心身症の疫学-急性心筋梗塞の発症と心身医学的要因の関連性に関する実態調査(心身症の疫学)

概要

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ln order to evaluate the role of psychosoial somatic factors in the pathogenesis of acute myocardial infarction (AMI), the correlation between emotional stress, mental condition, life Stress, coronary risk factor or behavior pattern and the attack of AMI were investigated on the moment of attack or for 1 week prior to the attack in 174 patients admitted into coronary care unit. 1) As to life stress or physical condition for 1 week prior to the attack, 42 among 96 cases were exhausted due to continuous life stress such as busy job in patients under 59 yrs, family troubles in old patients, whereas acute emotional stress provocated the attack in only 4 cases. 2) Type III and IV of CMI test were found more frequently and Type D of YG test was found less frequently in patients with AMI, as compaed to the control. 3) In JMI (Japan Productivity Center Mental Health Inventory) test, score points were different significantly between patients and normal controls, that is, in 12 of mental abnormality scale, 5 of personality scale, and 5 of occupational scale in AMI. 4) Coronary risk factors such as hypercholoesteremia, hyperglycemia, hypertension, alcohol or smoking, were recognized in half of patients.
日本心身医学会の論文
1986-01-15