精神科特殊治療にともなう皮下脂肪厚度の消長

ON VARIATION IN THICKNESS OF THE SUBCUTANEOUS FAT OF THE PATIENTS BEFORE, DURING AND AFTER SOME PSYCHIATRIC PHYSICAL TREATMENT

I．まえがき

　Kretschmer （1921）は，体構が精神疾患の型およびその疾患の進行に関係し，それが治療に対する反応をある程度きめるといい，Betz （1942）は，肥満体型の分裂病患者は細長型のそれよりも症状持続期間がみじかいことを，またFreuden-berg （1941）は，分裂病患者がインシユリン昏睡治療によつて肥満するのは予後のよいことであるという^13）。

　精神疾患者の体型を，骨格，筋肉，脂肪沈着の状態から視診と計測によりしらべた諸家の多くの報告があるが，このうち脂肪沈着についての研究はもつとも少く，さらに各種精神神経科特殊治療施行による精神状態の変化推移と関連してこれをしらべたものは，今日までほとんどみられていない。

Over 18 weeks, before, during and after in-sulin coma treatment, the repeated electro-shock therapy by ear-application, prefrontal leukotomy and chlorpromazine administration, thickness of the subcutaneous fat at 62 parts of the body was measured by the folding me-thod in 64 schizophrenics (male 48, female 16), these results were arranged by sex and parts of the body, every treatment and every period of them and was estimated by percenta-ge. If a series of our cases is assessed, those who recovered by treatments show a greater increase in thickness of the subcutaneous fat and body weight than the mentally uninflue-nced group. Little can be said about the rationale of those physical treatments and these cannot very well be specific, but in view of writers, even if they do not reach the unknown seat of the illness, they have a direct effect, by influencing their fat metab-olism, on the control centres of its system.