心因性痛みの臨床形態とその分析(痛みの心身医学4)

概要

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Analysis of clinical pictures was made in 243 cases of paychogenic pain which consisted of 153 cases observed from 1962 to 1967 and 90 cases from 1968 to 1972. Comparative studies of clinical pictures were done in these two groups, results of which were about similar.Incidence of psychogenic pain in approximately 3,000 psychosomatic patients was about 8%. Age incidence was high in the group of 20 to 39 years of age. Male to female ratio was 1 : 1.2. Sites of pain were frequent in order of the trunk, extremities, whole body and joints. Pain in the whole body was seen more frequently in female than in male. Expression of pain was varying in character, including a peculiar one. Psychogenic pain was accompanied by the other symptoms such as gastrointestinal disorders, numbness of extremities, lassitudeness, insomnia and press feeling of chest, which were shown in about 80% of all cases. Approximately 80% of total cases was classified into the groups of III and IV in CMI test and 40% showed the type of B and E in YG test. In MMPI test, type of 1.3 and 3.1 were seen more frequently. Psychiatric and psychological diagnoses were conversion hysteria and hypochondria in 50% of the cases, situational states and subneurosis in 25% and depression, anxiety neurosis and so forth in 25%.Character of the pain in these patients was compared to the other organic pains by the semantic differential method.
日本心身医学会の論文
1972-12-01