Japanese Journal of Child and Adolescent Psychiatry
Online ISSN : 2424-1652
Print ISSN : 0289-0968
ISSN-L : 0289-0968
Volume 59 , Issue 1
Showing 1-31 articles out of 31 articles from the selected issue
The 57th Congress of The Society for Child and Adolescent Psychiatry at Okayama Convention Center
Perspective of Child and Adolescent Psychiatry
Symposium 7: Poverty and Inappropriate Parenting -Supporting Family-
Symposium 8: Suicide Prevention of Children and Adolescents
Symposium 9: Current Status and Tasks of Child and Adolescent Psychiatry Clinics
Panel Discussion: The Juvenile Act
Seminar: The 6th Clinical Research Workshop
Seminar: The Pharmacotherapy on Child and Adolescent Psychiatry -Neurodevelopmental Disorder-
Seminar: Poverty of the Child -How to Face the Hardships of Their Life?
Seminar: Current issues on child adolescent psychiatry in Asia
Original Article
  • Tadashi SEKINE, Chizuru MORI
    2018 Volume 59 Issue 1 Pages 70-85
    Published: February 01, 2018
    Released: August 21, 2019

    In subjects beyond adolescence, secondary impairments often serve as opportunities to diagnose autism spectrum disorder (ASD), characterized by an underlying lack of self-awareness. Treatment with medication to address the secondary impairment is not sufficient for long-term social adjustment and improvement in quality of life, making psychosocial intervention indispensable. However, apart from a number of case reports, there are no reports on established psychosocial interventions that can be performed by the nurse, indicating need for practical intervention programs that could be delivered by nurses as an alternative approach, taking into account the characteristics of adult with autism spectrum disorders. A nursing intervention program―consisting of a total of ten individual interviews, structured on cognitive and behavioral interventions incorporating reflection support, self-explanation support and externalization support―was created and its effectiveness examined. The evaluation was conducted with the cognitive behavior self-monitoring scale, self-conscious scale, Social Reticence Scale II (SRS-II) (self-report) and SRS-II (others-report). The Wilcoxon signed rank test was used to conduct before-after comparisons, and multiple linear regression analysis was conducted to determine the relationship between scales. Qualitative inductive analysis was conducted to determine changes in self-awareness. Scores of the cognitive behavior self-monitoring scale and the self-conscious scale performed on 16 adult with autism spectrum disorders were higher after implementing the program, whereas the SRS-II (others-report) score was lower after implementation. Also, behavior monitoring had effects on results of the self-conscious scale. In terms of change in self-awareness, the following categories emerged: 1) becoming aware of one's inner self, and 2) becoming aware of interpersonal relationships. The present results demonstrated increase in self-awareness, suggesting effectiveness of this nursing intervention program for the post-adolescent adult with autism spectrum disorders.

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  • Tomokazu SUGAYA, Chizuru MORI
    2018 Volume 59 Issue 1 Pages 86-99
    Published: February 01, 2018
    Released: August 21, 2019

    The sense of belonging is an important concept for adolescents. While child and adolescent psychiatry highlights the necessity of supporting ibasyo (sense of belonging), its features are not yet clearly understood. The purpose of this study was to clarify the connection between interpersonal relations and the sense of belonging in junior high school students with mental disorders. A self-administered questionnaire was used to survey 188 junior high school students visiting a child and adolescent psychiatry outpatient clinic. Interpersonal relations were investigated in four contexts where the participants might experience a sense of belonging, namely: the home situation, friend situation, class situation, and hospital situation. A nonparametric test was performed setting the statistical significance level at 5%. In most cases, the “home” situation was scored highest regarding sense of belonging, while the “class” situation was scored lowest. The “hospital” situation tended to be scored higher than the “class” situation, and there was a greater tendency for girls to score lower for sense of belonging in “friend” and “class” situations than boys. Furthermore, we observed a trend for sense of belonging scores in the “friend”, “class”, and “hospital” situations to decrease with increase in academic performance. Participants who frequently talked with a parent scored high for sense of belonging in the “home” situation. Likewise, participants who frequently talked with friends scored high for “sense of belonging” in “friend” and “class” situations. Our results indicate that the sense of belonging in junior high school students with mental disorders is associated with interpersonal relations with family, friends, and peers, and that they are able to obtain a sense of security through involvement in such relationships. The findings suggested the need and importance of initiatives to help child and adolescent psychiatry outpatients develop relationships with their peers in order to foster the sense of belonging.

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Research Data
  • Mitsuaki IWASA, Atsushi BABA
    2018 Volume 59 Issue 1 Pages 100-109
    Published: February 01, 2018
    Released: August 21, 2019

    We investigated inpatients admitted to acute closed psychiatric wards for women, from the perspective of child-rearing and child abuse toward their own children.

    Of 191 women admitted to our psychiatric wards during a 2-year period (from January 2003 to December 2004), 82 (42.9%) women had experience of childbirth, of which 24 (12.6%) were involved with raising their own children at the time of the study. Eleven (13.4%) mothers had maltreated their children, and psychiatric symptoms emerged or worsened in 25 (30.5%) mothers in connection with birth and/or child rearing. The mothers had on average 1.9 children, and 15 (18.3%) mothers had three or more children, suggesting enormity of the burden they were facing raising multiple children while struggling with their own psychiatric difficulties.

    The findings from this study suggest that while it is vital for psychiatrists to confirm whether mothers admitted to acute psychiatric wards have been involved in maltreating their children, beyond the initial consideration, capturing such individuals from a long-term perspective as “life-event high risk” mothers, i.e., as women vulnerable to the development and exacerbation of mental disorders and child-rearing difficulties in connection with life-events deeply relevant to women such as childbirth and child care is crucial―believing provision of continuous psychiatric support to such high risk mothers should lead to the prevention of child abuse.

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