［原著］統合失調症患者の社会復帰促進に向けた就労支援プログラムの実証的研究

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The purpose of this study was to evaluate the effect of work support program for people with schizophrenia. We conducted a randomized controlled trial (RCT) study design. Eighteen people with schizophrenia who agreed to the informed consent were randomly assigned to either an intervention group (n=10) or a control group (n=8). With regard to judgment scale of intervention effects, we conducted general Self-efficacy Scale (GSES), Self-Efficacy for Community Life Scale (SECL), Positive and Negative Syndrome Scale (PANSS), Life Assessment Scale for the Mentally Ill (LASMI) scale and Work-Personality scale (WP). As the results, the score of GSES in the control group increased significantly after 6 months, but that in the intervention group did not. The score of SECL and PANSS in both groups did not change significantly between before and after the training. The score of "Daily Living area" and "Interpersonal relations area" in LASMI in the intervention group decreased significantly after 3-months and 6-months. Moreover, "Self-Recognition area" in LASMI in the intervention group decreased significantly after 6-months, whereas that in the control group did not. The score of WP in the intervention group decreased significantly between first and second and between first and third, whereas that in the control group did not. Considering these results, this work support program has proved that it has learning effect on people with schizophrenia in terms of their current recognition and job skills.精神科デイ・ケアに通院している統合失調症患者におけるデイ・ケア就労支援介入プログラムが，自己及び社会生活に関する効力感及び精神障害の陽性・陰性症状ならびに就労・社会生活に及ぼす影響について検証した．その結果，就労支援プログラムが対象者の日常生活や対人関係，自己認識の改善や社会生活能力の向上に関与することが示唆された．今後，対象者の拡大によるプログラム介入効果のさらなる検証や，患者の就労に対する動機づけや職務志向・就労能力に応じたプログラム内容の検討や社会資源の活用を包含した統合的介入プログラムの構築が課題として考えられた．

［原著］統合失調症患者の社会復帰促進に向けた就労支援プログラムの実証的研究

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