Trajectory of burnout among the staff of the community comprehensive support center

2018 Fiscal Year Annual Research Report

• Project/Area Number: 15K11878
• Research Institution: The University of Tokyo
• Principal Investigator: 村山 洋史 東京大学, 高齢社会総合研究機構, 特任講師 (00565137)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: バーンアウト / 地域包括支援センター / 軌跡

Outline of Annual Research Achievements

地域包括ケアシステム構築の一翼を担う地域包括支援センター職員のメンタルヘルスの保持増進は、地域保健上極めて重要な課題である。本研究の目的は、地域包括支援センター職員のバーンアウトの経時的軌跡（trajectory）を明らかにし、その軌跡への関連要因、および離職というアウトカムとの関連の検討を行うことである。これらの結果を基に、地域包括支援センター職員のバーンアウト対策への具体的提案を行う。
平成30年度は、平成29年度までに実施した東京都杉並区の地域包括支援センター職員全員へのアンケート調査を解析した。
6年間のパネルデータ（実対象者206名、観察データ577件）を解析した結果、バーンアウトの3因子（「情緒的消耗感」「脱人格化」「個人的達成感の低下」）とも、地域包括支援センターでの勤務年数が長くなるに従い、一旦得点が上昇するものの、その後低下していく2次曲線を描いていた。

