思春期アトピー疾患者に対する集団認知行動療法の治療効果

团体认知行为疗法对青少年特应性皮炎的治疗效果

• 批准号: 15730316
• 负责人: 冨家 直明
• 金额: $ 2.3万
• 依托单位: University of Miyazaki
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15730316/
• 关键词: アトピー; 認知行動療法; 主張性; 思春期アトピー疾患; ストレス過程; 調査研究; 自己評価

〔研究の目的〕アトピー疾患者を対象にアサーショントレーニングを主体とする認知行動療法のプログラムを実施し、対人適応の向上とQOL、皮膚症状の緩和程度の関連を明らかにする。〔研究の方法〕対象・・・県内A大学においてアトピー被験者(男女計20名)を募集し、2つの介入群に振り分けられた。(1)認知行動療法介入群10名:介入プログラムは4セッション(4週間)からなり、病態理解、リラクセーション、ストレスマネジメント、アサーショントレーニングから成る。介入方法は、リラクセーションのみ集団方式とし、他はすべてe-Learningを活用した。(2)対照群10名:対面型個別支持的カウンセリングを8週間に3回実施した。アセスメント・・・次の調査用紙を用いてアセスメントを介入の前後で実施した。(1)心理的ストレス反応測定尺度(Stress Response Scale-18:SRS-18)、(2)3次元モデルにもとづく対処法略尺度(Tri-Axial Coping Scale : TAC-24)、(3)学生用ソーシャル・サポート尺度(The Scale of Expectancy for Social Support : SESS)、(4)日本語版The 20-item Toronto Alexithymia Scale(TAS-20)、(5)DLQI(Dermatology Life Quality Index)、(6)Skindex 29、(7)高校生用主張性尺度(高木2001)、(8)自尊心尺度(SES)解析・・・検査結果は両介入前後・群間で比較され(2between×2withinのAnova)、各治療技法の効果が判断された。〔研究の結果〕心理的ストレス反応(不機嫌・怒り因子)及び主張性(意見の表明因子)については交互作用があり、CBT群は有意に改善した。また、自尊心は両群ともに時期の主効果があり、有意に改善した。DLQI、Skindex29、その他の尺度は変化がない。〔考察〕人間関係に焦点を当てた認知行動療法の結果、アトピーの症状やQOLの改善にまでは至らないが、ストレス反応の緩和や主張性の獲得などの認知行動的変化をもたらすことが確認された。皮膚症状の変化に与える影響はさらに時間をかけて観察する必要がある。

(purpose of the study) to detect the symptoms of patients with chronic diseases, the main body of the body is aware of the action method, the method of treatment, the level of QOL, the severity of skin symptoms and the degree of symptoms. (research methods) for example, the students of University A (20 men and women) were recruited, and the intervention group was divided into two groups. (1) 10 people were involved in the intervention group: they were involved in the intervention group (within 4 years), the understanding of the state of illness, the understanding of the state of illness, the behavior of the patients, and the patients. The method of intervention, the method of intervention, the method of intervention and the method of intervention. (2) there are 10 people in the photo group: those who are supported by the face type are given three rounds of treatment between 8 and 3 times. Please do something before and after the intervention. (1) Psychological scale (Stress Response Scale-18:SRS-18), (2) 3-dimensional scale (Tri-Axial Coping Scale: TAC-24), (3) scale for students (The Scale of Expectancy for Social Support: SESS), (4) Japanese version of The 20-item Toronto Alexithymia Scale (TAS-20), (5) DLQI (Dermatology Life Quality Index), (6) Skindex 29, (7) High school students used subjective scale (Takagi 2001) and (8) self-esteem scale (SES) to analyze the results. The results were compared between groups before and after intervention (2between × 2within scale Anova), and the results of each treatment technique were evaluated. (the results of the study) the psychological response to anxiety (disbelief anger factor) and subjectivity (opinion indication factor) were related to the interaction between the two groups, and the CBT group intended to improve it. People with high self-esteem and self-esteem are interested in improving their performance during this period. DLQI, Skindex29, and other standards. (investigation) the focus of human-to-human interaction should be focused on knowing the results of the action method, improving the symptoms of the disease, improving the symptoms of the QOL, reacting to the symptoms and confirming the results of the actions. The symptoms of dermatosis and the symptoms of dermatosis are not affected by the symptoms of the dermatosis. the symptoms and symptoms of the skin are not affected by the symptoms of the skin.