Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2024-04-15 |
タイトル |
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タイトル |
Comparative Empirical Analysis of Challenging Inpatients under the Medical Treatment and Supervision Act and the Mental Health and Welfare Act |
言語 |
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言語 |
eng |
キーワード |
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主題 |
psychotic symptoms, Medical Treatment and Supervision Act, Mental Health and Welfare Act, difficult-to-treat patients |
資源タイプ |
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資源 |
http://purl.org/coar/resource_type/c_6501 |
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タイプ |
journal article |
著者 |
Saito, Katsuhito
Sasayama, Daimei
Yoshizawa, Tomonari
Suzuki, Mio
Murasugi, Kenji
Washizuka, Shinsuke
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信州大学研究者総覧へのリンク |
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氏名 |
篠山, 大明 |
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URL |
https://soar-rd.shinshu-u.ac.jp/search/detail.html?systemId=uNkegpkh |
信州大学研究者総覧へのリンク |
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氏名 |
鷲塚, 伸介 |
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URL |
https://soar-rd.shinshu-u.ac.jp/search/detail.html?systemId=uhnNuakh |
信州大学研究者総覧へのリンク |
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出版者 |
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出版者 |
信州医学会 |
引用 |
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内容記述 |
信州医学雑誌 72(2) : 95-105, (2024) |
書誌情報 |
信州医学雑誌
巻 72,
号 2,
p. 95-105,
発行日 2024-04-10
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抄録 |
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内容記述 |
Background : Psychotic symptoms leading to self-harm and harm to others are a critical concern in treatment. This study aimed to investigate the characteristics and treatment methods of difficult-to-treat patients under the Medical Treatment and Supervision Act (MTSA) and long-term involuntary inpatients under the Mental Health and Welfare Act and assess the impact of the MTSA on psychiatric treatment. Methods : Data were collected from 233 inpatients (179 men and 44 women) under the MTSA and 65 inpatients (58 men and 7 women) who were involuntarily hospitalized for >18 months due to the risk of self-harm or harm to others under the Mental Health and Welfare Act. We compared basic demographics and pharmacotherapy between the 102 inpatients under the MTSA and 53 inpatients under the Mental Health and Welfare Acts with psychotic disorders. Results : Difficult-to-treat cases under the MTSA included 82 grievous bodily harm cases (35 %), 80 murder cases (34 %), 48 arson cases (21 %), and cases of other offenses. Psychotic disorders were the most frequent primary diagnosis (85 %), and comorbid psychiatric disorders were present in 68 cases (25.8 %). In contrast, long-term hospitalizations under the Mental Health and Welfare Act were predominantly due to schizophrenia (80 %). Comparative analysis of pharmacotherapy revealed higher usage of clozapine in the MTSA group and antipsychotic and anti-parkinsonian medications in the Mental Health and Welfare Act group. Conclusion : These findings suggest that the MTSA encourages a reduction in the use of multiple antipsychotics and the adoption of clozapine in treatment regimens. |
資源タイプ(コンテンツの種類) |
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内容記述 |
Article |
ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0037-3826 |
書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN00120815 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |