{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:05:09Z","timestamp":1753869909073,"version":"3.41.2"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Few studies have investigated the association between premorbid personality and the prognosis of neurotic disorders. The aim of this study was to investigate the relationship between the presence of a \u201cnervous personality\u201d described in Morita's <jats:italic>Shinkeishitsu<\/jats:italic> theory and the duration of treatment in patients with neurotic disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 70 patients aged \u226515 years old who first visited the Department of Psychiatry, Toho University Omori Medical Center, between January 2010 and December 2010 and were diagnosed as having neurotic disorders. The subjects' medical records over a 10\u2010year period from 2010 until 2020 were examined retrospectively to determine the influence of the presence of a \u201cnervous personality\u201d in the subjects on the duration of their treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in the basic demographic characteristics or severity of illness at the first visit between groups with and without a \u201cnervous personality.\u201d The mean and median duration of treatment were 25 months and 5 months in the group with a \u201cnervous personality,\u201d and 5 months and 2 months in the group without a \u201cnervous personality,\u201d respectively. Kaplan\u2013Meier analysis revealed a significant difference in the duration of treatment between the two groups. Multiple regression analysis performed using treatment duration as the dependent variable identified only presence of a \u201cnervous personality\u201d among the independent variables as a significant factor influencing the duration of treatment, with the duration of treatment being 20 months longer in the group of subjects with a \u201cnervous personality.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The presence of a \u201cnervous personality,\u201d as described in Morita's <jats:italic>Shinkeishitsu<\/jats:italic> theory, may prolong the required duration of treatment in patients with neurotic disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pcn5.70039","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T13:12:47Z","timestamp":1733404367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of patients with neurotic disorders requiring long\u2010term treatment: Relationship to \u201cnervous personality\u201d as described in Morita's <i>Shinkeishitsu<\/i> theory"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0095-8747","authenticated-orcid":false,"given":"Hiroshi","family":"Matsumoto","sequence":"first","affiliation":[{"name":"Department of Neuropsychiatry Toho University Faculty of Medicine Tokyo Japan"},{"name":"Keichokai Yutenji Matsumoto, Clinic  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5812-1727","authenticated-orcid":false,"given":"Takashi","family":"Uchino","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Implementation Science Toho University Faculty of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2973-7201","authenticated-orcid":false,"given":"Tomoyuki","family":"Funatogawa","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Toho University Faculty of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Toho University Faculty of Medicine Tokyo Japan"},{"name":"Tokyo Metropolitan Matsuzawa Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7318-7377","authenticated-orcid":false,"given":"Takahiro","family":"Nemoto","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Toho University Faculty of Medicine Tokyo Japan"},{"name":"Department of Psychiatry and Implementation Science Toho University Faculty of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"volume-title":"The ICD\u201010 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines","year":"1992","author":"World Health Organization","key":"e_1_2_13_2_1"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.8.903"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291799008375"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0924-9338(00)00211-x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.10.1606"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23103"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.mp.4001852"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5402.160"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.167.4.487"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7048.26"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2003.03.007"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.6.1179"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22013"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717003701"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721000878"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.10.011"},{"issue":"1","key":"e_1_2_13_19_1","first-page":"22","article-title":"Has the significance of the premorbid personality of depression been lost?","volume":"5","author":"Abe T","year":"2017","journal-title":"Depress J"},{"issue":"6","key":"e_1_2_13_20_1","first-page":"705","article-title":"[What kind of person were the person originally? 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