title: Pharmacological and psychosomatic treatments for an elderly patient with severe nausea and vomiting in reaction to postoperative stress.
abstract: Here we present a case of successful treatment employing a mixed approach including pharmacological and psychosomatic treatments for a 72-year-old woman who experienced severe nausea and vomiting in reaction to postoperative stress from gastric cancer surgery. This case demonstrates that appropriate provision of psychosomatic treatments, including a psychotherapeutic session and autogenic training, enhances the efficacy of pharmacotherapy.
authors.affiliation: Translational Medical Center, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi cho, Kodaira shi, Tokyo, 187-8551, Japan. otera@med.tohoku.ac.jp.
authors.forename: Masako
authors.initials: M
authors.lastname: Otera
authors.affiliation: Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan.
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Machida
authors.affiliation: Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Machida
authors.affiliation: Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan.
authors.forename: Mai
authors.initials: M
authors.lastname: Abe
authors.affiliation: Department of Music and Acoustical Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Ichie
authors.affiliation: Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan.|Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Fukudo
mesh_terms: D000368:Aged; D000657:Amoxapine / Q000627:therapeutic use; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D000928:Antidepressive Agents / Q000627:therapeutic use*; D000932:Antiemetics / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use; D001960:Bromazepam / Q000627:therapeutic use; D002997:Clomipramine / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008803:Mianserin / Q000031:analogs & derivatives / Q000627:therapeutic use; D000078785:Mirtazapine; D009325:Nausea / Q000209:etiology / Q000628:therapy*; D000077152:Olanzapine; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000523:psychology*; D011613:Psychotherapy; D013274:Stomach Neoplasms / Q000601:surgery; D013315:Stress, Psychological / Q000150:complications*; D014839:Vomiting / Q000209:etiology / Q000628:therapy*
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D000932:Antiemetics; D001569:Benzodiazepines; D008803:Mianserin; D000078785:Mirtazapine; D000077152:Olanzapine; D002997:Clomipramine; D000657:Amoxapine; D001960:Bromazepam
keywords: Elderly; Gastric cancer; Nausea and vomiting; Postoperative stress; Psychosomatic treatments; Psychotherapy