再発しやすい消化性潰瘍患者にみられる行動特性 : 心身症の進化論的理解(第2報)

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In a previous paper we have reported that patients with peptic ulcers (PU) are both altruistic and compulsive. In this paper we have attempted to validate these findings using a questionnaire. Subjects : 76 male businessmen (healthy controls), 66 male PU patients (PU group) and 55 male patients suffering from other diseases (other group). Age range of all subjects were 30-59 years. The Questionnaire : The questionnaire contained 10 items concerning altruism and 11 items concerning compulsiveness. In this study, altruists were defined as those who answer yes to the following three questions. (1) I think I am altruistic, (2) I have been told that I am altruistic, and (3) I have often been exploited by others. Results : (1) Patients with PLT had higher scores for both altruistic behavior and compulsives in comparison with the non-patient control group. (2) Altruism was also higher in patients with other diseases in comparison with the non-patient control group. (3) At every age group, the ratio of altruists in PU patients was over 30% and each ratio is higher than in the non-patient control group. (4) Within PU patients group, subjects defined as altruists were more compulsive than others. Discussion : Based on the above findings we have constructed a synthetic model which takes into account the genetic, physiological, psycho-social and evolutionary factors regarding the foundation of psychosomatic disease. In this model we hypothesized two hierarchies. One is high hierarchy whose members are seeking power to gain self-esteem. The other is low hierarchy whose members are seeking appreciation to gain self-esteem. As a result, some of patients with PU may belong to low hierarchy and may have altruistically pursued prestige to no avail.
日本心身医学会の論文
1995-12-01

再発しやすい消化性潰瘍患者にみられる行動特性 : 心身症の進化論的理解(第2報)

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