内科学領域における慢性化病態の臨床心理学的ならびに病態生理学的考察

概要

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Psychosomatic relationships of the patients were analyzed for the purpose of multidemensional understanding of disease states. The present report deals with the analysis of anxiety factors, autonomic nervous function and the humoral factors related to the chronicity of diseases, and the results of tranquilizer treatments in these patients were reported. The anxiety levels by the manifest anxiety scale (MAS) were significantly higher in cases with recurrent gastric and duodenal ulcer and hyperthyroidism than in controls. These were also significant increases of the scale in accordance with the chronicity of the diseases, such as gastric ulcer, hepatitis and gastric carcianoma. More cases showing abnormal (P and S) type of mecholyl test were found in chronic diseases, in accordance with incrased MAS scores, than in controls. Significant correlation were found between MAS scores and the humoral changes characteristic to the disease conditions in peptic ulcer cases (basal acidity of gastric juice), diabetic cases (fasting blood suger level) and in hyperthyroidism cases (Triosorb resin sponge uptake). The improvements of target symptoms achieved by tranquilizer treatments satisfactorily paralleled the stabilization of the results of psychological surveys and of the autonomic nervous function tests. It was discussed some factors to the chronicity of the diseases and it's mechanism.
日本心身医学会の論文