Method of medical and psychological prevention of stress

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to preventive, rehabilitating, general medical (family) practice, therapy, neurology and psychotherapy, and can be used for prevention of stress and pre-stress states, as well as consequences, which uncompensated stress response of patient's organism can result in irrespective of characterological peculiarities of stressor or stressors. Patient's anthropological parameters are measured: height, weight, chest circumference; index of cardio-vascular system activity - pulse. Obtained data are used to calculate patient's individual digital series (IDS). Patient is explained how IDS is calculated and session of psychotherapy, during which patient sits down in front of computer in convenient pose, relaxed state and whispers IDS, with IDS being periodically displayed on screen, to finish session patient makes quiet deep inhalation and exhalation.

EFFECT: method makes it possible to ensure medical and psychological prevention of patient's stress.

5 cl, 1 ex

The invention relates to medicine, namely to preventive, restorative, General medical (family) practice, internal medicine, neurology and psychotherapy, and can be used for the prevention of stress and prestressing States, and the consequences that result from uncompensated stress reaction of the patient regardless of the characteristic features of the stressor or stressors.

The urgency of the problem of improving approaches to prevention prestressing conditions and impacts are not compensated stress reactions on the human body, is great. Global socio-economic transformation, intensification in the production and education determine stressogenic global social space. Information globalization, the increasing demands for professionalism, personal qualities that determine the level of professional adaptation specialist, caused growth pandemichesky propagating stress and diseases.

According to the world health organization 45-55% of all illnesses are due to stress, and some experts believe that in a stressful situation daily fall²/₃the population of the planet. The international labour organization (International Labor Organization) estimates the covers losses resulting from occupational stress in two hundred billion dollars annually. The study of the International Association of stress management (ISMA), conducted in the UK showed that occupational stress in the course of the year felt more than 64% of the respondents, however, only 14% of them were assisted, and 78% had not received any professional advice. According to world statistics, occupational stress (the stress associated with the performance of professional duties) was the cause of personality disorders (40%), nervousness (47%), endogenous psychosis (13%).

The genetic weakness and failure of the acquired skills of fighting and counteracting stress causes the human body to the negative manifestations and reactions that causes stress diseases (hypertension, coronary heart disease, peptic ulcer and 12 duodenal ulcer, bronchial asthma, skin diseases, allergic diseases, neuroses, psychoses, depression, fatigue syndrome and so on).

Future economic and geopolitical position of Russia is defined professional competence, willingness to self-realization and self-regulation of behavior. Thus, the public order of society, modern market economy with high demands for such professional and personal qualities as adaptive capacity specialist and his stressout the resistance.

The computer is an essential accessory for the modern man. Computers have become faithful helpers person working in a familiar office environment, and in a typical home environment. More than half the world's population use a computer, and to work without him was almost impossible. Not less than 2 billion users daily experience stress. To reduce or avoid negative effects on the activity of the body stressors, both physiological and psychological, using the computer at the workplace or at home, this is a great opportunity for each of us. Reducing the negative impact of stressors on your body, we can improve the quality of life, therefore, and its duration. We must resist stress, and most importantly to be able to manage stress.

In General, however, questions the effectiveness of preventive and remedial medical interventions, psycho anti-stress methods using mathematical information-digital computer models based on individual anthropometric and physiological parameters of the patient, not well understood or simply not available.

Closest to the proposed method the methodology currently does not exist, because whether it's computer profile is chechetka program for dealing with stress or indirect psychotherapeutic method of increasing stress tolerance, they are all shared similar for all patients according to the method and type of impact and have nothing to do with the use of individual anthropometric parameters of the patient and his physiological parameters.

Achievable with implementation of the proposed method the technical result is the provision of medico-psychological prevention of stress of the patient. The effectiveness of the proposed method is based on the individual interest and the responsibility of the patient for prevention sessions, and also by reducing the average frequency of stress reactions stress on psychological and physiological attacks, self-monitoring of the status of the level of stress and your health with increased personal and social stress safety.

The developed method is the individual preventive courses on the prevention of emotional breakdowns and self-control enhance stress tolerance and inclusion into the course associated mediated psychotherapy - training using a variety of methods, the emotional-volitional relaxation and breathing exercises.

