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Japanese

Examination of the effectiveness of the return to work program for patients with mood disorders Eri Yoshihara 1 , Ryunosuke Iwai 2 , Sachie Tanaka 3 , Masayoshi Kobayashi 4 , Shinsuke Washizuka 5 1Specified Medical Corporation Kusunokikai Kusunoki Mental Hospital (Former affiliation; Graduate School of Medicine, Shinshu University) 2Shinshu University Hospital 3School of Health Science, Shinshu University 4Graduate School of Medicine, Shinshu University 5Department of Psychiatry School of Medicine, Shinshu University Keyword: 気分障害 , 就労支援 , 認知機能 , (リワークプログラム) , Mood disorder , Employment support , Cognitive function , Return to work program pp.352-360
Published Date 2018/6/15
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 The purpose of the study was to examine the effectiveness of the return to work (rework) program and to determine factors associated with reinstatement. Participants of the rework program were diagnosed with mood disorders. The three-month course comprised psychoeducation based on illness management and recovery twice a week and occupational therapy five times a week. The participants were evaluated using Japanese version of the Brief Assessment of Cognition in Schizophrenia (BACS), the Social Adaptation Self-evaluation Scale-Japanese version (SASS-J), the Global Assessment of Functioning (GAF), Hamilton Rating Scale for Depression (HAM-D), Young Mania Rating Scale (YMRS), and the Psychiatric Rework Readiness Scale (PRRS) before and after the program. These measures compared the reinstatement group (RG) that was able to return to work and the continuation group (CG) that was not able to return to work. Thirteen patients participated in the program. The BACS scores and the PRRS scores significantly increased after the program. The improvement in cognitive function and reinstatement readiness were the main outcomes of this program. After the program, the personal relationship scores of the PRRS were seen more in the RG than in the CG. Furthermore, significantly higher preparation conditions of the PRRS were seen in the RG than in the CG. The improvement of personal relationship skills and reinstatement readiness were considered important. It is necessary to replicate the study using an increase in the sample size in the future.


Copyright © 2018, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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