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作業療法士を中心とした理論に根ざした実践で生じる信念対立の評価開発と介入効果の探索的検討

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2018

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... 5 ... 6 ... 7 ... 8 1. ... 8 2. ... 10 3. ... 11 4. ... 11 1 1 ... 12 1 ... 12 2 ... 13 3 ... 13 1. ... 13 2. ... 13 3. ... 13 4. 1 ... 13 5. 1 ... 15 6. 1 ... 16 7. 2 ... 17 4 ... 20 1. 1 ... 20 2. 2 ... 23 5 ... 27 1. ABCP ... 27 2. ABCP ... 27 3. ABCP ... 27 4. 1 ... 28 6 ... 28 2 2 ... 29

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1 ... 29 2 ... 30 3 ... 30 1. ... 30 2. ... 31 3. ... 31 4. 1 ... 31 5. 2 ... 33 4 ... 35 1. 1 ... 35 2. 2 ... 39 5 ... 42 1. ABCP-19 ... 42 2. SASSV ... 43 3. MBP ... 43 4. 2 ... 44 5. 2 ... 44 6 ... 45 3 3 ... 46 1 ... 46 2 ... 47 3 ... 47 1. ... 47 2. ... 48 3. ... 48 4. ... 48 5. ... 49 6. ... 50 7. ... 51 4 ... 52 1. ... 52

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2. ... 52 3. ... 52 4. ... 57 5 ... 61 1. ... 62 2. ... 63 3. MBP ... 63 4. 3 ... 63 6 ... 63 4 ... 65 1. 3 ... 65 2. ... 66 3. ... 67 ... 68 1. ... 68 2. ... 69 ... 70 1 ... 77 2 ... 78 3 ... 79 4 ... 80 5 ... 81 6 ... 84

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3 1 2

1) 1 :

(2017) (Assessment of

Belief Conflict for Profession: ABCP) :

36(5) 470-482

2) 2 :

(2018) 37

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1) (Model Based Practice) : 1,2) 2) 3,4) 3) 5). 4) 6,7) 1) (2016) : 3(1): 10-16

2) Gail B, Alison S (2012) Using Occupational Therapy Theory in Practice. Wiley, New Jersey 3) (2011) 4) (2014) : 5) (2015) 5: 19-25 6) (2016) 42(4): 499-505 7) Kabat-Zinn J ( ) (2007)

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ABCP: Assessment of Belief Conflict for Profession

ABCP-A: Assessment of Belief Conflict for Profession test-A ABCP-B: Assessment of Belief Conflict for Profession test-B ABCP-19: Assessment of Belief Conflict for Profession-19 ABCR-14: Assessment of Belief Conflict in Relationship-14 AIC: Akaike’s Information Criterion

AUC: Area Under Curve

BIC: Bayesian Information Criterion

CAOD: Classification and Assessment of Occupational Dysfunction CAIC: Consistent Akaike’s Information Criterion

CFI: Comparative Fit Index CI: Confidence Interval

COSMIN: Consensus-based Standards for the Selection of health Measurement INstruments IRT: Item Response Theory

MBP: Model Based Practice OT: Occupational Therapist

RMSEA: Root Mean Square Error of Approximation SASSV: Self Acceptance Scale Shorted Version SD: Standard Deviation

SRS-18: Stress Response Scale-18 TEA: Trajectory Equifinality Approach TEM: Trajectory Equifinality Model TIF: Test Information Function TLI: Tucker-Lewis Index TRF: Test Response Function

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1. 1) 2~4) Occupational Therapist OT 2~14) 7) 8,9) Mosey13,14) OT 5~11) OT 5,6,9,10) 8) 15) Model Based Practice MBP 2,16) MBP OT MBP OT 10,11,16~18) 19~22) 20,21) 19) 22) 23) 17,18) 10) OT 11)

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OT OT 85 24,25) 26) OT 27,28) 29~33) 31~33) OT 1 16) OT MBP KJ

Trajectory Equifinality Approach: TEA

MBP OT MBP OT MBP 34~36) 1 2 37) MBP 38~45) 42,43) 20,21,44~46) 44) MBP

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20,21,44~46) 47,48) 49~52) 52) 53) 46) 53~71) 72) 62,63) 66,73) MBP MBP 2. OT MBP MBP MBP 3 MBP OT

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3. 28 1 29 8 4. 15-47 2016 31 1 2 1 2 3

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1 1 1 1) OT 2~4) MBP 2~14) MBP 2,16) MBP OT 5~14) MBP 10,11,16) 20,21) OT 10,17,18) 16) MBP 11) 29~33) 1 74,75) MBP OT 1 16,20,21) 16) MBP OT MBP OT MBP MBP MBP 76)

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OT

MBP 34,35)

16) OT

Assessment of Belief Conflict

for Profession test-A test-B ABCP ABCP-A ABCP-B

2 OT MBP 3 1. 1 15-47 4 2. 2 1 OT MBP 2 3. HAD15.8 http://norimune.net/had Mplus7.3 https://www.statmodel.com 77~79) Exametrika 5.3 http://antlers.rd.dnc.ac.jp/~shojima/exmk/jindex.htm 4. 1 1 80,81) 2 1 2 2 1 OT MBP A B 3 1 A A B B

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2 A B OT A B 1 A B A B 91 1

A

B

B A

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2 1

Occupational Therapist : OT Standard Deviation SD

Assessment of Belief Conlict in Relationship-14 ABCR-14

Classification and Assessment of Occupational Dysfunction: CAOD Item

Response Theory : IRT

5. 1

80,81)

37)

80,81)

Item Response Theory IRT IRT

Consensus-based Standards for the Selection of health

Measurement INstruments COSMIN 82)

IRT 80,81) 1 IRT 3 2 OT A B A B A B ( SD) ω A B OT650 A B SD A B ABCR-14 CAOD IRT ω 1 2

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80,81) 6. 1 1) 1 A B 2 2) ABCP OT MBP OT MBP 16) ABCP 1 ABCP 1 ~ 6 6 83) 3) (1) 5 OT 2 83) (2) 1 5 E 5 OT ABCP

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3 5 ω 3 2 83,84) (3) A B 3 5 12 85) 6 80,81,85) 2 12 A B 7. 2 1) 2 ABCP IRT 2) 139 OT 650 OT OT 3) A B

Assessment of Belief Conflict in Relationship-14 ABCR-14 36)

Classification and Assessment of Occupational Dysfunction

CAOD 86) A B ABCR-14 CAOD MBP 26,27) ABCR-14 CAOD ABCR-14 CAOD 36,86)

