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林 佑太大学院保健学研究科 保健学専攻助教
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■ 受賞- 2024年08月 Japan Society of Nursing Research, Outstanding Reviewer Awards for 2024
- 2023年06月 Japan Society of Nursing Research, Outstanding Reviewer Awards for 2023
- Introduction Sense of coherence is a key concept in psychological science that contributes to mental health by helping people cope with various stressors in their daily lives. A literature review demonstrated the unavailability of a tool for measuring sense of coherence in Bangladesh. This study aimed to translate the 13-item Sense of Coherence scale (SOC-13) into the Bangla language and to examine its validity, dimensionality, and reliability. Method After translating the SOC-13, a cross-sectional online survey was conducted with 510 undergraduate students at a university in Bangladesh from July to October 2021. Construct validity was assessed through confirmatory factor analysis to analyze the structural validity of the Bangla SOC-13 scale, and by examining correlations with related constructs (self-esteem, well-being, and psychological distress). The alpha coefficient was calculated to examine internal consistency. Data were analyzed using SPSS version 22 and R statistical software. Results A total of 320 respondents provided valid responses (response rate: 62.7%). The structural validity of the SOC-13, as examined through confirmatory factor analysis, was consistent across studies (a three-factor structure with an acceptable fit), and convergent validity was evidenced through a statistically significant positive relationships between sense of coherence and both self-esteem and well-being, as well as criterion validity was supported by a significant negative relationship with psychological distress. The internal consistency of the total scores by the coefficient alpha was good (α = 0.74), whereas the alphas of each subscale showed mediocre to fair reliability. Conclusion The Bangla version of the SOC-13 showed good construct validity, acceptable criterion validity, and good reliability based on overall internal consistency. Thus, it can be used to assess sense of coherence in young adults, although there is scope for further examination.Public Library of Science (PLoS), 2025年04月, PLOS ONE, 20(4) (4), e0320896 - e0320896
- 2024年11月, Journal of Family Nursing
- Abstract Background Cognitive therapy for social anxiety disorder (CT-SAD) has extensive empirical support and is recommended in several national guidelines. However, ensuring access to evidence-based psychological therapies such as CT-SAD remains a global challenge. An internet-delivered version of this treatment protocol (iCT-SAD) has recently been developed in the UK as a way to overcome this challenge, demonstrating comparable outcomes to face-to-face CT-SAD whilst requiring less therapist time per client. Initial findings also suggest its cross-cultural transferability, but the previous studies in other cultural settings used the English language programme and only included English-fluent participants as a second language. It is not yet known what outcomes can be achieved once the programme has been translated and adapted for a different cultural context. Therefore, this trial aims to evaluate the clinical efficacy of Japanese iCT-SAD when combined with treatment as usual (TAU) in clients with SAD. Methods This two-arm, parallel-group, superiority randomised controlled trial will recruit 60 Japanese participants with SAD, randomly assigning them to either Japanese iCT-SAD + TAU or TAU alone at a ratio of 1:1. The primary outcome measure is the self-report Liebowitz Social Anxiety Scale, and secondary.outcomes include other measures of social anxiety symptoms and processes, general mood and functioning, and response to treatment. We will also assess treatment acceptability and gather participant feedback. Assessments will take place at baseline (week 0), mid-treatment (week 8), and post-treatment (week 15), with a further 3-month follow-up (week 27) for the iCT-SAD + TAU arm. The primary analyses will be conducted on an intent-to-treat basis, comparing the primary and secondary outcome measures between groups using linear mixed-effect models, along with additional mediation analysis. Discussion Investigating the efficacy of translated and culturally adapted iCT-SAD in different cultural contexts is an important step in evaluating the global reach of internet interventions. This trial will provide valuable insights into the effects of iCT-SAD combined with usual care, and how this treatment could be delivered in routine clinical settings in Japan. Trial registration International Standard Randomized Controlled Trials (ISRCTN), ISRCTN82859645, registered on January 19, 2024. UMIN Clinical Trials Registry (UMIN-CTR), UMIN000052702, registered on November 6, 2023.Springer Science and Business Media LLC, 2024年07月, Trials, 25(1) (1)
