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Seishin Igaku Volume 25, Issue 5 （May 1983）

精神医学 25巻5号（1983年5月発行）

Japanese English

研究と報告

コンピューターシステムを利用した外来精神病者のフォローアップの試み—社会的適応状態と通院・服薬状況を中心として A Trial on Follow-up in Outpatients with Psychosis Using the Computer System: Analysis of social adjustment levels and regularity of consultation and/or prescription 内田又功 ¹ , 津田彰 ² , 古賀五之 ¹ , 西川正 ¹ Yasunori Uchida ¹ , Akira Tsuda ² , Itsuyuki Koga ¹ , Tadashi Nishikawa ¹ ¹医療法人社団清和会西川病院 ²久留米大学医学部薬理学教室 ¹Seiwakai Nishikawa Hospital ²Department of Pharmacology, Kurume University School of Medicine キーワード： Outpatients with psychosis , Follow-up study , Computer system , Social adjustment levels , Regularity of consultation and／or prescription Keyword: Outpatients with psychosis , Follow-up study , Computer system , Social adjustment levels , Regularity of consultation and／or prescription pp.477-484

発行日 1983年5月15日 Published Date 1983/5/15

DOI https://doi.org/10.11477/mf.1405203582

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Abstract 文献概要
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　抄録　清和会西川病院の外来精神病者（精神分裂病・躁うつ病）404名の社会的適応状態と通院・服薬状況の経過を，コンピューターシステムを利用することによって継時的に1年間追跡し，次のような知見を得た，1）分裂病者の社会的適応状態は躁うつ病者よりも有意に低く，破瓜型で最も低かった。2）分裂病者と躁うつ病者の通院・服薬状況はともに不規則で，躁うつ病者のほうによりその傾向を認めた。3）社会的適応状態得点と通院・服薬状況得点との間に，有意な正の相関があった。

　本結果は外来精神病者の社会的適応状態が疾患あるいは病型によって異なり，しかも通院・服薬状況と関係していることを示唆した。精神科外来患老の追跡のためのコンピューター利用の研究法と，今回の試みの精神病の再発予防に対する意義について論じた。

　Four-hundred four outpatients with psychosis of Seiwakai Nishikawa Hospital in Hamada, Shimane Pref., were followed up for one year in terms of both social adjustment levels and regularity of consultation and/ or prescription using the computer system. We found some results as follows :

　(1) Schizophrenics were significantly less adaptive than manic-depressive psychotics. Among the schizophrenics, the hebephrenic type patients showed the significant lowest level of social adjustment as compared to the catatonic, paranoid or undifferentiated patients. (2) Both schizophrenics and manic-depressive psychotics were irregular with respect to the regularity of consultation and/or prescription in which latterthe was markedly less regular than the former. (3) The regularity of consultation and/or prescription was positively correlated with the social adjustment levels in outpatients with psychosis. (4) The hospitalization rate was about 10% in either schizophrenics or manic-depressive psychotics. As regularity of consultation and/or prescription was decreased, the hospitalization rate was increased.

　These results suggested that the social adjustment levels for outpatients with psychosis were different among the diseases or schizophrenic subtypes in a manner that was correlated with the regularity of consultation and/or prescription. Finally, it was discussed how the application of the computer system for the follow-up study in outpatients with psychosis would contribute to the prevention of the relapse of psychosis.