高齢期うつ病に対する認知行動療法

老年抑郁症的认知行为疗法

• 批准号: 17730412
• 负责人: 日下 菜穂子
• 金额: $ 1.47万
• 依托单位: Doshisha Women's College of Liberal Arts
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17730412/
• 关键词: 高齢者; うつ病; 認知行動療法; 家族; 自動思考; 家族レジリエンス; QOL

(1)高齢期のうつと家族についての調査地域在住の120人の高齢者を対象に、家族機能、うつ、QOLの尺度などで構成するアンケートを実施した。結果の分析から家族レジリエンスは健康状態とともに、高齢期の抑うつ感情に影響することが明らかとなった。高齢期の抑うつ感情の予防と改善のためには、健康の維持増進とともに家族の関係性の見直しが必要であることを確認し、IFTA World Congressにて発表した(Kusaka ＆ Tokutsu,2006)。(2)高齢期のうつと自動思考についての調査地域在住の250人の高齢者を対象に調査を実施し、健康状態と自動思考および抑うつ症状との関連について検証するために、自動思考の3つの下位尺度とQOLの下位尺度が抑うつ感に与える影響を分析した。女性ではQOLの下位尺度から抑うつ感に対する関連が有意であったが、自動思考の下位尺度から抑うつ感への影響は有意ではなかった。一方、男性は、QOLの下位尺度から抑うつ感に対する有意な係数は得られなかったが、自動思考の下位尺度から抑うつ感に対する関連が有意であった。この結果は「高齢者の自動思考と健康状態および抑うつ症状との関連」として日本老年社会科学会において発表を行い(日下、2006)、現在論文投稿中である。(3)高齢期のうつに効果的なプラグラムの検討病院精神科を受診する3名の高齢者を対象に認知行動療法を実施し、BDI-II、SF-36v2、ATQ-Rなどのアセスメントを用いて効果測定を行った。高齢者の認知の修正、および環境調整に焦点づけた認知行動療法の取り組みによって、3名全員に顕著な効果が認められた。この結果は「高齢者のうつに対する認知行動療法の取り組み」として日本心理臨床学会おいて発表を行った(日下、2006)。さらに、地域在住高齢者への認知行動療法の結果との比較検討を行い、その過程と結果は現在論文として投稿中である。

The main results are as follows: (1) during the high school period, people living in high-income families and families live in high-income areas, such as elephants, family functions, income, and QOL standards. Results the results of the analysis showed that the health status and emotional depression in the family were significantly higher than those in the control group. During the peak period, emotional depression is necessary to prevent the improvement of health, family health and sexual relationship, and to ensure that it is necessary to check the confirmation and IFTA World Congress (Kusaka & Tokutsu,2006). (2) during the high school years, people living in high school or high school do not think automatically, and people living in high school live in high school areas. People living in high school live in high school, and people living in high school live in high school. The health status of automatic thinking suppresses symptoms, symptoms, Women are not aware of their feelings in the lower level of QOL. They are conscious of their intention to do so, and their automatic thinking means that they do not have a sense of emotion. One party, male, QOL, and so on, the number of people who are interested in the number of people. The results showed that the Japanese Geriatrics Society for Geriatrics had an automatic thinking about the health status, symptoms, symptoms, symptoms and symptoms. (3) the Department of Psychiatry in the Department of Psychiatry of the Hospital of High School of Health. Three people in the Department of Psychiatry of the Hospital of High School of Medicine were tested with the method of exercise, BDI-II, SF-36v2, and ATQ-R. The high achievers were informed of the correction, the focus of the environmental protection program, the action plan, the organization and the organization, and the three staff members were responsible for the results. Results the results showed that people with high levels of health education were not aware of the behavior training system. The Japanese Psychological bed Society of Japan was responsible for the training table of the Japanese Psychological bed Association (SDK, 2006). For those who live in high school, the results of the training program are better than those of the people who live in high school. The results show that the results are now very important in the contributions of people living in high school.