- The importance of nurses integrating effective psychological techniques into their clinical practice is widely recognized. Nevertheless, further evidence from real-world settings is needed to establish nurse-led cognitive behavioural therapy (CBT) as an effective approach in clinical practice. This study aimed to examine the clinical effectiveness and predictors of individual CBT for mental disorders delivered by nurses in various routine clinical settings. This pragmatic retrospective cohort study collected data from participants who received nurse-led individual CBT at four institutions from different prefectures in Japan between April 2015 and March 2023. During the study period, 280 clients were referred to nurses for CBT, 240 of whom received nurse-led individual CBT of at least one session. The common primary diagnoses among participants were major depressive disorder (33.8%), social phobia (12.9%), and obsessive–compulsive disorder (10.0%). Of these, 23 participants were ongoing cases at the end of the observation period, and 217 who had completed the course of therapy or discontinued/dropped out from the therapy were included in the analysis (173 completed and 44 discontinued/dropped out (i.e., dropout rate = 20.3%)). Based on the clinical significance definition (primary outcome), 62.4% of the participants who completed the therapy were judged to demonstrate positive clinical significance (recovered or improved), with only a few participants (6.9%) demonstrating deterioration. Significant improvements were observed before and after nurse-led individual CBT across all secondary outcomes, including depression and anxiety symptoms, health-related quality of life, and functional disability (all ps ≤ 0.001). Univariate logistic regression revealed that clients with higher baseline severity of depression and anxiety symptoms were less likely to achieve positive clinical significance following nurse-led individual CBT. The real-world evidence gained through this study will encourage frontline nurses and motivate institutional/organizational leaders and policymakers to employ nurse-led individual CBT, especially for depression and anxiety-related disorders.MDPI AG, 2024年07月, Behavioral Sciences, 14(7) (7), 604 - 604
- 2024年06月, 精神障害とリハビリテーション, 28(1) (1), 69 - 76障害福祉サービスを利用する統合失調症を有する人の身体科治療に関する経験と認識:当事者へのインタビュー分析から
- Longwoods Publishing, 2024年04月, Canadian Journal of Nursing Leadership, 36(4) (4), 52 - 56
- 2023年07月, 看護科学研究, 21, 58 - 67
- Japan Society of Nursing Research, 2023年06月, Journal of International Nursing Research, 2(2) (2), e2022-0023
- Background Internet-delivered cognitive therapy for social anxiety disorder (iCT-SAD), which is a therapist-guided modular web-based treatment, has shown strong efficacy and acceptability in English-language randomized controlled trials in the United Kingdom and Hong Kong. However, it is not yet known whether iCT-SAD can retain its efficacy following linguistic translation and cultural adaptation of treatment contents and implementation in other countries such as Japan. Objective This study aimed to examine the preliminary efficacy and acceptability of the translated and culturally adapted iCT-SAD in Japanese clinical settings. Methods This multicenter, single-arm trial recruited 15 participants with social anxiety disorder. At the time of recruitment, participants were receiving usual psychiatric care but had not shown improvement in their social anxiety and required additional treatment. iCT-SAD was provided in combination with usual psychiatric care for 14 weeks (treatment phase) and for a subsequent 3-month follow-up phase that included up to 3 booster sessions. The primary outcome measure was the self-report version of the Liebowitz Social Anxiety Scale. The secondary outcome measures examined social anxiety–related psychological processes, taijin kyofusho (the fear of offending others), depression, generalized anxiety, and general functioning. The assessment points for the outcome measures were baseline (week 0), midtreatment (week 8), posttreatment (week 15; primary assessment point), and follow-up (week 26). Acceptability was measured using the dropout rate from the treatment, the level of engagement with the program (the rate of module completion), and participants’ feedback about their experience with the iCT-SAD. Results Evaluation of the outcome measures data showed that iCT-SAD led to significant improvements in social anxiety symptoms during the treatment phase (P<.001; Cohen d=3.66), and these improvements were maintained during the follow-up phase. Similar results were observed for the secondary outcome measures. At the end of the treatment phase, 80% (12/15) of participants demonstrated reliable improvement, and 60% (9/15) of participants demonstrated remission from social anxiety. Moreover, 7% (1/15) of participants dropped out during treatment, and 7% (1/15) of participants declined to undergo the follow-up phase after completing the treatment. No serious adverse events occurred. On average, participants completed 94% of the modules released to them. Participant feedback was positive and highlighted areas of strength in treatment, and it included further suggestions to improve suitability for Japanese settings. Conclusions Translated and culturally adapted iCT-SAD demonstrated promising initial efficacy and acceptability for Japanese clients with social anxiety disorder. A randomized controlled trial is required to examine this more robustly.JMIR Publications Inc., 2023年05月, JMIR Formative Research, 7, e45136 - e45136
