精神科実臨床における認知機能リハビリテーションの実践

出版社： 中外医学社
著者：
発行日： 2023-04-30
分野： 臨床医学：内科  >  精神医学
ISBN： 9784498229426
電子書籍版： 2023-04-30 （1版1刷）
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統合失調症や気分障害における認知機能リカバリーの意義，重要性，検査法，介入法について初学者にもわかりやすく解説する書．リカバリー概念の解説から始まり，統合失調症，大うつ病，双極性障害，発達障害，摂食障害などの評価法，改善療法の技法，NEARの初期導入法や言語セッションの進め方，VCAT-Jなどの実践例を紹介しながら，わかりやすく解説する認知機能リハビリテーションの実践書．

目次

  • 第1章　リカバリー概念
    　(1)リカバリーとは
    　(2)臨床的リカバリーとパーソナルリカバリー
    　(3)治療目標としてのリカバリーを目指すために

    第2章　統合失調症における認知機能障害
    　(1)神経認知機能障害の概要
    　(2)認知機能障害の長期経過
    　(3)認知機能障害と社会的転帰
    　(4)認知機能障害の生物学的基盤に関する研究
    　(5)神経認知機能障害の評価
    　(6)神経認知機能障害の治療
    　(7)社会認知機能の障害

    第3章　大うつ病性障害の認知機能障害
    　(1)認知機能障害の特徴
    　(2)高齢うつ病の認知機能障害
    　(3)認知機能障害と関連する要因
    　(4)神経基盤・脳内機構
    　(5)認知機能障害の治療

    第4章　双極性障害の認知機能障害
    　(1)双極性障害の症状寛解期における認知機能障害
    　(2)認知機能障害と機能回復
    　(3)北海道大学病院での検討

    第5章　発達障害の認知機能障害
    　(1)注意欠如・多動症（ADHD）
    　(2)自閉スペクトラム症（ASD）

    第6章　摂食障害の認知機能障害
    　(1)神経性やせ症および神経性過食症の認知機能障害
    　(2)過食性障害の認知機能障害
    　(3)北海道大学における自験例の提示

    第7章　社交不安症の認知機能障害
    　(1)社交不安症の認知機能
    　(2)北海道大学病院での検討

    第8章　認知機能障害の評価法
    　(1)精神疾患の認知機能障害の評価
    　(2)前頭機能系神経心理検査
    　(3)BACS
    　(4)その他の検査バッテリー
    　(5)認知機能検査の結果の用い方
    　(6)主観的な認知機能の低下の評価

    第9章　認知機能改善療法の技法
    　　(1)認知機能改善療法の種類
    　(2)前頭葉・実行機能プログラム（FEP）
    　(3)代償的認知トレーニング（CCT）
    　(4)リハビリテーションへの神経心理教育的アプローチ（NEAR）
    　(5)就労プログラムのための思考スキル（TSW）およびVCAT-J
    　(6)社会認知トレーニング（SCIT）
    　(7)メタ認知トレーニング（MCT）

    第10章　NEARの初期の導入，PCセッションの立ち上げ方
    　(1)ハード面の準備
    　(2)ソフト面の準備
    　(3)NEARのPCセッションの立ち上げ

    第11章　NEARの言語セッションの進め方と実践例
    　(1)北海道大学の統合失調症のNEARプログラムについて
    　(2)1回目セッション「認知機能を改善させる活動」の進め方
    　(3)2回目セッション「リカバリー目標を立てよう」の進め方
    　(4)3回目セッション「学習スタイルとピンチの切り抜け方」の進め方
    　(5)4・5回目「問題を解決しよう」の進め方
    　(6)6回目セッション「説得力のある主張をしよう」の進め方
    　(7)7回目セッション「効果的に伝えよう」の進め方
    　(8)8回目セッション「よく聞いて覚えよう」の進め方
    　(9)応用的なブリッジングセッションについて

    第12章　北海道大学におけるJCORESとともに行う言語セッションの実践例
    　(1)VCAT-Jの概要
    　(2)1週間の振り返り．日常生活を基にしたブリッジング
    　(3)PCセッションを基にしたブリッジング
    　(4)神経心理ピラミッドを用いたセッション
    　(5)問題解決場面をテーマにしたセッション
    　(6)就労準備性ピラミッドを用いたセッション

