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未契約
書籍名 ストレス症候群 ―循環器疾患に関する最近の知見と内科医の考察―
出版社 メディカルレビュー社
発行日 2000-09-25
著者
  • 築山久一郎(編著)
  • 大塚啓子(共著)
ISBN 4896003365
ページ数 273
版刷巻号 第1版第1刷
分野
閲覧制限 未契約

社会心理的ストレスと循環器疾患(高血圧,虚血性心疾患など)との関連性を,蓄積された臨床成績をもとに解説。社会経済的・社会医学的な側面など,多方面からの分析を試みている。

目次

  • 表紙
  • 序文
  • CONTENTS
  • Chapter1 社会的変動・災害・戦争は 循環器疾患発症にどう影響するか-社会状況の良否は国民の健康状況の鍵となるか-
    P.11閲覧
    • 1 社会的環境の変動は死亡率や循環器疾患発症にどう影響するか
      • 1. 社会的環境の変動による死亡率の上昇
      • 2. 移民/強制的移動
      • 3. 刑務所への収監
    • 2 災害は循環器疾患発症を促進するか
      • 1. 地震・洪水・原子力発電所事故
      • 2. 戦争
  • Chapter2 社会的環境・職場環境・家庭環境は循環器疾患発症にどう影響するか
    P.29閲覧
    • 1 社会的環境や職業は循環器疾患発症に影響するか
    • 2 社会的環境, 職場環境あるいは家庭環境は高血圧の発症に影響するか
      • 1. 社会経済的状況や人種差は血圧に影響するか
      • 2. 職場状況, 職業あるいは失業は虚血性心疾患や高血圧の発症にどう影響するか
    • 「ルーズベルト大統領の死」に関する臨床ノート
  • Chapter3 心血管疾患発症になぜ季節的な変動があるか, 感染症は心血管疾患発症を促進するか
    P.53閲覧
    • 1 環境温度・季節変動・気候変動は死亡や心血管疾患発症の頻度を増加させるか
    • 2 環境温度や季節の移り変わりは血圧にどう影響するか
    • 3 感染症と心血管事故-C反応性蛋白上昇は心血管疾患の予測因子となるか
      • 1. C反応性蛋白上昇は心血管疾患の危険因子となるか
      • 2. 特定の病原体が粥状硬化症発症・進展に関与するか
  • Chapter4 循環器疾患の発症には好発する曜日や時間帯が存在するか
    P.77閲覧
    • 1 虚血性心疾患は何曜日に好発するか
    • 2 脳卒中は何曜日に好発するか
    • 3 休日と勤務日の血圧差はあるか
    • 4 心筋梗塞・不整脈・脳卒中の好発時間帯に関してどこまで解明されているか
      • 1. 急性心筋梗塞に好発時間帯は存在するか
      • 2. 重症不整脈の発生に好発時間帯は存在するか
      • 3. 脳卒中に好発時間帯は存在するか
  • Chapter5 ストレス負荷時の血圧反応あるいは安静時の心拍数高値は, 心血管事故や高血圧の予測因子となるか
    P.93閲覧
    • 1 ストレス負荷時の血圧上昇反応から虚血性心疾患発症の危険を予測しうるか
    • 2 ストレス負荷時の血圧上昇反応は高血圧の予測因子となるか
      • 1. 高血圧例ではストレス反応はどのような臨床的意義を持つか
      • 2. 正常血圧例ではストレス反応はどのような臨床的意義を持つか
    • 3 心拍数増加は心血管疾患発症の危険性の指標か, あるいは危険因子であるか
      • 1. 心拍数高値は他の危険因子を伴うか
      • 2. 心拍数高値であると高血圧や心血管疾患の発症をきたしやすいか
      • 3. 血圧上昇を伴う心拍数増加は危険性が高いか
    • 4 治療面から心拍数高値の危険性は確認されているか
  • Chapter6 どのような心理社会的な特徴があると心血管疾患発症を促進するか
    P.119閲覧
    • 1 どのような心理社会的な特徴が虚血性心疾患の発症や病態の悪化に関与するか
      • 1. A型行動パターンや敵意性が存在すると虚血性心疾患が発症しやすいか
      • 2. 怒りが存在すると虚血性心疾患発症を促進するか
      • 3. 不安や抑うつは虚血性心疾患発症を促進するか/予後を悪化させるか
      • 4. 従順度が高いと虚血性心疾患の危険度は低いか
      • 5. 仕事上の緊張状態と冠動脈疾患は関連性を有するか
      • 6. 社会的支援がないと予後が悪化するか
      • 7. 「絶望度」が高いと死亡の危険性が高いか
    • 2 高血圧発症には何が重要な役割を果たすか
      • 1. A型行動パターンが存在すると高血圧が発症しやすいか
      • 2. 怒り・不安・抑うつ, 高い絶望度が存在すると高血圧が発症しやすいか
      • 3. 社会経済的状況や社会的支援が低いと高血圧が発症しやすいか
  • Chapter7 ストレスは高血圧や循環器疾患発症に影響するか-縦断調査を中心として-
    P.139閲覧
    • 1 ストレス環境下でなければ経年的な血圧上昇は認められないか
    • 2 近代化は血圧を上昇させるか(「新世界症候群」)
      • 1. 海外移住による血圧上昇は食塩の過剰摂取によるものか
      • 2. 人種差は心理社会的ストレスになるか
    • 3 ストレス環境下では虚血性心疾患の発症頻度は上昇するか
  • Chapter8 ストレス反応と循環器疾患の発症
    P.157閲覧
    • 1 ストレスによる交感神経系賦活化はどのような臨床的意義を有するか
    • 2 代謝あるいは血液凝固系にストレスは影響するか
    • 3 ストレスは動脈硬化病変を促進するか
    • 4 ストレスは警告反応にどう影響するか
      • 1. ストレスによる痛覚閾値の上昇はどのような臨床的意義を持つか
      • 2. 抑うつ例の痛覚閾値の低下はどのような臨床的意義を有するか
  • Chapter9 ストレスは高血圧を発症させるか-成因論からみた考察-
    P.171閲覧
    • 1 「一般感受性仮説」でストレスによる高血圧発症頻度の上昇を説明できるか / 高血圧特有のパーソナリティが関係するか
    • 2 「反応性仮説」でストレスによる高血圧発症を説明できるか
    • 3 「エピネフリン仮説」でストレスによる高血圧発症を説明しうるか
  • Chapter10 どのような環境因子が高血圧発症に促進的か / 環境因子に対する介入は高血圧発症を抑制するか
    P.183閲覧
    • 1 縦断調査からみてどのような予測因子が存在するか
      • 1. 血圧には人種差があるか
      • 2. 血圧の経年変化にはトラッキング現象が認められるか
      • 3. 高血圧発症には肥満や代謝異常が先行するか
      • 4. 過剰なNa摂取・アルコール摂取は高血圧発症を促進するか
      • 5. 高血圧発症はストレスと関係するか
    • 2 生活習慣の修正は高血圧を予防するか
      • 1. HPFS(1992, 1998)
      • 2. TOHP I(1991, 1992)
      • 3. TOHP II(1995, 1997)
      • 4. DASH試験(1997)
      • 5. Linxian Nutrition Intervention Trial(1996)
      • 6. その他
  • Chapter11 ストレス管理には何が重要か / 薬物療法の注意点はあるか
    P.203閲覧
    • 1 社会的支援が重要である
    • 2 信頼関係を基に生活指導を行う
    • 3 隆圧薬はどのような神経心理学的な効果をもち, QOLへどう影響するか
      • 1. β遮断薬
      • 2. α遮断薬
      • 3. ACE阻害薬
      • 4. Ca拮抗薬
      • 5. 利尿薬
  • Chapter12 白衣高血圧の管理に降圧薬治療は必要か
    P.225閲覧
    • 1 白衣高血圧例の予後は良好か
    • 2 「白衣高血圧」と「白衣効果」とはどのような関係にあるのか
    • 3 白衣高血圧例には心理的ストレスの関与が大きいか
    • 4 白衣高血圧の頻度は正常血圧の設定で異なるか
    • 5 白衣高血圧は無害であるか-標的臓器障害からみた考察
      • 1. 左室肥大 / 頸動脈壁厚増加
      • 2. 代謝異常
      • 3. 腎機能異常
  • Chapter13 ストレスと対策-「現代養生訓」としてどのような対処法があるか-
    P.247閲覧
    • 1 健全な社会秩序の重要性
    • 2 社会経済的状況と循環器疾患発症
    • 3 ストレスの影響を受けやすいタイプ
    • 4 家庭環境と循環器疾患発症
    • 5 循環器疾患発症の季節変動および曜日別変動
    • 6 災害(地震・洪水・原子力発電所事故)と循環器疾患発症
    • 7 どのようなストレス対策が考えられるか(現代養生訓)
      • 1. 禁煙は良好なQOLを維持するために重要であるか
      • 2. アルコール摂取は健康状態の改善に貢献するか
      • 3. コーヒー・茶・野菜や果実は健康に良いか
    • 8 老後に死の直前まで介助なしで生活するための対策はあるか
  • 索引
    P.266閲覧
  • 奥付

