心因性視覚障害をもつ小児への臨床心理的介入の試み

Clinical psychological counseling for children with functional visual disturbances

要約　目的：心因性視覚障害の小児に対する，臨床心理士による面接の試みについて報告する。対象と方法：心因性視覚障害と診断され，臨床心理士による面接を行った小児32例。面接は，独立した部屋にて多くは親子同席で1回30分程度実施した。視機能改善までに要した期間と本疾患への影響要因について分析した。結果：対象の72％に改善がみられた。診断から改善までの期間は，視力が約9か月，視野が約7か月で，臨床心理士の介入から改善までの期間はそれぞれ約4か月，約3か月であった。本疾患への影響要因としては，兄弟関係，友人関係が多かった。結論：臨床心理士による患児やその親への心理・社会的視点からの介入が，視機能改善までの期間を短縮する可能性を確認した。

Abstract.　Purpose：To report the effect of psychological counseling to improve visual ability in functional visual disturbances. Material and Method：Thirty-two children with functional visual disturbance were included. Counseling was performed for subjects and their parents once a month. Each session lasted 30 minutes. Duration before improving his/her visual function was determined. Factors possibly affecting this condition were searched. Result：Seventy-two percent of subjects showed improvement. Mean durations from making diagnosis to finding functional improvement in visual acuity and in visual field were 9 months and 7 months respectively. Those from clinical psychological intervention to improvement were 4 months and 3 months respectively. Factors possibly affecting this condition included brothers and sisters relationship, and friendship in school conditions. Conclusion：Intervention from psycho-social perspective is supposed to contribute to shorten duration for improvement in visual function.