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ID 111628
タイトル別表記
神経性やせ症患者のQOLに影響を与える臨床的要因
著者
加根, 千賀子 徳島大学大学院保健科学教育部(保健学専攻)
Hamatani, Sayo Chiba University
キーワード
Anorexia nervosa
Quality of Life
Influencing Factor
Depression
Interoceptive Confusion
資料タイプ
学位論文
抄録
Objective: The purpose of this study was to elucidate clinical factors influencing quality of life (QOL) in anorexia nervosa (AN) patients. Methods: Twenty female patients with AN (median age = 30.0 years, quartile deviation = 6.8) and forty female healthy controls (HC) (median age = 30.0 years, quartile deviation = 8.6) participated in the study. QOL was assessed with the 36-Item Short Form Health Survey (SF-36) and social support was evaluated using the Multidimensional Scale of Perceived Social Support (MSPSS). Clinical symptoms were evaluated with the Structured Interview Guide for the Hamilton Depression Rating Scale (SIGH-D) and the Eating Disorder Inventory-2 (EDI-2). Results: Scores of the SF-36 Mental Component Summary (MCS) (U = 124.0, P < 0.0001) and Role/Social Component Summary (RCS) (U = 223.0, P = 0.006) and scores of total (U = 108.0, P < 0.0001) and subscales of the MSPSS were lower in AN group than HC group, and the SIGH-D score was higher (U = 46.0, P < 0.0001) in AN group than HC group. Scores of the SIGH-D (ρ = −0.565, P < 0.05) and subscales of the EDI-2 Interoceptive Confusion (ρ = −0.556, P < 0.05), Interpersonal Difficulty (ρ = −0.581, P < 0.05) and Negative Self-image (ρ = −0.617, P < 0.05) were negatively correlated to MCS, and score of Interoceptive Confusion subscale showed a negative correlation to RCS (ρ = −0.672, P < 0.05). Moreover, stepwise regression analysis showed that the SIGH-D score was an independent predictor of MCS and Interoceptive Confusion score predicted RCS. Conclusion: These results suggest that among a variety of clinical symptoms and psychopathologies, depressive symptoms, poor emotional awareness and impaired sense of control are the most important influencing factors on AN patients’ QOL.
掲載誌名
Open Journal of Psychiatry
ISSN
21617325
21617333
出版者
Scientific Research Publishing
8
1
開始ページ
50
終了ページ
60
発行日
2017-12-27
備考
内容要旨・審査要旨・論文本文の公開
本論文は, 著者Chikako Kaneの学位論文として提出され, 学位審査・授与の対象となっている。
権利情報
© 2018 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3154号
学位記番号
甲保第34号
学位授与年月日
2018-03-23
学位名
博士(保健学)
学位授与機関
徳島大学
部局
医学系