JMI健康調査票による軽症高血圧の心身医学的研究 : 産業人男性についての検討

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An epidemiological study was made of 81 patients with mild hypertension by using the Japan Productivity Center Mental Health Inventory (JMI) among male workers. They were divided into groups. The group of hypertensives (Psychosomatic disease-PSD) (27 cased) were separated, by interviews, from the other group (54 cases) according to the standard as defined by the Japanese Society of Psychosomatic Medicine. JMI consists of the four categories, that is, body, mental abnormality, and occupational adjustment. First, the hypertensives as a whole (81 cases) reported less levels of the body scales, including stomach, nervous system, fatigue and irregularity of daily life than the control. Regarding the mental abnormality scales, high scores were found in pre-melancholic, hyperthymic, cohesive tendencies and alcohol addiction, and low scores in hebephrenic, weak-willed qualities. They recorded also high scores on the personality scales of extraversion, control of emotion, spontaneity, goal-attainment, empathy and adaptation. On the occupational adjustment scales, they showed strong confidence in work, while the relations with supervisor were not good. Second, the hypertensives (PSD) were compared with the remaining group. We found that the scores of many physical symptoms and fatigue were high in the hypertensives (PSD). Scores in schizothymic, suggestible, obsessive-compulsive, hypochondriacal, anxiety, unstable, weak-willed tendencies and alcohl addiction were high in their mental abnormality profile. On the personality scales, low control of emotion and high flexibility were found. Their relations with colleagues were poor, and their prospects to the future were not optimistic as far their occupational adjustment was concerned. These results indicate that the profiles in hypertensive (PSD) are very similar to those of neurosis. In contrast, the others have a tendency to alexithymia, and their profile of each scale is similar to those of a Type A behavior pattern. Thus, the existence of two psychological types of mild hypertensives was suggested.
日本心身医学会の論文
1983-06-01

JMI健康調査票による軽症高血圧の心身医学的研究 : 産業人男性についての検討

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