産婦人科からみた思春期の心身症(思春期の心身症(第16回日本精神身体医学会総会より))

概要

論文の詳細を見る
The author presented a case of psychogenic amenorrhea and a case of psycogenic dysmenorrhea, both of which were diagnosed as psychosomatic disorders in adolescence, in order to show the criteria of diagnosis for these disorders.In the past 4 years, the author saw 197 cases of gynecological disorders in puberty, of whom 58 cases were psychosomatic.Hormonal examinations on the hypothalamus-pituitary function in these cases reveals that although the negative feedback working inhibitively on the hormonal stimulatino has been completed, the positive feedback mechanism responding even to a very small amount of stimulation has not yet been matured in adolescent girls.The author thinks that the immature functino of the hormonal center in the hypothalamus and the instable function of the autonomic nervous system observable in puberty women are the factors playing an important role in the development of adolescent psychosomatic disorders.According to the therapeutic results obtained by the author, 44.8% were effective, 46.6% ineffective and 8.6% drop-outs in terms of psychotherapy.However, Hungertherapy, which the author designed to treat these ineffective cases, produced good results with 88.9% of effective and 11.1% of ineffective cases.
日本心身医学会の論文
1976-02-01