Practice of Return-to-work Program based on Cognitive Remediation.

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K23379
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0110:Psychology and related fields
• Research Institution: The University of Tokyo
• Principal Investigator: Ochiai Maiko (川崎舞子) 東京大学, 相談支援研究開発センター, 特任助教 (80844018)
• Project Period (FY): 2019-08-30 – 2023-03-31
• Keywords: リワークプログラム / 認知リハビリテーション / 認知機能 / うつ病 / 休職 / 復職 / 職場復帰支援

Outline of Final Research Achievements

The purpose of this study was to examine changes in depressive symptoms and cognitive dysfunctions in patients who have taken time off because of mental health problems such as depression, by implementing a Return-to-work Program incorporating technique of Cognitive Remediation. The program was administered to 20 participants, and psychological tests (several questionnaires and cognitive function tests) were administered before and after the program, and the data obtained were statistically analyzed. Results showed that all questionnaires, including depression and anxiety, and cognitive tests of executive function, working memory, response inhibition, and psychomotor speed improved after participation in the program. We also learned some things about how to implement Cognitive Remediation taking into account the characteristics of depression.

Free Research Field

臨床心理学

Academic Significance and Societal Importance of the Research Achievements

認知リハビリテーションは高次脳機能障害や統合失調症を対象とした介入として発展してきた背景がある。ここ数年でリワークプログラムに取り入れる事例が急速に増えてきたが、具体的な実践方法や効果に関する先行研究は十分とはいえない。そのため、効果の検討はもちろん、うつ病休職者の状態やニーズに合った実践方法を模索することもまた重要であった。実際に、本研究を実施するなかで、参加者の動機づけ維持や、うつ症状の特徴をふまえた作業内容の工夫の必要性など、多くの示唆が得られた。本研究で得られた知見は, うつ病患者の認知機能障害の理解と、うつ病休職者を対象とした認知リハビリテーションの発展の一助となるだろう。