Mediated psychotherapy includes: psychological impact, deliberately raising the self-esteem of the patient using the of playing at least four types of psychophysiological States, associated with satisfaction the leading types of physiological and social needs (security; freedom and independence; in goal achievement and self-realization; approval, recognition and love, family and others), and then dynamically and verbal fixation resulting psychophysiological States; indirect subliminal psychological effects that increase the patient's motivation to improve stress resistance; psychological effects that enhance the skills of psychophysiological self-regulation and solving to stress the most disturbing of the patient's problems.

Emotional stress is largely caused by violation of satisfying the current needs. To meet their key needs and reduce the impact of stressors for the patient it is important to change or extend its repertoire of methods focused cognitive and behavioral response that is possible only together with improve its self-esteem.

In order to help the patient to improve self-esteem, it is proposed to induce his memories of situations in which he, after a period of its activity meets any of the leading needs. During such memories is reproduced corresponding to this need comfortable PS is horseradishes state. Multiple replay in combination with adequate associated with individual digital phrase and gesture leads to the formation of the conditioned reflex. The repetition of individual digital phrase and gesture in the future in and of itself is associated and helps to reproduce the specified comfort and improve confidence of the patient in that it can achieve such a state, that is, his self-esteem. At the same time, the patient learns to change the slightest sign of discomfort state in the corresponding comfortable condition in everyday and professional life in dealing with any small, seemingly everyday tasks that establishes a high level of self-esteem based on the acquisition of new experience.

Depending on the semantic orientation can be roughly divided into four types of leading medical and social needs: 1 - the need for security in isolation from the stress of the object that is implemented by suppressing its aggression and its invisible care or escape from obstacles; 2 - the need for freedom and independence from others and the environment, implemented by active-aggressive confrontation and getting rid of a stressor and release your own personal internal and external space; 3 - the need for self-realization and is actiuni goals, implemented by its own stress management object and its active-aggressive modifications; 4 - the need for approval, acceptance and love from family and others, implemented by suppressing aggression, expressing their benevolence and rapprochement with the social environment. Depending on what the need of the patient is leading, and how the emotional-cognitive-behavioral response he prevail, there are four personality types.

The satisfaction of physiological and social needs is accompanied by the emergence of different psychophysiological States differing by its own characteristics vegetovisceral, neurohumoral, neuromuscular control. With this in mind self-esteem are encouraged to use play at least four types of physiological conditions associated with satisfaction the four basic types of medical and social needs. The patient associated stimulates memories of situations in which he felt a sense of one's own attractiveness, success, independence, and security. Dynamic (using the same type adopted a relaxing posture and calm breathing, sitting at the computer) and verbal (using monotone is ikenaga repetition of individual digital number) conditioned reflex aggravation of confrontation between the effects of different stressors, will contribute to the stabilization of the positive self-assessment, i.e. assessment of their abilities to interact successfully with the environment, while also meeting the corresponding need for heightened stress safety.

Motivation to increase efficiency, improve attention, memory, sleep, improve their own health is of particular importance for patients who usually do not believe in all these things and so do not expect it and do not make active efforts to achieve it. In addition to unbelief in his power, passivity patients also often contributes unconscious conditional inevitability of one disease or another. To increase the motivation to strengthen their health, improve sleep, attention, memory and improve performance would be to link the conscious and the subconscious of the patient's sensations, emotions and thoughts related to health status, sleep, attention, memory and performance, with other feelings, emotions, images and thoughts related to the satisfaction of any of its actual needs, i.e. to achieve a very important task. Such a connection can be set using informed regularly associated indirect suggestion. You must help the patient to form an idea of his state of health is, that is, to consciously feel the feelings, emotions, thoughts, whom he defines it. Targeted self-training, self study and prevention of stress security helps to reduce severity of emotional stress and in a broad sense is a skill psychophysiological self-regulation.

Especially important is the self-study and preparation of the patient the skills of self-observation. Improving the skill of self-observation and observation of the world contributes to the improvement of the adequacy of responses, and learning purposeful perception is not only negative, but also positive signals from the external and internal environment of the body allows you to increase the weight of positive emotions in the psychological state, reducing the share is negative.

For the subconscious correction of cognitive style response possible learning positive thinking. Replacing negative thoughts and beliefs into positive also leads to a decrease in the intensity of negative emotions and reduced severity of emotional stress. The patient consciously aims to improve anti-stress safety: the ability to act effectively in extreme and complex professional and living conditions; the ability to relax and focus at the right moment; economical rashodov is their strength and quick recovery; freedom and independence from circumstances. This goal allows the patient to improve their ability to realize the desired activity and to diversify the ways of its achievement. This independently produced and permanently fixed skill allows you to increase the efficiency of solution of many professional and life's problems and thereby reduce the level of emotional tension, and also regularly resorting to rethink the events of his recent past (from one hour to several days), the patient reduces the adverse effects experienced emotional and psychological trauma.

The proposed method is as follows.

Carry out the measurement of anthropometric indicators of patient height, weight, chest circumference; measure of the performance of the cardiovascular system - the heart rate. On the basis of the received data to calculate individual digital number (DDI) of the patient according to the formula:

DDI=(β×(r+o+v)+γ×(r+o+v)):ρ/n,

where β is the individual rate of date of birth in the form of "Hu", x - date of birth, and y is the month of birth of the patient, γ - individual coefficient year of birth, presents a four-digit number of the year of birth of the patient, r is the patient's height (cm), circumference of the chest of the patient (cm), v is the weight of patient (kg), ρ is the pulse (BPM) of a patient, measured the morning after 5-7 min after awakening, n - step-down age factor: at the age of 30 years (n=1; 30-39 years n=2; 40-49 years n=3; 50-59 years n=4; 60 years and older n=5.

The patient is introduced to the calculation method of DDI. Then begin a psychotherapy session.

The main thing - to realize their choice, their freedom and responsibility. The introductory part. The patient sits in front of his computer at home or in the workplace. Posture should be comfortable, muscles relaxed. He must be configured: a sober assessment of the situation, the desire to contribute to the success of the medico-psychological prevention of stress the patient, relieve stress tension or to warn the upcoming stress that may occur during the execution of a particular work (a report from the chief, examination or receiving credit, will perform heavy physical or mental work, computer work continues for at least an hour and so on).

The main part. The patient adjusts his breathing and breathing evenly at a leisurely pace. The patient speaks in a whisper their individual digital number, which is periodically displayed on the screen of his computer. The playback procedure must be repeated 2 times per day depending on the time he spends at the computer. The process is mediated relaxation of 1.5-3 min of Elementary exercises for indirect impacts their indiv the dual digital near consciously on my mind - it is monotonous, even at a leisurely pace repeating in a whisper within 1.5-3 min in a strict sequence of their individual digital number. To run hidden adaptive-compensatory capacity that is sufficient. Preferably the use of individual digital number for 1.5-2.0 hours before bedtime will help to improve sleep, attention and memory after 4-6 weeks after the start of the prevention program.

The final part. 1.5-3 min manages to repeat his individual digital series about 35-40 times (the number of repetitions to calculate optional). The patient makes a quiet deep breath and exits the program, getting to his usual or professional duties.

Instructions for use of individual digital number.

1. The patient got your individual digital number, therefore, his consciousness can, and he can learn to control and manage their emotions and stress.

2. Developed methodology shall be used to prevent the development prestressing and stressful situations with the purpose of medical-psychological prevention of stress the patient: with the upcoming implementation or performing heavy physical work; with the upcoming implementation or execution heavy mental work; in preparation for sports or other litter is novanam, competitions, speeches, reports, responsible meetings, negotiations and so on; if the patient has an increased emotional or physical tone, he is irritable and short-tempered, especially with family and friends; the patient may find it difficult to think, it all goes wrong, it's hard to set yourself on the run, most likely, unpleasant work, but it should be done; the patient has a bad dream, he is irritable, he feels that he breaks down, he begins a depression, personal digital number is his chance. To improve memory, adaptive-compensatory abilities of the body it is necessary to use personal digital next. In developed conflict situation, it is necessary to concentrate and choose 1.5 to 3 min and take advantage of the individual digital next and then you will find the correct way out of this situation. Individual digital number will help to improve the physical condition, to overcome frustration, fatigue, emotional and moral weight before the upcoming or already an accomplished event. Individual digital number will help the patient to properly assess the surrounding world; to reduce the chance of becoming hypertensive, lady's finger, asthmatic, neurotic, psycho, etc.; get rid of complex fatigue.

3. Correction of the digital number of the desired one of the times during the season (summer, autumn, winter, spring).

4. Use of personal digital near without correction for over three months is not desirable.

5. The method preferably the first 1.5 to 3 weeks of daily use 2 times a day for 1.5-3 minutes (you can exclude Saturday and Sunday), and in the following only two times a week.

