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Takeshi Terao

Publications and source records attributed to Takeshi Terao.

13 recordsLinked to original sources

Schneiderian first-rank symptoms associated with fluvoxamine treatment: a case report.

This communication describes a patient who developed Schneiderian first-rank symptoms in the course of treatment with fluvoxamine. The patient, a 28-year-old man suffering from panic disorder, developed several first-rank symptoms during fluvoxamine administration. These symptoms abated 1 week after fluvoxamine treatment was discontinued and haloperidol was started. Although haloperidol was discontinued, no further hallucinations or delusions occurred. This finding suggests that fluvoxamine can precipitate Schneiderian first-rank symptoms in some susceptible patients.

Adult↗

Characteristics of repeatedly secluded elderly female schizophrenic inpatients.

The purpose of the present study was to determine the characteristics of repeatedly secluded female inpatients. Fifty female inpatients in a typical mental hospital were retrospectively investigated from the viewpoint of their recent history of seclusion, age, psychiatric symptoms rated by the Positive and Negative Syndrome Scale, doses of antipsychotics, and serum prolactin levels. The patients were divided into three groups (none, once, twice or more) by the frequency of seclusion in the most recent year. The three groups were significantly different in terms of positive symptoms, general psychopathological symptoms and serum prolactin levels. Unexpectedly, the seclusion frequency was negatively associated with serum prolactin levels. The present findings suggest that repeatedly secluded female inpatients suffered from relatively low prolactin levels as well as more positive and psychopathological symptoms. Further prospective studies are warranted to confirm these findings and to investigate whether low prolactin levels are useful in predicting the risk of frequent seclusion in female inpatients.

Aged↗

A comparison of white-collar jobs in regard to mental health consultation rates in a health care center operated by a Japanese company.

The aim of this study was to compare the consultation rates (CR) of workers performing several types of white-collar jobs. We collected data from the database inputted at the first consultation to a health care center from April 1996 to March 1999. We found that the CR of engineer group was 2.3 times higher than that of employees involved in research and development group. We speculate that this is partially due to the portion, which is not small, of computer systems engineer (SE) comprising this group; SE has previously been mentioned as a particularly stressful occupation in Japan. Since the result of this study is preliminary, we need to conduct a further study taking into account that multiple factors affect CR.

Female↗

[Tardive akathisia].

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Akathisia, Drug-Induced↗

Effects of lithium addition on daily activity and psychiatric symptoms in schizophrenic inpatients.

Lithium addition to neuroleptic treatment brought about some improvement in 6 schizophrenic inpatients. In 3 of them, however, enhancement of daily activity did not parallel improvement in psychiatric symptoms. This suggests that lithium addition may enhance daily activity independently of psychiatric symptoms, and that lithium effects should also be assessed from the viewpoint of daily activity.

Activities of Daily Living↗

Differences in regional cerebral blood flow during musical and verbal hallucinations.

A 51-year-old male patient suffered from both musical and verbal hallucinations with insight. We performed three single photon emission computed tomographic scans with the patient in different conditions: baseline without hallucinations, musical hallucinations, and verbal hallucinations. Clearly, different patterns of regional cerebral blood flow (rCBF) were observed during musical and verbal hallucinations. The findings suggest that musical and verbal hallucinations are associated with different patterns of rCBF, possibly reflecting the different causes of the two types of hallucinations.

Basal Ganglia↗

Exhibitionism and low-dose trazodone treatment.

We describe the case of a 37-year-old man who had suffered from exhibitionism for 10 years. The strength of the patient's urges to act out decreased gradually with the commencement of low-dose trazodone treatment. During the 2 years of trazodone treatment, there was no acting out. The medicine was gradually decreased and eventually discontinued. The patient's impulse manifested only once, but is responded well to trazodone resumption. Thereafter, the patient has neither acted out nor had impulses, even without trazodone, for the following 2 years. This case suggests that trazodone can be useful in the treatment of exhibitionism and it can enhance the remitting process of exhibitionism in some patients. Copyright 2000 John Wiley & Sons, Ltd.

Journal Article↗