サポートグループが復職を目指す女性うつ病患者にもたらした影響―女性うつ病患者のサポートグループにおける体験から

Influences of a Support Group on Women with Depression Aiming at Reinstatement into the Workplace：From Experiences of Women with Depression in a Support Group

要旨

　本研究は，復職を目指す女性うつ病患者がサポートグループでどのような影響を受けたことにより，復職に取り組めたのかを明らかにすることを目的とした．うつ病と診断されグループに参加する女性協力者5名を対象に，半構成的面接を行い質的帰納的に分析した．

　その結果，【うつ病を取り巻く環境】【サポートグループで得られた知識】【カタルシスの場としてのサポートグループ】【支えとなったサポートグループという場】【共感し合えた仲間の存在】【回復と悪化をともにした仲間の存在】【サポートグループでの仲間やスタッフとの出会い】【抵抗を感じながらも受容したうつ病】【認識および行動の変化】【ライフスタイルにおける変化】【回復への期待】【葛藤を伴いながらも取り組んだ復職】の合計12カテゴリーが抽出された．これらより女性うつ病患者の復職には専門職者を含むグループという場による全面的な後ろ盾と，多様な病状経過を辿りながらも復職を目指す仲間の存在が大きく影響することが示唆された．

Abstract

　This study was designed to clarify how the influence of a support group for women with depression aiming for reinstatement into the workplace may have enabled some of them to achieve reinstatement. Participants were five women with depression belonging to a support group. Data was collected through semi-structured interviews with participants and analyzed qualitatively and inductively.

　Twelve categories were identified: [the environment surrounding depression]; [the knowledge provided in a support group]; [a support group as a place of catharsis]; [a support group facilitates supporting patients with depression]; [the presence of associates who sympathized with each other]; [the presence of associates who shared in the process of recovery and aggravation]; [encounters with staff and associates in a support group]; [acceptance of depression while feeling resistance]; [modification of recognition and behavior]; [modification of lifestyle]; [expectation of recovery]; and [reinstatement into the workplace while tackling conflict]. The results of this study suggest that reinstatement into the workplace support for women with depression is influenced greatly by the existence of comprehensive assistance provided by the environment of a support group, therapists, and companionship of others with depression who are seeking reinstatement back into the workplace and who have experienced a wide variety of clinical conditions.