心身症の疫学-発達期における心身症準備状態と誘発要因に関する実態調査(心身症の疫学)
1986 年 26 巻 1 号 p. 59-69
詳細
1986 年 26 巻 1 号 p. 59-69
School stress was focused as a main source of the emotional disorders and psychosomatic illnesses in the Japanese adolescents. For this study 768 healthy school boys and girls (12-15 years old) were used. As the markers of stress tension, fatigability, sleep disturbance, eating disorder and neurotic habits were surveyed, including Cornell Medical Index (CMI). The similar questions were also asked of their parents, which led to the more precise observations on the children's symptons. These symptoms had significant correlation with one another, that is, the symptoms revealing themselves as the complex In addition, they did not show the expected physiological curve, i.e. inverted V shape. The obesity rate and Rohrer's index in this population were found very much deviated from the mean values in Japan. Furtherly, body image in the group with distress much differed from the measured body composition. These evidence suggested the proneness of females to the eating disorders in the stressssful situation. Decreased sleep time by the packed daily life had close correlation with difficult waking in the morning, which was also followed by the high frequency of the tatigability (p<0.0001). Moreover, fatigable group showed the higher incidence of the mood disturbance. Fatigability also related with the time spent for Jyuku, pricvate extra lessons outside schooling. The above symptoms as the reflection of the accumulated atress respectively increased both in frequency and intensity in parallel with age, adjacent to the entrance exanination. The persistence of these school boys and girls to their marks and records, which was possibly stimulated by their parents had significant correlation with the synptoms in subclinical level. In conclusion, the author speculates that the school stress mainly produced by the educational system and the competition. if combined with that due to intrinsic and extrinsic factors, consequently may lead to the incidence of the emotional disorders or psychosomatic illnesses.
