ひきこもり状態にある人の親に対するCRAFTプログラムの効果(<特集>CRAFT)  [in Japanese] Effectiveness of Community Reinforcement and Family Training (CRAFT) for Parents of Individuals with "Hikikomori"(<Special Issue>CRAFT)  [in Japanese]

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Abstract

本研究の目的は、ひきこもり状態にある人(以下、ひきこもり本人)の親を対象としたCRAFTプログラムの効果を検討することであった。本研究においては、CRAFT群7名、自助群7名が設定された。その効果測定として、ひきこもり状態の改善、相談機関利用の有無、否定的評価尺度、セルフ・エフィカシー尺度(以下、エフィカシー)、心理的ストレス反応尺度(以下、SRS-18)、ひきこもり家族機能尺度(以下、家族機能)について親に回答を求めた。その結果、自助群よりもCRAFT群において、ひきこもり状態の改善やひきこもり本人の相談機関の利用が多く認められた。また、CRAFT群、自助群のいずれにおいても、親の「エフィカシー」が向上し、SRS-18の「抑うつ・不安」、「不機嫌・怒り」、家族機能の「正の強化」、「負の強化」が改善された。考察においては、親の年齢、ひきこもり期間を統制したうえで無作為割り付けによる効果検証の必要性が指摘された。

The purpose of the present study was to examine the effectiveness of Community Reinforcement and Family Training (CRAFT) for parents of individuals with hikikomori (prolonged social withdrawal). A CRAFT group and a self-help group each consisted of 7 parents. Both groups were requested to complete the following questionnaires: (a) Improvement of the individual with hikikomori or that person's engagement in treatment, (b) the Negative Evaluation for Hikikomori (Negative Evaluation) test, (c) the Self-efficacy of Coping with Problem Behaviors of Individuals with Hikikomori (Self-efficacy) test, (d) the Stress Response Scale-18 (SRS-18), and (e) the Hikikomori Relationship Function Scale (HRFS). These questionnaires were administered before and after the intervention and at a 2-month follow-up, in order to assess effectiveness of the intervention. Of the individuals with hikikomori in the CRAFT group, the parents reported that 42.9% had recovered or were engaged in treatment. The results of the present study indicated that participants in both groups reported enhanced self-efficacy, positive reinforcement on the HRFS, and negative reinforcement on the HRFS. Furthermore, the parents' psychological maladjustment, "depressive-anxious" and "irritable-anger" as reported on the SRS-18, were reduced. Based on the results of the present study, the discussion identified future tasks, including controlling factors that may influence the effectiveness of treatment.

Journal

  • Japanese Journal of Behavior Therapy

    Japanese Journal of Behavior Therapy 41(3), 167-178, 2015

    Japanese Association for Behavioral and Cognitive Therapies( JABCT )

Codes

  • NII Article ID (NAID)
    110010006207
  • Text Lang
    JPN
  • ISSN
    0910-6529
  • Data Source
    NII-ELS  J-STAGE 
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