Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Volume 37, Issue 6
Displaying 1-50 of 70 articles from this issue
  • Article type: Cover
    1997 Volume 37 Issue 6 Pages Cover1-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • Article type: Index
    1997 Volume 37 Issue 6 Pages Toc1-
    Published: August 01, 1997
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 394-
    Published: August 01, 1997
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  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 396-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 397-405
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 406-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 406-
    Published: August 01, 1997
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  • Kenshi Kawahara, Haruyoshi Yamamoto, Shoichi Ebana, Kaname Tsukui, Ats ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 407-415
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    The function of the autonomic nervous system under fasting therapy (FT) was studied in comparison with control subjects. Sympathetic and parasympathetic modulations were inferred from the powers of the low frequency (LF)/high frequency (HF) spectral component ratio (L/H), and HF spectral component respectively. P-P interval variability from plethysmograph of each subject was measured at first. These components were succesively computerized by fast Fourier transform (FFT), one of power spectral analysis. And the relation among autonomic function, mood states, and self -efficacy was also investigated. The results were as follows : 1) There were no significant changes of autonomic modulations under FT. It was assumed this was due to various diagnoses of subjects and various psychosomatic responses under FT. 2) In mental fatigue cases, sympathetic modulation was significantly activated in the mid-stage of fasting phase and diminished to the baseline level at the end-stage of recovery phase. In contrast, less mental fatigue cases showed no significant changes of sympathetic modulation. Mental fatigue level, therefore, influenced autonomic function under FT. 3) There was no significant change of autonomic modulation under FT between the differences of symptomatic improvement after FT.
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 415-
    Published: August 01, 1997
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  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 416-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 416-
    Published: August 01, 1997
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  • Yoshimi Suzukamo, Hiroaki Kumano, Yuichi Yamauchi
    Article type: Article
    1997 Volume 37 Issue 6 Pages 417-424
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    The aim of the present study was to investigate possible associations among type A behavior pattern, job stress (defined by Karasek's demand-control-support model) and life style incongruity based on the following hypotheses : 1)Type A behavior pattern and job stress contribute to behavioral risk factors for negative health outcomes including lack of exercise, alcohol abuse, smoking habit, and abnormal eating pattern. 2) The person with type A behavior pattern shows more life style incongruity under high job strain. Six hundred and forty-nine employees (442 men and 207 women) from 2 worksites answered "Job Content Questionnaire (JCQ) ", "Maeda Type A Behavior Checklist", and other questionnaires asking about life style incongruity. The interrelations among type A behavior pattern, job stress, and life style incongruity were examined in each sex by ANOVA. This was a re-analysis of our previous study based on path analysis because we could not investigate the multiplicative effect of type A and iob stress by path analysis, and therefore, we could not sufficiently verify our second hypothesis mentioned above. In addition, while we used the 26-item version of JCQ in the previous study, the scores were calculated all over again on 22 items of them because the use of 22-item with 4-subscale version was recommended in the recent study investigating the reliability and validity of the measure. The following relations between type A behavior or job stress and life style incongruity were found, and our first hypothesis was generally supported except for a few results : 1) Male type A subjects smoked more frequently and female type A subjects drank more alcohol. 2) Male subjects with high demands drank more alcohol. 3) Male subjects with high latitude smoked more frequently. 4)Male subjects with high coworker support ate between meals less frequently and drank more alcohol. 5)Female subjects with high demands and high latitude ate between meals most frequently. 6) Male subjects with low latitude and low coworker support performed the least exercise. Our second hypothesis was confirmed in some aspects : 1) Male type A subjects with low latitude showed the most extreme lack of exercise. 2) Both of female type A subjects with high demands and type B subjects with low demands were inclined to smoke more frequently. Therefore, it can be said that we gained positive results on our hypotheses on the whole. Further studies should be warranted including a larger number of worksites and more precise classification of job groups, and investigating the effect of type A behavior and job stress on other physical and psychological risk factors as well.
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 424-
    Published: August 01, 1997
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  • Saroko Matsumoto, Hiroaki Kumano, Yuji Sakano
    Article type: Article
    1997 Volume 37 Issue 6 Pages 425-432
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    The purpose of this study was to investigate the actual dieting behavior in terms of eating disorders, and the relationship between dieting behavior and binge eating. Questionnaires on dieting behavior (the Dieting Behavior Scale), the Eating Attitudes Test (EAT), and the Binge Eating Scale were administered to a sample of 2,019 female high school students and 847 female undergraduate students. As a result of factor analysis of the Dieting Behavior Scale, it was revealed that there were two kinds of dieting behavior, one was Structured Diet (e. g., avoiding eating sweet-s and high calorie food) and the other was Extraordinary Diet (e. g., using laxatives to lose weight) . The stronger eating disorder tendency which was estimated by the EAT was, the more frequencies of both dieting behavior were. However, it was prominent that eating disorder group went on Extraordinary Diet more frequently than the high eating disorder tendency group whose subjects were in normal range in the EAT scores. A result of the regression analysis showed that only extraordinary diet affects binge eating, not structured diet.
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  • Hideyo Sugahara, Hiroshi Hayakawa, Chiharu Kubo
    Article type: Article
    1997 Volume 37 Issue 6 Pages 433-438
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    The patient was a 12-year-old boy. He hit his head and right eye with an iron goal post playing football in his gymnastic class. He went to an ophthalmologist the next day and was diagnosed to have a traumatic optic neuritis. His visual acuity at the first visit was 0.05 (right) and 0.4 (left) . He had normal visual acuity before the accident. He had improved his visual acuity after being treated by a series of intravenous steroid injections during his hospitalization for 40 days. His visual acuity became 0.4 (right) and 1.0 (left) at the discharge. After that, he went back to school for a week ; however, he couldn't attend classes because of his visual difficulties. He suffered from right blepharoptosis and weak left visual ability (0.05). There were no organic findings for his amblyopia or his ptosis. He was referred to the psychiatric department of the hospital because his visual signs were suspected to be psychogenic. The patient's amblyopia continued and made no obvious progress for more than 5 months, so he was referred to the Department of Psychosomatic Medicine of Kyushu University Hospital. When he was admitted, he had bilateral amblyopia, spiral contraction of visual field and right blepharoptosis. We did not medicate any psychotropic drugs. The therapy was client-centered psychotherapy. A team approach was also undertaken in the process of this therapy. His visual ability improved gradually and finally recovered the acuity of 1.0 (right) and 1.2 (left) in the 7 month treatment during the hospitalization.
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 438-
    Published: August 01, 1997
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  • Sunao Matsubayashi, Takashi Azuma, Yutaka Higashi, Tetsuya Morita, Haj ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 439-444
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    A 31-year-old woman who had been suffering from generalized type of myasthenia gravis in remission was admitted to Kyushu University Hospital because of general fatigue and disability of daily life. Antidepressant did not improve her complaints, but caused agitation. Furthermore, she denied medical treatment. The physician made a revised medical contract to improve her motor activity. However, it was difficult to motivate her because she thought it difficult to walk unless her complaints of general fatigue disappeared. Then, after promising the complete help with her daily living without walking by the nursing staff, she gradually became able to walk, but, at the same time, became more dependent on the nursing staff. This, in turn, made the nurses frustrated with her and the physician because of the increase in the amount of their labor. After the conference with the nursing staff, the physician told the patient that her myasthenia gravis would be in remission although her memories of symptoms of myasthenia gravis might remain, and that for the disappearance of her complaints, she should do her daily activities by herself even if she felt general fatigue. Eventually she became able not only to walk, but also to eat and excrete by herself. After the discharge from our hospital, we told her to report back her daily activities once a month instead of visiting the outpatient clinic, because the physician wanted to avoid further involvement and complication and expected her to live more independently. As the result, she was able to get a part-time job.
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 444-
    Published: August 01, 1997
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  • Koichi Yamashita, Hiroshi Kaneko, Chikara Yamaguchi, Terunori Mitsuma
    Article type: Article
    1997 Volume 37 Issue 6 Pages 445-450
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    An episode of hypoglycemic coma in anorexia nervosa (AN) is rare. We herein reported a 18-year-old woman, a high school student, with a 3-year history of AN who showed hypoglycemic coma episodes 2 times during her hospitalization. The patient was admitted to our hospital due to the mental disturbance. Physical examinations showed a coma (JCS III- 100) , severe emaciation (body height : 163.0 cm, body weight : 25.0 kg), low body temperature (35.0℃ and mild anemia. The laboratory data on admission revealed low levels of plasma glucose (15 mg/dl) and triglyceride (3 mg/dl), an increase in transaminase levels (GOT 1,491 IU/l, GPT 2,546 IU/l) and mild pancytopenia in the peripheral blood. Plasma insulin level was low (3 μU/ml), although the counter-regulatory hormones were over than normal upper limits. No evidence of insulinoma in the pancreas, general inflammatory signs and hepatitis -associated viral infections was observed. Mental level recovered soon after intravenous injection with glucose. Intravenous hyperalimentation stopped on 14hospital day because of the patient's refusal. The patient increased her exercises including rehabilitation in spite of getting worse in her liver function and nutrition. On 99-hospital day, second hypoglycemic coma attack happened, resulting in early recovery by glucose infusion. Her body weight increased after she accepted continuous intravenous hyperalimentation therapy under resting conditions. The patient was discharged from the hospital at the body weight of 43.0 kg on 275-hospital day. In the present case, a relative hyperactivity, one of the characteristics of AN, and liver dysfunction under the malnutrition may be risk factors to induce hypoglycemic coma in AN.
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 450-
    Published: August 01, 1997
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  • Article type: Appendix
    1997 Volume 37 Issue 6 Pages 451-
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 453-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 453-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 453-454
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 454-
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 454-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 454-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 454-455
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 455-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 455-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 455-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 455-456
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 456-
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 456-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 456-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 456-457
    Published: August 01, 1997
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 457-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 457-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (166K)
  • [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 459-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (176K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 459-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (176K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 459-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
    JOURNAL FREE ACCESS
    Download PDF (176K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 459-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (176K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 460-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (185K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 460-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
    JOURNAL FREE ACCESS
    Download PDF (185K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 460-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
    JOURNAL FREE ACCESS
    Download PDF (185K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 461-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (171K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    1997 Volume 37 Issue 6 Pages 461-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (171K)
  • [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 461-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (171K)
  • [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 461-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (171K)
  • [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    1997 Volume 37 Issue 6 Pages 462-
    Published: August 01, 1997
    Released on J-STAGE: August 01, 2017
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    Download PDF (189K)
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