᪥ᚰ➨ 㻣㻡 ᅇ䠄㻞㻜㻝㻝䠅㻌 グ᠈㻌 㻟㻼㻹㻜㻥㻥㻌 ᛀᝈ⪅࠾ࡅࡿ᪥ᖖグ᠈ࡢ⮬ᕫホ౯㸦㸲㸧 ࣓̿ࢱグ᠈㉁ၥ⣬ࡼࡿᝈ⪅ࡢ⮬ᕫホ౯ㆤ⪅ࡽࡢホ౯ࡢẚ㍑̿ ۑᐩ㧗ᬛᡂ 1࣭ⓑᕝ㞞அ 2࣭ᅉឡᐇ 2࣭ΎỈᐶஅ 3 1 ( 㛵すᏛᏛ㝔ᩥᏛ◊✲⛉㸪2 රᗜ┴❧ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ୰ኸ㝔㸪3 ⚄ᡞᏛ㝔ᏛேᩥᏛ㒊) ࣮࣮࢟࣡ࢻ: ᛀᝈ⪅㸪᪥ᖖグ᠈㸪࣓ࢱグ᠈㉁ၥ⣬ Self-assessment of everyday memory in the amnestic patient (4): Several comparisons of metamemory between assessed by themselves and family caregivers. Tomonari TOMITAKA1, Masayuki SHIRAKAWA2, Manami INAGI2 and Hiroyuki SHIMIZU3 (1Kansai University, 2Hyogo Rehabilitation Center, 3Kobe Gakuin University) Key words: amnestic patient, everyday memory, metamemory questionnaire MAQ ࡢ㡰㸪ࡑࢀࡒࢀ 5㸪5㸪4 ࡢୗ㡯┠⩌ศࢀࡿࡇ ࡀ♧ࡉࢀ࡚࠸ࡿࠋࡲࡓㆤ⪅ࡢ㉁ၥ⣬ࡣ࡚ࡢ㡯┠ࠕࢃ ࡽ࡞࠸ࠖ࠸࠺㑅ᢥ⫥ࢆタࡅࡓࠋ ㄪᰝᡭ⥆ࡁ ᝈ⪅ㆤ⪅ࡣࡑࢀࡒࢀูࡢ㒊ᒇ࡛㉁ၥ⣬ ࡢෆᐜࢆཱྀ㢌࡛ㄝ᫂ࡋ㸪ᅇ⟅ࢆồࡵࡓࠋᅇ⟅ࡣㄪᰝཧຍ⪅࣌ ࣮ࢫ࡛⾜ࢃࢀࡓࠋㄪᰝ⪅ࡣᖖㄪᰝཧຍ⪅ࡽࡢ㉁ၥ⟅࠼ ࡽࢀࡿ≧ែ࠶ࡾ㸪㉁ၥࡀ࠶ࢀࡤࡑࢀ⟅࠼ࡓࠋㄪᰝ㛵ࡍ ࡿㄝ᫂㸪ㄪᰝ㛵ࡍࡿྠព᭩㸪㉁ၥ⣬ࡀ㓄ࡽࢀ㸪ࡍ࡚ࡢᝈ ⪅ࡑࡢㆤ⪅ࡼࡾྠពࡀᚓࡽࢀࡓࠋ ศᯒ᪉ἲ ᛀᝈ⪅ࡢ᪥ᖖグ᠈ᑐࡍࡿᝈ⪅ᮏேࡑࡢ ㆤ⪅ࡢ(a)~(c)ࡢᛂᑐࡋ࡚㸪ࡑࢀࡒࢀ๓㏙ࡢᛂࡢ㡰 1㹼9㸪0㹼4㸪1㹼5 ࡢⅬᩘࢆ࠼࡚ᚓⅬࡋࡓࠋ㉁ၥࡣ᪥ᖖ ࡢኻᩋ࡞㛵ࡍࡿࡶࡢ࡛࠶ࡾ㸪ᚓⅬࡀᑠࡉ࠸ࡑࡢ㉁ၥ 㛵ࡍࡿ⬟ຊࢆ㧗ࡃホ౯ࡋࡓࡇ࡞ࡿࠋḟ㸪ྛ㡯┠ࡢᝈ ⪅ࡢᚓⅬࡽㆤ⪅ࡢᚓⅬࢆῶࡌࡓࠋࡇࡢ್ᇶ࡙ࡁ㸪ㆤ ⪅ࡽࡢホ౯ࢆᇶ‽ࡋࡓᝈ⪅ࡢ⮬ᕫホ౯ࢆ㐣ホ౯㸪୍⮴ ホ౯㸪㐣ᑠホ౯ࡢ 3 ࡘࡢࣃࢱ࣮ࣥศ㢮ࡋࡓࠋศ㢮ࡣ(a)~(c) ࡢ㡰㸫8㹼㸫3㸪㸫4㹼㸫2㸪㸫4㹼㸫2 ࡛࠶ࢀࡤᝈ⪅㸺ㆤ⪅ 㸦㐣ホ౯㸧㸪㸫2㹼2㸪㸫1㹼1㸪㸫1㹼1 ࡛࠶ࢀࡤᝈ⪅Ҹㆤ⪅ 㸦୍⮴ホ౯㸧㸪3㹼8㸪2㹼4㸪2㹼4 ࡛࠶ࢀࡤᝈ⪅㸼ㆤ⪅㸦㐣ᑠ ホ౯㸧ࡋࡓࠋࡓࡔࡋ㸪ㆤ⪅ࡀᅇ⟅⬟ࡢሙྜࡣࡑࡢ㡯 ┠ࡢẚ㍑ࡣ⾜ࢃ࡞ࡗࡓࠋ ⤖ᯝ⪃ᐹ ⾲ 1 ࡣྛ㉁ၥ⣬ࡢୗ㡯┠⩌ࡈ TS ཬࡧ YM ࡢ㐣ホ ౯୍࣭⮴ホ౯࣭㐣ᑠホ౯ࡢ㡯┠ᩘࢆิᣲࡋࡓࡶࡢ࡛࠶ࡿࠋ ࡇࡢ⤖ᯝ㸪ከࡃࡢ㡯┠࡛㸪ㆤ⪅ࡢᛂࢆᇶ‽ࡋࡓሙྜ㸪 ᝈ⪅ࡣ⮬ศࡢグ᠈㛵ࡍࡿ⬟ຊࢆ㐣ホ౯ࡋ࡚࠸ࡿ࠸࠼ࡿࠋ ࡓࡔࡋ㸪CFQ ࡢࠕ✵㛫ⓗኻᩋࠖࡸࠕ࠺ࡗࡾ͐ࠖ MAQ ࡢ ࠕ㢌ࡽ㞳ࢀ࡞࠸͐ࠖ㛵ࡋ࡚ࡣ㸪ࡢୗ㡯┠⩌ẚ୍࡚ ⮴ホ౯ࡸ㐣ᑠホ౯ࡀከࡃࡳࡽࢀࡓࠋCFQ ࡢࠕ✵㛫ⓗኻᩋࠖࡸ ࠕ࠺ࡗࡾ͐ࠖࡢ㡯┠ࡣグ᠈ㄢ㢟ࡋ࡚ࡢഃ㠃ࡀᙅࡃ㸪ᝈ⪅࣭ ㆤ⪅ࡶ࠶ࡲࡾၥ㢟ࢆឤࡌ࡞ࡗࡓࡇࡽከࡃࡢ୍⮴ ࡀࡳࡽࢀࡓ⪃࠼ࡽࢀࡿࠋMAQ ࡢࠕ㢌ࡽ㞳ࢀ࡞࠸͐ࠖࡣ㸪 ࡢ㉁ၥࡣ㏫࡛グ᠈ၥ㢟ࡀ࠶ࡿ㢖ᗘࡀῶࡿ⪃࠼ࡽࢀ ⾲㻝䚷ᛀᝈ⪅㻞ྡ䠄㼀㻿䛸㼅㻹䠅䛻䛚䛡䜛ᝈ⪅䛾⮬ᕫホ౯䛸ㆤ⪅䛛䜙䛾ホ౯䛾䝈䝺䛾䝟䝍䞊䞁 ࡿ㉁ၥ࡛࠶ࡿࡀࡓࡵ㸪⤖ᯝࡀ୍㒊㌿ࡋࡓࡶ ᝈ⪅䠘ㆤ⪅ ᝈ⪅䍦ㆤ⪅ ᝈ⪅䠚ㆤ⪅ ࡢ⪃࠼ࡽࢀࡿࠋ 䠄㐣ホ౯䠅 䠄୍⮴ホ౯䠅 㻔㐣ᑠホ౯㻕 ୗ㡯┠⩌ 㡯┠ᩘ 㼀㻿 㼅㻹 㼀㻿 㼅㻹 㼀㻿 㼅㻹 ᘬ⏝ᩥ⊩ 㻱㻹㻽 㻲㻝㻦᳨⣴ 㻝㻝 㻤 㻢 㻝 㻡 㻞 㻜 ᅉࡽ(2010).