うつ病患者の社会適応状態とIADL・就労準備性との関連性

Relationships among social adjustment states, IADL, and the employment readiness of persons with depression

要旨：うつ病患者39名を対象に，IADL，社会適応状態，就労準備性，抑うつ度を調査し，相互の関連性と社会適応状態（「興味と好奇心」，「対人関係」，「自己認識」）を予測する因子を検討した．重回帰分析の結果，抑うつ度とIADLが社会適応状態を予測する因子として抽出され，「興味と好奇心」は抑うつ度とIADLが，「自己認識」は抑うつ度が予測因子として抽出された．「対人関係」は予測因子が抽出されなかったが，社会適応状態の合計点と強い相関があり（rs＝0.82）重要な要因と思われた．就労準備性は抑うつ度と「自己認識」との相関が強く，就労準備性を高めるにはうつ症状と「自己認識」の改善が重要と思われた．

　This study clarified the relationships among social functioning (social adjustment state), IADL, employment readiness, and depressive symptoms in persons with depression and evaluated the factors that predict social adjustment state. Thirty-nine outpatients with depression participated in the study. The survey contents were related to information regarding FAI, SASS-J, employment readiness, and BDI-II. The results of multiple regression analysis for the variables SASS-J, depressive symptoms, and IADL predicted the social adjustment state of patients with depression. “Depressive symptoms” and IADL were evaluated as factors related to “interest and curiosity.” Furthermore, “depressive symptoms” were related to “self-awareness.” Factors predicting “interpersonal relationships” were not evaluated, although they were strongly correlated (rs=0.82) with the total score of social adjustment state. Employment readiness was strongly correlated with depressive symptoms and “self-awareness.” Thus, to improve the employment readiness of persons with depression, improvement of “depressive symptoms” and “self-awareness” is crucial.