著者

廣島 麻揚 笠井 翔太

出版者

京都大学大学院医学研究科人間健康科学系専攻

雑誌

京都大学大学院医学研究科人間健康科学系専攻紀要 : 健康科学 : health science (ISSN:18802826)

巻号頁・発行日

vol.8, pp.31-38, 2013-03-31

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To clarify how patients with depression perceived their living difficulties, two case studies were performed: of patients with depression with and without Typus melancholicus. Semi-structured interviews were conducted in accordance with an interview guide, and data were analyzed using the KJ method. Data from the interviews of the patient with depression with Typus melancholicus could be summarized under the title "Perception of Living Difficulties in Patients with Depression: the Process of Resolving Distress." The interview data from the patient with depression without Typus melancholicus could be summarized under the title "The Self-contained Cycle of All or Nothing and a Hint on How to Get out of it." In each case study, patients expressed either of the following: "I am consumed by my own thoughts and what I consider to be 'depression,' and can't shake off the sense of tiredness" (Fatigue) or "Because I think it has to be all or nothing, I drown myself in a 'worthless me' attitude and get depressed because I think I can't do anything" (Quicksand). A common factor between them was "I am caught up in my own thoughts and thus feel bad." The findings suggested that patients with depression perceive their living difficulties in this way.