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Article type: Cover
2002 Volume 42 Issue 8 Pages
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Article type: Cover
2002 Volume 42 Issue 8 Pages
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Article type: Index
2002 Volume 42 Issue 8 Pages
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Article type: Appendix
2002 Volume 42 Issue 8 Pages
490-493
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Article type: Appendix
2002 Volume 42 Issue 8 Pages
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Article type: Appendix
2002 Volume 42 Issue 8 Pages
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Taro Tamada
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2002 Volume 42 Issue 8 Pages
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Mutsumi Ashihara
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2002 Volume 42 Issue 8 Pages
499-502
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Kenji Nakanishi, Ko Yamashita, Tetsuo Kashiwagi, Shiro Takahara
Article type: Article
2002 Volume 42 Issue 8 Pages
503-511
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We had two goals in this study:(1) to develop a scale to assess cognitive appraisals of stressors after transplantation, (2) to examine what kind of stressors especially effect on mental health among kidney transplant recipients in Japan. The Lazarus and Folkman's stress cognitive theory was a framework of this study. The sample consisted of 154 (92 males and 62 females) adult kidney transplant recipients who were outpatients and had received their latest transplants at least 6 months ago. The questionnaire survey was conducted with some measurement scales which included our original Transplant Recipient Stress Appraisal Scale (TRSAS), and Hospital Anxiety and Depression Scale (HAD). Exploratory factor analysis revealed that TRSAS consisted of twenty three items and five factors: "Possibility of rejection and infection", "Changes in body appearance", "Restriction of job opportunities", "Ambivalence toward transplantation", "Cost of medication". Each subscale of TRSAS had high reliability (Cronbach's alpha=0.76 to 0.86). Correlation analysis indicated that all TRSAS subscales had significant correlations with anxiety and depression, but "Cost of medication" had weak correlations with them (r=0.19 both). According to this result, we examined a causal model to explore which subscale of TRSAS effected directly on mental health after kidney transplantation. Covariance structure analysis revealed that the model, including five TRSAS subscales, anxiety, depression and a latent variable "mental health," fit the data (chi-squre (4)=5.64, p=0.23, CFI=0.959, GFI=0.990, AGFI=0.887, RMSEA=0.064). In this model, (1) five TRSAS subscales accounted for 44% of the variance in mental health after kidney transplantation, (2) "Possibility of rejection and infection" and "Ambivalence toward transplantation" effected directly on mental health, (3) "Possibility of rejection and infection" effected on mental health the most. Our original scale TRSAS can be useful to identify problems each transplant recipient faces. And this is important to develop psychosocial interventions that are tailored to each recipient.
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
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Aya Takeda, Kenji Suzuki, Katsuyuki Shirakura
Article type: Article
2002 Volume 42 Issue 8 Pages
513-519
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Few studies on the outcome of patients with eating disorders associated with alcoholism have appeared in the literature. This report is the first comparative study on the results of treatment for eating disorders with and without alcoholism. The subjects were 42 females with eating disorders with alcoholism and 88 without alcoholism. They were 30 years old or younger, admitted to Kurihama National Hospital in 1990-1998 and subjected to semi-structured interviews concerning symptoms of eating disorders, alcohol dependent syndromes, and other psychiatric disorders. The survey was conducted from October to December 2000 by interview, mail or telephone. Seventy-eight percent of the subjects responded to the survey, and the mean follow-up period was 4.6 years. The subjects with eating disorders and alcoholism were clinically different from those without alcoholism at first admission. The former were older, had more personality disorders, had more experience of marriage and divorce and had less anorexia nervosa restricting type than the latter. At follow-up, a quarter of the subjects with alcoholism had recovered from eating disorders but a quarter of them had died. On the other hand, a quarter of the subjects without alcoholism had recovered from eating disorders and a quarter of them had shifted to the mild form. Many of the subjects with alcoholism experienced divorces and continued problem drinking. The outcome for patients with eating disorders with alcoholism was worse than that for those without alcoholism. A common factor for a good outcome for patients with and without alcoholism was less vomiting among the eating disorder symptoms.
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Akinori Masuda, Daisuke Deguchi, Takao Yamanaka, Atsuro Kuroki, Katsur ...
Article type: Article
2002 Volume 42 Issue 8 Pages
521-528
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Psychosomatic treatment was concurrently performed in a patient with severe ulcerative colitis that rapidly exacerbated during medical treatment, requiring surgery. As a result, remission was achieved, facilitating rehabilitation. Autogenic training, psychosomatic relaxation by biofeedback of finger tip temparature, and the patient's positive attitude toward treatment may have effectively improved the condition. In patients with acute exacerbation of ulcerative colitis who do not respond to medical treatment, combined psychosomatic treatment may be useful.
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
528-
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[in Japanese]
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2002 Volume 42 Issue 8 Pages
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
531-532
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
532-
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
532-533
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2002 Volume 42 Issue 8 Pages
533-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2002 Volume 42 Issue 8 Pages
533-534
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
534-
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Article type: Article
2002 Volume 42 Issue 8 Pages
534-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2002 Volume 42 Issue 8 Pages
534-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2002 Volume 42 Issue 8 Pages
534-535
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
535-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
535-
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Article type: Article
2002 Volume 42 Issue 8 Pages
535-
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[in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
535-536
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
536-
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2002 Volume 42 Issue 8 Pages
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2002 Volume 42 Issue 8 Pages
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2002 Volume 42 Issue 8 Pages
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
536-537
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Article type: Article
2002 Volume 42 Issue 8 Pages
537-
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Article type: Article
2002 Volume 42 Issue 8 Pages
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Article type: Article
2002 Volume 42 Issue 8 Pages
537-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
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2002 Volume 42 Issue 8 Pages
537-538
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2002 Volume 42 Issue 8 Pages
538-
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Article type: Article
2002 Volume 42 Issue 8 Pages
538-
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[in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
538-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2002 Volume 42 Issue 8 Pages
538-539
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2002 Volume 42 Issue 8 Pages
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Article type: Article
2002 Volume 42 Issue 8 Pages
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[in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
539-
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2002 Volume 42 Issue 8 Pages
539-540
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2002 Volume 42 Issue 8 Pages
540-
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2002 Volume 42 Issue 8 Pages
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2002 Volume 42 Issue 8 Pages
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2002 Volume 42 Issue 8 Pages
540-541
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2002 Volume 42 Issue 8 Pages
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2002 Volume 42 Issue 8 Pages
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