外科領域における精神身体医学的検討 : 特に虫垂ならびに胃切除術後患者を中心として

概要

論文の詳細を見る
The authers reviewed 237 patients who had appendectomy done for appendicitis and 145 patients who had gastrectomy done for peptic ulcer with a special reference to the psychosomatical evaluation of their charactor. The Cornell Medical Index (CMI) was used to classify the individuals. 1) There were no difference in the incidence of complaints following appendectomy between the young male and the young female. 2) Approximately 80% of individuals who have continuonsly sought medical care postoperatively were diagnosed to belong to CMI III (prorisionally neurotic) or IV (neurotic) type. 3) More than 85% of patients who had postoperative complaints were diagnosed to be classifiable as CMI III or IV type. 4) Those who have had abdominal complaints following appendectomy but have not yet sought medical advice were found to be classifiable under the category of CMI III type. 5) Those who had gastrectomy done 10 years ago and were diagnosed to be classifiable as CMI III or IV type tend to have more abdominal complaints than those who had gastrectomy 5 years ago and classified as CMI III or IV type.
日本心身医学会の論文