気管支喘息患者のLearned helplessnessの調査と心理調査用紙成績の検討(心理テストからみた心身症)(第34回日本心身医学会総会)

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Many asthmatic patients lapse into a worse condition, as they come to regard attacks as inevitable, irrespective of their own will or efforts. This appears to represent the condition that develops in individuals under repeated stimuli recognized as occurring regardless of their behaviors. It makes them see themselves ineffective and helpless in the environment. In the presents investigation, we studied this sense of 'helpless' in asthmatic patients and compared the findings with the results of psychological exminations conducted on them. The subjects consisted of 37 psychosomatic patients with bronchial asthma who visited our department of psychosomatic medicine (17 males and 20 females, aged 18-65) . They were interviewed to determine whether they felt 'helplessness' associated with their disease, and the relationship of these findings with the results of the Cornell Medical Index (CMI) and the Comprehensive Asthma Inventory (CAI) was examined. Those patients acknowledging a sense of helplessness were subjected to general psychosomatic treatment for a year and studied for the resultant clinical improvement and changes in cognitive attitudes. The results obtained were as follows : l. The subjects were classified into three groups : 16 patients felt 'helpless' ; eight who did not ; 13 who were not classificable. 2. When the CAI findings were compared with those of the patients who did not feel 'helpless', a significantly greater proportion of the 'helpless' patients thought that their disease was incurable and that they would remain incapacitated until they were cured of it. Their scores were significantly higher in suggestibility, anticipatory anxiety, disease evasion, pessimistic views of their prognosis, and loss of therapeutic efforts. 3. As the result of general psychosomatic treatment, 14 of the 16 'helpless' patients showed a significant improvement in their severity of bronchial asthma and pulmonary functions, along with improved scores in all CAI items mentioned in #2. It was thus concluded that the CAI was useful in evaluating the 'helplessness' in asthmatic patients, as it is tailored specifically to suit those patients. Furthermore, the condition appeared to improve with pychosomatic treatment, whose effectiveness could be evaluated again by means of the CAI.
日本心身医学会の論文
1994-02-01

気管支喘息患者のLearned helplessnessの調査と心理調査用紙成績の検討(心理テストからみた心身症)(第34回日本心身医学会総会)

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