| Project/Area Number |
16K10258
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Psychiatric science
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| Research Institution | Chuo University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
大塚 耕太郎 岩手医科大学, 医学部, 教授 (00337156)
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| Project Period (FY) |
2016-04-01 – 2022-03-31
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| Project Status |
Completed (Fiscal Year 2021)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
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| Keywords | ひきこもり / 精神科 / アウトリーチ / 過疎地域 / 地域精神保健 / 地域介入 / 支援一体型調査研究 / 精神科診断 / 就労支援 / アウトリーチ活動 / 精神医学的診断 / 精神医学 / 過疎地 |
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| Outline of Final Research Achievements |
A psychiatrist collaborated with a mental health official in a local government in the Tohoku region to conduct an outreach activity to meet with the hikikomori person. The data of the interviewees were analyzed by focusing on one municipality.
The number of subjects was 27 (of which 23 were able to interview themselves), the average age was 39.0 years, and the average withdrawal period was 13.0 years. The intervention resulted in 18 out of 27 people getting out of hikikomori and 9 working. Twelve people visited medical institutions, and the maximum number of diagnoses was 7 in the mood disorder zone. All people with a withdrawal period of less than 10 years were able to escape from withdrawal. The longer the withdrawal period, the more difficult it is to improve, but even people with a withdrawal period of 26 years were able to take the opportunity of an interview to settle in the area.
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| Academic Significance and Societal Importance of the Research Achievements |
ひきこもりに対する支援は心理・社会的側面が強調され、精神科医療の関与については否定的な見解も散見される。しかし今回、精神科医が地元の精神保健関係者と共にひきこもりの人の自宅を繰り返し訪問し本人面接を行うことにより、改善のきっかけが得られた場合が多々あった。その際、医療の関与抜きに改善が難しい統合失調症の人や重度のうつ病の場合は医療に繋ぐことが優先された。軽度のうつ病・躁うつ病の人や発達障害圏の人では、関与しながら待つことで、本人が動き出すタイミングに合わせて心理・社会的支援を提供することができた。支援の初期段階で精神科医がアセスメントをていねいに行うことの重要性が示されたといえる。
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