Research Products

• [Journal Article] Association of trajectories of higher-level functional capacity with mortality and medical and long-term care costs among community-dwelling older Japanese. (2019)
  • Author(s): Taniguchi Y, Kitamura A, Nofuji Y, Ishizaki T, Seino S, Yokoyama Y, Shinozaki T, Murayama H, Mitsutake S, Amano H, Nishi M, Matsuyama Y, Fujiwara Y, Shinkai S.
  • Journal Title: Journal of Gerontology: Biological Sciences & Medical Sciences Volume: 74(2) Pages: 211-218
  • DOI: 10.1093/gerona/gly024
  • Peer Reviewed
• [Journal Article] Age and gender differences in the association between body mass index and all-cause mortality among older Japanese (2019)
  • Author(s): Murayama H, Liang J, Shaw BA, Botoseneanu A, Kobayashi E, Fukaya T, Shinkai S.
  • Journal Title: Ethnicity & Health Volume: in press Pages: in press
  • DOI: 10.1080/13557858.2018.1469737
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] The differential effects of age on the association between childhood socioeconomic disadvantage and subjective symptoms of dementia among older Japanese people. (2019)
  • Author(s): Murayama H, Sugiyama M, Inagaki H, Ura C, Miyamae F, Edahiro A, Motokawa K, Okamura T, Awata S.
  • Journal Title: Journal of Epidemiology Volume: in press Pages: in press
  • DOI: 10.2188/jea.JE20180002
  • Peer Reviewed
• [Journal Article] 在宅医療推進のための多職種連携研修プログラム参加者におけるソーシャルキャピタル醸成効果：都市部での検証 (2019)
  • Author(s): 村山洋史, 小宮山恵美, 平原佐斗司, 野中久美子, 飯島勝矢, 藤原佳典
  • Journal Title: 日本公衆衛生雑誌 Volume: in press Pages: in press
  • Peer Reviewed
• [Journal Article] Anticipatory anxiety about future dementia-related care needs: Toward a dementia-friendly community. (2019)
  • Author(s): Okamura T, Sugiyama M, Inagaki H, Murayama H, Ura C, Miyamae F, Edahiro A, Motokawa K, Awata S.
  • Journal Title: Psychogeriatrics Volume: in press Pages: in press
  • Peer Reviewed
• [Journal Article] The impact of intergenerational programs on social capital in Japan: a randomized population-based cross-sectional study. (2019)
  • Author(s): Murayama Y, Murayama H, Hasebe M, Yamaguchi J, Fujiwara Y.
  • Journal Title: BMC Public Health Volume: 19(1) Pages: 156
  • DOI: 10.1186/s12889-019-6480-3
  • Peer Reviewed / Open Access
• [Journal Article] Determinants of depressive symptoms in Filipino senior citizens of the community-based ENGAGE study. (2019)
  • Author(s): Carandang RZ, Shibanuma A, Kiriya J, Asis EL, Chavez DC, Meana M, Murayama H, Jimba M.
  • Journal Title: Archives of Gerontology & Geriatrics Volume: in press Pages: in press
  • DOI: 10.1016/j.archger.2019.02.014
• [Journal Article] Validity of the Japanese version of the Quick Mild Cognitive Impairment screen. (2019)
  • Author(s): Morita A, O’Caoimh R, Murayama H, Molloy DW, Inoue S, Shobugawa Y, Fujiwara T.
  • Journal Title: International Journal of Environmental Research and Public Health Volume: in press Pages: in press
  • DOI: 10.3390/ijerph16060917
  • Peer Reviewed / Open Access
• [Journal Article] 兵庫県養父市におけるシルバー人材センターを機軸としたフレイル予防施策のプロセス評価およびアウトカム評価 (2019)
  • Author(s): 野藤悠, 清野諭, 村山洋史, 吉田由佳, 谷垣知美, 横山友里, 成田美紀, 西真理子, 中村正和, 北村明彦, 新開省二
  • Journal Title: 日本公衆衛生雑誌 Volume: in press Pages: in press
• [Journal Article] Albumin and hemoglobin trajectories and incident disabling dementia in community-dwelling older Japanese. (2019)
  • Author(s): Taniguchi Y, Kitamura A, Kaito S, Yokoyama Y, Yokota I, Shinozaki T, Seino S, Murayama H, Matsuyama Y, Ikeuchi T, Fujiwara Y, Shinkai S.
  • Journal Title: Dementia and Geriatric Cognitive Disorders Volume: in press Pages: in press
  • Peer Reviewed
• [Journal Article] 世代間交流と社会関係資本の継承: 長野県須坂市と首都圏2自治体調査の比較からの知見. (2019)
  • Author(s): 稲葉葉二, 藤原佳典, 小林江里香, 野中久美子, 倉岡正高, 田中元基, 村山幸子, 松永博子, 安永正史, 村山洋史, 渡辺修一郎
  • Journal Title: 政経研究 Volume: in press Pages: in press
  • Peer Reviewed
• [Journal Article] Cohort profile of the NEIGE study in Tokamachi city, Japan. (2019)
  • Author(s): Shobugawa Y, Murayama H, Fujiwara T, Inoue S.
  • Journal Title: Journal of Epidemiology Volume: in press Pages: in press
  • Peer Reviewed
• [Journal Article] Long-term impact of childhood disadvantage on late-life functional decline among older Japanese: Results from the JAGES prospective cohort study. (2018)
  • Author(s): Murayama H, Fujiwara T, Tani Y, Amemiya A, Matsuyama Y, Nagamine Y, Kondo K.
  • Journal Title: Journal of Gerontology: Biological Sciences & Medical Sciences Volume: 73(7) Pages: 973-979
  • DOI: 10.1093/gerona/glx171
  • Peer Reviewed
