Abstract
新興感染症の流行は児童生徒や学生の精神的健康に大きな影響を及ぼす.支援においては,ストレス反応やコーピング等を説明するストレスマネジメント教育の実施が想定されるが,実践に関する研究や報告は数少ない.特に,ストレス反応についての理解とコーピングへの動機づけが精神的健康の改善につながる際の過程は明らかでない.筆者らは,ある高等専門学校において,新型コロナウイルス感染症の流行により自宅学習を行なった学生の支援として,オンラインでのストレスマネジメント教育を提供した.そして,ストレス反応についての理解とコーピングへの動機づけが学生の精神的健康の変化とどのように関連するのかを構造方程式モデリングを用いて解析した.その結果,ストレス反応についての理解とコーピングへの動機づけは,それぞれが独立して精神的健康に作用するモデルより,ストレス反応についての理解がコーピングへの動機づけを媒介して精神的健康の変化に関連するモデルの方が適合度が良好であった.この結果から,新興感染症流行中におけるストレスマネジメント教育では,ストレス反応についての理解とコーピングへの動機づけとを独立して教授するよりも,ストレス反応が生じるからこそコーピングを行なってほしいという関連づけた説明が適切であると示唆された.
Translated Abstract
Pandemic of emerging infectious diseases can affect students’ mental health. In stress management education as part of students’ support, understanding stress responses and motivating coping mechanisms are considered effective. However, only a few studies exist on stress management education during emerging infectious diseases, particularly on improvement mechanisms for students’ mental health. In this study, we provided stress management education online during the COVID-19 pandemic to students enrolled in the National Institute of Technology and analyzed their responses to the questionnaire through structural equation modeling. The results revealed that in Model 1 (understanding stress responses will affect students’ mental health through mediate motivation for coping behavior) showed a better goodness of fit than Model 2 (understanding stress responses and motivation for coping behavior will affect students mental health independently). The results suggest the importance of educating by associating stress responses and coping behavior, and not independently educating stress responses and coping behavior.
References
- [1] 和田耕治.新型コロナウイルス感染症に対する感染拡大に対する公衆衛生対策の実際と教訓.保健医療科学.2022;71(4):305-313. Wada K. [Public health measures for mitigating the spread of COVID-19 in communities] Journal of the National Institute of Public Health. 2022;71(4):305-313. (in Japanese)
- [2] Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of evidence. Lancet. 2020;395:912-920. doi: 10.1016/S0140-6736(20)30460-8
- [3] Yamamoto T, Uchiumi C, Suzuki N, Yoshimoto J, Murillo-Rodriguez E. The psychological impact of ‘Mild Lockdown’ in Japan during the COVID-19 pandemic: A nationwide survey under a declared state of emergency. International Journal of Environmental Research and Public Health. 2020;17(24):9382. doi: 10.3390/ijerph17249382
- [4] 高橋浩之.学校におけるCOVID-19対応と健康教育の変化.公衆衛生. 2022;86(9):783-790. doi: 10.11477/mf.1401209910 Takahashi H. [Gakko ni okeru COVID-19 taio to kenko kyoiku no henka.] The Journal of Public Health Practice. 2022:86(9):783-790. doi: 10.11477/mf.1401209910 (in Japanese)
- [5] Benjet C. Stress management interventions for college students in the context of the COVID-19 pandemic. Clinical Psychology Science and Practice. 2020;16:e12353. doi: 10.1111/cpsp.12353
- [6] 冨永良喜.災害・事件後の子どもの心理支援.大阪:創元社;2014. Tominaga Y. [Saigai jiken go no kodomo no shinri shien.] Osaka: Sogensha; 2014. (in Japanese)