6. If weight, height, chest circumference worker remain constant, the individual digital number is adjusted only by changing the pulse, if you change the weight, you need to re-use the digital code to run the program and get all their anthropometric data in strict sequence: height, chest circumference, weight (new), pulse, and to obtain a new individual digital number.

7. Pulse is an indicator that changes constantly. To measure it in the morning after waking up, sitting up in bed. If the daily difference of the indices of heart rate measurement is done in the morning after waking up, sitting alone) differs 6-10 strokes per minute, the digital number can not be adjusted, if more than 10 beats is desirable to adjust, as shown in paragraph 5.

Detailed description of the results of the application of the method

Validation and testing of the invention "Method of medico-psychological prevention of stress" was held in "family medicine Center of Belgorod what about state University, Federal state institution of health Department of internal Affairs in the Belgorod region, Russian Academy of Sciences Medical radiological research center (MRRC RAMS, Obninsk. Consequently, there was 340, 20, and 100 patients for whom prophylactic wanted to improve stress tolerance. Testing and the test was conducted with the financial support of the Russian Government ("the Fund of assistance to development of small forms of enterprises in scientific-technical sphere", State contract No. R/9021 28. 12. 2008, the state registration of computer programs, certificate No. 2009612658, registration number R & d 01200951860). Diagnosis associated with stress, was defined according to the International statistical classification of diseases, tenth revision (F40-F48) with regard to the diagnostic criteria of the International Association of stress management (ISMA). Along with clinical and neurological and standard laboratory and instrumental diagnostic survey was carried out psychodiagnostic examination. Conducted polysomatism study, representing a variety of kardiointervalografii with the subsequent mathematical analysis of the data in a special program.

Depending on the degree of change in heart rate (heart rate) in terms of behavioural times the s segments all subjects were divided into four groups. The first group were classified as subjects, in which the heart rate was slightly increased (p<0,05). Men in this group was 15 and women 95. The second group of men (60 people) and women (80 people) was presented to subjects in which the heart rate increased significantly (p<0,001), but not exceed 90 beats per minute. The third group presents subjects with fluctuations of heart rate in the range from 90 to 100 beats per minute (55 men and 55 women). In the fourth group of subjects heart rate exceeding 100 beats per minute, and it was represented only by men (100 people).

In accordance with the recommendation of the who expert Committee (2000), changes in heart rate and registered kardiogemodinamicheskuyu manifestations in the first and second groups was regarded as the norm, with the third as the "danger zone" and the fourth as changes characteristic of the stress response.

In the description of the results of the application of the method provides data concerning only the third and fourth groups, as in prognostic terms, they are of the greatest interest. In men with type of reaction estimated as "danger zone", kardiogemodinamicheskuyu changes occur already at the stage of "afferent synthesis and characterized by a significant increase in heart rate (p<0,05). At subsequent stages kardiogemodinamicheskuyu change continue to grow, reaching the greatest shifts in "socially significant is th" activity: heart rate increases by 30%. The data obtained indicate that, despite a significant reduction in heart rate, stress response in men continues to grow, reaching "dangerous" values.

In women with changes kardeogemodyinamiki characteristic of the "danger zone"on stage "afferent synthesis, increase in heart rate by 20% (p<0,05). The maximum deviation curves of the examined patients observed at the stage of "decision making" and "success" by 38%. Thus, the increase in heart rate to values characteristic of the "danger zone"that occurs in men amid the stress response. Men show notes and more appropriate behavior than women. However, the importance of heart rate in women is more pronounced than in men. This feature kardiogemodinamicheskuyu mechanism to ensure the heart rate to a certain extent, can be attributed to women with this type of reaction kardeogemodyinamiki to the group of "at risk" for complications that are the result of stress reactions of the organism.

In the study, only men (100 people) react by increasing heart rate to values characteristic of the stress response (100 beats per minute or more). In this case kardiogemodinamicheskuyu providing heart rate is characterized by stability. The greatest intensity changes kardeogemodyinamiki marked by "socially significant" activities is lesti. Changes in heart rate remains significantly high and in the recovery period. Evidence suggests that men with increased heart rate to values characteristic of the stress response, kardiogemodinamicheskuyu the attitudinal time steps maximum mobilization of blood circulation apparatus. Therefore, men with these kardiogemodinamicheskuyu manifestations that occur in response to emotional stress, due to the "socially significant" activities should be considered "at risk" for complications that are the result of stress reactions of the organism.

