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Depressive and anxiety disorders are highly comorbid and share transdiagnostic features of emotion dysregulation. The unified protocol of transdiagnostic treatment (UP) has been developed to treat these emotional disorders efficiently. Several randomized controlled trials have confirmed the efficacy of the UP, and further investigations of the patients’ reaction to the treatment could potentially lead to the establishment of detailed treatment mechanisms. As a first step of the establishing comprehensive treatment mechanisms, we will examine time-series symptom networks during cognitive behavioral therapy among patients with emotional disorders. Specifically, we will conduct a secondary analysis of the Japan Unified Protocol Clinical Trial for Depressive and Anxiety Disorders study data (JUNP study) to visualize complex interplays of symptoms among the patients receiving UP. Note that this is an unordered list and is not necessarily equal to authors’ lists that will be used when we submit papers to peer-reviewed journals and have conference presentations. The authorship will be provided to those who have made substantial contributions in preparing papers or presentations; and the order of the authors will be determined in accordance with the magnitude of contributions made by each author. The magnitude of each researcher’s contribution will be evaluated according to the American Psychological Association Ethics Code Standard. If the collaborating researchers are not considered as co-authors, we will list their names in the acknowledgment sections.

pdf, 看護職の人材確保の視点から、高校生の進路に関する研究を包括的に整理し、今後の課題や研究の方向性についての示唆を得ることを目的に文献レビューを行った。CiNii Articles、医学中央雑誌web版を用いて、2002年3月～2020年3月までに発表された国内の文献4件を対象とした。マトリックス法により分析した結果、看護職について具体的にイメージできるだけの知識や情報を提供することに加え、社会的ニーズや国家資格をもつ意義、看護の魅力についてもより広く周知される必要性が示唆されていた。 看護職における高校生の進路および職業選択に関する研究は少なく、その対象も一部の高校生や看護職を志望する女子に限られていた。今後は全高校生を対象とした調査を実施し、看護職を志望する背景にはどのような要因があるか、志望者の数が圧倒的に少ない男子高校生は看護職をどのように認識しているかといった実態を明らかにしていく必要性が示唆された。

text, 紀要論文 / Depaetmental Bulletin Paper

Background The efficacy of the unified protocol of the transdiagnostic treatment for emotional disorders (UP) has been poorly studied in patients with depressive disorders. This study aimed to examine the efficacy of UP for improving depressive symptoms in patients with depressive and/or anxiety-related disorders. Methods This assessor-blinded, randomized, 20-week, parallel-group, superiority study compared the efficacy of the UP with treatment-as-usual (UP-TAU) v. wait-list with treatment-as-usual (WL-TAU). Patients diagnosed with depressive and/or anxiety disorders and with depressive symptoms participated. The primary outcome was depressive symptoms assessed by GRID-Hamilton depression rating scale (GRID-HAMD) at 21 weeks. The secondary outcomes included assessor-rated anxiety symptoms, severity and improvement of clinical global impression, responder and remission status, and loss of principal diagnosis. Results In total, 104 patients participated and were subjected to intention-to-treat analysis [mean age = 37.4, S.D. = 11.5, 63 female (61%), 54 (51.9%) with a principal diagnosis of depressive disorders]. The mean GRID-HAMD scores in the UP-TAU and WL-TAU groups were 16.15 (S.D. = 4.90) and 17.06 (S.D. = 6.46) at baseline and 12.14 (S.D. = 5.47) and 17.34 (S.D. = 5.78) at 21 weeks, with a significant adjusted mean change difference of −3.99 (95% CI −6.10 to −1.87). Patients in the UP-TAU group showed significant superiority in anxiety and clinical global impressions. The improvement in the UP-TAU group was maintained in all outcomes at 43 weeks. No serious adverse events were observed in the UP-TAU group. Conclusions The UP is an effective approach for patients with depressive and/or anxiety disorders.

text, 紀要論文 / Departmental Bulletin Paper

pdf, 本学では平成28年度より、入学早期に健康な対象者とのコミュニケーションを通した人間関係の構築が図れることを目的とし「基礎看護学実習Ⅰ」を実施している。本報告は、その学習効果を、学生の自己評価、および学びのレポートから評価し、実習指導および運営の在り方について示唆を得るものである。 アンケート調査では102名（回収率93.6％）の回答があり、レポートについては104名の協力が得られた。全ての目標に対して、「よくできた」「まあまあできた」を合わせた回答が90％以上であった。学びのレポートでは、実習目標の対象者への自己紹介およびコミュニケーション技法を用いた体験、自己のコミュニケーションの振り返りを通した自分の特徴および今後の課題の明確化に関する記述が多かった。異世代と関わる機会が少なく、コミュニケーション体験が少ないこれまでの環境で、日常あまり接したことのない対象との交流や、様々な体験を意欲的にできた満足感や達成感が高評価に繋がったことが伺われた。また、健康障害のある対象との関わりの難しさを予測し、コミュニケーションの重要性や看護職としての適応性についてを考える記述もあった。しかし、実習目標のコミュニケーション概念などの理解や、教員とのコミュニケーション（報告・連絡・相談）に関する学びの記述は少なく、実習目標設定および内容の検討の必要性が示唆された。

Supplemental material, Book1 for Quality of Life and Associated Factors in Japanese Children With Inborn Errors of Metabolism and Their Families by Keiko Yamaguchi, Rie Wakimizu and Mitsuru Kubota in Journal of Inborn Errors of Metabolism and Screening

application/pdf, 紀要論文, The purpose of this study was to investigate the physical symptoms, mood and feeling patterns of freshmen at a women’s university in Japan by using the data of the CMI Health Questionnaire collected between 2005 and 2013. A statistical analysis showed that the total CMI score seemed to be on the decrease overall. Also, among physical complaints, the items such as “myopia”, “the menstrual pain”, and “stiff shoulder and neck” were ranked among the top three complaints. On the other hand, among psychological complaints, the items such as “in decision”, “need someone to talk to”, and “confusion when one has to do something in a hurry” were ranked among the top three complaints. It was revealed that at least one in three students presented above symptoms. Therefore, these findings indicate the need for a strengthening of student counseling services. It can be important to gather more reliable data in the future to provide trait-appropriate counseling services and psycho-educational programs for students.