    第13章　就労支援を目標とするVCAT-J（Jcores＋言語セッション＋個別の就労支援）
    　(1)言語セッションの導入とグループの注意点について
    　(2)PCセッションを基にしたブリッジングについて
    　(3)神経心理ピラミッドを用いることについて
    　(4)就労準備性ピラミッドを利用したセッションについて

    第14章　認知機能改善療法と他の心理社会的介入の併用
    　(1)認知機能リハビリテーション（認知機能改善療法，CRT）は社会機能の改善に寄与するか？
    　(2)社会機能の改善に寄与する因子
    　(3)他の心理社会的介入とCRTの関係および連携の可能性
    　(4)実臨床で有機的に実行するための戦略はどうあるべきか
    　(5)今後の課題とまとめ

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

第1章 リカバリー概念

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第2章 統合失調症における認知機能障害

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第3章 大うつ病性障害の認知機能障害

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第4章 双極性障害の認知機能障害

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第5章 発達障害の認知機能障害

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第6章 摂食障害の認知機能障害

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第7章 社交不安症の認知機能障害

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第8章 認知機能障害の評価法

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8) Burton CZ. Twamley EW. Neurocognitive insight, treatment utilization, and cognitive training outcomes in schizophrenia. Schizophr Res. 2015; 161 (2-3) : 399-402.
 

第9章 認知機能改善療法の技法

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第10章 NEARの初期の導入, PCセッションの立ち上げ方

P.118 掲載の参考文献
1) アリス・メダリア, ティファニー・ハーランズ, アリス・サパースタイン, 他. 中込和幸, 監修. 橋本直樹, 池澤 聰, 最上多美子, 他監訳. 「精神疾患における認知機能障害の矯正法」臨床家マニュアル第2版. 星和書店; 2019.
 

第11章 NEARの言語セッションの進め方と実践例

P.138 掲載の参考文献
1) アリス・メダリア, ティファニー・ハーランズ, アリス・サパースタイン, 他. 中込和幸, 監修. 橋本直樹, 池澤 聰, 最上多美子, 他監訳. 「精神疾患における認知機能障害の矯正法」臨床家マニュアル第2版. 星和書店; 2019.
 

第12章 北海道大学におけるJCORESとともに行う言語セッションの実践例

P.151 掲載の参考文献
1) 立神粧子, イェフ-ダ・ベンイ-シャイ, 大橋正洋. 前頭葉機能不全その先の戦略-Rusk通院プログラムと神経心理ピラミッド. 医学書院; 2010.
 
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第13章 就労支援を目標とするVCAT - J ( Jcores + 言語セッション + 個別の就労支援 )

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第14章 認知機能改善療法と他の心理社会的介入の併用

P.177 掲載の参考文献
1) McGurk SR, Twamley EW, Sitzer DI, et al. A meta-analysis of cognitive remediation in schizophrenia. Am J Psychiatry. 2007; 164 (12) : 1791-802.
 
2) Medalia A, Choi J. Cognitive remediation in schizophrenia. Neuropsychol Rev. 2009; 19 (3) : 353-64.
 
3) Wykes T, Huddy V, Cellard C, et al. A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. Am J Psychiatry. 2011; 168 (5) : 472-85.
 
4) Nuechterlein KH, Subotnik KL, Green MF, et al. Neurocognitive predictors of work outcome in recent-onset schizophrenia. Schizophr Bull. 2011; 37 (Suppl 2) : S33-40.
 
5) Green MF, Hellemann G, Horan WP, et al. From perception to functional outcome in schizophrenia: modeling the role of ability and motivation. Arch Gen Psychiatry. 2012; 69 (12) : 1216-24.
 
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10) Roder V, Mueller DR, Mueser KT, et al. Integrated Psychological Therapy (IPT) for schizophrenia: is it effective? Schizophr Bull. 2006; 32 (Suppl 1) : S81-93.
 
11) Sanchez P, Pena J, Bengoetxea E, et al. Improvements in negative symptoms and functional out-come after a new generation cognitive remediation program: a ran-domized controlled trial. Schizophr Bull. 2014; 40 (3) : 707-15.
 
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