著者

和田 生穂 郷久 鉞二 佐野 敬夫 岡崎 隆哉 斉藤 学 橋本 正淑

出版者

一般社団法人 日本心身医学会

雑誌

心身医学 (ISSN:03850307)

巻号頁・発行日

vol.27, 1987

著者

郷久 鉞二

出版者

日本バイオフィードバック学会

雑誌

バイオフィードバック研究 (ISSN:03861856)

巻号頁・発行日

vol.23, pp.33-39, 1996-12-24 (Released:2017-05-23)

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I was in Okushiri Island when the Great Earthquake happened in July 1993,and I was also in Yubari county during the Great burst accident in a coal mine ten years ago. There were many children born without fathers because a hundred coal miners died. However the women of Yubari and Okushiri counties who suffered bereavement appeared not to feel too much loneliness, partly as a result of the strong emphasis these cultures place on family cohesion which offered the new mothers great social support. 1) I compared Yubari(Country) with Sapporo(City) for patients with climacteric syndrome(N = 64,30) , and for women giving birth(N = 1288,4775). The women in Yubari in both of the above categories were younger than in Sapporo City significantly. 2) The grief care cases(N = 38) were more stressful and more psychosomatic than other cases. 3) I had one case of a woman from Hakodate when the Great Earthquake happened about thirty years ago giving birth whose delivery pains suddenly disappeared. It was suggested that this was due to an increase of plasma adrenaline, a chemical which in our previou study hasbeen shown to exist in higher lebels in women who's husband are absentduring child birth.

著者

郷久 鉞二

出版者

札幌医科大学

雑誌

札幌医学雑誌 = The Sapporo Medical Journal (ISSN:0036472X)

巻号頁・発行日

vol.43, no.1, pp.5-20, 1974-04-30

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Psychological considerations for the treatment in the field of ohstetrics and gynecology arc reported in this study as a result of a psychosomatic approach. 1) Psvcological tests were carried out in 213 cases of sterile women, using the Cornell Medical Index (CMI) and the Yatabe-Gilford test (YG). 148 cases showed normal patterns. 65 cases showed neurotic patterns. 57 cases, 38.4% in the former and 43 cases, 66.1% in the latter required hormone therapy alone or combined with other therapeuitic means. 5mg of Diazepam were administrated intravenously in the course of the Rubin's test, and the resultant patterns were studied. The group which showed a normal pattern in the psychological tests showed a 34.4% effectivity to Diazepam and others showed no change or somewhat spastic patterns. On the other hand, the group that showed neurotic patterns in the psychological tests showed a 4.2 effectivity to Diazepam while others showed no response or somewhat spastic patterns. 2) 33 cases suffering from symptoms of climacterium were treated with hormone therapy alone. All 10 cases showing a normal pattern of CMI showed good results, and 43% out of 23 cases showing neurotic patterns showed good results. 82% out of 22 cases showing a normal pattern in YG showed good results and 33% out of 6 cases showing an abnormal pattern gave good results. 8 cases showing no effect in response to hormone therapy were treated dy psychosomatic therapy. 3) The cases of frigidity and colpospasm were classified by their resistence to the treatments. 4)Two cases of the pseudocyesis were studied. 5) The group of pregnant women who gained 30 points or ovea of the N and E scorings in the Maudsley test (MPI) suffered from hyperemesis graviclarum (P<0.05.) 6) The scoring of Tayler's Anxiety test (MAS) and MPI for pregnant women showed different patterns according to the period of the pregnancy and especially in the case of 29-36 weeks of nulipara they showed a high scoring. It seems that the high scorings of MAS had a relationship to a subinvolution of uterus namely, a hypogalactia, resulting in birth of smoll for date babies (P<0.10). 7) The neurotic group had an unreasonable tense attitude psychologically speaking. These cases showed a small subjective effect in painless delivery in which fluothane gas was administered and complaints of the first stage of the laber were noted. 8) In testing pregnant women in whom labor lasted for 10 hours and running a comparison against the results in pregnant women in whom labor lasted more than 10 hours, it was found by MPI that those who had a higher tendency toward extroversion and neurotic patterns had longer labor (P<0.01).

著者

郷久 鉞二

出版者

一般社団法人日本心身医学会

雑誌

心身医学 (ISSN:03850307)

巻号頁・発行日

vol.38, no.3, pp.197-202, 1998-03-01

被引用文献数

2

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過去20年間に心身症外来で扱った更年期障害患者402例について分析した。(1)更年期障害患者の58%に、性欲の減退がみられた。(2)セックスレス夫婦は, 50代の更年期障害患者で25%, 60代で80%であった。(3)にもかかわらず, 性障害患者の27%が50歳以上で占められていた。(4)更年期障害患者の65%がホルモン補充療法を受けており, 受けた群の方が受けなかった群より予後が良く(p<0.01), (5)特に心身症型では受けた方が予後が良かった(p<0.01)(6)身体症状としては性器の症状が最も多く, 心因として, 孤独, 生きがい, 家族関係と密接な関連があるものが多かった。以上から, 更年期女性にとって, 性役割が非常に重要であることがわかった。