Does maternal resiliency in rearing children with neurodevelopmentl disrders improve by comprehensie treatment?

• Project/Area Number: 15K09632
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Pediatrics
• Research Institution: Kurume University
• Principal Investigator: YAMASHITA YUSHIRO 久留米大学, 医学部, 教授 (90211630)
• Research Collaborator: EGAMI CHIYOMI
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000); Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 養育レジリエンス / 発達障害 / ペアレントトレーニング / サマートリートメントプログラム / 注意欠如多動症 / 自閉スペクトラム症 / ADHD / ペアレント・トレーニング / 包括的治療法

Outline of Final Research Achievements

The parenting resilience elements questionnaire(PREQ) in 65 mothers whose children participated summer treatment program(STP) during 2015～17 significantly improved in subscales; "knowledge of child's charachteristics", and "perceived social supports", but did not improve subscale in "positive perception of parenting".
The PREQ in 78 mothers who participated "Triple P" parent traing program showed significant improvement in all 3 subscales of PREQ.
These results suggeted that both STP and Triple P were useful in improving maternal resilience of children with neurodevelopmental disorders.

Academic Significance and Societal Importance of the Research Achievements

我々の開発した養育レジリエンス尺度(PREQ)を用いて、子どもおよび母親への治療・介入すなわち、サマートリートメントプログラムやトリプルPによって、母親の養育レジリエンスが改善するかを本研究で初めて明らかにした。治療・介入前にPREQによって母親の養育レジリエンスをあらかじめ評価し、介入・治療によって母親の養育レジリエンスがどう改善するかの評価が可能になり、将来的には、母親の養育レジリエンス・プロファイルに応じた最適な介入・治療法を開発することが可能になり、社会的意義が大きい。

Research Products

• [Journal Article] Increased cortisol awakening response after completing the summer treatment program in children with ADHD. (2017)
  • Author(s): Okabe R, Okamura H, Egami C, Tada Y, Anai C, Mukasa A, Iemura A, Nagamitsu S, Furusho J, Matsuishi T, Yamashita Y.
  • Journal Title: Brain Dev. Volume: S0387-7604 Issue: 7 Pages: 30035-9
  • DOI: 10.1016/j.braindev.2017.03.001
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] 注意欠如・多動性障害の対応と治療 (2017)
  • Author(s): 山下裕史朗
  • Journal Title: 別冊 日本臨床 Volume: 37 Pages: 85-89
• [Journal Article] 発達障害をもつ子どもの初期対応と地域での連携 (2017)
  • Author(s): 山下裕史朗
  • Journal Title: 小児歯科臨床 Volume: 22 Pages: 30-36
• [Journal Article] Development and Evaluation of a Parenting Resilience Elements Questionnaire (PREQ) Measuring Resiliency in Rearing Children with Developmental Disorders. (2015)
  • Author(s): Suzuki K, Kobayashi T, Moriyama K, Kaga M, Hiratani M, Watanabe K, Yamashita Y, Inagaki M.
  • Journal Title: PLOS ONE Volume: 3 Issue: 12 Pages: e0143946-e0143946
  • DOI: 10.1371/journal.pone.0143946
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] ADHD単独群とASD合併群のサマートリートメント・プログラムとペアレントトレーニングの効果． (2015)
  • Author(s): 免田賢，向笠章子，家村明子，山下裕史朗，松石豊次郎．
  • Journal Title: 小児の精神と神経 Volume: 55 Pages: 25-38
  • Peer Reviewed
• [Journal Article] ADHD児のための家庭生活評価尺度の信頼性および妥当性の検証. (2015)
  • Author(s): 向笠章子，山下裕史朗，多田泰裕，穴井千鶴，江上千代美，家村明子，弓削康太郎，松石豊次郎.
  • Journal Title: 久留米医学会雑誌 Volume: 78 Pages: 162-168
  • NAID: 40020555744
  • Peer Reviewed
• [Journal Article] 自閉症スペクトラム児（者）をもつ母親の養育レジリエンスの構成要素に関する質的研究. (2015)
  • Author(s): 鈴木浩太，小林朋佳, 森山花鈴，加我牧子，平谷美智夫，渡部京太，山下裕史朗，林隆，稲垣真澄.
  • Journal Title: 脳と発達 Volume: 47 Pages: 283-288
  • NAID: 130005111612
  • Peer Reviewed
• [Presentation] The impact of Triple P on parenting resilience of caregivers with children with developmental disabilities (2019)
  • Author(s): Egami C, Tanaka M, Yamashita Y.
  • Organizer: The 22nd East Asian Forum for Nursing Scholars (EAFONS) 2019
  • Int'l Joint Research
• [Presentation] 発達に課題のある幼児期の子どもの親の養育レジリエンスを高めるートリプルPによる介入 (2017)
  • Author(s): 江上千代美、山下裕史朗
  • Organizer: 日本赤ちゃん学会第17回学術集会
• [Presentation] 養育レジリエンスを高める介入支援 (2017)
  • Author(s): 江上千代美
  • Organizer: 日本LD学会第26回大会
• [Presentation] 短期ADHD 夏期集中プログラムの効果 (2016)
  • Author(s): 弓削康太郎、平田留美子、家村明子、下村 豪、多田泰裕、穴井千鶴、向笠章子、江上千代美、永光信一郎、山下裕史朗
  • Organizer: 第58回日本小児神経学会学術集会
  • Place of Presentation: 東京
  • Year and Date: 2016-06-03
• [Presentation] 発達障害と薬物療法～薬にできること・できないこと～. (2015)
  • Author(s): 山下裕史朗.
  • Organizer: 日本ＬＤ学会 第24回大会教育講演．
  • Place of Presentation: 福岡
  • Year and Date: 2015-10-11
  • Invited
• [Presentation] Behavioral Treatment of Children with ADHD: Effects of Summer Treatment Program and Parent Training. (2015)
  • Author(s): Yamashita Y.
  • Organizer: Korean Child Society Meeting 2015
  • Place of Presentation: Korea
  • Year and Date: 2015-05-29
  • Int'l Joint Research / Invited
• [Presentation] Behavioral Treatment of Children with ADHD: Effects of Summer Treatment Program. (2015)
  • Author(s): Yamashita Y.
  • Organizer: The 13th Asian and Oceanian Congress of Child Neurology
  • Place of Presentation: Taipei
  • Year and Date: 2015-05-14
  • Int'l Joint Research / Invited
• [Book] 今日の小児治療指針 第16版 (2015)
  • Author(s): 山下裕史朗.
  • Publisher: 医学書院