Objective: The purpose of this study is to clarify sleeping habits and factors related to sleep for workers engaged in the electrical machinery manufacturing, and to obtain insights for occupational healthcare staff providing sleep related assistance.

Method: 645 employees of Company A, an electrical machinery equipment manufacturer, were surveyed. The survey was a self-evaluation of sleeping habits conducted using the Athens Insomnia Scale’s 8 items version, and covered the subject’s average sleeping time, sleeping environment, daily life, and sleep awareness. Survey items also included a self-evaluation of each factor related to sleep, factors associated with average sleeping time, calculation of correlation co-efficients, χ² tests and multiple logistic regression analyses.

Results: Insomnia was found to be of no concern to 49.7% of the subjects surveyed, while 23.6% showed some indication of insomnia and 26.7% were suspected of insomnia. The average sleeping time was 5 hours and 49 minutes. A somewhat strong correlation was observed between the self-assessment of sleep and average sleeping time. A significant relationship between the self-evaluation of factors and sleep was evident in 13 out of 40 items such as stress at work and trouble with human relations at work. In addition, the multiple logistic regression results, which illustrated a significant relationship between self-assessment and pertinent factors, showed a strong correlation between the following 4 items: Presence or absence of a co-inhabitant, Childcare, Fatigue recovery through sleep and Needs required for better understanding sleep.

Conclusion: From the results of this study it is clear that assistance based on one’s work environment and lifestyle is necessary to ensure consistent sleeping habits. In order for workers to continue working while maintaining good sleeping habits it is necessary for occupational healthcare workers to have a clear understanding of any given situation to provide careful support.

Purpose: To shed light on health care support by clarifying the trends of research activities of prior researches regarding health issues of Fukushima residents after the Earthquake.

Method: 28 researches regarding health issues of Fukushima Prefecture residents published between April 2011 and March 2015 were extracted from the web version of “Igaku Chuo Zasshi” （Japan’s largest medical literature database）, used as subjects of this study and analyzed. Survey subjects were categorized into “expectant/nursing mothers”, “infants and their parents/guardians”, “children/students”, “adults”, and “elderly”, and findings on health issues were summarized by “physical health issues”, “mental health issues”, and “social health issues”.

Result: Mental health issues such as depression caused by their daily lives in evacuation and social health issues such as isolation were some of the health problems found with Fukushima Prefecture residents. Occurrence of mental disorders caused by anxieties regarding radiation related health problems was seen with the residents.

Discussion: Evacuees were showing various mental health issues caused by changes in living environments and interpersonal relationships. It is important to provide support system in line with the conditions of each region. There is a possibility that some residents continue to have concerns about internal exposure to radiation in the future and continued disclosure of easy to understand evidence-based information on the influence of radiation on health and related issues is important. Furthermore, it is of crucial importance that local authorities make preparations for natural disasters and nucler emergencies going forward.

Objective: In the present study, we aimed to document how spouse caregivers of individuals with early-onset dementia who participate in self-help groups interpret their relationships.

Method: Eight spouse caregivers of individuals with early-onset dementia, enrolled in self-help support groups, participated in this qualitative study. All subjects completed interviews consisting of open-ended questions about relationships.

Results: The analysis revealed two categories as a premise, and six categories as relationships. Although the lives of spouse caregivers were completely altered as a result of caring for their partners with early-onset dementia, the caregivers reported the reconstruction of their life to maintain the pre-dementia lives of their loved ones. This was the premise of the caregivers’ relationships. Spouse caregivers could express their honest feelings about caregiving with the other members of the self-help support groups. Moreover, they reported experiencing stronger relationships, enjoying themselves with time and space away from their loved ones, and developing social relationships through their new spouse caregiver roles and missions. Furthermore, they were conscious of fulfilling social roles that exist in relationships outside that of the spouse caregiver.

Discussion: For spouse caregivers of individuals with early-onset dementia, relationships with fellow self-help group members were important. Spouse caregivers valued the approval and sympathy they received from other caregivers. Moreover, forming social roles both within and outside of the caregiver’s role was a way of feeling appreciated in the society.

Purpose: To analyze and define the concept of recovery in community living schizophrenia patients and to investigate the usability, and problems related to the concept of recovery in developing support systems for such patients.

Method: Japanese and international research which have specific description about recovery in community living schizophrenia patients was reviewed by using Rodger’s concept analysis method. Attributes, antecedents, and consequences of the concept of recovery in community living schizophrenia patients were identified and classified and organized based on commonalities and differences.

Results: This concept had four attributes; “To find new goals and aspirations to live subjectively”, “Objectively looking at the self and having a positive self-image”, “Conditions become stable by subjective use of services”, and “Building mutual relationships in the community and being recognized as one of its members”. Moreover, five antecedents and four consequences of these concepts were also identified.

Conclusion: The definition of recovery in community living schizophrenia patients consisted of “the process in which such patients act subjectively and build mutual relationships in the community with hopes and goals, in order to improve the quality of life while improving adherence.” It is suggested that this concept of recovery is usable for developing person-centered care for schizophrenia patients. It is necessary for professionals to exploit client’s feelings of recovery and support while standing close by their recovery process.

Objective: The objective of this study was to clarify mothers’ perspectives about discipline, corporal punishment, and abuse toward young children and to suggest the collaborative dialog approach for mothers raising their children.

Method: We conducted group conversations in which mothers discussed their daily lives with young children, or their perceptions about discipline, corporal punishment, and child abuse toward ordinary young children or their own children. These factors were related to the mothers’ relationships with their children or other family members.

Results: The participants of this study were a total of 82 mothers（actual number=57）with young children and the majority were full-time housewives. They discussed various perceptions on the purposes, the concrete contents, and the ways of disciplining their children. In relation to “child abuse,” they expressed psychological abuse first of all. They explained the distinction between child abuse and discipline as dependent on its objectives, its reasons, or whether or not it is based on parents’ love for their children. No mothers mentioned sexual abuse or domestic violence in their description of child abuse.

Discussion: We can suggest support for the collaborative dialog approach, 1）creating opportunities to realize that “discipline” or “child abuse” were issues about themselves, 2）planning group discussion as the way in which participants interact with each other, 3）responsibility. The collaborative dialog approach in which parents can productively express and discuss their feelings of isolation and difficulties faced in child rearing helps in preventing maltreatment of children.