循環器疾患患者の運動療法における心身医学的研究(その2) : 循環器系愁訴を有する不安状態および不安神経症患者について

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In the previous paper, we reported psychosomatic aspects on the exercise training for the patients with ischemic heart disease (IHD) with successful results; not only physical fitness but also self-confidence in health and activity in social life was safely and effectively improved by the exercise training.This paper is to present our continuous study of psychosomatic approaches in the exercise training for the patients with cardiac neurosis or anxiety neurosis complaining of cardiac symptoms. The purpose of this study is to observe the effect of exercise training for these patients and compare the results to those obtained from patients with IHD.Materials and Methods : Fifteen patients (3 males and 12 females with average age of 42.2±9.1 years) were selected for the study.The training program consisted of one medically supervised training session at the institute and at least two other sessions of unsupervised home self-training in a week for 12 weeks. Physical fitness was determined by multiphasic treadmill stress test, before, after 6th and 12th week training period.Personal interviewing and Yatabe-Guilford personality inventory test were used to detect psychological and social problems among these patients.Results : 12 of fifteen patients were being free from their complaints with exercise training within 3 to 6 months.3 of 15 patinets showed less effect to improve their complaints in spite of increased physical fitness by exercise training. These 3 patients were diagnosed as hysterical neurosis who had poor motivation and full of dependence.We recognized that it takes more time to increase their physical activity by exercise training for the patients who were sedentary, compaired with the patients who were active.We believe the exercise training can be applicated to take off the anxiety or cardiac complaints of patients with anxiety state or anxiety neurosis as one of behavioral approaches concomitant with other psychotherapies and drug application.
日本心身医学会の論文
1982-08-01

循環器疾患患者の運動療法における心身医学的研究(その2) : 循環器系愁訴を有する不安状態および不安神経症患者について

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