研究者詳細 - 森元　隆文

論文 - 森元　隆文

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各精神疾患の作業療法と臨床推論統合失調症

森元隆文, 白鳥慶司, 上村苑子, 横山和樹

臨床作業療法NOVA 21 ( 14 ) 8 - 15 2024年12月 [招待有り]

担当区分：筆頭著者 , 責任著者

コンサルテーション・リエゾン精神医学における作業療法士の実践についてのスコーピングレビュー

森元隆文, 島田清貴, 石井貴男

作業療法の実践と科学 6 ( 4 ) 106 - 116 2024年11月

担当区分：筆頭著者 , 責任著者

DOI

Relationship Between Social Networking Service Addiction and Occupational Dysfunction in Young Adults

Takafumi Morimoto, Tsukasa Murakami, Tsutomu Sasaki, Kazuki Yokoyama, Takao Ishii, Nozomu Ikeda

OTJR: Occupational Therapy Journal of Research ( SAGE Publications ) 2024年09月 [査読有り]

担当区分：筆頭著者

Social networking services (SNSs) are useful tools; however, problematic use leads to mental health problems. This study aimed to examine whether SNS addiction is associated with occupational dysfunction while considering the effects of depression. This cross-sectional study included 268 undergraduates who responded to the questionnaire on the frequency and time of SNS use, the Center for Epidemiologic Studies Depression Scale (CES-D), SNS-X scale, and the Classification and Assessment of Occupational Dysfunction (CAOD). Hierarchical multiple regression analysis showed effect of the SNS-X score for Instagram was significant (β = 0.174, p = .001) adjusted by the CES-D total score. However, the effect of frequency and time of SNS use were not significant. This suggests that SNS addiction, and not SNS use, is a factor associated with occupational dysfunction that should be emphasized and depression.

DOI

Effect of individualized occupational therapy on cognition among patients with schizophrenia: A randomized controlled trial

Takeshi Shimada, Takafumi Morimoto, Hirofumi Nagayama, Naoko Nakamura, Kaori Aisu, Aki Kito, Ryo Kojima, Ayumi Yamanushi, Kojiro Kawano, Noriaki Hikita, Kayano Yotsumoto, Tomoe Ebisu, Masashi Kawamura, Takao Inoue, Junya Orui, Tatsumi Asakura, Masafumi Akazawa, Masayoshi Kobayashi

Schizophrenia Research ( Elsevier BV ) 269 18 - 27 2024年07月 [査読有り]

DOI

Association between occupational participation and depressive symptoms among middle-aged adults: A cross-sectional study in Hokkaido, Japan

Kazuki Yokoyama, Kiyotaka Shimada, Takafumi Morimoto, Takao Ishii, Nozomu Ikeda

Hong Kong Journal of Occupational Therapy ( SAGE Publications ) 2024年06月 [査読有り]

Aim This study aimed to investigate the association between occupational participation and depressive symptoms among middle-aged adults in Hokkaido, Japan. Methods Community-dwelling adults aged 40–64 years were recruited using snowball sampling, and 165 participants who returned the questionnaires and met the selection criteria were included in the analysis. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D) scale. Occupational participation, including three domains (leisure, productivity, and self-care) and three aspects (occupational control, occupational balance, and satisfaction of performance), was assessed using Self-completed Occupational Performance Index (SOPI) questionnaire. Results Multivariate-adjusted regression analysis revealed that depressive symptoms were associated with lower occupational participation in the productivity domain (β = −0.34, p < .001), whereas analysis of each aspect of the SOPI showed a significant association of depressive symptoms with lower occupational control in productivity domain (β = −0.33, p < .001), occupational balance in productivity domain (β = −0.25, p < .001), and satisfaction with performance in leisure domain (β = −0.16, p = .045) and productivity domain (β = −0.35, p < .001). Conclusion Depressive symptoms was significantly associated with low occupational participation in productivity domain in middle-aged adults. In the domains of leisure and self-care, significant associations were found only between depression symptoms and satisfaction of performance. Occupational therapy interventions for middle-aged adults targeting the maintenance and improvement of participation in productive activities may help preventing depressive symptoms.