- While previous studies have examined antecedents and outcomes of work engagement among general nurses, studies among psychiatric nurses remain limited. This study aimed to explore the antecedents (i.e., job crafting and nursing practice environment) and outcomes (i.e., strength-oriented care attitudes, mental health, and turnover intention) of work engagement among psychiatric nurses in Japan. This cross-sectional study included 309 nurses from three psychiatric hospitals in Japan (valid response rate: 60.4%). Data collection using the self-administered questionnaire took place from July to August 2021. We performed Structural Equation Modeling to examine the directional relationships among variables. Job crafting (β = 0.57, p < 0.01) and nursing practice environment (β = 0.23, p = 0.01) exhibited positive effects on work engagement. Work engagement had positive effects on strength-oriented care attitudes (β = 0.15, p = 0.04) and mental health (β = 0.37, p < 0.01) as well as negative effects on intention to resign from their profession as a nurse (β = -0.17, p = 0.01). Job crafting and a healthier nursing practice environment could help enhance work engagement. Higher work engagement could contribute to improving strength-oriented care attitudes, mental health, and intention to resign from their profession as a nurse.2023年01月, Healthcare (Basel, Switzerland), 11(3) (3)
- Elsevier BV, 2022年10月, Archives of Psychiatric Nursing, 40, 43 - 49
- Elsevier BV, 2021年12月, Journal of Behavioral and Cognitive Therapy, 31(4) (4), 363 - 368
- Wiley, 2021年09月, Psychiatry and Clinical Neurosciences, 75(10) (10), 322 - 323
- Wiley, 2021年04月, Japan Journal of Nursing Science, 18(2) (2), e12389
- Introduction: Although deficits in neuropsychological functioning have been reported in social anxiety disorder (SAD), studies focusing on neuropsychological dysfunction in SAD are limited, and the evidence is still lacking. The purpose of this study was to examine the deficits in neuropsychological functioning in patients with SAD by comparing SAD patients and a healthy control (HC) group. Materials and Methods: A total of 72 participants (20 in the SAD group and 52 in the HC group) were assessed with neuropsychological tests, consisting of the Rey Complex Figure Test (RCFT) to measure central coherence and the Trail Making Test A and B (TMT-A; TMT-B) to measure visual scanning and executive functioning. Results: Analysis of covariance with depressive symptoms as a covariate revealed that central coherence (RCFT) and visual scanning (TMT-A) were significantly lower in the SAD group than in the HC group. No difference was found in executive functioning (TMT-B) when the effect of visual scanning was considered. Discussion: Our findings suggest that SAD patients have weak central coherence and deficits in visual scanning compared to healthy controls. The clinical implications of these neuropsychological functioning deficits in SAD patients are discussed.Informa UK Limited, 2020年11月, Neuropsychiatric Disease and Treatment, Volume 16, 2849 - 2855
- Springer Science and Business Media LLC, 2020年09月, BMC Psychiatry, 20(1) (1)
- OBJECTIVES: To clarify the dissemination status of cognitive behavioural therapy (CBT) in Japan under the national health insurance scheme. DESIGN: Retrospective observational study. SETTING: National Database of Health Insurance Claims and Specific Health Checkups of Japan. PARTICIPANTS: Patients who received CBT under the national health insurance scheme from fiscal years (FY) 2010 to 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We estimated the change rate and the standardised claim ratio (SCR) for the number of patients receiving CBT and analysed the association between the CBT status and several regional factors. RESULTS: We found that (a) a total of 60 304 patients received CBT during the study period; (b) the number of patients receiving CBT was highest in the first year (-1.8% from FY2010 to FY2015); (c) the number of patients who received CBT per 100 000 population decreased (or remained at zero) in most prefectures (32 out of 47); (d) there was a maximum 424.7-fold difference between prefectures in the standardised claim ratio for CBT and (e) the number of registered CBT institutions was significantly associated with the number of patients who received CBT. CONCLUSIONS: The provision of CBT did not increase in the first 6 years (FY2010-2015) after its coverage in Japan's national health insurance scheme. Further studies including a questionnaire survey of registered CBT institutions are required to get more detailed information on the dissemination of CBT in Japan.2020年05月, BMJ open, 10(5) (5), e033365
- 2018年07月, Asian Pacific Journal of Health Economics and Policy, 1, 2 - 10Dissemination of cognitive behavior therapy for mood disorder under Japan’s national health insurance scheme: A descriptive study using the National Claims Database with special focus on the southwest region.
