小児期にてんかんを発症した成人における就労と精神症状に関するスコーピングレビュー
目的：小児期にてんかんを発症した成人における就労と精神症状に関する文献を分析し研究の動向と今後の移行期支援の課題を明らかにする．方法：データベースはPubMed，CINAHL，医中誌Webを使用し，文献選定基準は対象者に小児期発症てんかん患者が含まれ，精神症状と就労に関する記述がある文献とした．結果：分析対象文献は27件であった．精神症状併発と就労との間に有意な関連がみられた文献は4件，関連がないと示された文献は4件であり，文献により矛盾した結果であった．また患者のQuality of Lifeには精神症状の併発，就労状況，発作頻度，抗てんかん薬の副作用が関連していた．グループセッションと看護...
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| Published in | 日本看護科学会誌 Vol. 45; pp. 200 - 213 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益社団法人 日本看護科学学会
2025
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0287-5330 2185-8888 |
| DOI | 10.5630/jans.45.200 |
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| Abstract | 目的：小児期にてんかんを発症した成人における就労と精神症状に関する文献を分析し研究の動向と今後の移行期支援の課題を明らかにする．方法：データベースはPubMed，CINAHL，医中誌Webを使用し，文献選定基準は対象者に小児期発症てんかん患者が含まれ，精神症状と就労に関する記述がある文献とした．結果：分析対象文献は27件であった．精神症状併発と就労との間に有意な関連がみられた文献は4件，関連がないと示された文献は4件であり，文献により矛盾した結果であった．また患者のQuality of Lifeには精神症状の併発，就労状況，発作頻度，抗てんかん薬の副作用が関連していた．グループセッションと看護師からの電話連絡を含んだ介入は精神症状改善の効果も示されていた．結論：今後，就労でのネガティブな経験について定性的研究や移行期からのストレス対処及びセルフマネジメントの準備性に関する研究が求められる． |
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| AbstractList | 目的：小児期にてんかんを発症した成人における就労と精神症状に関する文献を分析し研究の動向と今後の移行期支援の課題を明らかにする．方法：データベースはPubMed，CINAHL，医中誌Webを使用し，文献選定基準は対象者に小児期発症てんかん患者が含まれ，精神症状と就労に関する記述がある文献とした．結果：分析対象文献は27件であった．精神症状併発と就労との間に有意な関連がみられた文献は4件，関連がないと示された文献は4件であり，文献により矛盾した結果であった．また患者のQuality of Lifeには精神症状の併発，就労状況，発作頻度，抗てんかん薬の副作用が関連していた．グループセッションと看護師からの電話連絡を含んだ介入は精神症状改善の効果も示されていた．結論：今後，就労でのネガティブな経験について定性的研究や移行期からのストレス対処及びセルフマネジメントの準備性に関する研究が求められる． |
| Author | 安藤, 冴子 岩瀬, 貴美子 勝田, 仁美 |
| Author_xml | – sequence: 1 fullname: 勝田, 仁美 organization: 前甲南女子大学看護リハビリテーション学部 – sequence: 1 fullname: 岩瀬, 貴美子 organization: 甲南女子大学看護リハビリテーション学部 – sequence: 1 fullname: 安藤, 冴子 organization: 甲南女子大学看護リハビリテーション学部 |
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| Copyright | 2025 公益社団法人日本看護科学学会 |
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| DOI | 10.5630/jans.45.200 |
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(2015): Risk factors for early disability pension in patients with epilepsy and vocational difficulties - Data from a specialized rehabilitation unit, Epilepsy Behav., 51, 243–248. Goel, P., Singh, G., Bansal, V., et al. (2022): Psychiatric comorbidities among people with epilepsy: A population-based assessment in disadvantaged communities, Epilepsy Behav., 137(Pt A), 108965. 松田光一郎（2023）：知的障害者の就労定着および就労継続において重要視される条件に関する検討 雇用主と支援者の視点から，人間福祉学会誌，22(2), 1–7. Puka, K., Tavares, T. P., Speechley, K. N. (2019): Social outcomes for adults with a history of childhood-onset epilepsy: A systematic review and meta-analysis, Epilepsy Behav., 92, 297–305. Jennum, P., Christensen, J., Ibsen, R., et al. (2016): Long-term socioeconomic consequences and health care costs of childhood and adolescent-onset epilepsy, Epilepsia, 57(7), 1078–1085. Azuma, H., Akechi, T. (2014): Effects of psychosocial functioning, depression, seizure frequency, and employment on quality of life in patients with epilepsy, Epilepsy Behav., 41, 18–20. Gesche, J., Antonson, S., Dreier, J. W., et al. (2021): Social outcome and psychiatric comorbidity of generalized epilepsies—A case-control study, Epilepsia, 62(5), 1158–1169. Dagar, A., Falcone, T. (2020): Psychiatric comorbidities in pediatric epilepsy, Curr. Psychiatry Rep., 22(12), 77. Jennum, P., Debes, N. M. M., Ibsen, R., et al. (2021): Long-term employment, education, and healthcare costs of childhood and adolescent onset of epilepsy, Epilepsy Behav., 114(Pt A), 107256. Kobau, R., Cui, W., Kadima, N., et al. (2014): Tracking psychosocial health in adults with epilepsy--estimates from the 2010 National Health Interview Survey, Epilepsy Behav., 41, 66–73. Baca, C. B., Barry, F., Vickrey, B. G., et al. 