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Mitsunao Tomioka Last modified date：2022.11.11

Assistant Professor / Department of Psychosomatic Medicine
Department of Clinical Medicine
Faculty of Medical Sciences




Homepage
https://kyushu-u.pure.elsevier.com/en/persons/mitsunao-tomioka
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Fax
092-642-5336
Academic Degree
MA(Psychology), PhD(Medical Science)
Country of degree conferring institution (Overseas)
No
Field of Specialization
Clinical Psychology
Total Priod of education and research career in the foreign country
00years00months
Outline Activities
Psychotherapy and psychological test for a psychosomatic disorder patient in department of psychosomatic medicine.
Lectures of a psychological test and autogenic training and psychotherapy for medical department students.
Research on application of psychotherapy and development of psychological tests for psychosomatic patients and insomnia with physical illness.
Research
Research Interests
  • Development of structured interview to evaluate alexithymia in psychosomatic disorder
    keyword : alexithymia, structured interview
    2017.06～2012.08.
  • Effect research of an autogenic training to patients with insomnia：Using 24-hour Holter ECG
    keyword : insomnia, autogenic training，24-hour Holter ECG
    2019.04～2022.03.
  • A study about psychological intervention and evaluation for patients of psychosomatic disorders.
    keyword : Psychosomatic disorder, Clinical Psychology, Psychotherapy, Psychological Asessment
    2014.04～2018.03.
Current and Past Project
  • The autogenic training (AT) is a psychotherapy that has been described as a non-drug therapy in "The Treatment and Treatment Guidelines for Sleep Disorders" (Second Edition). Gradually repeat self-intention, create a relaxed state, and promote sleep by releasing mind and body tension. Thus, although it is described that it is effective for insomnia, there are few studies that demonstrated its mechanism of effect expression from the physiological aspect. It is known that autonomic nervous function differs between daytime and nighttime, and it differs greatly in the first half and the second half while sleeping.
    In this study, we aim to clarify how AT changes nighttime autonomic nervous activity and promotes sleep using 24-hour Holter ECG.
Academic Activities
Reports
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Papers
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1. Mitsunao Tomioka, Masako Hosoi, Tomona Okuzawa, Kozo Anno, Rie Iwaki, Hiroshi Kawata, Chiharu Kubo, Nobuyuki Sudo, The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain., BioPsychoSocial medicine, 10.1186/s13030-021-00223-0, 15, 1, 22-22, 2021.11, BACKGROUND: Pictorial Representation of Illness and Self Measure (PRISM) is a tool that can be used to visualize and evaluate the burden of suffering caused by an illness. The aim of this study was to identify which aspects of the burden of chronic pain patients are associated with Self/illness separation (SIS), an indicator of the magnitude of suffering. We also examined the effectiveness of PRISM for evaluating changes in the relationships between patients and their medical care and significant others due to our inpatient treatment. METHODS: Seventy-two patients with chronic pain who were outpatients or admitted to the Department of Psychosomatic Medicine completed PRISM, depression and anxiety scales, and three types of pain-related self-assessment questionnaires (Brief Pain Inventory, Short-form McGill Pain Questionnaire, and Pain Catastrophizing Scale). Outpatients were queried at the time of outpatient visits and inpatients at the time of admission. In addition to PRISM disks related to illness, we asked each patient to place disks related to things important to them and their medical care. Of the inpatients, 31 did PRISM at the time of discharge. Among the reported important factors, which significant other was placed at the time of admission and discharge was evaluated. The distances of self/medical care separation (SMcS) and self/significant others separation (SSoS) were measured. RESULTS: Of the 21 scales measured, 10 showed a significant correlation with SIS. Factor analysis of these 10 scales extracted three factors, Life interferences, Negative affects, and Pain intensity. The SMcS and SSoS distances were shorter at discharge than at admission. CONCLUSIONS: PRISM for patients with chronic pain is an integrated evaluation method that reflects three aspects of pain. By adding medical care and significant others to the usual method of placing only illness on the sheet it became possible to assess changes in the quality of interpersonal relationships..
