ID | 116310 |
タイトル別表記 | Retrospective chart review of oral somatic delusions
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著者 |
Umezaki, Yojiro
Fukuoka Dental College
Miura, Anna
Tokyo Medical and Dental University
Shinohara, Yukiko
Tokyo Medical and Dental University
Mikuzuki, Lou
Tokyo Medical and Dental University
Sugawara, Shiori
Tokyo Medical and Dental University
Kawasaki, Kaoru
Tokyo Medical and Dental University
Tu, Trang TH
Tokyo Medical and Dental University
Suga, Takayuki
Tokyo Medical and Dental University
Watanabe, Motoko
Tokyo Dental College
Takenoshita, Miho
Tokyo Medical and Dental University
Yoshikawa, Tatsuya
Tokyo Medical and Dental University
Uezato, Akihito
Tokyo Medical and Dental University
Nishikawa, Toru
Tokyo Medical and Dental University
Hoshiko, Ken
Tokyo Medical and Dental University
Naito, Toru
Fukuoka Dental College
Motomura, Haruhiko
Tokyo Medical and Dental University
Toyofuku, Akira
Tokyo Medical and Dental University
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キーワード | oral cenesthopathy
delusional disorder somatic type
DDST
chart review
dentistry
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資料タイプ |
学術雑誌論文
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抄録 | Objective: Oral cenesthopathy is characterized by foreign body sensations without medical and dental evidence for them. It is thought to be a rare disease in psychiatry, but many patients are visiting dental clinics seeking treatment to remove a foreign body. Even though the features of oral cenesthopathy might be different between a psychiatric clinic and a dental clinic, there has been no clinico-statistical study from dentists. In this study, we report a clinico-statistical study of patients with oral cenesthopathy in dentistry.
Methods: This is a retrospective chart review of 606 outpatients with oral cenesthopathy in Tokyo Medical and Dental University from April 2010 through to March 2015. Results: A total of 159 male and 447 female patients were included in this study. The mean age was 62.08 years, and female patients were older than male patients. The trigger of the dental treatment and the acute phase of depression at the onset were significantly related (p=0.037). Only 128 patients (36%) had clinically significant improvement after 6 months of pharmacotherapy. No history of psychiatric disorders (odds ratio [OR] 0.479 [95% confidence interval {CI}: 0.262–0.875], p=0.017) and longer duration of illness (>18 months) (OR 2.626 [95% CI: 1.437–4.799], p=0.002) were significant factors for clinical outcomes. Conclusion: Patients with oral cenesthopathy in our clinic were predominantly elderly female patients. Dental treatment in the acute phase of depression might be a risk factor for oral cenesthopathy. Therefore, comprehending the situation of psychiatric disorder and obtaining adequate informed consent might be required to prevent the trouble concerning oral cenesthopathy. |
掲載誌名 |
Neuropsychiatric Disease and Treatment
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ISSN | 11782021
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出版者 | Dove Medical Press
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巻 | 14
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開始ページ | 2057
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終了ページ | 2065
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発行日 | 2018-08-13
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権利情報 | This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
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言語 |
eng
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出版社版
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部局 |
医学系
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