アブストラクト
Japanese
| Title | 脳卒中後にアパシーを呈し, 経時的に抑うつを伴った事例に対する, ポジティブな視覚フィードバックを用いた介入の試み |
|---|---|
| Subtitle | 実践報告 |
| Authors | 山田順也*1, 竹林崇*2, 福山千愛*3,*4 |
| Authors (kana) | |
| Organization | *1社会医療法人協和会北大阪病院リハビリテーション科 (前所属;社会医療法人協和会加納総合病院リハビリテーション科), *2大阪公立大学大学院リハビリテーション学研究科, *3伊丹恒生脳神経外科病院リハビリテーション部, *4大阪公立大学大学院リハビリテーション学研究科博士後期過程 |
| Journal | 作業療法 |
| Volume | 42 |
| Number | 4 |
| Page | 539-546 |
| Year/Month | 2023 / 8 |
| Article | 報告 |
| Publisher | 日本作業療法士協会 |
| Abstract | 要旨:身体機能障害に加え, アパシーによる意欲低下や抑うつ症状が出現した脳卒中患者を経験した. 事例は介入初期より意欲低下を認め, 具体的な目標設定が困難であった. また, 経時的に抑うつ感・不安感が出現し, 精神機能の評価結果が悪化した. これらの症状に対し, 複数のポジティブな視覚フィードバックを用いて, 身体機能に対する介入の効果が分かりやすくなるように提示した. 結果, アパシーや抑うつの改善とともに言動変化を認め, 具体的な目標共有が可能となった. 本事例報告において, 脳卒中後にアパシーや抑うつを呈した事例に対し, ポジティブな視覚フィードバックを用いた介入は, 精神機能の改善や行動変容を促進する可能性が示された. |
| Practice | 医療技術 |
| Keywords | アパシー, 抑うつ, フィードバック, Apathy, Depression, Vision feedback |
English
| Title | Intervention using positive vision feedback for a case of apathy with depression after stroke : A case study |
|---|---|
| Subtitle | PRACTICAL REPORTS |
| Authors | Junya Yamada*1, Takashi Takebayashi*2, Chinaru Fukuyama*3,*4 |
| Authors (kana) | |
| Organization | *1Department of Rehabilitation, Kitaosaka Hospital, Social Medical Kyowakai (Former affiliation ; Department of Rehabilitation, Kano General Hospital, Social Medical Kyowakai), *2Graduate School of Rehabilitation Science, Osaka Metropolitan University, *3Department of Physical Medicine and Rehabilitation, Itami Kousei Neurosurgical Hospital, *4Doctor Course, Graduate School of Rehabilitation Science, Osaka Metropolitan University |
| Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
| Volume | 42 |
| Number | 4 |
| Page | 539-546 |
| Year/Month | 2023 / 8 |
| Article | Report |
| Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
| Abstract | We experienced a stroke patient with physical dysfunction, apathy, low motivation, and depressive symptoms. The patient showed decreased motivation from the beginning of the intervention and had difficulty setting specific goals. Depression and anxiety appeared over time which worsened mental function assessment. To address these symptoms, multiple positive visual feedbacks were used to clearly present the effects of the intervention on physical function. As a result, the patient's behavior and speech changed, along with improvement in apathy and depression, and specific goals could be shared. This case study demonstrates that an intervention using positive visual feedback may promote improvement in mental function and behavioral change in a patient with apathy and depression after stroke. |
| Practice | Medical technology |
| Keywords | Apathy, Depression, Vision feedback |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Caeiro L, Ferro JM, Costa J: Apathy secondary to stroke: a systematic review and meta-analysis. Cerebrovasc Dis 35(1): 23-39, 2013.
- 2) Hackett ML, Yapa C, Parag V, Anderson CS: Frequency of depression after stroke: a systematic review of observational studies. Stroke 36(6): 1330-1340, 2005.
- 3) Hama S, Yamashita H, Shigenobu M, Watanabe A, Kurisu K, et al: Post-stroke affective or apathetic depression and lesion location: left frontal lobe and bilateral basal ganglia. Eur Arch Psychiatry Clin Neurosci 257(3): 149-152, 2007.
- 4) Chollet F, Acket B, Raposo N, Albucher JF, Loubinoux I, et al: Use of antidepressant medications to improve outcomes after stroke. Curr Neurol Neurosci Rep 13(1): 318, 2013, doi: 10.1007/s11910-012-0318-z.
- 5) Gaete JM, Bogousslavsky J: Post-stroke depression. Expert Rev Neurother 8(1): 75-92, 2008.
残りの10件を表示する
- 6) Robinson RG, Spalletta G: Poststroke depression: a review. Can J Psychiatry 55(6): 341-349, 2010.
- 7) 岡田和悟,小林祥泰,青木耕,須山信夫,山口修平:やる気スコアを用いた脳卒中後の意欲低下の評価.脳卒中 20(3):318-323, 1998.
- 8) 日本脳卒中学会Stroke Scale委員会(感情スケール作成委員会):日本脳卒中学会・脳卒中感情障害(うつ・情動障害)スケール.脳卒中 25(2):206-214, 2003.
- 9) Arya KN, Verma R, Garg RK: Estimating the minimal clinically important difference of an upper extremity recovery measure in subacute stroke patients. Top Stroke Rehabil 18(Suppl 1): 599-610, 2011.
- 10) van der Lee JH, Wagenaar RC, Lankhorst GJ, Vogelaar TW, Deville WL, et al: Forced use of the upper extremity in chronic stroke patients: Results from a single-blind randomized clinical trial. Stroke 30(11): 2369-2375, 1999.
- 11) Lang CE, Edwards DF, Birkenmeier RL, Dromerick AW: Estimating minimal clinically Important differences of upper extremity measures early after stroke. Arch Phys Med Rehabil 89(9): 1693-1700, 2008.
- 12) Nijland RH, van Wegen EE, Harmeling-van der Wel BC, Kwakkel G, EPOS Investigators: Presence of finger extension and shoulder abduction within 72 hours after stroke predicts functional recovery: Early prediction of functional outcome after stroke: The EPOS cohort study. Stroke 41(4): 745-750, 2010.
- 13) Bandura A: Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 84(2): 191-215, 1977.
- 14) Resnick B, Michael K, Shaughnessy M, Kopunek S, Nahm ES, et al: Motivators for treadmill exercise after stroke. Top Stroke Rehabil 15(5): 494-502, 2008.
- 15) 日本作業療法士協会:作業療法ガイドライン(2018年度版).日本作業療法士協会, 2019, pp.14-19.
