CMIについての臨床的研究

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The clinical evalution was made on the disribution of the four CMI regions in miscellaneous diseases. In this study, we inverstigated the usefullness of this questionnaire for finding neurotic tendencies in the patients and normal subjects as well as the relation between the result of CMI and MAS score obtained from them. The normal sample consisted of 263 male and 284 female healthy subjects, ages ranging from 16 to 63. The patients sample consisted of 601 males and 382 females, ages ranging from 15 to 65. They were 252 neuroses, 126 psychosomatics, 8 borderline cases, 92 manic-depressive psychoses, 156 schizophrenics, 10 atypical psychoses, 32 epileptics, 241,whiplash injuries, 30 hemiplegias and 36 climacteric disorders. The results were as folloes ; In normal subjects, the ratio of Region 1 in CMI was higher than that of other regions and then the ratio tended to dercease in the order of regions 1,2,3 and 4. Males included in Region 1 were 68.4% and females in Region 2 were 42.2%, The ratio distribution of CMI between the two sexes was markedly different. It seemed that the neurotic tendency generally was stronger in patients than in normal subjects, that is, the ratio distribution of CMI was signifficantly different between patients and normal subjects. The neurotic tendency was stronger in climacteric disorders than in other diseases and was likely to decrease in the order of climacteric disorder, neuroses, psychosomatics and psychoses. On the other hand, the patients with whiplash injury and hemiplegia tended to be more neurotic. 75.8% of neurotics were diagnosed as neurotic or possibly neurotic by CMI distribution of neuroses, hysterias and obsessive-compulsive neuroses were included in Region 3,while hypochondriases, anxiety neuroses and phobias were in Region 4 on the discriminative chart. Therefore this test not suitable distinguish the tyes of neuroses. The relationship between CMI and MAS was inverstigated in the normal sample consisting of 199 male and 145 female healthy subjects and the patient sample consisting of 448 males and 267 females. The CMI distribution was closely connected with MAS score, that is, many subjects included in Region 3 and 4 of CMI were in the high anxiety group of MAS, while, on the other hand, many subjects included in Regional and 2 were in the low anxiety group. The degree of neurotic tendency and anxiety was higher in patients in normal subjects. From these results it was concluded that the CMI was a useful questionnaire as a diagnostic test to evaluate the neurotic tendency in clinical practice.
日本心身医学会の論文
1975-10-01

CMIについての臨床的研究

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