内科(いかなるときに心身症の疑診をおくか)(心身症の診断第6回精神身体医学会総会より)

概要

論文の詳細を見る
It is noteworthy that careful history taking is very important as well as completing all of necessary laboratory tests before having impression of the somatic disorders in some patients.When all of the laboratory tests shows the negative results or even if revealing a positive result which is fluctuating regardless of the complaints, the next step has to be taken over.Using Cornell Medical Index (CMI), Manifest Anxiety Scale (MAS), Yatabe-Gilford Personality Test (Y-G) and Sentence Completing Test (SCT) is very valuable for detecting if the patient is neurotic, since these are easy to handle in the field of internal medicine.Also, if necessary, a physician ought to ask a specialist psychoanalysis of the patient, then the physician could get objectively accurate knowledge about the emotional aspects of the patient.If a stress interview could carry on the patient then the patient world reveal the same symptoms, the emotional factor might play a very important role in etiology of that disease.
日本心身医学会の論文
1965-12-01