Development of bereavement care program for the prevention of major depressive disorders among the spouses of cancer patients

• Project/Area Number: 26380948
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical psychology
• Research Institution: Teikyo Heisei University
• Principal Investigator: ASAI Mariko 帝京平成大学, 臨床心理学研究科, 准教授 (50581790)
• Co-Investigator(Kenkyū-buntansha): 尾形 明子 広島大学, 教育学研究科, 准教授 (70452919) ; 福森 崇貴 徳島大学, 大学院社会産業理工学研究部(社会総合科学域), 准教授 (50453402) ; 松本 禎久 国立研究開発法人国立がん研究センター, 東病院, 科長 (30544522)
• Project Period (FY): 2014-04-01 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000); Fiscal Year 2018: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000); 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: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
• Keywords: がん / 遺族 / うつ病 / 対処 / 縦断研究 / 認知行動療法 / 介入 / うつ病予防 / 対処強化介入

Outline of Final Research Achievements

In this study, we investigated two studies and identified three results. Meta-analysis of studies that evaluate interventions for the bereaved showed that 1) it was necessary to select the bereaved who have severe grief symptoms and to conduct individualized cognitive behavioral therapy for development of effective program. Longitudinal study among cancer patients and their caregivers who received palliative care showed that 2) accessibility of spouse in palliative care setting remained an issue and that 3) sixth months after of bereavement during a period of increasing depressive symptoms was assumed to be suitable for the starting program that could prevent major depressive disorders among the spouse.

Academic Significance and Societal Importance of the Research Achievements

本研究による成果の学術的および社会的意義としては、遺族を対象とした介入研究のメタアナリシスおよび死別前からの縦断調査を実施することによって、配偶者をがんで亡くした遺族のうつ病予防を目的とした対処強化介入に関して、有効性および実施可能性の高いプログラムに関する知見が得られ、今後のプログラム開発および全国の遺族への普及までつながることが期待できる。

Research Products

• [Journal Article] Traumatic Events Among Cancer Patients That Lead to Compassion Fatigue in Nurses: A Qualitative Study (2020)
  • Author(s): Fukumori Takaki、Miyazaki Atsuko、Takaba Chihiro、Taniguchi Saki、Asai Mariko
  • Journal Title: Journal of Pain and Symptom Management Volume: 59 Issue: 2 Pages: 254
  • DOI: 10.1016/j.jpainsymman.2019.09.026
  • URL: https://pure.teikyo.jp/en/publications/67204e10-158f-49d4-a835-dfc03bc5aad3
  • Peer Reviewed
• [Journal Article] Usefulness of painDETECT and S-LANSS in identifying the neuropathic component of mixed pain among patients with tumor-related cancer pain. (2020)
  • Author(s): Higashibata, T., Tagami, K., Miura, T., Okizaki, A., Sumazaki, Y., Matsumoto, Y., Morita, T., Kinoshita, H.
  • Journal Title: Support Care Cancer Volume: 28 Pages: 279-285
  • Peer Reviewed
• [Journal Article] An investigation of depression and psychological features in part-time high school adolescents (2019)
  • Author(s): 神原広平・吉良悠吾・尾形明子
  • Journal Title: Journal of Health Psychology Research Volume: 32 Issue: 1 Pages: 13-19
  • DOI: 10.11560/jhpr.180719107
  • NAID: 130007688462
  • ISSN: 2189-8790, 2189-8804
  • Year and Date: 2019-08-01
  • Peer Reviewed / Open Access
• [Journal Article] Additive Duloxetine for Cancer-Related Neuropathic Pain Nonresponsive or Intolerant to Opioid-Pregabalin Therapy: A Randomized Controlled Trial (JORTC-PAL08). (2019)
  • Author(s): Matsuoka H, Iwase S, Miyaji T, Kawaguchi T, Ariyoshi K, Oyamada S, Satomi E, Ishiki H, Hasuo H, Sakuma H, Tokoro A, Shinomiya T, Otani H, Ohtake Y, Tsukuura H, Matsumoto Y, Hasegawa Y, Kataoka Y, Otsuka M, Sakai K, Matsuda Y, Morita T, Koyama A, Yamaguchi T.
