精神科急性期病棟入院患者のSOC（Sense of Coherence）調査

Investigation for the SOC (Sense of Coherence) in Psychiatric Inpatients

抄録

　精神科急性期病棟入院患者を対象としてSOC調査を実施した。精神症状が安定した退院時点にもかかわらず，患者らのSOC得点は他の調査による対照群と比べて低かった。また臨床要因との関連では，年齢，発症年齢，GAF得点，抗うつ薬，抗不安・催眠薬投与量，自殺企図の既往，生保受給，疾患群，入院形態との間に，有意な関連が認められた。年齢，発症年齢，GAF得点が高いほどSOC得点は高く，抗うつ薬および抗不安・催眠薬投与量が高いほどSOC得点は低かった。さらに自殺企図者，生保受給者の得点はそうでない者よりも低く，「統合失調症」群が「神経症圏」群より，医療保護入院患者は措置，任意入院患者よりも高かった。

Summary

　An investigation for SOC (Sense of Coherence) in psychiatric inpatients who were admitted in the acute ward was undertaken. Even though the time when examination was made was when they were stable and ready to be discharged, their SOC scores were obviously lower than that found in the general population or in the control groups in other studies. As for the relationship between the SOC score and other clinical factors, age, age when the disease first appeared, GAF (Global Assessment of Functioning), amount of psychiatric medicine (anti-depression and minor drugs), disease groups, morphology at time of admission, suicide attempt, and public assistance were significantly related to the SOC score. The SOC scores of elderly subjects were higher (i.e. their coping strategies were better) than young patients. The greater the subject developed his/her psychiatric disease, the lower their SOC score was. The higher GAF score the subject gained, the higher his/her SOC score was. The more the amount of psychiatric medicine (anti-depression and minor drugs) used, the lower the SOC score was. Furthermore, the scores of patients with schizophrenia were significantly higher than those in the neurotic level group. The SOC score of the subject with arbitrary hospitalization morphology/suicide attempt/public assistance was lower than those without such conditions.

　The result, that the coping ability of psychiatric patients before discharge was poorer than that of the general population, suggested that continuing care or follow up of psychiatric patients after discharge is important. Another result, that many clinical factors were related to the score of SOC, suggested that we should assess our clinical work taking into account patients' SOC.