@article{oai:iuhw.repo.nii.ac.jp:00001253,
 author = {野﨑, 智仁 and NOZAKI, Tomohito and 平野, 大輔 and HIRANO, Daisuke and 谷口, 敬道 and TANIGUCHI, Takamichi},
 issue = {2},
 journal = {国際医療福祉大学学会誌, Journal of the International University of Health and Welfare},
 month = {Aug},
 note = {目的：本研究は，一般就労して 1 年経過した精神障害者を就労定着群と離職群に分け，就労開始時の精神症状および社会生活技能の状態が就労定着に与える影響について明らかにすることを目的とした．
方法：精神症状および社会生活技能の指標として，簡易精神症状評価尺度（以下，BPRS）と精神障害者社会生活評価尺度（以下，LASMI）を用いた．分析は，就労移行支援事業所 A を利用した精神障害者を対象とし，就労定着群と離職群の群間差，BPRS と LASMI の相関を検討した．
結果：就労定着群は離職群と比べて，BPRS の 14 項目と合計の結果から精神症状が重度であると認められた（p＝0.000～0.034）． LASMI では，大項目すべてにおいて社会生活技能が高かった（p＝0.000）． LASMI と BPRS の相関では，負の相関を認めた（r＝－0.610～－0.308，p＝0.000～0.028）．
結論：精神障害者の就労定着には，精神症状の重症度に関わらず，一般就労に至るまでに社会生活技能を高める支援が必要であることが示唆された．, Purpose: This study aimed to investigate the impact of psychiatric symptoms and level of social skills at the beginning of employment in employees with mental disabilities on their employment retention.
Methods: The subjects of this study were individuals with mental disabilities who received assistance from the Employment Transition Support Facility A and entered into employment. The Brief Psychiatric Rating Scale (BPRS) and the Life Assessment Scale for the Mentally Ill (LASMI) were administered at the time of starting employment to assess their psychiatric symptoms and social skills, respectively. Subjects were divided into those who did or did not retain their employment one year after entering employment. Between-group differences of those who did or did not retain their employment were analyzed, and correlations between the BPRS and LASMI scores were examined.
Results: Individuals who retained their employment had more severe psychiatric symptoms than those who did not (scores on the 14 items and total score of the BPRS, p = 0.000 to 0.034), with social skills being higher in those who retained their employment than in those who did not (all major items of the LASMI, p = 0.000). Negative correlations were observed between the LASMI and BPRS scores (r =－0.610 to －0.308, p = 0.000 to 0.028).
Conclusion: These results suggest that regardless of the severity of psychiatric symptoms, it is necessary to improve the social skills of individuals with mental disabilities before they enter employment, in order to achieve their employment retention.},
 pages = {31--42},
 title = {精神障害者の精神症状と社会生活技能の遂行状況が就労定着に与える影響に関する研究},
 volume = {27},
 year = {2022},
 yomi = {ノザキ, トモヒト and ヒラノ, ダイスケ and タニグチ, タカミチ}
}