著者

徳井 達司 米元 利彰 岩下 覚 樋山 光教 稲田 俊也 三村 將 鈴木 義徳 川口 毅 川井 尚 栗原 和彦

出版者

医学書院

雑誌

精神医学 (ISSN:04881281)

巻号頁・発行日

vol.31, no.9, pp.919-929, 1989-09-15

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抄録 大麻の長期乱用による大麻精神病の6例を経験したので報告した。発病にいずれも連続大量使用かTHC高濃度の製品を使用しており,発病の契機に心理,状況的要因の関与が目立った。病像的には中毒性精神病の特徴をもち,無動機症候群,幻覚妄想状態が全例に認められた。これに意識変容,知的水準低下,気分欲動の変化,衝動異常,観念湧出,散乱等が加わり,組み合わさって経過した。精神病体験の持続は治療開始後1〜3カ月であったが,その間病状の改善は動揺を示し,フラッシュバックの挿間もみられた。陽性症状が消褪しても無動機症候群は多かれ少なかれ残遺するのが常で,3カ月以上経過後も完全に回復に至らない例もみられた。施用者の生活状態や臨床的所見から,場合によっては慢性人格障害に移行する可能性も示唆された。

著者

宇佐美 しおり 福嶋 好重 野末 聖香 岡谷 恵子 樋山 光教 右田 香魚子 平田 真一 北里 眞弓

出版者

熊本大学

雑誌

熊本大学医学部保健学科紀要 (ISSN:18807151)

巻号頁・発行日

vol.5, pp.9-18, 2009-02-27

被引用文献数

6

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The purpose of this study was to show the effectiveness of psychiatric liaison consultation team for the people with chronic illness in the general hospital. Psychiatric liaison consultation team was constructed by certified nurse specialist (CNS), psychiatrist, clinical psychologist, nurse and social worker. Case manager was CNS and team intervened to the patients according to the standard of intervention by team. Intervention had been implemented by CNS mainly. Thirty one patients who consented to this study were intervened by CNS and team between July of 2007 and Feb.2008. They had chronic illness which was SLE, cancer and other physical illness without mental illness. BPRS, GAF, and LSP were written by CNS at the time of baseline before intervention and at the end time of intervention. Furthermore patients wrote CES-D and SF-36 by themselves at the baseline and the end point of intervention. Those questionnaires were returned by mail. CSQ was written by patients at the end of intervention. Thirty one patients had high depression score at the baseline and after intervention depressive state was improved. And they had lower SF-36 compared with that of the people who had chronic illness in another study. Furthermore they needed to be supported psychosocially by CNS to prevent worse their symptom. And they had psychosocial needs and those needs should be intervened by interdisciplinary team. In conclusion, the role of CNS and interdisciplinary team were discussed in order to meet the patients' needs and to prevent worse their symptom in the general hospitals.