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Survey and Research for Mechanisms of Somatization of General Out-patients

Research Project

Project/Area Number 08671097
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Psychiatric science
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

NAKAMURA Michihiko  Kyoto Prefectural University of Medicine, Department of Medical Science, Associate Prefessor, 医学部, 助教授 (30094436)

Project Period (FY) 1996 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1997: ¥500,000 (Direct Cost: ¥500,000)
KeywordsSomatization / Out-patient survey / Socio-psychological factors / 評価尺度 / 医療経済 / 事象関連電位 / 症状(身体感覚)増幅
Research Abstract

Recent increments of senile population and medical information have enhanced anxiety and attention for own somatic conditions, resulting in vicious circles converting psychosocial stressors into somatic problems. The convertion or somatization produces lots of the patients with "medically untreatable somatic conditions", and brings about medico-economical problems with frequent examinations and excessive pharmacotherapy. Thus we investigated social, familiar and psychological factors behind the somatization.
Two hundreds and forty-nine out-patients, visiting a clinic of either internal medicine psychosomatic medicine or psychiatry, answered the questionnaire of socio-psychological factors and selected the present symptoms among the somatization symptom list. The doctor in charge judged predominance of psychological and somatic effects on each symptom and the patients were classified into 4 groups of "No Sympton", "Psychological Predominance", "Somatic Predominance" and "Mixed Effects".
The main results were as follows : (1)the patients with "Psychological Predominance" briefly called somatized patients were 37% of the total patients and the sex ratio of male vs. female was 1 : 3.6. The incidence was the highest (74%) in the psychiatric clinic but 12% of the internal patients were somatized. (2)Somatization symptoms could be determined within one month evaluation. (3)The somatized patients showed the following tendencies : they had grown up in the extended families who were sickly and hated mental problems, they led the school life where they had been enthusiastic about sports but indifferent to friendship and health and delayd in physical development, and now they had few pleasures and friends, were indifferent to exercises and healthy circumstances, and used some tranquilizers and hypnotics almost daily. They showed characteristics such as perfectionism, apprehensions and loneliness, and had some hypochondrical ideations.

Report

(3 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] 中村 道彦: "身体化障害-分類と治療-" 精神科治療学. 12・2. 105-112 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中村 道彦: "ブリッケ(Briquet)症候群" 臨床精神医学. 26・3. 291-299 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakamura M: "Somatization disorder -Classification and Treatment-" Japanese Journal of Psychiatric Treatment. Vol.12 No.5. 105-112 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakamura M: "Briquet's syndrome." Japanese Journal of Clinical Psychiatry. Vol.26 No.3. 291-299 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中村道彦: "身体化障害 -分類と治療-" 精神科治療学. 12・2. 105-112 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 中村道彦: "ブリッケ(Bri&uet)症候群" 臨床精神医学. 26・3. 291-299 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 中村道彦: "説明のつかない身体症状(身体表現性障害・心身症)" 毎日ライフ. 2月号. 30-34 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 中村道彦: "身体化障害-分類と治療-" 精神科治療学. 12・2. 105-112 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 中村道彦: "ブリッケ(Briquet)症候群" 臨床精神医学. 26・3. 印刷中 (1997)

    • Related Report
      1996 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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