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7 4) A B A B (1) Standard Deviation SD A B SD 83) (2) 83) 0.2 80,83) A B CAOD ABCR-14 80,83) 0.2 80,83) 80,81) 0.3 80,83) (3) IRT A B 0.7 87,88) IRT 79) 79) 0.2~2.0 4.0 3 IRT 89) EM 90) (4) 2

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A B 80,81)

10~15 A

B B A IRT

ABCP-A A ABCP-B B

2 SD SD

Test Response Function TRF

Test Information Function TIF

Akaike’s

Information Criterion AIC Consistent Akaike’s Information

Criterion CAIC Bayesian Information Criterion BIC

80,81) –3~3 TRF TRF 80,81) TIF 79) TIF 79) TRF TIF 79) 79)

Comparative Fit Index CFI Tucker-Lewis Index TLI

Root Mean Square Error of Approximation RMSEA CFI

TLI 0.95 RMSEA 0.08 AIC BIC CAIC

80,81)

IRT

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4 1 1 2 1. 1 1) 1 90 5 78 4 2) OT5 2 3 33.2 26 ~38 10.6 5 ~16 3) 4 68 10 10 4) 12 1~12 A B 28 1 2

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1 A No. α β1 β2 β3 β4 β5 1 5.39 2.92 –0.53 –0.22 0.00 0.44 0.23 ** 0.08 0.46 0.96 –1.94 –1.21 –0.63 0.16 1.16 2 5.06 2.94 –0.21 –0.19 0.37 0.35 0.25 ** 0.17 ** 0.30 0.63 –2.38 –1.38 –0.54 0.47 1.47 3 4.02 1.87 0.34 0.20 0.09 0.48 0.40 ** 0.34 ** 0.55 0.95 –1.38 –0.46 0.65 1.41 2.11 4 4.11 1.92 0.19 –0.27 0.36 0.66 0.44 ** 0.39 ** 0.67 1.21 –1.44 –0.44 0.46 1.38 2.22 5 3.90 1.79 0.47 0.13 0.01 0.47 0.33 ** 0.32 ** 0.58 1.02 –1.44 –0.26 0.70 1.51 2.22 6 4.65 2.23 –0.17 –0.29 0.39 0.55 0.20 ** 0.11 + 0.56 1.12 –1.47 –0.75 –0.11 1.04 1.71 7 3.74 1.61 0.37 0.13 0.07 0.63 0.32 ** 0.29 ** 0.67 1.24 –1.10 –0.14 0.82 1.81 2.22 8 4.67 2.18 0.05 –0.56 0.21 0.67 0.22 ** 0.04 0.60 1.21 –1.58 –0.70 0.07 0.84 1.66 9 5.06 2.72 –0.26 –0.39 0.14 0.63 0.19 ** 0.07 0.59 1.19 –2.02 –1.12 –0.40 0.48 1.47 10 4.89 2.42 –0.12 –0.38 0.38 0.60 0.37 ** 0.21 ** 0.56 1.10 –1.71 –0.90 –0.22 0.74 1.47 11 4.20 1.93 0.22 –0.16 0.36 0.60 0.32 ** 0.13 * 0.59 1.14 –1.30 –0.62 0.31 1.23 2.01 12 3.07 1.15 0.73 0.75 0.00 0.35 0.21 ** 0.16 * 0.44 0.73 –0.53 0.44 1.58 2.02 2.62 13 4.15 1.77 0.41 0.05 0.04 0.59 0.22 ** 0.24 ** 0.63 1.15 –1.25 –0.38 0.56 1.33 1.81 14 4.11 1.69 0.39 –0.12 0.05 0.70 0.30 ** 0.21 ** 0.76 1.30 –1.16 –0.29 0.56 1.36 1.87 15 4.13 1.82 0.31 0.09 0.16 0.72 0.28 ** 0.27 ** 0.76 1.37 –1.28 –0.40 0.46 1.54 1.81 16 4.20 1.76 0.20 –0.32 0.28 0.80 0.28 ** 0.22 ** 0.83 1.50 –1.12 –0.42 0.47 1.28 1.94 17 3.79 1.56 0.40 –0.12 0.04 0.72 0.28 ** 0.17 * 0.77 1.40 –1.04 –0.09 0.75 1.66 2.22 18 4.08 1.73 0.46 –0.04 0.02 0.76 0.29 ** 0.16 * 0.80 1.44 –1.28 –0.29 0.61 1.30 1.94 19 3.86 1.49 0.59 0.06 0.00 0.62 0.19 ** 0.14 * 0.73 1.15 –1.00 –0.04 0.78 1.44 2.02 20 3.69 1.41 0.82 0.76 0.00 0.42 0.25 ** 0.10 0.64 0.92 –0.97 0.06 1.04 1.47 2.02 21 3.17 1.04 0.92 0.80 0.00 0.45 0.23 ** 0.30 ** 0.52 0.89 –0.39 0.46 1.33 1.96 2.37 22 4.60 2.09 –0.14 –0.54 0.17 0.61 0.21 ** 0.16 * 0.63 1.12 –1.33 –0.69 0.05 0.93 1.87 23 4.31 1.98 0.02 –0.27 0.71 0.70 0.26 ** 0.16 * 0.73 1.34 –1.30 –0.62 0.31 1.23 2.01 24 3.65 1.32 0.68 0.30 0.00 0.73 0.20 ** 0.15 * 0.72 1.34 –0.77 0.09 0.98 1.58 2.11 25 4.82 2.32 –0.04 –0.44 0.39 0.43 0.16 * 0.05 0.38 0.81 –1.62 –0.85 –0.08 0.77 1.51 26 4.53 2.17 0.22 –0.09 0.39 0.60 0.24 ** 0.11 0.56 1.16 –1.62 –0.77 0.18 1.06 1.62 27 5.91 3.92 –0.85 0.75 0.00 0.23 0.00 –0.03 0.15 0.40 –2.62 –2.01 –1.44 –0.50 0.46 28 2.76 0.98 0.72 –0.18 0.00 0.43 0.19 ** 0.12 + 0.54 0.88 –0.21 0.70 1.76 2.62 29 4.21 1.91 0.20 –0.33 0.27 0.64 0.22 ** 0.09 0.68 1.22 –1.41 –0.42 0.36 1.32 2.01 30 4.57 2.30 –0.24 –0.29 0.22 0.66 0.20 ** –0.02 0.65 1.20 –1.58 –0.82 –0.06 1.02 2.01 31 4.13 1.83 0.21 –0.24 0.32 0.67 0.29 ** 0.08 0.70 1.29 –1.27 –0.43 0.50 1.33 2.11 32 4.26 2.06 –0.02 –0.18 0.85 0.68 0.24 ** 0.10 0.74 1.34 –1.44 –0.63 0.27 1.35 2.11 33 4.11 1.97 0.03 0.01 0.98 0.73 0.26 ** 0.02 0.77 1.33 –1.35 –0.56 0.42 1.58 2.11 34 4.01 1.66 0.34 –0.19 0.10 0.61 0.26 ** 0.13 + 0.71 1.25 –1.10 –0.29 0.66 1.35 2.11 35 3.83 1.69 0.45 0.52 0.01 0.59 0.23 ** 0.15 * 0.55 1.09 –1.18 –0.29 0.88 1.58 2.11 36 3.79 1.66 0.30 0.14 0.17 0.51 0.15 * 0.01 0.49 1.05 –1.12 –0.24 0.80 1.76 2.22 37 4.85 2.50 –0.15 –0.33 0.38 0.28 0.19 ** 0.17 * 0.30 0.65 –1.81 –0.98 –0.21 0.72 1.62 38 4.37 2.20 0.12 0.07 0.74 0.25 –0.04 –0.08 0.32 0.56 –1.62 –0.83 0.27 1.16 1.94 39 3.86 1.66 0.59 0.26 0.00 0.43 –0.04 –0.08 0.44 0.83 –1.27 –0.15 0.78 1.47 2.10 40 3.55 1.56 0.49 0.31 0.01 0.22 –0.04 –0.05 0.25 0.52 –1.11 –0.01 1.07 1.75 2.62 4.16±1.24 (SD) ARCR-14 CAOD 4.00±1.06 2.95±1.08 3.02±1.09 2.85±1.05 3.44±1.21 2.68±1.06 3.43±1.25 3.89±1.17 3.66±1.23 3.07±1.13 2.11±0.96 2.96±1.19 2.90±1.21 2.97±1.16 2.98±1.22 2.68±1.12 2.91±1.17 2.68±1.19 2.55±1.14 2.10±1.07 3.35±1.25 3.15±1.17 2.48±1.16 3.57±1.25 3.35±1.18 4.91±1.00 1.87±0.89 3.09±1.15 3.44±1.14 2.98±1.15 3.16±1.10 3.04±1.07 2.84±118 2.76±1.07 2.73±1.06 3.67±1.17

