| Project/Area Number |
17390206
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
General internal medicine (including Psychosomatic medicine)
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| Research Institution | The University of Tokyo |
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Principal Investigator |
KUMANO Hiroaki The University of Tokyo, Hospital, Associate Professor (90280875)
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| Co-Investigator(Kenkyū-buntansha) |
YAMAMOTO Yoshiharu The University of Tokyo, Graduate School of Education, Professor (60251427)
YOSHIUCHI Kazuhiro The University of Tokyo, Hospital, Assistant Professor (70313153)
FUKUI Itaru Tokyo Kasei University, Graduate School of Literature, Associate Professor (10208928)
SUZUKI Shin-ichi Waseda University, Faculty of Human Sciences, Associate Professor (00326414)
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| Project Period (FY) |
2005 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥11,940,000 (Direct Cost: ¥11,100,000、Indirect Cost: ¥840,000)
Fiscal Year 2007: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2006: ¥3,800,000 (Direct Cost: ¥3,800,000)
Fiscal Year 2005: ¥4,500,000 (Direct Cost: ¥4,500,000)
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| Keywords | clinical work / human life environment / instrumentation engineer / control engineering / bioengineering |
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| Research Abstract |
This study aimed at the system development for the scientific formulation of treatment processes targeting psychosomatic diseases or panic disorder utilizing the methods of computerlized Ecological Momentary Assessment (cEMA). cEMA is a recently developed time-series momentary assessment method of one's signs and symptoms in actual life using a personal digital assistance (PDA).
Firstly, we demonstrated the merit of using cEMA for the assessment of pathologic conditions of the patients with tension-type headache or panic disorder, and showed the newly found pathologic mechanisms of these diseases.
Secondly, the program of cognitive behavior therapy (CBT) operating on the Windows Mobile PDA was developed for the agoraphobic symptoms of panic disorder patients, which enabled on-site behavioral process control by showing in a graph the real-time anxiety level every 5 minutes. As a result of applying it to the four patients with panic disorder and agoraphobia, it was remarkably effective and
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the precise data of intervention processes were obtained. The program of CBT using a pocket notebook was also developed and tested for moderately depressed university students, which indicated that the method of recording by remembering later was superior to that of recording immediately after experiencing a depressive mood.
Thirdly, we developed the methods for analyzing and interpreting the time-series ecological data and intervention process data. We could thus investigate the pathologic mechanisms of tension-type headache and panic disorder that had never been clarified. In addition, we indicated that the necessary condition for invoking the desirable behavior modification in everyday life is somewhat different from that for accurate assessment by EMA. The latter requires the ecological validity that is assured by not informing the subjects of the results of assessment, while the former contains a self-monitoring method as a vital ingredient that surely informs the subjects of the results of assessment. Less
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