循環器系成人病管理に関する研究

It raises a question of interest what relation is found between development of hypertension or cerebral apoplexy and emotional adaptation under the present complicated social milieu. It may, however, be difficult to give evidence of direct relationship. In view of this, we attempted to investigate what sort of emotional characteristic can be found in individuals with circulatory disturbances, and to apply the resultus to health control concerning the circulatory system. The subjects were 556 rural inhabitants of both sexes aged above 40, who were examined for emotional unstability by means of the questionnaire “the Emotional life Survey” (JYO -I SEIKATSU SHIRABE) developed by the Institute for Science of Labour. And the results were studied with reference to blood pressure, electrocardiographic findings and previous history of cerebral apoplexy. The conclusions were as follows : <BR>1) Above 40 years, there was no age difference in both sexes in average number of complaints of emotional unstability (P>0.05) As for sex difference, the number was higher in females than in males (P<0.01). The frequency of the period of the unstability was also higher in females (P<0.01).<BR>2) The number of the complaints was generally higher in individuals with history of cerebral apoplexy, and the difference from the normal can be said statistically significant (P<0.05) in males. Also the frequency of the unstable period was higher in cases with the history and the difference was significant in females (P<0.01).<BR>3) The number of the complaints was not subject to variation by somatotype. being un-varied in obese, normal and slender individuals (P >0.05).<BR>4) As for difference in three levels of blood pressure (hypertension, normotension, and hypotension) the number of the complaints tended to be high in hypertensives in both sexes, but the difference was not significant (P>0.05). The same was the case with the frequency of the period of emotional unstability.<BR>5) With regard to the individual items of complaints as given in the questionnaire, number of the complaints differed according to the item. And the group of circulatory disorder hypertension, abnormal electrocardiogram finding and history of cerebral apoplexy showed greater numbers than the normal group with regard to various items.<BR>6) The items which gave greater numbers of complaints were regarded as specific to individuals with circulatory disorder. Comparison between groups of hypertensive, normotensive and hypotensive revealed that the incidences of the specific items were higher in the second group (P<0.01 for females).<BR>7) Those who complained simultaneously of more than half of the specific items numbered 15 among males and 7 among females of the hypertensive group. This group therefore can generally be said to have less favorable physical condition.<BR>The above data seem to indicate that the specific item can be used as a marker in health control.