No.1 No.12 No.13 No.40 A p=0.01 A ω 0.94 (Standard Deviation SD) Assessment of Belief Conflict in Relationship-14 ABCR-14 , Classification and Assessment Occupational Dysfunction (CAOD), ABCR-14 CAOD ** p < 0.01, * p < 0.05, + p <0 .10 α= β1 β5= 91 2

3.29±1.09 2.76±1.10 2.56±0.99

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2 B No. (SD) α β1 β2 β3 β4 β5 1 4.19±1.26 5.46 2.93 –0.58 –0.01 0.00 0.41 0.09 0.12 * 0.40 0.80 –1.75 –1.29 –0.66 0.16 1.05 2 4.04±1.12 5.16 2.93 –0.26 –0.22 0.21 0.23 0.20 ** 0.26 ** 0.27 0.56 –2.22 –1.35 –0.55 0.39 1.35 3 3.06±1.12 4.18 1.94 0.16 –0.13 0.58 0.67 0.46 ** 0.43 ** 0.67 1.13 –1.37 –0.54 0.45 1.32 2.10 4 3.17±1.21 4.39 1.96 0.01 –0.45 0.39 0.66 0.57 ** 0.45 ** 0.71 1.21 –1.29 –0.55 0.21 1.17 1.93 5 2.88±1.14 4.02 1.74 0.28 –0.33 0.14 0.74 0.58 ** 0.47 ** 0.83 1.30 –1.22 –0.32 0.63 1.32 2.37 6 3.44±1.27 4.71 2.18 –0.13 –0.53 0.19 0.54 0.34 ** 0.19 ** 0.54 1.02 –1.43 –0.76 0.01 0.81 1.75 7 2.71±1.10 3.81 1.61 0.33 –0.11 0.12 0.70 0.53 ** 0.42 ** 0.73 1.22 –1.07 –0.19 0.81 1.57 2.37 8 3.38±1.27 4.64 2.11 0.04 –0.41 0.43 0.55 0.37 ** 0.26 ** 0.62 1.11 –1.43 –0.66 0.03 0.99 1.57 9 3.93±1.21 5.14 2.73 –0.15 –0.24 0.50 0.55 0.29 ** 0.14 * 0.58 1.11 –1.93 –1.12 –0.44 0.55 1.20 10 3.68±1.20 4.88 2.48 –0.08 –0.25 0.66 0.46 0.31 ** 0.20 ** 0.44 0.91 –1.75 –1.01 –0.19 0.75 1.47 11 2.82±1.09 3.91 1.72 0.23 –0.09 0.37 0.74 0.38 ** 0.29 ** 0.80 1.44 –1.17 –0.30 0.65 1.65 2.21 12 2.00±0.83 2.83 1.17 0.24 –0.96 0.00 0.44 0.26 ** 0.27 ** 0.56 0.82 –0.47 0.53 2.00 13 2.90±1.23 4.13 1.67 0.39 –0.20 0.05 0.69 0.47 ** 0.35 ** 0.72 1.27 –1.13 –0.27 0.54 1.32 1.86 14 2.28±1.12 3.40 1.17 0.87 0.53 0.00 0.64 0.36 ** 0.12 + 0.71 1.21 –0.63 0.36 1.13 1.65 2.37 15 1.71±0.98 2.69 0.73 1.79 4.11 0.00 0.62 0.29 ** 0.18 * 0.63 0.96 0.10 0.96 1.65 2.10 2.22 16 2.44±1.28 3.72 1.16 0.70 –0.03 0.00 0.70 0.49 ** 0.32 ** 0.73 1.25 –0.55 0.16 0.82 1.57 1.93 17 2.91±1.28 4.19 1.63 0.41 –0.34 0.02 0.73 0.38 ** 0.25 ** 0.71 1.32 –1.11 –0.19 0.44 1.32 1.75 18 1.92±1.00 2.92 0.93 1.03 0.85 0.00 0.47 0.30 ** 0.19 ** 0.61 0.85 –0.20 0.67 1.43 2.22 2.62 19 2.61±1.34 3.95 1.27 0.53 –0.50 0.00 0.54 0.33 ** 0.13 * 0.62 0.93 –0.67 0.09 0.55 1.47 1.86 20 2.40±1.17 3.57 1.23 0.57 –0.11 0.00 0.55 0.28 ** 0.16 ** 0.59 1.03 –0.62 0.15 0.92 1.80 2.22 21 2.54±1.26 3.80 1.28 0.49 –0.63 0.00 0.47 0.48 ** 0.46 ** 0.56 0.99 –0.70 0.15 0.62 1.57 2.21 22 2.90±1.12 4.01 1.78 –0.03 –0.41 0.44 0.64 0.29 ** 0.20 ** 0.63 1.13 –1.13 –0.04 0.44 1.80 2.21 23 2.77±1.07 3.84 1.70 0.07 –0.54 0.24 0.59 0.42 ** 0.28 ** 0.61 1.09 –1.13 –0.24 0.63 1.80 2.61 24 2.79±1.14 3.93 1.64 0.11 –0.63 0.12 0.49 0.23 ** 0.17 ** 0.53 0.93 –1.02 –0.35 0.59 1.65 2.61 25 2.84±1.08 3.93 1.76 0.02 –0.49 0.32 0.76 0.41 ** 0.25 ** 0.80 1.45 –1.15 –0.35 0.59 1.65 2.61 26 3.74±1.27 5.01 2.47 –0.36 –0.26 