DOI

Exploratory study on driving ability of people with schizophrenia: Relationships among cognitive function, symptoms, and brain activity

Hiroki Okada, Takafumi Morimoto, Nozomu Ikeda

Schizophrenia Research ( Elsevier BV ) 264 290 - 297 2024年02月

DOI

放課後等デイサービスにおけるPEERSの有効性の検討対面とオンラインのハイブリッドによる実施

村上元, 荻野圭司, 山田智子, 森元隆文, 池田望

作業療法の実践と科学 ( (公社)北海道作業療法士会 ) 6 ( 1 ) 1 - 10 2024年02月 [査読有り]

難治性統合失調症と作業療法

森元隆文, 横山和樹, 宮嶋涼, 曳田憲昭

臨床作業療法NOVA 20 ( 3 ) 8 - 20 2023年09月 [招待有り]

担当区分：筆頭著者 , 責任著者

Prefrontal activation during simulated driving in people with schizophrenia: a functional near-infrared spectroscopy study

Hiroki Okada, Daisuke Sawamura, Koji Kunita, Hiroto Ogasawara, Kentaro Maeda, Takafumi Morimoto, Nozomu Ikeda

Psychiatry Research 2023年06月 [査読有り]

DOI

精神科作業療法のエッセンス① 統合失調症

森元隆文

総合リハビリテーション 51 2023年05月 [招待有り]

担当区分：筆頭著者 , 責任著者

DOI

ピアサポートを経験した統合失調症をもつ男性の障害開示に関する質的研究 ―非開示から開示後までの変化のプロセスとその影響要因―

山西春果, 横山和樹, 森元隆文, 池田望

作業療法の実践と科学 5 ( 2 ) 36 - 44 2023年05月 [査読有り]

DOI

Effect of combining motivational interviewing with cognitive remediation on personal recovery in patients with schizophrenia

Koji Kunita, Takafumi Morimoto, Reiko Kotake, Seika Sato-Nakamura, Naoko Nakamura-Kukuminato

Hong Kong Journal of Occupational Therapy ( SAGE Publications ) 156918612311675 - 156918612311675 2023年03月 [査読有り]

担当区分：責任著者

Background/objective We have been practising the Neuropsychological and Educational Approach to Remediation (NEAR) as cognitive remediation (CR) in a psychiatric hospital and have implemented it in combination with regular interviews based on Motivational Interviewing (MI) approximately 2 years after launching NEAR. In this study, we investigated whether combining MI with CR affected completion of the programme, cognitive functions, global functioning, and personal recovery of patients with schizophrenia by analysing medical records. Methods In this retrospective observational study, 14 participants were assigned to the NEAR group and 12 participants were assigned to the NEAR + MI group. Fifteen participants in the NEAR group ( n = 6) and NEAR + MI group ( n = 9) completed the programme. First, the difference in the completion rate between the groups was examined using the chi-squared test. Second, measures of cognitive functions, global functioning, and personal recovery pre-and post-intervention were examined using the Wilcoxon signed-rank tests for those in each group who completed the programme. Third, therapeutic responses for each group were compared using the Mann–Whitney U tests. Results There were no statistically significant differences in completion rates between the groups. In the NEAR group, verbal memory and overall cognition improved after the intervention. On the other hand, not only cognitive functions but also global functioning and personal recovery improved in the NEAR + MI group. Moreover, changes in global functioning and personal recovery were significantly higher in the NEAR + MI group. Conclusion Study findings indicated that combining MI with CR improves cognitive functions, global functioning, and personal recovery in patients with schizophrenia.

DOI

統合失調症を有する者の作業機能障害と自律的志向性との関連

曳田憲昭, 森元隆文, 池田望

札幌保健科学雑誌 ( 札幌医科大学保健医療学部 ) ( 12 ) 13 - 19 2023年03月

本研究では,統合失調症を有する者の自律的志向性と作業機能障害との関連を横断的に検討することを目的とした.外来通院中の統合失調症を有する者46名を対象として,一般的因果律志向性尺度(GCOS),作業機能障害の種類と評価(CAOD),陽性・陰性症状評価尺度(PANSS),統合失調症認知機能簡易評価尺度(BACS)による評価を施行した.データ解析では,これらの尺度得点間の相関をSpearmanの順位相関係数にて検証し,一般化線形モデルにて従属変数をGCOSの自律的志向性得点,独立変数をCAOD潜在ランク,BACS総合得点,PANSS陰性尺度得点,独立変数間の交互作用項として主効果と交互作用を検証した.相関分析では,CAODの潜在ランクと自律的志向性得点との間に有意な負の相関が見られた(ρ=-0.294,p=0.048).一方で,一般化線形モデルによる検証では有効なモデルは得られなかった(尤度比χ2=13.461,p=0.062).以上の結果より,統合失調症を有する者の作業機能障害と自律的志向性との関連が明らかになった.(著者抄録)

