児童・思春期精神科で治療を受けている中学生の自尊感情に関する研究—ソーシャルスキル，居場所感との関連

A Study of Self-esteem in Junior High School Students with Mental Disorders: Relationship between social skills and sense of belonging

抄録　児童・思春期精神科で治療を受けている子どもは，自尊感情が低く，回復させる必要性が指摘されている。そこで，中学生を対象に自尊感情とソーシャルスキル，居場所感の関係を明らかにすることを目的とした。

　入院・外来通院中の208名の結果から自尊感情尺度(RSES-J)とコミュニケーション基礎スキル尺度，居場所感尺度との間に正の相関が認められ，パスモデルよりソーシャルスキルや友人関係が居場所感に影響を与え，居場所感が自尊感情に影響していることが示された。

　このことから，自尊感情を高めるためには，友人関係に着目した観察や，ソーシャルスキルへの介入，また居場所感を高める支援が重要であると考えられた。

　It has been pointed out that children with mental disorders have low self-esteem and that medical staff should raise it. The purpose of this study was to clarify the relationships among self-esteem, social skills, and sense of belonging in junior high school students with mental disorders.

　We investigated the following in 208 inpatient and outpatients：a Japanese version of the Rosenberg Self-Esteem Scale (RSES-J), a Basic Communication Skills Scale for Junior High School Students, a Sense of Belonging Scale, and interpersonal relations. We found a positive correlation between the RESE-J and the Basic Communication Skills Scale and between the RSES-J and the Sense of Belonging Scale. Path analysis showed that social skills and friendship affected sense of belonging and that sense of belonging and social skills affected self-esteem.

　Our findings indicate that medical staff should focus on friendship, intervene in social skills, and increase the sense of belonging to build up children's self-esteem.