0.06 0.37 0.33 ** 0.27 ** 0.39 0.78 –1.53 –0.95 –0.36 0.64 1.46 27 3.09±1.14 4.23 1.95 0.01 –0.15 0.89 0.50 0.28 ** 0.11 + 0.46 0.86 –1.29 –0.57 0.32 1.43 2.00 28 2.50±1.05 3.56 1.45 0.42 0.06 0.03 0.71 0.52 ** 0.42 ** 0.75 1.32 –0.90 0.02 0.99 1.93 2.37 29 3.59±1.20 4.79 2.38 –0.31 –0.41 0.08 0.20 –0.04 0.00 0.13 0.34 –1.61 –0.83 –0.23 0.79 1.80 30 2.80±1.08 3.88 1.72 0.34 0.34 0.07 0.51 0.37 ** 0.25 ** 0.52 0.90 –1.15 –0.39 0.88 1.46 2.21 31 3.28±1.31 4.59 1.97 0.14 –0.41 0.31 0.38 0.21 ** 0.06 0.43 0.84 –1.29 –0.61 0.18 1.00 1.53 32 3.01±1.13 4.14 1.88 0.23 0.12 0.35 0.75 0.36 ** 0.28 ** 0.78 1.39 –1.29 –0.52 0.51 1.43 1.93 33 2.32±0.96 3.28 1.36 0.42 0.34 0.02 0.64 0.32 ** 0.22 ** 0.74 1.18 –0.77 0.15 1.43 2.21 2.61 34 2.97±1.18 4.25 1.69 0.24 –0.37 0.18 0.72 0.34 ** 0.26 ** 0.81 1.34 –1.04 –0.35 0.38 1.34 1.74 35 3.09±1.28 4.37 1.82 0.27 –0.31 0.17 0.67 0.32 ** 0.19 ** 0.74 1.19 –1.21 –0.44 0.33 1.19 1.65 36 2.70±1.18 3.88 1.53 0.60 0.29 0.00 0.74 0.51 ** 0.43 ** 0.78 1.36 –1.02 –0.13 0.82 1.46 1.93 37 2.39±0.96 3.35 1.43 0.53 0.94 0.00 0.71 0.44 ** 0.35 ** 0.75 1.29 –0.88 0.08 1.40 2.00 2.37 38 2.24±0.96 3.21 1.28 0.54 0.04 0.00 0.47 0.22 ** 0.18 ** 0.51 0.92 –0.71 0.33 1.37 2.00 39 2.71±1.11 3.82 1.59 0.50 0.05 0.01 0.52 0.28 ** 0.20 ** 0.47 0.83 –1.12 –0.14 0.88 1.40 2.36 40 4.18±1.38 5.55 2.80 –0.74 –0.08 0.00 0.40 0.26 ** 0.06 0.34 0.76 –1.49 –1.12 –0.06 0.06 1.02 ABCR-14 CAOD

No.1 No.12 No.13 No.40 B p=0.61 B ω 0.94 (Standard Deviation SD) Assessment of Belief Conflict in Relationship-14 ABCR-14 , Classification and Assessment Occupational Dysfunction (CAOD), ABCR-14 CAOD ** p < 0.01, * p < 0.05, + p <0 .10 α= β1 β5= 91 3

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2. 2 1) 3 96 454 OT 69.8% 3 55 10 4 15 6 OT 4 91 1 2) 1 2 A 28 B 15 18 A B 9 A 16 B 13 39 3) A B 1 2 A B 0.2 r = 0.20~0.80 ABCR-14 A 10 B 2 CAOD A 30 A B 87 88 175 141 138 279 228 226 454 31.6±7.8 31.3±8.2 31.3±7.9 8.0±6.3 8.0±6.7 8.0±6.5 158 163 321 19 19 38 6 5 11 22 19 41 6 2 8 12 11 23 5 7 12

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B 15 A 2 B 2 4) A B 1 2 A B 0.94 IRT A B 5) 1 A 10 2 B 19 3 4 5 3 A 7 10 13 14 15 16 21 B 13 16 17 21 25 34 36 7 10 3 ABCP-A ABCP-B TRF ABCP-A 10.8~57.0 ABCP-B 11.0~57.1

TIF ABCP-A ABCP-B 1.2~2.4

6.1 ABCP-A ABCP-B CLI

1.00 TLI 1.00 RMSEA 0.00

4 ABCP-A ABCP-B CLI 1.00 TLI

1.00 RMSEA 0.00

ABCP-A 0.81~0.53 49.78 ABCP-B 0.86~0.62

50.55

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3 ABCP-A ABCP-B

(Standard Deviation SD) Test Response Function TRF Test Information Function TIF Comparative Fit Index

(CFI), Tucker–Lewis Index (TLI) , Root Mean Square Error of Approximation (RMSEA) (Akaike’s Information Criterion AIC)

(Consistent Akaike’s Information Criterion CAIC) (Bayesian Information Criterion BIC) 4 ( 91 2 )

(SD) 29.03±7.97 (SD) 28.19±8.63 (SD) –0.07±0.85 (SD) –0.05±0.92 CFI 1.00 CFI 1.00 TLI 1.00 TLI 1.00 RMSEA 0.00 RMSEA 0.00 AIC –957.35 AIC –1121.57 CAIC –5165.23 CAIC –5316.86 BIC –4215.23 BIC –4366.86 ABCP-A ABCP-B ABCP-A B 3 4 5 A 7 10 13 14 15 16 21 TRF 10.8~57.0 TIF –1.2~2.4 6.1 ABCP-B A 3 4 5 B 13 16 17 21 25 34 36 TRF 11.0~57.1 TIF – 1.2~2.4 6.1 0 10 20 30 40 50 60 -3.2 -1.6 0 1.6 3.2 得 点 THETA テスト反応関数(TRF) TRF 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 -3.2 -1.6 0 1.6 3.2 情 報 量 THETA テスト情報関数(TIF) TIF 0 10 20 30 40 50 60 -3.2 -1.6 0 1.6 3.2 得 点 THETA テスト反応関数(TRF) TRF 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 -3.2 -1.6 0 1.6 3.2 情 報 量 THETA テスト情報関数(TIF) TIF

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4 ABCP-A ABCP-B 91 3 No. α β1 β2 β3 β4 β5 No. α β β β β β 3 0.69 1.39 –1.38 –0.45 0.65 1.41 2.11 3 0.75 1.40 –1.37 –0.54 0.45 1.32 2.10 4 0.76 1.40 –1.44 –0.44 0.46 1.38 2.22 4 0.78 1.44 –1.29 –0.55 0.21 1.17 1.93 5 0.72 1.38 –1.44 –0.25 0.70 1.51 2.22 5 0.86 1.55 –1.21 –0.31 0.63 1.32 2.37 7 0.71 1.46 –1.09 –0.14 0.82 1.81 2.22 13 0.77 1.50 –1.12 –0.27 0.54 1.32 1.86 10 0.56 1.26 –1.70 –0.89 –0.21 0.74 1.47 16 0.77 1.49 –0.55 –0.15 0.82 1.57 1.93 13 0.71 1.45 –1.25 –0.38 0.56 1.33 1.81 17 0.62 1.27 –1.10 –0.19 0.44 1.32 1.75 14 0.81 1.51 –1.16 –0.29 0.56 1.36 1.87 21 0.64 1.27 –0.69 –0.15 0.62 1.57 2.21 15 0.80 1.55 –1.27 –0.39 0.46 1.54 1.81 25 0.75 1.32 –1.14 –0.34 0.59 1.65 2.61 16 0.81 1.51 –1.11 –0.41 0.47 1.28 1.94 34 0.69 1.21 –1.04 –0.34 0.38 1.34 1.74 21 0.54 1.11 –0.39 0.46 1.33 1.94 2.37 36 0.79 1.55 –1.02 –0.12 0.82 1.46 1.93

Assessment of Belief Conflict for Profession Test-A Assessment of Belief Conflict for Profession Test-B

No. A

CFI=1.00 TLI=1.00 RMSEA=0.00 AIC=–

1053.90 CAIC=–5261.78,BIC=–4311.78 .ω 0.89

p =0.07 α= β1 β5=

No. B

CFI=1.00 TLI=1.00 RMSEA=0.00 AIC=–

1120.35 CAIC=–5315.64 BIC=–4365.64 .ω 0.89 p =0.76 α= β1 β5= 49.78 50.55 0 1 2 3 4 5 6 1 2 3 4 5 6 7 8 9 10 ABCP-A 0 1 2 3 4 5 6 1 2 3 4 5 6 7 8 9 10 ABCP-B

(27)

5

1 OT

1 10 ABCP-A ABCP-B ABCP

1. ABCP 200 83) OT OT A B ABCP-A No.5 13 21 ABCP-B No.16 17 21 36 ABCP-A ABCP-B MBP 2. ABCP

ABCP-A ABCP-B ABCP MBP

ABCR-14 CAOD

ABCP-A ABCP-B ABCP-A

ABCP-B OT

80,83) IRT TIF

TRF ABCP-A ABCP-B ABCP

80,81)

3. ABCP

IRT

80,81) ABCP +

ABCP-A ABCP-B TRF TIF

(28)

–1.2~2.4 ABCP-A ABCP-B ABCP-A ABCP-B 10 7 2 29,76) ABCP 4. 1 ABCP IRT ABCP web https://sites.google.com/site/kengokohiyama/abcp-testa_testb ABCP 3~5 6 1 OT 3

7 ABCP-A ABCP-B ABCP

ABCP-A ABCP-B ABCP

(29)

2 2 1 1 IRT ABCP-A ABCP-B 91) 2 1 MBP MBP 5~11) MBP 2,16) MBP 10,11,16) MBP 10,16) 20,21) 10) 16~18) MBP 92) MBP 27,74,75) 20,21) 38~45) 42) 43) 41) 39) 18 88 1600 1 42) 20,21)

(30)

20,21) 20,21,52) MBP 44~46) MBP MBP MBP 1 ABCP 10 ABCR-14 MBP 36) MBP 1 ABCP MBP 2 MBP MBP 2 MBP 3 1. 2 15-47

(31)

4 2. 1 2 1 MBP 2 1 MBP 3. 2 HAD15.8 (http://norimune.net/had)

Mplus7.3 https://www.statmodel.com/ IRT Exametrika 5.3

http://antlers.rd.dnc.ac.jp/~shojima/exmk/jindex.htm SPSS Statistics 23 https://www-01.ibm.com/software/jp/marketplace/spss/stat.html 77~79) 4. 1 1) MBP 2) MBP OT 16) 1 40 MBP 1 6 6 3) MBP

ABCR-14 CAOD 4 36,86) ABCR-14 CAOD

1 26,27)

(32)

4) 1 80 320 OT 5) 1 83) (1) 83) p 0.05 83) (2) IRT 80,81) 1 80,81) 80,81) ABCR-14 CAOD 80) 0.2 80,81) (3) 78,79) 20 82) 1 CFI, TLI, RMSEA 1 80,81) (4) 0.7 87,88)

(33)

(5)

ABCR-14 58 36) ABCR-14

58 58 ROC

Area Under Curve AUC 0.7

83) 5. 2 1) MBP 2) 2 1 MBP

38,93) Self Acceptance Scale Shorted Version SASSV

SASSV 5 25 SASSV 38,43) SASSV 5 1 5 3) 2 104 500 OT 4) 2 1 SASSV MBP 38) 41) 42) SASSV 5

(34)

(1) SASSV p 0.05 83) (2) SASSV IRT 1 80,81) (3) SASSV 83) 0.2 83) (4) 5 94) OT 27) 10 38~45) 78,79)

CFI TLI RMSEA 1 80,81)

95 Confidence Interval CI

79)

AIC BIC 80,81)

(35)

5 2 95 1 4 1. 1 1) 226 70.6 4

(36)

