吃音に併存する発達障害・精神神経疾患に関する検討  [in Japanese] Developmental Disability and Psychiatric Conditions in 39 Patients with Stuttering  [in Japanese]

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Author(s)

    • 大石 直樹 Oishi Naoki
    • 慶應義塾大学医学部耳鼻咽喉科学教室 Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine
    • 浅野 和海 Asano Kazumi
    • 慶應義塾大学医学部耳鼻咽喉科学教室 Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine
    • 渡部 佳弘 Watanabe Yoshihiro
    • 慶應義塾大学医学部耳鼻咽喉科学教室 Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine
    • 小川 郁 Ogawa Kaoru
    • 慶應義塾大学医学部耳鼻咽喉科学教室 Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine

Abstract

吃音は社交不安障害などの精神神経疾患や発達障害が併存しうることは指摘されているが,これらの併存疾患に関する本邦からの報告はいまだ少数である.そのため,本邦における吃音と併存疾患との関連を検討することを目的に,2012年と2013年に慶應義塾大学耳鼻咽喉科を受診し吃音と診断された39症例について,併存する精神神経疾患および発達障害の有無を調べ,性別,年齢,発吃年齢,吃音頻度との関連を後方視的に調査した.<br>併存する精神神経疾患として,気分障害(うつ,適応障害),強迫神経症,てんかん,頸性チックの合併を全体の15%に認めた.発達障害の併存は,疑い例や言語発達障害のみの症例を含め18%に見られた.発達障害の有無によって吃音頻度,性別,年齢に有意差は見られなかったが,発吃年齢は発達障害併存群で有意に高い結果だった.吃音は発達障害が併存することにより,発達障害を併存しない吃音とは異なった臨床経過を示す可能性が示唆された.

Stuttering may be related to developmental disability or mental diseases such as social anxiety disorder. However, there are few reports about these comorbid conditions in stuttering patients in Japan. In order to comprehend the relationship between stuttering and comorbid conditions, we conducted a chart review of 39 stuttering cases who sought consultation at Keio University Hospital in 2012 and 2013.<br>Fifteen percent of the subjects had the following comorbid psychiatric conditions: mood disorder (depression and adjustment disorder), obsessive-compulsive disorder, epilepsy and tic disorder. Eighteen percent of the subjects had developmental disability, including definite or suspected developmental disability, and language development disorder. The age at which patients with developmental disability began stuttering was higher than that in patients without such disability. These findings suggest that clinical presentation of stuttering may be affected by comorbid developmental disability.

Journal

  • The Japan Journal of Logopedics and Phoniatrics

    The Japan Journal of Logopedics and Phoniatrics 57(1), 7-11, 2016

    The Japan Society of Logopedics and Phoniatrics

Codes

  • NII Article ID (NAID)
    130005128370
  • Text Lang
    JPN
  • ISSN
    0030-2813
  • Data Source
    J-STAGE 
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