知的障害者入所更生施設利用者における強度行動障害とその問題行動の特性に関する分析

Analysis of Severe Behavioral Disorders in People from Facilities for Mental Retardation

抄録

　本研究では，知的障害者入所更生施設2か所に入所する289名を対象に，強度行動障害と問題行動との関連についての調査を行った。施設担当職員が，各入所者について，強度行動障害判定基準項目，異常行動チェックリスト(ABC-J)および不適切行動の評定を行った。その結果，強度行動障害得点の高さとABC-Jにおける興奮性や常同行動の高さとの関連が示された。また，強度行動障害判定基準項目と不適切行動の評定との相関について，家出や盗み，放火などの項目とは正の関連が示され，不適切な言語や嘘，騙しなどの言語面での不適切行動とは負の関連が示された。知的障害者入所更生施設における強度行動障害者の問題行動の特性について論じた。

　In this study, we investigated the relation between severe behavior disorders and problem behaviors in 289 subjects from 2 different facilities for people with mental retardation. The personnel at each facility evaluated the subjects by using (1) criteria for severe behavioral disorders, (2) the ABC-J (Aberrant Behavior Checklist-Japanese version), and (3) criteria for inappropriate behaviors. On analyzing the ABC-J data, the point indicators of severe behavioral disorders were found to be related with those of high excitability and high-frequency stereotypical behaviors. A positive correlation was observed between severe behavioral disorders and inappropriate behaviors such as running away from home, performing theft, and performing arson. In contrast an inverse relation was observed between severe behavior disorders and language behaviors such as useing inappropriate words, lying and cheating. Our data show the characteristics of inappropriate behaviors among people with severe behavior disorders from facilities for people with mental retardation.