重症心身障害児・者の「気になる行動」とその経年的変化

Age induced changes of behavioral disorders of children and others with severe motor and intellectual disabilities

要旨：重症心身障害者(以下，重障者)の生活適応を困難にしている「気になる行動」について，重障者80名を対象とし独自の調査表を用いて検討した．また，重障者10名の8年間にわたる療育記録から，「気になる行動」の生活年齢による変化について検討した．その結果，「気になる行動」が6割以上の者に認められ，「騒がしさ」等では有意に女性が多かった．「気になる行動」は20〜40歳代に増加するが，「他傷」は30歳代で減少した．運動発達水準では「四つ這い・いざり群」をピークに増加し，「歩行群」では減少傾向がみられた．以上より，対象者の性別，生活年齢，運動発達水準を考慮し長期的展望を持って取り組む必要性が示唆された．

　The purpose of this study is to examine behavioral disorders related to changes in age for individuals with severe motor and intellectual disabilities (SMID) who have difficulties adapting to society.

　We administered our checklist to 80 SMID in a hospital, and examined behavior disorders for 10 people over a 9-year period.

　As a result, behavioral disorders in persons with SMID varied but tended to increase in 20-40-year olds. Violent behavior against others decreased in their 30 s. It was also recognized that there was a connection between the variety and frequency of degree of abnormality.

　The movement development standard peaked, showing a slight increase in the group 'crawling/bottom shuffling', but decreased in the 'walking' group.

　Regarding gender, behavioral disorders such as "shouting," etc were significantly more prominent in the women's group than in the men's group.

　In conclusion it was necessary to consider the long-term prospects of gender, movement development standard and age of lifestyle for SMID regarding behavior disorders.