マインドフルネス認知療法をがん患者に応用する研究。2018年度に集団プログラム(週1回2時間×8週間)を開発し、2019年度は様々ながん種や治療設定で活用できるよう、個人療法形式(1回1時間×8回×柔軟な治療間隔；①セッション振返り(約5分)、②ホームワークHW振返り(10分)、③中心的エクササイズ(15-30分)、④エクササイズ振返りと解説(10分)、⑤HW設定(5分の構造)に修正した。がん患者7名に適応して全員が完遂、抑うつ・不安、症状負荷、睡眠で改善を認めた。COVID-19で対面・集団実施が困難となり、オンラインに転換し2022年までがん患者を含む慢性痛患者にて実施可能性が検証された。
Application of mindfulness-based cognitive therapy (MBCT) to cancer patients was investigated. In FY2018, MBCT program in a group format (2 hours weekly, 8 weeks) was developed. In FY2019, it was modified to an individual format (1-hour, 8 sessions in flexible intervals), in order to increase its applicability. The structure of each session was; review of previous session (5 minutes), review of homework (10 min), mindfulness exercise (15-30 min), review of exercise (10 min), and setting homework (5 min). The program was applied to seven cancer patients, under the approval of the ethics committee. All the participants completed the program and showed improvement in depression and anxiety (HADS), symptom burden (ESAS) and sleep. After FY 2020, face-to-face implementation was made difficult due to COVID-19. The program was implemented in an online format to patients with chronic pain (including cancer patients) afterward. The feasibility of the program was demonstrated.

研究種目 : 基盤研究 (C) (一般)
研究期間 : 2018～2022
課題番号 : 18K07476
研究分野 : 精神医学