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(2023): Prognostic factors for employment outcomes in patients with a history of childhood-onset drug-resistant epilepsy, Front. Pediatr., 11, 1173126. Gabriel, D., Ventura, M., Samões, R., et al. (2020): Social impairment and stigma in genetic generalized epilepsies, Epilepsy Behav., 104(Pt A), 106886. Berg, A. T., Baca, C. B., Rychlik, K., et al. (2016): Determinants of social outcomes in adults with childhood-onset epilepsy, Pediatrics, 137(4), 1–10. |
| References_xml | – reference: Berg, A. T., Baca, C. B., Rychlik, K., et al. (2016): Determinants of social outcomes in adults with childhood-onset epilepsy, Pediatrics, 137(4), 1–10. – reference: Sajatovic, M., Tatsuoka, C., Welter, E., et al. (2016): Targeted self-management of epilepsy and mental illness for individuals with epilepsy and psychiatric comorbidity, Epilepsy Behav., 64(Pt A), 152–159. – reference: Arai, Y., Okanishi, T., Noma, H., et al. (2023): Prognostic factors for employment outcomes in patients with a history of childhood-onset drug-resistant epilepsy, Front. Pediatr., 11, 1173126. – reference: Specht, U., Coban, I., Bien, C. G., et al. (2015): Risk factors for early disability pension in patients with epilepsy and vocational difficulties - Data from a specialized rehabilitation unit, Epilepsy Behav., 51, 243–248. – reference: Schougaard, L. M. V., de Thurah, A., Christensen, J., et al. (2020): Sociodemographic, personal, and disease-related determinants of referral to patient-reported outcome-based follow-up of remote outpatients: A prospective cohort study, Qual. Life Res., 29(5), 1335–1347. – reference: 友利幸一郎，澤田辰徳，大野勘太，他（2020）：スコーピングレビューのための報告ガイドライン日本語版PRISMA-ScR［解説］，日臨作療研，7(1), 70–76. – reference: Seo, J. G., Lee, G. H., Park, S. P. (2017): Apathy in people with epilepsy and its clinical significance: A case-control study, Seizure, 51, 80–86. – reference: Gabriel, D., Ventura, M., Samões, R., et al. (2020): Social impairment and stigma in genetic generalized epilepsies, Epilepsy Behav., 104(Pt A), 106886. – reference: Tlusta, E., Zarubova, J., Simko, J., et al. (2009): Clinical and demographic characteristics predicting QOL in patients with epilepsy in the Czech Republic: How this can influence practice, Seizure, 18(2), 85–89. – reference: Gandy, M., Sharpe, L., Perry, K. N., et al. (2013): The psychosocial correlates of depressive disorders and suicide risk in people with epilepsy, J. Psychosom. Res., 74(3), 227–232. – reference: Gesche, J., Antonson, S., Dreier, J. W., et al. (2021): Social outcome and psychiatric comorbidity of generalized epilepsies—A case-control study, Epilepsia, 62(5), 1158–1169. – reference: Johnson, E., Atkinson, P., Muggeridge, A., et al. (2022): Impact of epilepsy on learning and behaviour and needed supports: Views of children, parents and school staff, Eur. J. Paediatr. Neurol., 40, 61–68. – reference: Welton, J. M., Walker, C., Riney, K., et al. (2020): Quality of life and its association with comorbidities and adverse events from antiepileptic medications: Online survey of patients with epilepsy in