筋痛性脳脊髄炎/慢性疲労症候群当事者による作業の選択・継続に影響を与える要因—複線径路・等至性モデリング（TEM）を用いた質的記述的研究

Factors influencing choosing and continuing an occupation of persons with myalgic encephalomyelitis/chronic fatigue syndrome: A qualitative descriptive study using Trajectory Equifinality Modeling (TEM)

目的：ME/CFS者の作業選択・継続の過程とその要因を質的研究により明らかにすること．対象：A氏，40代，女性．大学生時にME/CFS様の症状が出現し，10年後ME/CFSと診断．方法：A氏へのインタビュー結果からTEM図を作成し，TEMの概念とA氏の経験を適合させ，分析した．結果：A氏の仕事選択と継続の状況およびその要因について，A氏の主観や社会的状況から明らかになった．考察：身体状況と仕事内容の調整の不在は作業の継続の阻害や症状の悪化のリスクとなる．障害や病の存在を肯定し，それを中心に据えて社会の変容にベクトルを向けられる環境は興味ある作業の選択・継続を促進する可能性がある．

　To clarify the process of occupation choice and continuation of ME/CFS persons through a qualitative study. Subject: Ms. A, a female in her forties, suffered from ME/CFS-like symptoms when she was a university student. After 10 years, she was diagnosed with ME/CFS. Method: A TEM diagram was created based on the results of an interview with Ms. A, and the diagram was analyzed by matching the concept of TEM with Ms. A's experience. Results: Ms. A's subjective and social circumstances revealed the circumstances and factors of her work choice and continuation. Discussion: The absence of coordination between physical condition and work content risks disruption of work continuity and worsening of symptoms. An environment that affirms the existence of disability and illness, and can vector toward social transformation centered on them, may promote both choice and continuation of interesting occupations.