心因性視力障害の小・中学生12名についての心身医学的検討

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We reported on twelve children from nine years to 15 years of age who were diagnosed as having a psychogenic visual disorder. Three were males and nine were females. Except for two cases, all were aware of a deficit in visual acuity at school and were suspected of having a psychogenic visual disorder by the ophthalmologist because of the absence of a corresponding ophthalmological disease. They often showed a positive response to a trick test using ±0 lens. We interviewed mother and child and used some psychological tests. In all cases, we noted some kind of psychological mechanism or background information related to visual disorder. In five cases, bullying was the main cause of the visual disorder. But the teacher or parent was not aware of this fact. In four cases, poor schoolwork or maladaptation in social relationships was noted. In other cases, there were suppression, a genuine desire to wear glasses, or other causes. We thought that these psychological conflicts were converted into visual symptoms. We finished the psychiatric consultation after the first interview because the families of patients did not seem to like to come to the regional psychiatric hospital. Nevertheless, the first visit was thought to be very insufficient as treatment. To examine the prognosis of the visual problems subsequent to the consultation, we distributed questionnaires inquiring the course of the disorders to the teachers of the children at their schools. Five of the twelve cases improved, but in seven cases, symptoms continued or recurred after temporary improvement. Restricted visual acuity did not seem severe as a symptom, but was difficult to improve by only one psychiatric consultation or by itself. We stress the importance of continuous psychotherapy or improvement of conditions at school according to the circumstances contributing to the disorder.
日本心身医学会の論文
1990-02-01

心因性視力障害の小・中学生12名についての心身医学的検討

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