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Article type: Cover
2008 Volume 48 Issue 10 Pages
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Article type: Cover
2008 Volume 48 Issue 10 Pages
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Article type: Index
2008 Volume 48 Issue 10 Pages
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Article type: Index
2008 Volume 48 Issue 10 Pages
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
846-847
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Article type: Appendix
2008 Volume 48 Issue 10 Pages
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2008 Volume 48 Issue 10 Pages
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Article type: Appendix
2008 Volume 48 Issue 10 Pages
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Article type: Appendix
2008 Volume 48 Issue 10 Pages
850-851
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Article type: Appendix
2008 Volume 48 Issue 10 Pages
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Yuri Okamoto
Article type: Article
2008 Volume 48 Issue 10 Pages
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Masayuki Yamaoka
Article type: Article
2008 Volume 48 Issue 10 Pages
854-855
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Hitoshi Miyaoka
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2008 Volume 48 Issue 10 Pages
856-857
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Koji Tsuboi
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2008 Volume 48 Issue 10 Pages
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Aya Inoue, Megumi Takahashi, Keisuke Nakajima, Satomi Tanaka, Katsutos ...
Article type: Article
2008 Volume 48 Issue 10 Pages
859-866
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We assessed the association of communication skills (CS) with depressive mood and quality of life (QOL) using three self-report questionnaires, namely, communication skills questionnaire (CSQ), Beck Depression Inventory II (BDI-II), and the World Health Organization Quality of Life Assessment (WHO/QOL-26). Sixty-eight medical students participated in our study, from whom written informed consent to participate in this study was obtained. The students were divided into two groups according to low-and high-scores on their CSQ or BDI-II scores. The QOL score for the social relationship domain was significantly higher in the high-CSQ-score group than in the low-CSQ-score group. On the other hand, the high-BDI-II-score group showed a lower QOL score than the low-BDI-II -score group. The overall QOL score and the QOL scores for the physical, psychological and social relationship domains were significantly higher in the low-BDI- II -score group. CSQ score negatively correlated with BDI-II score, but positively correlated with QOL score. Then these correlations were examined by covariance structure analysis considering the students' age and gender. The model that CS directly correlated not only with QOL but also with QOL in the presence of depressive mood showed good fitness. These results suggest that the benefits of CS improvement is expected to improve their QOL, and to prevent depression in medical students themselves.
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Akiko Haga, Chiharu Kubo
Article type: Article
2008 Volume 48 Issue 10 Pages
867-876
Published: October 01, 2008
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Objective: The status and limitations of psychosomatic medicine services designed to meet community needs in recent years were evaluated. Subjects and methods: Patients seen during the past eight years by the author in the outpatient facilities of the Departments of Psychosomatic Medicine, Kyushu University Hospital and its affiliated hospital underwent clinical analysis. A total of 425 patients (249 males, 176 females, mean-age at first visit 13.9±10.2 years) were studied. Consent to study participation was obtained from all patients or their guardians. Results and discussion: Treatment needs were highest for developmental disorders, which comprised 45% of the studied patients. This rate has been on the rise annually, including adult patients. Regarding the mothers of patients with developmental disorders, 42% presented with findings suggestive of neurosis requiring treatment. Social needs included counseling and mental support for mothers of patients, and liaison and information sharing with welfare and education personnel. Community needs included medical assessment and approaches to helping patients with truancy or antisocial behavioral disorders manage such problems, and to helping adult patients obtain jobs. While the need for psychosomatic medicine is expanding, there are limitations in the maintenance of quality medical care provided under the current health insurance treatment system, which does not ensure the coverage of professional guidance fees in this field. Conclusion: Expediting enhancement of the psychosomatic medicine service system for children and adolescent patients can contribute to addressing the socio-pathological phenomena for improved soundness and to reducing medical expenses associated with family mental health.
