Japanese clinical guidelines for child orthostatic dysregulation Ver.1

Tanaka, Hidetaka; Fujita, Yukihiko; Ishitani, Nobuo; Kajiwara, Souhei; Masutani, Satoshi; Matsushima, Reiko; Takenaka, Yukinori; Ishizaki, Yuko; Kajiura, Mitsugu; Honda, Kazuo

doi:10.1016/j.autneu.2007.06.061

Cited by 2 publications

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“…This clinical practice guideline [ 17 ] provides recommendations for the assessment, diagnosis and treatment of school-aged children with orthostatic dysregulaiton (OD), usually named orthostatic intolerance in America and Europe. This guideline is intended for use by primary care clinicians working in primary care settings.…”

Section: Japanese Clinical Guidelines For Child Orthostatic Dysregulamentioning

confidence: 99%

Psychosomatic problems and countermeasures in Japanese children and adolescents

Tanaka

Terashima

Borres

et al. 2012

BioPsychoSocial Med

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In Japan there are a number of children and adolescents with emotion-related disorders including psychosomatic diseases (orthostatic dysregulation, anorexia nervosa, recurrent pains), behavior problems and school absenteeism. According to our previous report, the Japanese children had significantly higher score of physical symptoms and psychiatric complaints than did the Swedish children, and these were more strongly influenced by school-related stress than by home-related stress. To enforce countermeasures for psychosomatic problems in children, the Japanese Society of Psychosomatic Pediatrics (established in 1982) have started several new projects including multi-center psychosomatic researches and society-based activities. In this article, we present an outline of our study on mental health in Japanese children in comparison with Swedish children. Countermeasures including clinical guidelines for child psychosomatic diseases are reviewed and discussed.

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Section: Japanese Clinical Guidelines For Child Orthostatic Dysregulamentioning

confidence: 99%

Psychosomatic problems and countermeasures in Japanese children and adolescents

Tanaka

Terashima

Borres

et al. 2012

BioPsychoSocial Med

Self Cite

View full text Add to dashboard Cite

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“…reliability. 33 In addition, a self-administered questionnaire was used to collect data on medical history and daily habit for participants such as sleep, diet, and exercise. However, the validity and reliability of the questionnaire were not verified.…”

Section: Figurementioning

confidence: 99%

The prevalence of orthostatic dysregulation among newly graduated female nurses after employment and its associations with autonomic nervous function, stress, and depressive symptoms

Kawai

Miyai

Arita³

2021

SAGE Open Medicine

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Objectives: We aimed to examine the prevalence of orthostatic dysregulation among newly graduated female nurses after employment and its associations with autonomic nervous function, stress, and depressive symptoms. Methods: This follow-up study included 48 newly graduated female nurses (aged 22 ± 3 years) employed in acute care hospitals. The orthostatic dysregulation symptoms were evaluated using a screening checklist. A sit-to-stand test was conducted to assess the autonomic nervous function. Subjective stress and depressive symptoms were determined using a self-administered questionnaire. The data were collected at baseline on the first month and on the seventh month of employment. Statistical differences within groups were analyzed using paired t-test and McNemar’s test. The independent associations of orthostatic dysregulation status with stress and depressive symptoms were analyzed using a multivariate logistic regression model. Results: The percentage of individuals who were diagnosed with orthostatic dysregulation increased from 25.0% at baseline to 35.4% at follow-up. Logistic regression analyses revealed that stress and depressive symptoms were closely associated with orthostatic dysregulation status at follow-up, despite a weak association reported at baseline. The participants were categorized according to their orthostatic dysregulation status: among individuals without orthostatic dysregulation at baseline but with orthostatic dysregulation at follow-up, the increase in autonomic nervous activity, as assessed by the coefficient of variation of the R-R intervals, in response to the postural changes was significantly attenuated at follow-up. Furthermore, this group exhibited a significant increase in stress and depressive symptoms. Conclusions: At 7 months after employment, newly graduated nurses showed a higher prevalence of orthostatic dysregulation in combination with autonomic nervous system modulation, which was accompanied by an increase in stress and depressive symptoms. These observations suggest that the orthostatic dysregulation is associated with poor mental and physical health among newly graduated nurses in the early phase of employment.

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Japanese clinical guidelines for child orthostatic dysregulation Ver.1

Cited by 2 publications

References 0 publications

Psychosomatic problems and countermeasures in Japanese children and adolescents

Psychosomatic problems and countermeasures in Japanese children and adolescents

The prevalence of orthostatic dysregulation among newly graduated female nurses after employment and its associations with autonomic nervous function, stress, and depressive symptoms

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