心身症と身体表現性障害-慢性疼痛をめぐって-(心身症と身体表現性障害)(第27回日本心身医学会総会)

概要

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l) Fiftyfive outpatients complaining of faicial pain were investigated from the clinical view point of psychosomatic disease and somatoform disorder. 2) Some differences between organic pain and nonorganic pain (somatoform disorder) were noted especially in the location of pain, characteristics of pain, personality traits, predisposing factors, existence of chronically stressful situation and practical treatment. 3) Among somatoform disorders (somatization disorder, conversion disorder, psychogenic pain disorder, hypochondriasis and atypical somatoform disorder), psychogenic pain disorder was most closely related to organic pain in terms of age, sex, Iocation and characteristics of pain. But it differed from organic pain in personality traits and existence of the psychological factors. Thus, it was suggested that psychogenic pain disorder had more of factors of psychosomatic disease. 4) For the diagnosis and therapy of patients complaining of pain, we need multidimensional (somato-psycho-socio-ecological) approaches which are based on the anthropological points of view. DSMIII is useful for this purpose, which means that we need the view of ps chosomatic medicine.
日本心身医学会の論文
1987-02-01