@article{oai:ir.kagoshima-u.ac.jp:00013577,
 author = {中間, 賢二 and NAKAMA, Kenji and 窪田, 正大 and KUBOTA, Masatomo and 八反丸, 健二 and HATTANMARU, Kenji},
 issue = {1},
 journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University},
 month = {Mar},
 note = {脳卒中後うつ病（PSD）は、回復期にリハビリテーションを実施するうえで大きな阻害因子となりうる合併症である。今回、八反丸リハビリテーション病院に入院中の脳卒中患者51名に対してPSDを脳卒中うつスケール（JSS-D）で評価した。そして非PSD群・PSD改善群・PSD非改善群の3群に分類し、PSDと心身機能障害との関係について入院時と退院時で比較検討した。
　その結果、PSDと身体機能との関係では、PSDを合併しなければ身体機能障害とADLは早期に改善することが示唆された。また、PSDと情動・意欲との関係では、PSDの回復過程は、身体症状が改善した後、心の症状（うつ・情動障害）の改善へと続き、】最後に意欲低下が回復すると推察された。さらに、PSDと認知機能との関係では、PSDを合併する認知機能低下は、PSDの改善に伴って認知機能も改善しやすいことが考えられた。よって、PSDを合併する患者のリハビリテーションは、これらの関係性と回復過程を把握しながら介入方法を検討することが重要である。, Post-stroke depression (PSD) is a complication that can serve as a major obstacle for recovery rehabilitation. The present study targeted  i1 stroke patients hospitalized at our institution and evaluated PSD using the Japan Stroke Scale-Depression Scale (JSS-D). Patients were divided into three groups (non-PSD, improved PSD, and unimproved PSD) and we analyzed how PSD was associated with mental and physical dysfunction by comparing PSD at the time of hospital admission versus discharge. 
With regard to the association between PSD and mental and physical function, we found that patients without PSD were more easily able to improve in ADL and resolve mental and physical dysfunction. The association between PSD and emotions/desires revealed that the recovery process for PSD begins with improvement in physical symptoms, followed by improvement in emotional symptoms (depression/emotional dysfunction), and finally, apathy is resolved at the end. With regard to the association between PSD and cognitive function, we surmise that patients with cognitive decline complicated by PSD would likely show marked improvements in cognitive function that would coincide closely with their improvement in PSD. When considering intervention methods for rehabilitation for patients whose condition is complicated by PSD, it is important to fully comprehend these associations and the post-stroke recovery phase.},
 pages = {1--6},
 title = {脳卒中後の抑うつ症状（PSD）と心身機能障害との関係について},
 volume = {27},
 year = {2017}
}