- Psychiatric nurses have played a significant role in disseminating cognitive behavioral therapy (CBT) in Western countries; however, in Japan, the application, practice, efficiency, and quality control of CBT in the psychiatric nursing field are unclear. This study conducted a literature review to assess the current status of CBT practice and research in psychiatric nursing in Japan. Three English databases (MEDLINE, CINAHL, and PsycINFO) and two Japanese databases (Ichushi-Web and CiNii) were searched with predetermined keywords. Fifty-five articles met eligibility criteria: 46 case studies and 9 comparative studies. It was found that CBT took place primarily in inpatient settings and targeted schizophrenia and mood disorders. Although there were only a few comparative studies, each concluded that CBT was effective. However, CBT recipients and outcome measures were diverse, and nurses were not the only CBT practitioners in most reports. Only a few articles included the description of CBT training and supervision. This literature review clarified the current status of CBT in psychiatric nursing in Japan and identified important implications for future practice and research: performing CBT in a variety of settings and for a wide range of psychiatric disorders, conducting randomized controlled trials, and establishing pre- and postqualification training system.2015年12月, Nursing Research and Practice, 2015, 529107 - 529107
- 2015年05月, 不安症研究, 6(2) (2), 100 - 112
- 2014年04月, Journal of Depression and Anxiety, 3(2) (2), e1000153
- 2023年11月, 精神看護, 26(6) (6), 525 - 528調査研究から見えてきた精神科病院と身体科病院の連携における課題とその背景
- 2018年, 精神医療(福岡), (63) (63)National Databaseを用いた認知行動療法の普及状況調査~九州地方に着目して~
- 2018年, 日本脳科学会プログラム・講演抄録集, 45th社交不安症における認知行動療法の治療反応性への予測:中枢性統合の観点から
- 経済状態, 中央法規出版, 2021年12月, ISBN: 4805884304看護判断のための気づきとアセスメント 精神看護(編集者:吉川隆博、木戸芳史)
- 第1章 ストレングスにもとづくケアに求められる看護師の質, 看護の科学社, 2020年07月, ISBN: 9784878041181ストレングスにもとづく看護ケア 第2巻 テクニック編(監訳:白石裕子)
- 第16回日本不安症学会学術大会・第24回日本認知療法・認知行動療法学会合同開催, 2024年07月, 九州大学医学部百年講堂(福岡)ケーススタディ:社交不安症に伴う抑うつ状態にて休職に至った30代女性がサポートつきインターネット認知療法に取り組んだ一例
- 第16回日本不安症学会学術大会・第24回日本認知療法・認知行動療法学会合同開催, 2024年07月, 九州大学医学部百年講堂(福岡)看護師による認知行動療法が臨床現場に浸透することを目指して(シンポジウム14:中堅医師、看護師、心理師による認知行動療法の実践および後進の教育に関する取り組み)
- 第16回日本不安症学会学術大会・第24回日本認知療法・認知行動療法学会合同開催, 2024年07月, 九州大学医学部百年講堂(福岡)看護学生への認知行動療法に関する教育の理想と現実のはざまで(シンポジウム13:看護基礎教育における認知行動療法理論を活用した看護実践者の育成と課題)
- 日本精神保健看護学会第34回学術集会・総会, 2024年06月総合病院に転院した身体合併症をもつ精神疾患患者へのケアにおける、身体科看護師の経験とニーズ:インタビュー調査
- 27th East Asian Forum of Nursing Scholars, 2024年03月Important factors for inpatients to feel personal agency in acute psychiatric care settings: a qualitative study
- 27th East Asian Forum of Nursing Scholars, 2024年03月Factors Associated with Quality of Life in Young Carer Students at College: Comparison with Other College Students
- 27th East Asian Forum of Nursing Scholars, 2024年03月Benefit Finding and Growth Among Family Caregivers of Individuals with Mental Illness: A Scoping Review.
