@article{oai:sgul.repo.nii.ac.jp:00002996, author = {大宮, 秀淑 and 松㟢, 由莉 and 宮島, 真貴}, issue = {1}, journal = {札幌学院大学心理学紀要, Bulletin of Faculty of Psychology Sapporo Gakuin University}, month = {Oct}, note = {本研究は,前頭葉/実行機能プログラム(Frontal/Executive Program:FEP)を使用した介入によってMCIの認知機能に改善が認められるか否かを検討することを目的とする。対象は80代女性であり,認知機能に関して覚える事が苦手になったなど記憶力低下についての自覚があった。症例に対して1対1で週2回,1回約1時間ずつのFEPを22セッション行った。評価はMoCA-Jを用いてMCIと判断した上で,介入前後に統合失調症認知機能簡易評価尺度日本語版(BACS-J),ウィスコンシン・カード分類テスト(WCST)および持続的注意集中力検査(CPT)を実施した。結果として,介入前はBACS-Jにおいて言語流暢性および数字順列の成績低下が顕著であったが,介入後は総合得点,言語性記憶およびロンドン塔課題に大きな改善が認められた。WCSTやCPTの誤答数も減少し,MCIへのFEPの適用可能性が示唆された。他の精神疾患と比して,言語流暢性の改善が十分ではない特徴的な結果も得られた。今後は症例数の増加およびMCIの認知機能の特異性に関する検討が必要と考えられる。, The purpose of this study is to examine whether or not an intervention using Frontal / Executive Program (FEP) is effective to improve cognitive functions of people with MCI. Subject was a woman in her 80s who was living alone at the time of the intervention. With regard to her cognitive functions, she was aware of problems with memory, such as being not good at remembering. Total of 22 sessions of FEP were performed; two sessions a week, one on one, each session lasting about an hour. She was assessed to have MCI using MoCA-J. To obtain an objective evaluation before and after the intervention, the Brief Assessment of Cognition in Schizophrenia- Japanese version (BACS-J), Wisconsin Card Sorting Test (WCST) and Continuous Performance Test (CPT) were performed. As a result, the subject’s verbal fluency and digit sequencing performances before the intervention were notably low in BACS-J, but after the intervention, composite score, verbal memory and the Tower of London showed significant improvement. It was shown that FEP improves the results of cognitive function tests, such as reduction of errors in WCST and CPT, suggesting the applicability of FEP to people with MCI. Compared with other mental illnesses, the result of this study was characteristic because the subject’s verbal fluency did not show enough improvement. In the future, it will be necessary to conduct further studies with more number of cases and to examine the specificity of MCI's cognitive functions., Bulletin, 論文, Article}, pages = {1--12}, title = {軽度認知障害(MCI)に対する認知機能改善療法(CRT)の適用 ─前頭葉/実行機能プログラム(FEP)による症例から─}, volume = {2}, year = {2019} }