老年者の心臓・血管系の心身症(老年者の心身症)(第14回日本精神身体医学会総会)

概要

論文の詳細を見る
As most of the aged have degenerative involvement of cardiovascular system, it is difficult to differentiate neurogenic functional disorders from organic disorders.Cardiac neurosis is rather rare among the aged as compared with the younger generation, the reason of which is not clear. There may exist some relationship between less incidence of cardiac neurosis among the aged and increasing tendency of silent myocardial infarction among the aged with or without diabetes mellitus, in which sensibility to the pain is understood to be decreased.However, we experienced not a small number of cases with anxiety neurosis (18%) among the convalescent patient of myocardial infarction, which seemed to have been invited by the poor or inappropriate verbal communications between doctors and patients.As to the factors which lead to precipitate angina pectoris or myocardial infarction, longstanding mental stress, particularly among the aggressive behavior pattern overt A (Friedman) was thought to be one of the important factors.Cases with hyperthyroidism, hyper-dynamic beta-adrenergic circulatory state, variant form of angina pectoris and psychic reaction of drugs were presented to be ruled out from cases with cardiac neurosis.
日本心身医学会の論文
1974-04-01