Development on Assessment Scaling of Easiness of Daily Living for the Mental Disorders in Community

本研究的目的是制定一个社区精神障碍患者日常生活容易程度的评估量表，并澄清日本社区精神健康和福利活动的实际情况。因此，本研究设计了全国范围的调查。邮件中包括研究说明、33项调查问卷和一个回邮的信封，这些邮件被邮寄到日本每个城市、城镇和村庄的公共卫生部门。信中声明，只有同意参加这项研究的人才应该回复调查问卷。在1830个直辖市中，有1398个省（76.4%）回复了问卷。采用主成分分析法对从当前环境状况和对环境的重要程度两方面组成的33项数据进行多维分析。结果，从这两个方面提取了5个主成分，并将每一个主成分分别把握为社区精神障碍患者日常生活容易度的综合尺度。当前环境条件的第一个分量被解释为对当前状态的认知，其得分表明了当前状态的价值。然后将环境重要性的第一个分量解释为对重要性的认知，其得分表示重要性的值。在由地位和重要性得分组成的二维空间上，绘制出每个城市，并在空间上使用四个象限，将社区环境特征提炼成四种模式。

The purpose of the present study was to develop an assessment scaling on the easiness of daily living for the mental disorders in their communities and to clarify the actual conditions on an activity of mental health and welfare in a community in Japan. Therefore, the nationwide investigation was designed for this study. The mails included instructions for the study, the 33-item questionnaire, and a return addressed envelope were mailed to public health departments in every city, town, and village in Japan The letter stated that only those who agreed to participate in this study should reply to the questionnaire. Of the total 1,830 municipalities, 1,398 departments (76.4%) returned the questionnaire. The principal component analysis was applied to the 33-item's data composed of aspects from the current environmental condition and degree of importance on the environment used for the multidimensional analysis. As a result, five principal components were extracted both these aspects, and each the first principal component was grasped as the synthesis scaling on the easiness of daily living among the mental disorders in their communities, respectively. The first component of the current environmental condition was interpreted as the cognition of current status, and its score indicated the value of the status. Then the first component of the degree of importance on the environment was interpreted as the cognition of importance, and its score indicated the value of the importance. On two-dimensional space composed of axes consisted of the status and importance scores, every municipality was plotted out Furthermore, using four quadrants on the space, there was distilled the community environmental traits into four patterns.