若年性高血圧症の心身医学的研究
1967 年 21 巻 2 号 p. 192-197
詳細
1967 年 21 巻 2 号 p. 192-197
A psychosomatic studying group belonged to the C. N. S. center of the Konodai National Hospital studied 20 cases of primary juvenile hypertension patient younger than 35 years old visiting the department of circulatory organs in our hospital for a year from January, 1965 to January, 1966. These patients were clinically examined by the psychiatrist at the psychosomatic center, and as psychological examination CMI (Cornell Medical Index), KSCT (Kataguchi's sentence complation test), and R-T (Rorschach test) were given. Characteristic tendency and psychophysical factors concerning to hypertensional patients were discussed on the basis of the data obtained in the case studies of the patients.
1) Concerning our cases, consistent character tendency was not found as other researchers often reported. For example, schizophrenic type and epileptic-like symptom are found.
However, number or cases showing characteristic abnormality which itself become the problem were noted. Patients with such remarkable personality deviation can not judge things whatever the deviation is, and they also can not control their emotion properly, so that they easily become neurotic. Then, according to the result of CMI, about 80% of the patients studied revealed neurotic or similar states, This might verify the above descriptions.
2) Ten cases out of 20 cases were found to be hypertension by chance and the rest of 10 cases were those who came hospital with complaints due to their illness. Reviewing the corelation with genetic factor, group of genetically positive was found in the former and negative in the latter. Therefore, the patients. group having negative geneticofactor, had complaints and no psychological problem can be extracted as a subtype. It may be practical to distinguish this group from a group having clear psychological problems.
3) There are some periods without complaints . in hypertension, so the time. of onset is very difficult to determine, thus the corelation . between the induction of hypertension and psychological problem may not be determined directly.
Among our cases, two patients were found to be hypertension without psychological factor at that time but later the patient suffered from the psychological problem, and the symptom became aware, then hypertension was re-found. These two cases suggest that the time of induction of hypertension and corelationship between the induction and psychological problem should be discussed with the most careful manner.
