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Effects of psychotherapy for middle-aged individuals with anxiety disorders in a general medicine practice


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タイトル: Effects of psychotherapy for middle-aged individuals with anxiety disorders in a general medicine practice
著者: Nagaura, Yuki / Takeshima, Fuminao / Matsubara, Hiroshi / Kadota, Koichiro / Inoue, Keita / Nakamichi, Seiko / Abe, Koh / Honda, Masayuki / Ozono, Yoshiyuki
発行日: 2016年 1月
出版者: Nagasaki University School of Medicine / 長崎大学医学部
引用: Acta medica Nagasakiensia, 60(2), pp.61-68; 2016
抄録: 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.
キーワード: anxiety disorders / general medicine / middle age / psychotherapy / salivary cortisol / visual analog scale (VAS)
URI: http://hdl.handle.net/10069/36170
ISSN: 00016055
資料タイプ: Departmental Bulletin Paper
原稿種類: publisher
出現コレクション:Volume 60, No. 2

引用URI : http://hdl.handle.net/10069/36170

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