  • Journal Title: J Pain Symptom Manage Volume: 58 Issue: 4 Pages: 645-653
  • DOI: 10.1016/j.jpainsymman.2019.06.020
  • Peer Reviewed / Open Access
• [Journal Article] せん妄を呈した進行がん患者における苦悩の実態：多施設前向き観察研究 (2019)
  • Author(s): 川島 夏希, 久永 貴之, 浜野 淳, 前田 一石, 今井 堅吾, 坂下 明大, 松本 禎久, 上村 恵一, 小田切 拓也, 小川 朝生, 吉内 一浩, 岩瀬 哲
  • Journal Title: Palliat Care Res Volume: 14 Pages: 237-243
  • NAID: 130007715947
  • Peer Reviewed
• [Journal Article] 心理職の立場から患者の意思決定を支える (2019)
  • Author(s): 浅井 真理子
  • Journal Title: こころの科学 Volume: 203 Pages: 83-86
• [Journal Article] Relationships between Depression and Social Skills in Japanese High School Students: Moderating Effects of Cognitive Process-Related Social Skills (2018)
  • Author(s): 吉良悠吾・尾形明子・上手由香
  • Journal Title: Japanese Journal of Behavioral and Cognitive Therapies Volume: 44 Issue: 3 Pages: 137-146
  • DOI: 10.24468/jjbct.17-194
  • NAID: 130007624958
  • ISSN: 2433-9040, 2433-9075
  • Year and Date: 2018-09-30
  • Peer Reviewed
• [Journal Article] Development, reliability, and validity of a Japanese version of the Professional Quality of Life Scale for Nurses (2018)
  • Author(s): Fukumori Takaki、Goto Toyomi、Sato Hiroshi
  • Journal Title: The Japanese journal of psychology Volume: 89 Issue: 2 Pages: 150-159
  • DOI: 10.4992/jjpsy.89.17202
  • NAID: 130007410563
  • ISSN: 0021-5236, 1884-1082
  • Peer Reviewed
• [Journal Article] A combination of routine laboratory findings and vital signs can predict survival of advanced cancer patients without physician evaluation: a fractional polynomial model (2018)
  • Author(s): Hamano Jun, Takeuchi Ayano, Yamaguchi Takuhiro, Baba Mika, Imai Kengo, Ikenaga Masayuki, Matsumoto Yoshihisa, Sekine Ryuichi, Yamaguchi Takashi, Hirohashi Takeshi, Tajima Tsukasa, Tatara Ryohei, Watanabe Hiroaki, Otani Hiroyuki, Nagaoka Hiroka, Mori Masanori, Tei Yo, Hiramoto Shuji, Morita Tatsuya
  • Journal Title: European Journal of Cancer Volume: 105 Pages: 50-60
  • DOI: 10.1016/j.ejca.2018.09.037
  • NAID: 120007128439
• [Journal Article] Cognitive reactions of nurses exposed to cancer patients' traumatic experiences: A qualitative study to identify triggers of the onset of compassion fatigue (2018)
  • Author(s): Takaki Fukumori, Atsuko Miyazaki, Chihiro Takaba,et al.
