Examining the Effectiveness of a Brief Cognitive Behavioral Therapy Program by Nurses for Symptom Self-Management in Persons with Mental Disorders

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K10958
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: International University of Health and Welfare
• Principal Investigator: OKADA YOSHIE 国際医療福祉大学, 成田看護学部, 教授 (60276201)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 認知行動療法 / 看護師 / 精神障害者 / 症状自己管理 / 双極性障害 / 再発予防

Outline of Final Research Achievements

As the number of people with mental disorders in Japan continues to increase, nurses, as members of the healthcare team, have an important role to play in psychosocial interventions aimed at symptom self-management to prevent relapse, and cognitive behavioral therapy (CBT) has attracted attention as an effective and feasible intervention method. In this study, a short-term group cognitive-behavioral therapy (CBGT) program was created for bipolar patients by nurses, and its relapse prevention effect was examined in a single-group pre- and post-comparison design. Although the number of subjects was too small to examine the effect of relapse prevention, the subjects showed awareness of antecedent manic and depressive symptoms and coping strategies, and they were highly satisfied with the program. Further accumulation of data and validation through randomized controlled trials are needed.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

現在、国内の双極性障害者は増加傾向にあり、双極性障害への再発予防効果が検証されたCBTプログラムが十分ないなか、本研究の成果は双極性障害者への効果的なCBTプログラムの一資料を提供しうる点で学術的および社会的意義がある。また本研究は、国内における低強度型CBTプログラムの開発が十分されていないなか、短期かつ集団対象の低強度型CBTプログラムの効果を検討するもので、臨床現場でのCBTの実装という点でも貢献しうる。さらに看護師が実施する低強度型CBTプログラムという点で、看護師による有効な心理社会的介入の手法の確立にも貢献できると考える。