Introduction. Th e system of formation of a healthy lifestyle is recognized as the most important area of prevention. Studies of motivation for health and healthy lifestyles in workers engaged in harmful working conditions are few and indicate the negative impact of occupational disease on the psychosocial status of patients, a signifi cant impact of adherence to a healthy lifestyle on the prevalence and course of somatic diseases and the need to develop health-saving behavior.The aimof the studywas to study the prevalence of diff erent levels of motivation for maintaining health and a healthy lifestyle among workers in the metallurgical and coal industries.Materials and methods.72 workers of mines and sections of the South of Kuzbass with the established diagnosis of occupational disease were surveyed; 372 workers of the aluminum plant and 54 people who do not work in harmful working conditions (engineering and technical workers). The surveys were conducted by the method of «Motivation index for health and healthy lifestyle», alexithymia was evaluated by the method of «Toronto scale of alexithymia (TAS)» with the informed consent of the subjects.Results.Th e high level of motivation for health and a healthy lifestyle among employees of the aluminum industry corresponds to the population. Th e group of coal industry workers with occupational diseases surveyed is dominated by a low level of motivation to maintain health and a healthy lifestyle. In the group of workers who are not employed in harmful working conditions, a high degree of motivation for health and a healthy lifestyle is determined. Th e predominance of motivation on emotional and cognitive scales among workers not employed in harmful working conditions was revealed. In the group of coal industry workers with occupational diseases, the number of persons with a high level of motivation on an emotional scale has been reduced. Among persons with alexithymia signifi cantly reduced the level of motivation on an emotional scale. Among the workers of the coal industry with occupational diseases revealed signifi cantly higher prevalence of alexithymia.Conclusions. It is assumed that the link of reduced motivation for health in persons with occupational diseases with the presence of alexithymia.

The study involved 968 people. There were citizens who turned to the center «Business education», the non-governmental Institute of Mental Health in Novokuznetsk, Kemerovo region with complaints of subdepressive nature. As the methods of psychological diagnosis were used little formalized (social and psychological surveys, observation, conversation, method of «Who am I?», The text essay «I and my health») and high formalized (test) methods. Using the methods of psychological assistance to carry out social and psychological effects on subjects with emotional burnout in two directions: psychological prevention (warning, psychoprophylaxis) and psychological intervention (overcoming, correction, psychotherapy-rehabilitation).

Introduction. Due to difficult working conditions, coal industry workers may develop negative emotional states that can increase the risk of developing cardiovascular diseases. The relationship of negative emotions with the frequency of risk factors in coal industry workers has not been studied enough, while its early determination will allow the elaboration of preventive and psycho-corrective measures. The aim was to study the relationship of negative emotional states with the frequency of risk factors for the development of cardiovascular diseases in coal industry workers with occupational pathology. Materials and methods. Using the DS14 (negative affectivity, social suppression) and Spielberger-Khanin (personal anxiety, situational anxiety) questionnaires we examined 196 miners with occupational diseases (dust lung pathology, diseases of the musculoskeletal system, vibration disease). Results. We identified a high frequency of negative affectivity (44.7% of the subjects), social suppression (69%), personal anxiety (35%), and situational anxiety (20%); the relationship between negative emotional states and risk factors for the development of cardiovascular diseases was determined. We revealed the relationship between negative emotional states and risk factors for the development of cardiovascular diseases, such as smoking, arterial hypertension, low physical activity, the presence of prolonged stress and severe perception of stress. A high level of personal anxiety is most closely related to the frequency of such risk factors as severe perception of stress, the presence of prolonged stress, arterial hypertension, and low physical activity. Limitations. The study is limited to a sample of 196 miners with occupational diseases, surveyed using the DS14 and Spielberger-Khanin questionnaires. Conclusions. A high level of negative emotional states, including personal anxiety, was revealed among coal industry workers with occupational diseases, which to the greatest extent determines the frequency of risk factors for the development of cardiovascular pathology. An early determination of the relationship between negative emotional states and the frequency of risk factors for the development of cardiovascular diseases in this group of workers will make it possible to create a program of preventive and psycho-corrective measures. Ethics. The study was conducted in compliance with the ethical principles of medical researches involving humans in accordance with the Declaration of Helsinki of the World Medical Association of the latest revision.

Introduction. Emotional burnout is a condition common among workers of “assisting” occupations. In workers of the main professions in the coal industry, the frequency of emotional burnout has not been studied enough, especially in terms of its relationship with mental health indices: the presence of sub-depression, negative affectivity, and social inhibition. The purpose of the survey was studying the prevalence of emotional burnout syndrome and its relationship with the development of sub-depression, negative affectivity and social inhibition in the coal industry workers with occupational diseases. Materials and methods. Two hundred forty seven miners with occupational diseases (dust lung pathology, diseases of the musculoskeletal system, vibration disease) were examined using questionnaires (DS14, by V.V. Boyko, and N.I. Vlakh). Results. 38.9% of the workers had emotional burnout syndrome. A reliable relationship between the emotional burnout syndrome and the development of sub-depression, negative affectivity and social inhibition was determined. Limitations. The survey is limited to a sample of 247 miners with occupational diseases examined using questionnaires (DS14, by V.V. Boyko, and N.I. Vlakh). Conclusion. Coal industry workers are subject to developing emotional burnout syndrome, the prevalence of which is 38.9%. The emotional burnout syndrome is interrelated with the development of sub-depression, negative affectivity and social inhibition, the incidence of which reaches a maximum in the exhaustion phase of burnout.

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