  • Journal Title: Psycho-Oncology Volume: 27 Issue: 2 Pages: 620
  • DOI: 10.1002/pon.4555
  • URL: https://pure.teikyo.jp/en/publications/eac831d3-6ee6-434c-b254-9c199fd779eb
  • Peer Reviewed
• [Journal Article] ケアする人が使えるカウンセリングスキル (2017)
  • Author(s): 浅井真理子・白井由紀
  • Journal Title: エンド・オブ・ライフケア Volume: 1 Pages: 35-43
• [Journal Article] Effect of guided, structured, writing program on self-harm ideations and emotion regulation (2017)
  • Author(s): Takaki Fukumori, Hiromi Kuroda, Masaya Ito & Masami Kashimura
  • Journal Title: The Journal of Medical Investigation Volume: 64 Issue: 1.2 Pages: 74-78
  • DOI: 10.2152/jmi.64.74
  • NAID: 130005501981
  • ISSN: 1343-1420, 1349-6867
  • Peer Reviewed / Open Access
• [Journal Article] Prevalence and predictive factors of depression and anxiety in patients with pancreatic cancer: a longitudinal study (2016)
  • Author(s): Akizuki, N., Shimizu, K., Asai, M, Nakano, T., Okusaka, T., Shimada, K., Inoguchi, H., Inagaki, M, Fujimori, M., Akechi, T., Uchitomi, Y.
  • Journal Title: Jpn J Clin Oncol Volume: 46 Issue: 1 Pages: 71-77
  • DOI: 10.1093/jjco/hyv169
  • Peer Reviewed
• [Journal Article] 遺族ケア -悲嘆への心理社会的介入- (2014)
  • Author(s): 堂谷知香子・尾形明子・福森崇貴・内富庸介・浅井真理子
  • Journal Title: Depression Frontier Volume: 12 Pages: 23-31
• [Presentation] がん医療チーム内の人間関係をどう「見立て」るか？ (2019)
  • Author(s): 福森 崇貴, 他
  • Organizer: 第32回日本サイコオンコロジー学会総会
  • Invited
• [Presentation] The effect of self-efficacy of injection on the fear of needle. (2019)
  • Author(s): Hako, S., Kambara, K., Ogata, A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] Does attention bias modification for social anxiety disorder become more effective by increasing state anxiety? A pilot study. (2019)
  • Author(s): Matsumoto, M., Kira, Y., Ogata, A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] Examining cognitive restructuring based on the “total conviction” perspective : An analysis of interviews with psychologists practicing Cognitive Behavior Therapy in Japan. (2019)
  • Author(s): Shigematsu, J., Ogata, A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] The application of memory consolidation/reconsolidation with CBT: A systematic review. (2019)
  • Author(s): Ohshima, R., Shigematsu, J., Ogata, A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] Influence of intervention order differences in school-based universal cognitive-behavioral depression prevention intervention for Japanese adolescents. (2019)
  • Author(s): Kira, Y., Shigematsu, J., Hirose, H., Kambara, K., Ogata A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] The effect of emotional regulation skills intervention for adolescents' relationship. (2019)
  • Author(s): Noguchi, Y., Kambara, K., Kira, Y., Shigematsu, J., Matsumoto, M., Hako, S., Ogata, A.
  • Organizer: World Congress of Behavioral and Cognitive Therapies 9th annual convention
  • Int'l Joint Research
• [Presentation] Touchstones and strategies for effective implementation of school-based universal intervention for preventing adolescent depression in Japan. (2019)
  • Author(s): Kira, Y., Ogata, A.
