青年期と心身症 : 不登校問題を中心に(生涯各期における心身症をめぐる諸問題 : 思春期・青年期)
スポンサーリンク
概要
- 論文の詳細を見る
Adolescence is a period when biological and psychological developments occur quickly and drastically in several years. In this period psychosomatic and/or psychobiological disturbances arise in many adolescents. At the same time adolescents must overcome several psychosocial tasks. So we should call above mentioned disturbances as "psycho-bio-sicial disturbances in adolescence". If we recognize the period of adolescence as such a stage of the way of life, could we easily use the term "psychosomatic disease" for adolescent cases ? This is a big problem in the field of adolescent psychiatry. The authors consider that almost all adolescent cases are of psycho-somato-social disturbances and the term of psychosomatic disease should not be taken too lightly in adolescent psychiatry.In the psychiatric department of our university hospital we saw 38 cases diagnosed as psychosomatic diseases during ten years from 1968 to 1977 and followed then up over 5 yeaars.In these cases 36.8% complained headaches, 28.9% tic, 7.9% abdominal pains, 5.3% psychogenic fever, and so on. In these ten years we experienced 80 cases severenes of school-attendance (male 40 and female 40-4.7% of adolescent outpatients in our clinic) in our university hospital. In these 80 cases 24 male and 22 female cases complained somatic symptoms. But we found no statistic differences between the two sexes. When examined the 80 cases from age differences, we find age-linded specific differences. The 31 of 45 cases from 10 to 14 years old and 15 of 35 cases from 15 to 19 years old showed somatic complaints. The younger group had more somatic complaints than the elder group. Then we fiind a statisticd difference of 0.1% level with x^2 examination between two age groups.From these findings, how should we understand the relationship between servereness of school-attendance and psychosomatic disease in adolescence ? Adolescents express frequently their psychopathology with somatic behavioral features rather than psychic or psychological features.We think that somatization and behanioral expression of one's psychopathology and/or inner conflicts are equivalent from the viewpoint of adolescent psychiatry. Of course pathological features of somatization in adolescence means more than so-called psychosomatic disease. And besides, pathological features of behavioral expressions imply many patterns in adolescence, such as wrist-cutting syndrome, eating disorders, delinquencies, etc. The authors consider the severeness of school-attendance as one of psycho-behavioral disturbances. Then we can conclude that pathological features of somatization including psychosomatic diseases and severeness of school-attendance are the alternative ways of somato-behavioral disturbances in adolescence.
- 日本心身医学会の論文
- 1985-02-01
著者
-
清水 將之
名古屋市立大学医学部精神医学教室
-
清水 將之
Department Of Psychiatry Nagoya City University Medical School
-
清水 将之
名古屋市立大学 精神医
関連論文
- 青年期精神医学における追跡研究(第1報) : 予備的検討と全般的考察
- 心理検査から見たてんかん者の性格特徴
- II-A-8 幻覚・妄想あるいは錯乱・意識障害など精神病状態を呈するてんかん者の精神医学的検討
- Borschach response in epileptics
- 名古屋市立大学病院精神科における青年期患者の動態
- 登校拒否に関する疫病学的研究--ICD-10,1988年草稿より見たいわゆる登校拒否の位置
- 日本における不登校と学校教育〔英文〕 (1988.国際児童精神医学会セミナ-特集号-2-) -- (名古屋セミナ-)
- 青年期精神医学の教育(指定討論) (第25回日本児童青年精神医学会総会特集--スロ-ガン:わが国の児童青年精神科医療の確立をめざして) -- (児童青年精神医学教育(シンポジウム2))
- 臨床的側面から (児童期のうつ状態をめぐって) -- (指定討論)
- Affective disorder in adolescence
- School Phobia : Is it a disease?
- 青年期と心身症 : 不登校問題を中心に(生涯各期における心身症をめぐる諸問題 : 思春期・青年期)
- 青年期における「仮性破瓜病」について
- 3.青年期心身症をめぐる考察 : 不登校問題を中心に(2.思春期・青年期)(生涯各期における心身症をめぐる諸問題)
- A male case of anorexia nervosa with the onset in preadolescence
- 思春期と性 (性の医学) -- (ライフサイクルと性)
- 児童・生徒の精神保健 (コミュニティと精神保健)
- 破瓜型分裂病と診断された青年期の2例 (思春期の臨床的諸問題をめぐって)
- 男子における思春期やせ症の2例
- 青春期危機について-1-文献展望と予備的考察
- 青春期危機について-2-青春期において尖鋭化された情動病理の2型について