In rapid growth of aging society, prevalence of dementia continues to rise. One of the key challenges for dementia is Behavioral Psychological Symptoms of Dementia (BPSD). Our previous research showed that a training of caregiver reduces BPSD in nursing home. However, historically the skill of caregivers was considered to depend on individual experience, and development of standardized training system for professional caregivers is strongly needed. The multimodal comprehensive care—Humanitude—is a French-origin methodology for vulnerable elderlies focusing on their perception, emotion and oral communication. It emphasizes eye contact, verbal communication and gentle, secure touch during interaction with patients and assisting for vertical position and walk. In this article, philosophy and details of the methodology are described.

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Japan is the first longevity country in the world. This longevity is haunted by illness called metabolic syndrome. This is the illness that comfortable life creates, and the abandonment of a current comfortable life-style is necessary to escape from this illness. Illness in itself is not painful, and life in process to escape is to be painful. As for the illness, the escape from it usually brings people physical health and stability of the mind without physical pain. However, this illness reverses for this. The maximum risk factor of this illness is certainly rich life and longevity itself, if we take a broad view. These two risk factors are in a relation of the antinomy with a health desire without the end. The health desire without giving it up transforms into health uneasiness before people are aware. The problem that modern people have is not to be able to have reality for the final failure of the health, that is death, because of their comfortable life-style.

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At present, artificial insemination with donor’s semen (ADI) is performed in anonymous bases in Japan. However, once children who had not been told the truth happen to know that they were born from AID, they are confused, upset, and suffer from the crisis of self-identity. Especially those children strongly argue about the necessity of knowing rights, since the information of donor and genetic siblings is important to re-construct their self-identity, health issues and avoid consanguineous relationship. The children whose parents had told them the truth still ask for the information of donor and siblings. The children who had known the truth and had the information of donor and siblings from the very beginning would not have negative feelings toward AID. Therefore, knowing rights should be necessary for the AID procedure. In this paper the author discussed the importance and obstacles in telling and knowing rights, and the way to the better AID system.

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Various burdens of a mother’s body and mental state in child care with assisted reproductive technology were described through some actual cases. These problems included mother’s body problem, conflict of pregnancy after reproductive therapy and mother’s mental problem, etc. Female feeling concerning male sterility and the reason it’s difficult to speak to entourage about which talked on necessity of peculiar psychological consideration in particular. The support which looked through child care after fortune is also needed in assisted reproductive technology.

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Even if couples receive infertility treatment, they do not always achieve pregnancy. As a result the number of couples choosing the ART between non-spouses is increasing year by year. I therefore considered a way of family building utilizing ART between non-spouses on the basis of evidence, suggesting in this research about the building process of the adoptive families. The adoptive parents make every effort to bring up the child while they live together, at the same time the child has experiences in which he or she is accepted by the adoptive parents. Ideally this makes a bond of attachment between them. After a parent-child relationship is built and is stable, it could be the time to tell the child the truth that he or she is adopted. Through this process adoptive families may become one as parents and child, even though they are not in blood relationships. In the past it has been considered best to keep secret that he or she is adopted. Today it is said that the formation of an adoptee’s identity has been obstructed by keeping it secret. This same tragic history has been repeated for the children conceived with donated sperm. I therefore suggest that the consulting support institution in charge of managing information including biological parents’ information has to be established in our country. It is important that we will be able to choose a family structure from a variety of options including adoption.