  • Organizer: Association for Behavioral and Cognitive Therapies 52nd Annual Convention
  • Int'l Joint Research
• [Presentation] Prevalence and predictors of burnout and psychological distress among physicians in specialty training in palliative care: A Japanese nationwide study. (2019)
  • Author(s): Matsumoto Y, Uehara Y, Mizushima A, Nozato J, Miyamoto S, Mori M, Nishi T, Kizawa Y, Morita T
  • Organizer: 16th World Congress of the European Association for Palliative Care
  • Int'l Joint Research
• [Presentation] Current status and future directions of ESMO Designated Centers: A global perspective. (2019)
  • Author(s): Matsumoto Y, Kaasa S
  • Organizer: ESMO Asia congress
  • Int'l Joint Research
• [Presentation] 緩和ケア医を志す若手医師における燃え尽きおよび心理的苦痛の割合と予測因子：全国大規模調査 (2019)
  • Author(s): 松本 禎久, 上原 優子, 森 雅紀, 西 智弘, 野里 洵子, 宮本 信吾, 木澤 義之, 森田 達也
  • Organizer: 第24回日本緩和医療学会学術大会
  • Invited
• [Presentation] 緩和ケア病棟に入院中の終末期がん患者の家族介護者のレジリエンスと精神的健康の関連の検討 (2019)
  • Author(s): 清水陽一, 前田一石, 林章敏, 松本禎久, 井上彰, 高野真優子, 石垣和美, 升川研人, 宮下光令
  • Organizer: 第24回日本緩和医療学会学術大会
  • Invited
• [Presentation] 進行肺がん患者に対するスクリーニングを組み合わせた看護師主導による治療早期からの専門的緩和ケア介入プログラムの開発（J-SUPPORT1603） (2019)
  • Author(s): 松本 禎久
  • Organizer: 第32回 日本サイコオンコロジー学会総会
  • Invited
• [Presentation] 遺族に対する心理社会的介入研究の文献展望 ―介入要素、形態、重症度による効果の違いー (2019)
  • Author(s): 浅井 真理子、堂谷 知香子
  • Organizer: 日本グリーフ＆ビリーブメント学会
• [Presentation] Traumatic events of cancer patients that lead to nurses’ compassion fatigue (2018)
  • Author(s): Takaki Fukumori, Atsuko Miyazaki, Chihiro Takaba, Saki Taniguchi, Mariko Asai
  • Organizer: World Congress of Psycho-Oncology
  • Int'l Joint Research
• [Presentation] Nurses thoughts in response to witnessing the traumatic experience of cancer patients: Frequency of cognitive reactions in the development of compassion fatigue (2017)
  • Author(s): Takaki Fukumori, Atsuko Miyazaki, Chihiro Takaba, Saki Taniguchi, Mariko Asai
  • Organizer: 19th World Congress of Psycho-Oncology and Psychosocial Academy
  • Int'l Joint Research
• [Presentation] がん医療領域で研究を行う (2017)
  • Author(s): 福森崇貴
  • Organizer: 日本心理臨床学会第36回大会
• [Presentation] 精神腫瘍医、看護師、心理士は患者の何に注目して面談しているのか ～トータルペインを抱える患者への多職種アプローチ 心理士が注目する点とは？ (2017)
  • Author(s): 堂谷知香子
  • Organizer: 第30回日本サイコオンコロジー学会総会
• [Presentation] がん医療に従事する看護師が共感疲労に至るまでの認知的反応 ―インタビューに基づく質的検討― (2016)
  • Author(s): 福森崇貴・宮崎厚子・浅井真理子
  • Organizer: 第29回日本サイコオンコロジー学会総会
  • Place of Presentation: 札幌コンベンションセンター（北海道札幌市）
  • Year and Date: 2016-09-23
• [Presentation] がん医療に従事する看護師の共感疲労とその関連要因 (2016)
  • Author(s): 福森崇貴
  • Organizer: 第29回日本サイコオンコロジー学会総会
  • Place of Presentation: 札幌コンベンションセンター（北海道札幌市）
  • Year and Date: 2016-09-23
