Comprehensive Asthma Inventory(CAI)を用いた気管支喘息の心身医学的研究(第2報) : うつ状態例の調査を中心にして

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The feature of bronchial asthma is often modulated by emotional factors, and we utilize the Comprehensive Asthma Inventory (CAI) to assess such factors. The CAI, which was originally published by the Japanese Society of Psychosomatic Research on Respiratory Disease, is a questionnaire containing 22 questions designed to find out emotional factors concerned with occurrece of asthma attack. Using CAI, we tried to find out clinical traits of depressive and neurotic patients with bronchial asthma. In this report, we tried calculating the percentage scores of 9 psychological categories as "extent of coditioning", "suggestibility", "expected anxiety", "dependency", "frustration", "flight into illness", "distorted life habits", "negative attitudes towards prognosis", "decreased motivation towards therapy" and taking average of total percentages (we call it CAI score). In this study, we applied four kinds of psychological tests (Cornell Medical Index-Fukamachi's method, Self-rating Depression Scale, Manifest Anxiety Scale, Seikenshiki Inventory) to assess depressive state and a neurotic tendency, and CAI to 121 cases with bronchial asthma (50 males, 71 females, ages; from 15 to 72,mean 39.8 years old) at the clinic of the 1st Department of Internal Medicine, Nihon University School of Medicine. The results were summarized as follows; l. 21 cases out of 121,17.4%, revealed depressive state and 53,43.8%, revealed a neurotic tendency, 47 cases, 38.8%, did not show either of neurotic or depressive state. 2. Mean score of SDS of the depressive group was 57.3,which was statistically higher than that of the neurotic group (38.5) and the third group (31.6) (p<0.01,respectively). Mean score of MAS of the depressive group (male 31.l, female 31.1) was higher than that of the neurotic group (male 20.9,female 20.5) and the third group (male 8.2,female 11.7) (each p<0.01 respectively). 3. Mean score of CAI of the depressive group was 46. 7,which was statistically higher than that of the neurotic group (36.7) (p<0.05) and the third group (21.2) (p<0.01). 4. The depressive group had higher scores in the following items of the CAI, "extent of conditioning suggestibility", "dependency", "frustration", "distorted life habits" (each p<0.01,respectively), "expected anxiety", "flight into illness", "negative attitudes towards prognosis", "decreased motivation towards therapy (p<0.05,respectively) than that of the neurotic group. 5. More cases in the depressive group answered "yes" to the questions of CAI as "Do you ever think that you had better die when you have your asthma attack ?" "Do you have other symptoms when you have no asthma attack ?'' (each p<0.01,respectively) comparing to the neurotic group.
日本心身医学会の論文
1988-08-01

Comprehensive Asthma Inventory(CAI)を用いた気管支喘息の心身医学的研究(第2報) : うつ状態例の調査を中心にして

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