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We focused on anxiety disorders in middle-aged patients and examined the effect of a psychotherapeutic\nintervention.\nMaterials and Methods: The participants were 14 middle-aged patients diagnosed with an anxiety disorder. Patients received\npretreatment assessments and were randomly assigned to a pharmacotherapy group (n = 8) or a pharmacotherapy and psychotherapy\ngroup (n = 6). The duration of the study was three months. Pre-and post-treatment, the Medical Outcomes Study 36-Item\nShort-Form Health Survey (SF-36), State-Trait Anxiety Inventory (STAI), and a visual analog scale (VAS) were administered. In\nthe pharmacotherapy and psychotherapy group, salivary cortisol was collected pre- and post-psychotherapy at the first and final\npsychotherapy sessions.\nResult: Four patients in the pharmacotherapy group withdrew from the study. There were no significant differences in the total\nscores of the SF-36 or STAI between groups. Improvement was seen in the pharmacotherapy and psychotherapy group pre- and\npost- treatment. SF-36 subscales of bodily pain (p = 0.02) and mental health (p = 0.04) were significantly higher than posttreatment.\nThe state anxiety score on the STAI improved post-treatment (p = 0.03). On the VAS, the pharmacotherapy and psychotherapy\ngroup’s symptoms were significantly improved (p = 0.02).\nConclusion: This suggests that psychotherapy for middle-aged individuals contributes to the improvement of anxiety states and\nHRQoL in general medicine departments. 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Effects of psychotherapy for middle-aged individuals with anxiety disorders in a general medicine practice
http://hdl.handle.net/10069/36170
http://hdl.handle.net/10069/36170d191bc77-0d11-4cf0-9a1d-eeef9bb18433
名前 / ファイル | ライセンス | アクション |
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ActMed60_61.pdf (1.0 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-02-10 | |||||
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 | ||||||
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_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Nagaura, Yuki
× Nagaura, Yuki× Takeshima, Fuminao× Matsubara, Hiroshi× Kadota, Koichiro× Inoue, Keita× Nakamichi, Seiko× Abe, Koh× Honda, Masayuki× Ozono, Yoshiyuki |
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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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書誌情報 |
Acta medica Nagasakiensia 巻 60, 号 2, p. 61-68, 発行日 2016-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
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 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
長崎大学医学部 | ||||||
sortkey | ||||||
5 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 60(2), pp.61-68; 2016 |