• [Presentation] がん医療における家族支援 (2016)
  • Author(s): 浅井真理子
  • Organizer: 日本心理臨床学会
  • Place of Presentation: パシフィコ横浜（神奈川県横浜市）
  • Year and Date: 2016-09-04
• [Presentation] Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized control trial (2016)
  • Author(s): Maiko Fujimori, Yuki Shirai, Mariko Asai, Noriyuki Katsumata, Kaoru Kubota, Yosuke Uchitomi
  • Organizer: The 31st International Congress of Psychology
  • Place of Presentation: パシフィコ横浜（神奈川県横浜市）
  • Year and Date: 2016-07-24
  • Int'l Joint Research
• [Presentation] Development, reliabiity,and validation of a Japaneses version of the ProQOL-5. (2016)
  • Author(s): Fukumori T, Goto T, Sato H. Kawabata Y, Asada Y, Hara Y, Sakamoto T, Miyake H
  • Organizer: 31st International Congress of Psychology
  • Place of Presentation: パシフィコ横浜（神奈川県横浜市）
  • Year and Date: 2016-07-24
  • Int'l Joint Research
• [Presentation] がん医療における心理士の役割 (2015)
  • Author(s): 堂谷知香子
  • Organizer: 第69回国立病院総合医学会
  • Place of Presentation: ロイトン札幌（北海道札幌市）
  • Year and Date: 2015-10-02
• [Presentation] わかっちゃいるけど、やめられない行動への支援―禁煙外来での取り組み- (2015)
  • Author(s): 堂谷知香子
  • Organizer: 第28回日本サイコオンコロジー学会総会
  • Place of Presentation: 広島市文化創造センター（広島県広島市）
  • Year and Date: 2015-09-18
• [Presentation] 遺族のQOL改善に寄与する心理社会的介入要素の文献展望 (2014)
  • Author(s): 堂谷知香子・尾形明子・福森崇貴・浅井真理子
  • Organizer: 日本認知・行動療法学会第40回大会
  • Place of Presentation: 富山国際会議場（富山県富山市）
  • Year and Date: 2014-11-03
• [Book] 慢性痛の認知行動療法ーRCT版 (2019)
  • Author(s): 堀越 勝，細越 寛樹，岩佐 和典，福森 崇貴
  • Total Pages: 96
  • Publisher: 株式会社アノック／トライ
• [Book] がん診療スタンダードマニュアル ーがん薬物療法からサポーティブケアまで (2019)
  • Author(s): 松本 禎久, 勝俣 範之, 他（編集）
  • Total Pages: 688
  • Publisher: シーニュ
• [Book] トワイクロス先生の緩和ケア 死別 (2018)
  • Author(s): 武田 文和 監訳、浅井 真理子 分担翻訳
  • Total Pages: 412
  • Publisher: 医学書院
  • ISBN: 9784260035507
• [Book] 心理支援 症例を時間で切って深く知る がん緩和医療 (2017)
  • Author(s): 伊藤嘉規・浅井真理子
  • Total Pages: 244
  • Publisher: 日本医事新報社
• [Book] からだの病気のこころのケア チーム医療に活かす心理職の専門性 (2016)
  • Author(s): 鈴木伸一、小川朝生、木村譲、小澤美和、西村勝治、筒井順子、上田淳子、佐伯俊成、堂谷知香子、古賀晴美、久野美智子、五十嵐友里、石田真弓、大西秀樹、尾形明子、藤原彩、武井優子、小林清香、長谷川恵美子、巣黒慎太郎、中村奈々子、澤田梢、金外淑
  • Total Pages: 312
  • Publisher: 北大路書房
• [Book] がん患者の認知行動療法 (2016)
  • Author(s): 鈴木伸一、小川祐子、尾形明子、武井優子、松岡志帆、上田淳子、堂谷知香子、市倉加奈子、筒井順子、古賀晴美、竹内恵美、五十嵐友里、小林清香、佐々木美保
  • Total Pages: 271
  • Publisher: 北大路書房
• [Book] 慢性疾患の認知行動療法ーアドヒアランスとうつへのアプローチ ワークブックー (2015)
  • Author(s): 福森崇貴 堀越勝・安藤哲也(監訳）
  • Total Pages: 117
  • Publisher: 診断と治療社
• [Book] 慢性疾患の認知行動療法ーアドヒアランスとうつへのアプローチ セラピストガイドー (2015)
  • Author(s): 福森崇貴 堀越勝・安藤哲也(監訳）
  • Total Pages: 165
  • Publisher: 診断と治療社
• [Book] スタンダード臨床心理学 (2015)
  • Author(s): 福森崇貴 杉江征・青木佐奈枝（編）
  • Total Pages: 327
  • Publisher: サイエンス社