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

Typification of maladaptive social participation conditions and development of social participation rehabilitation methods for each type of maladaptive social participation condition

Research Project

Project/Area Number 21K11312
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionKobe University

Principal Investigator

YOTSUMOTO KAYANO  神戸大学, 保健学研究科, 准教授 (10294232)

Co-Investigator(Kenkyū-buntansha) 橋本 健志  神戸大学, 保健学研究科, 教授 (60294229)
胡 友恵  神戸大学, 保健学研究科, 助教 (20882971)
Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2023: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2022: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords社会参加 / リハビリテーション / 精神科外来患者 / 不適応 / 作業療法 / 心理社会療 / 精神科外来 / 心理社会療法 / 生活機能分類 / 精神科リハビリテーション
Outline of Research at the Start

環境の変化に伴う社会的不適応による精神科受療者は増加し続けている.受診後,薬物療法により症状が消失・軽減され復学・復職等の社会参加に再適応できる層がある一方で,薬物療法により症状が改善し家庭内では自立生活ができるようになったものの復学・復職等には至らず,休学・休職を継続する外来通院患者が存在する.
後者のような層は従来リハビリテーションの対象ではなかったがこれを研究対象とし,復職・復学等の社会参加状態の改善に寄与する新たな支援方法の開発を目指す.

Outline of Final Research Achievements

We typified the conditions of outpatients receiving psychiatric treatment due to maladaptation to social participation, such as ongoing school absences and leaves of absence. The direct triggers of maladaptive social participation were broadly classified into physical and human factors in the workplace. Individual factors were classified into three types: developmentally biased, cognitively distorted, and neurotic.
In addition, we designed and tested "rehabilitation methods to improve social participation" for each of these six types. The majority of study participants who received the intervention improved their level of social participation. We concluded that the interventions were effective when categorized according to the direct trigger and individual factors at the time of the initial assessment.

Academic Significance and Societal Importance of the Research Achievements

現在の精神医学の主流である操作的診断と薬物療法では解決できない社会参加水準の改善について、病因論とICF構造を用いて社会参加制約を解消する方法を見出すことが学術的意義である。この介入方法を開発し適用できる範囲が明確になることにより、休職・休学の長期化を予防し、速やかに社会参加状態を改善できることによって、個人の心理的・経済的負担の軽減や社会的健康の推進に繋がり、家族・学校・気事業所など社会全体に貢献することが社会的意義である。

Report

(4 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • Research Products

    (24 results)

All 2024 2023 2022 2021

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 9 results,  Open Access: 7 results) Presentation (12 results) (of which Int'l Joint Research: 2 results) Book (2 results)

  • [Journal Article] Effectiveness of the Step-by-Step Interpersonal Adaptation Program for Patients with Severe and Chronic Schizophrenia Who Experience Extreme Difficulty in Social Participation (SIAP-SCS): A Retrospective Study2024

    • Author(s)
      Kojina Takeshi、Yotsumoto Kayano、Nishimura Yuko、Ebisu Tomoe、Horai Tadasu、Aoyama Shinsuke、Sora Ichiro、Hashimoto Takeshi
    • Journal Title

      Occupational Therapy in Mental Health

      Volume: - Issue: 1 Pages: 1-17

    • DOI

      10.1080/0164212x.2024.2313491

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Exploring Psychiatric Home-Visit Nursing Practices for Patients with Schizophrenia and Hikikomori with a Thematic Analysis2024

    • Author(s)
      Maki Miou, Hirokazu Fujimoto, Kayano Yotsumoto, Misato Hirota, Satoshi Nishigaki, Takeshi Hashimoto
    • Journal Title

      International Journal of Environmental Research and Public Health

      Volume: 21 Issue: 2 Pages: 181-181

    • DOI

      10.3390/ijerph21020181

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The influence of self‐determination on the social functioning of long‐term day hospitals users with schizophrenia: A randomized controlled trial2023

    • Author(s)
      Eiko Kinoshita, Takeshi Hashimoto, Ryoji Nishimura, Kayano Yotsumoto
    • Journal Title

      Psychiatry and Clinical Neurosciences Reports

      Volume: 2 Issue: 1

    • DOI

      10.1002/pcn5.72

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Factors Influencing Subjective QOL Among Community-Dwelling People with SMI Receiving Home-Visit Occupational Therapy2023

    • Author(s)
      Izumi Mashimo, Kayano Yotsumoto, Hirokazu Fujimoto, Takeshi Hashimoto
    • Journal Title

      Psychosocial Rehabilitation andMental Health

      Volume: - Issue: 2 Pages: 1-10

    • DOI

      10.1007/s40737-022-00328-x

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of COVID-19 on the Employment of and Employment Support for People with Disabilities2022

    • Author(s)
      Kaede Morimoto, Junko Hoshii, Chito Masuda, Kana Endo, Akiko Sahira, Kayano Yotsumoto, Takeshi Hashimoto
    • Journal Title

      Journal of Disaster Research

      Volume: 17 Issue: 1 Pages: 103-112

    • DOI

      10.20965/jdr.2022.p0103

    • NAID

      130008145869

    • ISSN
      1881-2473, 1883-8030
    • Year and Date
      2022-01-30
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 引きこもり統合失調症外来患者における社会参加水準を改善した作業療法2022

