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アイテム
Effects of psychotherapy for middle-aged individuals with anxiety disorders in a general medicine practice
http://hdl.handle.net/10069/36339
http://hdl.handle.net/10069/36339e06db8a1-8896-4a12-b5ef-4009ecc9178f
名前 / ファイル | ライセンス | アクション |
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ISYK797_Nagaura.pdf (699.0 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-04-11 | |||||
タイトル | ||||||
タイトル | Effects of psychotherapy for middle-aged individuals with anxiety disorders in a general medicine practice | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | anxiety disorders | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | general medicine | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | middle age | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | psychotherapy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | salivary cortisol | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | visual analog scale (VAS) | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
長浦, 由紀
× 長浦, 由紀 |
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著者別名 | ||||||
識別子Scheme | WEKO | |||||
識別子 | 115290 | |||||
姓名 | Nagaura, Yuki | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Anxiety disorders are mental disorders that cause somatic symptoms for which patients may seek care from general medicine departments. We focused on anxiety disorders in middle-aged patients and examined the effect of a psychotherapeutic intervention. Materials and Methods: The participants were 14 middle-aged patients diagnosed with an anxiety disorder. Patients received pretreatment assessments and were randomly assigned to a pharmacotherapy group (n = 8) or a pharmacotherapy and psychotherapy group (n = 6). The duration of the study was three months. Pre-and post-treatment, the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), State-Trait Anxiety Inventory (STAI), and a visual analog scale (VAS) were administered. In the pharmacotherapy and psychotherapy group, salivary cortisol was collected pre- and post-psychotherapy at the first and final psychotherapy sessions. Result: Four patients in the pharmacotherapy group withdrew from the study. There were no significant differences in the total scores of the SF-36 or STAI between groups. Improvement was seen in the pharmacotherapy and psychotherapy group pre- and post- treatment. SF-36 subscales of bodily pain (p = 0.02) and mental health (p = 0.04) were significantly higher than posttreatment. The state anxiety score on the STAI improved post-treatment (p = 0.03). On the VAS, the pharmacotherapy and psychotherapy group’s symptoms were significantly improved (p = 0.02). Conclusion: This suggests that psychotherapy for middle-aged individuals contributes to the improvement of anxiety states and HRQoL in general medicine departments. It promotes the recognition of curative effects and prevents doctor shopping. |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 長崎大学学位論文 学位記番号:博(医歯薬)甲第797号 学位授与年月日:平成27年9月2日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Nagaura Yuki, Takeshima Fuminao, Matsubara Hiroshi, Kadota Koichiro, Inoue Keita, Nakamichi Seiko, Abe Koh, Honda Masayuki, Ozono Yoshiyuki | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: Acta Medica Nagasakiensia, 60(2), pp.61-68; 2016 | |||||
書誌情報 |
Acta Medica Nagasakiensia 巻 60, 号 2, p. 61-68, 発行日 2015-09-02 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
権利 | ||||||
権利情報 | (C) 2016 Nagasaki University School of Medicine | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 総合診療科における中年期の不安障害患者に対する心理療法の効果 | |||||
出版者 | ||||||
出版者 | 長崎大学医学部 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2015-09-02 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第797号 | |||||
学位の種類 | ||||||
値 | 課程博士 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(医学) (2015-09-02) |