All groups identified the types of adaptive responses at the time of the study, at 2-3 days (the period of formation of urgent adaptation), 5-7 days (the interim period), and in a period of more than 11 days after receipt stress injury (formation of long-term adaptation).

The pattern of "decompensation" were classified as: stress medium, low and very low levels of reactivity, reaction activation very low levels of reactivity, reaction training very low levels of reactivity; the pattern "subcompensation": stress high levels of reactivity, reaction activation low levels of reactivity, reaction training medium and low levels of reactivity; the pattern of the "compensation": the reactions of the act is activate your product, high and medium levels of reactivity, reaction training high levels of reactivity.

The analysis of reactions in the intermediate adaptation period (5-7 days) showed the important role to predict the outcome of extreme conditions. So stress response came back to normal and amounted to: in the development of reactions to the pattern of "decompensation" stress response - 65,2%, pattern "subcompensated" stress response - 86.4 per cent, of the pattern of "compensation" stress response - 100%. Therefore, the definition in the interim period of adaptation reactions I and II of the pattern is an adverse prognostic feature and requires additional comprehensive medical and preventive measures with the mandatory inclusion complex emotional stress therapy.

When analyzing the duration of the stress response in patients noted that with the development of reactions to the pattern of "compensation" in the interim period of adaptation, the average recovery period is much smaller and made up 15.0±5.0 minutes, "subcompensated" - 30,0±10,0, "decompensation" - 45,0±27,0 (p<0,001). Patients using "Method medico-psychological prevention of stress", set: reducing irritability, temper, fatigue; improved sleep, memory; increased efficiency; disappeared apathy, have confidence in their own abilities, etc.

With the aim of studying the psychological features the stay of the patients used an Abbreviated multifactor questionnaire for personality research (TAR) in adaptation VP Zaitseva, vosmiruchevoj lüscher test. Level of depression was determined by the scale of Zhang. Test of Spilberger Hanina revealed the increase or decrease of reactive and personal anxiety. The said examination was performed before and after a three-week course of application of the developed methods.

When assessing the immediate results of increasing stress tolerance take into account the dynamics associated stress changes the parameters of the mathematical analysis pulsogram and results of psychodiagnostic testing.

The degree of normalization of relations between ergotamine and triotropium autonomic effects were determined on the basis of an integrated assessment of the dynamics of indicators of the provisional mathematical analysis of heart rate and assessed as significant (1 point) or insignificant (0 points). Changes in the psychological status of the patient was assessed as a significant improvement (1 point) or marginal improvement (0 points) based on the results of clinical observation of the patient, as well as comparative analysis of the performance of the test RESINS and Luscher test before and after a course of application of the developed methods.

General assessment of the effectiveness of stress resistance improvement by the end of the year of application of the developed technique was carried out based on the number of those read from the certain parameters, which have undergone significant improvement, and implemented on a 5-point scale (0 points - no improvements, 4 points - a significant improvement).

When assessing differences in the indicators used student test t for related and unrelated samples, as well as nonparametric test Mann-Whitney (criterion of homogeneity T). Evaluating the significance of differences share (%) was produced according to the method of the angular transformation Fischer. To study the dependence between random variables was determined by Pearson correlation coefficient.

When analyzing the dynamics of indicators of the test RESINS patients found a significant decrease of the values of the first, second, third, sixth, and seventh basic scales after application of the developed technique. By reducing the "neurotic skew and reduce the Express lift to the sixth and seventh happened smoothing of the General configuration of the average personality profile, reflecting a tendency to decrease emotional stress, increase overall behavioral activity and increase the level of medical-psychological rehabilitation of patients of all groups. According to the integral evaluation of the results of all used psychodiagnostic methods a significant improvement in psychological status after the course of application of the developed methods was noted in 84% of the floor the user program.

The obtained results indicate that in patients after preventive course of application of the developed methods was observed reliable, increase physical endurance, improve the functional state of the autonomic system and the reduction of emotional stress, which testifies to the effectiveness of the proposed method "Method medico-psychological prevention of stress."