4 2 95 1 2) 17 3) 5 IRT ABCR-14 CAOD 21 19 Assessment of

Belief Conflict for Profession-19 ABCP-19

1

2

88

151

138

211

226

362

31.3±8.2

30.2±7.2

8.0±6.7

7.6±6.1

163

285

19

10

5

12

19

26

2

6

11

7

7

16

(37)

5 2 1 ABCP-19

Assessment of Belief Conflict for Profession-19 ABCR-19 No.1 No.19

Standard Deviation SD Assessment of Belief Conflict in Relationship-14 ABCR-14 ,

Classification and Assessment of Occupational Dysfunction CAOD ** p < 0.01 α= β1 β5= 95 3

No. (SD) p α β1 β2 β3 β4 β5 1 3.06±1.12 4.18 1.94 0.58 0.46 ** 0.43 ** 0.67 1.13 –1.37 –0.54 0.45 1.32 2.10 2 3.17±1.21 4.39 1.96 0.39 0.57 ** 0.45 ** 0.66 1.21 –1.29 –0.55 0.21 1.17 1.93 3 2.88±1.14 4.02 1.74 0.14 0.58 ** 0.47 ** 0.74 1.30 –1.21 –0.31 0.63 1.32 2.37 4 2.71±1.10 3.81 1.61 0.12 0.53 ** 0.42 ** 0.70 1.22 –1.06 –0.19 0.81 1.57 2.37 5 3.38±1.27 4.64 2.11 0.43 0.37 ** 0.26 ** 0.55 1.11 –1.43 –0.66 0.03 0.99 1.57 6 2.82±1.09 3.91 1.72 0.37 0.38 ** 0.29 ** 0.74 1.44 –1.16 –0.29 0.65 1.65 2.21 7 2.90±1.23 4.13 1.67 0.05 0.47 ** 0.35 ** 0.69 1.27 –1.12 –0.27 0.54 1.32 1.86 8 2.44±1.28 3.72 1.16 0.00 0.49 ** 0.32 ** 0.70 1.25 –0.55 0.15 0.82 1.57 1.93 9 2.91±1.28 4.19 1.63 0.02 0.38 ** 0.25 ** 0.73 1.32 –1.10 –0.19 0.44 1.32 1.75 10 2.54±1.26 3.80 1.28 0.00 0.48 ** 0.46 ** 0.47 0.99 –0.69 0.15 0.62 1.57 2.21 11 2.77±1.07 3.84 1.70 0.24 0.42 ** 0.28 ** 0.59 1.09 –1.12 –0.24 0.63 1.80 2.61 12 2.84±1.08 3.93 1.76 0.32 0.41 ** 0.25 ** 0.76 1.45 –1.14 –0.34 0.59 1.65 2.61 13 2.50±1.05 3.56 1.45 0.03 0.52 ** 0.42 ** 0.71 1.32 –0.89 0.02 0.99 1.93 2.37 14 2.80±1.08 3.88 1.72 0.07 0.37 ** 0.25 ** 0.51 0.90 –1.14 –0.39 0.88 1.46 2.21 15 3.01±1.13 4.14 1.88 0.35 0.36 ** 0.28 ** 0.75 1.39 –1.28 –0.51 0.51 1.43 1.93 16 2.32±0.96 3.28 1.36 0.02 0.32 ** 0.22 ** 0.64 1.18 –0.77 0.14 1.43 2.21 2.61 17 2.97±1.18 4.25 1.69 0.18 0.34 ** 0.26 ** 0.72 1.34 –1.04 –0.34 0.38 1.34 1.74 18 2.70±1.18 3.88 1.53 0.00 0.51 ** 0.43 ** 0.74 1.36 –1.02 –0.12 0.82 1.46 1.93 19 2.39±0.96 3.35 1.43 0.00 0.44 ** 0.35 ** 0.71 1.29 –0.88 0.07 1.40 2.00 2.37 ABCR–14 CAOD

(38)

4) ABCP-19 ABCP-19

43.47 6 ABCP-19

CFI = 1.00 TLI = 1.00 RMSEA = 0.00

6 ABCP-19 5) ABCP-19 ABCP-19 0.87 6) ABCP-19 0.98 0.76 AUC 0.77 ABCP-19 40 ROC 7 0 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

(39)

7 ABCP-19 ROC 2. 2 1) 362 72.4 4 2) ABCP-19 6 ABCP-19 10 3) ABCP-19 6 ABCP-19 IRT ABCP-19 0.87 4) ABCP-19 6 ABCP-19

(40)

6 2 ABCP-19

Assessment of Belief Conflict for Profession-19 ABCP-19

Standard Deviation SD α= β1 β5= 95 4 No. SD p α β1 β2 β3 β4 β5 1 3.13(±1.07) 4.20 2.06 0.35 0.58 1.05 –1.57 –0.60 0.40 1.33 2.07 2 3.23(±1.08) 4.34 2.19 0.38 0.56 1.22 –1.67 –0.75 0.30 1.09 2.29 3 2.96(±0.99) 3.95 1.97 0.02 0.66 1.25 –1.52 –0.54 0.70 1.52 2.29 4 2.74(±1.04) 3.78 1.71 0.04 0.70 1.29 –1.25 –0.17 0.78 1.62 2.77 5 3.33(±1.12) 4.45 2.21 0.66 0.65 1.20 –1.57 –0.76 0.11 1.14 1.96 6 2.92(±1.06) 3.98 1.86 0.48 0.74 1.40 –1.28 –0.43 0.59 1.52 2.54 7 2.76(±1.06) 3.82 1.70 0.18 0.70 1.35 –1.15 –0.26 0.77 1.65 2.39 8 3.09(±1.06) 4.15 2.03 0.21 0.66 1.32 –1.54 –0.53 0.37 1.37 2.54 9 2.58(±1.23) 3.81 1.35 0.00 0.70 1.29 –0.78 0.03 0.80 1.44 2.13 10 2.88(±1.14) 4.02 1.74 0.00 0.63 1.18 –1.34 –0.23 0.62 1.37 2.01 11 2.98(±1.01) 3.99 1.96 0.62 0.74 1.42 –1.48 –0.48 0.52 1.65 2.29 12 2.53(±0.93) 3.47 1.60 0.00 0.79 1.48 –1.12 –0.05 1.24 2.10 2.54 13 2.79(±0.90) 3.69 1.89 0.00 0.63 1.13 –1.48 –0.39 0.97 1.92 2.40 14 2.86(±1.01) 3.87 1.84 0.04 0.78 1.44 –1.46 –0.30 0.71 1.55 2.54 15 2.47(±0.96) 3.43 1.50 0.04 0.72 1.37 –0.99 0.07 1.11 2.01 16 2.89(±1.10) 3.99 1.79 0.22 0.66 1.34 –1.23 –0.35 0.58 1.48 2.40 17 2.78(±1.00) 3.78 1.77 0.17 0.75 1.42 –1.29 –0.27 0.79 1.70 2.54 18 2.75(±1.03) 3.78 1.72 0.00 0.79 1.49 –1.28 –0.21 0.82 1.73 2.20 19 2.63(±0.95) 3.57 1.68 0.00 0.78 1.46 –1.30 –0.13 1.14 1.92 2.14

