{"created":"2023-06-19T11:21:33.487594+00:00","id":1797,"links":{},"metadata":{"_buckets":{"deposit":"f655a08b-ad39-4f62-93cd-71b8da4f26c4"},"_deposit":{"created_by":3,"id":"1797","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1797"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00001797","sets":["7","7:19:25"]},"author_link":["5418","5419","5420","5421","5422","5423","5424","5425"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-04-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"606","bibliographicPageStart":"599","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"臨床精神薬理"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"わが国のてんかん患者における狭義の精神障害(ICD-10による)の出現率は42%と報告されており、てんかんに伴う精神症状は決してまれなものではない。てんかん患者では、たとえてんかん発作が十分に抑制されたとしても、抗てんかん薬(AED)の副作用や、さまざまな心理社会的問題(AED服薬継続の負担、服薬中断による発作発現の不安、周囲の人々の偏見、結婚・就職・日常生活に関する悩みなど)を抱えていることも少なくない。精神症状の発現要因として、てんかんに関連する脳の器質的障害・機能的障害、AEDの副作用、心理社会的要因、人格障害などが挙げられる。本稿では、てんかんに伴う精神症状を、発作の直前にみられるもの、発作としての精神症状、発作の直後にみられるもの、および、発作間欠時に分け、それぞれの臨床的特徴とその治療について概説する。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-3474","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007205443"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2309"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"4162"}]},"item_5_text_7":{"attribute_name":"著者 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