参考文献

Chapter1 社会的変動・災害・戦争は 循環器疾患発症にどう影響するか-社会状況の良否は国民の健康状況の鍵となるか-

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Chapter2 社会的環境・職場環境・家庭環境は循環器疾患発症にどう影響するか

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Chapter3 心血管疾患発症になぜ季節的な変動があるか, 感染症は心血管疾患発症を促進するか

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Chapter4 循環器疾患の発症には好発する曜日や時間帯が存在するか

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Chapter5 ストレス負荷時の血圧反応あるいは安静時の心拍数高値は, 心血管事故や高血圧の予測因子となるか

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Chapter6 どのような心理社会的な特徴があると心血管疾患発症を促進するか

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Chapter7 ストレスは高血圧や循環器疾患発症に影響するか-縦断調査を中心として-

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Chapter8 ストレス反応と循環器疾患の発症

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Chapter9 ストレスは高血圧を発症させるか-成因論からみた考察-

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Chapter10 どのような環境因子が高血圧発症に促進的か / 環境因子に対する介入は高血圧発症を抑制するか

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Chapter11 ストレス管理には何が重要か / 薬物療法の注意点はあるか

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Chapter12 白衣高血圧の管理に降圧薬治療は必要か

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Chapter13 ストレスと対策-「現代養生訓」としてどのような対処法があるか-

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