思春期心身症をめぐる諸問題 : 産婦人科の立場から(生涯各期における心身症をめぐる諸問題 : 思春期・青年期)

概要

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At out adolescent clinic, we frequently face psychosomatic problems. The somatic symptoms in adolescence are very variegated and appear differently in compliance with each age group.With regard to psychological aspects, they can be classified into 3 groups; (1) failure in human relationship in family, school or their place of work (46.3%), (2) sexual problems (31.3%), such as misapprehension for menses, troubles of sexual intercourse, and (3) stress of school work (21.3%). At our gynecological clinic, we find that sexual problems often cause somatic symptoms, as for instance, dysmenorrhea, amenorrhea, vaginal itching, suprapubical pain, vaginismus, etc.These sexual problems ofen relate to juvenile delinquency and the teen ager's pregnancy. Therefore, bio-psycho-socio and ethical approach is essential to manage these patients.This approach can not be realized without a comprehensive medical care in which psychologists, social-workers and educators participate.
日本心身医学会の論文
1985-02-01