心身医学的立場からみた新たな消化性潰瘍への治療的接近(心身症の発症機序・病態に応じた新たな治療技法の展開)

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Aim ; In recent years with the progress of the drug therapy for peptic ulcer, we are able get ulcer healing within several months. But few cases remain hard to cure or relapse. A psychosomatic approach for these intractable case is important. The aim of this study is to establish a new psychosomatic approach for the patients with peptic ulcer. Subjects and Methods; One hundred and ninety-nine patients whose peptic ulcers were treated in our university hospital were investigated. In order to asses the patient personality trait, health care related behavior and stressful life events, MMPI Alexithymia Scale (MMPI-A), Health Locus of Control (HLC) and Life Events Inventory were employed. Results; The both scores of MMPI-A and HLC showed significant correlation with age. The average scores of MMPI-A showed no differences between the patients with ulcer symptoms and those without them, and also between the patients receiving medical treatment and those not receiving it. Fourteen percent of patients showed high MMPI-A scores. The average scores of HLC showed no differences between the patients receiving medical treatment and those not receiving it. The patients with ulcer symptoms showed more internal tendency than those without it. A negative correlation was shown between the numbers of life events and age. The number of life events in the patients with ulcer symptoms were higher than that of those without them. Conclusion ; From these data, we made some suggestions about a psychosomatic approach for the patients with peptic ulcer. These patients may easily get the high quality of life by a combined approach of supportive therapy, life style modification and social skill training in consideration of individual personality traits and life style.
日本心身医学会の論文
1995-01-01

心身医学的立場からみた新たな消化性潰瘍への治療的接近(心身症の発症機序・病態に応じた新たな治療技法の展開)

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