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2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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Article type: Index
2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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[in Japanese]
Article type: Article
2007 Volume 47 Issue 10 Pages
838-839
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
840-
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2007 Volume 47 Issue 10 Pages
841-847
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2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
850-851
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Kazuhiko Nakayama
Article type: Article
2007 Volume 47 Issue 10 Pages
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Madoka Kuraoka, Asako Sato, Yuko Okuhira, Shigehiro Suga, Satoko Suzuk ...
Article type: Article
2007 Volume 47 Issue 10 Pages
855-863
Published: October 01, 2007
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A purpose of this study is to develop and validate two questionnaires ; Self rating questionnaire for depression (SRQ-D) II 31 and SRQ-D II 15 revised SRQ-D. The SRQ-D II 31 was made for the assessment of depressive state, and the SRQ-D15 was made for screening of major depression. 34 outpatients with major depression and 129 students completed the SRQ-D II 31 and the SDS. Exploratory factor analysis revealed that the SRQ-D II 31 included 31-items loading on one factor, which was named "symptoms of depressive state". Internal consistency of these scale were sufficiently high (SRQ-D31 : α = 0.93). 15 items out of those which had highly factor loading in SRQ-D II 31 were extracted and we made SRQ-D II 15. We examined whether or not SRQ-D II 15 can be used for a screening test. Exploratory factor analysis revealed that the SRQ-D II 15 included 15-items loading on one factor, which was named "symptoms of depressive state". Internal consistency of this scale was sufficiently high (α =0.94). A correlation coefficient between SRQ-D II 15 and SDS was strong. SRQ-D II 15's cutoff point was set at 34/35. (sensitivity : 0.857, speficitivity : 0.853) SRQ-D II 31 and SRQ-D II 15 are questionnaires which have both reliability and propriety together. We can use SRQ-D II 15 as a screening test for depressive episodes. We will make a further report after conducting more investigation.
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[in Japanese]
Article type: Article
2007 Volume 47 Issue 10 Pages
864-
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Motohiro Sakai, Hikaru Nakamura, Kenta Ueda, Yuji Sakano
Article type: Article
2007 Volume 47 Issue 10 Pages
865-873
Published: October 01, 2007
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Objectives : The purpose of this study was to investigate the factors which have influence on field of activity of individuals with serious social withdrawal (Hikikomori). Subjects and method : Four hundreds seventy three families of the individuals with Hikikomori were requested to complete a set of the field of activity of the individuals with Hikikomori and the Hikikomori Behavior Checklist. Results : (1) The field of activity was classified into "personal relationship place" and "free-for-all place", and the going-out frequency per month to "free-for-all place" was higher than the other place. (2) The going-out time per day and "depression" were positively correlated to the going to "personal relationship place". (3)The going- out frequency per month was positively, "avoidance from family members" was negatively correlated to the going to "free-for-all place". (4) "Aggressive behavior" was positively, "unsteady life pattern" was negatively correlated to going-out frequency per month. Conclusion : This study suggested the importance of interventions for the relationship between the individuals with "Hikikomori" and the families, and for "aggressive behavior". The interventions promote the individuals with Hikikomori to go to the "free-for-all place". The interventions may be opportunity to improve the Hikikomori.
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Shinji Nishida, Atsuko Koyama, Hiromichi Matsuoka, Tomoko Hirano, Rika ...
Article type: Article
2007 Volume 47 Issue 10 Pages
875-881
Published: October 01, 2007
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The patient was a 23-year-old woman. In September "X-2" year, she visited our hospital due to excessive weight loss. Anorexia nervosa was diagnosed and she was hospitalized the same day. Condition improved with behavior therapy at the hospital and she was discharged in December. However, she discontinued follow-ups at the hospital until June "X-1" year. On February 1, "X" year, the patient experienced abdominal pain during the night, so she visited another hospital and received drip infusion. Condition worsened and she was brought to our hospital the next morning. On arrival, she was severely emaciated and in shock, so immediate rescue with artificial respiration and drip infusion of saline, corticosteroid, vasopressor and bicarbonate was initiated. Condition improved temporarily, but paralytic ileus and gastrointestinal bleeding developed and she died 17h after arrival. Based on autopsy findings and clinical symptoms, hemorrhagic necrotic colitis, pneumatosis cystoids intestinalis and hepatic portal vein gas were diagnosed. Clostridium perfringens was considered as the causative agent. This bacterium is widely distributed in the environment and frequently occurs in the intestinal tract of humans and many domestic and feral animals. Complications and death only occur very rarely. However, in malnourished patients with poor immune status as seen with anorexia nervosa, C. perfringens may cause severe disease.
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[in Japanese]
Article type: Article
2007 Volume 47 Issue 10 Pages
883-888
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
889-904
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
905-
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
906-907
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
909-
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
910-912
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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2007 Volume 47 Issue 10 Pages
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Article type: Appendix
2007 Volume 47 Issue 10 Pages
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Article type: Cover
2007 Volume 47 Issue 10 Pages
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