{"created":"2023-05-15T12:23:06.213344+00:00","id":14663,"links":{},"metadata":{"_buckets":{"deposit":"983f9428-4add-4ceb-bc23-004b5d60b497"},"_deposit":{"created_by":1,"id":"14663","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"14663"},"status":"published"},"_oai":{"id":"oai:kansai-u.repo.nii.ac.jp:00014663","sets":["528:1663:1702:1951"]},"author_link":["36778","36779"],"item_10_alternative_title_20":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Behavior-genetic Study on a Group of Patients Characterized by Eating Disorders and Multiple Self-destructive Behaviors"}]},"item_10_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"86","bibliographicPageStart":"79","bibliographicVolumeNumber":"2","bibliographic_titles":[{"bibliographic_title":"Psychologist : 関西大学臨床心理専門職大学院紀要"}]}]},"item_10_description_4":{"attribute_name":"概要","attribute_value_mlt":[{"subitem_description":"近年、欧米諸国およびわが国においては、摂食障害が年々増加している。摂食障害を示す患者の症状、経過、転帰、そして治療に対する反応性などは、はなはだ多彩で単一な疾患とは考えられない。すでに多くの研究者が摂食障害の臨床遺伝学並びに、統計学的研究の結果、本症が異種性の疾患であると結論している。我々も長年にわたり、摂食障害患者ことに、摂食障害にアルコール症をはじめ薬物依存、性障害および性同一性障害、窃盗癖、性的逸脱、自殺、自傷行為など種々の問題行動を伴い、対応の困難な患者の治療に関わってきた。本研究においては、このような、摂食障害に各種の問題行動を伴うものの疾病学的な分類を目標に、行動遺伝学的な研究を行った。対象は1990年1月から1995年12月の6年間に入院・外来治療を行った65名の摂食障害患者で、その中から様々な自己破壊的行動を伴う亜型を類別し、EDMUL（Eating Disorders with Multiple self-destructive behaviors）とした。EDMULでは、アルコール症、薬物依存症、自傷行為、自殺、窃盗癖、性的逸脱行動その他の身体的生命および社会的生命にたいする破壊的行動が、同時に或いは互いに入れ替わって出現した。さらにEDMULの家族内にもアルコール症や問題行動の負因が多く認められ、その基盤として遺伝的背景に基づく強力な衝動性とそのコントロール障害が考えられた。","subitem_description_type":"Other"},{"subitem_description":"Among a group of patients (n=65), the majority of whom had been introduced to us by eating-disorder specialists elsewhere because of difficulties in their treatment, we defined a subgroup disordered eating behavior, problematical behavior relating to the use of alcohol and other substances, shoplifting, promiscuity, and suicidal tendencies were seen in 74%, 36%, 33%, and 15% of the patients, respectively. Further, this subgroup showed an extremely worse outcome, when compared with the subgroup of patients with pure eating disorders (n=26). With regard to the intrafamilial traits examined among the first-and second-degree relatives, 49% of the patients had the trait for alcohol dependence, 28% had the trait for problematical behaviors. The physically or socially self-destructive types of behavior, which seemed to be attributable to vigorous and uncontrollable intrinsic impulses of the patients, tended to emerge in the respective patients in revolving or alternating manners. Therefore, enduring efforts should be taken to support the personality development of such patients rather than to struggle with respective problematical behaviors, which may be considered merely as facets of a single disorder.\n(n=39) characterized by eating disorders and multiple behavioral problems. In addition to the","subitem_description_type":"Other"}]},"item_10_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"36779","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Amoh, Kaoru"}]}]},"item_10_publisher_34":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"関西大学大学院心理学研究科心理臨床学専攻"}]},"item_10_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12590224","subitem_source_identifier_type":"NCID"}]},"item_10_version_type_17":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"天羽, 薫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-01-09"}],"displaytype":"detail","filename":"KU-1100-20120312-09.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KU-1100-20120312-09.pdf","url":"https://kansai-u.repo.nii.ac.jp/record/14663/files/KU-1100-20120312-09.pdf"},"version_id":"79cdbf21-fcf8-45a8-9901-e3478bfbcc3c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"摂食障害","subitem_subject_scheme":"Other"},{"subitem_subject":"spectrum disorder","subitem_subject_scheme":"Other"},{"subitem_subject":"アルコール症","subitem_subject_scheme":"Other"},{"subitem_subject":"行動遺伝学","subitem_subject_scheme":"Other"},{"subitem_subject":"EDMUL","subitem_subject_scheme":"Other"},{"subitem_subject":"eating disorder","subitem_subject_scheme":"Other"},{"subitem_subject":"spectrum of self-destructive behaviors","subitem_subject_scheme":"Other"},{"subitem_subject":"alcoholism","subitem_subject_scheme":"Other"},{"subitem_subject":"behavior-genetic study","subitem_subject_scheme":"Other"},{"subitem_subject":"関西大学","subitem_subject_scheme":"Other"},{"subitem_subject":"Kansai University","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"多彩な自己破壊的な行動を示す摂食障害患者の行動遺伝学的研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"多彩な自己破壊的な行動を示す摂食障害患者の行動遺伝学的研究"}]},"item_type_id":"10","owner":"1","path":["1951"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-01-09"},"publish_date":"2020-01-09","publish_status":"0","recid":"14663","relation_version_is_last":true,"title":["多彩な自己破壊的な行動を示す摂食障害患者の行動遺伝学的研究"],"weko_creator_id":"1","weko_shared_id":1},"updated":"2023-05-17T03:14:28.564714+00:00"}