One of the possible mechanisms of therapeutic effect may be caused by the use of mediated psychotherapy optimization of the functional state of regulatory systems of the brain. These data are consistent with the view according to which mediated psychotherapy load capable of modulating the level of excitability of the various parts of the brain, to change the nature of the neuroendocrine, vegetovisceral reactions, destabilizing pathological hyperactive neuronal systems responsible for chronic stress exposure. Restoration of natural patterns of afferent flow and normalization of the functional state of the Central nervous system contributed, special attention, he was focused to improve the ability of patients to understand their internal and external sensations and feelings. Typically, people with weak stress is ustoichivosti has high sensitivity to negative (nociceptive) physiological and negative mental stimuli. It is possible that attract the attention of patients to positive incentives contributed to the balancing ergo - and trophotropic systems at the physiological level and improve their emotional sentiments on a psychological level.

Thus, the results obtained indicate that the application of the developed technique leads to a decrease irritability, temper, fatigue; improves sleep, memory, and improves the workability and stress; apathy disappears, appears self-confidence, etc.

Clinical example of a specific use "method medico-psychological prevention of stress"

The patient P to I.N., 42 years old, a resident of the suburbs, the head of the structural unit ATC used method in the period in which it was tested at the Federal Department of internal Affairs in the Belgorod region for three weeks.

Complaints about General health tested did not show. Given the specific professional, psychological factors, complex psycho-emotional overload associated with performance of professional duties, all to the end of the day led to the appearance of the test: fatigue, irritability, emotional lability, poor sleep, weakening of memory. All the listed signs were acne is received to the symptoms manifested by chronic stress, what test did not agree and considered this a regularity run it difficult professional duties. Preventive, curative and other Wellness activities to strengthen health test is not conducted, drugs without doctor's prescription was not accepted.

From other diseases suffer from endometriosis. Recently the symptoms of this disease began to increase, and therefore I.N. suggested surgical treatment, which she refused.

The history of life. Born into an intact family, brothers and sisters did not. His mother worked as a teacher at the school, was a strict woman, loved order and constantly monitored their daughter's life. Father was in the military. He often abused alcohol, but the character was a man of stern, but soft and pliable, his wife and daughter were not hurt.

I.N. in school 4-5, graduated from the law Institute. Worked as an inspector for minors, a specialist in the regional police Department, then head of structural division of the police Department.

She got married for love in 20 years, has one daughter. The relationship with her husband in recent years has deteriorated. I.N. upset due to the fact that he was inattentive, indifferent to it. My daughter married, she lives alone and rarely visits his mother.

The nature I.N. always been responsible and do what elnett. Remembered how at the age of 10 was set by the father for some minor infraction in a corner and forgotten all stood there for more than an hour as no one remembered his mother. Love all the procedure. The house contains almost perfect purity. At home and at work does a lot of cases and assignments, often not only for themselves but also others, not knowing how to refuse others in requests. Different softness and pliability. These qualities, as well as external prettiness was always attracted to her many friends and acquaintances. Accustomed to restrain their negative emotions, afraid to offend the other person. Tried never to lie. Childhood is characterized by a high level of anxiety, tendency to worry for any occasion. Recently became very tired by the end of the week notes increased irritability, anxiety, slezlivo, worsening of mood. All this relates to family relationships and the fact that the total state after the next holiday is normalized.

When viewed In neurological status there was almost a slight tremor of the outstretched hands fingers, even the revival of the tendon reflexes of the hands and feet without their asymmetry. Motor, sensitive disorders and disorders of the cranial nerves were not identified.

Changes by the common blood and urine tests, performance coal is water, lipid and protein exchanges not found.

At the time the analysis pulsogram found increased compared with srednerazmernymi the values of the following parameters: amplitude fashion (50%); index of autonomic balance (320,8 units); vegetative indicator rhythm (CDF) is to 9.6 units, tension index (ti) up to 302 units. At the same time found a decrease in indicators such as the standard deviation of the dynamic range of the R-interval (RMS) up to 0.04; variational scale (BP) pulsogram - up to 0.01 sec; the coefficient of variation (KB) - up to 4.5%. These results evidenced the background activation newsegments mechanisms of regulation of heart rhythm, increased tone of the sympathetic division of the ANS and a slight activation of the parasympathetic division of the ANS.

When psychodiagnostic study, the color range of preferences according to Luscher test was the following sequence: brown, gray, green, purple, red, blue, black, yellow. The indicator "alarm" was equal to 8 points (when Sredneuralsk score 0-3 points). The level of depression on a scale of Zhang was equal to 59 points, indicating that mild depression is situational or neurotic origins. Test of Spilberger Hanina revealed a moderate increase of reactive anxiety (35 points) and high art the stump of personal anxiety (60 points).