᪥ᮏᚰ⌮Ꮫ➨ 74 ᅇⓎ⾲ㄽ 㻲㻞㻦άື䛾グ᠈ 㻠 㻟 㻟 㻝 㻝 㻜 㻜 ᩥ㞟 p842 㻲㻟㻦ㄢ㢟䝰䝙䝍䝸䞁䜾 㻠 㻝 㻠 㻞 㻜 㻝 㻜 㻲㻠㻦ヰ䝰䝙䝍䝸䞁䜾 㻟 㻞 㻟 㻜 㻜 㻝 㻜 ᩘࡽ(2003). ᪥ᮏ∧᪥ᖖグ᠈ࢳ࢙ࢵࢡࣜࢫࢺ 㻲㻡㻦✵㛫グ᠈ 㻟 㻝 㻞 㻞 㻝 㻜 㻜 ࡢ᭷⏝ᛶࡢ᳨ウ ⬻⚄⤒, 55, 317-325. 㻯㻲㻽 㻲㻝㻦✵㛫ⓗኻᩋ 㻢 㻝 㻝 㻠 㻡 㻝 㻜 㻲㻞㻦䛖䛳䛛䜚䞉䞉䞉 㻤 㻠 㻝 㻞 㻟 㻞 㻜 ΎỈᐶஅ࣭㧗ᶫ㞞ᘏ࣭㰺⸨ ᬛ(2006). ᪥ᖖグ᠈ 㻲㻟㻦᳨⣴ኻᩋ 㻞 㻞 㻜 㻜 㻞 㻜 㻜 㛵ࡍࡿ⮬ᕫホ౯ࡢศᯒʊ࣓ࢱグ᠈㉁ၥ⣬ࡼ 㻲㻠㻦ヰ䝰䝙䝍䝸䞁䜾 㻟 㻟 㻜 㻜 㻞 㻜 㻜 㻲㻡㻦ேྡグ᠈䛾ኻᩋ 㻞 㻞 㻞 㻜 㻜 㻜 㻜 ࡿ᳨ウʊ ᚰ⌮Ꮫ◊✲, 77, 366-371. 㻹㻭㻽 㻲㻝㻦䜒䛾ᛀ䜜䞉䞉䞉 㻢 㻞 㻟 㻠 㻟 㻜 㻜 ᐩ㧗ࡽ(2009). ᪥ᮏᚰ⌮Ꮫ➨ 73 ᅇⓎ⾲ㄽ 㻲㻞㻦㢌䛛䜙㞳䜜䛺䛔䞉䞉䞉 㻣 㻜 㻞 㻠 㻞 㻟 㻜 㻲㻟㻦᳨⣴ᅔ㞴䞉䞉䞉 㻟 㻝 㻜 㻜 㻞 㻜 㻜 ᩥ㞟 p870 ⚾ࡓࡕࡢࡇࢀࡲ࡛ࡢ◊✲ㄪᰝࡼࡗ࡚๓⬻ᇶᗏ㒊ᦆയࡢ ᛀᝈ⪅ࡢ᪥ᖖグ᠈㛵ࡍࡿ࣓ࢱグ᠈ࡣ༑ศᶵ⬟ࡋ࡚࠸ࡿ ࡣ࠸࠼࡞࠸ࡇࡀ᫂ࡽ࡞ࡗ࡚ࡁࡓ(ᐩ㧗ࡽ, ᪥ᚰ, 2009㸹ᅉࡽ,᪥ᚰ, 2010)ࠋࡋࡋ࡞ࡀࡽ㸪࣓ࢱグ᠈㛵㐃ࡋ ࡓุ᩿ࡸពᛮỴᐃࡢ㐣⛬ࡸ≉ᐃࡢ࣓ࢱグ᠈㉁ၥ⣬ࡢ㡯┠ࡈ ࡢグ᠈ࣔࢽࢱࣜࣥࢢࡢṇ☜ࡉ࡞ࡣ᫂ࡽ࡞ࡗ࡚࠸࡞࠸ࠋ ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣᛀᝈ⪅࠾ࡅࡿ᪥ᖖグ᠈ࡢ࣓ࢱグ᠈ ࢆ≉ᚩ࡙ࡅࡿࡓࡵ㸪ᛀᝈ⪅ࡢ᪥ᖖグ᠈ࡢホ౯ࡘ࠸࡚ ጇᙜᛶࡀ㧗࠸⪃࠼ࡽࢀࡿㆤ⪅(ᩘࡽ, 2003)ᝈ⪅ࡢ᪥ ᖖグ᠈㛵ࡍࡿホ౯ࢆồࡵ㸪ᝈ⪅ࡼࡿ⮬ᕫホ౯ࡢ⤖ᯝࡢ ẚ㍑᳨ウࢆ⾜࠺ࠋ ᪉ ἲ ㄪᰝᮇ 2008 ᖺ 1 ᭶㸪6 ᭶࡛࠶ࡗࡓࠋ ㄪᰝཧຍ⪅ ๓㏻ື⬦⒗◚ࡼࡿࡃࡶ⭷ୗฟ⾑ࡶࡋࡃ ࡣ๓㏻ື⬦⒗ࡢࢡࣜࢵࣆࣥࢢ⾡࡛ᛀࢆ࿊ࡋࡓᝈ⪅ 2 ྡ 㸦TS㸸⏨ᛶ㸪62 ṓ㸹YM㸸⏨ᛶ㸪63 ṓ㸧ࡑࡢㆤ⪅(ጔ)2 ྡ 㸦TS ࡢㆤ⪅㸸62 ṓ㸪1 ᪥ඹ㐣ࡈࡍ㛫 20 㛫㸹YM ࡢ ㆤ⪅㸸64 ṓ㸪1 ᪥ඹ㐣ࡈࡍ㛫 18 㛫㸧ࠋTS ࡣරᗜ┴ ❧ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥす☻㝔㸪YM ࡣරᗜ┴❧ࣜࣁࣅࣜ ࢸ࣮ࢩࣙࣥ୰ኸ㝔ධ㝔㸪㏻㝔Ṕࡀ࠶ࡗࡓࠋ2 ྡࡢᝈ⪅ࡣ ࠸ࡎࢀࡶ WMS-R ࡢ㐜ᘏ⏕ᣦᶆࡀ 79 ௨ୗ࡛࠶ࡾ㸪ᛀ≧ ࡀㄆࡵࡽࢀࡓࠋࡲࡓ㸪▱ⓗ⬟ຊ㛵ࡋ࡚㸪WAIS-Ϫࡢ FIQ ࡣ TS ࡀ 104㸪YM ࡀ 116 ࡛࠶ࡾ㸪ၥ㢟ࡣㄆࡵࡽࢀ࡞ࡗࡓࠋ ㉁ၥ⣬ ྛㄪᰝཧຍ⪅࣓ࢱグ᠈㉁ၥ⣬ㄪᰝ㛵ࡍࡿㄝ ᫂᭩ࢆ㓄ᕸࡋࡓࠋᮏㄪᰝ࡛⏝࠸ࡓ࣓ࢱグ᠈㉁ၥ⣬ࡣ (a)EMQ(᪥ᖖグ᠈㉁ၥ⣬)㸸≉ᐃࡢグ᠈⾜ືࢆ⾲ࡍグ㏙ᩥ㸦28 㡯┠㸧ᑐࡋ࡚ࠕ᭱㏆ 6 ࢝᭶࡛ 1 ᅇࡶ࡞࠸ࠖ㹼ࠕ᪥ 1 ᅇ௨ ୖࠖࡢ 9 ẁ㝵ホᐃ㸪(b)CFQ(ㄆ▱ⓗኻᩋ㉁ၥ⣬)㸸᪥ᖖሙ㠃࡛ ࡢㄆ▱ⓗኻᩋࢆ⾲ࡍグ㏙ᩥ㸦25 㡯┠㸧ᑐࡋ࡚ࠕࡲࡗࡓࡃ࡞ ࠸ࠖ㹼ࠕ㠀ᖖࡼࡃ࠶ࡿࠖ ࡢ 5 ẁ㝵ホᐃ㸪(c)MAQ(グ᠈⬟ຊ ㉁ၥ⣬)㸸᪥ᖖグ᠈㛵ࡍࡿ≉ᐃࡢ⾜ືࡸព㆑ࢆ⾲ࡍグ㏙ᩥ 㸦31 㡯┠㸧ᑐࡋ࡚ࠕࡲࡗࡓࡃᙜ࡚ࡣࡲࡽ࡞࠸ࠖ㹼ࠕ㠀ᖖ ࠶࡚ࡣࡲࡿࠖࡢ 5 ẁ㝵ホᐃࡢ 3 ࡘ࡛࠶ࡗࡓࠋΎỈࡽ(2006) ࠾࠸࡚ࡇࢀࡽࡢ㉁ၥ⣬ࡣᅉᏊศᯒࡢ⤖ᯝࡽ㸪EMQ㸪CFQ㸪 㻲㻠㻦ேྡ㉳ᅔ㞴 㻞 㻜 㻝 㻞 㻝 㻜 ̿ 839 ̿ 㻜
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