論文 - 朴　順禮

慶應義塾大学病院におけるがん・緩和ケア領域のマインドフルネス介入の取り組み

藤澤大介、朴　順禮、佐藤寧子、瀧田結香他

Japanese Journal of Mindfulness 2 （ 2 ）  2018年

共著

養護教員の危機場面における現状とその対応に関する研究

朴 順禮、大和田喜美、佐藤利江子、藤森和美

聖マリアンナ医学研究誌 Vol. 3 （ 通巻78 ）  2003年03月

研究論文（大学，研究機関等紀要）, 共著, 査読有り

　概要を見る

学校の危機介入場面において,養護教員が抱える問題点および危機介入の実態を調査し,養護教員へのサポートとして,心理職とのコラボレーションについて考察した.

がん患者のPTSD研究の動向

朴　順禮

聖マリアンナ医学研究所　聖マリアンナ医学研究誌 （聖マリアンナ会）  Vol.１ （ 通巻76号 ） 47-51 2001年03月

研究論文（大学，研究機関等紀要）, 単著

　概要を見る

がん患者のPTSDについてのレビューを中心にまとめがん患者のPTSD研究についての問題とその方向性を指摘した.

Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial

Park S., Sato Y., Takita Y., Tamura N., Ninomiya A., Kosugi T., Sado M., Nakagawa A., Takahashi M., Hayashida T., Fujisawa D.

Journal of Pain and Symptom Management （Journal of Pain and Symptom Management）  60 （ 2 ） 381 - 389 2020年08月

ISSN  08853924

　概要を見る

© 2020 American Academy of Hospice and Palliative Medicine Context: Mindfulness-based interventions have been receiving growing attention in cancer care. Objectives: The purpose of this randomized controlled trial is to examine the effectiveness of mindfulness-based cognitive therapy (MBCT) for psychological distress (anxiety and depression), fear of cancer recurrence (FCR), fatigue, spiritual well-being, and quality of life (QOL) in Japanese ambulatory patients with Stage I–III breast cancer. Methods: A total of 74 patients were randomly assigned to either an eight-week MBCT intervention group (n = 38) or a wait-list control group (n = 36). The primary outcome was psychological distress, measured on Hospital Anxiety and Depression Scale. The secondary outcomes were FCR (Concerns About Recurrence Scale—overall anxiety subscale), fatigue (Brief Fatigue Inventory), spiritual well-being (Functional Assessment of Chronic Illness Therapy—Spiritual), QOL (Functional Assessment of Cancer Therapy—General), and mindfulness skills (Five Facet Mindfulness Questionnaire). The participants were assessed at baseline (T0), Week 8 (T1), and Week 12 (T2). The results were analyzed using a intention-to-treat linear mixed model. Results: The participants in the MBCT group experienced significantly better outcomes in their psychological distress (Cohen's d = 1.17; P < 0.001), FCR (d = 0.43; P < 0.05), fatigue (d = 0.66; P < 0.01), spiritual well-being (d = 0.98; P < 0.001), and QOL (d = 0.79; P < 0.001) compared with the control group. The difference remained significant at T2 (four weeks after completion of the intervention). Conclusion: MBCT was demonstrated to improve well-being that encompasses psychological, physical, and spiritual domains in Japanese patients with nonmetastatic breast cancer. The favorable effect was maintained up to four weeks after the completion of the intervention.

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Mindfulness-based cognitive therapy for improving subjective well-being among healthy individuals: Protocol for a randomized controlled trial

Sado M., Kosugi T., Ninomiya A., Nagaoka M., Park S., Fujisawa D., Shirahase J., Mimura M.

Journal of Medical Internet Research （Journal of Medical Internet Research）  22 （ 5 ）  2020年05月

　概要を見る

© 2020 Mitsuhiro Sado, Teppei Kosugi, Akira Ninomiya, Maki Nagaoka, Sunre Park, Daisuke Fujisawa, Joichiro Shirahase, Masaru Mimura. Background: Previous studies have indicated that higher subjective well-being works as a protective factor for health. Some studies have already shown the effects of mindfulness-based interventions on improving subjective well-being. However, these studies targeted specific populations rather than the general public. Furthermore, they assessed either life evaluation or affective aspects of subjective well-being rather than the concept as a whole, including the eudemonic aspect of well-being. Objective: This study aims to investigate the effectiveness and cost-effectiveness of mindfulness-based cognitive therapy (MBCT) for improving the wholistic aspects of subjective well-being in healthy individuals. Methods: This study was an 8-week, randomized, parallel-group, superiority trial with a 2-month follow-up. Healthy individuals aged 20-65 years with scores lower than 25 on the Satisfaction With Life Scale (SWLS) were eligible to participate and randomly allocated to the MBCT group or the wait-list control group. The intervention program was developed by modifying an MBCT program to improve the well-being of a nonclinical population. The primary outcome was the difference between the two groups in mean change scores from the baseline on the SWLS. The secondary outcomes included scores on the Flourishing Scale and the Scale of Positive and Negative Experience as well as the incremental cost-effectiveness ratio. Results: This study began recruiting participants in July 2018 and recruitment was completed at the end of September 2019. Data collection and dataset construction was completed by the end of March 2020. Conclusions: This study is unique in that it investigates MBCT's effects on the three different aspects of subjective well-being: Life evaluation, affect, and eudemonia. It is limited, as the specific effect attributable to MBCT cannot be detected because of the lack of an active control group.

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