糖尿病における心療内科的治療(内科領域における全人的医療)(第31回日本心身医学会総会)

抄録

This study was done to investigate how important the psychosomatic approach is to diabetic patients with various associated disorders. Some of the associated medical problems of diabetic patients in this study were severe complications, depression, eating disorders, personality disorders, nervous vomiting, alcoholism, neurosis, alexithymia, and workaholic syndrome, etc. The subjects consisted of 53 diabetics, 10 males and 43 females (average age : 43yr, ranging from 19 yr to 72yr) who had been admitted to our ward. Among the 53 subjects, there were 35 cases with associated medical problems (group I) and 18 ordinary cases (group II). The results of psychological tests at the time of admission and therapeutic results at the time of discharge were as follows : 1) Of the 53 patients observed in group I, 69% showed neurotic tendencies by the CMI (III, IV) significantly more than group II. 2) In group I, 56% of the patients had high scores (>50 points) by SDS, 36% were of the unstable type (B and E) by the YG test and 59% showed a low percentage of GCR in the PF study. These patients tend to have numerous comparisons to those in group II. 3) Seventy-three percent of the patients in group I and 83% of the patients in group II 3) Seventy-three percent of the patients in group I and 83% of the patients in group II showed good control at the time of discharge. In conclusion, 26 cases (73%) with associated medical problems who came to our hospital for treatment of diabetes mellitus were able to control themselves after treatment with the psychosomatic approach. Of these patients, 15 (43%) subsequently continued to remain under control during a follow-up period from 1 to 3 yrs. It is important to improve our efforts in treatment of diabetic patients associated medical problems.