The correlation between school related stress and self-harm behaviors with
respect to the mental health of high school were investigated to obtain data on preventive
intervention for improving high school students’ mental health. An anonymous self-administered
questionnaire was conducted with senior high school students （N＝847）.
Among the data, those without missing values were used for statistical analysis （n＝812）.
The mediation model below was assumed: school life related stress that is directly and
indirectly mediated by self-harm behaviors affects mental health. Furthermore, correlations
between goodness of fit and each variable were examined using Structural Equation
Modeling. Goodness of fit indices to the assumed causal relationship model were CFI＝0.981,
RMSEA＝0.044, which reached a statistically acceptable level.
The ratio of contribution to mental health in this analysis model was 53.0％ . The results of
this study suggest that it is necessary to consider school life related stress and self-harm
behaviors for the improving mental health of high school students.
The aim of this study was to evaluate the association between the changes in
activities of daily living （ADL） before and after orthopedic selective spasticity control
surgery and the manual ability classification system （MACS） in children with diplegic
cerebral palsy using a questionnaire survey.
Method : Questionnaires were sent to 153 participants, out of which 28 gave valid responses.
The MACS and changes in ADL were assessed using questionnaires. We had free written
explanations, If ADL were improved. Chi-squared test was used to assess the relationship
between ADL and MACS. In addition, qualitative analysis was used to assess the free
Result : There was no significant relationship between the changes in ADL and MACS. In
the qualitative assessment, contents of the changes in ADL were different with respective
levels of the MACS.
Conclusion : Although contents of the changes in ADL were different, the ability for ADL
changed with the respective levels of the MACS. Therefore, in post-surgery rehabilitation, it
is required that goals of the rehabilitation programs be changed with respect to the levels of
【 Purpose】 The aim of this study was to investigate the short-term effect of
improving the assessment ability of visiting rehabilitation workers related to their awareness
of changes in the medical condition of elderly patients requiring care. 【Method】 We
conducted a one-time intervention comprising lectures, practical skills, and group work on
“whole-body management of internal disabilities” and “assessment of findings related to daily
activities of living” for 35 visiting rehabilitation workers. The effects of the intervention were
evaluated with written tests and subjective assessment evaluations conducted before and
after the intervention. 【Result】 The scores for the written test conducted immediately after
the intervention were significantly higher than those for the test conducted before the
intervention. Scores for all eight items evaluated with the subjective assessment evaluation
conducted after the intervention were significantly higher than those before the intervention.
【Conclusion】 The one-time intervention in this study was shown to improve the knowledge
regarding assessment ability of the visiting rehabilitation workers and their ability to
subjectively evaluate their elderly patients.