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Article type: Cover
2014 Volume 54 Issue 8 Pages
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Article type: Cover
2014 Volume 54 Issue 8 Pages
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Article type: Index
2014 Volume 54 Issue 8 Pages
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Article type: Index
2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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2014 Volume 54 Issue 8 Pages
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2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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Ritsuko Hosoya
Article type: Article
2014 Volume 54 Issue 8 Pages
735-736
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Article type: Article
2014 Volume 54 Issue 8 Pages
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Fumiyuki Goto
Article type: Article
2014 Volume 54 Issue 8 Pages
738-745
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The pathophysiology of the dizziness is not uniform. A variety of etiology of dizziness and various complaints in the dizzy patients makes their treatment difficult. Many of the dizzy patients complaining dizziness for long time have not only dizziness but also insomnia and headache, which is quite similar to the patients with depression or anxiety. These patients have usually not only physical but also mental problems. Many patients in department of otolaryngology have anxiety and depression. It is mandatory to treat these patients with a comprehensive, multidisciplinary approach including psychological and physical techniques. In this study we report on the treatment of intractable Meniere disease with autogenic training and the result of vestibular rehabilitation to intractable dizzy patients.
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Kimiko Nakai
Article type: Article
2014 Volume 54 Issue 8 Pages
746-752
Published: August 01, 2014
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This study is on patients (n=137) who were referred to the clinical psychologist in our outpatient department by the otologist during years between 2004 and 2009. Of these patients, 67 suffered from dizziness. Autogenic Training (AT) was introduced to 35 of these patients, after carefully considering if they were in contraindication to AT. After treatment 33 patients improved. Five of six patients suffering from dizziness with Meniere's disease improved after treatment using AT. A typical representative of the 5 patients is described below. A 51-year-old man suffered from dizziness, insomnia, anxiety. His symptoms had not improved even after four years of conventional chemotherapy prescribed by the otologist and was considered to be an intractable case. AT with counseling resulted in a reduction of his anxiety, insomnia and dizziness. He maintained his improvements at 5-year follow-up.
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Motohiro Arai
Article type: Article
2014 Volume 54 Issue 8 Pages
753-759
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Objective: In 1996, we developed an in-hospital vestibular-rehabilitation program based on Cawthorne and Cooksey program for patients with intractable dizziness and have since reported improvements of the quality of life after the treatment. This study was aimed to show the benefit of this program with respect to physical and emotional aspects. Methods: The subjects were 161 patients with intractable dizziness and all were informed that hospitalization was a prerequisite for participation in our program. On the day of hospitalization, the inquiries including, the Statetrait Anxiety Inventory (STAI), Self-rating Depression Scale (SDS), Dizziness Handicap Inventory (DHI), Profile of Mood States Brief Japanese Version (POMS) were used to evaluate the state of anxiety, depression, physical and emotional and functional handicap with dizziness, profile of mood states, respectively. Short Form Health Survey (SF-8) was used to evaluate the quality of life. The all were performed again after 4 weeks of the treatment. Results: The investigation items (STAI, SDS, DHI, POMS, SF-8 scores) were all significantly improved after the treatment (p<0.05). Conclusion: Improvements in the physical as well as emotional aspects of intractable dizziness patients is achieved by our vestibular rehabilitation program, which included the combination of physical rehabilitation and in group therapy in the hospital. Patients with intractable dizziness improve not only physical aspect but also psychological aspect through our rehabilitation program.
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Toshihisa Murofushi
Article type: Article
2014 Volume 54 Issue 8 Pages
760-766
Published: August 01, 2014
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The author described as an otolaryngologist how Otolaryngologists assessed patients with complain of vertigo/dizziness and when Otolaryngologists referred them to psychiatrists or psychosomatic physicians. First of all, Otolaryngologists need to clarify whether patients have somatic disorders. Then, Otolaryngologists try to assess the extent of psychological factors in vertigo/dizziness of patients. Fundamental policies of Otolaryngologists are as follow. 1. When patients possess somatic diseases with a mild or little psychological problem, Otolaryngologists continue to treat patients by themselves. 2. When patients possess somatic diseases with a moderate or serious psychological or psychiatric problem, Otolaryngologists ask psychosomatic physicians or psychiatrists to see patients with them. 3. When patients possess no clear somatic diseases or psychological problem, patients will be just under observation. 4. When patients possess moderate or serious psychiatric problems without somatic disease, Otolaryngologists refer them to psychiatrists.
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Masato Murakami
Article type: Article
2014 Volume 54 Issue 8 Pages
767-773
Published: August 01, 2014
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The condition of patients of otolaryngology such as dizziness and drift is often affected by an emotional factor and psychological stress. The patients often have other symptoms such as tinnitus, hearing loss, glossodynia, temporomandibular joint arthralgia, discomfort of laryngopharynx, dysgeusia and vocal disorder. It is difficult to explain these symptoms only by one organic abnormality such as tumor, inflammation, an allergy or immune mechanism. Often the cause of the symptom is unknown. It is important for the psychosomatic department and the otolaryngology department to keep in contact with one another in diagnosis and treatment. It is also important for the patients to recognize the relationship between biophysical factors and psychosocial stresses. For the integrative psychosomatic treatment, we need to choose an effective drag in line with the patient's conditions to foster the patient to have the recognition of mind-body relationship, and to alleviate psychosocial stresses which may cause aggravation and complexity.
