青年期と心身症 : 不登校問題を中心に(生涯各期における心身症をめぐる諸問題 : 思春期・青年期)

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タイトル別名
  • Psychosomatic Disease in Adolescence : From the theme of severeness of school-attendance(Psychosomatic Problems in Each Life Stage : Adolescence)

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Adolescence is a period when biological and psychological developments occur quickly and drastically in several years. In this period psychosomatic and/or psychobiological disturbances arise in many adolescents. At the same time adolescents must overcome several psychosocial tasks. So we should call above mentioned disturbances as "psycho-bio-sicial disturbances in adolescence". If we recognize the period of adolescence as such a stage of the way of life, could we easily use the term "psychosomatic disease" for adolescent cases ? This is a big problem in the field of adolescent psychiatry. The authors consider that almost all adolescent cases are of psycho-somato-social disturbances and the term of psychosomatic disease should not be taken too lightly in adolescent psychiatry.In the psychiatric department of our university hospital we saw 38 cases diagnosed as psychosomatic diseases during ten years from 1968 to 1977 and followed then up over 5 yeaars.In these cases 36.8% complained headaches, 28.9% tic, 7.9% abdominal pains, 5.3% psychogenic fever, and so on. In these ten years we experienced 80 cases severenes of school-attendance (male 40 and female 40-4.7% of adolescent outpatients in our clinic) in our university hospital. In these 80 cases 24 male and 22 female cases complained somatic symptoms. But we found no statistic differences between the two sexes. When examined the 80 cases from age differences, we find age-linded specific differences. The 31 of 45 cases from 10 to 14 years old and 15 of 35 cases from 15 to 19 years old showed somatic complaints. The younger group had more somatic complaints than the elder group. Then we fiind a statisticd difference of 0.1% level with x^2 examination between two age groups.From these findings, how should we understand the relationship between servereness of school-attendance and psychosomatic disease in adolescence ? Adolescents express frequently their psychopathology with somatic behavioral features rather than psychic or psychological features.We think that somatization and behanioral expression of one's psychopathology and/or inner conflicts are equivalent from the viewpoint of adolescent psychiatry. Of course pathological features of somatization in adolescence means more than so-called psychosomatic disease. And besides, pathological features of behavioral expressions imply many patterns in adolescence, such as wrist-cutting syndrome, eating disorders, delinquencies, etc. The authors consider the severeness of school-attendance as one of psycho-behavioral disturbances. Then we can conclude that pathological features of somatization including psychosomatic diseases and severeness of school-attendance are the alternative ways of somato-behavioral disturbances in adolescence.

収録刊行物

  • 心身医学

    心身医学 25 (1), 73-79, 1985

    一般社団法人 日本心身医学会

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