{"created":"2023-06-19T10:29:32.513506+00:00","id":1649,"links":{},"metadata":{"_buckets":{"deposit":"b32c0292-69ee-4eb6-b9ed-3d223968c3f3"},"_deposit":{"created_by":31,"id":"1649","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1649"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001649","sets":["1709617079800:35:321:559"]},"author_link":["111119","111120"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"11","bibliographicPageStart":"1","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2014/KMJ-J40(1)1.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J40(1)1","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学精神科学"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Psychiatry, Kawasaki Medical School"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"思春期,青年期の適応障害患者において広汎性発達障害(Pervasive Developmental Disorders,PDD)を基盤にもつ患者の割合を検討し,その場合,どのような臨床的特徴があるかを調査し,PDDの有無に関連する要因について検討した.DSM-IV-TR(Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition,Text Revision)によって適応障害と診断された12歳以上30歳以下の患者58名を対象とし,以下の自記式質問紙を用いて臨床的特徴を評価した.精神症状の評価は,日本語版パラノイアチェックリスト(JPC:Japanese version of Paranoia Checklist),思春期の精神病様体験(PLEs:Psychotic Like Experiences),精神症状評価尺度(SCL-90-R:Symptom Checklist-90-Revised)を用いた.PDDの評価については,詳細な養育歴の聴取と,患者に対して自閉症スペクトラム指数日本版(AQ-J:Autism Spectrum Quotient-Japanese Version)を用いて,養育者に対しては,自閉症スクリーニング質問紙(ASQ:AutismScreening Questionnaire)を用いて総合的に判断し評価した.その結果,1)58名のうち,PDDと診断されたのは,32名(55.1%)であった.2)AQ-Jについては,PDDの有無に関してコミュニケーションが有意な関連性を示した.3)JPCについては,PDD群が,非PDD群と比較して総得点,確信度において有意に高い結果となった.PDDの有無に関して,確信度が有意に関連していた.4)SCL-90-RについてはPDD群では,恐怖症性不安,妄想,精神病症状,強迫症状,対人過敏,抑うつ,不安,その他の8項目において非PDD群に比較して有意に高かった.PDDの有無に関して強迫症状が有意に関連していた.5)各質問紙の総得点とPDDとの関連を見ると,JPCの総得点のみがPDDと有意な関連性を示した.思春期,青年期の適応障害患者では,PDDを基盤にもつと,被害妄想や,強迫症状など様々な精神症状を自覚する可能性があり,JPCなど質問紙も併用して,PDDの存在を念頭において診療を行う必要があることが示唆された."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"We investigated the incidence of pervasive developmental disorder (PDD) coincident with adjustment disorder, and observed the characteristics of their clinical manifestations and factors affecting the existence of PDD. Subjects were 58 patients, aged 12 to 30 years, with a diagnosis of adjustment disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Participants completed self-report questionnaires and their mental symptoms were evaluated using the Japanese version of the Paranoia Checklist (JPC), psychotic like experiences (PLEs), and the Symptom Checklist-90-Revised (SCL-90-R). We evaluated PDD based on developmental histories obtained from caregivers, the Autism Spectrum Quotient-Japanese Version (AQ-J), and the Autism Screening Questionnaire (ASQ) completed by caregivers as a reference. Among the 58 subjects, 32 were diagnosed with PDD (55.1%). We found that (1) AQ-J items of communication were affected by the existence of PDD; (2) total JPC score and JPC items on conviction were significantly higher in the PDD group than in the non-PDD group, and the JPC items of conviction were affected by the existence of PDD; (3) SCL-90-R scores in the PDD group were significantly higher for the Phobic anxiety, Paranoid ideation, Psychoticism, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, and Additional scales, and SCL-90-R items of the Obsessive-Compulsive scale were affected by the existence of PDD; and (4) after analyzing the relationships between each of the JPC, SCL-90-R, AQ-J, ASQ, PLEs, and PDD total scores, only the total JPC score was significantly related to PDD. These findings suggest that adjustment disorder in adolescents with PDD has various subjective symptoms, especially persecutory delusion or obsession, and thus clinical features should be assessed using the JPC when assessing the existence of comorbid PDD."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, 尚史","creatorNameLang":"ja"},{"creatorName":"ナカムラ, タカシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakamura, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-23"}],"displaytype":"detail","filename":"KJ00009282379.pdf","filesize":[{"value":"512.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009282379.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1649/files/KJ00009282379.pdf"},"version_id":"260ef8cc-3d3c-4e76-b212-f50f4e918035"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"広汎性発達障害","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"適応障害","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"被害妄想","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"強迫症状","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Pervasive developmental disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Adjustment disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Paranoid ideation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Obsessive-Compulsive symptoms","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"思春期,青年期における広汎性発達障害を背景にもつ適応障害患者の臨床的特徴","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"思春期,青年期における広汎性発達障害を背景にもつ適応障害患者の臨床的特徴","subitem_title_language":"ja"},{"subitem_title":"Clinical features of adjustment disorder with pervasive developmental disorders","subitem_title_language":"en"}]},"item_type_id":"3","owner":"31","path":["559"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"1649","relation_version_is_last":true,"title":["思春期,青年期における広汎性発達障害を背景にもつ適応障害患者の臨床的特徴"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2023-10-11T02:40:45.444777+00:00"}