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Ronko Itamura
Article type: Article
2008 Volume 48 Issue 10 Pages
877-887
Published: October 01, 2008
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Background: Recently an increase in the number of depression patients has become a social problem. Some of them seek CAM therapies after having been treated with prolonged conventional treatment. Homeopathy is one of the CAM therapies and a patient-centered medicine. In this system, homeopathic medicine is thought to stimulate the patients' own healing process and its procedure treats the "individual patient as a whole person" by taking into account both psychological and physical symptoms rather than just the disease itself. Subjects and methods: Homeopathic medical procedure is similar to that in conventional practices. In addition, patients are asked about their own physiological and psychological conditions before the practitioner decides on the homeopathic medicine. Ten depression patients who had taken antidepressants were treated with Homeopathy. Result: During two years' homeopathic process (June 2005-May 2007), 5 cases have recovered from depression. Two cases are described in particular detail in this report. Two other cases stopped taking antidepressants and have their symptoms controlled with homeopathic medicines. In another two cases, antidepressant dose was reduced but was not terminated under homeopathic treatment. One case did not continue homeopathic treatment in spite of 6 months of care. Conclusion: Our cases may suggest homeopathic treatment can be a very useful strategy in addition to or instead of conventional treatment for depression.
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
888-
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Hirokazu Furukawa, Yuji Sakano
Article type: Article
2008 Volume 48 Issue 10 Pages
889-895
Published: October 01, 2008
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Objectives: Autogenic training (AT) is one of the effective relaxation methods. Recent studies reported that some patients feel much anxious during AT exercises, and elevated anxiety sensitivity (fear of anxiety-related sensations) that increases the risk of anxiety disorders is the factor which influences relaxation effects by AT. However, influences of reducing anxiety sensitivity on relaxation effects by AT has not been clarified. The purpose of this study was to examine the influences of reducing anxiety sensitivity on relaxation effects by AT. Methods and subjects: Subjects were 55 healthy undergraduate students who were divided into three groups: subjects with high anxiety sensitivity who participated in a cognitive behavioral program designed to reduce anxiety sensitivity before AT exercise (TREATMENT group: n=10), subjects with high anxiety sensitivity who did not participate in a cognitive behavioral program designed to reduce anxiety sensitivity before AT exercise (H-CONTROL group: n=5), and subjects with low anxiety sensitivity who did not participate in a cognitive behavioral program designed to reduce anxiety sensitivity before AT exercise (L-CONTROL group: n=40). AT exercises were composed of group sessions and homework sessions. Relaxation effects were measured during AT exercises at the last group session. Results: Comparison of relaxation effects by AT among three groups revealed that scores of the H-CONTROL group were lower than those of TREATMENT group and L-CONTROL group (H-CONTROL vs. TREATMENT: p <0.05; H-CONTROL vs. L-CONTROL: p<0.05). Discussion: The results of this study indicate that individuals with high anxiety sensitivity before AT exercise were not provided relaxation effects by AT exercise. Additionally, individuals with high anxiety sensitivity were provided relaxation effects by AT, if elevated anxiety sensitivity is reduced before AT exercise. From this result, it is clarified that reducing anxiety sensitivity, which means anxiety related-sensations, would promote relaxation effects by AT. Therefore, before AT exercise, it is suggested that reducing anxiety sensitivity is important for the psychosomatic intervention which includes AT exercises for anxiety disorders. Furthermore, the intervention may be effective to improve the anxiety disorders.
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
897-
Published: October 01, 2008
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
897-
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
897-898
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
898-
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
898-
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
898-899
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[in Japanese]
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2008 Volume 48 Issue 10 Pages
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
899-
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
899-900
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[in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
900-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
900-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
900-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
900-901
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[in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
901-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
901-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
901-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
901-902
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[in Japanese], [in Japanese], [in Japanese]
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2008 Volume 48 Issue 10 Pages
902-
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2008 Volume 48 Issue 10 Pages
902-
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2008 Volume 48 Issue 10 Pages
902-
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[in Japanese], [in Japanese]
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2008 Volume 48 Issue 10 Pages
902-903
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[in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
903-
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[in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
903-
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[in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
903-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
903-904
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2008 Volume 48 Issue 10 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
904-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2008 Volume 48 Issue 10 Pages
904-905
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2008 Volume 48 Issue 10 Pages
905-
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Article type: Appendix
2008 Volume 48 Issue 10 Pages
907-909
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