{"created":"2021-03-01T06:16:11.218209+00:00","id":11945,"links":{},"metadata":{"_buckets":{"deposit":"44b8c355-de50-4ff4-897b-01aa6bb7a907"},"_deposit":{"id":"11945","owners":[],"pid":{"revision_id":0,"type":"depid","value":"11945"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00011945","sets":["453:456","471:537:538:1009"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"4 Psychosomatic Therapy for Chronic Pain(Chronic Pain Management-Current Status and Problems in Niigata Prefecture-)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-11","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"11","bibliographicPageEnd":"621","bibliographicPageStart":"616","bibliographicVolumeNumber":"120","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"全身慢性疼痛を主訴に心療内科を紹介された患者に,前立腺癌骨転移が見つかった一例を紹介する.疼痛を訴える患者に対して,初診段階で『気持ちの問題だろう.』と判断することは慎むべきであり,器質的疾患の存在を繰り返し除外するべきである.心療内科受診患者の約8%が,疼痛を主訴としている.これらの患者全例が,抗不安薬,抗うつ薬を処方されていた.臨床各科において,疼痛を訴える患者に対して,器質的疾患の存在を除外できたならば,抗不安薬,抗うつ薬を処方して,その効果を確認するのも一つのアプローチである.心療内科では,機能的疼痛に対応している.自律訓練法,バイオフィードバック法が必要と判断された場合は心療内科受診を患者に提案してほしい.明らかに精神症状が前面に出ている場合は,精神科に紹介する.","subitem_description_type":"Abstract"},{"subitem_description":"We report the case of a prostate cancer patient with bone metastases. A 66-year-old man came to our hospital with a complain of systemic chronic pain of unknown origin that might be caused by psychological factors. As a result, he was referred to the department of psychosomatic medicine. However, detailed examination led his pain to be of physical nature caused by the patient's cancer. Therefore, as physicians we should not disregard the pain of patients as psychological, but instead should give them a comprehensive systemic examination to exclude psychosomatic disease. This report strongly indicates that pain of unknown origin is not necessarily due to psychosomatic disease or psychiatric disease.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"80573","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fujimura, Takeo"}]},{"nameIdentifiers":[{"nameIdentifier":"80574","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shimizu, Natsue"}]},{"nameIdentifiers":[{"nameIdentifier":"80575","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Murakami, Shuichi"}]},{"nameIdentifiers":[{"nameIdentifier":"80576","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Mashima, Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"80577","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Gejyo, Fumitake"}]},{"nameIdentifiers":[{"nameIdentifier":"80578","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ebe, Yusuke"}]},{"nameIdentifiers":[{"nameIdentifier":"80579","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Saito, Isao"}]},{"nameIdentifiers":[{"nameIdentifier":"80580","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Katagiri, Atsuko"}]},{"nameIdentifiers":[{"nameIdentifier":"80581","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Muramatsu, Toshiyuki"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤村, 健夫"}],"nameIdentifiers":[{"nameIdentifier":"80564","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"清水, 夏恵"}],"nameIdentifiers":[{"nameIdentifier":"80565","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"村上, 修一"}],"nameIdentifiers":[{"nameIdentifier":"80566","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"真島, 一郎"}],"nameIdentifiers":[{"nameIdentifier":"80567","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"下条, 文武"}],"nameIdentifiers":[{"nameIdentifier":"80568","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"江部, 佑輔"}],"nameIdentifiers":[{"nameIdentifier":"80569","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"齋藤, 功"}],"nameIdentifiers":[{"nameIdentifier":"80570","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"片桐, 敦子"}],"nameIdentifiers":[{"nameIdentifier":"80571","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"村松, 芳幸"}],"nameIdentifiers":[{"nameIdentifier":"80572","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-07"}],"displaytype":"detail","filename":"110006483418.pdf","filesize":[{"value":"479.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"110006483418.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/11945/files/110006483418.pdf"},"version_id":"1d190d7c-e595-4fb6-8b85-cb83bbad0807"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"慢性疼痛","subitem_subject_scheme":"Other"},{"subitem_subject":"器質的疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"機能的疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"抗不安薬","subitem_subject_scheme":"Other"},{"subitem_subject":"抗うつ薬","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":"4 慢性疼痛患者の心療内科的治療(第616回新潟医学会,ペインクリニックの現状と問題点)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"4 慢性疼痛患者の心療内科的治療(第616回新潟医学会,ペインクリニックの現状と問題点)"},{"subitem_title":"4 慢性疼痛患者の心療内科的治療(第616回新潟医学会,ペインクリニックの現状と問題点)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1009"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-10-19"},"publish_date":"2012-10-19","publish_status":"0","recid":"11945","relation_version_is_last":true,"title":["4 慢性疼痛患者の心療内科的治療(第616回新潟医学会,ペインクリニックの現状と問題点)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:45:01.707956+00:00"}