精神科急性期病棟から家庭復帰を目指した関わり─うつ病を呈した主婦に対する作業療法

Returning home from a psychiatric acute ward: Occupational therapy for a housewife with depression

要旨：今回，筆者は家族に対する心労から，うつ病を呈した主婦の事例に関わる機会を得た．本介入では，うつ病の心理教育とセルフモニタリングシートの導入により，事例の病識の乏しさにアプローチし，また外泊訓練時の家事体験を通して，主婦役割の再獲得に向けて介入した．さらに，うつ病の再発防止に向けてクライシスプランを作成し，また近隣住民への対応について個別SSTを用いて練習を繰り返すなど，事例とともに検討を重ねた．この結果，事例の家庭復帰に繋げることができた．

　This report describes an occupational therapy case of a housewife who became depressed due to being overly concerned for her family. In this intervention, I conducted psychoeducation of depression, introduced a self-monitoring sheet, improved understanding of the disease, and intervened for the reacquisition of housewife role through housekeeping training. Furthermore, I prepared a crisis plan to prevent the recurrence of depression, and repeatedly practiced with her using SST to deal with neighboring residents. As a result, she could return home.