• [Journal Article] Is community social capital associated with subjective symptoms of dementia among older people? A cross-sectional study in Japan. (2018)
  • Author(s): Murayama H, Sugiyama M, Inagaki H, Okamura T, Miyamae F, Ura C, Edahiro A, Motokawa K, Awata S.
  • Journal Title: Geriatrics & Gerontology International Volume: 18(11) Pages: 1537-1542
  • DOI: 10.1111/ggi.13519
  • Peer Reviewed
• [Journal Article] Adverse childhood experiences and higher-level functional limitations among older Japanese people: results from the JAGES study. (2018)
  • Author(s): Amemiya A, Fujiwara T, Murayama H, Tani Y, Kondo K.
  • Journal Title: Journal of Gerontology: Biological Sciences & Medical Sciences Volume: 73(2) Pages: 261-266
  • DOI: 10.1093/gerona/glx097
  • Peer Reviewed
• [Journal Article] Factors that promote new or continuous participation in social group activity among Japanese community-dwelling older adults: a 2-year longitudinal study. (2018)
  • Author(s): Nemoto Y, Nonaka K, Hasebe M, Koike T, Minami U, Murayama Y, Murayama H, Matsunaga H, Fukaya T, Kobayashi E, Maruo K, FujiwaraY.
  • Journal Title: Geriatrics & Gerontology International Volume: 18(8) Pages: 1259-1266
  • DOI: 10.1111/ggi.13457
  • Peer Reviewed
• [Journal Article] Association between advanced care management and progression of care need level in long-term care recipients: a retrospective cohort study. (2018)
  • Author(s): Itoh S, Hikichi H, Murayama H, Ishimaru M, Ogata Y, Yasunaga H.
  • Journal Title: JMIR Aging Volume: 1(2) Pages: e11117
  • DOI: 10.2196/11117
  • Peer Reviewed / Open Access
• [Journal Article] To give or to receive: Relationship between social support giving/receiving and psychometrics in the large-scale survey. (2018)
  • Author(s): Okamura T, Ura C, Miyamae F, Sugiyama M, Inagaki H, Edahiro A, Murayama H, Motokawa K, Awata S.
  • Journal Title: International Journal of Geriatric Psychiatry Volume: 33(5) Pages: 798-799
  • DOI: 10.1002/gps.4853
  • Peer Reviewed
• [Journal Article] Prevalence of depressed mood and loss of interest among community-dwelling older people: Large-scale questionnaire survey and visiting intervention. (2018)
  • Author(s): Okamura T, Ura C, Miyamae F, Sugiyama M, Inagaki H, Edahiro A, Murayama H, Motokawa K, Awata S.
  • Journal Title: Geriatrics & Gerontology International Volume: 18(11) Pages: 1567-1572
  • DOI: 10.1111/ggi.13526
  • Peer Reviewed
• [Journal Article] 「地域の子育て支援行動尺度」の多世代への適用可能性と支援行動の世代別特徴. (2018)
  • Author(s): 小林江里香, 野中久美子, 倉岡正高, 松永博子, 村山幸子, 田中元基, 根本裕太, 村山洋史, 渡辺修一郎, 稲葉陽二, 藤原佳典.
  • Journal Title: 日本公衆衛生雑誌 Volume: 65(7) Pages: 321-333
  • Peer Reviewed
• [Journal Article] 介護予防のための地域診断指標: 文献レビューと6基準を用いた量的指標の評価. (2018)
  • Author(s): 井手一茂, 鄭丞媛, 村山洋史, 宮國康弘, 中村恒穂, 尾島俊之, 近藤克則.
  • Journal Title: 総合リハビリテーション Volume: 46(12) Pages: 1205-1216
  • Peer Reviewed
• [Journal Article] 若年層と高年層における世代内／世代間交流と精神的健康状態との関連. (2018)
  • Author(s): 根本裕太, 倉岡正高, 野中久美子, 田中元基, 村山幸子, 松永博子, 安永正史, 小林江里香, 村山洋史, 渡辺修一郎, 稲葉陽二, 藤原佳典.
  • Journal Title: 日本公衆衛生雑誌 Volume: 65(12) Pages: 719-729
  • Peer Reviewed
• [Presentation] 世間体意識と高齢期の身体活動量：NEIGE study (2019)
  • Author(s): 村山洋史, 天笠志保, 井上茂, 藤原武男, 菖蒲川由郷
  • Organizer: 第29回日本疫学会学術総会
• [Presentation] 生活機能低下の軌跡パターンと社会経済状況 (2018)
  • Author(s): 村山洋史
  • Organizer: 日本老年社会科学会第60回大会
• [Presentation] ソーシャルキャピタルと認知症関連アウトカム (2018)
  • Author(s): 村山洋史
  • Organizer: 第8回日本認知症予防学会学術集会
• [Presentation] 高齢期における健康の社会的決定要因にどう挑むか：社会疫学の立場から (2018)
  • Author(s): 村山洋史
  • Organizer: 第13回日本応用老年学会大会
• [Presentation] Social appearance (sekentei) and cognitive decline among community-dwelling older adults in rural Japan (2018)
  • Author(s): Murayama H, Shobugawa Y, Fujiwara T, Inoue S.
  • Organizer: The 20th Congress of the International Association of Rural Health and Medicine
  • Int'l Joint Research
• [Presentation] 職場のソーシャルキャピタルとバーンアウト：地域包括支援センター職員へのパネル調査 (2018)
  • Author(s): 村山洋史, 福田吉治
  • Organizer: 第77回日本公衆衛生学会総会
• [Presentation] Socioeconomic disadvantage in early life precicts poor physical performance in late life among older Japanese (2018)
  • Author(s): Murayama H, Sugiyama M, Inagaki H, Ura C, Miyamae F, Edahiro A, Okamura T, Awata S.
  • Organizer: The 70th Annual Scientific Meeting of Gerontological Society of America (GSA)
  • Int'l Joint Research
• [Presentation] National prevalence of frailty in older Japanese population: From a representative national longitudinal survey. (2018)
  • Author(s): Murayama H, Kobayashi E, Fukaya T, Ishizaki T, Liang J, Shinkai S.
  • Organizer: The 70th Annual Scientific Meeting of Gerontological Society of America (GSA)
  • Int'l Joint Research