@article{oai:kurume.repo.nii.ac.jp:00000581, author = {伊藤, 桜子 and 津田, 彰 and 山本, 晴義 and 石川, 利江}, journal = {久留米大学心理学研究, Kurume University psychological research}, month = {Mar}, note = {目的精神的健康増進を目的としたメンタルヘルスセンターの利用者の生活習慣と精神的健康度の実態を調査し,精神的健康度と生活習慣要因の関連性を検討した。仮説精神的健康増進を目的とした施設の利用者には,精神的健康度の低い不健康状態,ストレス状態にある者が多く,精神的健康度には,生活習慣が関連している。方法 横浜労災病院勤労者メンタルヘルスセンター(YMHC)利用者2361名(男性830,女性1531)を対象に調査を行った。調査票の内容は,基本的属性,一般精神健康調査票GHQ-12,生活習慣12項目とした。精神的健康度は,GHQ採点法(1-12点)による総得点の2/3点間にカットオフ値を設定し,2点以下を精神的健康度の高い「健康状態」,3点以上を精神的健康度の低い「不健康状態」と定義し,各生活習慣により不健康状態が出現するオッズを,ロジスティック回帰分析を用いて検討した。結果 生活や食事が規則正しい,栄養バランスに気をつける,睡眠時間6〜8時間など,一般的によい生活習慣とされる習慣を実行している者が多かった。精神的健康度が低いストレス状態にあると考えられる者は65.2%であった。一方,GHQ-12の得点分布における最頻値は0点(14.8%)であり,YMHC入会時に精神的健康度の高い者も利用していたことが示された。ロジスティック回帰分析の結果,性,年齢,通院治療,未治療自覚症状を調整した不健康状態出現のオッズ比は,趣味がない,運動が月2回以下,生活が不規則,朝食を毎日食べない,という生活習慣であるほど有意に高いことが示された。すなわち,こうした生活習慣は,精神的健康度低下のリスクを高めることが示唆された。また,相談相手がいることは,不健康状態出現のオッズ比を有意に低下させることが示された。結論 趣味がある,運動が週1日以上,生活が規則正しい,朝食をほぼ毎日食べる,相談相手がいるという生活習慣の実行が,精神的健康度の向上に貢献できる可能性が示された。こうした生活習慣の形成支援を行うことにより,精神的健康増進に寄与できる可能性が示唆された。, Aim: This study investigated the health-related lifestyle and mental health status of users of the mental health center which aims to promote workers' and their family's mental health. This study also examined the relationship between mental health status and health-related lifestyle factors of the users. Hypothesis: The mental health status of many users of the mental health center is poor and stressed, and the lifestyle factors are related to the mental health status. Methods: The data used were obtained from 2,361 (men 830, women 1,531) users of Yokohama Rosai Hospital Mental Health Center for Workers (YMHC) through a questionnaire survey conducted upon the enrollment as a member of the YMHC. The survey included the 12-item version of the General Health Questionnaire (GHQ-12) and a questionnaire concerning 12 health-related lifestyle items. GHQ-12 was used as an indicator of mental health. The cut-off point was set at 2/3 that 3 points or higher was concerned as "poor mental health" and 2 points and lower as "good mental health". Logistic regression analysis was used to determine the relationship between health-related lifestyle factors and poor mental health. Results: Many subjects had generally concerned "healthy" lifestyle such as having well-regulated life, eating regularly, concerning nutritional balance, and sleeping 6-8 hours. The 65.2% of the subjects were considered to be in poor mental health and stressed. However, the mode value of GHQ-12 score distribution was at 0 (14.8%) , and that people with good mental health were also using YMHC was indicated. Logistic regression analysis indicated that the odds ratio for having poor mental health was significantly higher among those who have no hobby, exercise less than twice a month, have irregular life, and do not have breakfast everyday. In other words, it was suggested that these lifestyle factors increase the risk of poor mental health. The odds ratio for having poor mental health was significantly lower among those who have someone to go to for advice. Conclusions: Having lifestyle such as having hobby, exercising more than once a week, having wellregulated life, eating breakfast regularly, and having someone to go to for advice might contribute to promote mental health. It is suggested that providing support for developing these lifestyle may promote mental health.}, pages = {89--102}, title = {メンタルヘルスセンター利用者の精神的健康度と生活習慣要因との関連性}, volume = {4}, year = {2005}, yomi = {イトウ, サクラコ and ツダ, アキラ and ヤマモト, ハルヨシ and イシカワ, リエ} }