Studies on the psychosomatic functioning of ill-health according to eastern and western medicine 6. Psychosomatic characteristics of anxiety and depression
M. Takeichi et al., Studies on the psychosomatic functioning of ill-health according to eastern and western medicine 6. Psychosomatic characteristics of anxiety and depression, AM J CHIN M, 29(2), 2001, pp. 247-264
In the accompanying paper "Psychosomatic Characteristics of Anxiety and the
Anxiety-Affinitive Constitution (Provisional Term) in Medical Students," w
e suggest that an assessment of the relationship between anxiety and the st
ate of thoracic-abdominal balance of breathing, and the creation of an anxi
ety-affinitive constitution index (AACI) derived from that assessment, will
be indispensable for furthering research in the future. Using the tenets o
f Oriental psychosomatic medicine, we examined in this research medical stu
dents (N=104) from whom we had received fully-informed consent for the rese
arch in writing, and patients who met the DSM-IV diagnostic criteria for an
xiety disorders (N=18) and major depressive episodes (N=20). We then identi
fied their anxiety and depressive psychosomatic traits in accordance with a
n assessment of the relationship between anxiety and the state of their tho
racic-abdominal balance of breathing, and the AACI derived from that assess
ment. We performed a multiple regression analysis with the STAI trait anxie
ty as the dependent variable, and the parameters of the somatic tests as th
e independent variables. We obtained the formula that AACI = -62.9 + 72.9 x
the thoracic/abdominal respiratory movement ratio (the fractal. dimension
value for the thoracic respiratory curve/the fractal dimension value for th
e abdominal respiratory curve) + 22.5 x the horizontal eye movement (the fr
actal dimension value) + 2.4 x the dental indentation of the tongue (existe
nce, 1; none 0). We then obtained data regarding a symptomatological, const
itutional, and nosological diagnosis of anxiety and depression based on the
AACI values of the Student's t test calculated for the medical students an
d the anxiety disorder patients and patients with major depressive episodes
, and a statistical analysis using ANOVA. We believe the AACI we created in
this research will be very important and significant for the preventive tr
eatment of lifestyle illnesses and stress-related diseases.