревожный типы отношения к болезни. Тенденция к замкнутости, сосредоточенности на своих интересах, индивидуалистичности, самостоятельности, низкой эмоциональности и сниженной эмпатии характерны для более низких значений страха гипогликемии. Превентивные формы поведения более типичны для пациентов с реалистической оценкой событий.</p></sec></abstract><trans-abstract xml:lang="en"><p>The presence of type 1 diabetes mellitus (T1DM) and a history of acute hypoglycemia is often accompanied by the emergence of a fear of a corresponding condition in the future, in parallel leading to a bias in self-control of eating behavior in favor of sometimes excessive intake of carbohydrate-containing foods, which leads to distant, but poorly understood at the moment adverse consequences. It is assumed that inadequacy in assessing the prospects for deterioration in health can be determined by a complex of personal characteristics that maladaptively enhance such a phenomenon.</p><p>The purpose of the article is to clarify the role of psychological qualities in the formation of fear of hypoglycemia.</p><sec><title>Research methods</title><p>Research methods: Spielberger – Khanin scale for assessing the level of personal and situational anxiety, five-factor personality questionnaire (version 5FPQ Heijiro Tsuji adapted by A. B. Khromov, "Type of attitude towards illness" (TOBOL) technique, subjective control level questionnaire (USC), technique Hypoglycemia Fear Scale (HFS-II).</p></sec><sec><title>Results</title><p>Results: high values of fear of hypoglycemia are observed with increased indicators of extraversion, affection, self-control, expressiveness and neuroticism. This is also facilitated by hypochondriacal and anxious types of attitudes towards whiteness. A tendency towards isolation, focus on one’s interests, individualism, independence, low emotionality and reduced empathy are characteristic of lower values of fear of hypoglycemia. Preventive forms of behavior are more typical for patients with a realistic assessment of events.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет 1 типа</kwd><kwd>страх гипогликемии</kwd><kwd>экстраверсия</kwd><kwd>привязанность</kwd><kwd>самоконтроль</kwd><kwd>нейротизм</kwd><kwd>экспрессивность</kwd><kwd>тревожность</kwd><kwd>превентивное поведение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>type 1 diabetes mellitus</kwd><kwd>fear of hypoglycemia</kwd><kwd>extraversion</kwd><kwd>attachment</kwd><kwd>self-control</kwd><kwd>neuroticism</kwd><kwd>expressiveness</kwd><kwd>anxiety</kwd><kwd>preventive behavior</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Маслова О.В., Сунцов Ю.И. 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