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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
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Article type: Index
2009 Volume 49 Issue 10 Pages
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Article type: Index
2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
1046-1052
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2009 Volume 49 Issue 10 Pages
1053-1055
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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
1058-1059
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Junko Sasaki
Article type: Article
2009 Volume 49 Issue 10 Pages
1061-
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Article type: Article
2009 Volume 49 Issue 10 Pages
1062-
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Hideo Miyachi, Hitoshi Miyaoka
Article type: Article
2009 Volume 49 Issue 10 Pages
1063-1066
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In this paper, the authors describe the definition of psychosomatic disorders, the dental disorders included in psychosomatic disorders, the difference between psychiatry and psychosomatic medicine, and the disorders that doctors and dentists specialized in psychosomatic dentistry should treat. Psychosomatic dentistry in Japan seems to be still immature though a quarter of century have passed since the Japanese Society of Psychosomatic Dentistry was established. The authors look forward to its further development with much expectation.
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Koichi Wajima
Article type: Article
2009 Volume 49 Issue 10 Pages
1067-1072
Published: October 01, 2009
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The approach based on psychosomatic medicine is essential in the treatment of 3 conditions of TMD and orofacial pain. The typical type includes myogenic TMD and myofascial pain referring to distant areas. These disorders are of psychosomatic origin and well treated only by dentists. Other conditions approached by psychosomatic medicine are occlusal dysesthsia and chronic orofacial pain which are caused by some kind of psychiatric disorders. Occlusal discomfort and persisted oral pain are thought of as typical dental complains. These signs are not the indications of dental treatment and should be approached exclusively by psychosomatic medicine. It is essential for dentists to collaborate with psychosomatic specialists on diagnosis and treatment of these patients.
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Tetsuo Nagai
Article type: Article
2009 Volume 49 Issue 10 Pages
1073-1078
Published: October 01, 2009
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In general, from the standpoint of psychiatry, when the patient's complaint does not correspond with the physical examination, he/she is diagnosed as hypochondria or cenestopathia, but its discrimination is rather difficult. Oral dysesthesia is often placed in the group of hypochondria or in the group of cenestopathia, but part of its symptoms accompany those of depression or schizophrenia, so it requires very cautious treatment. With regard to the etiology of glossodynia, it is possible to consider that glossodynia is closely related with hypochondria, although its physical etiology is unknowm at present. The therapy of oral dysesthesia is consisted mainly of psychotherapy and medication which includes anti-anxiety agents. Because glossodynia is closely related with hypochondria, its symptoms are largely influenced by the character of the patient, which makes it difficult for us to treat them.
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Katsushi Tamaki
Article type: Article
2009 Volume 49 Issue 10 Pages
1079-1084
Published: October 01, 2009
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As a result of performing psychiatric oral consultation to 182 patients (32 men, 150 women) who visited the Occlusion & Liaison Department of Kanagawa Dental Hospital, 77% of them were diagnosed as psychiatric disorder. Moreover, 84% of the patients who had uncomfortable occlusion were diagnosed as mental disorder, and 70% of the patients who did not complain of uncomfortable occlusion were diagnosed a mental disorder. Among the patients who visit our hospital with uncomfortable occlusion, it has become clear that there is a high possibility that they have not only dental problems but also mental disorders. Talking this fact into consideration, a cautious approach becomes indispensable to the outpatients of dental hospitals. The necessity of closer cooperation between dentistry, psychosomatic medicine and psychiatry needs to be strengthened and the establishment of causal elucidation and treatment from higher brain functions is expected from now on.
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Hiroyuki Tsunoda
Article type: Article
2009 Volume 49 Issue 10 Pages
1085-1087
Published: October 01, 2009
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"A Phobia of emitting foul breath" is characterized by suffering from a false conviction of foul mouth odor and delusion of reference. Among dentists, this phobia is gradually recognized. We consider it desirable to introduce the phobics to psychiatrists as soon as possible. As a matter of fact, they are guided into treatment without being diagnosed as a phobia of emitting foul breath and not a few phobics are sent to psychiatrists only after causing much trouble. One reason for this is that dentists treat the healthy mouth cavity preventively, for example in scaling. The height of the hurdle before reaching to the final treatment is low. It is done of ten without informed consent. Dentists tend to examine patients' mind and body separately, which leads to our lack of understanding of this disease.
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[in Japanese]
Article type: Article
2009 Volume 49 Issue 10 Pages
1088-
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Hitoshi Miyaoka, Hideo Miyachi
Article type: Article
2009 Volume 49 Issue 10 Pages
1089-1091
Published: October 01, 2009
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In clinical practice of dentistry and oral surgery, are some patients who really have iatrogenic disorders misdiagnosed as having psychosomatic disorders or mental disorder? In this paper, surgical treatments for the complaints that do not fit with objective signs, phantom bite syndrome, the relationship between occlusion, physical complaints and temporomandibular disorders, and inappropriate psychopharmacotherapy are described. Doctors and dentists should discuss iatrogenic disorders and prevent their occurrence.