被害妄想的観念に関する研究の概観

村上元, 森元隆文, 池田望

日本医療大学紀要 ( 日本医療大学 ) 9 169 - 176 2023年03月

被害妄想的観念の形成維持要因及び治療に関する先行研究を概観した。被害妄想的観念の形成維持要因としては,(1)心配,(2)自己についての否定的な信念,(3)異常体験,(4)睡眠障害,(5)推論のバイアス,(6)安全確保行動,(7)否定的な感情,(8)小児期の逆境体験について検討した。また,治療としては,認知行動療法に基づいた様々な介入が実施されていることが示唆された。今後は被害妄想的観念の多次元性と被害妄想的観念の維持形成に関する多要因との関係,統合失調症以外の疾患への応用が必要と考えられる。(著者抄録)

Risk level-specific hazardous drinking factors of alcohol use disorders in Japanese university students

Maki Miyajima, Tomoki Miyata, Yui Murakami, Kayano Yotsumoto, Atsuki Ukita, Takafumi Morimoto, Masayoshi Kobayashi, Hiroyuki Tanaka, Sumie Yamada, Yuri Matsusaki, Takao Inoue

Journal of Substance Use ( Informa UK Limited ) 29 ( 1 ) 142 - 147 2022年11月 [査読有り]

DOI

Influences of COVID-19 pandemic and the states of emergency on occupational therapy for physical disorders: A questionnaire survey in Hokkaido, Japan

Hidekazu Saito, Kazuki Yokoyama, Takafumi Morimoto, Hisaaki Ota, Nozomu Ikeda

Hong Kong Journal of Occupational Therapy ( SAGE Publications ) 156918612211215 - 156918612211215 2022年09月

Objective: This study aimed to explore the influence of coronavirus disease-2019 (COVID-19) on occupational therapy (OT) for physical disorders, including changes in the assessment, treatment, other restrictions, and measures of OT. Methods: A questionnaire survey was conducted among occupational therapists working in Hokkaido, Japan, and 123 out of the 334 (36.8%) were from OT facilities that target physical disorders. The responses were classified the categories and codes by [ ] and < >, respectively. Results: The number of patients decreased in 47.1% of the OT facilities after the pandemic declaration. Only one facility reported <decrease in intervention with palpation>. Therefore, [thoroughness of standard precautions] including <disinfection of materials and common use areas>, <hand hygiene>, and [changes in treatment structure] including <restriction on use of materials> were implemented. Additionally, there were not only [restrictions on participation of patients] and [restrictions on outpatient services], but also [restrictions on operations of OT], such as <cancellation or change of the methods of meetings and workshops> and so on. Furthermore, [changes in treatment structure] and [setting criteria for discontinuation of participation] were utilized in some facilities to prevent and to reduce the risk of infection. Conclusions: By revisiting the assessment and treatment guidelines on infection control, it is possible to provide continuous OT services and to tackle the challenges posed by the pandemic.

DOI

ASD者およびASD特性を有する精神科デイケア利用者に対するSCITの有用性の検討

村上元, 森元隆文, 西山薫, 高見展江, 井上貴雄, 池田望, 北川信樹

作業療法の実践と科学 ( (公社)北海道作業療法士会 ) 4 ( 3 ) 47 - 54 2022年08月

自閉スペクトラム症(ASD)に併存する精神症状に被害妄想的観念がある.本研究は,ASD者およびASD特性を有するデイケア利用者に対してSCITを実施し,社会認知,ならびに被害妄想的観念に対するSCITの有効性を検討した.その結果,SCITは,被害妄想的観念,表情認知に有意な改善が認められた.一方で,SCITの効果は,ASD診断の有無により異なり,特に,ASD診断には至らないがASD特性を有し,なおかつ,被害妄想的観念を抱えた者に対して有効であることが示唆された.(著者抄録)

小規模事業場における作業療法士によるメンタルヘルス対策

村上元, 森元隆文, 清本憲太, 池田望

作業療法ジャーナル ( 三輪書店 ) 56 ( 6 ) 572 - 576 2022年06月

DOI

成人期自閉スペクトラム症者の被害妄想的観念に関する文献的検討

村上元, 清本憲太, 大島郁葉, 森元隆文, 及川直樹, 村上正和, 池田望

日本医療大学紀要 ( 日本医療大学 ) 8 25 - 35 2022年03月

障害認識と認知行動方略に対する介入が就労とその後の就労定着に結び付いた成人期注意欠如・多動症の１症例

村上元, 森元隆文, 清本憲太, 池田望

作業療法の実践と科学 4 ( 1 ) 1 - 6 2022年02月 [査読有り]

DOI J-GLOBAL

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