- 27th East Asian Forum of Nursing Scholars, 2024年03月Experiences from Childhood and Benefit Finding in Adult Children with Mentally Ill Parents.
- 日本精神保健看護学会第33回学術集会・総会, 2023年05月, 神戸身体合併症をもつ精神科入院患者が、身体科病院で円滑に治療を受けるためにどのように連携できるか:精神科・身体科の看護師、精神科医の経験をもとに(ワークショップ16)
- 第17回日本統合失調症学会, 2023年03月精神科入院中の人が身体科病院へ受診・転院する際に、精神科看護師が受診先医療機関スタッフとの関わりの中で経験する困難:内容分析による検討
- 日本精神障害者リハビリテーション学会第29回群馬大会, 2022年12月身体合併症をもつ精神科入院患者が身体科病院を受診する際、精神科看護師が経験している困難:精神科看護師を対象とした実態調査
- 第42回日本看護科学学会学術集会, 2022年12月障害福祉サービスを利用する統合失調症を有する人の身体科治療に関する経験と認識:当事者へのインタビュー
- 22nd WPA World Congress of Psychiatry, 2022年08月Reliability and validity of the Bangla version of the Sense of Coherence Scale among university students in Bangladesh.
- 22nd WPA World Congress of Psychiatry, 2022年08月Relation between sense of coherence and psychosocial factors during the COVID-19 pandemic: a comparison between university students in Japan and Bangladesh.
- the 25th East Asian Forum of Nursing Scholars, 2022年04月Antecedents and Outcomes of Work engagement among Psychiatric nurses in Japan.
- 第41回日本看護科学学会学術集会, 2021年12月日常臨床でのアウトカムから見た看護師による認知行動療法の効果
- 日本精神保健看護学会第31回学術集会・総会, 2021年06月Strength-based nursing careへの誘い(ワークショップ2)
- 第20回日本認知療法・認知行動療法学会, 2020年11月地⽅の看護師が認知⾏動療法の 学習・実践・研究に⾄るまで(大会企画シンポジウム7:地域での若手医療従事者による認知行動療法の取り組み)
- 9th World Congress of Behavioural & Cognitive Therapies, 2019年07月, The CityCube Berlin, Berlin, GermanyMetacognitive training (MCT) in a Routine Open Group Setting in Japan: A Preliminary, Multi-Center, Single-Group Study
- 9th World Congress of Behavioural & Cognitive Therapies, 2019年07月, The CityCube Berlin, Berlin, GermanyCorrelations Between the Clinical Profiles and the Profile of the Wechsler Adult Intelligence Scale-III in Obsessive Compulsive Disorder
- 9th World Congress of Behavioural & Cognitive Therapies, 2019年07月, PO_Hayashi1669, The CityCube Berlin, Berlin, GermanyDissemination of Cognitive Behavioral Therapy for Mood Disorder Under the National Health Insurance Scheme in Japan (FY2010–2015): A Descriptive Study Using a Nationwide Claims Database
- 第18回日本認知療法・認知行動療法学会, 2018年11月, O-1-1, 岡山コンベンションセンター, 岡山気分障害に対する診療報酬下での認知行動療法の普及状況: National Databaseを用いた調査(2010 ~ 2015 年度)
- 第45回日本脳科学会, 2018年11月, 千葉大学亥鼻キャンパス, 千葉社交不安症における認知行動療法の治療反応性への予測:中枢性統合の観点から
- 第63回九州精神医療学会, 2018年01月, F4-10, JA AZMホール, 宮崎National Databaseを用いた認知行動療法の普及状況調査〜九州地方に着目して〜
- 31st International Congress of Psychology, 2016年07月, PS28P-03-233, PACIFICO Yokohama, Kanagawa, JapanConsideration of Difficulty for Creating Mental Rotation Training Program
- 6th Health Research & Practice from Asia, 2016年07月, PACIFICO Yokohama, Kanagawa, JapanMental Rotation Training Contribute to the Stability of Mental Health: Review for Creating Mental Rotation Training Program
- 第7回日本不安症学会学術大会, 2015年02月, P-3-1, アステールプラザ, 広島日本の精神看護領域における認知行動療法の実践・研究の動向:系統的文献レビュー
- 16th Pacific Rim College of Psychiatrists (PRCP) Scientific Meeting, 2014年10月, Poster (P14), The Fairmont Hotel Vancouver, CanadaA systematic review of cognitive behavioral therapy in nursing field in Japan
- 4th Asian Cognitive Behavior Therapy Conference, 2013年08月, Poster (A-P-154), Teikyo Heisei University, Tokyo, JapanNursing intervention for inpatient obsessive-compulsive disorder receiving cognitive behavioral treatment: Development of nursing guideline
- 日本看護技術学会第9回学術集会, 2010年10月, ウインクあいち, 名古屋臥床体位が生体に及ぼす影響について
- 日本統合失調症学会2023年 - 現在
- 日本精神障害者リハビリテーション学会2023年 - 現在
- 日本看護科学学会2020年 - 現在
- 日本精神保健看護学会2020年 - 現在
- 日本認知療法・認知行動療法学会2018年 - 現在
- 九州認知行動療法看護研究会2017年 - 現在
- 一般社団法人 看護のための認知行動療法研究会2016年 - 現在
- 日本学術振興会, 科学研究費助成事業, 基盤研究(A), 宮崎大学, 2025年04月 - 2030年03月社交不安症への認知療法の社会実装を加速する革新的ステップアプローチの基盤創成
- 日本学術振興会, 科学研究費助成事業, 若手研究, 神戸大学, 2024年04月 - 2027年03月精神科看護業務プロセスの可視化:人員の適正配置検討に向けた課題と改善点の抽出
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2023年04月 - 2027年03月精神疾患の親のこどもの生き方を支える当事者・専門職連携による支援プログラムの創造
- 日本学術振興会, 科学研究費助成事業, 基盤研究(B), 京都大学, 2023年04月 - 2027年03月精神疾患患者の家族のbenefit findingの促進:国際共同研究によるプログラム開発とRCT