(41)

5) SASSV 7 SASSV 17 6) SASSV 7 SASSV IRT 9 0.2~2.0 3 4 7 12 14 15 19 20 23 2 0.2 4 12 SASSV 0.69 7 SASSV

Self Acceptance Scale Shorted Version SASSV No.1 6 11 16 21 2

7 12 17 22 3 8 13 18 23 4 9

14 19 24 5 10 15 20 25

α= β1 β5=

7)

8 CFI = 1.00 TLI = 1.00 RMSEA = 0.00

CFI = 1.00 TLI = 1.00 RMSEA = 0.00

AIC 2874.15 2797.77 BIC 2901.39 2832.54 No. α β1 β2 β3 β4 1 3.67 0.86 4.54 2.81 0.00 0.66 –3.07 –1.47 –0.47 1.29 0.48 2 3.75 0.97 4.72 2.78 0.00 0.62 –2.91 –1.31 –0.48 0.88 0.54 3 3.29 0.91 4.20 2.38 0.05 0.16 –2.40 –0.80 0.14 1.50 0.37 4 3.26 0.91 4.17 2.34 0.02 0.02 –2.04 –0.80 0.15 1.67 –0.10 5 2.91 0.99 3.90 1.92 0.20 0.82 –1.75 –0.62 0.71 2.29 0.59 6 2.88 0.90 3.78 1.98 0.76 0.68 –1.94 –0.52 0.87 2.26 0.46 7 3.11 1.14 4.24 1.97 0.00 0.17 –1.53 –0.40 0.20 1.24 0.42 8 3.03 1.04 4.08 1.99 0.03 0.72 –1.76 –0.58 0.41 1.90 0.50 9 2.92 0.99 3.91 1.93 0.01 0.48 –1.88 –0.31 0.51 1.90 0.34 10 2.61 0.99 3.60 1.62 0.04 0.54 –1.25 –0.15 0.92 2.51 0.38 11 3.45 0.80 4.26 2.65 0.23 0.71 –3.13 –1.50 0.02 1.79 0.52 12 3.32 0.93 4.25 2.39 0.01 0.01 –2.04 –0.85 0.06 1.53 –0.15 13 3.17 0.90 4.08 2.27 0.14 0.63 –2.37 –0.87 0.32 1.99 0.46 14 3.18 1.01 4.19 2.18 0.00 0.06 –2.04 –0.53 0.17 1.46 0.38 15 3.18 1.01 4.19 2.17 0.03 0.15 –1.87 –0.60 0.21 1.41 0.36 16 3.79 1.09 4.88 2.70 0.00 0.44 –2.07 –1.17 –0.44 0.56 0.48 17 3.26 0.92 4.18 2.35 0.29 0.81 –2.53 –1.09 0.29 1.85 0.47 18 3.10 0.90 4.00 2.20 0.45 0.94 –2.48 –0.91 0.56 2.31 0.55 19 3.04 1.01 4.05 2.04 0.03 0.05 –1.78 –0.44 0.36 1.53 0.34 20 2.35 0.92 3.27 1.43 0.00 0.02 –0.96 0.26 1.18 2.49 2.39 21 3.17 0.91 4.08 2.25 0.04 0.78 –2.45 –0.90 0.29 2.21 0.45 22 3.46 0.83 4.30 2.63 0.00 0.53 –2.30 –1.35 –0.17 1.92 0.49 23 3.58 0.94 4.52 2.65 0.00 0.10 –2.41 –1.11 –0.20 1.02 0.30 24 2.99 0.97 3.96 2.01 0.02 0.22 –1.98 –0.43 0.53 1.54 0.30 25 2.83 0.91 3.75 1.92 0.53 0.52 –1.65 –0.46 0.79 2.33 0.45

(42)

SASSV 0.43 95%CI [–0.12; 0.99] –0.85 95%CI [–1.51; – 0.19] –0.47 95%CI [–0.90; –0.05] 0.51 95%CI [–0.26; 1.30] –0.17 95%CI [–0.71; 0.36] –0.07 95%CI [–0.71; 0.36] 0.18 95%CI [–0.46; 0.83] 8

Comparative Fit Index =1.00 Tucker-Lewis Index =1.00 Root Mean Square Error of Approximation =0.00 Akaike’s Information Criterion =2797.77 Bayesian Information

Criterion =2832.54 95% 0 95 2 5 2 1 ABCP-19 2 ABCP-19 SASSV MBP 1. ABCP-19 ABCP-19

(43)

ABCP-19 ABCP-19 MBP ABCP-19 IRT 80,81) ABCP-19 MBP 1 MBP 2 ABCP-19 1 2 OT ABCP-19 ABCP-19 80,81) 2. SASSV SASSV IRT SASSV 2 2 3 2 SASSV 3. MBP 2 MBP SASSV 38,39) MBP MBP

(44)

39) OT OT 28) MBP MBP 4. 2 MBP 1 19 ABCP-19 6 MBP MBP ABCP-19 MBP MBP 1 5. 2 OT MBP 1 2 MBP MBP MBP 2 3 2 MBP

(45)

6 2 MBP MBP MBP ABCP-19 MBP MBP

(46)

3 3 1 1 IRT ABCP-A ABCP-B 91) 2 ABCP-19 MBP 95) 3 1 2 96) 96) OT MBP 11,17,18) MBP OT 5~11) MBP 10,17,18,92) MBP 2 MBP 95) 42) MBP 95) 20,21,44~46,52) 47,48) 47,48,97) 20,21)

(47)

20,21) 52) 20,21,52) 53) 46) 60~65) 62,63,97) MBP OT MBP 2 3 1. 3 15-47 2016-31 2

(48)

2. ABBABB ABBABB A1 B1 B2 A2 B3 B4 96) 54~57) TEA98~100) 101) 1 ABCP-A ABCP-B 9 9 3 ABBABB A A1 A2 B B1~B4 ABBABB A1 B1 B2 A2 B3 B4 3. ABCP Exametrika5.4 RStudioVer1.0.153 https://www.rstudio.com 4. 4 ABCR-14

