統合失調症者に対する生活行為向上マネジメントによる個別的作業療法介入の効果—非ランダム化比較対照試験

The effect of tailor-made occupational therapy intervention by Management Tool for Daily Life Performance (MTDLP) for persons with schizophrenia: A controlled clinical trial

要旨：目的は，統合失調症者に対する生活行為向上マネジメント（MTDLP）による個別的作業療法の効果を検証することである．非ランダム化比較対照試験を用い，介入群は個別的・集団的プログラム，対照群は集団的プログラムを実施した．前後比較では，介入群の作業遂行の実行度・満足度，自記式作業遂行指標（SOPI）の合計得点と「生産的活動」，リカバリー意識（RAS），精神障害者社会生活評価尺度（LASMI）の「労働または課題の遂行」，「自己認識」，対照群のSOPI「生産的活動」の成績が改善した．2群間比較では，LASMIの「日常生活」，「労働または課題の遂行」，「自己認識」で介入群の成績が高かった．本研究は，MTDLPが精神科作業療法に有用であることを示した．

　The purpose of this study was to verify the effect of tailor-made occupational therapy intervention by Management Tool for Daily Life Performance (MTDLP) for persons with schizophrenia. The authors used the design of a non-randomized controlled trial, and performed an individual program using MTDLP for the Intervention Group, in addition to the conventional collective program. The collective program was performed for the Control Group. In the before and after study, the results of the Intervention Group were significantly improved in the degree of performance and satisfaction of occupational performance as shown in the scores of the composite score and “Productivity” of SOPI, RAS, “Work” and “Self-recognition” of LASMI. The results of the Control Group were significantly improved in the score of “Productivity” of SOPI. In the intergroup comparison study, the score of the Intervention Group was significantly higher in the scores of “Daily living”, “Work”, and “Self-recognition” of LASMI. This study has revealed that MTDLP is useful for the intervention in psychiatric occupational therapy.