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Tetsuo Kashiwagi

Publications and source records attributed to Tetsuo Kashiwagi.

5 recordsLinked to original sources

Influence of motoric encoding on forgetting function of memory for action sentences in patients with Alzheimer's disease.

This study assessed whether verbal encoding and motoric encoding have different effects on the forgetting function for action sentences of patients with Alzheimer's disease. Subjects were 13 healthy elderly adults and 10 patients diagnosed with Alzheimer's disease. Three tasks were used: verbal tasks, subject-performed tasks, observed tasks. On the verbal tasks, subjects only heard the action sentences as read to them. On the subject-performed tasks, subjects heard, then performed each action sentence. On the observed tasks, subjects heard the action sentences read while observing the object mentioned in each action sentence. After presentation of each task, subjects conducted immediate and 30-min. delayed recall tests, and then a recognition test. Analysis indicated recall performance for subject-performed tasks was significantly better than that for verbal tasks and observed tasks at both immediate and delayed recall in each group. On the recognition test, carrying out the action had no effect, but for both groups recognition was enhanced by observing the object. Elderly adults performed significantly better than patients on all tasks of recall and recognition. However, the results indicate that patients with Alzheimer's disease can use multimodal resources from motoric encoding even if time passes.

Adult↗

Professionally perceived effectiveness of psychosocial interventions for existential suffering of terminally ill cancer patients.

BACKGROUND: Although integrated care for existential suffering is an essential part of palliative care, little is known about its concept and efficacy as perceived by professionals. A questionnaire survey was carried out to 1) explore the underlying structure of psychosocial interventions recommended by specialists, 2) identify the professionally perceived effectiveness of each intervention for specific existential distress, and 3) examine the effects of specialty on their recommendations. METHODS: A questionnaire with three scenarios representing terminally ill cancer patients with uncertainty-related anxiety, guilt feelings, and dependency-related meaninglessness was mailed to 701 Japanese psychiatrists, 118 psychologists, and 372 palliative care nurses. RESULTS: A total of 456 responses were obtained (response rate = 38%). Recommended psychosocial interventions were classified into six subcategories: 'a supportive-expressive approach,' 'providing comfortable environments,' 'meaning-centered approach,' 'being,' 'education and coping skills training,' and 'a religious approach.' A 'supportive-expressive approach' was consistently recommended in all vignettes. On the other hand, 'providing comfortable environments' was most recommended for patients with uncertainty-related anxiety, and a 'meaning-centered approach' and 'being' were most recommended for patients feeling dependency-related meaninglessness. Psychiatrists estimated the effectiveness of psychopharmacological treatment significantly higher than psychologists and nurses, while nurses evaluated efficacy of all other interventions significantly higher than psychiatrists and psychologists. CONCLUSIONS: Experts evaluated a variety of clinical interventions as effective in palliating existential suffering, although the perceived levels of efficacy of each intervention differed according to the nature of suffering and their specialties. To effectively alleviate existential suffering in terminally ill cancer patients, an integrated care by an interdisciplinary team is necessary.

Analysis of Variance↗

[Terminal care].

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Humans↗

A structural model of the relationships among self-efficacy, psychological adjustment, and physical condition in Japanese advanced cancer patients.

We made detailed research for relationships among physical condition, self-efficacy and psychological adjustment of patients with advanced cancer in Japan. The sample consisted of 85 (42 males and 43 females) advanced cancer patients. Interviews were conducted with some measurement scales including the Self-efficacy scale for Advanced Cancer (SEAC), and the Hospital Anxiety and Depression Scale (HADS). Karnofsky Performance Status (KPS) and medication status were also recorded from the evaluation by physicians. We used structural equation modeling (SEM) for statistical analysis. The analysis revealed that the model, including three self-efficacy subscales, depression, anxiety, KPS, meal-, liquid-intake, prognosis and three latent variables: 'Self-efficacy', 'Emotional Distress', and 'Physical Condition,' fit the data (chi-square(24)=28.67, p=0.23; GFI=0.93; CFI=0.98; RMSEA=0.05). In this model, self-efficacy accounted for 71% of the variance in emotional distress and physical condition accounted for 8% of the variance in self-efficacy. Overall, our findings suggest clearly that close relationships existed among physical condition, self-efficacy and emotional distress. That is, patients in good physical condition had a high self-efficacy, and patients with high self-efficacy were less emotionally distressed. These results imply that psychological intervention which emphasizes self-efficacy would be effective for advanced cancer patients.

Adaptation, Psychological↗