• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Personality functioning of Attenuated Psychosis Syndrome (APS) evaluated by R-PAS

Research Project

Project/Area Number 19K14457
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 10030:Clinical psychology-related
Research InstitutionHirosaki University (2022-2023)
Teikyo Heisei University (2019-2021)

Principal Investigator

Naomi Inoue  弘前大学, 保健学研究科, 教授 (50815917)

Project Period (FY) 2019-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2022: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2021: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords減弱型精神病症候群(APS) / R-PAS / パーソナリティ機能 / 対人機能 / 対人認知 / 対人スキル / 減弱精神病症候群(APS) / ロールシャッハ・テスト / 社会機能 / 対人知覚 / サイコーシスリスクシンドローム構造化面接 / 減弱精神病症候群 / 陰性症状 / 陽性症状 / 社会的認知 / 援助要請行動 / サイコーシス・リスクシンドローム / R-PAS-PD / 精神病状態 / 初回エピソード精神病 / 早期発見・早期支援 / サブタイプ
Outline of Research at the Start

減弱精神病症候群(Attenuated Psychosis Syndrome; APS)は、統合失調症や双極性障害などの精神病の発症危険性を、より早い段階で発見し、適切な早期支援に結びつけるために提唱された概念である。しかしながら、偽陽性の高さや、他の精神障害との合併率の高さなど非一様な症候群であることから、有効な心理社会的支援技法の確立には至っていない。
本研究では、APSの多様な病態像を、心理検査のR-PAS(Rorschach Performance Assessment System)を用いてサブタイプ化し、各類型の特性や強みに応じた心理社会的支援技法の開発につなげることを目的とする。

Outline of Final Research Achievements

Japanese guidelines for the treatment of early psychosis recommend a comprehensive psychosocial intervention based on cognitive-behavioral therapy for patients with mild to moderate Attenuated Psychosis Syndrome (APS). However, the comorbidities and chief complaints of patients with APS are diverse, making it difficult to determine treatment goals and intervention order. Therefore, we attempted to elucidate the personality function of APS patients using the R-PAS, a performance-based personality test. The results revealed that APS patients have significantly lower interpersonal functioning than the healthy conotrol. This results recommend that psychosocial support for APS patients focus on the acquisition of interpersonal skills.

Academic Significance and Societal Importance of the Research Achievements

減弱型精神病症候群(APS)患者に対する過去10年間の研究は,精神医学分野の主導により,精神病発症への移行マーカーを見出すことに力が注がれてきた。しかし,近年では精神病への移行の有無に関わらず,メンタルヘルスの不調サインに早期介入することによって問題の重篤化を防ぐ予防的な支援にシフトしてきている。
本研究では,これまでAPSについての研究がほとんど実施されてこなかった臨床心理学的観点から,パーソナリティ機能を評価するR-PASを初めて用いたことにより,APSに対する心理社会的支援に関して具体的な提唱を行ったことは意義深い。

Report

(6 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (18 results)

All 2023 2022 2021 2019 Other

All Int'l Joint Research (3 results) Journal Article (4 results) (of which Open Access: 2 results,  Peer Reviewed: 2 results) Presentation (7 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Remarks (2 results) Funded Workshop (2 results)

  • [Int'l Joint Research] University of Turin(イタリア)

    • Related Report
      2023 Annual Research Report
  • [Int'l Joint Research] Alliant International University/Geffen School of Medicine/R-PAS, LLC.(米国)

    • Related Report
      2023 Annual Research Report
  • [Int'l Joint Research] R-PAS, LLC.(米国)

    • Related Report
      2021 Research-status Report
  • [Journal Article] Rorschach competencies expected at the completion of a master's degree program in clinical psychology in Japan: An analysis of certification examinations in the last 10 years2023

    • Author(s)
      Naomi Inoue
    • Journal Title

      Journal of Teikyo Heisei University

      Volume: 34 Pages: 1-8

    • Related Report
      2022 Research-status Report
    • Open Access
  • [Journal Article] Singapore's Health and Welfare Policy and Management Assessment of Early Intervention Healthcare Organizations: A Balanced Scorecard Approach2022

    • Author(s)
      白木由香,井上直美
    • Journal Title

      東海学院大学紀要

      Volume: 16 Pages: 111-116

    • DOI

      10.24478/00003834

    • URL

      https://tokaigakuin-u.repo.nii.ac.jp/records/3843

    • Year and Date
      2022-12-31
    • Related Report
      2022 Research-status Report
    • Open Access
  • [Journal Article] 紹介 包括システムからR-PASへ-ロールシャッハ・テストの新体系の普及に向けて2021

    • Author(s)
      井上直美,水野雅文
    • Journal Title

      精神医学

      Volume: 63 Issue: 6 Pages: 1001-1012

    • DOI

      10.11477/mf.1405206393

    • ISSN
      0488-1281, 1882-126X
    • Year and Date
      2021-06-15
    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] 包括システムからR-PASへ:ロールシャッハ・テストの新体系の普及に向けて2021

    • Author(s)
      井上 直美,水野 雅文
    • Journal Title

      精神医学

      Volume: -

    • NAID

      40022595172

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Presentation] Prevalence of DSM-5 Attenuated Psychosis Syndrome at a community-based mental clinic in Japan2023

    • Author(s)
      Naomi Inoue , Chiho Yatsuga , Tomoko Kato
    • Organizer
      14th International Conference on Early Intervention in Mental Health
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] R-PASの概要と課題―包括システムのreplacementとして―2023

    • Author(s)
      井上直美
    • Organizer
      日本ロールシャッハ学会第27回大会
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] ロールシャッハ・テストの解釈とフィードバック―R-PASの観点から2023

    • Author(s)
      井上直美
    • Organizer
      日本ロールシャッハ学会第27回大会
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Comparison between patients with Attenuated Psychosis Syndrome and healthy controls in terms of interpersonal functioning2022

    • Author(s)
      Naomi Inoue, Hiromi Tagata, Tomoyuki Funatogawa, Takahiro Nemoto
    • Organizer
      XXIII Congress of the International Society for the Rorschach and Projective Methods
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 認知行動療法モデルに基づいたRorschach Performance Assessment System(R-PAS)の結果フィードバック用ワークシートの開発2022

    • Author(s)
      井上直美
    • Organizer
      第22回日本認知療法・認知行動療法学会
    • Related Report
      2022 Research-status Report
  • [Presentation] The effect of R-PAS with or without physical distance: A case study of a healthy volunteer participant in a longitudinal study2021

    • Author(s)
      Naomi Inoue
    • Organizer
      2021 SPA (Society for Personality Assessment) Virtual Convention
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] R-PASによる減弱精神病症候群(APS)のアセスメント:潜在的な利点の検討2019

    • Author(s)
      井上 直美,田形 弘実,船渡川 智之,辻野 尚久,根本 隆洋,水野 雅文
    • Organizer
      第23回日本精神保健・予防学会学術集会
    • Related Report
      2019 Research-status Report
  • [Remarks] R-PAS

    • URL

      https://r-pas.org/

    • Related Report
      2023 Annual Research Report
  • [Remarks] Handy Downloads

    • URL

      https://r-pas.org/ControlPanel/HandyDown

    • Related Report
      2021 Research-status Report
  • [Funded Workshop] The Rorschach Performance Assessment System (R-PAS): Overview and Case Illustration2019

    • Related Report
      2019 Research-status Report
  • [Funded Workshop] Interpreting Complex Cases with the Rorschach Performance Assessment System (R-PAS)2019

    • Related Report
      2019 Research-status Report

URL: 

Published: 2019-04-18   Modified: 2025-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi