Clinical Factors Influencing Quality of Life in Anorexia Nervosa Patients

• 資料種別: 博士論文
• タイトル: Clinical Factors Influencing Quality of Life in Anorexia Nervosa Patients
• 著者・編者: Kane, Chikako; Tomotake, Masahito; Hamatani, Sayo; Chiba, Shinichi; Ohmori, Tetsuro
• 著者標目: Kane, Chikako; Tomotake, Masahito; Hamatani, Sayo; Chiba, Shinichi; Ohmori, Tetsuro
• 出版事項: Scientific Research Publishing
• 出版年月日等: 2017-12-27
• 出版年（W3CDTF）: 2017-12-27
• 並列タイトル等: 神経性やせ症患者のQOLに影響を与える臨床的要因
• タイトル（掲載誌）: Open Journal of Psychiatry
• 巻号年月日等（掲載誌）: 8 1
• 掲載巻: 8
• 掲載号: 1
• 掲載ページ: 50-60
• ISSN（掲載誌）: ISSN : 2161-7325; ISSN : 2161-7333
• 授与機関名: 徳島大学
• 授与年月日: 2018-03-23
• 報告番号: 甲第3154号
• 学位: 博士（保健学）
• 本文の言語コード: eng
• 件名標目: Anorexia nervosa; Quality of Life; Influencing Factor; Depression; Interoceptive Confusion
• 対象利用者: 一般
• 一般注記: 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.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 著作権情報: © 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/
• 関連情報（DOI）: 10.4236/ojpsych.2018.81004
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/111628/20180517095343854403/k3154_abstract.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/111628/20180517095344651011/k3154_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/111628/20180517095344918697/k3154_fulltext.pdf fulltext