Stress Response Scale-18 SRS-18 102)

3

3 1

A

B

B

A

B

B

(49)

1 2 OT 3 OT 3 1 2 54~57) 20,21) 16,29~33) 3 1 2 OT 5. 3 97) 103) 8 4 1 60 8 2 1 8 8

(50)

8 6. 1) 2) TEA TEA 98~100) TEA

Trajectory Equifinality Model

TEM 98~100) TEM KJ KJ 2 KJ TEM TEM 98~100) TEM ω ω 99) TEM 99) 1 2 10 3 4 2 10 5 6 4 7 4525 8 2

(51)

TEM 2 99) 101) KJ 101) 7. 1) ABBABB 2)

1 IRT ABCP-A ABCP-B

ABCP ABCP ω 3 7 91) ABCP 91) –3 3 0 0 91) ABBABB A A1 A2 16 ABCP-A 18 ABCP-B B B1 B4 ABCP-A ABCP-B 1 2

TRF TIF ABCP-A ABCP-B 79)

ABCP

Tukey 104)

(52)

4 1. OT2 2 1 5 9 9 2. 8 95.0 3. 1) KJ 10 12 4 34 3 36 15 37 15 33 13 27 6

(53)

10 KJ | CD | | …

(54)

2) TEA 3 10 10 [ ]

(55)

10 TEM [ 0 0 0 0 1 ] 1 1 [ 1 0 ] 0 0 1 [ [ ] [ 0

(56)

3) - 11 100 80 3 60% 4 40% 4 11 - a b c d e 60% 80% 40% 40% 60% 60% 80% 60% 40% 80% 40% 100% ●

(57)

4. 1) ABCP

11 IRT

ABCP-A ABCP-B CFI = 1.00 TLI = 1.00 RMSEA = 0.00

(58)

11 3 ABCP

Test Response Function: TRF Test Information Function: TIF Comparative Fit Index (CFI), Tucker

Lewis Index (TLI) , Root Mean Square Error of Approximation (RMSEA) (Akaike’s Information Criterion AIC)

(Consistent Akaike’s Information Criterion CAIC) (Bayesian Information Criterion BIC)

TLI 1.00 TLI 1.00 CFI 1.00 CFI 1.00 RMSEA 0.00 RMSEA 0.00 AIC –1456.49 AIC –1304.72 CAIC –3568.52 CAIC –3176.75 BIC –2732.52 BIC –2435.75 ABCP-A ABCP-B 0 10 20 30 40 50 60 -3.2 -1.6 0 1.6 3.2 得 点 THETA テスト反応関数(TRF) TRF 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 -3.2 -1.6 0 1.6 3.2 情 報 量 THETA テスト情報関数(TIF) TIF 0 10 20 30 40 50 60 -3.2 -1.6 0 1.6 3.2 得 点 THETA テスト反応関数(TRF) TRF 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 -3.2 -1.6 0 1.6 3.2 情 報 量 THETA テスト情報関数(TIF) TIF

(59)

2) ABCP 12 ABCP 12 ABCP -1.5 -1 -0.5 0 0.5 1 1.5 2 1 2 3 4 5 6 1 2 3 4 5

(60)

3) 12 ABCP 12 ABBABB A A1 A2 B B1~B4 ABBABB A1 B1 B2 A2 B3 B4 ** p < 0.01 T P –0.28 0.23 23.44 –1.23 0.23 A2 0.12 0.32 20.00 0.38 0.71 B1 0.94 0.32 20.00 2.96 0.01 ** B2 0.09 0.32 20.00 0.28 0.78 B 0.29 0.32 20.00 0.90 0.38 B 0.06 0.32 20.00 0.20 0.84 0.02 0.14 0.25 0.50

(61)

4) 13 0.05 A1-B1 0.1 B1-B2 B4-B1 13 ABBABB ABBABB Tukey A A1 A2 B B1~B4 ABBABB A1 B1 B2 A2 B3 B4 ‘*’ 0.05 ‘.’ 0.1 5 3 2 MBP

Z

P

A1–A2

0.12

0.32

0.38

1.00

A1–B1

0.94

0.32

2.96

0.03 *

A1–B2

0.09

0.32

0.28

1.00

A1–A3

0.29

0.32

0.90

0.95

A1–B4

0.06

0.32

0.20

1.00

A2–B1

0.82

0.32

2.58

0.10

A2–B2

–0.03

0.32

–0.10

1.00

A2–B3

0.16

0.32

0.51

1.00

A2–B4

–0.05

0.32

–0.18

1.00

B1–B2

–0.85

0.32

–2.67

0.07 .

B1–B3

–0.65

0.32

–2.06

0.31

B1–B4

–0.88

0.32

–2.75

0.06 .

B2–B3

0.20

0.32

0.61

0.99

B2–B3

–0.02

0.32

–0.08

1.00

B3–B4

–0.22

0.32

–0.69

0.98

(62)

1. 10 80% 60~65) 54~57) 20,21,27,28) 10 54~56) 12 A1-B1 54~56)

(63)

2. 27,28) 20,21) 3. MBP MBP 10,17,18,92) MBP OT MBP α 29,76) 4. 3 8 4 54~57) 1 1 2 1 α 6

(64)

MBP 1

(65)

4 1. 3 OT MBP 1 3 3 1 OT 91) 2 MBP ABCP-19 MBP 91) 3 MBP 1 2 ABCP-A ABCP-B 91) 2 91) 2 80) ABCP IRT 2 MBP MBP 95) 95) 3

(66)

51) α 49,50) OT MBP MBP 29,76) 2. OT 2 29,76)

1 ABCP-A ABCP-B ABCP

91) 2 ABCP-19 MBP MBP 95) OT 1 3 MBP α 20 60 150 OT PT ST 5 24 105,106) 1 365 300

(67)

20 OT MBP 3 MBP α 3. 1 2 OT OT MBP 3 1 MBP

(68)

1. OT MBP 3 1 OT 2 MBP MBP 3 1 2

1 ABCP-A ABCP-B ABCP

2 ABCP-19 3 MBP MBP α 29,76) MBP 95) 29~33) 3 MBP 91,95) 3 54~57,73) MBP

(69)

2. 3 2 5 α 3 5 2

(70)

1) World Federation of Occupational Therapists (2004) Definition of Occupational Therapy. http://www.wfot.org/AboutUs/About Occupational Therapy/Definition of Occupational Therapy.aspx. [Accessed January 25, 2018]

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3) Rosalie B ,Kay W, Menks F ,Susan D, Julia V ( ) (2003)

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