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RISS 인기검색어
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- 저자 : Yusuke Kurebayashi (검색결과 7 건)
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Yusuke Kurebayashi,Junichi Otaki 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Schizophrenia shows social impairment that is generally treated by psychopharmacotherapy. Recently, because therapy shows efficacy only for psychopathological symptoms, physical exercise for patients with schizophrenia is under development to improve cognition based on results from several studies. However, whether physical exercise improves social functioning remains unclear. Therefore, this study analyzed the cross-sectional correlation between physical activity and social functioning in inpatients with schizophrenia. Method(s): Inpatients with schizophrenia were recruited from a psychiatric hospital in Japan. We investigated demographics, psychopathological symptoms using the Positive and Negative Syndrome Scale (PANSS), physical activity using a tri-axial accelerometer HJA-750C, and social functioning using the Life Assessment Scale for the Mentally Ill (LASMI) and the Rehabilitation Evaluation Hall and Baker (Rehab). Lower LASMI and Rehab scores indicate better function. We performed Spearman’s rank-correlation analysis. Result(s): Seven inpatients completed to the survey. The average age, illness duration, and PANSS were 47.3 ± 13.8 years, 22.9 ± 13.7 years, and 78.6 ± 17.3, respectively. Walking calories were positively associated with the deviant behavior subscale (r= .926, p= .003) and the interpersonal relationship subscale (r= .786, p= .036). Walking time were also positively associated with the deviant behavior subscale (r= .926, p= .003) and the interpersonal relationship subscale (r= .786, p= .036). walking time more than 3 Mets (r= .926, p= .003) and steps (r= .849, p= .016) were positively associated with the deviant behavior subscale. Conclusion(s): Higher walking activity is associated with lower social functioning in this cross-sectional study. This cross-sectional relationship might be influenced by participants’ symptomatic severity. Patients who have severe symptom might tend to more move or walk and show severe social dysfunction especially on deviant behavior and interpersonal relationship. Therefore, future studies should examine the longitudinal association or the effect of the intervention. Furthermore, a large-scale study is also needed.
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Self-Compassion and Related Interventions and Factors in Severe Mental Illness; A Scoping Review
Yusuke Kurebayashi,Hiroshi Sugimoto 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Self-compassion, or the attitude of being compassionate toward oneself, has been associated in previous studies with reduced depressive symptoms and increased motivation for self-improvement among healthy individuals. This suggests that self-compassion reduces psychological problems and facilitates self-improvement. Self-compassion is considered a new focus area for psychological care. However, findings in severe mental illness have yet to be summarized. Therefore, this scoping review aimed to summarize interventions and factors related to self-compassion (SC) in severe mental illness and to suggest future study directions. Method(s): Online databases (PubMed, PsychoINFO, EBSCO, Cochrane) were used to search articles published before June 2021. Articles using questionnaires to investigate self-compassion in cases of schizophrenia or psychosis, bipolar disorder (BD), and major depressive disorder (MDD) were analyzed. Interventional and observational studies were included, but protocol and review articles were excluded. Variables predicting, predicted by, and correlated with self-compassion were analyzed, as were used interventions analyzed. Result(s): Among 244 articles, 25 studies (N= 2359) were eligible. Of these, 12 investigated MDD, 5 investigated BD, and 8 investigated schizophrenia. Two BD and one psychosis studies comparing healthy individuals were conducted. Mindfulness-based cognitive therapy (MBCT) was used in most interventional studies (N=4), and all 4 reported improved SC. Observational studies reported that illness duration and symptom severity in BD predicted SC, and SC predicted depression and anxiety. SC also predicted emotional regulation and life meaning. Conclusion(s): MBCT may increase SC in severe mental illnesses, which not only decreases depression and anxiety but also increases emotional regulation and life meaning. However, it has not been examined whether SC differs between schizophrenic and healthy individuals, how clinical variables in schizophrenia influence SC, or whether SC improves functional or symptom outcomes. Future studies are needed to examine SC in schizophrenia and its relation with clinical outcomes.
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Reconsidering Control Ability: Emphasizing the Vulnerability of People with Mental Illness
Hiroshi Sugimoto,Yusuke Kurebayashi 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim: Patient empowerment is crucial for healthcare providers, such as nurses. However, empowerment programs sometimes lead to victim-blaming. If an individual cannot change their behavior, they tend to be regarded as lazy. Such blaming may lead to mental health problems. Nursing practices must have other perspective that is different from fostering empowerment and behavioral change. This study considered an alternative way of thinking beyond empowerment. Methods: Fieldwork included observations and informal interviews was conducted focusing on performance activities done by people with mental illness. The data were analyzed by comparing the empowerment approach using discourse analysis. Results: People with mental illness emphasized their vulnerabilities instead of their strengths. They expressed their experiences, including that generally considered as accompanying shame. Through talking or poetry reading, patients voiced their failures, lack of business success, and hospitalization experience at the performance event. One performer said the way they expressed their vulnerability became therapeutic for both performer and audience. The performance activity showed the importance of the patient’s vulnerability or lack of ability. Healthcare providers tend to assume that if they provide sufficient care, patients may learn to control their behavior. However, the performance activities in which patients emphasized their vulnerability revealed the importance of their lack of ability. Awareness and expression of lack of ability facilitate raising a healthy state of mind and enhancing health. Therefore, from the viewpoint of recovery, healthcare providers should place greater value on vulnerability. Conclusion: Although paradoxical, it may be valuable for healthcare providers to treat vulnerability as a strength. Nurses’ care must lead patients toward empowerment. Furthermore, nurses should cognize the importance of including vulnerability and uncontrollability in recovery.
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