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Hitomi Saito, Suguru Sato
Article type: Article
2014 Volume 54 Issue 8 Pages
774-785
Published: August 01, 2014
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Objectives: It is important to control stress and lifestyle to prevent stress disorder and lifestyle-related diseases that have become serious problems all over the world recently. Transactional Analysis theory is one of the most valuable theories to prevent their problems. In this study, the effects of Ego States, Permeability Control Power, and Basic Positions in Transactional Analysis Theory on psychological symptoms in university students were examined in order to understand total control over one's ego states. Method: One hundred sixty nine university students (143 males, 26 females; mean age, 18.35 ± 1.01 years) participated in this study. They responded to PC Egogram, a measure of one's Ego States and Permeability Control Power, and OKgram, a measure of one's Basic Positions. Their psychological symptoms were assessed by Hopkins Symptom Checklist (HSCL). Results: In order to evaluate the influences of the Ego States, Permeability Control Power and Basic Positions on psychological symptoms, multiple regression analysis was performed. The result showed that Critical Parent (CP) and Free Child (FC) ego states had positive influences on psychological symptoms. On the other hand, Permeability Control Power (PC) scale had a negative influence on anxiety, obsessive-compulsive and interpersonal sensitivity. Additionally, the I'm OK and the You're OK position negatively influenced anxiety, depression and interpersonal sensitivity. Moreover, a one-way analysis of variance was performed to compare the types of ego states on psychological symptoms. A significant difference was observed between the FC highest type and the Adapted Child (AC) highest type in Egogram profile. In other words, these results suggest that individuals with free-spirited type are more likely to show psychosomatic symptoms compared to those with socializing type. However, the relationship between FC ego state and psychological symptoms might differ depending on the Adult (A) score. To test this idea, correlation analyses were performed. The results showed that positive correlation was observed among those who had lower A score. No such relationship was found in those with higher A score. Conclusions: It was shown that stern character of CP and impulsive side of FC were related to the increased psychological symptoms. However, the results also showed the possibility that FC ego state accompanied with high A ego state would not be related to psychological symptoms. On the other hand, the I'm OK Position, the You're OK Position and PC were related to the reduction of psychological symptoms and would regulate stress.
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Harumi Koga, Mariko Shiozaki, Shin-ichi Suzuki, Makiko Sanjo, Noriko S ...
Article type: Article
2014 Volume 54 Issue 8 Pages
786-795
Published: August 01, 2014
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Breast cancer is the most common cancer in Japanese women. As patients with breast cancer have a lower level of mental health than healthy individuals, it is most important that they have the support of their partners to adapt to everyday life. However, 3 years after diagnosis the mental health of partners of breast cancer patients is lower than that of the patients. Few studies have examined the difficulties partners may have after their wife has been diagnosed as breast cancer. The aims of this study on partners of breast cancer patients were to investigate (l) the percentage of partners who needed information and advice services, and sympathetic support, (2) difficulties in marital communication regarding the illness, and (3) the relationship between the characteristics and difficulties in marital communication about the illness. The partners completed self-administered questionnaires (n=368). The results showed more than one-half of the partners needed support on information services (67.1 %), advice services (63.9 %), and sympathetic support (56.5%). At the time of diagnosis 66.6% of the partners had trouble grasping what his wife wanted and what he could do for her. These difficulties declined over time, however, 10-30% of partners had continuing problems regarding marital communication about the illness. Difficulties in marital communication about the illness were shown to be associated with recurrence of breast cancer, use of anticancer drug therapy, and a partner's previous experience with cancer. It is therefore necessary to provide partners who have these characteristics with information regarding marital communication about breast cancer.
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[in Japanese]
Article type: Article
2014 Volume 54 Issue 8 Pages
796-797
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[in Japanese]
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2014 Volume 54 Issue 8 Pages
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Article type: Article
2014 Volume 54 Issue 8 Pages
799-800
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2014 Volume 54 Issue 8 Pages
800-
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Article type: Article
2014 Volume 54 Issue 8 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2014 Volume 54 Issue 8 Pages
801-
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Article type: Article
2014 Volume 54 Issue 8 Pages
801-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2014 Volume 54 Issue 8 Pages
801-802
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2014 Volume 54 Issue 8 Pages
802-
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Article type: Article
2014 Volume 54 Issue 8 Pages
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Article type: Article
2014 Volume 54 Issue 8 Pages
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Article type: Article
2014 Volume 54 Issue 8 Pages
802-803
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Article type: Article
2014 Volume 54 Issue 8 Pages
803-
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Article type: Article
2014 Volume 54 Issue 8 Pages
803-
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Article type: Article
2014 Volume 54 Issue 8 Pages
803-804
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Article type: Article
2014 Volume 54 Issue 8 Pages
804-
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Article type: Article
2014 Volume 54 Issue 8 Pages
804-
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2014 Volume 54 Issue 8 Pages
804-805
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Article type: Article
2014 Volume 54 Issue 8 Pages
805-
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[in Japanese]
Article type: Article
2014 Volume 54 Issue 8 Pages
805-
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2014 Volume 54 Issue 8 Pages
805-806
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
807-809
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
810-811
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
812-814
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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2014 Volume 54 Issue 8 Pages
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2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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Article type: Appendix
2014 Volume 54 Issue 8 Pages
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Article type: Cover
2014 Volume 54 Issue 8 Pages
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