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Backgrounds : Fukushima nuclear power plant disaster occurred following the Great East Japan Earthquake on March 11, 2011. It bears comparison with the incident in Chernobyl in 1986 in the degree of radiological contamination to the surrounding environment. 164,218 residents were displaced losing their home-land by this serious incident, of which 97,321 were relocated to other regions within the Fukushima prefecture, and 57,135 residents were relocated to other prefectures. The evacuees from Fukushima can be considered the largest number of ‘internally displaced persons’ or ‘domestic refugees’ in Japan after the world war two. Objective : This study investigated the scale of post-traumatic stress (PTS) symptoms in the evacuees as of two years after the Fukushima nuclear power plant disaster. It also tried to identify the impact of bio-psycho-social factors related to PTS symptoms. Samples and methods : Questionnaire survey was conducted by Waseda University and Japan Broadcasting Corporation (NHK). 2,425 households living at temporary housings within Fukushima prefecture were asked to answer the Impact of Event Scale-Revised (IES-R) and the self-report questionnaires that we generated in order to evaluate the damage by the disaster in relation to several bio-psycho-social factors in refugee lives. There were 745 replies (the cooperation rate ; 30.7%), of which 661 were analyzed. Besides, multiple logistic regression analysis was performed to examine several bio-psycho-social factors as predictors for probable PTSD. Results : High level PTS symptoms were found. The mean score of IES-R was 34.20±20.56, and 62.56% were over 24/25 cut-off point determined as broadly defined PTSD which means high-risk presence of probable PTSD. The significant differences by chi-square test of high-risk subjects were found among economic difficulty (p=.000), concerns about compensation (p=.000), lost jobs (p=.023), unsatisfying housing (p=.025), unsatisfying environment around temporary housing (p=.000), having chronic disease (p=.003), aggravation of chronic disease (p=.000), affection of new disease (p=.000), lack of necessary information (p=.000), family split-up (p=.031), and lack of acquaintance support (p=.000). By the result of multiple logistic regression analysis, the significant predictors of probable PTSD were economic difficulty (OR : 2.34, 95%CI : 1.30-4.24), concerns about compensation (OR : 4.16, 95%CI 1.26-13.76), aggravation of chronic disease (OR : 2.94, 95%CI : 1.63-5.30), affection of new disease (OR : 2.20, 95%CI : 1.21-3.99), and lack of acquaintance support (OR : 1.92, 95%CI : 1.07-3.42). Conclusion : The findings revealed that there is a high-risk presence of probable PTSD strongly related to a number of bio-psycho-social factors due to the nuclear power plant disaster and its consequent evacuation. Our findings underscore the specific characteristics of the nuclear disaster as man-made disaster. Since the socio-economic problems such as compensation and reparation have not been solved, it is suggested that prolonged uncertainty regarding the insufficient salvation of the evacuees might account for the high-level PTS symptoms.

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Objectives : In recent years, the number of female college students with eating disorders has been increasing. This study aimed to develop the Abnormal Eating Behavior Scale-new version (AEBS-NV) and examine its reliability and the validity. Participants : In order to develop the AEBS-NV, we conducted a survey among female college students, and eliminated incomplete responses. Two hundred twenty-six participants (mean age : 20.4±2.6) were included in survey 1, and 104 participants (mean age : 19.9±1.1) were included in survey 2. Method : In order to examine the structure of the AEBS-NV, factor analysis was conducted. In order to test the validity of the scale, we classified the participants into three groups based on factor scores (low group : LG, middle group : MG, high group : HG). For the Eating Attitude Test-26 (EAT-26) and Eating Disorder Inventory (EDI) scores, we conducted a single-factor, within-groups analysis of variance. In addition, in order to determine the scale’s cut-off score, we performed a receiver operating characteristic (ROC) analysis for each of the subscale scores. Results : The factor analysis extracted the following three factors from 33 items : Factor 1, inappropriate diet behavior (6 items) ; Factor 2, apprehension concerning food intake (5 items) ; Factor 3, binge eating (3 items). The reliability coefficient was adequate. The HG had the highest EAT-26 and EDI scores, followed by the MG, and the LG (p<0.01). In addition, the results of the ROC analysis indicated a cut-off score of 41. Conclusions : These results showed that the reliability and construct validity of the AEBS-NV were acceptable. Additionally, the scale had good criterion-referenced validity. Therefore, it was concluded that tendency of abnormal eating behaviors in female college students could be effectively evaluated by the AEBS-NV.

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