The current study failed to show diagnostic usefulness of WAIS-R in discriminating schizophrenia and other psychoses. A diagnosis of schizophrenia does not significantly impact intellectual deficits in psychotic disorders.

In this study, we investigated six types of mood state (tension-anxiety, depression-dejection, anger-hostility, vigor, fatigue, and confusion) using the Profile of Mood States (POMS) with 40 Japanese university students. We examined five main quality of life (QOL) domains (physical health, psychological health, social relationships, and environmental health) using the World Health Organization Quality of Life Scale (WHOQOL-26). We also examined the total scale score. We examined Spearman's rank correlations between POMS mood state and QOL scores and compared male and female students' scores. The results indicated statistically significant correlations between all six mood states and three broad WHOQOL-26 domains (physical health, psychological health, and social relationships). Moreover, the relationship between mood state and QOL showed a gender difference. There were correlations between mood states and the QOL domains of social relationships and environmental health for males. In contrast, mood state correlated with the QOL domains of physical health and psychological health in females. The findings suggest that genderspecific health provision is needed to care for young university students in Japan. However, our study has several limitations; therefore, larger-scale studies with older subjects are needed in the future.

A person with high-level mental defensive functioning exhibits optimal, effective adaptive states when encountering stressors. This may be an important factor in maintaining a sound campus life. Participants were 47 physically and mentally healthy students (average age 19.0 ± 0.6). We first investigated the developmental level of mental defensive functioning as an indicator of participants' adaptive state at the time of the study. We used the Defensive Functioning Scale proposed in the 4 th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). We attempted to quantify this scale by summing scores of seven Defense Levels based on individual defense mechanisms. We then measured physical and mental symptoms using the Cornell Medical Index (CMI), and compared the relationships between symptoms and defensive functioning (defensive functioning scale and physical symptoms, defensive functioning scale and mental symptoms, and physical symptoms and mental symptoms). Finally, we compared male and female results. Although there was no statistical difference, males showed higher average scores than females on the Defensive Functioning Scale vs physical/mental symptoms, which may indicate the relative suppression of women that characterizes the social and cultural background in Japan. In addition, there was a relatively high unisex positive correlation between physical symptoms and mental symptoms, which suggests that university health administrative staff need to provide mental as well as physical care to help students manage stress effectively. However, larger, more comparative studies on the social and cultural background are needed to further explore these issues.

It is very important for outpatients who have had a kidney transplant to take care of themselves after discharge. However, outpatients have limited access to medical care by hospital staff after discharge; therefore, medical staff are unaware of the patient's living conditions, and the uncertainties and problems that they encounter related to self-management. We conducted a questionnaire survey among 161 of 200 outpatients who received kidney transplants to investigate their recognition and actual practice of daily self-management. To determine the characteristics of adherent outpatients, we divided patients into two groups (the adherent and non-adherent group) and compared them. The Chi-squared test was conducted to test the equality of proportions among the groups, and then multiple logistic regression analysis was used to explore the factors significantly associated with regularly taking medicine or failing to take medicine. As a result of the logistic regression model using demographic factors as independent factors, the periods after transplantation (2-5 and 5-10 years) and living-donor kidney transplantation or cadaveric kidney transplantation were selected as significant factors associated with good self-management. As a whole, 68.3% of the 145 patients were correctly predicted using the model. The results of this study suggest that in the short period after transplantation (2-5 years), cadaveric kidney transplantation and that the patient has a job are significant factors associated with good self-management. Behind these results, a unique Japanese concept, "amae", could be found. Therefore, medical knowledge and techniques as well as cultural background should be studied.

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