Matsumoto Hiroshi, Uchino Takashi, Funatogawa Tomoyuki, Mizuno Masafumi, Nemoto Takahiro
Department of Neuropsychiatry Toho University Faculty of Medicine Tokyo Japan.
Keichokai Yutenji Matsumoto, Clinic Japan.
PCN Rep. 2024 Dec 5;3(4):e70039. doi: 10.1002/pcn5.70039. eCollection 2024 Dec.
Few studies have investigated the association between premorbid personality and the prognosis of neurotic disorders. The aim of this study was to investigate the relationship between the presence of a "nervous personality" described in Morita's theory and the duration of treatment in patients with neurotic disorders.
The study included 70 patients aged ≥15 years old who first visited the Department of Psychiatry, Toho University Omori Medical Center, between January 2010 and December 2010 and were diagnosed as having neurotic disorders. The subjects' medical records over a 10-year period from 2010 until 2020 were examined retrospectively to determine the influence of the presence of a "nervous personality" in the subjects on the duration of their treatment.
There were no significant differences in the basic demographic characteristics or severity of illness at the first visit between groups with and without a "nervous personality." The mean and median duration of treatment were 25 months and 5 months in the group with a "nervous personality," and 5 months and 2 months in the group without a "nervous personality," respectively. Kaplan-Meier analysis revealed a significant difference in the duration of treatment between the two groups. Multiple regression analysis performed using treatment duration as the dependent variable identified only presence of a "nervous personality" among the independent variables as a significant factor influencing the duration of treatment, with the duration of treatment being 20 months longer in the group of subjects with a "nervous personality."
The presence of a "nervous personality," as described in Morita's theory, may prolong the required duration of treatment in patients with neurotic disorders.
很少有研究调查病前人格与神经症性障碍预后之间的关联。本研究的目的是探讨森田理论中所描述的“神经质人格”的存在与神经症性障碍患者治疗时长之间的关系。
该研究纳入了70名年龄≥15岁的患者，这些患者于2010年1月至2010年12月首次就诊于东邦大学大森医疗中心精神科，并被诊断为患有神经症性障碍。回顾性检查了研究对象从2010年至2020年这10年间的病历，以确定研究对象中“神经质人格”的存在对其治疗时长的影响。
有“神经质人格”组和无“神经质人格”组在首次就诊时的基本人口统计学特征或疾病严重程度方面无显著差异。有“神经质人格”组的治疗平均时长和中位时长分别为25个月和5个月，无“神经质人格”组分别为5个月和2个月。Kaplan-Meier分析显示两组治疗时长存在显著差异。以治疗时长作为因变量进行的多元回归分析表明，在自变量中，只有“神经质人格”的存在是影响治疗时长的一个显著因素，有“神经质人格”的研究对象组的治疗时长要长20个月。
森田理论中所描述的“神经质人格”的存在可能会延长神经症性障碍患者所需的治疗时长。