- 日本学術振興会, 科学研究費助成事業 基盤研究(B), 基盤研究(B), 福岡国際医療福祉大学, 2021年04月 - 2025年03月精神科訪問看護師を対象としたストレングス活用尺度とプログラムの開発本年度は研究初年度のため、共同研究者との連絡体制及び、研究体制の構築を行った。共同研究者は、福岡、宮崎、神戸と遠隔であるため、メール会議やZOOM会議などで研究の進捗を確認しながら実行した。令和3~4年度の研究計画として「研究1:ストレングスリテラシー尺度の開発(令和3年~4年)」とした。 (1)精神科訪問看護師へのインタビューの実施 ①経験年数等を考慮し、20名ほどを4グループに分け、半構造化したフォーカスグループインタビューを実施する。質問は、「精神科看護師がストレングスを見出す視点にはどのようなものがあるのか」について行い、その内容を録音する。②逐語化したデータについて質的分析を行い、対象者に対するストレングスを見出す視点から項目を抽出する。 (2)尺度項目の作成 ①国内外の既存文献及びインタビューから得られた項目から質問項目を抽出し、質問紙を作成する。項目分析としてI-T相関、確認的因子分析を行う。作成した項目についてACT等の専門家からデルファイ法にて意見を集約し質問紙の精度を高める。②30~50名の精神科訪問看護師を対象にプレテストを行なう。③SPSS統計ソフトを用いて質問紙の信頼性、妥当性を検証する。 2022年度は、(1)の実施のための準備段階としての文献レビューが必要であったため、国内外の論文を収集し、共同研究者が本研究のテーマである「ストレングス」の定義、及び近接概念である「レジリエンス」「セルフエフィカシー」等の概念との比較等を行い、尺度項目作成のための初回項目プールの抽出作業を実践中である。
- 日本学術振興会, 科学研究費助成事業 研究活動スタート支援, 研究活動スタート支援, 神戸大学, 2020年09月 - 2025年03月看護実践に認知行動療法を導入する過程の明確化:実践的な普及方策の提言に向けて認知行動療法は、様々な精神疾患に高い効果が示されている精神療法の一つである。本邦では、その普及に貢献できる職種の一つに看護師が挙げられているが、実施率は低い。そこで本研究では、認知行動療法の学習や実践に取り組んでいる看護師を対象にインタビュー調査を行い、看護実践での認知行動療法の実施を阻害する具体的要因とその対処方法を明らかにすることを目的とした。本研究により、看護師が認知行動療法を日常臨床に導入するための効果的な方策を検討できると考える。 2021年度は、研究者の所属する倫理審査委員会の承認を得て、外来や病棟で認知行動療法を実施している看護師にオンライン会議システムを用いてインタビューを行い、作成した逐語録をもとに分析を行った。しかし、新型コロナウイルス感染症の感染拡大に伴い、研究内容の再検討や研究対象者とのインタビュー調査の日程調整に時間を要したため、研究対象者の確保やデータ収集が十分に行えていない状況である。そのため、2022年度は、認知行動療法関連団体の看護師を中心に対象者のリクルートや日程調整を引き続き行い、インタビュー調査および調査内容の分析を進めていく予定である。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2019年04月 - 2025年03月精神疾患を有する人の家族における、ベネフィット・ファインディングの関連要因の解明ベネフィット・ファインディングとは、慢性疾患などの逆境の経験を経て、得られたものや学んだものがあったと感じることを指す主観的な概念であり、困難な状況をポジティブに捉えようとするコーピングの一つとして解釈されている。ベネフィット・ファインディングは、ポジティブ心理学に含まれる概念の一つであり、精神疾患を有する人においてはパーソナル・リカバリーと密接に関連する。本研究課題は、精神疾患を有する人々の家族のベネフィット・ファインディングの関連要因を明らかにすることを目的とする。 コロナ禍の中で、精神疾患を有する人々の家族のセルフヘルプグループに参加している人がどのようなベネフィット・ファインディングを経験しているのかについてヒアリングを行うとともに、精神疾患を有する人々の家族を対象とした、ベネフィット・ファインディングおよびその近接概念に関する研究のレビューから、精神疾患を有する人々の家族のベネフィット・ファインディングの関連要因・アウトカムの整理を試みようとしている。 また、関連するテーマでは、精神疾患をもつ人のリカバリーとセルフケアの関連についてのこれまでの研究の知見を整理し発表した。また、コロナ禍におけるポジティブ心理学についての知見について整理し発表した。さらに、精神疾患を有する人々やその家族へのケアの質の向上に影響を与える要因の一つとして、精神科看護師のワークエンゲイジメントの関連要因について検討し、論文投稿を行った。
- 三菱財団, 社会福祉事業・研究助成金, 兵庫県立大学, 2019年10月 - 2023年03月身体合併症を有する精神障害者に対する急性期医療:ミックスドメソッドによる公平で効果的な医療ケアの検討
- 公益財団法人倶進会, 一般助成(研究), 神戸大学, 2021年04月 - 2022年03月COVID-19の流行以降における大学生の首尾一貫感覚と関連要因 -国際比較による検討-
- 民間財団等: メンタルヘルス岡本記念財団, 研究・活動助成, 2013年04月 - 2014年03月強迫性障害の入院治療における認知行動療法の進捗に則した看護ガイドラインの開発