Departmental Bulletin Paper 学齢期における心因性嚥下障害の実態と学校現場での対応
ガクレイキ ニ オケル シンインセイ エンゲ ショウガイ ノ ジッタイ ト ガッコウ ゲンバ デ ノ タイオウ
Psychogenic dysphagia in school-age children and its management in the classroom : A systematic review

米田, 匡輝  ,  坂本, 将基  ,  小澤, 雄二  ,  井福, 裕俊  ,  齋藤, 和也  ,  ヨネダ, マサキ  ,  サカモト, マサノリ  ,  オザワ, ユウジ  ,  イフク, ヒロトシ  ,  サイトウ, カズヤ  ,  Yoneda, Masaki  ,  Sakamoto, Masanori  ,  Ozawa, Yuji  ,  Ifuku, Hirotoshi  ,  Saitoh, Kazuya

66pp.279 - 284 , 2017-12-19 , 熊本大学
Psychogenic dysphagia is a rare swallowing condition in which no organic or structural dysfunction is detected by thorough investigation. Chief complaints cover from lump sensation to severe swallowing difficulties. Fear of swallowing, fear of choking, and difficulty in initiating deglutition of specific food, such as pills, are common symptoms. Psychogenic dysphagia is believed to be a multifactorial disorder. Interaction among genetic, biological, psychological, and sociocultural factors could lead to swallowing difficulties. Given that school-age children have profound psychosocial changes, children in elementary and junior high school are likely to suffer from psychogenic dysphagia. However, little is known about the incidence rate, features of symptoms, and outcome of this disease of each generation. Moreover, most school teachers lack guidelines and training opportunities in terms of how they cope with psychogenic dysphagia in the classroom. The aim of this study is to summarize published literature regarding psychogenic dysphagia in Japan and seek the clinical features of this disease in school-age children. This information would be helpful for school teachers in handling children with swallowing difficulties presumably due to psychosocial factors.

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