諸種心理的ストレスと冠動脈疾患

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An experimental study on anginal attack induced by 1) Hypnotic suggestion, 2) Atress interview, 3) In take of life history including incidence of illness was attempted Under hypnosis, suggestion conserning anginal at tack was made and continuous recording of the electrocardiogram by the telemetering method was employed, however there was no change in ECG.Stress interview was performed on 7 subjects. The content of the interview included conversation on sudden death caused by anginal attack, other stressful topics and informing the patient of the ECG change occuring during the interview. One subject showed increase in heart rate and ST-T change in the ECG. No anginal attack occured.An interview by taking the patient's history as usually performed in clinical practice was done while observing the changes in the ECG. Among the 4 subjects studied, 3 showed increase in heart rate, change in ECG and developed anginal attack when a specific topic was discussed.The first patient was in an accident while working in a factory and had a leg amputation, the second case was in a traffic accident recently and since then developed anginal attacks. During the interview, both patients became excited with the respective topics and at the same time showed increase in heart rate, change in the ECG, followed by an anginal attack.As an experimental method, in comparison to the hypnotic suggestion or stress interview, the taking of the patient's life history proved most effective in producing emotional stress meaningful to the individual which in turn induced anginal pain.This fact indicates the apparent difference of emotional stress for each individual. It is interesting to note that the past social invidence infiuences the present emotional status of the patient most strongly in developing an anginal attack.
日本心身医学会の論文
1968-04-01

諸種心理的ストレスと冠動脈疾患

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