慢性統合失調症患者に対する“化粧”の効果—意志の側面から

The effects of cosmetic therapy on chronic schizophrenic patients from the viewpoint of volition

要旨：慢性統合失調症患者では，意欲・自発性の低下などの陰性症状が顕著であり，QOL低下につながっている．本研究では，慢性統合失調症患者において作業療法における化粧活動の効果を明らかにすることを目的とした．方法として，精神病院長期入院中の慢性統合失調症患者10名を対象に化粧活動を行い，意志質問紙により6ヵ月間の経過を評価した．その結果，化粧活動が「人間作業モデル」の3つのサブシステムの1つである意志の項目(特に「挑戦を求める」，「活発である」の2項目)に対して改善することが示され，慢性統合失調症患者における化粧活動は有効であると考えられた．

　It is well known that chronic schizophrenic patients show symptoms such as emotional flatness, decreased motivation and disinterest. The purpose of this study is to investigate the effects of a cosmetic group on these symptoms of the chronic schizophrenic patient from the viewpoint of volition. Ten schizophrenic patients participated in cosmetic group therapy once a week for 6 months, and were evaluated with the Volitional Questionnaire of the Model of Human Occupation, after each therapy session. Results showed that patients who joined the cosmetic group significantly improved in scores of "Seeks challenges" and "Is lively/energetic". On the other hand, the scores of "Seeks additional responsibilities" and "Engages others" did not change very much. This study demonstrated that patients can improve the volition subsystem participating in cosmetic group therapy.