Personality profile test RESINS had a sawtoothed edge" character, situated between 65 and 85 T-scores, with peaks in the second and seventh scales, testified to the condition of moderate emotional tension with the prevalence of anxiety and depressive personality traits.

Started a course of medical-psychological prevention of stress along with the application program on the normalization of a personal mode of work, rest and sleep included the use of mediated psychotherapy according to the proposed method.

After introductory discussion to be tested were told about the nature of chronic psycho-emotional stress, negative physiological consequences and adverse effects on overall health. Together with the test analyzed the most obvious causes her chronic psychoemotional stress and the most exciting of her problems. The patient realized that along with the depressing action of the state of her family life and is caused by limitations in activities of daily living stress impact and other factors. I.N. realized that worries in connection with the refusal of surgical treatment for endometriosis. She does not want to be operated, but gynecologists insist. Believes that this operation will make it "defective" wives is different. In his time at the same age is similar to the operation carried her mother, after which worsened its relations with the husband, father IGOR. Now I.N. afraid that it will have the same fate, moreover, that already feels cool from the side of her husband, became less attentive and caring. In addition, the state of chronic fatigue cause permanent overload at work and at home, caused by a desire I.N. to keep everything under control, to make the most and best way.

By the end of the three-week independent (daily during working hours I.N. paid twice for 7-8 min to work on the developed methodology) medico-psychological course prevention of stress. The intensity of emotional tension to the end of the day virtually disappeared.

The analysis of the dynamics of indicators of the TG showed a reduction compared to the baseline amplitude value fashion (AMO) - 42%, index of autonomic balance (IIA) - 168,0, vegetative indicator rhythm (CDF) - 6,0, tension index (ti) - 153 and at the same time increasing the values of the standard deviation of the dynamic range of the R-interval (RMS) - 0.05 s, the variation of the scale (BP) of 0.03 s, the coefficient of variation (KB) is 6.5%, which indicates a reduction of the initial excess sympathetic and increase initial lack of parasympathetic activity, and the reduction the largely centralized management of heart rhythm. Heart rate spectrum was characterized by a compensatory increase in the contribution of the relative values of power LW - 12% and no change in the relative power values MB1 -13% and MD2 - 11%. Minor dynamics of the index of centralization (CI) after a course of medical-psychological prevention of stress (up to 306,17 and after 312,47).

When re psychodiagnostic examination after completion of the course of medical-psychological prevention of stress detected reduction of the initial high personal profile of the RESINS according to the scale F and all the basic scales of 25-30 Tons of points. Received when you checked the profile was located within 40-55 Tons of points and was characterized by significantly smaller than in the primary study, the severity of the peaks in the second and seventh scales. The results evidenced a decrease in the intensity of emotional stress and improve psychological adaptation of the patient.

1. The way medico-psychological prevention of stress, including the measurement of anthropometric indicators of patient height, weight, chest circumference; measure of the performance of the cardiovascular system - heart rate, on the basis of the received data to calculate individual digital number (DDI) of the patient according to the formula:
DDI=(β×(r+o+v)+γ×(r+o+v)):ρ/n
where β is an individual factor date born who I am, presented in the form of "Hu", x - date of birth, and month of birth of the patient, γ - individual coefficient year of birth, presents a four-digit number of the year of birth of the patient, r is the patient's height (cm), circumference of the chest of the patient (cm), v is the weight of patient (kg), ρ is the pulse (BPM) of a patient, measured in the morning after 5-7 min after awakening, n - lowering the age factor: at the age of 30 years (n=1; 30-39 years n=2; 40-49 years n=3; 50-59 years n=4; 60 years and older n=5; the patient is introduced to the calculation method of DDI and begin a psychotherapy session, during which the patient into a comfortable position, relaxed seated in front of a computer screen and speaks in a whisper DDI, the screen periodically displayed DDI, for the end of the session, the patient makes a quiet deep breath and exhale.

2. The method according to claim 1, characterized in that the psychotherapy session is held twice a day.

3. The method according to claim 1, characterized in that the duration of a single session of psychotherapy is 1.5-3 minutes

4. The method according to claim 1, characterized in that therapy sessions are held five days in a row, two days break in a period of 1.5-3 weeks.

5. The method according to claim 1, characterized in that the value of DDI adjust once a season.