http://hdl.handle.net/10564/1493 1995-04 2026-04-10T15:40:14Z http://hdl.handle.net/10564/810 タイトル: 母親の育児不安と子どもの健康状態との関連性について 著者: 森, ウメ子 抄録: In order to study the relevancy between mother's anxiety about childcare and the health condition of the child, a questionnaire was administered. The subjects were 110 mothers who came to 'K' Health Center in Nara Prefecture with their children for medical examination of three-year-old children. The number of respondents to the questionnaire was 103 (93.6%). The study consisted of the following three parts: 1) Examination of consiousness concerning mother's childcare ; 2) The results of medical examinations of the three-year-old children ; 3) Examination of the state of mother's uneasiness by State-Trait Anxiety Inventory (STAI). I searched for relevancy between mother's consciousness concerning childcare and degree of uneasiness by STAI, and the child's health condition. Based on the measurement of uneasiness by STAI, two groups were established, the uneasiness group and the stability group, and classified according to replies to the inquiry about consciousness concerning childcare. As a result of factor analysis of the acquired data, I could abstract three factors : 'grip in life ; 'anxiety ; and 'denial.' Among the averages of each factor, I found definite difference between the uneasiness group and the stability group in each factor by examination of differences among the averages of each factor about mental state of anxiety and traits of anxiety. Consequently, it became clear that the percentage of mothers who have anxieties about childcare show a high rate in the uneasiness group. As a result of mental examination of three-year-old children, I also found that problems with a child's health condition were often associated with mothers in the uneasiness group. Our data indicate that mother's uneasiness originates from her child showing uneasy actions by such influence. 1995-04-29T15:00:00Z http://hdl.handle.net/10564/809 タイトル: ELECTROCONVULSIVE THERAPY EXPERIENCES AT NARA MEDICAL UNIVERSITY HOSPITAL 著者: Kishimoto, Toshifumi; Ueda, Atsushi; Noriyama, Yoshinobu; Nagai, Toshiya; Hirayama, Tomohide; Kirita, Ikuhiro; Hata, Kazuya; Ikawa, Genro 抄録: We surveyed the clinical electroconvulsive therapy (ECT) treatment expe- riences between 1987 and 1992 at Nara Medical University Hospital. ECT is restrictedly applied to severely ill patients who have no response to other somatic therapies. For 5 years, 43 cases were treated with ECT, of which 27 suffered from depressive disorders, 3 from schizophrenia, 3 from somatoform disorders, and 10 from anxiety disorders. ECT was selected by psychiatrists for severe depressive states after failure of psychopharmacological therapy. A favorable therapeutic response to ECT was observed in 69% of patients with major depression, in 2 of 3 patients with schizophrenia, and in 70% of patients with anxiety disorders. In 2 of 3 patients with somatoform disorders, amelioration of the depressive or anxiety syndrome was not observed. Side effects of ECT were reversible memory distur- bance (16%), retrograde partial amnesia (12%), and reversible confusional state (5%). These results suggest that ECT is highly effective in therapy resistant major depression, schizophrenia, and anxiety disorders. Therefore ECT still remains a necessary part of psychiatric therapy. 1995-04-29T15:00:00Z http://hdl.handle.net/10564/808 タイトル: INCENDIARISM AND LOCALIZED RIGHT CEREBRAL LESION 著者: Kishimoto, Toshifumi; Matsumoto, Hirofumi; Kawabata, Yoko; Sakabe, Yoko; Yumizaki, Yasutoshi; Masuda, Nobuaki; Tatsuda, Hiroshi; Ikawa, Genro; Nakamuro, Takuya 抄録: A right-handed male with hemisphere lesion arrested due to impulsive incendiarism. His mental state was investigated for the forensic assessment. He was diagnosed with dementia due to head trauma. He was suffering from personality change due to organic brain lesion after a traffic accident. In spite of the severity and volume of the lesion, he showed very mild neurological and neuropsychological signs. He had some impairment in reality testing or communication and severe impairment in judgment, think- ing and mood. He was also in a catastrophic state. He had no responsibility at the time the offense was committed. 1995-04-29T15:00:00Z http://hdl.handle.net/10564/807 タイトル: ハイリスク新生児の精神発達に関する予後調査研究 : 奈良県立医科大学附属病院新生児集中治療部で管理を受けた72例を対象として 著者: 平尾, 文雄 抄録: To clarify developmental outcone and its relationship to risk factors for high risk newborn infants, a longitudinal prospective study was done on 72 infants, Subjects aged from one through seven had been admitted to the Neonatal Intensive Care Unit (NICU) at Nara Medical University Hospital. The follow up evaluations were performed every half year for the infants aged under three, and every year for those over that age, and consisted of five examinations. They were assessments of risk factors, developmental quotient (DQ), early infantile behavioral problems, physical measurement and home envi- ronment estimated by Japanese Home Screning Questionnarie (JHSQ). The results were summarized as follows : 1. The DQ of the subjects at each age was within the normal range. On the subjects of four years and up, the DQ's were high in 'Self-help' and low in 'Language'. 2. The weight of the subjects at each age was lower than the median value of the Japanese. The head circumference was roughly equal to the median value. Height, weight and head circumference measurements significantly correlated with the DQ in the subjects aged three. 3, The significant risk factors for DQ were abnormalities of parents' characters, maternal stress during pregnancy, infantile heart disease, anemia and long-term endotra- cheal intubation. As the result of quanification method I, the effects of each risk factor on the DQ were put in order as follows : (1) infantile heart disease, (2) past abortions, (3) birth weight, (4) abnormalities of brain CT, and (5) family illness. 4. About early infantile behavioral problems, little babble and lost speech significantly affected the DQ in a negative way. 5. Home envimonment of subjects aged three correlated well with the DQ. 1995-04-29T15:00:00Z