心因性(神経性)嘔吐の病態に関する研究 : 特に嘔吐形式と心理機制との関連について

概要

論文の詳細を見る
This study consisted of 47 inpatients diagnosed as psychogenic vomiting. These patients were divided into 5 types : the continuous vomiting type, the habitually postprandial vomiting type, the irregular vomiting type, the nausea type, and the self-induced vomiting type. These patients were classified according to their psychiatric diagnosis : the conversion disorder type, the depressive disorder type and other rypes (generalized anxiety disorder and obsessive compulsive disorder). We observed the relation between the patterns of vomiting and the psychiatric diagnosis. Most cases of the continuous vomiting type showed conversion disorder while many cases of the habitually postprandial and the irregular vomiting type showed depressive disorder. These are the most important psychological mechanisms involved in psychogenic vomiting. The psychiatric mechanisms and the patterns of vomiting often alternate during the clinical course of psychogenic vomiting. We would like to emphasize that assessing the psychiatric diagnosis as well as the patterns of vomiting is important in the diagnosis and treatment of psychogenic vomiting.
日本心身医学会の論文
1990-02-01