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Article type: Cover
2001 Volume 6 Issue 2 Pages
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Article type: Index
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
155-156
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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[in Japanese]
Article type: Article
2001 Volume 6 Issue 2 Pages
159-160
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
161-166
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Won-whe Kim
Article type: Article
2001 Volume 6 Issue 2 Pages
167-168
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[in Japanese]
Article type: Article
2001 Volume 6 Issue 2 Pages
169-172
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Fumiko MIYANAKA
Article type: Article
2001 Volume 6 Issue 2 Pages
173-180
Published: December 25, 2001
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Effects of grandmother involvement in child-rearing on mental health were evaluated. The survey data of 528 grandmother-mother pairs who had children aged 3 to 5 were employed for analysis. The factors contributed to the mental health of grandmothers were as follows ; "feeling healthy", "beingndent independent in elderly living at home", "living with husbands", "not feeling tired from chid-rearing", "being fond of child care", "having no different views of child-rearing from mothers", and "having not a few experience of socio-cultural child-rearing", and so on. Good relationship with grand children seemed to effect positive on mental health.
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Tatsuya AKAMATSU
Article type: Article
2001 Volume 6 Issue 2 Pages
181-185
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Kazunori TANAKA, Hideo HONJO
Article type: Article
2001 Volume 6 Issue 2 Pages
186-188
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Shunji MATSUKI, Isao MIYAKAWA
Article type: Article
2001 Volume 6 Issue 2 Pages
189-193
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Tatsuhisa YAMASHITA
Article type: Article
2001 Volume 6 Issue 2 Pages
194-198
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Mina MORIMURA, Osamu ISHIKO, Sachio OGITA
Article type: Article
2001 Volume 6 Issue 2 Pages
199-203
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[in Japanese]
Article type: Article
2001 Volume 6 Issue 2 Pages
204-
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
205-
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Seiichi MATSUMOTO
Article type: Article
2001 Volume 6 Issue 2 Pages
206-212
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Kazumi KAWASE
Article type: Article
2001 Volume 6 Issue 2 Pages
213-217
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Kimiko KAYASHIMA
Article type: Article
2001 Volume 6 Issue 2 Pages
218-222
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Hisako TAKAMURA
Article type: Article
2001 Volume 6 Issue 2 Pages
223-229
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Miho SAKURADA, Shinji SEKI, Yuuko HIRASAWA, Satoshi NEGISHI, Seiichi S ...
Article type: Article
2001 Volume 6 Issue 2 Pages
230-233
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Tomoko UEDA, Makoto OZEKI, Tsutomu OKUBO, Djong-Chi CHU, Lekh Raj JUNE ...
Article type: Article
2001 Volume 6 Issue 2 Pages
234-239
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Mio AHARA, Toshiteru HATAYAMA, Toshinobu TANAKA, Noriaki SHIGA
Article type: Article
2001 Volume 6 Issue 2 Pages
240-246
Published: December 25, 2001
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Crosslinked N-Telopeptides of Type 1 Collagen (NTx) is produced by the osteoclasts on bone tissue and is widely recognised as a specific and sensitive marker for bone resorption. We found the ratio of NTx and B-ALP increase as the ultrasound bone densities decrease in 28 young Japanese healthy women. And NTx/B-ALP ratio was significantly explained by the degree of IL-6 by using stepwise-regression. The subjects who showed higher IL-6 than the averages, declined to be aggressive and hateful in personality assessment. We suggested emotional stresses affect not only bone strength but also activities of peripheral inflammatory cytokine. The importances of Psycho-Neuro-Immuno-logical view-points in womens' psychosomatic diseases were emphasised.
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Rika AIZAWA, Masato FUSHIMI, Takashi KAMIHAYASHI, Noriaki SHIGA
Article type: Article
2001 Volume 6 Issue 2 Pages
247-252
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The patient was a 33 years old woman who suffering from severe pre-menstrual syndrome (PMS). On the menstruation, follicular phase, ovulation and luteal phase, BBT, serum level of Eu progesterone and indices of HPA-axisactivities (ACTH and cortisol) were measured during an one menstruational cycle. Also, three kinds of psychological assessments were tested and the changes of P300 waves on EEC were investigated. The ratio of progesterone and E1 showed significant lower score in the luteal phase. The patients' POMS score of anger and haste was the highest in the luteal phase and this was explained by the differences between expected value of progesterone-E_1 ratio and the real ratio. Also the depressive score, which was significantly higher in the luteal phase, was explained by ACTH. We suggested depressive state in the luteal phase was due to hyper activation of HPA-axis and the emotional declination to anger and haste in the same phase owes to the lower level of progesterone. Treatment using SSRI was thought to be effective in patinets with PMS.