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Hiroyuki Wake
Article type: Article
2009 Volume 49 Issue 10 Pages
1093-1100
Published: October 01, 2009
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Some dental patients need psychosomatic and psychiatric medical care by dentists, psychiatrists and psychosomatic medical doctors, but the level of this acknowledgement is relatively low. To grasp the current status of dental psychosomatic medical care, the literatures from the past 11-year volumes of the Japanese Journal of Psychosomatic Dentistry were surveyed. The author found out that major disorders which are potentially "so-called dental psychosomatic disorders" have been glossodynia, Temporomandibular disorders, and halitosis (halitophobia). Inaddition, the number of department of psychosomatic dentistry is small, and these disorders have been handled mainly in the oral surgery departments of university or general hospitals. Presently, dental psychosomatic disorders are not clearly defined, and the concept of psychosomatic disorder in a broad sense is applied in clinical practice. This paper describes the classification and approach for psychosomatic dentistry for the dentists who are not psychosomatic care specialists, and how the collaborated medical care for psychosomatic dentistry should be.
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Jun Motomura, Masashi Arakawa, Takehiko Toyosato, Takao Yokota
Article type: Article
2009 Volume 49 Issue 10 Pages
1101-1109
Published: October 01, 2009
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Background: Thalassotherapy is an alternative therapy that aims at relaxation and therapeutic effects through practices mainly utilizing buoyancy, resistance, viscosity and component characteristic of seawater, and materials related to the sea. However, there are not enough scientific evidences to prove its effectiveness. In this study, therefore, a randomized, crossover-controlled trial was conducted to examine the effect of seawater floating, which is one of relaxation programs in the thalassotherapy, monitoring cardiac and autonomic nervous system activities, and salivary chromogranin A (CgA), which is a mentality-specific stress marker, and psychological evaluation with State-Trait Anxiety Inventory (STAI). Subjects: Subjects included 18 adult males and females who had no health problem, such as skin, cardiovascular, or autonomic disorders. Methods: Subjects were randomly assigned into two groups, a seawater floating-group, and an onshore supine-group, and subjected both sessions at an interval of two days. Kraepelin test was carried out as a given amount of mental workload before the intervention. Heart rate, high-frequency component of cardiac and autonomic nervous system activities, concentration of salivary CgA and STAI score were compared between before and after the intervention. Results: A significant decrease in CgA after the session was observed only in the seawater floating-group. The state anxiety score of STAI indicated a significant decrease in both groups. The decrease was significantly larger in the seawater floating-group. Conclusion: We could not reveal whether or not the relaxation given by seawater floating was due to the characteristic of seawater. Further studies are needed to clarify the effect of seawater floating on relief of stress and on relaxation.
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Mika Himachi, Isa Okajima, Makoto Hashiro, Yuji Sakano
Article type: Article
2009 Volume 49 Issue 10 Pages
1111-1118
Published: October 01, 2009
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Objective: It has been indicated that atopic dermatitis (AD) has association with health related quality of life (HRQOL) because it can have an impact on work, sleep and social relations (Kiebert et al., 2002). Anxiety in the adult AD patient has an influence on the itch related to deterioration of the symptom and particularly, scratching behavior and it is suggested that anxiety reduced HRQOL. In the previous study, it was made clear that the adult AD patient also holds "anxiety to itch". However, it remains still unclear how "anxiety to itch" relates to the "itch" and "scratching behavior", which influence the HRQOL. The purpose of this study is to investigate the causal relationship among "anxiety to itch", "itch", "scratching behavior", and the "disease specific HRQOL" for adult AD patients by using Structural Equation Modeling (SEM). Method: Subjects were 50 adult AD patients. The "anxiety to itch" was measured by using the Itch Anxiety Scale for Atopic Dermatitis (IAS-AD: Himachi et al., 2007). Itch was measured using the Numerical Rating Scale (NRS), scratching behavior was measured using the scratching checklist (Tsutsui, 1999), and the disease specific HRQOL was measured using the skindex29 (Fukuhara, 2004). Results: Mean score on the IAS-AD was 51.07 (SD=12.73), an itch was 73.19 (SD=34.31), strength of scratching behavior was 20.20 (SD=10.54), length of scratching behavior was 19.40 (SD=11.78), and Skindex29 was 38.41 (SD=25.05). Two causal models were hypothesized referring to the previous studies and were compared by using the structural equation modeling (SEM). The result of comparison between two causal models showed that the model that "anxiety of itch" influences "itch" (r=0.84), "itch" influences "scratching behavior" (r=0.91), and "scratching behavior" influences "HRQOL" (r=0.73) is more suitable (χ^2=14.78, df=13, p=0.32, AIC=44.784, BIC=73.465, GFI=0.925, AGFI=0.835, CFI=0.995, RMSEA=0.053). Conclusion: It is concluded that the high level of "itch to anxiety" increases in itch and itch increases scratching behavior, and scratching behavior adversely effects "itch to anxiety" on HRQOL in adult AD patients. In order to improve the HRQOL of adult AD patients, it is necessary to develop the treatment method which focuses on "itch to anxiety".
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Hidetaka Tanaka
Article type: Article
2009 Volume 49 Issue 10 Pages
1119-1126
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2009 Volume 49 Issue 10 Pages
1127-
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2009 Volume 49 Issue 10 Pages
1127-1128
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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
1128-1129
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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
1129-1130
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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
1130-1131
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2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
1131-1132
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
1133-1135
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2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
1138-1140
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
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Article type: Appendix
2009 Volume 49 Issue 10 Pages
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2009 Volume 49 Issue 10 Pages
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Article type: Cover
2009 Volume 49 Issue 10 Pages
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