- [7] リチャード・S・ラザルス,スーザン・フォルクマン.本明寛,春木豊,織田正美, 監訳.ストレスの心理学:認知的評価と対処の研究.東京:実務教育出版;1991. Lazarus RS, Folkman S. Motoaki H, Haruki Y, Oda M, Supervised translation. [Stress, appraisal, and coping.] Tokyo: Jitsumu Kyoiku Shuppan; 1991. (in Japanese)
- [8] Patias ND, Hohendorff JV, Cozzer AJ, Flores PA, Scorsolini-Comin F. Mental health and coping strategies in undergraduate students during COVID-19 pandemic. Trends in Psychology. 2021;29:414-433. doi:10.1007/s43076-021-00069-z
- [9] Ye Ye Z, Yang X, Zeng C, Li X, Wang Y, Shen Z, et al. Resilience, social support, and coping as mediators between COVID-19-related stressful experiences and acute stress disorder among college students in China. Applied Psychology: Health and Well-being. 2020;12:1074-1094. doi:10.1111/aphw.12211
- [10] Thai TT, Le PTV, Huynh QHN, Pham PTT, Bui HTH. Perceived stress and coping strategies during COVID-19 pandemic among public health and preventive medicine students in Vietnam. Psychology Research and Behavior Management. 2021;14:795-804. doi: 10.2147/ PRBM.S317059
- [11] Prowse R, Sherratt, F, Abizaid A, Gabrys RL, Hellemans KGC, Patterson ZR, et al. Coping with the COVID-19 pandemic: Examining gender differences in stress and mental health among university students. Frontiers in Psychology. 2021;12:650759. doi: 10.3389/ fpsyt.2021.650759
- [12] Charbonnier E, Tremoliere B, Baussard L, Goncalves A, Lespiau F, Philippe AG, et al. Effects of an online self-help intervention on university students’ mental health during COVID-19: A non-randomized controlled pilot study. Computers in Human Behavior Reports. 2022;5:100175. doi: 10.1016/j.chbr.2022.100175
- [13] Choobineh H, Noorbala AA, Bagheri YSA, Bollhari J, Golmakani MM, Haghani E. Effectiveness of online stress management intervention on mental health status of Tehran municipality employees with COVID-19. Journal of Education and Community Health. 2021;8(3):209-214. doi: 10.52547/jech.8.3.209
- [14] 堀匡,島津明人.大学生を対象としたストレスマネジメントプログラムの効果.心理学研究.2007;78(3):284-289. Hori M, Shimazu A. [A stress management program for university students.] Japanese Journal of Psychology. 2007;78(3):284-289. (in Japanese)
- [15] 本田真大,大島由之,新井邦二郎.不適応状態にある中学生に対する学級単位の集団社会的スキル訓練の効果.教育心理学研究.2009;57(3):336-348. Honda M, Ohshima Y, Arai K. [Classwide social skills training for maladjusted junior high school students.] Japanese Journal of Educational Psychology. 2009;57(3):336-348. (in Japanese)
- [16] 国立高等専門学校機構.国立高等専門学校の学校制度上の特色. National Institute of Technology.[ Kokuritsu koto senmon gakko no gakko seidojo no tokushoku.] https://www. kosen-k.go.jp/nationwide/feature/hj_1-12tokushoku.html (in Japanese) (accessed 2024-01-21)
- [17] World Health Organization. Helping children cope with stress during the 2019-nCoV outbreak.2020. https://www.who.int/multi-media/details/helping-children-cope-with-stress-during-the-covid-19-outbreak(accessed 2024-01-21)
- [18] World Health Organization. Coping with stress during the 2019-nCoV outbreak.2020. https://www.who.int/multi-media/details/coping-with-stress-during-the-2019-ncov-outbreak(accessed 2024-01-21)
- [19] 前田正治.補章 新型コロナ感染症とメンタルヘルス・ケア.前田正治,桃井真帆, 竹林由武,編著.遠隔心理支援スキルガイド.東京:誠信書房;2020. p.136-147. Maeda M. [Hosho. Shingata corona kansensho to mental health care.] Maeda M, Momoi M, Takebayashi Y, edited. [Enkaku shinri shien skill guide.] Tokyo: Seishin Shobo; 2020. (in Japanese)
- [20] 古川壽亮,大野裕,宇田英展,中根允文.一般人口中の精神疾患の簡便なスクリーニングに関する研究.厚生労働科学特別研究事業「心の健康問題と対策基盤の実態に関する研究」(研究代表者:川上憲人)平成14年度総括・分担研究報告書.2015. p.127-130. Furukawa T, Ono Y, Uda H, Nakane Y. [Ippan jinkochu no seishin shikkan no kanben na screening ni kansuru kenkyu.] Special Research, Labor and Welfare Sciences Research Grants. [Kokoro no kenko mondai to taisaku kiban no jittai ni kansuru kenkyu.] (Kenkyu Daihyosha: Kawakami N.) Report of Fiscal Year Heisei 14. 2003. p.127-130. https://mhlw-grants.niph.go.jp/project/6389(accessed 2024-01-21)(in Japanese)
- [21] Uchida H, Kuroiwa C, Ohki S, Takahashi K, Tsuchiya K, Kikuchi S, et al. Assessing the smallest detectable change of the Kessler psychological distress scale score in an adult population in Japan. Psychology Research and Behavior Management. 2023;16:2647-2654. doi: 10.2147/PRBM.S417446
- [22] Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. International Journal of Methods in Psychiatric Research. 2008;17(3):152-158. doi:10.1002/ mpr.257
- [23] 豊田秀樹.共分散構造分析 R編.東京:東京図書;2014. Toyoda H. [Kyobunsan kozo bunseki R hen.] Tokyo: Tokyo Tosho; 2014. (in Japanese)
- [24] 小島隆矢.適合度指標の読み方がわからないのですが?.浅野煕彦,鈴木督久,小島隆矢,編著.入門共分散構造分析の実際.東京:講談社サイエンティフィク;2005. p.118-122. Kojima T. [Tekigodo shihyo no yomikata ga wakaranai no desuga?.] Asano H, Suzuki T, Kojima T, edited. [Nyumon. kyobunsan kozo bunseki no jissai.] Tokyo: Kodan-sha Scientific; 2005. (in Japanese)
- [25] JASP team. JASP 0.17. 2023. https://jasp-stats.org (accessed 2024-01-21)
- [26] IBM. SPSS Statistics ver.29.0. 2023.
- [27] R Core Team . R 4.2.3. 2023. https://www.R-project.org/ (accessed 2024-01-21)
- [28] Yves R. lavaan : An R package for structural equation modeling. Journal of Statistical Software.48(2):1-26. doi: 10.18637/jss.v048.i02
- [29] Terrence DJ, Sunthud P, Alexander MS, Yves R. Useful tools for structural equation modeling. 2022. https://CRAN.R-project.org/package=semTools (accessed 2024-01-21)
- [30] 小澤千枝,石川ひろの,加藤美生,福田吉治.「健康無関心層」の把握に向けた健康関心度尺度の開発.日本健康教育学会誌.2021;29(3):266-277. Ozawa C, Ishikawa H, Kato M, Fukuda Y. [Development of the Interest in Health Scale to understand the “population indifferent to health”.] Japanese Journal of Health Education and Promotion. 2021;29(3):266-277. (in Japanese)
- [31] Yamamoto T, Uchiumi C, Suzuki N, Yoshimoto J, Murillo-Rodriguez E. The psychological impact of ‘Mild lockdown’ in Japan during the COVID-19 pandemic: A nationwide survey under a declared state of emergency. International Journal of Environmental Research and Public Health. 2020;17:9382. doi: 10.3390/ijerph17249382
- [32] Yoshikawa T, Tabuchi T, Odani S, Shinozaki T, Tsugawa Y. Factors associated with serious psychological distress during the COVID-19 pandemic in Japan: A nationwide cross-sectional internet-based survey. BMJ Open. 2021;11:e051115. doi: 10.1136/bmjopen-2021-051115