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Michiko SUZUKI
Article type: Article
2001 Volume 6 Issue 2 Pages
253-259
Published: December 25, 2001
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The new assisted reproductive technologies are now introduced to clinical field. In this study, we evaluated the consciousness and attitude of 76 female college students (mean age:19.2 years, range 19〜21 years) regarding the clinical application of so-called "host-mother" with a questionnaire. Seven students (9.2%) agreed to this new technology to be applied into the clinical field with no conditions attached. The most common reason was that the individual decision making should be respectable. Fifty eight (76.3%) agreed under some limitaions, such as the needs for discussion and consensus of persons concerned and considerations about the children's rights. Ten (13.5%) opposed to this method with the reason of the physical and mental risks of host mothers. As the answer of their future problem, ten students (13.5%) intended to ask some women as host mother in a sterile condition, and 21 (27.6%) wanted to take this technique depending on the circumstances. Almost all subjects, however, did not want to be a host-mother willingly.
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Kiyoshi TAKAMATSU, Chieko MUSHA, Hiroaki OHTA, Kenji NAKAMURA
Article type: Article
2001 Volume 6 Issue 2 Pages
260-267
Published: December 25, 2001
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The impact of gynecological disease on mental health has not been clarified so far. Using the Hospital Anxiety and Depression Scale (HADS), we studied the mental health of patients who were hospitalized with various gynecological diseases. The subjects were 130 patients who were hospitalized in the gynecology ward of Tokyo Women's Medical University Hospital; Sixty-two patients were hospitalized for the surgical treatment of benign disease (Group B), 32 were hospitalized for surgical treatment of malignant disease (Group M), and 36 were admitted for chemotherapy after initial treatments (Group C). Patients anonymously completed the Japanese version of the HADS within 3 days after admission. A group of 2,943 healthy women served as the control. When compared with the healthy women, the gynecological inpatients had a significantly higher global HADS score, as well as higher anxiety and depression scores. The patients in Group M had a significantly higher global score, anxiety score, and depression score than the control group (p<0.05). When compared with Group B, Group M had a significantly higher global score and depression score, but no significant difference was observed for the anxiety score. In Group B, only the anxiety score was significantly higher when compared with that of the control group. Group C had a significantly higher global score, anxiety score, and depression score when compared with the control group. When compared with Groups B and M, however, Group C showed no significant differences and the scores for this group were between those of the other two groups. Evaluation of the individual HADS items showed that the patients in Group M had significantly higher scores than those in Group B for two anxiety items and one depression item. These results suggest that the hospitalization for gynecological disease has an influence on mental health. At the time of admission, it is considered important to determine the state of mind of each patient. Patients with benign disease are likely to need support for anxiety, while patients with malignant disease seem to need treatment for depression as well as anxiety. It may be possible for patients who are in need of mental care to be detected by screening using the HADS.
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Mariko OGAWA, Fumi HORIGUCHI, Akiko YASUOKA, Yuriko YOSHII, Naoko MATS ...
Article type: Article
2001 Volume 6 Issue 2 Pages
268-276
Published: December 25, 2001
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Climacteric depression is difficult to distinguish from climacteric disorder, and since climacteric depression can accompany climacteric disorder, it is often misdiagnosed and thus left untreated for a long period of time. Although the following three patients experienced depression, they were not diagnosed or treated for depression. They visited our institution wishing to undergo gynecological treatment on an outpatient basis, and besides the characteristic symptoms, clinically significant psychosocial factors were confirmed in all three patients. Case 1: A 54 year-old postmenopausal female (had experienced menopause one year ago) presented with insomnia and anxiety as her chief complaints. Although some psychiatrist had dispensed an antidepressant, symptoms did not improve and she visited our clinic. During childhood she had been raised by an abusive father and lived with a schizophrenic aunt. These are some of the factors associated with onset of depression. Case 2 : A 49 year-old perimenopausal female presented with anxiety, depression and fatigue as her chief complaints. Past medical history included gastric ulcer and anxiety neurosis. Regarding psychosocial factors, her husband is 16 years younger and this age difference is heightening her anxiety about getting old and raising her child at her age. In addition he could not resolve her anxiety for child rearing. Case 3 : A 46 year-old menopausal female (had experienced menopause one year ago) presented with dizziness and hypersensitivity as her chief complaints. At the age of 17, her parents divorced, and her mother later died of ovarian cancer. About this time, she experienced anxiety neurosis and difficulty leaving her house due to a fear of meeting people. In order to diagnose depression in climacteric women, it is necessary to assume an active approach. Not only the characteristic symptoms associated with depression need to be examined, but also psychosocial factors such as childhood, past medical history and family history.
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[in Japanese]
Article type: Article
2001 Volume 6 Issue 2 Pages
277-281
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
282-283
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
284-286
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
287-
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
288-289
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
290-291
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
292-
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
293-
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
294-
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
295-296
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
297-298
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Appendix
2001 Volume 6 Issue 2 Pages
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Article type: Cover
2001 Volume 6 Issue 2 Pages
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