This study was performed to devise a questionnaire for screening whether or not asthmatic children needed psychosomatic treatment. The questionnaire consisted of 3 main headings ; asthmatic attacks, parental attitudes and children's behavior. These 3 headings were subdivided into 56 items. Subjects were divided into the following two large groups : 1) Group A ; 51 asthmatic children, and their 45 fathers and 49 mothers. 2) Group B ; 88 healthy children, and their 75 fathers and 81 mothers. Group A was rearranged into the following 4 subgroups. i) 31 long hospitalized asthmatics (LA group) and 20 short hospitalized (SA group). ii) 13 asthmatics with frequent attacks (FA group) and 38 asthmatics without frequent attacks (n-FA group). iii) 21 asthmatics who were improved markedly by hospitalization (RIA group) and 27 improved to some extent (IA group). iv) 34 patients who got worse during their stay at home (XX group) and 17 showing no change (XN group). The results of our study. were summarized as follows ; 1) 85 per cent of asthmatics had psychological factors which appeared relevant to their asthma, and 65 per cent of their parents recognized this fact. 2) 60 per cent of pediatrists' judgement agreed with the results of our questionnaire. 3) The asthmatic children were found less sociable, more nervous and repressive, or dependent than the healthy ones. 4) The parents of asthmatics were more over-protective, rejective or anxious than the parents of healthy ones. 5) LA group had more psychological factors than group SA ; The former had more behavioral disturbances than the latter. 6) Mothers of FA group took less notice of psychological factors than their children did. 7) The impressions of the pediatrists were more similar to the results of our questionnaire about RIA group than about IA group. 8) The asthmatics who grew worse while staying at home had more psychological factors than the other group. The authors think that it is very important for physicians and parents to recognize psychological factors influencing asthma. For this purpose, our questionnaire can be very useful. This study was performed to devise a questionnaire for screening whether or not asthmatic children needed psychosomatic treatment. The questionnaire consisted of 3 main headings ; asthmatic attacks, parental attitudes and children's behavior. These 3 headings were subdivided into 56 items. Subjects were divided into the following two large groups : 1) Group A ; 51 asthmatic children, and their 45 fathers and 49 mothers. 2) Group B ; 88 healthy children, and their 75 fathers and 81 mothers. Group A was rearranged into the following 4 subgroups. i) 31 long hospitalized asthmatics (LA group) and 20 short hospitalized (SA group). ii) 13 asthmatics with frequent attacks (FA group) and 38 asthmatics without frequent attacks (n-FA group). iii) 21 asthmatics who were improved markedly by hospitalization (RIA group) and 27 improved to some extent (IA group). iv) 34 patients who got worse during their stay at home (XX group) and 17 showing no change (XN group). The results of our study. were summarized as follows ; 1) 85 per cent of asthmatics had psychological factors which appeared relevant to their asthma, and 65 per cent of their parents recognized this fact. 2) 60 per cent of pediatrists' judgement agreed with the results of our questionnaire. 3) The asthmatic children were found less sociable, more nervous and repressive, or dependent than the healthy ones. 4) The parents of asthmatics were more over-protective, rejective or anxious than the parents of healthy ones. 5) LA group had more psychological factors than group SA ; The former had more behavioral disturbances than the latter. 6) Mothers of FA group took less notice of psychological factors than their children did. 7) The impressions of the pediatrists were more similar to the results of our questionnaire about RIA group than
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The effects of various physiological factors and stress conditions on serum serotonin levels were examined in normal subjects, that is, the relationship of aging, circadian rhythm, ingestion of diet, physical exercise, sleep deprivation and alcohol ingestion to serum serotonin levels were investigated, and the following results were obtained. 1) As to age, serum serotonin levels were significantly higher in children below 10 years of age, and decreased gradually until age 30. 2) Sexual difference of serum serotonin levels was not found. 3) The circadian rhythm of serum serotonin levels were examined at 8,12,20 and 24 o'clock, but a significant rhythm was not observed. 4) The ingestion of a normal diet (960 Cal per meal) did not exert any influence upon serum serotonin levels. 5) Similarly, the ingestion of a high serotonin diet (banana) did not exert any influence. 6) After the load of physical exercise (2 hours of basketball playing), serum serotonin levels showed a slight increase, but it was not statistically significant. 7) Serum serotonin levels were determined during one-night of sleep deprivation, but there was no significant change because of it. 8) The effect of acute alcohol ingestion (oral ingestion of Japanese sake, 540-1800 ml) was determined. As a result, serum serotonin levels showed the tendency to increase 12 hours after ingestion as compared with the level before ingestion. 9) In one patient who had drunk alcohol for 18 years, an abrupt transient increase of serum serotonin level was observed when he stopped drinking. The effects of various physiological factors and stress conditions on serum serotonin levels were examined in normal subjects, that is, the relationship of aging, circadian rhythm, ingestion of diet, physical exercise, sleep deprivation and alcohol ingestion to serum serotonin levels were investigated, and the following results were obtained. 1) As to age, serum serotonin levels were significantly higher in children below 10 years of age, and decreased gradually until age 30. 2) Sexual difference of serum serotonin levels was not found. 3) The circadian rhythm of serum serotonin levels were examined at 8,12,20 and 24 o'clock, but a significant rhythm was not observed. 4) The ingestion of a normal diet (960 Cal per meal) did not exert any influence upon serum serotonin levels. 5) Similarly, the ingestion of a high serotonin diet (banana) did not exert any influence. 6) After the load of physical exercise (2 hours of basketball playing), serum serotonin levels showed a slight increase, but it was not statistically significant. 7) Serum serotonin levels were determined during one-night of sleep deprivation, but there was no significant change because of it. 8) The effect of acute alcohol ingestion (oral ingestion of Japanese sake, 540-1800 ml) was determined. As a result, serum serotonin levels showed the tendency to increase 12 hours after ingestion as compared with the level before ingestion. 9) In one patient who had drunk alcohol for 18 years, an abrupt transient increase of serum serotonin level was observed when he stopped drinking. The effects of various physiological factors and stress conditions on serum serotonin levels were examined in normal subjects, that is, the relationship of aging, circadian rhythm, ingestion of diet, physical exercise, sleep deprivation and alcohol ingestion to serum serotonin levels were investigated, and the following results were obtained. 1) As to age, serum serotonin levels were significantly higher in children below 10 years of age, and decreased gradually until age 30. 2) Sexual difference of serum serotonin levels was not found. 3) The circadian rhythm of serum serotonin levels were examined at 8,12,20 and 24 o'clock, but a significant rhythm was not observed. 4) The ingestion of a normal diet (960 Cal per meal) did not exert any influence upon serum serotonin levels. 5) Similarly, the
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