Australia, Epilepsy Behav., 104(Pt A), 106856. – reference: 土井由利子（2004）：総論―QOLの概念とQOL研究の重要性，保健医療科，53(3), 176–180. – reference: Temple, J., Fisher, P., Davies, C., et al. (2023): Psychosocial factors associated with anxiety and depression in adolescents with epilepsy: A systematic review, Epilepsy Behav., 149, 109522. – reference: Wirrell, E. C., Grossardt, B. R., Wong-Kisiel, L. C., et al. (2011): Incidence and classification of new-onset epilepsy and epilepsy syndromes in children in Olmsted County, Minnesota from 1980 to 2004: A population-based study, Epilepsy Res., 95(1–2), 110–118. – reference: Critical Appraisal Skills Programme (2023c): CASP Checklist: For Randomised Controlled Trials (RCTs), Retrieved from: https://casp-uk.net/casp-tools-checklists/randomised-controlled-trial-rct-checklist/.（検索日：2025年2月5日） – reference: Sajatovic, M., Colon-Zimmermann, K., Kahriman, M., et al. (2018): A 6-month prospective randomized controlled trial of remotely delivered group format epilepsy self-management versus waitlist control for high-risk people with epilepsy, Epilepsia, 59(9), 1684–1695. – reference: Talıbov, T., İnci, M., Ismayılov, R., et al. (2024): The relationship of psychiatric comorbidities and symptoms, quality of life, and stigmatization in patients with epilepsy, Epilepsy Behav., 156, 109838. – reference: 松田光一郎（2023）：知的障害者の就労定着および就労継続において重要視される条件に関する検討 雇用主と支援者の視点から，人間福祉学会誌，22(2), 1–7. – reference: Rai, D., Kerr, M. P., McManus, S., et al. (2012): Epilepsy and psychiatric comorbidity: A nationally representative population-based study, Epilepsia, 53(6), 1095–1103. – reference: Moschetta, S., Valente, K. D. (2013): Impulsivity and seizure frequency, but not cognitive deficits, impact social adjustment in patients with juvenile myoclonic epilepsy, Epilepsia, 54(5), 866–870. – reference: Critical Appraisal Skills Programme (2023d): CASP Checklist: For case control studies. Retrieved from: https://casp-uk.net/casp-tools-checklists/case-control-study-checklist/.（検索日：2025年2月5日） – reference: 山田了士（2011）：【身体疾患に伴う精神障害update】てんかんに随伴する精神症状［総説/特集］，総病精医，23(1), 27–34. – reference: Kobau, R., Cui, W., Kadima, N., et al. (2014): Tracking psychosocial health in adults with epilepsy--estimates from the 2010 National Health Interview Survey, Epilepsy Behav., 41, 66–73. – reference: Hirsch, E., French, J., Scheffer, I. E., et al. (2022): ILAE definition of the idiopathic generalized epilepsy syndromes: Position statement by the ILAE task force on nosology and definitions, Epilepsia, 63(6), 1475–1499. – reference: Thorpe, J., Ashby, S., Hallab, A., et al. (2021): Evaluating risk to people with epilepsy during the COVID-19 pandemic: Preliminary findings from the COV-E study, Epilepsy Behav., 115, 107658. – reference: Goel, P., Singh, G., Bansal, V., et al. (2022): Psychiatric comorbidities among people with epilepsy: A population-based assessment in disadvantaged communities, Epilepsy Behav., 137(Pt A), 108965. – reference: Kishk, N., Raafat, O., Abdou, H., et al. (2021): Psychogenic nonepileptic seizures in patients with epilepsy: A comparative study with patients with pure epilepsy, J. Nerv. Ment. 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| SubjectTerms | てんかん スコーピングレビュー 小児期発症 就労 精神症状併発 |
| Title | 小児期にてんかんを発症した成人における就労と精神症状に関するスコーピングレビュー |
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| ispartofPNX | 日本看護科学会誌, 2025, Vol.45, pp.200-213 |
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