Current Treatment Concordant with the Clinical Practice Guideline of the Japanese Society of Psychosomatic Pediatrics in Children with School Absenteeism Associated with Refractory Orthostatic Dysregulation

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  • 不登校を伴う起立性調節障害に対する日本小児心身医学会ガイドライン集を用いた新しい診療(2012年,第53回日本心身医学会総会ならびに学術講演会(鹿児島))
  • 教育講演 不登校を伴う起立性調節障害に対する日本小児心身医学会ガイドライン集を用いた新しい診療
  • キョウイク コウエン フトウコウ オ トモナウ キリツセイ チョウセツ ショウガイ ニ タイスル ニホン ショウニ シンシン イガッカイ ガイドラインシュウ オ モチイタ アタラシイ シンリョウ

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In modern Japan, psychosomatic diseases in children jumped in number. The Japanese Society of Psychosomatic Pediatrics, therefore, was founded in 1983 as a subcommittee of the Japan Pediatric Society by the principle that all pediatricians must learn psychosomatic medicine. Along this idea we are continuing training for general practitioners, creating standard clinical practice guidelines (GL), multicenter studies. This paper introduces the outline of pediatric practical guidelines including orthostatic dysregulation (OD), abdominal pain, headache and school absenteeism, and these are configured in a complementary manner. When we suspect a child psychosomatic diseases, it is recommended to take advantage of these GL from an early stage. Furthermore, the advanced GL for refractory OD has recently been released. Mechanisms responsible for refractory OD includes biopsychosocial factors such as (A) physical function, mental development, personality trait, (B) family relation, and (C) school life. It is recommended, therefore, that specialists evaluate the factors and develop an effective strategy. According to the treatment algorithm, you can find a new evaluation of autonomic nervous by standing test, planning treatment strategy, promotion of the acceptability of parents and advice to academic courses.

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