2. 慢性疼痛患者の心身医学的治療における自律訓練法の効果
慢性疼痛患者の心身医学的治療における自律訓練法の効果について検討した。心療内科に入院した慢性疼痛患者にリラクセーション目的でATを導入したところ、心身の緊張緩和の改善に加え、心理的葛藤の言語化が促進された2症例(症例1:50歳代後半女、症例2:50歳代前半女)の経過を報告し、治療の奏功過程と機序について考察した。2症例とも、ATによって痛み以外の身体感覚やリラックス感への気づきが得られ、身体・心理的な感覚を客観的に観察することで『痛みへのとらわれ』から『痛みとの共存』へと、痛みの認知が変化した。また、AT導入以前には語られなかった内面的苦悩の気づきが促進されるなかで強い抑圧感情が解放され、言語化されたことで、痛みの「感情成分」が分化し、痛み感情に対する対処が可能になったと考えられた。.
3. Mitsunao Tomioka, Midori Shimura, Mikio Hidaka, Chiharu Kubo, The reliability and validity of a Japanese version of symptom checklist 90 revised, BioPsychoSocial Medicine, 10.1186/1751-0759-2-19, 2, 19, 2008.10, Objective: To examine the validity and reliability of a Japanese version of the Symptom Checklist 90 Revised (SCL-90-R (J)). Methods: The English SCL-90-R was translated to Japanese and the Japanese version confirmed by back-translation. To determine the factor validity and internal consistency of the nine primary subscales, 460 people from the community completed SCL-90-R(J). Test-retest reliability was examined for 104 outpatients and 124 healthy undergraduate students. The convergent-discriminant validity was determined for 80 inpatients who replied to both SCL-90-R(J) and the Minnesota Multiphasic Personality Inventory (MMPI). Results: The correlation coefficients between the nine primary subscales and items were .26 to .78. Cronbach's alpha coefficients were from .76 (Phobic Anxiety) to .86 (Interpersonal Sensitivity). Pearson's correlation coefficients between test-retest scores were from .81 (Psychoticism) to .90 (Somatization) for the outpatients and were from .64 (Phobic Anxiety) to .78 (Paranoid Ideation) for the students. Each of the nine primary subscales correlated well with their corresponding constructs in the MMPI. Conclusion: We confirmed the validity and reliability of SCL-90-R(J) for the measurement of individual distress. The nine primary subscales were consistent with the items of the original English version. © 2008 Tomioka et al
licensee BioMed Central Ltd..
4. M. Tomioka, C. Kubo, Group autogenic training in psychosomatic medicine: A pretreatment interview reduces the dropout rate, International congress series, 2006.01.
5. 速やかな自律状態への導入 心療内科での臨床経験から
自律訓練(AT)過程の中で患者が身体症状を訴えた場合の効果的対応法を検討するため,患者の身体反応への不安感や訓練方法の誤りを軌道修正する方法を検討した.心療内科では,元々の身体疾患もあり訓練中に不快な身体症状が生起する可能性が高くなるため,安心してATに取り組むことが困難になる.本稿で提示した対応法は,そうした困難に直面した患者が,安心してATに取り組むために著者らが日常臨床で用いている方法である.不快な身体反応がありつつも,それが「受け入れ可能」なものであれば,訓練を継続することでリラックス反応が生じ,そこで生じたリラックス反応は,不快な身体反応の拮抗反応となりうる.つまり,訓練を継続することで,ATという治療法自体が患者に内在する問題を正常化することもあり得る.なお,「受け入れ可能」かどうかは,医学的検査をはじめとした,症例個々の病態に応じた検討が必要である.
6. 自律訓練法におけるEMG振幅の意味 音声フィードバック後の患者報告からの検討.
Presentations
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1. 富岡 光直, 須藤 信行, Image-exposure during autogenic training alleviates physical symptoms in patients with anxiety disorder., The 17th Asian Congress on Psychosomatic Medicine, 2016.08, Objective: Patients with anxiety disorder often show not only emotional symptoms but also physical symptoms following exposure to external stimuli. In vivo exposure to such external stimuli has been established as a useful treatment option; however, whether image-exposure exerts positive effects on anxiety-induced physical symptoms is inconclusive.
Methods: We treated two patients with anxiety disorder using image-exposure therapy. After the introduction of autogenic training (AT), patients were asked to imagine anxiety-evoking scenes and retain the scenes in their mind for 1 min; they then performed a 30 second AT. They did the image-exposure three times per visit.
Results: At the first trial, the patients complained about anxiety-related physical symptoms such as chest oppression, congested feeling, thirst, and palpitations. Their physical symptoms and anxiety levels in daily life decreased after repeated image-exposure trials.
Conclusion: Image exposure during AT was effective for reducing anxiety-related physical symptoms in patients with anxiety disorder..
Membership in Academic Society
  • Japanese Society of Autogenic Therapy
  • Japanese Society of Psychosomatic Internal Medicine
Educational
Educational Activities
Guidance of autogenic training and intake interview in psychosomatic medicine training of medical department fifth grader.
The psychosomatic medicine lecture to a medical department fourth grader (autogenic training and cognitive behavior therapy) .
Other Educational Activities
  • 2021.12.
  • 2020.12.
  • 2019.11.
  • 2018.12.


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