脳卒中患者の心理社会的適応に関する研究　ＰＡＩＳ‐ＳＲによる脳損傷の左右差の検討

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  • A Study of Psychosocial Adjustment in Patients after Stroke. PAIS-SR for Evaluation of Brain Damage Laterality.
  • ノウソッチュウ カンジャ ノ シンリ シャカイテキ テキオウ ニ カンスル ケンキュウ PAIS-SR ニ ヨル ノウ ソンショウ ノ サユウサ ノ ケントウ
  • PAIS-SR for Evaluation of Brain Damage Laterality
  • PAIS-SRによる脳損傷の左右差の検討

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The Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), which was developed by Derogatis LR et al., is a self-evaluating method of psychosocial adjustment under various diseased conditions. I created a Japanese version of PAIS-SR. After confirming the reliability and validity of the Japanese PAIS-SR, I used it in patients after stroke to establish the relationship between PAIS-SR scores and the laterality of brain damage. As a result, significantly higher scores were found on 2 items, “Self-devaluation” in the region of “Psychological Distress” and “Sexual interest” in the region of “Sexual Relationship”, in patients with left brain damage. With time after stroke, changes in the score tended to occur more frequently in patients with left brain damage than in those with right brain damage. From the viewpoint of psychosocial adjustment, it was suggested that patients with right brain damage are rather unconcerned about their disability and those with left brain damage tend to improve the recognition of their disability with time.

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