    • Author(s)
      四本かやの
    • Journal Title

      精神分析&人間存在分析

      Volume: 28 Pages: 85-97

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Subjectively-assessed cognitive impairment and neurocognition associations in schizophrenia inpatients.2022

    • Author(s)
      Tatsuhiko Masuzawa, Takeshi Hashimoto, Kayano Yotsumoto
    • Journal Title

      Schizophrenia research. Cognition

      Volume: 27 Pages: 100218-100218

    • DOI

      10.1016/j.scog.2021.100218

    • NAID

      120007179183

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 緊急事態宣言を経験したデイケアからの学び2021

    • Author(s)
      神志那武、干飯純子、大西祐美、四本かやの
    • Journal Title

      デイケア実践研究

      Volume: 24 Pages: 69-73

    • Related Report
      2021 Research-status Report
  • [Journal Article] 統合失調症を持つ人におけるパソコン操作スキルへの影響因子の検討2021

    • Author(s)
      森本かえで、干飯純子、野村昌弘、増田千都、四本かやの、橋本健志
    • Journal Title

      精神障害とリハビリテーション

      Volume: 25 Pages: 175-183

    • NAID

      40022763594

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of robotic-assisted therapy for upper extremity function in children and adolescents with cerebral palsy: a systematic review protocol2021

    • Author(s)
      Sung-U Sasithorn、Nisa Badur Un、Yotsumoto Kayano、Tanemura Rumi
    • Journal Title

      BMJ Open

      Volume: 11 Issue: 5 Pages: e045051-e045051

    • DOI

      10.1136/bmjopen-2020-045051

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 統合失調症外来患者の引きこもりを改善した長期間・低頻度の作業療法2024

    • Author(s)
      四本かやの, 奥村満佐子,橋本健志
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 精神科ショートケア長期利用者に対する就労支援2024

    • Author(s)
      西村優子,谷藤貴紀,橋本健志,木村敦,四本かやの
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 社会機能の改善に1年以上の精神科デイケアが必要であった一例2024

    • Author(s)
      上原由嵩,四本かやの
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Potential of recognition of mental disorders related to the beliefs of professional help-seeking in university students of health science courses in Japan2022

    • Author(s)
      Kayano Yotsumoto, Tsubasa Hashimoto, Takeshi Hashimoto,
    • Organizer
      18th International Congress of World Federation of Occupational Therapists
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Developing a disaster prevention handbook for people with mental illness in Japan, using Karuta (a Japanese Card Game) and Cartoons2022

    • Author(s)
      kaede morimoto,Junko Hoshii,Yuko Kitaoka,Chito Masuda, Kayano Yotsumoto,Takeshi Hashimoto
    • Organizer
      18th International Congress of World Federation of Occupational Therapists
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 不安障害患者の余暇活動を改善した短期間の作業療法2022

    • Author(s)
      四本かやの, 奥村満佐子 ,橋本健志
    • Organizer
      第56回日本作業療法学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 通所リハビリテーション若年利用者の社会参加としての就労支援事例―障害を受容する過程に焦点を当てて―2022

    • Author(s)
      加茂永梨佳, 西村彩, 四本かやの, 古和久朋
    • Organizer
      第56回日本作業療法学会
    • Related Report
      2022 Research-status Report
  • [Presentation] コミュニケーション能力向上目的の作業療法-境界域知的障害をもつ適応障害の入院患者に対して-2022

    • Author(s)
      大島諒子、中原竜司、岡本美紀、福田空、四本かやの
    • Organizer
      第56回日本作業療法学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 統合失調症入院患者が感じる認知機能障害と神経認知の関係2022

    • Author(s)
      増澤達彦, 橋本健志, 四本かやの
    • Organizer
      第56回日本作業療法学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 過敏性腸症候群を合併した復職困難事例に対する作業療法2021

    • Author(s)
      四本かやの, 奥村満佐子 ,橋本健志
    • Organizer
      第55回日本作業療法学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 感染予防対策中に生まれたプログラム実践2021

    • Author(s)
      大西祐美、上原由嵩、四本かやの
    • Organizer
      第41回近畿作業療法学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 精神科勤務の作業療法士による新型コロナウィルス感染症の感染予防2021

    • Author(s)
      干飯純子、神志那武、西村優子、早水静菜、四本かやの
    • Organizer
      第41回近畿作業療法学会
    • Related Report
      2021 Research-status Report
  • [Book] 新・精神保健福祉士シリーズ第1巻『精神医学と精神医療』2023

    • Author(s)
      高岡健・古屋龍太、他
    • Total Pages
      265
    • Publisher
      弘文堂
    • ISBN
      9784335611254
    • Related Report
      2022 Research-status Report
  • [Book] 図解作業療法技術ガイド2021

    • Author(s)
      石川 齊、古川 宏
    • Total Pages
      1408
    • Publisher
      文光堂
    • ISBN
      483064589X
    • Related Report
      2021 Research-status Report

URL: 

Published: 2021-04-28   Modified: 2025-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi