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Article type: Cover
2001 Volume 41 Issue 3 Pages
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Published: March 01, 2001
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Article type: Cover
2001 Volume 41 Issue 3 Pages
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Article type: Index
2001 Volume 41 Issue 3 Pages
175-
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
176-
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
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Shozo Aoki
Article type: Article
2001 Volume 41 Issue 3 Pages
179-
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Ryuta Suzuki, Motonao Hirao, Teruhiko Higuchi, Atsuko Takei, Chih-Wei ...
Article type: Article
2001 Volume 41 Issue 3 Pages
181-187
Published: March 01, 2001
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Patient with brain tumors may be exposed to severe stress. To clarify the factors which influence the quality of life(QOL) in the patients with brain tumors, we measured the mood state during and after the treatment, and studied the differences in the subgroups including sex, age, and treatment modality(surgery only and surgery with radiation). Method:The self-answering tests were performed on admission, on discharge, and at more than 3 months after the discharge(Post)in 37 patients with brain tumors. The patients included 17 males, and 20 females, 8 patients being 10 to 29 years old, 17 patients being 30-59 years old, and 12 patients being older than 60 years old. 23 patients received surgery only, and 14 patients received surgery with radiation. The tests included an original questionnaire asking for consent to admission and treatment and the feeling of disability to cope with condition of living, Cornell Medical Index(CMI) which measured the neurosis, and Profile of Mood State(POMS) which measured the 6 subscales of patients' mood state. Results:CMI showed a borderline of neurosis in nine patients on admission and in five patients in the post-period. Male patients and the patients treated by surgery with radiation tended to show a borderline of neurosis. All of the subscales of POMS showed less disturbed on discharge compared with that on admission, but they returned to the prelevel after they returned to social life. The mood state was significantly more disturbed in male than in female, and more disturbed in the patients treated by surgery with radiation, than in the patients treated by surgery only. The mood state did not show any significant differences among the age groups. Conclusions:Patients with brain tumors are exposed to severe stress even after the completion of the treatment. Male gender, and the patients receiving surgery with radiation showed more disturbed mood state. Those factors may influence the QOL of the patients.
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Toru Uehara, Yoshiaki Kawashima, Hiroko Kawachi, Shin-ichi Tasaki, Mas ...
Article type: Article
2001 Volume 41 Issue 3 Pages
189-197
Published: March 01, 2001
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Psychoeducation has been developed as one of the effective treatments for various psychiatric disorders, based on the bio-psycho-social aspect. This study reports on the relationships between psychoeducational family-work and changes of family distress, family functions, and symptoms in eating disorders. The group was held once a month for families of patients with DSM-IV eating disorders and we held five sessions. Thirty relatives completed the program. The POMS scores(anxiety-tension, depression, anger, vigor, fatigue)changed significantly after the sessions. Rates of high-EE was decreased significantly, and the FACES-KG II scales and ABOS(symptom assessment by family)also changed significantly after the sessions. Correlations among family distress, family functions, and symptom measures were more prominent before the program than at the time after 5 sessions. Psychoeducation may help lower distress within the patient's family, and the family also might be empowered to externalize the eating disorder.
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Kaoru Uchida, Takaharu Kuromaru
Article type: Article
2001 Volume 41 Issue 3 Pages
199-204
Published: March 01, 2001
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The reason why the treatment of psychosomatic disease is difficult may lie with the law of causality. In individual hospital departments that deal with somatic aspects of diseases, the mind-body correlation is useful in understanding the mechanism of psychosomatic disease. However, resistance to this approach occurs in patients under treatment. A solution-focused approach focuses its attention on the factors that have not been recognized thus far in the field of medical treatment such as goal-setting by patients and self efficacy to solve problems. This method has been solving problems by crafting solutions more efficiently than a cause-removal method. An approach based on the concept of calling upon patient's resources and abilities seems useful for patients who believe the cause of psychosomatic disease is the "body" and who seek treatment for the body only. The concept of calling upon the resources of the patient by physical examinations, operations, and medicines may be a necessity in the future.
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
205-
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
206-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
207-
Published: March 01, 2001
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
207-
Published: March 01, 2001
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
207-208
Published: March 01, 2001
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
208-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
208-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
208-209
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
209-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
209-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
209-210
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
210-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
210-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
210-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
211-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
211-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
211-
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Article type: Article
2001 Volume 41 Issue 3 Pages
211-212
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
212-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
212-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
212-213
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
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Article type: Article
2001 Volume 41 Issue 3 Pages
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Article type: Article
2001 Volume 41 Issue 3 Pages
213-214
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
214-
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Article type: Article
2001 Volume 41 Issue 3 Pages
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
215-
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Article type: Article
2001 Volume 41 Issue 3 Pages
215-
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[in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
215-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
215-216
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[in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
216-
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Article type: Article
2001 Volume 41 Issue 3 Pages
216-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
216-217
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2001 Volume 41 Issue 3 Pages
217-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 41 Issue 3 Pages
217-
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
219-221
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
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Article type: Appendix
2001 Volume 41 Issue 3 Pages
1-34
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